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I never thought to ask for that Thank you sooo much I will ask for it today :)
Tell them you want a copy of your surgical report, rather than asking the length. Then you can find out if he gave you a true DS, a SADI/SIPS, or a modified DS (extra long common channel).
My surgeon was Dr. Lederer I was his last patient before he transferred. He did the Bilio-pancreatic diversion with duodenal switch. He never told me the length of common channel. I have read about people saying it make a difference. I use the MyFitnessPal app to monitor my food. I don't drink soda at all but I can eat pretty normal. I honestly feel like the doctor really don't care since the surgery he is paid now. I am going to call tomorrow and ask about the length of my channel AGAIN. He told me it doesn't matter what the length is ugh This have been such a frustrating process. Also Liz thank you so much for taking the time to send me such encouraging words and if you have any suggestions for me please let me know!!!
Hard to know why you stalled. Good suggestions about writing everything down to spot problems and staying on track even as you get farther from the surgery day. Who was your surgeon? Did he do a Hess DS or a modified DS? Did he tell you what length your common channel was? For me, quantity is as important as quality. I know some people here are able to eat a full meal as long as it is high protein, but I have to concentrate on smaller protein meals more often. Liquid calories are the worst, so I stick to solid food. I find Diet soda influences my weight, so you could try a trial week without it. Don't despair, you have done very well already.
First, congrats on a 65 pound loss. Second, take a deep breath. This happens to everybody. You have to work the surgery (it's not magic). The farther out you get from surgery the more you eat - it's as simple as that. You have to pay very, very close attention to what you eat. Write down everything you eat for one week and see exactly what you're eating. You may be surprised. It's all in the carbs. Life after the DS is somewhat similar to the keto diet (high protein, good complex carbs, bad simple carbs. We benefit from the malabsorption on the fat side. Don't think of how you eat anymore as a diet. Think of it as "this is how I eat" post DS.
You also don't say what your starting weight was and how much more you want to lose. Our bodies tend to start adjusting as you lose weight.
When I was in the losing phase, I think my carb intake was under 20 per day. Remember we absorb 100% of carbs (they turn to sugar). Also try upping your protein a little as well.
Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175
Don't feel frustrated. I know it's tough. I had high expectations of losing about 150 lbs. the surgery did most of the work. But we still have to be careful. We are carb sensitive. So you have to watch the type of carbs you are eating. I dropped about 90 initially. Then stayed there for a long time. I go by how I feel. Not the scale. I currently lowered the carbs I was eating and increased water. Plus I work out now. And after 11 1/2 years the surgery still works. Best of luck.
Tanya B. 
SUCCESS IS ONLY A STEP AWAY
I am 8!out months out and I have only lost 65 pounds. I haven't lost anything in the last few months. What is happen I am getting 90 oz of water a day. 90 plus oz of protein however nothing is happen. I thought we don't absorb all the fat and carbs. I'm not a big carb eating I try to keep it under 50 a day. I feel like i need to be on a diet which make no since what the point of the surgery If I have to been on a keto diet? This is so frustrating for me.
You have to start with a surgeon who is able to do a Hess DS and who agrees you need it. You don't want to be approved for a surgeon that doesn't do DS. The opinion of your GP is important if their records document every interaction that proves your ongoing disability. There are two arguments that might be successful. You and your surgeon could say this weight-loss surgery should be a covered expense because it is treating your orthopedic disability, which wasn't corrected by the previous procedure. In other words, it is a treatment for severe osteoarthritis, not weight. (It would be good to say it was also needed as a treatment for unresolved diabetes or hypertension or depression in addition, if you can and it has been documented over the years, and that the first procedure didn't work for those either. If that's true) If that doesn't work, you can try another argument, which is that the failed procedure has the potential to cause serious gastrointestinal issues including cancer or kidney failure that are in their beginning stages if not corrected (which would have to have been documented in your GP's files) such as esophageal damage from frequent vomiting or if you have had symptoms of reflux, or multiple episodes of dehydration, etc. The point of both arguments is that the new surgery is to treat or prevent something else because of a failed procedure, not for obesity or weight-loss. Turn your attention away from weight, but to other aspects of your health from the failed procedure. Good luck!
I'll be 13 years out this year and had recently reached my highest weight of 152 since surgery. 140 was my personal goal but I have always felt better in the low 130's. So in February I made some changes to my eating habits.
I started by not eating anything after dinner and having tea instead of treats. Eating a strict low carb, 20 or under carbs, which also helped with the sugar cravings. I try to eat a good three meals a day with no snacking in between. Good protein and good vegetables like spinach and broccoli, salad greens, cauliflower. No diet sodas either. I also eat my meals at 10-2-6 which leaves 16 hours of not eating.
I weigh everyday regardless of my eating the previous day and use the app My Fitness Pal to keep track.
I made a list why it was important to lose the weight and I would read it daily in the beginning.
This morning I weighed 135 pounds so a 17 pound drop in 2 months and one of those months was on a month long camping vacation. (took my scale with me) We ate out once a day but I made healthier choices with my meals.
I should also say to have patience, last year I gave up because I thought the weight would fall off fast but it really doesn't.
Hope this helps,
Ruby
