I am so depressed, I did so well initially and now I am gaining weight back steadily. I had rny in January 2005, lost 105 lbs and now i have gained almost halfo of that back. It is my fault, I fell off the wagon and I have tried to get back on so many times and it seems like it is so much harder now than it ever has been in my life to stick to eating right . I wish that the people who make the decisions could understand that those of us who have gained back have eating disorders that surgery does not fix, and we are prone to slipping back into the old habits we had our entire lives before we had bariatric surgery. I had wanted the duodenal switch to begin with because a friend of mine had it in 2003 (and to this day she still looks great), my insurance would not cover it but of course now it is easily covered. I want to have a revision to the duodenal switch so badly, I am two pounds short of hitting the 200 mark again. I am so depressed I don't know what to do. I do have new health issues that have come on since my original surgery such as my hgba1c is now slightly elevated, I have reactive hypoglycemia frequently, my cholesterol is higher than it has ever been, and I have foot problems that will be needing surgery  :/ I am a mess, i have no self esteem, and I just want to be back where I was, I was so happy and I felt great. I guess I just needed to vent, but if anyone reads this and has found some way of getting approval for a revision I would greatly appreciate any advice. I had blue cross when I had my first surgery and now I have healthnet which seems to be a little stingier as far as approving things. I will do anything to get approved... help me, waaaaaa!!!!!

Please go to the links in my signature. The info within saved my life.

Best of luck

 Hi there,
I believe we have the same Dr. office. Foster and Wetter with Thinner Future. Do you go to the Burlingame support group. You don't live far from me if you ever wanna go walking Id be happy to meet you at the track for some exercise.
Jen

I was in this trial (which failed) and am very much like you. I also read a study in which a company made a "stricture resistant" stoma hole punch maker. It was around the time of our RNYs. Anyways they found very poor weight loss in the patients that had that tool used to make their stomas. I am a copy of everything you said about yourself. It is very shameful failing at a RNY. Living with hypoglycemia is a nightmare. I found this article on the internet. You might find the last paragraph interesting.


New Data on Weight Gain Following Bariatric Surgery

Gastric bypass surgery has long been considered the gold standard for weight loss. However, recent studies have revealed that this particular operation can lead to potential weight gain years later. Lenox Hill Hospital’s Chief of Bariatric Surgery, Mitchell Roslin, MD, was the principal investigator of the Restore Trial – a national ten center study investigating whether an endoscopic suturing procedure to reduce the size of the opening between the gastric pouch of the bypass and the intestine could be used to control weight gain in patients following gastric bypass surgery. The concept for the trial originated when Dr. Roslin noticed a pattern of weight gain with a significant number of his patients, years following gastric bypass surgery. While many patients could still eat less than before the surgery and become full faster, they would rapidly become hungry and feel light headed, especially after consuming simple carbohydrates, which stimulate insulin production.

The results of the Restore Trial, which were published in January 2011, did not confirm the original hypothesis – there was no statistical advantage for those treated with suturing. However, they revealed something even more important. The data gathered during the trial and the subsequent glucose tolerance testing verified that patients who underwent gastric bypass surgery and regained weight were highly likely to have reactive hypoglycemia, a condition in which blood glucose drops below the normal level, one to two hours after ingesting a meal high in carbs. Dr. Roslin and his colleagues theorized that the rapid rise in blood sugar – followed by a swift exaggerated plunge – was caused by the absence of the pyloric valve, a heavy ring of muscle that regulates the rate at which food is released from the stomach into the small intestine. The removal of the pyloric valve during gastric bypass surgery causes changes in glucose regulation that lead to inter-meal hunger, impulse-snacking, and consequent weight regain.

Dr. Roslin and his team decided to investigate whether two other bariatric procedures that preserve the pyloric valve – sleeve gastrectomy and duodenal switch – would lead to better glucose regulation, thus suppressing weight regain. The preliminary data of this current study shows that all three operations initially reduce fasting insulin and glucose. However, when sugar and simple carbs are consumed, gastric bypass patients have a 20-fold increase in insulin production at six months, compared to a 4-fold increase in patients who have undergone either a sleeve gastrectomy or a duodenal switch procedure. The dramatic rise in insulin in gastric bypass patients causes a rapid drop in glucose, promoting hunger and leading to increased food consumption.

“Based on these results, I believe that bariatric procedures that preserve the pyloric valve lead to better physiologic glucose regulation and ultimately more successful long-term maintenance of weight-loss,ÂÂ" said Dr. Roslin.