Question:
went from 464 to 200 going back up :( HELP PLEASE

Hi, I am about 3 yrs past my RNY and have done great with it, Lost right at 264 pounds but as of late it seems like I am going back up in my weight :( this really bothers me because I do NOT wanna have to have this surgery again because I had a really hard time with mine afterwards with infection and all that "good" stuff. I dont know what to do for I have moved across country from my DR so it isnt like I can call and make an appt to see her . PLEASE someone help me and tell me what to do. I take my vitamins EVERY morning, I drinking enough to drown in but it is still hard for me to eat many meats other then fish and chicken ( getting really tired of the 2 ) . any help anyone can give will be greatly appreciated. Thank you and GOD BLESS !!!!! ~Jen <><    — J. Lambert (posted on May 17, 2008)

May 17, 2008
There is a new procedure out there that seems designed just for you. It is called stomaphyX. You can get the basic idea of the procedure from here: http://www.themorbidme.com/2007/09/stomaphyx-incis.html . Do some research on your own and see if you can find a surgeon in your area that can do the procedure. Basically the short version is that they place a device down your esophagus and use some posts to draw the sides of the pouch up and make the available volume of the pouch smaller. There is no cutting involved. The entire operation is done through the esophagus and inside the pouch. I hope this helps, Hugh
   — hubarlow

May 17, 2008
unforturnately a lot of patients are gaining back there weight because they forgot the rules and are going back to there old habits. You need to look at what you are eating and how much. You should also be measuring your foods. Naturally you could gain back 10-15% which is ok. Best of luck
   — Steve Cohen

May 17, 2008
Here's the thing about gaining, and it applies to everyone (wls or not)...If you eat more than you metabolize and burn...you will gain. You need to cut back on calories and begin measuring your food...You have the tool...you don't need to go get another operation...Use what you have. Go back to basics. You can't handle meat because it makes you full and uncomfortable! That's how I know your tool still works. You are eating stuff that is EASY to get down and won't keep you satisfied as long as meat/dense protein will... Get some new recipes for the meat and fish you like...Try ground turkey or meatless veggie burgers for a high protein usually low cal meal! ...Cut out white carbs and most all sugar and replace your snacks with low cal veggies and fruits. Eat a plain salad with the end of your meal. Those salad spritzers are 1-2 calories a spray and taste awesome! Pay attention to when you feel satisfied and STOP EATING...See how long you go without feeling hungry...Listen to your pouch and not your head! Begin measuring your food out to 7-10 ounces per meal...Count calories..Journal your meals for a week with the nutritional values so you can see exactly what you are eating...All these things really do help. You have done an AMAZING AWESOME job! I can't even tell you how completely awesome losing 264 lbs is! There is a normal 10% gain...Give this a try and eat that dense protein first...You might even cut out a high calorie meal or snack for a protein smoothie. I wish you much luck!
   — .Anita R.

May 17, 2008
Jen, you don't mention exercise. Be sure you get plenty of it, if you don't you are committing to weight gain! You must exercise, especially 3 years out. Weight loss and maintenance is always about Diet, water, and exercise. You can't get away without exercising. Take care. Patricia P.
   — Patricia P

May 18, 2008
You have do an amazing job losing that much weight. I agree with all of the answers, try cutting back on the food and exercise before getting another surgery. God Bless
   — Toby2