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I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.

For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.

I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.

I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.

I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

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I hope you are able to get the surgery and succeed! Good luck!

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Wishing you all the best! Please continue to let us know about your journey. This group here is the best for advice and information along the way. We will pray for great results for you.

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I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.

For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.

I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.

I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.

I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

Congratulations! This is awesome and you are truly inspiring! Thanks for sharing.

Sent from my SM-G965U using BariatricPal mobile app

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Posted (edited)

Update: I'm now down 36 pounds on the liver reduction diet. I am actually a bit stricter than that. After reading several books about food Addiction I concluded it was true for me. I'm not binger, but I do "graze". Therefore I am on an abstinence diet, which they say is the only way to overcome addictions.

I abstain from all sugar, wheat flour and processed food. After about two weeks, I no longer had any cravings. My calorie intake has dropped from 1200 kcal to 1000 or less without intention. It just happened when I no longer felt the urge to graze between meals. I record everything I eat on the Baritastics app.

My nutritianist OK'd me for surgery, and so did the psychologist. I hoped to get a surgery date in August. Then 10 days ago I had bad fall and fractured my right arm. It is a non-displaced compression fx at the shoulder. No surgery or cast, but I must wear a sling for 8-10 weeks. I can't continue aquatic exercises or use the machines at the YMCA, and my knees hurt too much for walking {although I am trying.} The orthopedic doctor says I must postpone surgery until I can use the arm to lift myself. I am aiming for September or October. In the meantime, I will continue with the abstention diet.

Food Junkies: Recovery from Food Addiction by Vera Tarman
Weight Loss Surgery Does NOT Treat Food Addiction by Connie Stapleton
Bright Line Eating: The Science of Living Happy, Thin and Free by Susan Peirce Thompson
A Pound of Cure, Change Your Eating and Your Life, One Step at a Time by Matthew Weiner
The Success Habits of Weight Loss Surgery Patients 3rd Edition by Colleen Cook

Edited by Sunnyway

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