Slow weight loss after VSG to RNY Revision - looking for others experiences

[shriner37 249]

On 2/15/22 I underwent revision from VSG to RNY due to hiatal hernia and reflux issues. My surgery weight was around 230 lbs, actually a few less due to three days of liquid diet. In the 5 months since revision surgery I've lost about 40 lbs, but have been at a steady weight for over five weeks. I'm currently around 15 to 20 lbs away from my final goal.

I had a post surgery follow up with the surgeons office and they just suggested I try to stay closer to the dietary guidelines. I probably was a little short on Protein but in the couple weeks since have worked diligently to increase protein and reduce carbs. Yet the scale hasn't moved.

Looking for experiences from others who had revision without a large amount of weight to lose. How did it go for you? Is this just a stall or my new normal? Should I expect to continue to lose, or am I pretty much at my new set point after five months?

[slimsuz 3]

I am 5 weeks out from vsg to mini gastric bypass and I am only losing 1-2lb a week. It's soul destroying! I would like to lose 84lb in total, so far I've lost 11.5lb in 5 weeks post op. I feel I can eat a lot too which worries me.

[ShoppGirl 3,394]

I have heard on here that the weight loss is definitely slower after revision than the first time around. And it can sometimes be less than the initial surgery. But everyone experiences super slow loss those last few pounds.

[Arabesque 6,493]

Yeah, I’ve heard the same thing - comparatively a slower rate of loss post revision & less weight loss. And that they can eat more than they did in the early stages post their first surgery. Maybe because your tummy isn’t changed again with the revision just where it joins the intestines???

You’ll still experience stalls which is what this may be or you could have reached your body’s set point - the weight at which it is happy.

[catwoman7 10,874]

agree with the others. Slower weight loss seems to be the norm with revisions. On top of that, you're getting close to a normal BMI. The closer you get, the harder it is to take weight off. You may just be in a long stall (they do seem to become more frequent and last longer the closer you get to a normal BMI), but if you want to keep going, you can always drop your calories. However, if your body is happiest at your current 179 lbs and doesn't want to go lower, it'll be a constant struggle to keep it lower than that (dealing with that myself....). It can be done - but it will be a struggle. I've kind of thrown in the towel at this point. My weight isn't as low as I'd like but it's acceptable. But still, there are days...

[shriner37 249]

Thanks everyone for the insights. I've been stuck at about 190 lbs for over six weeks now. Was hopeful to get down to 175-180, so it's very frustrating to be within sight of a goal but not able to get there. I am thinking I'll give it another month or so to see if this is truly a stall. If things don't move I may vary the program (i.e. adjust macronutrient and calorie levels) to see if I can break through it.

With regard to the comment about food capacity, I am noticing that I can eat more at this stage of recovery than I could when I did the sleeve surgery in 2015. Even though my sleeve has been replaced by a pouch, I'm able many times to eat the same amount of food now that I could before the revision. Not always, and sometimes I'm still full after an ounce or two, but it seems like overall capacity returned faster this time than before. Could be part of the challenge.