I'm 4 years out and I gained 40 pounds back i need help!

if you're still seeing your bariatric team, I'd start there. Or if not, is it possible to see them again?

Otherwise, if you're not still tracking your food intake, start there. Track for a couple of weeks to figure out what your average calorie intake is now. Then try cutting back by 100 calories or so for another couple of weeks. If that doesn't do the trick, cut back by another 100 calories. Rinse and repeat. Eventually you'll find the level where you'll start losing weight.

also, start doing some of things we did that first year after surgery (NOT all the way back to shakes and purees - I mean how we ate after the first couple of months - focusing mostly on protein and non-starchy vegetables. Then if you have room, maybe a small serving of fruit or whole-grain carb).

if you're having trouble with hunger while cutting back, add in more vegetables - I try to eat vegetables with every meal when I'm trying to lose (I don't always with breakfast, but I DO blend a cup of fresh spinach or kale in with my morning protein shake to make up for it). I also always keep raw veggies (with a dip made from plain Greek yogurt and ranch dressing mix), sugar free popsicles, and sugar free Jello around, too. Healthy fats like avocado and peanut butter or a handful of nuts can also help with the hunger - but just have a small portion of those since they're pretty high in calories.

good luck with this. I know it's tough - I'm battling a 10-lb COVID gain right now and I know it isn't easy, but people do it... At least you're catching it at 40 lbs while it's still do-able

oh btw - I know a lot of people who've regained who've had success with Weight Watchers, Keto, and/or intermittent fasting - so those might be options for you, too...

Edited May 25, 20215 yr by catwoman7

1 hour ago, the 3 Musketeers said:

I'm 4 years out and I gained 40 pounds back i need help!

Good luck! I agree with @catwoman7 Back to basics. You can do it!