Handwritten, typed, printed from an online source, whatever you present they will be happy to receive.

It seems like it was so long ago for me!!

The nurse goes over your medical history, takes your BP, does some measurements. They will want a summary of any meds that you take currently. That was about it if I remember correctly.

I don't recall having a Nutritionist and Dietician but again the Dietician went over my dieting history. They'll ask about your current eating habits and set you up with what you need to be doing until your next appointment. If I recall the initial meeting with these specialists were more of a get to know about you.

Good luck!

First of all, let me say I am so sorry you are struggling with regain. I know how hard it can be to see a way out. The great thing is that you are clearly realistic about why the regain happened. Believe it or not, that is huge. I have to agree with what Ginny wrote above, and what you yourself said. The RNY did not fail, you failed the RNY.

I get it. I am struggling with a 20 pound regain and it is no fun. The good thing is that I know my RNY is fully functional, and if I follow the rules, it will do its job. The problem with trying to solve the problem with another surgery is that you take with you all of the things that made you regain with the RNY into the DS. Losing weight is easy in the first year. It is mostly the surgery. After that it is all you (or me, in my case).

So, my unsolicited advice to you is to work the tool you have. Go back to the basics. You know what they are. Don't try to do it alone. Seek help. Help from counselors, help from support groups, help from this site, help from supportive family and friends. Find the joy in the journey that you had when you first had your RNY. It's still there, lurking just below the surface.

You deserve to have the life you want, but it is up to you to do what it takes to get it. We are here to help you.

Have you been treated for anxiety? My family Dr told me for years that I had a chemical imbalance that caused the anxiety and I finally, finally agreed to try medication. It was life changing. The daily anxiety is gone. I still occasionally get anxious but I deal with it with calming exercises. And since the surgery, the anxiety is even less and farther between because I feel fantastic. Talk to your Dr.

Ginnny - Congrats on losing 100 lbs!!

My RNY worked fine - I, however, didn't. I put it like this --- It didn't fail me, I failed it. I fell off the wagon, dragged it into the woods, set fire to it and made S'mores ... and as a result, gained back most of what I'd lost. I've tried WW, but when they changed programs last year, I had a hard time sticking to it, and gained back what I'd lost with them and then some. I've been in discussions with Dr. Hong for a year about getting the DS, but life got in the way, so I had to put it off. But I'm back on track to seeing if this is a possibility for me. I've learned my lesson and will recommit - either by surgery or other means - to get this weight off and keep it off.

First off, thanks! It was tough work and maintaining is even tougher.

If your RNY didn't fail then I am confused on why/how they would consider a revision surgery. You can eat around any surgery out there. Why do you think you will be any more successful with a different type of surgery?

Have you tried going back to the way you were supposed to eat Post RNY? That is dense protein first, low carb veg, and limited amounts of fruit? 100+ oz of water and taking your vitamin supplements?

Can you not "recommit" to the tool you have already been given? Have you had any therapy since your RNY? It reads like you have some issues with food that you need to understand and learn how to handle.

I'm not an expert and I'm not trying to be mean but if you couldn't work the RNY tool I don't know how you will be successful with the DS.

I do wish you luck in accomplishing the goals you want!