13 yrs post-op cals,? carbs? fat? sugar?

Hello, I was having problems posting here but finally have it figured out. Anyhow, I am 13 yrs post from gastric bypass.I have much pain today in my neck and shoulders (nothing uncommon these days) so I do not want to go into my whole story. The bottom line is I oringally went from 261 to 120 within the first year. By year 3 I was putting on the weight again. Currently I am back up to 202 and having major health issues. A few months ago, I came back to OH to see if others were having the same issues.  In the past few yrs as my health started deteriating, I mentioned to different doctors if maybe some of the issues could be from WLS. Usually alls I heard was "maybe" yet nothing was done to look into it and I would walk away with meds. After coming back to OH, I was excited yet sad that so many of us this far out have had the same problems. I learned from some knowledgable people on OH that I was probably suffering from vit. defieceny. I found a dr who listened and seemed eager to learn from ME about my WLS. She ran numerious blood work where we did discover major difiencies.  Again, spoke of my results on OH and got advice on what vits I should be taking and anyother questions I had.  I started on vits and even though I have days like this where I hurt overall I feel a lot better. I have been watching what I eat and keeping track for the past 2 weeks. I want to lose this weight again! I want to be healthy again! Unfortunely, the DR. I found is not longer practining in my area so I am not able to see her.  I know I said I wasn't going to go into the whole history and I havnt, well, the history that got me back to this point because I get angery with myself and with my surgeron way back when. So after all this rambling, I have a question.....how much cal, protein, fat, carbs, and all that nutricial info should I be having this far out in order to get back on track. According to my fitness buddy on line, I am still over eating, eating better but still over doing it. BTW, I take many meds for depression, anxity, ptsd, fibromy.  Can anyone help me figure ot what I need and how much??? I looked at going back to the very beginning but I really don't know what that was suppose to have been.  so, there is my "condensed" version. Anyone that has some info or if anyone else has had similar experience, I woul dlove to hear about it.  Thank you all and its great to finally be able to post here.

I'd recommend that you contact a local doctor who does RNY for a follow up. You could also consider seeing a nut to build a meal plan. Meanwhile you could research the standard maintenance diet which is recommended for us. Generally the rules are similar at 60 proteins and around 1200 calories. At your current weight that alone may spur weight loss. Add in some activity like walking. I have read a lot on drinking fluids lately and how much it really is a central part of maintains and losing weight especially after RNY. Some professionals see water management as one of the key success factors since it plays a part in satiety, nutrition and body function. My Dr says the tool is there for me to use and I believe it. Following the rules I have eliminated 32 lbs of my regain. Ask lots of questions!

Chrispy

Hello! I'm 9 years post op and am still figuring out the nutrition plan! LOL As I age, my needs have changed (I'm 42) so I think there will always be some tweaking we have to do. I agree 100% with previous post tha****er is ESSTENTIAL to weight loss. I still see my surgeon's office GI for follow up every 6 months! I get to sit down with the nutritionist who specializes in GPB surgery and can ask questions. Please check in your area or nearest major city for a nutritionist that specializes in your type of WLS. Our bodies just don't work like others do (which it sounds like you have discovered from your post). I wish you luck and keep at it! You've done great this far CAN do it again. Some weight gain is NOT failure, it's just cause for a "Reset". Hang in there and keep us posted! Glori

Our hospital and the bariatric center includes a GI specialist who focuses on bariatric patients, both pre- and post-surgery. Perhaps there is a similar center in your community with a specialist who's focused on evaluating your nutritional levels. Most have at least one therapist on staff who is able to support both pre-and post-surgery. Good luck.

Thank you all for you help. I am about ready to go out th door to drop off paperwork I had to complete in order to make an apt with the local bariatric center.  hopefully I can get in fast as I am excited.  Thanks again!

Keep us posted!