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The simple minded way that I like to think of why the revisions don't work as well as a virgin surgery is that before any WLS your stomach can hold 32-64 oz. and after your first WLS and 2-3 years or so you may be able to eat 6-8 oz, give or take, between adaptation, "stretching" and a broader diet whi*****ludes more "sliders". It's low enough that you can maintain your lower weight with some diligence, but high enough to gain if one lets things slide. Now, if you go in for a revision, the difference between your 8 or so oz capacity and the immediate post op capacity is a lot less than from your original WLS experience. There are also some other metabolic/hormonal changes that occur from WLS that help in the loss that you have already gone through, so they aren't as significant the second time around.
This leaves us with the majority of weight loss with a revision being mostly from the very restricted diet immediately around the time of surgery, but after that, we are not far off from where we are a few years after our original WLS, so the results tend to cluster around that 20-25 lb region. Some may take things very seriously - "I won't let that happen again" group *****ally knuckle down and seriously revise their habits (probably also combined with a decent remaining metabolism,) who can sometimes make a really good showing of it and lose back another hundred pounds or more, but they are rare.
Also, as noted, being only a month and a half out, you are well within the "three week stall" territory, so even if you are still only eating very little, it may not show much yet, so there is still hope for some continued losses, just like with virgin WLS folks who stall for a couple of weeks or more around this time - just don't expect it to be as quick and easy this time around.
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
It does not mean you will be obese forever. It just means that you might have to work harder than a person does with their first surgery.
You are doing all the right things. I find a smart scale is a great friend to have. It lets me know when a weight gain is from water or from fat. I admit that I am obsessed with the scale and find it has always been the one thing that keeps me from slipping into denial.
I attend daily Weigh****chers meetings over Zoom. It gives me inspiration and helps me to stay on track. It will be 14 years for me next month. I have had several gains and losses again. I am currently about 15 over goal and work on it constantly.
You can find a lot of support and great people here. The daily menu thread has the most traffic and is a great place to get inspiration. I hope to see you there.
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Real life begins where your comfort zone ends
for some reason I didn't notice that you said you're a revision patient. Yes - the others are correct. You normally don't lose as much or as quickly as you do as those with a virgin surgery.
Damn.
Thanks for the explanation. I don't want to be like this forever. I may just cry. I'll keep on keepin' on (what choice do I have now?) but its depressing to hear that. It's like I was meant to be obese forever.
sigh.
Revision patients just do not lose like those with a virgin weight loss surgery. It seems like it should be the same, but if you research it, it rarely happens.
It might be because the body has learned to adapt to a major weight loss with the first surgery and fights harder to keep the weight on with the revision. That is just my theory.
Count calories, exercise, and make sure you stay on track. If malabsorption helps, consider that a bonus.
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Real life begins where your comfort zone ends
I am a revision patient. What does that have to do with things? I went from sleeve to bypass, so I would expect the same weight loss with malnutrition happening each time i eat something. 3 week stall? oh no :(... well I hope it ends soon. Thanks for the post.
Firstly, you are a revision not a virgin surgery, so you probably can't expect to drop 100lbs in 6 months.
Secondly you are in a great time position to be experiencing the three week stall (literally thousands of posts if you search it).
I'm not sure what you expected, but weight loss is a marathon not a sprint. Sounds to me like you're doing ok
Proud Feminist, Atheist, LGBT friend, and Democratic Socialist
Hi, thanks for the replies.
Sample menu:
Breakfast and lunch = double dosage of protein powder shake. It takes me all day at work to drink it. Otherwise, I drink water or sugar free tea.
Dinner comes from Baribox.org, which are bariatric sized meals, low carb and low cal. I can only eat half of the meal as it is.
That's why I'm confused. I can't be consuming that many calories yet here i am, stalled out. I just don't get it. It's possible my antidepressant medication is causing the issue but I don't know. :(
10 years in and I still sneeze if I've eaten too much. If I had to put a number to it, I'd say that my pouch is still 90% as restrictive as it was during year one.