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,


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,


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

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

    • New To This23

      tl:dr at bottom,
      I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery.
      I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313. 
      I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313.
      I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313. 
      The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!!  I said are you kidding? that seems like a lot.  She used my weight to come up with this number. 
      Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)?   
      also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants. 
      tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale? 
      · 0 replies
      1. This update has no replies.
    • Seif_s88

      Post-gastric sleeve, lost 86 kg, gained 30 kg back. Cravings & balance struggles. Any tips? Let's chat! 💪😊
      · 1 reply
      1. Tink22-sleeve

        Hi I can relate... When were you sleeved?

    • KatieB_2706

      Hi everyone!
      My name is Katie and I am looking for an accountability partner! I am having the RNY on April 3, 2023 - If there is someone looking for daily communication and support PLEASE contact me! I am so excited for this but I would love to have someone who knows exactly when I'm going through to support / be supported by along the way!
      I'm a 34year old mother of 2 living in central Maine. 
      Thank you!
      -Katie 💜
      · 2 replies
      1. Sonicnova82


        I would love to be your accountability partner. I had the sleeve in 2021, so maybe I can give you some insights.

        Please message me back, looking forward to hearing from you!


      2. New To This23

        Hi! How exciting I see that your surgery date is coming up soon!

    • Michelle90

      Thank you all for your advice and recommendations with surgery coming up. Just got my surgery time and it’s becoming more real that it’s so close!! 
      · 0 replies
      1. This update has no replies.
    • xoxoMeli

      1 day a time.  
      · 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...

    PatchAid Vitamin Patches