The reason you are finding revisions for reflux is most of the time insurance will not pay for a revision unless there is a medical reason that is threatening your health. They look at it you only get one bite of the apple. It may seem mean and cruel but it's true. Until you find a medical reason and get a revision here are some basics that will help you get back on track. Good Luck to you and we are here for you

Planning/Preparing

Remember when we were preparing for surgery? How many meetings, classes and such did we attend? We were told the more prepared we were the better our chances were for success. And they were right. Go through the house, car and work place and get rid of trigger foods. Stock up on foods that will keep you on track. I removed every bad carb/sugar temptation and replaced it with lots of protein, veggies, grains and fruits.

Journaling

Get back to journaling. This will help you identify when you feel like eating, stress factors and any triggers in your life. Once you identify these factors, this will help you put tools in place to keep you from eating. It became clear I was not taking time for me anymore. I worked my day job and then spent the rest of my time caring for my husband. It was easy to reach for fast, prepackaged food. Since I purged my home I have to eat clean as there are no other options LOL

Use a tool to track you're eating and exercise like Getting Started with Health Tracker. Once I started to track ever bite and drink it became clear why I had gained.

Goals/Rewards

Make a list of goals for yourself. Make them realistic and small. Some of mine were move more, purge all junk from my home, eat more protein. If you didn't make a Weight Loss Surgery bucket list when you first had surgery do it now. GREAT reminder of all the things you can enjoy in life after losing weight.

Food

In general, a long term post-weight loss surgery eating plan includes foods that are high in protein, and low in fat?, calories, and sugar. Important, vitamins and minerals are provided as supplements. (if you had a different surgery adjust this to your food plan).

Water

Water is our Best Friend. I have to say I never went back to pop or any bad drinks, however I was drinking tea like crazy. What is wrong with drinking tea? I was either using sugar or 3 equals and 3 sweet n lows per 32 ounce glass. I found once I started carrying one of the metal bottles of water to keep it cold I drank water all day.

MOVE!

I can't say enough about how key this was for me. The reason I kept my weight off for almost 10 years was no matter what, I kept moving. If I could not go to the gym I would walk. Grab a cart and walk all the isles at your local box store. I loved Zumba, bootcamp workouts, lifting weights. When I stopped, the weight started coming back. So for me I am starting slow to avoid injury by walking and using some of the workouts on my Demand TV. Find something you love to do and it won't feel like a pain in the *** to do daily.

Support

If it's an option "run" don't walk to a support group. Come here on OH daily for support and participate in one of the food threads. It helps you be accountable and also great ideas for food prep.

With the metabolic problem I would look at the DS.

About a month ago I went to see my bariatric surgeon. We always spoke about removing my old broken up band and revising me to a sleeve. I've been so afraid of having surgery that I've put it off for years now. This visit, he recommended something I was not prepared for-RnY! I was shocked and devastated! He ALWAYS suggested the sleeve and said he wouldn't recommend RnY based on my weight and eating habits. I asked him why the sudden change, and he stated it was due to my metabolism registering so low on the scale. I was diagnosed with metabolic syndrome way back in 2005, thus the reason for the lap band back then. This surgeon is the same one who did that surgery. Even though he's one of the best, I think deep down I'm bothered by the fact that I was diagnosed with metabolic syndrome back in the day but was discouraged against RnY (a metabolic surgery) and encouraged to have lap-band surgery (a restrictive surgery). Back then, I researched the surgeries but knew nothing about the meaning/difference between metabolic and restrictive surgery. I just didn't get it. Needless to say, I left his office in tears and full of anxiety. RnY has always really frightened me. Not only does the rerouting scare me, but also, the fact that:

• I am anemic
• I am gluten intolerant
• I have diverticulitis
• I need ibuprofen for my severe menstrual cramps and joint pain

Just when I mustered up the courage to finally go to the doc to schedule removal and consider revising to the sleeve, I'm hit with this. Definitely a setback for me. Just wanted to get it out and felt this was THE place for that ?

Any and all comments welcome.

THATS the name! Thanks.

It also seems there is someone in the Midwest. But yes, Dr. Rabkin is the other one out here.

I do have a stricture at the distal portion of my pouch, food is just not going through. Three more test this week. Will update once I know more.