Back on track in General Weight Loss Surgery Discussions Posted June 22, 2020 Good luck Eric. I had the same problem - sleeve 3 years ago, lost 100 pounds in 8 months, gained back 60 over the next 2.5 years. I tried resetting my pouch and going back to pre-op diet mode, but nothing really worked for me. In the end I decided to have a revision to bypass earlier this year. I've been losing weight consistently (but slowly) since then. However, it hasn't affected any real change - I can eat just about anything (pizza, bread, Pasta, whatever - serving sizes are normal portions, not bariatric portions). For the most part I DON'T eat these things (still doing shakes and fish and salad, etc.), but every now and then I've just been pushing to see if there is anything that my body does not like/can't handle. There's nothing. I'm really disappointed because I thought the even smaller stomach would help with Portion Control (it doesn't), that having bypass would make me not like sugar (it doesn't), or that I would have other food issues (like lactose intolerance - I don't). So it's a good wake-up call for me that portion control and what I eat is the key - I can't depend on the surgery to help me out, other than initial weight loss. For whatever reason, my body has reacted to these surgeries really well. In both cases I was up and walking and feeling great within a day after surgery, I never had food restrictions like so many others (I could eat at 3 months what many patients could at 2 years post-op), and I never had any food issues after surgery either. I'm saying all this in that the second surgery didn't fix any of my food/body issues, it's all a mind game, really. In a way I wish I hadn't had the second surgery (money-wise), but if I hadn't done it, I don't know if I would have learned these lessons as well. FWIW, I think the best plan for me going forward is a mix of protein-prioritized Keto (or maybe paleo) mixed with intermittent fasting (I'll start with 12 hours and work my way down to 8 hours, maybe to 6 eventually), plus adding some weight training to my regimen. I'm working on weaning myself off of all my bad habits over the next week or so and will be starting fresh on July 1st. Hopefully others can chime in with what they've done to deal with weight regain after surgery. Unfortunately I think a lot of people who do tend to leave these forums (as I did), so I'm hoping that sticking around here on a regular basis will keep me more motivated.