Weight Gain/Pouch feels different

I am five years post op from RNY & have gained 60 pounds since my lightest.  My pouch does not feel like it is working the same.  My surgeon did a scope & he says everything looks fine.  I am in Alberta, Canada.  Can anyone recommend a surgeon who would do a revision or possibly a totally different surgery.  I don't really want to do the band.  However I want it to feel like I did when I first had surgery.  I know my eating habits have slipped some but for instance I used to be able to eat five pieces of steak & want to vomit & now I can eat almost the entire steak with no issues :(  It just doesn't seem right to me.  Thanks in advance.

As the pouch mature - we can eat more.  

It is still very important to measure and stop eating when we finish the "pre-measured portion". 

Eating a steak most likely did not make you gains the 60 lbs.. is the stuff beside the steak.. the carbs, sugars...or eating too often, too much. 

I am 8 years post op.  My pouch is mature... I can eat more than I could eat even a year out. Specially if teh food is more like a slider food...

plus - if I eat carbs - they make my pouch less sensitive .. drinking with food allows me to eat more...

unfortunately - unless you change what and how much you eat - you may be gaining more weight... 

If you get a revision - it may help you for a while to lose some regain - but long term - you may be back where are you now.   WLS is just a tool.. The doc told you pouch is fine.  

eating the right food - smaller qty will help. Dense proteins + non starchy veggies + fat... 

If you've had a scope and they found nothing wrong, the only thing a different surgeon could do is give you another scope and give you a second opinion.

If nothing is physically wrong, revision won't help. You said your eating habits have slipped. You need to be completely honest with yourself about exactly how badly you've slipped up with your eating. Log every bite you eat. Even if you haven't started eating starchy carbs, eating too many calories, even healthier foods, can still pack on pounds. Also, drinking calories can make us gain, even if it's something like milk or a protein shake.

Before trying for a revision, go back to smaller portions of dense proteins. Don't drink with meals if you have been. If you've started eating carbs like bread, rice, pasta, and sugary foods, stop eating them. Focus solely on dense proteins for your meals and snacks.

If you restrict your calories, keep your portions small by weighing out your proteins, and don't drink with your meals - you should see the scale move. Keep in mind, you won't lose weight as easily as you did when you were early out.

If it were me, I'd try everything possible in regards to  improving my eating habits before going under the knife again. A revision is very serious and should only be done as a last resort.

Like Hall said,your pouch is now mature and will not feel tight anymore like it did at first. If we could only eat a few bites of food like we did at first we would be malnourished and not healthy at all. As you pouch matures,it is up to you to measure your portions and stop when food is gone. Eating shouldn't be about feeling full now but about that measured portion of food. My surgeon says three meals of one cup of food and one smaller snack for life. It's up to me to stop eating there,to not drink with my meals,and to stay away from carbs. Most revision procedures don't really seem to help much it's more about using the pouch we have and stopping when we should.

You said the exact same thing a year ago.

Two years ago, you admitted that you weren't compliant.

One year post-op, you were apparently eating things you shouldn't.

All the revisions in the world aren't going to help you if you don't get your act together and take responsibility for your eating.

You are expecting surgery to do the work. It does not. It is a tool to help you, but it cannot do everything. You have to do your part, including eating as you should, not how you want.

We have to watch how much we eat. Surgery is not magic. Track your food and eat fewer calories and you will lose weight.

I can eat a ton of food, but most of the time I do not because staying healthy and maintaining my weight is more important than eating a lot of food.

Thank you all for your honest answers. I have a lot of soul searching to do. Time to be honest with myself.

I am a food addict.  I had to come to terms with that and approach the cause of my overeating/addictions to certain kinds of foods (carbs).

It's hard when we feel out of control with our eating.  I can share with you that working with an eating disorder counselor and truly addressing my relationship with food has been critical to my success.

I hope you can find what can help you be successful, too.  I don't, however, think that another surgery will address those issues.

It's great that there is nothing physically wrong. That would have actually been worse. It does sound like you need to tweak your habits. This is why I am back on OH after a few years away. My eating and living habits have softened so to speak and I am back here to

draw some support, good ideas and hopefully help some others who might be struggling along the way by sharing my experiences. I

was very successful before and will be again and lose those few pounds that are haunting me. I guess losing 20 or 30 pounds should

be easier than losing that first 225, lol. It just takes a little more work and determination now.

Very best of luck on getting back on track. Please don't hesitate to ask for any kind of help or advice that may help. That's why were

all here. I know I'll need a bit of that luck too. Rich