I concentrate on calories. With Weigh****chers, I do their points system, but it is roughly 50 calories per point. So 20 points is about 1000 calories a day.

Go to the RNY board and there will be a new post every day.

This is some information about the extended RNY that he was going to do. After you read it, you might be glad you did not get it. I have heard it described as the worst possible RNY.

Extended RNY

The 100 pound weight loss after RNY is due to the restricted size of the stomach and to the malabsorption caused by bypassing the intestines.

That is a once in a lifetime experience. Once your body has figured out how to absorb food again and you have learned to outeat your surgery, then excess weight is extremely hard to lose. The average revision, even if it goes perfectly, will result in a 20 pound weight loss.

And much of that is from the liquid diet before and after surgery. The only way to ever lose weight again is to do it with calorie restriction. Trimming the pouch and tightening the stoma will help if you eat small meals and never drink with your meals. When you drink with a meal, the food runs right out and does not keep you full.

Take a look at this video Drinking with meals

I follow the Weigh****chers plan when I need to drop some pounds. Many people use Keto.

The things you must do for life are limit calories, never drink with meals, take vitamins, and get blood work done at least yearly. I also must have a smart scale and must weigh myself every day. If I stop doing that, I gain very quickly.

It is very possible to lose the weight again, but you have to be realistic and do it the same way as people who never had surgery. It will take about a year of hard work. Many people find it helps them to stay accountable if they plan and post their meals for the day.

We have a daily thread on the RNY board where we do that. Please join us there.

post isn't that old! lol

have you had any testing done since surgery? like an upper GI or barium swallow?

I had both done in 2018 and have confirmed that I have stretched out my stomach. I have since repeated the EGD last week and will be scheduling revision surgery soon.

I have consulted with four bariatrics surgeons. It was easy for me to pick which surgeon to go with because I ultimately picked the surgeon that had experience revising a gastric plication and is confident in his ability to convert me to a sleeve and do a loop ds/modified DS.

His practice has a lot more experience dealing with revision patients and will be submitting my case as a technical failure and as such I don't need to jump through so many hoops like a new patient. The other practices had less experience with revision surgeries and were willing to operate on me but for insurance purposes were treating me as a new patient.

Overall my options were; gastric sleeve, gastric bypass, duodenal switch, loop DS.

Happy to answer any questions you may have.

I know this is an old post, but I am curious how things went for you? I had Gastric Plication back in 2011. Lost all my weight and kept it off until almost 2 years ago. Now I have gained it all back and quickly headed to more. I had my G.P. done in Michigan and paid cash for it. I am just wondering now if my insurance will cover a revision surgery for me since I have 'failed' at my first surgery. And if Dr.'s are still willing to take you on as a patient knowing you failed in the past? Probably questions you can not help me with, but if you can give me any info in what you dealt with it would greatly be appreciated!

Thank you!!

Most very successful people manage to keep off about 80 pounds after five years. You have kept off double that amount for 22 years and must be in wonderful health to be a triathlete.

Your diet must not be that bad either. I used to compare the diet after weight loss surgery to feeding a new born baby. Your new pouch might be happy with protein shakes and your tiny baby might be happy with a bottle of formula, but your teenager will want different foods.

The only thing that can be done with a gastric bypass would be a DS. And that is an extremely risky revision that only a few surgeons in the world are qualified to do. It could have a very detrimental effect on your health and quality of life.

I have that dream of being back to my lowest weight. About five years ago, I was really sick and in a lot of pain with a back injury. I did not want to eat and I did go back down to my lowest weight. It was a miserable experience with constant pain, no sleep, no exercise and no desire to eat.

When I got better, that weight came back as quickly as I lost it. And it bought a few friends back with it. I have come to the point where I accept where my body has landed. That does not mean that I don't track my weight, my food, and my exercise. I am always very aware of what I weigh and always working to keep the pounds off. I do that now with daily weighing, tracking my steps and exercise, and following the Weigh****chers points program.

I think that there is a point in life where you accept the place where your weight landed. Then do your best to live your healthiest life. Just my thoughts.