RNY wt gainers only; I have a question

I am just curious, do you anything about the surgery your doctor preformed? Such as did he do a distal or proximal RNY? Do you know how many cm he bypassed? Did you have rapid weight loss (like under a year and lost greater than 100 pounds)

I had a 2 oz pouch, a 25mm stoma hole punch and my surgical report says 100 cm bypass.  My labs are normal to high with a flinestone vitamin.  At 1 year out I was only able to keep off 14 lbs. so I was part of the Restore trial.  At that point I went to a gastroenterologist and my stoma was 25mm and he said my bypass was not less than 70 cm.   I am constantly hungry since 8 weeks out and I never felt like I have eaten anything.  2 days post op I drank without a problem and ate 3 oz of pureed food and didn't feel any fullness.  i knew something wasn't right because most people are swollen at that point.  I have never vomited or dumped.  I have struggled off more weight a couple of times but it comes back on quickly.  I have high and low blood sugars.  My enocrinologist thought it was from food rushing into my system increasing my blood sugar and then crashing down.  I measured it once and it was 216 after a healthy lunch and then 73 thirty minutes later.  It was 360 after a meal one day last week so it is a continual battle.  I have to eat 6 to 8 meals a day and I can't get by with 1200 calories like other RNYers.  I exercise daily and have completed 2 triathlons, 3 5Ks and a bike-a-thon in the last 2 years.  I have asked your question many times since my RNY failure because 20 % of people fail RNYs.  I don't feel like I have any less self control than others.  I don't eat junk food most of the time, but without limitations from the surgery I do lose it big time once in a while.  That is why I had the surgery in the first place.  I have heard of 40 cm to 250 cm bypasses,  1/2 to 3 oz pouches and many size stoma hole punches and types of stomas.  I would love to read the table which guides surgeons on what surgery to do on which patient.  I am pretty sure it depends on the weight the day of surgery.  I think it should include the highest weight and medical history such as family background, PCOS and diabetes.  My family is huge, I kept off 75 lbs. before surgery, I have both PCOS and diabetes.  I needed all the help I could get!   Don't worry you would know by now if your surgery was failing you.  What were the specifics of your surgery?  thanks, Daisy    

I do not have good things to say about my surgeon except to say he is good at surgery. I have 150 cm bypass with a 2 ounce pouch and a stoma the size of a postage stamp (I am not sure if that is air mail or domestic but that is what he said)
I have dumping and nausea and all that kind of stuff. I weight everything and a meal is 4-6 ounces. I have never exercised because of arthritis, I just can't do it.  My concern is that I am over a year out and I can not lose the 100 pounds I needed to lose. I know that sounds vein but I really want to get out of the over weight group and in normal weight group. Others seem to lose the weight so easy. I guess I am trying to figure out if the amount of bypass has any significant effect on the weight loss. Or the people who lose all the excess weight in the first 6 months do they have more wt regain then if it takes 18 to 24 months.  I don't know what I mean, I am grasping at straws here. Take care and I hope you find success.

Do you feel fullness?  Do you feel like you have eatten something?  How is your appetite?  Do you take any suppements..vitamins, calcium  etc. How are your labs?   thanks, Daisy

If you started out needing to lose 100 pounds, and you've got 18 to go, that means you've lost 82 pounds, or 82% of your excess weight---which makes you a real success story! (Anyone who loses 50% of their excess weight is considered a 'success' in WLS. The 'average' maintained excess weight loss with the RNY is 65-70%.)

But if your stoma is as big as a postage stamp, it's waaay too big! It should be the sixe of the end of a pencil eraser. That's also contributing to your dumping and over-eating.

Many doctors think that initial weight loss is far more dependant on restriction than on amount bypassed/malabsorption. Amount bypassed/malabsorption is more of a factor in maintaining that weight loss.

 I had a proximal RNY - with an extra large pouch i stupidly asked for so i could eat  teh salads and  homegrown organic veggies i love .  

I was an extreme lightweight  going into surgery  with a lifelong overeating addiction  ( somehat controlled ) a huge hiatal hernia issue  and  diabetes and  severe metabolic syndrome.   

Unlike many overweight people I also exercised  regularly and strenuously even as a two hundred pounder ... so I was in pretty good physical shape going in .

I lost 100 lbs without much  ado in the first six months ...but  am at ten months now and cant get any more off to save my life .   

I do graze quite a bit  ... I also eat more calories than most  in the liteweights forum .... but they are fat free  calories and i feel i need them to   perform daily creatively  at my best .  Im thinking about therapy or making daily OA meetings or maybe even writing my OA  steps again to ratchet down my intake.  

In the past  when i DID write the steps my binging urges radically went  down  PERMANENTLY .