I'm considering revision...

I had VSG November of 2015 and had dropped about 120 pounds since my start weight. I've got 100 more pounds to lose and I've been on a 3 month stall, then gained 11 pounds back. I'm panicky and I have an appointment with my nutritionist to see if there is anything I can change to fix what is going on. I've started working out more as well. I have considered getting a revision done to the RNY, do you guys have any thoughts or advice on the procedure? My primary care doctor wants me to exhaust all of my other options before opting for another surgery, and I will be attempting to do that in the next couple months. However, if it comes down to it, I don't know whether or not it would be a positive move from the VSG. With the amount of weight that I still have to lose, it seems logical. Do I have the wrong idea?

Thanks for all the help!

I can't speak to the revision part of your question, but I can definitely tell you that the basics of the meal plan is the same with I both surgeries, so unless you are very sick and suffering, I am not sure why a revision would help you.

Take a peek on the RNY board and look for the posts by DaisyDoo02 about an "AMAW challenge". It's a fun little challenge we do together here to get back on track and cut out all carbs. There is literally no way not to lose weight if you are just eating dense protein. 

Try getting back to basics before you panic. Good luck! 

Weight loss between the two surgeries is essentially the same. I don't think it will help you in that regard.

The best thing you can do, by far, is start weighing and logging your food. You've been stalled and started gaining, and the only reason is you're eating too much. It's not easy, but you need to find a way to cut back. RNY is not going to change that, at all.

Best of luck.

With the amount of weight you still have to lose, the DS procedure might be better surgery for you.  You would have to start with finding a surgeon who does the DS.  There are not a lot of them and you might have to travel outside of NC to find one.   The VSG is the first stage of the DS, so you would be adding malabsorption to your current restriction.

Do a lot of research.  http://dsfacts.com is the place to start. 

I revised from VSG to RNY because of GERD and not for additional weight loss. I was only about 15 lbs from goal at the time and my surgeon told me I was unlikely to lose a significant amount because of the revision and it could take me up to a year to lose my remaining weight. I lost it in 6 months but primarily because I eat a high protein, low carb diet. I would make sure my eating was truly on plan before taking the drastic step of another surgery. Then as posted above I would look into DS which utilizes your already sleeved stomach. Good luck!

I agree with what everyone else is saying, the revision is probably not your best bet.   I had a stoma revision with hernia repair to my RNY 3 years after my original surgery since I stopped losing at 18 mos and maintained my weight, but still had more to go.  They did an EGD and found my pouch was a lot bigger than it should have been, but it was not stretched.  My original surgeon was very conservative in the beginning of his RNY career.   

So, I had a small revision, but extensive hernia repair.  I went on to lose another 65 pounds (and was able to maintain that weight loss for 13 years.   I definitely could have stood to lose another 20-30 lbs, but I did not, even following the post op diet religiously.  

I have had regain in the last two and I am working on getting that off.  Being 16 years post op, it isn't easy, but what is working for me is tracking my food, meal prep, daily exercise and coming to these boards for accountability. I gave up all simple carbs and diet sodas.  I am seeing the pounds come off and it is slower than when I was a new post op, but it is happening and this tells me that my tool is still viable.   

I would suggest maybe counseling with a dietitian to discuss what you are eating, get your macros lined out and set a plan in place to follow that and see how you do.   Sometimes, it is just old habits that can prevent us from reaching our goal or cause regain.   

I wish you the best of luck, in whatever your decision is.  

Nik

I have to agree with others.  You may be eating too much and ..The wrong things to lose weight. 

Unfortunately a lot of us MO are very sensitive to carbs. For a normal person - regular diet, just limiting calorie works well...But for some of us - with insulin resitance - even complex carbs can create a problem. 

I know I need to limit carbs to lose weight. Even the so called "fiber carbs" my body found a way to digest and turn into sugar.  So I have to limit or eliminate that from my diet. Things like grains (bread, oatmeal, rice, etc) , even the high fiber veriaty turns into sugar for me. So they are no longer in my diet unless I am trying to gain weight. But even then - the side effects of the grains digestion (gas, bloating, indigestion) are not worth the 5-10 min pleasure of eating them. And I LOVE bread. 

I eat meat, non starchy veggies, nuts, good fats. I added some starchy veggies after I reached and passed my goal...I also added dark chocolate...To maintain my weight. But that was after I lost all my regain plus 10 lbs... 

RNY- VSG - even DS - unless you diet is correct for you - none of them would work long term .. Probably DS has the most eating "freedom" but long term regain are also common and the long term risk of mineral- vitamin deficiencies plus other issues - would make me think really hard before I would go that route.  

You only one year post op VSG ...How about really give it a good try to proper WLS diet.  

Note: a lot of nutritionist may recommend a balanced diet: joke grains, fruits and proteins - that would never work for me - it never did before my RNY or post op.  I tried as I slowly regained 30 lbs in my year 3-4... the balanced diet - and social drinking ...(wine) was causing my regain.  I have RLF who try to have that life - balanced diet ...And they have regain and can't lose it while maintaining relatively low calorie diet. That thing just does not work for a lot of us. 

Hi, Congrats on losing 120 Ibs; that's amazing.

I am at the beginning of my journey and am having RNY on Feb. 1st, so I have no good advice.

Good luck!