I think she does eat way to much.  For example for breakfast she can eat a bowl of oat meal about 8 oz and then whole grain toast and an egg.  She eats that between 9:00 am and 12:30 pm when i go get her for lunch.  Then she will get a veggie wrap or a very large salad and soup.  she will then eat that till she leaves for the day.  I don't know what she eats after that.  She will get sick but then get back to her desk and keep eatting so I think that is her problem.  Does the new stomach ever get large again like the old stomach?

I would say that she is eating too much. It does sound like she has stretched her pouch. If a person eats too much food they will get sick each time. It is very possible that this is what she is experiencing. As for you this is all a choice. If you do not want to regain any of the weight you will not if you continue to work at it. The surgery is only part of the reason you lose weight. The rest is up to you by the choices you make. If you stretch your pouch by choosing to eat more, if you get your body used to sugar again by eating a little more each time, if you start to make bad choices instead of healty ones, you will regain weight. This choice to have this surgery does not just affect you until you have reached your goal, it is with you everyday for the rest of your life. Everyday for the rest of your life you have to make good choices. Surgery alone cannot make and keep you at a healthy weight. As long as you continue to make good choices you will be fine. It is also extremely important to continue to follow up. As you may already know malabsorption can be a big issue with this procedure. You will need to take vitamins for the rest of your life. Not to mention that by going back for check ups helps keep you accountable. You can't gain weight unless you are not eating right. This procedure not a bad decision. It is what you make of it. It can be a wonderful life saving procedure, or for some it may be bad because they do not like the food limitations. Best of luck to you Terisa

If she has not gone to anyone for follow ups it is not surprising she may have some issues. I do not understand how someone who cannot keep "anything" down has not lost significantly more weight.  I want to add that you are in great hands with Dr. Bertha.  I just had the pre-op class with his office and it was very comprehensive and made me feel extremely comfortable with my decision.  I will say too, from what I see here, the support and information his patients receive is above average.  One thing he said was if you are not willing to make the changes necessary in your diet do not have surgery. Maybe you should suggest she see Dr. Bertha just for a follow up. As far as gaining the weight down the road, if you are careful and always remember the basics I think it can be avoided. 

I will be anxious to see what you think.  Good luck.