Don't lie to the doctors!!!! Write down what you actually eat and measure your food so it is accurate. Your doctors can not make the proper assessment of what you need without your complete honesty.

Many insurance policies have a once in a life time clause for weight loss surgery. The only way those policies will cover a revision is if you have some sort of mechanical malfunction of your original surgery. Have you had testing to see if everything is still functioning as it should? If everything is still working then you CAN lose the weight without revision. Many on this site have lost significant regain. If there is a malfunction then you will likely be approved for a revision. I don't know which surgery you had but if you had VSG, and you have developed GERD, they will revise you to RNY to cure the GERD.

If you had RNY there are very few revisions that are successful. They can tighten the stoma if you have stretched it out but if you want that to work you must then become a strict rule follower for the rest of your life.

If you are eating a lot of carbs, that will make you feel extreme hunger. After WLS you can eat a boatload of carby food an never feel full. I could eat an entire box of crackers and go back for more. Eating dense protein(chicken breast, or steak) will tell you if you still have restriction. Eating like a rabbit is not how we are supposed to eat after WLS. We are supposed to eat dense protein first then veggies if there is room, and take our vitamins. No bread, rice, pasta, cereal, sugar, etc.

If you are drinking with your meals....STOP! Drinking with meals will allow you to eat way more food than you need and can effect your restriction. It can also contribute to stretching your stoma by forcing food that was not adequately chewed through that small hole. If you get a revision where they tighten your stoma, this rule will be important to follow for the rest of your life.

The reality is...you might not be a good candidate for revision. Only your doctor can decide that based on your honesty. Either way, you can still be committed to eating right and exercising and get great results.

I'm going to see the surgeon who originally did my gastric bypass back in in 2008, this coming February 14th, 2020. They want me to keep a food log, but I'm not sure what to put on it.... Obviously, I know what the right things are to eat and how much to eat, but I no longer have the sensation of being full after a small portion has been eaten... I take small bites, use a bariatric app timer to chew my food, don't drink with meals and I walk away when my plate is empty, BUT I always go back for more bc I'm still hungry!! I'm committed to doing the work and exercising and eating right, I just really miss my tool!! I miss the sensation of being full, which told my head stop eating!! As of now, without being full, I want to continue to eat just as I did before I had the surgery... Did anyone who has been approved for a revision have to keep a food log? If so, what did you document? ALSO, for insurance to approve, did you have to wait 6months as you did before the original surgery?

Rocky,

Thanks for your detailed explanation it's appreciated. I can understand what you are say from an anatomical standpoint and from a user standpoint as well. I have many things to consider along with doing my due diligence with research.

Thanks for suggesting some anatomical testing as well, I had not thought of this and it's a great place to begin.

RNY to DS is possible, but it is a very complicated surgery. If you go this route then make sure you find a surgeon that can actually perform this difficult revision. There are very few in the country that can. Do a lot of research.

There are very few revisions of RNY that are successful. The reason most RNY surgeries fail is user error....not following the WLS rules... like not drinking with meals, or for 30 minutes after, and over eating, causing the stoma to stretch. Once the stoma has stretched there is very little you can do. There are procedures that try to tighten the stoma, but they are not very successful.

If you get a revision you have to commit to becoming a very strict rule follower. No drinking with meals, Measuring and recording every bite so you don't over eat and stretch the stoma, taking your vitamins, avoiding starchy foods and eating protein first....and many of us work with a therapist that specializes in eating disorders to figure out why we choose to over eat and how to stop that cycle.

When Sparklekitty says that any surgery can fail, it's usually because we are not being compliant. The surgery was never meant to do all the work in your weight loss. You have to take it seriously and do your part by choosing to eat right and exercise. You need to figure out why you are regaining with a second WLS before you go forward with a third. Get some testing done to see if you have any mechanical failures of your surgery. If everything is working properly, then your pouch still works and behavioral changes can be made to lose weight. There are many people on this site who have lost significant regain without revisions.