Help! I had my gastric sleeve surgery September 24. I started at 264 pounds. I was down to 200 pounds at the beginning of February then found out I had a cavernous malformation on my brain stem and had to have surgery to remove it. During that time I managed to gain back 20 pounds. Some of that was due to prednisone but some was due to not being in control of my own cooking. Now I cant seem to start losing again. Im definitely eating larger portions than right after my surgery. Any suggestions?

I think you need to go back to basics. Always eat your Protein first at meals. Make sure you meet your Fluid, protein and Vitamin requirements.

According to my nutritionist, most individuals that gain weight back after surgery are due to grazing (snacking). Your case is probably an exception. I am 2 years post-op from RNY. My weight loss is stable. I do graze but I graze on fats. Fats take away hunger. I have a cup of coffee in the morning with a giant scope of home made real whip cream. I make it myself so I exclude sugar. I strictly stay away from sugar and use low calorie sweeteners such as Stevia and no calorie artificial sweeteners such as Splenda. I also use sugar alcohol found in Atkin's treats. But that is the method I have found that works for me.

You might also have to go back to measuring the volume of food for each meal to lower your portion size.

Thanks for the help. Im getting really depressed. Do you ever eat oatmeal? The weight gain started around the time I started eating oatmeal. I also was diagnosed with a brain tumor and had brain surgery around the same time so I dont know what did it. I will try to reduce my portions. Thanks again