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I never had problems with acid reflux prior to RNY. My surgeon increased my PPI from once a day to twice a day shortly after surgery because I developed acid reflux symptoms. He then found on EGD that I developed a stricture. After the stricture was dilated, the acid reflux symptoms resolved.

I agree! For me, I eat "normal" fat...I guess as a "naturally thin" person would. There are no "Butter Buds" in my pantry :)

At the same time, I CHOOSE to eat protein forward, rarely having processed carbs, and exercise because I actually LIKE it, and know it is good for my body, though it has never really swayed my scale weight, one way or another

The food we eat can be broken into carbohydrates, proteins and fat.

Carbohydrates and proteins can cause too much knsuIns to be released into blood stream, the hypoglycemia (known as"Reactive Hypoglycemia - RH" )

Only fat is nutral ND seldom it can cause insulin response.

Too much just proteins - can be hard on our system, and kidneys, and depends of type of proteins can cause too much Insulin being released.

Specially at the beginning- it is important to get enough proteins, and since we also have limited space in our pouches, often after getting enough proteins, there is no more space left for anything else.

But as we get longer post-op, we can fit much more in our pouches, and then the question is - since some of us are super carbohydrates sensitive, we try to have low carb diet. Even when maintaining at 1200 calories, if you allow 100-120 great of protein a day, limit carbs to 25-40 per day - that leaves a lot of calories. 100 proteins=400cal, 35carbs=160cal, from 1200-400-160=640cal that are from fat. (71 grams of fat per day)

You can't have a diet that is low carbs, and low fat with a moderate proteins.

I need more calories to maintain, app 1500 call so that leaves me with close to 100 grof fat per day, if I a low carbs. Fat I use is avocado, olives, good quality mayo, butter, nuts, etc.

Hi Gwen M, how does Vyvanse work? Does it help you?

It works very well for my Binge Eating Disorder, which is good, since it's the only FDA approved medication for treating Binge Eating Disorder! It helps me substantially.

we have not seen a lot of positive results reported after band over bypass. Most lose less than 20# after having it.

Have you considered changing to a whole new procedure?

OP says they already had one revision. If they have failed two surgeries, I am skeptical that a third would be effective.

I assume you had some sort of stoma revision, which is not usually successful. Band over bypass is iffy, too. If you really want a revision, I recommend you look into revising to a DS. Research surgeons carefully, though. Only a few are truly qualified to do this surgery correctly (Dr. Keshishian in California is one). But if you are not completely committed to change your lifestyle, it will all be for naught no matter what revision you choose. There is no "magic" surgery.

Good luck.

Carnie Wilson had band over bypass and lost 20 pounds. I read one article that said she lost another about a year later with careful dieting.

I had a lapband done at Stanford University by Dr. John Morton 10 years ago. I go back to Bariatric Specialties for a checkup every year. I also receive my healthcare at Stanford. It is my understanding that bariatric medicine has progressed so far in the last 10 years that they no longer do lapbands.

Marti in San Jose