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Personally, I say go with the bypass. But if you're wanting super aggressive, then maybe the SADI is the way to go. How much weight are you lookin to lose? They say you don't lose as much with ANY revision. I got mine because of complications with the sleeve. But I lost 113 pounds in 8 months with the sleeve before all hell broke loose and my complications started. When I had the revision to bypass, I was told to expect to lose 45-50 pounds more, with the high side being 60. Welllll, I've lost 96 pounds since I had the revision 13 months ago...so...yeah. Bypass recovery was a breeze, corrected all my issues, and I kept losing. If you're this anxious and nervous and even scared about the SADI, maybe go with the bypass. You can certainly lose a lot, even though it's a revision. But no matter what surgery you choose, you still have to do the work, stick to the meal plan, track what you're eating, and move your body.

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

I just passed my 5th anniversary of revision from VSG to RNY. It has been 100% worth it for the relief from GERD alone and honestly the differences between the surgeries are not really the noticeable to me. I will not sugar coat the experience because thats not helpful. There was an adjustment period (2-3 months) in the beginning like fixing a stricture, figuring out the new fullness sensation and food tolerances but after that it has been mostly smooth sailing. I also didn’t want RNY from the beginning because of the reworking of the intestines which is why I chose VSG. But I already removed 80 % of my stomach so what’s a little crisscross applesauce 🤣 But honestly if I had a Time Machine and knew GERD was my future (never had it before VSG) I would have outright went with RNY. Good Luck in advance and I’m hoping for your relief from GERD.

Is there anybody else that has had a revision. I went from VBG to Gastric Bypass

Me 🙋‍♀️ I always drank cow's milk. My entire life. Never had an issue. After my sleeve, I switched from full fat to 2% but was still fine. HOWEVER, after my revision to bypass, I became COMPLETELY lactose intolerant. I drink almond milk now and use non dairy cheese and nutritional yeast. Anything dairy gives me all kinds of problems now. I developed a few food allergies after my bypass that I never had before. Super weird...

I had sleeve 3.5 years ago and I gained all my weight back because I was too embarrassed to ask for help before it was too late. You already taken a big step in reaching out here for help. I would also reccomend that you make an appointment with your team for further support. I thought for sure mine was going to chastise me for messing up but that couldn’t have been further from what happened when i finally did. All they wanted to do is help. I ended up doing a revision but my preop diet was pretty doable and detoxed me from sugar and carbs. Mine was two shakes a day and then low carb dinner of 3oz lean protein with a cup to a cup And a half of lower carb veggies. Something like that may be a Reset of sorts but you shouldn’t do it without consulting a doctor. Anyways, doing that I noticed that each day it got easier and easier as my body stopped cravings the sugar and carbs so I didn’t feel like I was starving myself anymore. For me, that’s the biggest obstacle. If I’m not starving I can make the better choices. You may also reach out to your dietician. Be honest about what you are eating as ask for help to make small changes to get you back on track. Keep posting and let us know your progress of struggles.

For the sleeve, I was told 6 weeks and I was cleared for everything except weight lifting. I was cleared for that at 8 weeks. For the revision to bypass, I was told since that's a longer and more involved surgery, I was cleared for everything at 6 weeks except weight lifting, which was 10 weeks. And nothing full contact until 12 weeks, although I don't do that anyway. Swelling for the sleeve was gone by 6-7 weeks. For the revision, about 8 weeks.

I had to sip for a good 6-8 weeks when I had my sleeve. I really struggled with the sleeve, and ended up with a revision to bypass a year later because of complications. I didn't have to sip at all when I had the bypass. I finished an entire 20oz bottle of water the day I had the revision in 2 hours in the hospital. When they saw that, they unhooked me from the IV because they saw I was getting enough fluids lol

Usually depends on how much you need to lose to shrink the liver and make the surgery safe. I did the sleeve 3.5 years ago and I was a little smaller and only had to do a week of this same diet. This time for revision I had two weeks plus two days of clear. But you’re right. I was able to have a meal a day. It’s not much though just 3oz lean meat and a cup of veggies. I have seen some people have to do a full month. I am on day 15 of 16 now. It’s goes faster than you would think.

I didn’t have any real taste changes with my sleeve except for with sweet stuff immediately post op but that was only temporary. I am curious to see if it’s the same with my revision. I hope if I do it’s not to any of the healthy things I like since they are already so limited. I never did think to try stuff I didn’t like prior to sleeve though. I guess I should do that after my revision. Maybe I can expand my menu which would be a welcome change.

I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!!

I was sleeve in 2015 and am having revision surgery next week (eek!!) but I never thought about the "what I want to do" type ideas before. Mostly I just wanted to lose weight - I've been heavy my entire life - but I think that maybe I'd like to... Be able to sit in one of those plastic/resin chairs that everyone seems to own for their patio without fearing that it might collapse under my weight, or sit at a sidewalk cafe/restaurant without my butt hanging over the edges of the chair. Have a mattress last longer than a few years before the "dent" I've put in it causes me even more body aches. Be able to go grocery or clothes shopping without feeling like I'm being stared at (that's my social anxiety, but it's made MUCH worse by my weight). Be able to fly economy class again (I've only been able to fly first class the last few years, because I just don't fit in economy anymore) WITHOUT the extender belt! Take my dog for walks and to the park and run around with him. Be able to sit in my desk chair for longer periods before my legs fall asleep because the chair isn't deep-seated enough for my butt! 🤣 I have boring "dreams" 😂

I am one month post op from a revision to SADI. I was telling my friend that After my sleeve I never did exercise and that I really do need to but everytime I do the treadmill I get so boared with it that it never sticks and I want to walk around the neighborhood because I feel like it may be a little more entertaining so I can stick to it but I had a trauma in my past that made that super hard for me. I have lived In my house for 20 some years and not walked around the neighborhood once without my husband with me. Well, I am incredibly lucky to have a really good friend who said she needs to get more exercise too and she committed to walking together…well via technology anyways. She lives an hour away so Every night for the past 6 nights we have figured out a time that works for both of our locations weather wise and we walk at that same time and talk on the phone. Even the preparation was more fun with someone else doing it to. We both ordered our walking shoes and talked about what we were going to wear and she has her Fanny pack and I bought a running belt to hold our phones and we got the small pepper spray that straps onto your hand. It helped me tremendously the first couple of nights to get me past the anxiety of doing it at all and now it just makes it so much more fun. The person on the other end of the phone doesn’t even really have to be exercising either. Just someone willing to talk to you at a set time to keep you motivated. As soon as we get home we end the call so we can jump in the shower and get dinner ready. Otherwise we would be on the phone all night. It’s worked so well for me. Also my Apple Watch has helped. To be able to have it log my exercise and use my heart rate and steps and let me know how many calories I am burning and how many miles and steps each day And to look back and watch as I am doing a little more each day. The morning after that first night I woke up feeling so incredibly proud of myself and each night since I sleep better, I wake up feeling refreshed. It’s amazing the way it makes me feel. I can’t believe I did do this sooner. It feels incredible.

What do you mean. Did you reach your goal and start to regain or is it something else? I see you are about 40 pounds from your goal now so it certainly seems doable to turn it around if it’s regain. My first piece of advice as someone who regained all their weight and just had revision surgery a week ago is to reach out to your team. My second step would be to reach out for support here or otherwise and you have already done that. I did neither because I was too embarrassed and you can see where that led me. When I finally did reach out to them I wished I had done it sooner because they treated me with nothing but compassion and just wanted to help. For me the only real option was revision but you should have plenty others. My guess is their first plan of attack will be to go back to the basics. Reading labels, Logging your food and counting macros. Protein first, smaller portions and reaching your fluid goals. Seems like from your profile you are pretty active anyways but trying to Incorporate more activity if that has slipped a little. Just go back to it like you are just out of surgery. Well past the staged return to eating I guess but fairly early out anyways. Some people even start with the “pouch reset” Of a liquid diet for a week or two although most say that there is no real evidence that does much to reset anything. Make an appointment with your team now and start logging what you are doing for a week or so giving them a starting point and let them advise you of what you need to work on. There are other options now if diet alone is not enough but if you enjoy healthy eating anyways its likely portion size has increased a little more than you realize and that’s something you should be able to change. Once you do figure it out try to make changes one at a time if necessary to make them more manageable. Set lots of small goals to keep yourself motivated But most importantly keep reaching out to your support networks such as posting here as well as keeping in touch with your team. Your sleeve is still there. It will be a little harder than it was the first time but people have certainly done it. You have already taken the first steps Of recognizing the issue and reaching out here just keep taking steps and before you know it you will be losing again. Keep us Posted on any ups and downs so we can cheer you on. You can do it!!

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

Do you have any protein shakes you like rhat you can tolorate? And do you like coffee? If so, have you tried “proffee”. I don’t like to cook in morning so even after 3.5 years And all my good habits going out the window, I still enjoy my proffee for breakfast. I was so relieved fbaf my dr is not a stickler on caffeine so I can still have it on my LSD for revision. Well up until the last two days of all liquid. Only because I can’t stand black coffee

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

👋🏻 Hi! I’m having a sleeve to bypass revision Sept 9th!

It happened to me the in first year after my revision, but now after 5 yrs it’s more of an aversion because I completely avoid rich creamy sauces and soups.

I had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

I am pending revision from sleeve to SADI but when i was considering revision to bypass my research brough up a lot of information of revision from bypass and it was to SADI or DS.

The first 2-3 weeks are super important for sticking to the post op diet because a lot of nerves were cut, so we don't get the "stop eating, I'm full" signal right away. We can actually hurt ourselves by eating things we shouldn't or eating too much because we think we can because we're not getting those signals yet. Just stick to what your plan says to do. Once the nerves start to heal, you'll be REALLY glad you got in the habit of eating properly. As for the gurgling...get use to it lol I'm 2 years and 3 months out from my original surgery and 14 months out from my revision, and the gurgling is still here. Shows up at the worst times, too. Sexy time, at the movies, out to dinner, when I'm with a patient at work lol It's just a part of life now.

Ii haven’t had my revision yet but for the sleeve I was told about 6 weeks and I could do exercise. For the revision it’s a little more complex so at the skull part group meeting we were talking about fitness and I said that I needed to do core exercises and the PA said that 6 weeks was fine for them too and the surgeon was right there and didn’t correct him so I took that for myself as it means I’m pretty much cleared at that point for most things. I think they do say to wait a bit longer for weight lifting and one girl asked about roller derby 3.5 years ago. But outside full contact stuff and weights it seems to be 6 weeks that we are healed enough to be safe from outside stuff so I would imagine all swelling and stuff would be gone by then for sure.

Ok what??? HOW??? I was staying between 177-179 for the last few weeks so I thought I was FINALLY at the place my body was setting at. Apparently not!!! I've even increased how often I eat. But it seems like the more I eat, the more I lose. The less I eat, that's when my weight stays pretty much the same. And that seems pretty messed up to me. So I have to starve myself to STOP losing weight but if I eat well I'll keep going lower??? What??? I don't WANT to go lower. I was supposed to stop at 190!! Make it make sense, cuz the math ain't mathin. Just had blood work done. Other than being anemic (thanks lupus!!) everything was normal, including my thyroid. My nutritionist and I got my calories up to 1600 per day when not working out and 1800 when I am. Protein up to 90g on non work out days and 120g on work out days. Carbs are trickier since I'm super sensitive to them, but we got them up to 35g on non work out days (up from 20-25) and 45g on work out days (up from 35). Healthy fats we upped to 70g on non work out days and 100g on work out days. My fluids are always good. Normally I drink around 80 fl oz on non work out days and 100+ on work out days, which 20 of those being an electrolyte drink like Prime hydration, Propel, or Gatorade zero. Being that I'm 2 years and 4 months removed from my 1st surgery and 1 year and 2 months removed from my revision, she's really surprised that I'm still losing. I said "You and me both, lady. Now how do I make it stop?" She said to just keep doing what I'm doing and hopefully my body will eventually hit it's set point and stop on its own. Um...what?? I'm now 15 pounds below my goal. I understand the whole "bounce back weight gain" or whatever it is, but that can't happen until my body finally picks a weight to settle at. I really don't like how I look at this point, and it's frustrating that nothing fits...again. I know it seems crazy to complain about this kind of thing, and believe me, I never EVER thought I would be the one doing it. But something's gotta give, you know? I'm really starting to look sickly, and in my line of work, that's not a good thing at all.