Have gained back all weight
If you are going to continue to live in denial and not take responsibility for your weight gain, your upcoming surgery will not be a success. Stop making excuses.
Laura in Texas
53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)
RNY: 09-17-08 Dr. Garth Davis
brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco
"May your choices reflect your hopes and not your fears."
Thanks for the reply, the surgery was 9/2013. I started off doing very well, was down almost 50 punds, felt great, as I advanced my caloried, I started slipping back into my old habits and started putting the wt back on. I am not on any meds, just....food.....I am depressed due to the wt gain, and of course my answer is to just eat more...I am really wondering if thereis a way to salvage this or have I ruined the surgery and will not able to have the results I did as a post op pt. Thanks!
I just started this journey, but I am very aware that surgery is not the going to make me thin forever...it is just the beginning. I am prepared to meet with a therapist. I am guessing most of us are addicted to food...so find a great therapist that deals with addictions. You could have the surgery again, but the same thing will happen if you do not fix the underlying reason why you are addicted to food. I exercise every day faithfully but still gain weight because I was eating whatever I wanted. You have to stop eating whatever you want.
Bottom line: Find a great addiction therapist...they are everywhere...ask around
Oh, goodness! I feel and hear your pain. First, there is no shame in regain! It happens - even to rock star VSG patients. I understand your depression. But, since you made this post, it's clear you're ready to stand up and do something about it.
First thing I want you to do is look in the mirror and tell yourself that you gained all your weight back and that what's done is done and it's okay. You can't ungain it, so just sit with the truth. Once you accept it you'll be able to move on and do something about it.
I think it would be good to contact your surgeon and let his office know what has happened. You might want to consider working with an RD or nutritionist to develop a plan that will work for you. If that's not a possibility, I'd like you to consider following the plan below:
Step 1 - commit to drinking 80=100 ounces of plain, clear unflavored water each and every day. No other liquids count towards this goal. Only plain water!
Step 2 - The Kickstart: 3 days - Method 1 - protein drinks and water only for 3 days. 100 grams of protein minimum and no more than 30 carbs per day.
Method 2 - eat all the lean, dense protein you want to keep you satisfied and eat only green vegetables in addition to the protein. No added carbs - no dairy, no cheese, just meat and green veggies and some healthy fats. Do this for three days.
Either one of those should de-carb you and get you on your way.
Step 3 - Then after that initial 3 days, I would suggest a tried and true method of eating only lean dense protein and green veggies, healthy fats and limiting your carbs to 20-40 per day. I would urge you to get at least 100 grams of protein per day and limit your calorie intake to 1000 calories per day. (If you are able to eat only 800 per day that would be best, but that may be difficult).
I have been very open about my regain here on OH. It has been a good learning experience for me and though I was depressed for a while, going through it has really helped me understand my relationship with food and how to address my issues long term.
Now, I'm going to guess that you didn't gain back all this weight eating in a VSG appropriate manner. I think you will find that when you eat appropriately (protein first, no liquid with meals) you will have much greater restriction. I can eat carbs in amounts far greater than I'd like to be able. Lean dense protein - not very much at all!
A big part of being successful with WLS is managing bad habits and cravings. The surgery won't fix any of that. You have to do the work. If you need more than this to get you started, feel free to PM me.
The good news is that you've done this before and you CAN do it again.
I'd start by logging everything you put in your mouth with something like MyFitnessPal. That'll show you what you're consuming and how you need to change it. From there, I'd work on getting back to my basics. Here are mine, yours might be slightly different -
1. Prioritize protein and water
2. Deprioritize carbs, especially the refined and processed ones
3. Make the most of healthy fats
4. Eat three meals a day with no snacks
5. Avoid liquid calories (breakfast protein shake is the exception)
6. Weigh portions
7. Eat mindfully and with no distractions aside from real live people
8. Move as much as possible
9. Weigh myself daily
10. Be kind to myself
As for the depression, if you're not seeing a therapist, definitely add one to your team. That's part of #10 for me. A good place to start is just by calling your insurance company and seeing what your benefits are and the providers that are close to you. It might take a few tries to find one you click with, but a good therapist is invaluable.
Changing your way of eating will be hard, not going to lie, but that's the way you can get back to where you want to be. Focus on dense proteins that will fill you up.
It might also help to go back to your surgeon, get checked out, and to meet with the nutritionist.
But have faith in yourself. You can do this!
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)