Question:
Is anyone else gaining weight after 2 years HELP

   — sharon S. (posted on October 9, 2003)


October 8, 2003
Hi Sharon, there is no info in your profile, not even what type of surgery you had. We need some idea of how to help you out. What type of surgery did you have? I had VBG back in 1995 and started gaining weight at around the 5 year mark. It was discovered I had a staple line disruption. I was revised to RNY in July 2002 and lost all the weight I gained back. If you had an RNY originally, did your surgeon transect your stomach? This could be a mechanical failure of the surgery, but it could also be from not eating properly and not exercising enough.
   — Ali M

October 8, 2003
I know what you mean:( I started to see a mild regain and droped the junk food, espiclly Oreo Cookie Bars. I have no control over this food, I only now buy ONE, and really avoid that. Please tell us more about yourself so we can help. I got to 205 and now weigh 199 close to my surgeon and pcps goal of 195
   — bob-haller

October 9, 2003
While I haven't gained (ok I go up and down about 5lbs on any given week)I never made it to goal. I think I'm ok with it. I have two friends 7 and 5yrs post op that have gained a significant amount back. They attribute it to grazing, and slacking off the protein, water & exercise. Guess the BASICS really are the key to keeping it off!
   — Denise W.

October 9, 2003
The 2 year wall? You are so not alone! I'm going to refer you to the Grad list: http://groups.yahoo.com/group/Graduate-OSSG These are people who are 1+ yrs out, many have hit AND SURVIVED the 2 year and 3 year walls. They can maybe help you get thru the fog of fear that you are going through right now. The first thing is to get your mechanics checked, of course, but then check yourself for complacency. Did you stop taking protein supplements? Get casual about grazing or sugars? Don't answer me, answer to you. But check with others, like us, for whom the honeymoon is over.
   — vitalady

October 9, 2003
I would encourage everyone who posts a question on these boards to keep your profiles updated. Many of us who want to help go to the profiles first to "research" in an effort to provide the best s upport. So, without that to go on, the others have good advice. It is fairly common to have a slight weight gain at about the 2 - 2 1/2 year mark, a bounce back of approx 10 percent of the weight lost. If its more than that, its usually because the post-op has stopped working the program-snacking and grazing and carbs are up, sugar has crept back in, exercise and water have slacked off, amounts/portion size has increased-bad choices, drinking with or right after meals etc, etc. Bottom line, its still a calories game. So if your taking in more calories than you are burning, you will gain. Check out the grad board over at yahoo, lots of support for this issue there.
   — Cindy R.

October 9, 2003
Michelle Curran: With all do respect, not everyone needs protein supplements. I realize with your super long bypass or short common channel, you have no choice if you want to stay healthy but it does not apply to most RNY's that are 150 cm bypassed or less. I have never used a protein supplement, other than an occassional high protein bar, more for variety than anything. Protein supplements does not make one more successful. Controlled portion sizes and making reasonable choices and getting reasonable exercise does. I don't care if people CHOOSE to use protein supplements, but they are definitely not required for the typical RNY. I've lost 179 lbs in 8 months, and am 63 lbs from goal, and no protein drink has EVER crossed my lips. I have built lots of muscle (past where I was pre-op), no protein shortage, great labs etc. etc.
   — zoedogcbr

October 9, 2003
Due respect noted & appreciated. I don't always recommend them to meet the base protein numbers. It often gives people back the control they had in the beginning. Appetite, volume and craving control that loom larger at 2 & 3 yrs. Learn the tools & ropes then, well. The carb monster kicks in that diet mentality (starve-regain) for life, so we have to have a good set of tools. I know I cannot reply on will power. I don't HAVE to take as much protein as I do. My doc requires 120-150g for my surgery, but I DO better on 180g. Skin fits better, more control. At 2 yrs, I did not recognize protein supps as one of the most useful tool in my box. But then candy got my phone number. I could be a fast learner or a fast grower. I have not seen a high protein with no milk/no sugar period NOT get someone back on their two feet, but I'm sure there are those for who it might not work. But for whom it DOES, it means everything. Side bonus being all that muscle & tissue that's being rebuilt on the side.
   — vitalady

October 10, 2003
Chris, to each his or her own, but personally, I'm sure that using protein supplements has helped me, and I'm only a proximal RNY (75 cm. bypassed, 16 months post-op). I think it's an individual choice, and I was convinced as a pre-op, after reading the yahoo grad board, that it was a good habit to get into for lots of reasons. I saw too many long-term posties having success using protein shakes, though of course, not everybody uses them (nor is everybody who does a distal). You may disagree, but for what it's worth, here was my thinking: I've been on restrictive diets before and lost substantial amounts of weight (50 pounds one time, 80 another) -- and I know you did even more as a pre-op. As a pre-op, I could keep myself going to the gym, even, for months at a time. Then, it would all fall apart, the bad habit would return, and the weight regain would start. My thought about WLS was that, in addition to using the tool, I needed to do as many habit-related things differently as possible after WLS, which meant I had no faith that following a restrictive diet, alone, would work for me in the long run, pouch or no pouch. So, I added protein shakes to my diet from week three, and I still use them twice a day at 16 months post-op (seven months at or past goal). I think a higher protein diet helps my general health, and I know the calories of two shakes a day don't hurt me (to the contrary, if I'm hurtin', it's my food choices of the day that are the problem), and I know I'm on track and in control of my eating when I stick with my shakes (blowing 'em off is a first sign that I'm slipping, for me). It isn't just the nutritional value that the shakes represent, it's the control issue, for me. This issue looms much larger as you get further out from the surgery, and knowing my penchant for long periods of self-discipline followed by hedonistic backslide ;-P, I figured that once my eating capacity grew, and once I reached goal, I was gonna need more than the pouch. That's why I do the shakes. Others may disagree, or tout milk as their choice of liqas the healthy liquid nutrition of choice
   — Suzy C.

October 10, 2003
Michelle and Suzy, We really are talking the same thing, protein is our long term friend, all I am saying is most people are not required to get that protein from drinks, it can come from food. I agree each person has to figure out what works for them. <p>For me I will always eat way more protein than my surgeon requires because to be honest I am scared to ever eat more carbs than protein again in my life. Do I eat carbs, absolutely. I even eat upwards of 40-45 grams on a higher day. But even on that day my protein will still be higher. For me it's a minimun of about 70 grams of protein and some days as high as 100. I was just asking about this at support group earlier this week. If I am shooting for about 1200 calories at maintenance (this is an estimate right now) I feel I will always want to maintain at least 50% of my calories from protein, so that means 150 grams of protein, which is way above what is recommended. I could not see only eating about 300 calories of protein and the rest from carbs and fat, as I do not want to go back to 442 lbs ever again. I do not see this as being super restrictive because I have become very acustomed to this way of eating. It has and continues to work well for me. Any time I let the carbs slip up a little higher the weight loss stops for a while. While others see this as strict and not normal it is normal for me just as using protein supplements is for others. Am I overscared of carbs - darn right. When you've lost 200 lbs before only to regain it and then have this opportunity to finally tame this food beast you have a tendency to focus on what has not worked for you and avoid it like the plague. I knew I had to make some major changes in my life and build a new relationship with food. For me that means protein is my friend and carbs in moderation and less percentage than protein, will work for me. If I keep that balance I believe I will accomplish my goals. <p>Protein has also been my friend. I just choose to get it in food form. To those who like the protein drinks and they work for them, then go for it. The bottom line is we are all talking about the same concept. Working the program and getting refocused etc. Since my program never used protein drinks they would not be part of my refocusing but I would go back to square one of my particular program to get back on track. Everyone needs their own way to kick themselves in the butt and get back on track. Over time, through this process we each hopefully figure that out. Everyone keep up the great work! We can all succeed!
   — zoedogcbr




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