I am about to turn 57 and had my surgery almost 23 years ago. I have given birth to three children and stayed thin the whole time. I started at 250 and settled at 125 ( I’m 5’4.5” and that made me a size 0 or a 2) When I was done having my last child I settled back at 155, still wildly successful. When I entered into perimenopause, it became a fight to keep my weight off and I kept fighting. And then now through full-blown menopause two years since I’ve had menstruation, I’m almost as big as I was when I started. I’m wondering if there’s any help in this situation. Any doctors who will look at a revision I guess or make some practical suggestions. I have changed my eating, habits a dozen different ways to try and bring everything down but it’s like it was before, the weight loss is nearly impossible. I can get it down sometimes but then it comes back and it never goes down more than 30 or 40 pounds. I regularly get my hormones checked and I’m on progesterone and testosterone. My estrogen is always fine or even high. Looking for optimistic ideas. Thank you in advance for your suggestions.

Edited January 31, 20242 yr by Taramaximum

Menopause is the worst. It’s when I gained my weight. Went from 60 to 75kg very quickly during perimenopause. This was my usual fluctuation so I didn’t worry that much. Then entered full menopause & bam another 15kgs. I swear I gained it overnight. Several of my friends were the same - gained 10-15kgs very quickly with menopause. Couldn't really shift a kilo of it. Drop a couple & put them straight back on. I had hoped that being on HRT might balance out my hormones & help me lose some weight but nope. Struggled for a couple of years. Wasn’t happy. That’s when I decided to have my sleeve.

Why don’t you try getting in contact with a bariatric surgeon to discuss your revision options like to a DS. Does your surgeon who did your RNY still practice? Have you considered whether the new GLP - 1 medications might be an option? Certainly worth a conversation with a surgeon.

PS Congratulations on your long term success with your original surgery. Such an achievement.

agree with Arabesque - common during menopause. Plus you said you're on prednisone - one of the side effects of that is weight gain. So there's two culprits right there... Yes - I'd have a chat with someone to see what your options are. Weight loss is going to be a struggle, so maybe they'd be willing to do something to help with that.

I wouldn't hesitate to look into a revision. You had such great success with your first WLS. I've read the weight will come off slower second time around, but it beats developing later in life co-morbidities.

Many are going for the Ozempic shot nowadays in lieu of surgery, but recent studies show a lot of downsides to using it. I had a few people ask me why I didn't go that route with those shots available. It's the wave of the future they say. Maybe one day improvements will be made. I heard the other day they are working on a pill form. I hope for future generations they can perfect it and make it safe and available to all those who need it.

Believe me.. I did my research before getting my RNY. But for now, no regrets.

Good luck in your decision making.

9 hours ago, BabySpoons said:

… I heard the other day they are working on a pill form. I hope for future generations they can perfect it and make it safe and available to all those who need it.…

Dr Matthew Weiner just did a post on his IG account (poundofcure) today about the pill trials - not that successful yet. Terrible nausea with one & consequently participants dropped out early. Yikes! There are a large number of companies developing them though.