Question:
post op dissapointment in myself

I have just seen my surgeon for a follow up for the first time in over 3 years. I went in for stomach pains and had a diagnostic lap done, coming out with a ruptered ovarian cyst, a lot of scar tissue removed from the bypass and past tubal ligation, and one less appendix. I have gained back 30 lbs. steadily over the last six months due to my neuropathy medication (Neurontin), hopefully switching to something else next month. I asked my surgeon (he's one of the best nationwide) about a revision to help get the weight back off because I can only walk short distances at a time and can't do aerobics because of severe asthma, but he just said "diet and exercise like normal people have to". I don't see how I can do this effectively. Any suggestions and support?    — got_pigs (posted on February 19, 2006)


February 19, 2006
I would not expose myself to the risk of wls for 30 lbs.
   — walter A.

February 19, 2006
I do not think that you would qualify for a revision for just 30#. The doctor is right you need to knuckle down like a normal person does and go back to basics to loose the extra pounds. Sorry, but I do not have any other suggestions. A lot of people have rebound weight, myself included (10#) and I just took a good look at my lifestyle and realized that I got sloppy with my diet and exercise and went back to basics.
   — ChristineB

February 19, 2006
I know a RNY patient who is struggling with 20-30 extra lb 5 years out. She recently started using a caloriecount.com and was amazed at her intake. She didn't realize how much she was eating. Maybe you could try that for awhile and track your trends, then work from there.
   — Jeanie

February 20, 2006
Lisa, I read the answers to your question and none seem to be along the lines of what I wanted to say, so here's my 2 cents :-) First, please don't be disappointed in yourself. People that do not have Neuropathy, do not know how difficult it is to do things like "normal people". Especially walk!!! I have Neuropathy also (non-diabetic) and prior to surgery, I could barely walk without out an amazing amount of pain. The more walking the more pain and swelling. I also have Lymphedema. My suggestions: Do you have Orthotics? If not, check into them. Have you tried a medication called Cymbalta? It worked great for me. I was on Topomax and it was nooooooo good for me. The Cymbalta is a new drug that works for Neuropathy as well as Depression. It worked fantastic for me. I am also seeing a doctor that does a treatment called "manual manipulation" for the Lymphedema, this has helped TONS for both the Lymphedema and the Neuropathy. If you can get the pain in check, then you will be able to increase your exercise. The weight gain may be from the medicine and not from what you are eating. If I can help or answer any questions about what I have posted or anything else, please feel free to e-mail me. Tammy
   — Thin2WinNOklahoma

February 20, 2006
I went to the same weight loss center (Bridges in Phoenix, AZ) but I had Dr. Fang. I am 14 months out and have lost about 100 pounds. I know that they have support groups that are available. There is a great group that meets at the Mayo Hospital (on 56th Street just north of the loop 101) The first Saturday of the month at 9am. I have a friend that has struggled with some rebound weight gain...remember what you have lost, and not what you have gained. Also, try to treat yourself as a friend, and do not get into the negative spiral of self-hating talk. Best of luck to you. Yvonne
   — yvonne1953

February 20, 2006
Hi I just wanted to suggest to you to go back to step one Liquids for a few days then pureed then start in on your eating but journal it all... re learn to eat... I need to take my own advise here... We can Do this I know we can... Love Flo
   — Flo

February 20, 2006
Can you manage some non-weight-bearing exercises? Maybe swimming or aqua aerobics? Or maybe eight training? Or a reclining bike? If you can walk, it does not have to be fast. I do not know exaclty what you can do. I have asthma, too, but mine is mostly controlled with Singulair. I would suggest you see an exercise physiologist, if you can afford it, or at least a personal triner, and work with him or her to come up with a plan you can manage.
   — Novashannon

February 20, 2006
In answer to the neuropathy medication, I am going to either try cymbalta or lyrica hopefully next month. I was at my goal weight (surgerywise) at 190 (not what I wanted) for about a year or so, where I only had about 20 more pounds and then I could get the ok from my PCP for plastics. Then, all of a sudden, I developed the neuropathy. I am not diabetic. Dr. Juarez has told me that this is a one-shot deal-once my stomach stretched there is no way to shrink it back even if I were to go back to liquids and barely eating and such. He told me that I have to work up a sweat, that walking by itself wouldn't help get the weight off. I am wondering if step aerobics would be too difficult for me. I tried walking last night for about 20 minutes (strolling since my 2 day hospital stay) and my legs were zinging enough to need my pain meds for sure. If I don't have them, I can't barely walk! I am thinking water aerobics might be good, too, but does it really work you out that much?
   — got_pigs

February 22, 2006
Hi Lisa, I too have regained weight and also have severe asthma. First consult a pulmonary physcian and get on a proper asthma treatment program. Second go back to basics and review what and how much you're eating, modify your eating habits and cut out junk and snack foods. Visit the nutritionist again. Unfortunately what we were told pre-op is true ,WLS isn't a free pass to eat whatever and lose lots of weight and be thin. We all have to work at it and the further out you get the harder you have to work. I'm in the same position and my doctor told me the same thing; to diet and exercise, no revision is acceptable for when the weight gain is minimal and the fault for the weight re-gain lies in poor eating and lack of exercise, no surgeon or insurance would approve a revision under these circumstances. If you can only walk short distances walk them, exercise helps asthma. I'm steroid dependent for my asthma, but I'll be honest that I haven't been eating properly and exercising enough, so I'm to blame for my weight gain. I will need these meds for probably the rest of my life and that being the case I need to work around them and deal with it and not use it as an excuse. After all not all neuropathy patients and asthmatics have weight issues. Good Luck.
   — goldroses




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