it's been around 15 years since I had my gastric bypass surgery and I've been fine with maintaining my weight all this time but the last six months due to hormonal changes and medication I gained at least 50 lb can anyone who had surgery that long ago tell me how they maintain their weight

I’m just starting out but I have read that it helps to do a pouch reset. Having hormone, metabolic and other medical issues I can relate. Try to pinpoint what medication might be affecting your weight and why. For example I needed beta blockers and the generic caused more side effects that included slowing my metabolism. Once I got on the name brand and also adjusted my calories it helped. If you can pinpoint the medication ask the doctor about switching to something with less side effects of weight gain. Also see an endocrinologist to have hormones checked and anything that could be throwing off your weight there. You might try some natural hormone supplements ie. Wild yam, black cohosh, (my head isn’t working to think of them all) 15 years a lot can change and it takes time to re-evaluate and adjust.

2-Week Pouch Reset Diet

The 2-Week Pouch Reset Diet can help you if your weight loss stalls after getting gastric sleeve, gastric bypass, lap-band, or another type of weight loss surgery. There may be a time after weight loss surgery when you wonder whether your pouch has stretched, or when you get off track with your eating.

The 2-Week Pouch Reset Diet mimics your original post-op diet, but it moves through the stages more quickly. You start with clear liquids, move to full liquids, then progress to pureed foods, semi-soft foods, and solid foods.

The 2-Week Pouch Reset Diet can help you:

• Break the pattern of off-track eating.
• Remember what it feels like when you feel restriction from your pouch.
• Practice stopping eating before you feel overly full.

Diet Guidelines:

• When you get to the solid foods diet, this is the time when you will feel that your pouch is working again. Eat slowly and mindfully, and focus on the feeling you have when you stop eating just before you are full.
• You can continue on the solid foods plan (repeat Days 10-14) for as long as your doctor agrees.
• Drink plenty of water and other calorie-free or low-calorie liquids to stay hydrated.
• Only use under the supervision of your doctor.

Day 1: Clear Liquids

Breakfast
½ cup apple juice, ½ cup decaf green tea

Snack 1
1 sugar-free ice pop, ½ cup sugar-free gelatin

Lunch
Tomato Basil Sipping Broth, ½ cup sugar-free gelatin

Snack 2
½ cup decaf coffee, Lemon Iced Tea Fiber Drink

Dinner
Delight Pho Sipping Broth, ½ cup sugar free gelatin

Dessert
1 ice pop

Day 2: Full Liquids

Breakfast
Strawberry Meal Replacement Shake (240 calories, 35 grams protein)

Snack 1
Decaf Protein Cappuccino (90 calories, 15 grams protein)

Lunch
Broccoli and Cheese Protein Soup (100 calories, 15 grams protein)

Snack 2
Vanilla Meal Replacement Shake (240 calories, 35 grams protein)

Dinner
Meal Replacement Chicken Protein Soup (160 calories, 27 grams protein)

Dessert
Banana Protein Shake (80 calories, 15 grams protein)

Totals: 910 calories, 142 grams protein

Day 3: Full Liquids

Breakfast
Chocolate Meal Replacement Shake (240 calories, 35 grams protein)

Snack 1
Vanilla Cappuccino Hot Protein Drink (90 calories, 15 grams protein)

Lunch
Cream of Tomato Meal Replacement Soup (160 calories, 15 grams protein)

Snack 2
Strawberry Meal Replacement Shake (240 calories, 35 grams protein)

Dinner
Corn Chowder Protein Soup (110 calories, 15 grams protein)

Dessert
Cheesecake Protein Pudding or Shake (90 calories, 15 grams protein)

Totals: 930 calories, 130 grams protein

Day 4: Pureed Foods (Mushies)

Breakfast
Peaches and Cream Protein Oatmeal, ¾ cup pureed canned or frozen peaches (150 calories, 16 grams protein)

Snack 1
1 container plain non-fat Greek yogurt, ½ pureed banana (150 calories, 15 grams protein)

Lunch
Pureed tuna salad with 3 ounces tuna, ½ cup cooked or canned green beans, ¼ cup plain non-fat Greek yogurt, 2 tablespoons black olives, pepper (180 calories, 25 grams protein)

Snack 2
Vanilla Meal Replacement (240 calories, 35 grams protein)

Dinner
4 ounces pureed canned chicken breast, ½ cup pureed cooked carrots (130 calories, 19 grams protein)

Dessert
Protein Cheesecake Pudding with ½ cup strawberries, pureed (120 calories, 16 grams protein)

Totals: 970 calories, 126 grams protein

Day 5: Pureed Foods (Mushies)

Breakfast
Shake with Peanut Butter Protein Powder, ½ banana, 1 5-oz. cup vanilla Greek yogurt (200 calories, 20 grams protein)

Snack 1
Pureed egg salad with 2 hard-boiled eggs, 2 tablespoons plain Greek yogurt, Dijon mustard, pepper (180 calories, 15 grams protein)

Lunch
½ cup non-fat pureed cottage cheese, ½ cup unsweetened applesauce (140 calories, 14 grams protein)

Snack 2
¼ cup hummus with 1 scoop, (220 calories, 32 grams protein)

Dinner
Chicken with Pasta Protein Soup, pureed with ½ cup cooked frozen cauliflower and ½ cup cooked brown rice (220 calories, 18 grams protein)

Dessert
Mocha Cream Protein Pudding (100 calories, 15 grams protein)

Totals: 1060 calories, 114 grams protein

Day 6: Pureed Foods (Mushies)

Breakfast
Vegetable Protein Omelet, 1 ounce cheddar cheese, melted, ½ mashed banana (260 calories, 23 grams protein)

Snack 1
Pureed Protein Chili with Beans, 1 cheese stick (string cheese) (180 calories, 22 grams protein)

Lunch
Cream of Mushroom Protein Soup, ½ cup mashed potatoes with 1 teaspoon olive oil (200 calories, 16 grams protein)

Snack 2
Maple Brown Sugar Protein Oatmeal, ½ cup low-fat ricotta cheese (250 calories, 28 grams protein)

Dinner
Chicken with Pasta Protein Soup, 3 ounces pureed cooked ground turkey meatballs blended with ½ cup tomato sauce, ½ cup cooked pureed fresh or frozen winter squash with 1 teaspoon olive oil (220 calories, 23 grams protein)

Dessert
Strawberry Banana Protein Gelatin (70 calories, 15 grams protein)

Totals: 1180 calories, 117 grams protein

Day 7: Semi-Soft Foods

Breakfast
Buttermilk Protein Pancakes, ½ cup blueberries (240 calories, 21 grams protein)

Snack 1
Protein Hot Cocoa (80 calories, 15 grams protein)

Lunch
Beef with Pasta Protein Soup, with ½ cup cooked or canned beans and ½ cup cooked vegetables (240 calories, 24 grams protein)

Snack 2
½ cup low-fat cottage cheese, 1 cup cantaloupe (160 calories, 14 grams protein)

Dinner
1 veggie burger, 1 cup cooked green beans, 1 medium cooked sweet potato (250 calories, 14 grams protein)

Dessert
Soft-Baked Protein Brownie, ½ cup vanilla yogurt (180 calories, 20 grams protein)

Totals: 1150 calories, 108 grams protein

Day 8: Semi-Soft Foods

Breakfast
Southwestern Protein Omelet, with 1 ounce cheddar cheese, ½ cup cooked spinach, ¼ cup salsa (270 calories, 22 grams protein)

Snack 1
Hazelnut Cocoa Cream Protein Pudding (100 calories, 15 grams protein)

Lunch
Spaghetti and Meatballs Protein Entree, 1 cup cooked frozen broccoli florets (260 calories, 18 grams protein)

Snack 2
Berry Delicious Protein Smoothie (100 calories, 15 grams protein)

Dinner
3 ounces broiled salmon with teriyaki sauce, ½ cup cooked brown rice, 1 cup cooked cauliflower florets (350 calories, 23 grams protein)

Dessert
Double Chocolate Cake (120 calories, 12 grams protein)

Totals: 1200 calories, 105 grams protein

Day 9: Semi-Soft Foods

Breakfast
Chocolate Chip Protein Pancakes, 2 tablespoons peanut butter (300 calories, 22 grams protein)

Snack 1
(70 calories, 15 grams protein)

Lunch
Creamy Chicken Pasta Protein Entrée, ½ cup cooked zucchini (240 calories, 16 grams protein)

Snack 2
1 cup cut watermelon, 1 ounce feta cheese (120 calories, 4 grams protein)

Dinner
1 cooked bell pepper stuffed with 3 ounces ground turkey, ½ cup stewed tomatoes, 1/3 cup cooked quinoa or barley, and Italian seasoning (280 calories, 27 grams protein)

Dessert
Creamy Cheesecake Protein Dessert (120 calories, 12 grams protein)

Totals: 1090 calories, 96 grams protein

Day 10: Solid Foods

Breakfast
Berries ‘n Chocolate Crunch Protein Cereal with 1 container Greek yogurt (230 calories, 25 grams protein)

Snack 1
Chunky Crisp Peanut Butter Protein Bar (160 calories, 12 grams protein)

Lunch
Tuna salad on lettuce leaves, made with 3 ounces tuna, diced celery and onion, ¼ cup plain non-fat Greek yogurt, 2 tablespoons black olives, pepper (180 calories, 25 grams protein)

Snack 2
Caprese salad with 1 ounce mozzarella balls, 1 large tomato, sliced, 2 teaspoons olive oil, basil leaves, black pepper (210 calories, 8 grams protein)

Dinner
3 ounces Mexican seasoned shredded chicken mixed with ½ cup pinto beans and 1 cup cooked bell pepper strips, topped with ¼ cup avocado (350 calories, 30 grams protein)

Dessert
Tropical Banana Protein Pudding (100 calories, 15 grams protein)

Totals: 1230 calories, 105 grams protein

Day 11: Solid Foods

Breakfast
Breakfast sandwich with 1 whole-grain English muffin, 1 slice fat-free cheese, 1 cooked egg (230 calories, 17 grams protein)

Snack 1
Fruit salad with 1 cup cut fresh fruit and 1 ounce sliced almonds (240 calories, 8 grams protein)

Lunch
Five Bean Casserole Protein Entree (240 calories, 11 grams protein)

Snack 2
1 large whole-grain high-fiber wrap spread with 2 ounces fat-free cream cheese plus shredded lettuce and diced tomatoes (170 calories, 18 grams protein)

Dinner
Protein Pasta with 3 ounces lean ground turkey, Tomato Parmesan Flavor Pack , and 1 cup cooked broccoli, cauliflower, and carrot mix (300 calories, 41 grams protein)

Dessert
Chocolate Chip Protein Cookie (150 calories, 15 grams protein)

Totals: 1330 calories, 110 grams protein

Day 12: Solid Foods

Breakfast
Crispy Lemon Meringue Bar (160 calories, 14 grams protein)

Snack 1
Pineapple Orange Fruit Drink (70 calories, 15 grams protein)

Lunch
Roll-ups with 2 ounces all-natural sliced turkey breast, 1 ounce swiss or cheddar slices, and ¼ cup avocado slices (260 calories, 24 grams protein)

Snack 2
1 cup baby carrots, 1 tablespoon peanut butter (140 calories, 8 grams protein)

Dinner
High-fiber wrap with 3 ounces tilapia or other white fish, grilled eggplant, and Honey Dijon dressing (250 calories, 30 grams protein)

Dessert
Chocolate Protein Cereal, 1 apple (210 calories, 15 grams protein)

Totals: 1090 calories, 106 grams protein

Day 13: Solid Foods

Breakfast
Strawberry Meal Replacement Shake (250 calories, 35 grams protein)

Snack 1
Caramel Brownie Protein Bar (180 calories, 14 grams protein)

Lunch
Greek chicken salad with romaine lettuce, cucumber slices, grape tomatoes, 3 ounces cooked chicken breast, 1 ounce feta cheese, 2 tablespoons vinaigrette (250 calories, 26 grams protein)

Snack 2
1 cup bell pepper strips Meat Snack (120 calories, 15 grams protein)

Dinner
Pasta Fagioli (210 calories, 14 grams protein)

Dessert
Mint Hot Chocolate, 1 apple (80 calories, 15 grams protein)

Totals: 1090 calories, 119 grams protein

Day 14: Solid Foods

Breakfast
Golden Protein Pancakes ½ banana, ½ ounce pecans (240 calories, 17 grams protein)

Snack 1
2 hard-boiled eggs (140 calories, 12 grams protein)

Lunch
Salad with spinach leaves, 1 cup sliced strawberries, 1 ounce shaved parmesan, 2 tablespoons light dressing (230 calories, 10 grams protein)

Snack 2
Protein Chips (130 calories, 10 grams protein)

Dinner
Protein Chili with 1 ounce cheddar cheese, 1 cup cooked carro (280 calories, 24 grams protein)

Dessert
1 small pear, 1 ounce blue cheese (170 calories, 7 grams protein)

Totals: 1190 calories, 80 grams protein