Regain ?

Have any of you all had a regain ? I have regained about 90 pounds.
How are you dealing with it.

 Yes I have had bout 19 lbs bounce back but I've lost bout 9 of those lbs... Just go back to basic n excercise n you will be fine

Hi,
I gained 11 lbs and went to WW.  I enjoy the fact that I have to face a scale and a classroom full of people that help eachother.  My surgery group meets on a night that I am not able to attend, so this is the next best thing. 
I guess start with the basics, get 70 grams of proteins in, get your water in and then walk.  Focus on feeling better overall and then be kind to yourself by getting back on track.  Good luck to you.

 You lost 165 pounds from your high.  You regained about 90 pounds.  Fifty percent of RNY post-ops regain 50% of their lost weight by year 5.  Don't feel bad about talking to a weight loss surgeon. It will not hurt to know if your surgery is still intact or if there are some problems that could be corrected.

This is simply the failure of your RNY.  Most people are embarrassed when the regain starts and do not want to go back to their surgeons. Some surgeons blow it by telling the patient that the surgery did not fail, that it is the patient who failed.  

What the surgery does is give you a shot at getting on a level playing field with people who do not suffer from the disease of obesity.  It does not keep you there.  Obesity is a disease that needs special treatment.  

There are things that you can do.  Joining Weigh****chers is probably one of the smartest moves you could make.  You don't have to tell anyone there about your surgery.  Their program will give you good nutrition and is probably the most sensible and balanced one available.

The other thing that I would urge you to do is get into the 12 step program Overeaters Anonymous.  There you will find incredible support for the emotional and spiritual part of your journey.  Also try to find a counselor who works with bariactric patients.  My counselor is a RNY post-op who understands the issues that we face.

Start today tracking your food and exercise with a program like thedailyplate.com.  Go join a gym and then get there.  I do water aerobics and work with a personal trainer.

You have lost the weight in the past and that means that you can do it again.  It will not be quick or easy like right after surgery.  I had to learn a completely different way of eating to maintain my loss. I eat much less than I did while I was losing.  I exercise much more than I did when I was losing.

I weigh myself everyday.  That keeps me out of denial.  Weighing now will feel painful.  The scale will become a source of joy as you watch this weight go away again.

This is a job that will take work on your part. It is not a do-it-yourself project.  Enlist all of the help you can and get started today.  You are not alone in your regain and you do not have to be alone in your reloss.  Just take this one day at a time and conquer it.  You still have a tool that will give you an advantage over people who are struggling with this disease and still have a huge stomach to fill up.

I regained 10 at the 2 year mark. I lost it and since then have imposed a 3 pound limit. I'm a daily weigher. When I hit 3 pounds above my goal weight, I cut back on calories until they are gone. I'm currently at my goal weigh now and work hard to stay there. As they say, our wls is only a tool. we have to use it correctly.

Laura

Back to basics. Protein first. Drink water (or drinks you can drink) and move... eliminate junk food.
A lot of us have issues with carbs. My diet need to be low carbs (net carbs = carbs - fiber) or I gain weight even on relatively low calorie diet. 
Or - look into revision. 

AHA!  Someone like me...i knew it!  lol.  THank you for the post.  I had a 1 pound gain for the first time ever.  I was shocked because I am exercising more now than ever.  My calorie count is low.  (possibly too low)  BUT i was so strict on no carbs the whole 18 months out from surgery.  Then last month...i did add the carb smart tortilla to my menu...and just a couple other things that were carbs.  What happened was I felt hungrier and i gained a pound even tho my protein was still my first priority and my calories are low.  Maybe I am just one of those that wont be able to do even the smart carb stuff?  I think people thought i was cheating or eating too much.  But I know I wasnt.  I keep track of EVERY single thing that goes in my mouth.  Even licks!  I guess i am confused about that.  How many carbs are we supposed to eat now?  Some say that a few carbs are actually necessary and some say don't touch them.  I am confused.  lol.  However, I do know that I am going back to proteins and veggies.  I dont want to lose a lot more, but i sure dont want to start gaining! 

yeap. Check that:
I eat carbs - my body makes insulin - puts the food away, my BS gets low - and I am STARVING... then if the insulin is still in my blood (sneaky little creature) - it prevents my body from burning fat - insulin stores calories - so it will oppose any burning.   

I can eat 2000+ calories per day and not gain any as long as I get low carbs. ( and always carbs with fat and proteins - and very low sugars). But I may put on weight with 1000 cal but more carbs.   
Crazy.  Now some carbs - I do not count at all (lettuce, cabbage, celery) but most - I limit not only per day - but also per meal and when I eat that.    

New Data on Weight Gain Following Bariatric Surgery

Gastric bypass surgery has long been considered the gold standard for weight loss. However, recent studies have revealed that this particular operation can lead to potential weight gain years later. Lenox Hill Hospital’s Chief of Bariatric Surgery, Mitchell Roslin, MD, was the principal investigator of the Restore Trial – a national ten center study investigating whether an endoscopic suturing procedure to reduce the size of the opening between the gastric pouch of the bypass and the intestine could be used to control weight gain in patients following gastric bypass surgery. The concept for the trial originated when Dr. Roslin noticed a pattern of weight gain with a significant number of his patients, years following gastric bypass surgery. While many patients could still eat less than before the surgery and become full faster, they would rapidly become hungry and feel light headed, especially after consuming simple carbohydrates, which stimulate insulin production.

The results of the Restore Trial, which were published in January 2011, did not confirm the original hypothesis – there was no statistical advantage for those treated with suturing. However, they revealed something even more important. The data gathered during the trial and the subsequent glucose tolerance testing verified that patients who underwent gastric bypass surgery and regained weight were highly likely to have reactive hypoglycemia, a condition in which blood glucose drops below the normal level, one to two hours after ingesting a meal high in carbs. Dr. Roslin and his colleagues theorized that the rapid rise in blood sugar – followed by a swift exaggerated plunge – was caused by the absence of the pyloric valve, a heavy ring of muscle that regulates the rate at which food is released from the stomach into the small intestine. The removal of the pyloric valve during gastric bypass surgery causes changes in glucose regulation that lead to inter-meal hunger, impulse-snacking, and consequent weight regain.

Dr. Roslin and his team decided to investigate whether two other bariatric procedures that preserve the pyloric valve – sleeve gastrectomy and duodenal switch – would lead to better glucose regulation, thus suppressing weight regain. The preliminary data of this current study shows that all three operations initially reduce fasting insulin and glucose. However, when sugar and simple carbs are consumed, gastric bypass patients have a 20-fold increase in insulin production at six months, compared to a 4-fold increase in patients who have undergone either a sleeve gastrectomy or a duodenal switch procedure. The dramatic rise in insulin in gastric bypass patients causes a rapid drop in glucose, promoting hunger and leading to increased food consumption.

“Based on these results, I believe that bariatric procedures that preserve the pyloric valve lead to better physiologic glucose regulation and ultimately more successful long-term maintenance of weight-loss," said Dr. Roslin.

http://www.lenoxhillhospital.org/press_releases.aspx?id=2106

WOW! Thanks for that info and the link. That's really, really interesting!

Ann

not to be rude but you cannot compare your 1 pound to her 90... good work that you are catching it... but it's kind of patronizing... i am dealing with regain too and 1 pound is a little insulting