Help! 5+ Years post op....

dreamy6501
on 3/30/11 10:36 am - NJ
...since I had my gastric bypass surgery. I started out strong, like I know we all did, losing 100lbs in only 6 months time. I went from 331 down to 196 and was feeling fantastic. Back came my happiness, my self confidence and I was just myself again, not that sad, lonely fat girl.

I had issues sure. Herniated intestine surgery in Oct 2006, intessuception in March 2007 (never fixed surgically, it went away on its own), severe B12 and anemia, but all in all everything was okay and under control.

Now I find myself at 266lbs. Eating everything I could eat before the bypass, no dumping no issues with food at all. My problem is I'm so unhappy and disgusted with myself. I have no idea where to go or what to do from here. I didn't go through the surgery just to gain the weight back.

Im asking for advice, tips, tricks....ANYTHING that can help me kick start the weight loss and get back down to where I was and even less.

Thank you all in advance for your help and support.


Rebecca
    
(deactivated member)
on 3/30/11 5:05 pm
Have you considered revision, or are you trying to do it the old fashioned?

old fashion = protein, veggies, water, and vitamins + ditch the carbs

If you have considered revision, please post on the revisions forum. I can tell you that once a gastric bypass fails, the standard gastric bypass revisions generally do not work. Once you lose satiety (as noted by being able to eat as before surgery), the restrictive revisions such as the rose procedure fail almost 100% of the time. A surgeon could do an extended rny (ERNY), which would entail bypassing more of your small bowel to give more malabsorbtion.

The problem with the ERNY is that it often causes major complications of anemia and many ERNY patients end up needing revision to the duodenal switch (DS). I am having revision to the DS on the 11th. Revision to the DS is the best remedy for faild RNY.

If you type, "Duodenal Switch is a Safe Operation for Patients who have Failed Other Bariatric Operations" into a google search. you will see a research paper describing this revision.



blair94
on 3/30/11 10:49 pm - Oklahoma City, OK
 It happens to the best of us. I'm scared to death of it. I *KNOW* that if I do not keep up a healthy lifestyle (working out), I *WILL* gain back my weight over time. It might not be this year, next year, or the next, but I am almost sure that as my restriction lossenes, I will gain back a portion of my weight.

What can you do? I wouldn't rule out revision. Medcine (even WLS) has improved and changed a lot in the last 5 years. Just because your RNY "failed" doens't mean your revision would.

Tips to help kick start the weight loss? 
Measure your food out as if you still had the restriction you did at 9 months out. 1/2-1 cup of food per meal time. Take an apetit supressant (see your general practicioner). Shrink your stomach over time by going back to the basics: no drinking with meals, eat hard protein first, NEVER eat until you're full--eat until you're satisfied/have finished your cup. I understand this would be EXTREMELY hard, but your body has done it before and might be able to pick it up.

The problem with "dieting" is the food funeral....you know the Sunday night before the Monday morning diet that never seems to really start. I've had far more Sunday nights than Monday mornings.
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Memoir-ist0324
on 4/1/11 2:41 am - Flowery Branch, GA
 Hey Blair! I noticed you mentioned Phentermine in one of your posts (at least i hope that was you), when did you start taking it? What led you to this? I have used phentermine before i had surgery, and I do think it works. I was just curious how it works with VSG. 


blair94
on 4/1/11 11:26 am - Oklahoma City, OK
 I took one for the first time about two weeks ago. I have taken it three times since then. Mine are an old prescription I had from before surgery.

I felt like I was going CRAZY one day from hunger. First of all, I was extremely stressed out and studying a lot. Secondly, I was biting on my lip VERY badly from the "hunger"/ stress/ nevous habit I get when I'm frustrated from studying.

It helped SOOO much!!!! I felt relaxed for the first time in DAYS. I didn't think about food AT ALL. And I stopped biting my lip.

I don't know if it's suggested or not for VSG patients, but I don't care because I felt SOOO much better after I took it. Am I going to take it every day? No. When I feel ravenous/ restless like that? Yes.

Don't look into taking it unless you must! Your sleeve will do most of the work.
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dreamy6501
on 3/31/11 9:06 am - NJ
Thank you for your replies! I'm going to try going back to support group meetings and talking to my surgeons nutritionist and see if I can do this without a revision.

I think that getting back into support situations (ie here and with my surgeon) might be a help. So we'll see.

I am looking forward to getting to talk to and know people on here again.


Becky
    
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