I suspect some of the answer may lie with the type of surgery. I asked my nutritionist "Why do some people have WLS and lose a lot of weight only to gain a major portion back later? Her answer was "grazing" which I interpret as snacking.
I suspect that some people do not adhere to the Protein, Vitamin and Fluid requirement during their weight loss phase, and that also torpedoes the amount of weight they lose.
Perhaps another reason is "guidance". I had a RNY. There is a great amount of detail in what foods and how much to be eaten at various stages after surgery. But when you achieve a good amount of weight loss, the guidance seems to disappear. I was in a weight loss stage for 7 months after surgery. I have been in a maintenance phase for the next 19 months. It is the maintenance phase that needs more guidance. I did a lot of experimentation and found my own way. And I am happy with it. This morning I was at my lowest weight so far. I exclude process sugars from my diet and I use fats to limit hunger. I no longer take Protein supplements but rather obtain my protein from my meals.
I have a total of three required things left: nutritionist appointment next week, pre-op surgery class on June 2, and then final appointment with doctor. June 15th is the day I can submit to insurance and I will be nervous until I'm actually approved.
