Hi...I’m just curious about those of you who are several years out...those who met goal and are keeping it off...what do you eat throughout the day...when, what, how much, how much water and exercise...I’m really struggling and have put back 50 pounds! I need help quick!

I'm not sure how much direct help I can be, as our metabolisms are likely quite different (between a 5'10 man and a 5' woman) but I'm stable at around 2000 calories per day, give or take depending upon how routinely active I am, typically split up between about five meals per day. I do about an hour of dedicated exercise per day, usually split between a half hour or so of running the dogs woods or canyon in the morning (they run, I hike) and a half hour or so of swimming or strength training in the afternoon. I don't keep track of the fluids anymore, but it is at or above the typical 64 oz recommendation (I down a 1.5 liter bottle of water per day, plus ice and whatever other incidental fluids I have - iced tea or milk products; more if I am doing something specifically dehydrating during the day.

There is a series of videos from one doc that has some relevance -

I'm not entirely up with everything in his program, but he is one of the few that I have seen that discusses the increasing meal volume that we typically see over time, and offers a way to handle it. I do something similar in that I have a fairly vegetable rich diet, and do more of his "veg first" approach rather than the traditional protein first that we see in the bariatric world. It does make some sense in that veg is typically high bulk, high nutrition and low calorie, so does a good job of filling that extra capacity that we develop over time in a way that minimizes the caloric load that leads to regain. The more typical low carb (and worse, low carb, high fat) diets that are all the rage today have some weight gain built into them as they are typically higher caloric density which can lead to regain if one doesn't keep on top of the overall caloric load. So, that is something to consider if that can fit with your dietary personality (something that you can stick with long term.)

He has some other vids on related topics that may also be useful. He seems fairly down on revisions as a solution, which fits my experience as there seems little that can be done to a bypass that isn't just a short term fix; a revision to a DS seems to offer the best results but is a very complex procedure that few surgeons can perform, so that tends to be a last resort.

Thank you so much for taking the time to write all that... I’ll definitely take a look at those videos!