3 years out and 20 lbs over goal weight!

 I am three years out and gaining weight. I am not sure what to do to loose 20lbs. Advice?

Jamie

 Sounds like you need to adjust your eating and exercise until you find your calorie balance.  I recently gained 20 pounds over the last few months and when I took it back to basics the weight started to come off again.

My issue was too much grazing and too many carbs.

Have you identified what yours are?  Do you track your food?  What is your calorie intake?  What do you eat in a typical day?  Are you still following your RNY golden rules (no eating with drinking, etc)?

These are the things you need to look at first...

 I am grazing and carb crazy with little protein and no excercise. I've been very ill over the last two years first with cancer and then another surgery it leaves me very weak.

Jamie

Go back to the "beginning" of what you did when you first were released from the Hospital? Journal EVERY bite you put in your mouth, (and liquids!) stick with plenty of fresh WATER or Crystal light (0 calorie beverages). Get 65-100 grams of PROTEIN (Chicken, fish or beef) a day THEN eat any veggies, and watch your carb level (No more than 100 grams of carbs a day!

If your not exercising, get back to it. You know what to do *smile* You just gotta do it! (like the slogan). Read all your labels, stay away from "fast food" or restaurant places until you are back on track and eating natural and protein first again.

Warmly,
Jackie

Back to basics: Protein first, lots of water, and exercise.

Think about the habits you implemented just after surgery and consider whether you've let things slide. I know for me that at about three years out I started grazing more and not paying as good attention to eating and drinking at the same time. I also let some empty calories back into my life and weight loss stopped.

Fortunately, I caught it quickly and decided to commit to changing one habit at a time:
-Avoid eating and drinking together.
-Get at least 45 minutes of exercise 3-4 days a week.
-Eating protein first, then veggies, and then some small starch if there is room.
-Weigh and measure my food to control portion sizes.
-Log what I eat into a food diary to make sure that I am getting adequate protein and hydration.

You can do it. The tool will keep working if you put your mind to it! Good luck.

 My bypass made me severly hypoglycemic so anytime I excercise or get really hot my sugar bottoms out. I am not sure how to keep this from happening.

Do you see a specialist skilled in dealing with RNY patients who have reactive hypoglycemia?  Also I don't know if you have ever done a search on OH regarding RH, but there are a lot of good suggestions given by people who like you.  Most of them eat protein often and eat small meals throughout the day in order to keep blood sugar fairly constant.  If you are seeing a specialist, when was the last time you had an appointment, and what has she/he been doing to help you?

 I see and endo for the sugar and my thyroid since due to cancer I now don't have one. The endo wants me to take glyset to keep food in my stomach longer but I don't think that is a good idea with the bypass so I haven't taken it.

I have occasional issues with RH.  My endo, who treats me for my thyroid and RH, mentioned a med for RH.  I don't have RH often at all, so it is something I do not need.  She mentioned it to me early out when I was having a lot of issues in the event the problem worsened and continued.  She treats several RNY patients for severe RH, with some (I don't know how many) requiring the pancreatic surgery.  How does the med keep food in the pouch longer?  That is interesting.  If it stayed longer, would that cut down on your hunger?

 I'm not sure, I'm assuming it somehow slows digestion but how would you know when to drink? The 1/2 hour to an hour rule would be too soon and making sure you drink allot which is already a challenge for me would be more difficult.