Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Weight regain after revision



Recommended Posts

Hi all!

I'm new to this group and looking for support. A little bit about me, In 2019 I had VSG--year later had extreme GERD/Reflux---then in 2021 I had revision surgery to RNY and hernia repair. Long story short, post VSG I was down 100 lbs almost and got to around 174, but after my revision to bypass to alleviate the GERD I noticed almost right away my "pouch/new stomach" or whatever you want to call it was no longer as restrictive and pretty much right away I was able to each much more volume. Over time, I gained about 30 lbs in 2 years, and I feel just awful. Has anyone else experience this before, and if so, do you have any tips? I am honestly struggling with motivation and getting back on the ball, and I am looking for advice, ideas and/or support. Thanks everyone!

Share this post


Link to post
Share on other sites

You can eat more because you no longer have a Pyloric valve between your sleeve and your intestines, so your food doesn't stop in your sleeve but goes directly into your intestines. So, effective restriction is probably a bit less.

Which is why you should measure your food for each meal and stop when you complete the meal or get that no-more feeling, whichever comes first. We can't rely on just restriction to do the trick because for most people restriction declines with time.

We need to build the right habits. It's easier when restriction is tight and weight loss is some positive reinforcement. It's harder later when trying to get back on track, but it can still be done. We just need to rely on Portion Control more and the positive weight loss reinforcement takes a bit longer.

As for motivation, what was it to get surgery? Has that changed?

Good luck,

Tek

Share this post


Link to post
Share on other sites

Thank you Tek for your response.

I do need to work on my Portion Control, although I still eat much less than before surgery, I know I am still eating more than I need to at this stage. I like the idea of measuring portions for my meals. I also tend to snack more lately, while at work. My initial motivation was to extreme health issues, thankfully all have resolved, but I know I am not immune and those could come crawling back if I don't get this under control and gain more. Also of course, big motivation is being around and healthy for my son, and of course, for myself.

Share this post


Link to post
Share on other sites

To be frank, eating less than before surgery is not saying a whole lot. I could eat 1/4 of what I ate pre-op and still be eating 4 times what my current portions are.

Unplanned Snacks are deadly. If your plan includes snacks then they need to be planned and tracked like everything else. My plan never included snacks.

Eating our appropriate portion size is THE key element post-op. Even in maintenance Portion Control is important to maintain and not gain.

You have the motivation.

Good luck,

Tek

Share this post


Link to post
Share on other sites

I just had a revision from a slipped Lapband to gastric bypass Rny. I also had a hernia the size of an orange. My doctor told me that I will not feel restriction at all. I just started my puréed stage and I’m definitely not feeling anything. I’m just measuring my portions and sticking to that. Then after 30 mins of eating I will start my liquids again. It seems to be helping. At least we do get some malabsorption with the small intestines redirected.

Share this post


Link to post
Share on other sites

Thank you for sharing this! I am glad to know I am not alone in this (I was worried there was something wrong with me not feeling as restricted). My surgeon never really explained this part to me, but after reviewing other articles and posts, it looks to be common for the RNY. I need to start measuring portions (something I have not been doing for the last 2+ years). Luckily I have a follow up with my nutritionist in March :)

Share this post


Link to post
Share on other sites

You really won't know your level of restriction until you get to actual chewable food. Everything before just shoots though the pouch/sleeve as it's intended too, in order not to stress the new plumbing (yet).

Good luck,

Tek

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 2 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×