Tomo

The most recent research also supports this, especially for those over 65 years old. I think in the end, I will settle at about BMI 27 since I am in my 60s too.

63% EWL after vsg. 122% EWL after revision to RNY.

I would talk to other surgeons. My surgeon is a major vegetable and fruit fan. As soon as I could fit it in my diet, his goal for me was 7 to 14 servings of vegetable/fruits a day. "No matter what. Just make it happen." It is great for weight loss and health. He isn't specific about the type of protein, just as long as I get 65 to 100g a day.

Yep, sounds like water gain to me. If I eat too many pickles (salt), I easily gain 5 lbs water overnight and for a second I think distorted self-defeating thoughts. We are all so good at distorting reality. Over generalization, all or nothingb thinking, discounting the positive accomplishments so far... Etc. Anytime your head starts telling you those negative automatic thoughts, just say "stop", and think of the alternative rational/realistic thoughts. I know it can be frustrating but you've done well. Hang in there

I don't understand what he means by too many side effects if he did the revision to RNY. Do you mean he was worried that you may lose too much weight? I was told that if I had the revision all my side effects will go away, not make more. After my revision, every issue (bowel, gerd, esophagitis... Etc. went away) as I was told. I had put it off for a long time though. He had suggested the revision as soon as I first got gerd but I resisted and thought medication will be fine. I was wrong, he was right.

I was 206 at the time of my revision. I maintained 160 for years but I had put on 40 lbs after getting uncontrolled gerd unfortunately. My weight was stable as long as the PPI worked but it got to the point no medication worked. On the day of my revision, I was still 120 lbs. less than my 2008 beginning weight 320 lbs (plus). I weighed 113.4 lbs this morning. I am still trying to find my maintenance level of calorie as I am still losing.

I don't know but I can share how mine began. I didn't get gerd till a few years in with my sleeve. It began with a slight burning throat (near the base of my throat). It progressed to an added feeling of mucus there or a lump so I swallowed a lot to try to clear it. I was switched several times from famotidine to Omeprazole to esomeprazole... Etc. Some worked for awhile. It progressively got to the uncontrolled state.

I had a bypass a year ago and I swallow 5 pills (3 are pretty large supplements) all together at the same time every morning.

I weigh myself at least once a day too. If I am at home all day, then I weigh myself several times a day. Stalls and fluctuations do not bother me at all. I meticulously track my food real time, so I know whether I am doing something wrong or not even before stepping in the scale. Too many factors play into weight. Like if I eat too many pickles, I will gain water weight for a few days. I understand others though. If the stalls and fluctuations bothered me, I wouldn't weigh too often either.

Exactly. I come from an all naturally thin family (except for me) and it is normal to say "I am not hungry right now" or "maybe later". My boss who is super thin ordered a huge plate, ate a few bites, began talking about work, and didn't want it anymore. She didn't even bag it. That is how thin people are. They will not eat when they are not hungry, and while I ate, my friends would just play on their phone, for example. My husband is like that too. He has no qualms saying "no thanks, I am not hungry. " at a buffet.

I don't believe it would be a waste of money if you go to a good surgeon. I wish I did my revision sooner or skip the sleeve all together because I got gerd from it. The revision was the best thing I have ever done and worth every penny. The sleeve was good at restriction but the rny, at least to me, is another animal altogether. I don't dump at all (once early on) but I get full so fast. Although I had my revision for uncontrolled gerd purposes, I lost over 90 lbs. in less than a year. I could never get below 160 lbs with the sleeve (which was fine at the time) but here I sit at 114 lbs. No gerd, no side effects, I feel great physically. I have been transitioning to get to maintenance the last 3 months.

To your questions: Generally, you do lose weight quicker in the beginning and it tapers off. If you stay on program, losing 50 lbs in the first 6 months is absolutely realistic. Note: It's common to have stalls but if you stay on program, it is temporary. Do anything you can not to stress about it or have too high expectations, otherwise you'll up your cortisol levels which increases cravings and hinders weightloss.

In 2015, my surgeon said she used the flexible endoscope as a guide (about a diameter of 9.8mm).

I would talk to a bariatric surgeon and have them see how serious your reflux is and if it they believe it warrants a revision, they will tell you. As far as the poor choices and no weight loss, it could be due to having gerd. I didn't get reflux from my sleeve till years later, long after I had lost most of my weight. I saw a few surgeons, and they all said that I have to get a revision to RNY, otherwise I was risking getting esophageal cancer. I also started having difficulties keeping the weight off. I couldn't sleep at all, hence I ate more for energy. Other times, I ate when my stomach hurt just to temporary pacify the gnawing pain... Etc. It's all related.

Hover over your name in the top right corner, on the drop down menu, click on surgery. You should be able to do all your updates there.

Clear liquid diet day 1-3, then day 4-14 a full liquid diet. Day 14-35 a pureed diet. After Day 35 and on, solid foods with 80 to 100g protein (I consume about 65g though), 7-13 servings vegetables/fruits.

Thank you for sharing this. I got the bypass a little over a year ago. I am one of those people that if something can go wrong, I'd be in that minority. With the band (slip/erosion), and then the sleeve (esophagitis and severe gerd). Many people have both of those for life, but unfortunately, each time I was forced to revise or live in pain. I am extremely happy with my RNY, and I sure hope I will be able to look back 15 years from now and still be healthy.

I use Mama Sita's tamarind soup base powder packet to make this Vegetable Sinigang and daikon is perfect in it. Roasted eggplant slices and okra go well in it too. I had read that the number one soup recipe in the world voted by the International Food Database Taste Atlas was Sinigang so I started back then. It's usually a pork, beef or fish Sinigang but I just make a vegetable version and then add the protein of my choice when I have a bowl of it.

My appetite came back after a year. I have many days I am still not hungry but other days that I feel super hungry so they kind of balance out. The thing is I still really enjoy my food (darn lol). I am so sorry that the enjoyment is gone for you I hope your doctor can figure out what is going on. Unfortunately, many diseases also cause a lack of appetite. So it is good to get a full check up. Have you recently had a full blood test done? Certain vitamin deficiencies lead to lack of appetite, like zinc and thiamine. Perhaps try to boost those with additional supplements and eat your favorite foods. Perhaps read up on how to boost your ghrelin. Good luck, I really hope you find out what is going on.

Weekly, I make a big pot of vegetable soup that consists of okra, Asian eggplant, peppers, tomatoes, onions, garlic, ginger, daikon, shiitake mushrooms and then I add cabbage, bok choy or spinach at the end. One cup is less than 50 calories.

Perhaps just talk to them and have good conversations. Enjoy their company. It isn't about food but being together. I think you should talk to a therapist or doctor. To cause family disruption just because you can't eat and be this upset suggests other deeper issues, either physically, emotionally or mentally. For example, one of my siblings had anger issues and many times it was due to a chemical imbalance.

So basically they want to re-sleeve you which doesn't make sense if you have gerd. A few years ago, I originally asked my surgeon who regularly does ESG if I can have that instead of the bypass (I was still worried about getting a bypass back then) and he adamantly said no, and it'll make my gerd worse if they tighten my sleeve. He said the sleeve puts pressure on the lower esophageal sphincter which causes reflux. Once he found out I had a gerd, he pushed for a revision to RNY for a couple of years and I kept trying different PPIs instead but to no avail. It got so bad, I finally had to get the revision to RNY last August.

Takes a while for pantoprazole to kick in, sometimes as long as 3 to 4 weeks. I had the sleeve back in 2015 and I never had those symptoms in the beginning. I would call your surgeon. Maybe they can switch you to Omeprazole or another type of medication that will work better for your body. Fast forward, a few years, when I first started getting gerd symptoms, I was put on famotidine and when that stopped working, I was switched to Omeprazole and then to a few others.

They put me on a 10 day clear liquid diet. White grape juice, apple juice, cranberry juice, pulp free lemonade, fat-free low sodium broth, coffee, tea, popsicles, gelatin. I lost like 10 lbs. or something like that. It. Was. Miserable. lol

I was going to say that I never heard of it as a side effect but I have totally forgot about that until I read what @Arabesque said about clearing your lungs after surgery. They even gave me an incentive spirometer to bring home.