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I had RNY in 2007. I have been through regain and losing it again several times. My goal is 136, today I am 133. The only way that I have been able to lose the weight and keep it off has been Weigh****chers. Their program allows you to eat any food that you want as long as you measure and track and stay within your points. I recommend you get and read their new book, "The Shift".
We learn how to eat enough food to gain weight even with our tiny stomach and with malabsorption. I weigh daily, often several times a day. I attend online WW meetings with Zoom. I track everything I eat and drink and get plenty of exercise. After surgery I never expected to attend a WW meeting again, but now accept that it is WW or living with an extra 30 pounds.

Real life begins where your comfort zone ends
It's a no brainer to me but I'm limited to my own experience living with the SADi single loop DS for about 8 years as of next month. I was concerned about potential DS vitamin deficiency issues, but wanted to make sure I took off all the weight and kept it off. In the hands of a skilled surgeon, I think the SADi is the best option for most people which I also think experienced WLS surgeons will also tell you.
My experience is almost identical to all DS surgery patients with 2 exceptions, 1) I take about half as many vitamins, 2) I can eat anything, and I mean ANYTHING, and I do not gain weight. I pay with gas and bathroom trips for excess eating but not weight gain. I have to deal with all the other issues any DS patient goes through.
I had vitamin K deficiency after about 5 years. I think it's pretty normal, and I also had some mild easy bruising at times but never associated it with the K issue. I take a vit K pill now every day, in addition to the ADEK pill. Your nurse seems like she was absent certain days in nursing school.
So I lost about 120 pounds with DS (I'm 5' 11" and was pre-diabetic with severe sleep apnea, starting weight 279 and at my lowest I was 150). My doctor expected that I would put 25 pounds of it back on. I stayed pretty consistent at 155 to 160 for the last five years. (Had my surgery at the end of October 2017.)
But literally within the last few weeks my weight has been creeping up. I started being between 160 to 165, then 165 to 170 and suddenly find myself at 175 to 180. I'm technically overweight again with my BMI at 180. 170 to 180 would put me at that 25 pounds regain that was expected to be put back on.
Is there any way to get this weight off? I'm noticing that my clothes are a bit too tight and I'm a little unhappy with the extra weight. Am I going to plateau at some point? Or am I in a downward spiral where I'm going to keep putting on weight?
on 9/21/22 6:31 pm
Congratulations on your progress and success over the years. I'm glad you've been able to work out the process for you. We've had the same surgery so I'm hoping to be where you are in a few more months.
Cheers to you!

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
on 9/21/22 6:27 pm
Thanks for sharing! I'll have to see how this works out. And Google Arnica.

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
No I just live with the bruises. I do use arnica cream and pills which helps them to fade quickly.

Real life begins where your comfort zone ends
on 9/21/22 7:11 am
Oh, interesting. Did it resolve for you?

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
Thanks for your comments. I am comparing the Hess DS and the SADI as I move toward surgery.
I started to get a lot of bruising when I started to take baby aspirin daily.

Real life begins where your comfort zone ends