2nd surgery?

I am almost 7yrs out from an open Roux n Y .I have lost 85lbs but to get down to 140 I should lose another 70lbs. I am wondering what criteria the surgeons use for a second surgery like a stomaphyx or something similar. Exercise is not a problem for me, I go to the gym 3 days a week, but it seems like I don't get that "full" feeling anymore when I eat...any comments are welcome. Thanks

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