Lymphedema is the fly in the ointment. Do you wrap? Do you know how much fluid you are carrying? I get it that X pounds is just extra water you are carrying around. And it makes it hard to move so you are sedentary as well. Do you have a pneumatic compression device? Do you use it?

I would go extremely low carb. Like eggs, meat, and cheese. That's about it. But I would guess the lymphedema is the root of the problem.

When I said "true DS", I meant the Hess two anastomosis duodenal switch. The SADI is a single-anastomosis surgery that is a variant of the procedure, with a longer common channel and different "plumbing". The SADI is called a DS by some surgeons, which confuses patients. SADI is easier for surgeons to do, but doesn't have the long term data that a true DS does. Failure to lose enough weight does happen to a very small percentage of patients, even after a Hess DS.

I'm a little confused. Your post headline refers to DS, but your post talks about gastric bypass. Was your revision to a DS or was it a revision of your gastric bypass? If you were revised to DS, you need to get back to basics. High protein, very low carbs; no sugar, soda or juice; no candy or baked goods; good hydration and keeping up with supplements and vitamins. You can eat 5-6 "toddler" size meals of mostly protein every few hours. Almost no white carbs, potato, rice or pasta. Don't go hungry. Just keep eating protein--meat, fish, yogurt, eggs, etc, with very, very small portions of carbs, like a half a slice of bread or 2 tablespoons of rice. You can eat more when you reach goal. Did you have a true 2-anastomosis DS or a SADI? Who was your surgeon? For me, it's quality of the food choices (protein and not carbs) as well as quantity of each small meal. I can see the urgency of your dilemma, and if you get really serious about food choices, you will still lose weight. Take care!

It's the PA at my bariatric doctors office. I have not seen a hemotologist but it may be a good idea!