I am 2 years post op RNY and have gained 30 lbs over the course of this past year? My surgeons office is not helping, cant ever get hold of the nutritionist and she never calls me back. Getting so frustrated. All they did at my last check up was write me a prescription for PGX Daily to take 2 packets before my meals, told me to stop any and all snacks (not even healthy snacks are aloud). I was not a big snacker anyway, may have had a bananna or a portion of cheese to hold over from lunch to dinner. I will admit that the winter was particular harsh and could not get out much to do all the walking/jogging I was doing (no excuse for not exercising as I should). I cant get the weight to go down. I dont know how much protein I should be consuming, how many calories I should be, or anything. Need help! I was told by my surgeons office that they want me to go back to seeing them every 6 months and if I can not lose the 30 lbs they want to discuss revision surgery making my pouch smaller. I also think that the major weight gain was due to my huge increase in wine for about 6 months. I have stopped drinking wine all together yet still no results?

What state do you live in?

Hey Chris, I know it's really hard not to let it but, part of this is not to let it get in your head too much. I had the same issues when I had the band. You know what to do, you just have to do it. Go back to what worked in the beginning, high Protein 80-100 grams a day for us, low carb, and get back to working out. You will see the pounds start to come back off again. It will probably be slow since you have so little to loose now, but it will happen. If you feel like you don't have a supportive team, you might have to interview a few others and move on. I hope you take care of you and do really well!

I was told:

"I would start with your post-op diet routine and track all the you eat. My postop diet is 60 to 80 grams of Protein, 30 grams of fats,

and no more than 100 grams of carbs. Eating Proteins first, then carbs and finally fats."

Start logging your food in a journal, and get back to exercising! yes, the winter was harsh but it is now over with.

You can do this. And get to a support group! It really helps.

My doctors recommended between 75 and 90 grams of Protein daily. This protein requirement is a combination of the protein obtained through meals combined with the protein obtained through protein supplements (Protein shakes, protein bars). I have opted for using homemade high protein chili and Soups for most of my meals and consume around 65 grams of protein from meals alone. Some of my recipes are contained in http://www.breadandbutterscience.com/Surgery.pdf

Do not forget your 65-80 ounces of fluids each day. Not getting enough Water or fluids can affect weight loss.

I asked my nutritionist "Why do people lose weight after RNY operation and then gain some or most of it back. She said the main problem is grazing.

I have a sweet tooth prior to surgery and it was one of the main causes why over the years I gained weight and developed diabetes. After surgery, I stay away from process sugar and I am content for the most part with eating natural sugar (such as found in fruits, white grape juice, stevia), synthetic sweeteners (Splenda), and Snacks with sugar alcohols. Thus far it does not appear to be adding extra weight nor affecting my blood sugar levels.

I do some snacking but I use fats because of their ability to suppress hunger. Snacking on protein is also good but I do not recommend carbs because they do not suppress hunger. For example I generally have a coffee each day topped with a generous portion of real whip cream. I make my own whip cream from scratch using Splenda. Or I eat a few Adkins treats which contains fats and use sugar alcohol as a sweetener.

That is the approach that I take. I am 23 months post op from RNY. After surgery, I leveled out at 160 pounds for about a year. Then I had a couple bouts of the stomach flu and lost another 10 pounds. I decided this was my new bottom weight. Over the past year I have gained around 5 pounds back. But I am still 5 pounds under my goal weight of 160 pounds.