Question:
what is the next step when weigh loss surgery does not work?

I have been post op for 13 months. I lost weight for the first 31/2 months (65 lb.) and nothing since. I was walking 2 miles a day but it did not make a difference. I need to loose about 110 lb. more and need to know what I need to do. diet and exerise did not has not made a difference in my weight before surgery of after. any Ideas? anyone like me?    — Christina S. (posted on January 9, 2004)


January 9, 2004
Were you transected? How much volume? Grazing? Food choices? Checked with a dietician? Said walking didnt help, you still doing it? Any other exercise? Dont feel bad some folks do have trouble, we are here to help!
   — bob-haller

January 9, 2004
Christina, Sometimes people choose to have a conversion surgery to a different type of WLS. There is a great yahoo group over at www.groups.yahoo.com - then do a search for "DS_Revision" - these folks have researched and know an awful lot! There is a wealth of information there. Hope that helps some! Blessings, dina
   — Dina McBride

January 9, 2004
Were you only walking? I would up exercise to at least an hour a day and cut out all carbs. I know it is extreme, but it is just to knock you back into losing again.
   — mrsmyranow

January 9, 2004
no one else has mentioned it but has your surgeon checked you for a mechanical breakdown of your plumbing? This is usually the reason for such failures. If so, you should be able to get a revision easily.
   — Delores S.

January 9, 2004
I agree with Dolores. Get the mechanics checked first. If your surgeon doesn't want to hear it, get a copy of your Op report from the Records Dept. at the hospital, and get yourself to a GOOD surgeon who knows about our surgery, because if you're doing the right stuff, any surgeon who thinks its your fault doesn't know crap!
   — Leslie F.

January 9, 2004
Just want you to know there are others in the same boat. I stopped losing about 7 months after surgery, a realistic 40 lbs from my goal. I have done everything to try to get my weight loss started again. Not only do I walk, but added weight training, and now I have added even more cardio (bicycling or eliptical) to try and jump start things again. I had my metabolic rate checked, reviewed my diet with a dietician, cut the carbs down, stopped doing nearly any exercise for two weeks, upped the protein to over 120 grams per day, etc. Nothing. My thread of hope is that I have heard of cases where the weight loss started again after several months for no apparent reason. I think some of us just hold on to the fat despite our best efforts. Genetics? Who knows! On the up side, I am probably in the best physical condition I have ever been in in my adult life! (A;so, keep in mind that walking builds some muscle, which is denser than fat, so your actual body fat may be less than you think.)
   — koogy

January 9, 2004
You did not mention what type of WLS you had - LAP Band, Open - etc. ?
   — Anna M.

January 10, 2004
Do you have PCOD? and perhaps insulin resistance? My DR said that people who have insulin resistance will lose then stop. They give them Glucophage (med)and it starts again. Now I'm just saying this as a FYI because there isn't enough info. (what type of surgery, how are your eating habits etc) Talk to a DR about getting a blood test for insulin resistance to check it out if you're following all the WLS rules. Good Luck!
   — ZZ S.

January 10, 2004
Hi Christina, please don't let it get you down. I know it's easier said then done, but I'm in the same boat you are right now. I'm 7 months out and only down 52lbs. I follow my diet, exercise, but it seems that my metabolism is just dead...Each of our bodies is totally different and I believe that we ourselves should know if something feels right or wrong, even if the Dr says different. I was thin all my life until I had my children then my body just went crazy and I haven't been able to get below 220 since she was born 21 years ago. My thoughts and prayers are with you and everyone else who is having any problems with their weight loss. Good Luck....
   — Deborah




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