Question:
revision

i had gastric bypass 4/14/08 only lost 54 lbs and I am not happy at all, My question that I am going to ask my doc. on wed,4, is about revision. is it too soon to have a revision and can me have a band after a bypass. I have been beating my self up walk and working out hard, but nothing is changing What is wrong with me. Jennie    — zydeko47 (posted on March 2, 2009)

March 2, 2009
I'm guessing you'll need to journal your food, supplement, and fluid intake for a few weeks. Then take it to a local support group or a nutrionist for discussion. You may be some help on portion control or choice of higher protein, lower refined carb foods. DAVE
   — Dave Chambers

March 2, 2009
Jeannie Agree with Dave Do a journel of eating n drinking NO NO sugar in any form Diet anything including JELLO Read labels. Plateau's are bad but really need every bite you take written down. Sugar is in form of molasses- futouse- glouse- sobital- maybe too much natural fruits or carbs.. Really think about what you have been eating.. Don't give up - you have come a long way. Good luck. Check with the surgeon or their staff How many fills have you had
   — Eneleh

March 2, 2009
since it has not even been a year it is unlikely they will consider a revision yet. But they can take a look and see it maybe the stoma is too large. It is easy at least for me to eat foods that are not good for me, that are high in salt or fats. Watch the labels. Sit down with a dietian and figurer out an eatting plan and stick to it. Did you lose and regain or have you just hit a plateu?
   — trible

March 2, 2009
Jennie... I suggest that you get back with your surgeon. I am sure that they are going to have you keep an ACCURATE food, exercise and supplement diary. I am guessing that your lack of weight loss lies somewhere in there. That will be the first step. If you are adhering strictly to what you are supposed to be doing.. measuring your food, etc and not eating until you are full, then the doctor can discuss other options with you. First step.... diary and looking inward... good luck...
   — Kari_K

March 2, 2009
I have to agree with the others about keeping an accurate journal, but there is such a thing as the banded RNY. You also may want to consider a revision to the Duodenal Switch if you do have a revision. It is the most effective weight loss procedure currently available today.
   — hubarlow

March 2, 2009
Are you sure you are getting enough calories? The body will not shed weight if it thinks it's being starved. It hasn't even been a year so give it a try. I'm sure you're having your labs checked. Iron deficiency could be a problem. Keep up the good work - at least you've lost 54 pounds. You will loose more if you're eating properly.
   — Muggs

March 2, 2009
Jennie, I think you need to talk to a bariatric nutritionist. I assume your Dr works with one. There are reasons why you are not losing, and it has to do with what and how you are eating. Journaling will help the NUT to see what you are doing wrong. I wouldn't just jump into a revision until I have looked into why the bypass hasn't worked for you. You can eat around any WLS and, if that is the issue, your problems won't just go away with another surgery.
   — corky1057

March 3, 2009
When you see your doc on weds...ask him to run ALL your vitamin labs and tests for deficiencies and your blood for other problems! These are the test I have run every 6 month to a year depending on how my levels are...CBC w/diff, CMP, Lipid Panel, LD or LDH, PO4, UA, B-12 and folate, B-1, B-6,Iron and TIBC, Ferritin, Vit A and E, Vit D, Thyroid Panel, Zinc, PTH Intact, MG RCB(Magnesium), Cortisol, Selenium, HB A1C.... I get these all done EVERY visit! If your doc is not taking some 18 to 20 tubes of blood, he's not checking you out completely. My PCP is not a bariatric doc and no one in the entire clinic has any experience in bariatrics. My Doc is more than happy and even encourages me to tell her what tests I want run and how my body works. She loves that I educate her and take care of myself! If your doc doesn't believe you need all these tests, you turn around and tell him it's YOUR right to want to know that your ALTERED body is functioning properly and it is your right to have these tests done to insure long term health and prevent problems! Always remember that the doctor works for YOU! Don't let them intimidate you...You have a right to these tests and they ARE important yearly! Get copies of the results and if you do not know how to read them, you make another appt w/your doc to go over the labs line by line! ASk which ones are low or are getting low! If there is something wrong, it could be why you are not losing weight.
   — .Anita R.