I'm tired of having a weight issue.

For way too many years I limited myself and allowed others to unfairly limit me because I carried some extra pounds. Frankly I hated my body and struggling to lose the excess weight was my first motivation and where I put my focus and energy every single day. 

It didn't work of course because my body was MO. 

Now I just want to whatever I need to do to never have excess weight or regain be an issue again. Had I known when I chose my original surgery that most surgeons recommend a surgery type that only takes half the excess weight off long term ( for their own statistics) I would have insisted on a more extreme surgery . 

I think many people here are in the same boat and I suspect are equally frustrated that the weight is coming back without constant vigilance and uncomfortable constant self discipline. 

So what to do ? Since surgery I focused on getting my life together. I found a much more beautiful and health and creativity promoting second home - an attentive if not totally supportive and sane relationship which I had the good sense to get out of when I realized I deserve better.  This year I'm focusing on tripling my income so I have the freedom to be creative without financial fear and stress. 

To me it seems like there Should be a path to revising to a " stronger" surgery for those who experience regain but are still successful health-wise a few years post op . Obviously if diet and excercise alone worked for us MO people we would not have needed bariatric surgery in the first place . Statistically I bet being thinner would help not hurt our long-term health and longevity and reduce medical expenses that need to be paid for by society. 

A Lot of surgeons by the way do revisions . What are the rules regarding insurance coverage ? Thanks ! 

You just don't get it.  You want to be able to drink alcohol and eat what ever you want without taking the responsibility for doing what is required of a WLS patient. 

Insurance is not going to cover a revision for someone who wants it due to vanity reasons.  Insurance is not going to cover a revision for a 20lb gain. 

You need to find a therapist who can talk you out of your imaginary world. 

I think what you want just doesn't exist.  there is no surgery that will guarantee no regain, there is no post surgical outcome that doesn't require vigilance unless you are genetically blessed.  i'm also confused that your profile is 19 bmi which means you are at the low end of a normal BMI range.  So your desire is to be underweight?  that would put you in eating disorder territory.  If your BMI is below 25 you don't have excess weight to lose. that is just the medical reality. 

I suggest you go on youtube and watch Dr. Matthew Weiner's youtube videos.  

There usually isn't a path to revising to a "stronger" surgery because it doesn't work.  Dr. Weiner explains it all.

Thanks I will watch - sounds interesting. 

However even a twenty lb weight gain can cause a recurrence of diabetes in remission and is already resulting in pre- hypertension for me so obviously I can''t be this big. Not to mention that auditions whether professional or person are near impossible at this weight.

You will be interested in his food plan which is mostly vegetarian. he has a book as well.  he has lots of information on what to eat to raise your metabolism.  what kind of exercise to do and also you want to watch the one on pouch stretching which has the info on why revisions don't work for weight gain and what you should be focusing on instead. 

I did watch this . Unfortunately he suggests virtually no solutions for regaining rnyers.

I disagree with him though. My ex husband had a long term distal RNY which acted exactly like a DS. He could and did eat fat and successfully kept a lot of weight off forever despite eating in restaurants pretty much every day. 

I think I could be happy with a second surgery like this which would make the big pouch I mistakenly originally agreed to smaller and would help me malabsorb more.

Wow...

if you don't think he offered suggestions you need to watch it again and pay attention this time.  he said the surgical experience with revisions shows they don't lead to more weight loss and that people end up dissapointed,  that you need to focus on diet and lifestyle and there are multiple videos that outline how.  

if you watched the videos you'd know that your ex-husband may not have the fat gene Or I suspect may not be trying to be underweight and was maintaining a bmi you already have.  

Again if you had watched the video you would know that evidence shows that the size of the pouch does not matter and has nothing to do with the weightloss outcomes in the long term.   And the malaborption happens in the intestines btw.

I did not hear that the size of the pouch doesn't matter. That's interesting!

my ex hubby definitely had a lifelong fat gene and is still a snacker probably because he has diabetes. But the distal RNY is his first surgery. 

this dr didn't say what Ava wants to "hear". She is a small time,wanna be ,has been model. If you look at her pics you will see she is emaciated.  She has a long history here.

Sad.  I always feel sorry for people who's entire self worth is wrapped up in their appearance.  Low self esteem is a B*tch.