Hello to you all. Just an update that I hope will give you hope and determination. We all know revisions aren't the most successful weight loss in the bariatric world. Many doctors do not believe in them. I won't go over my story as it's posted here but to just give you an update. I am now fifteen months out from my revision and total weight loss on my own and with the revision is 345 pounds. January 4th I will be having surgery to repair hernias that have been hidden beneath layers of fat and the removal of my stomach panny. They have to remove the panny for the mesh to adhere to make the hernia surgery successful. So I feel fortunate they can repair them and I will benefit from it mentally and physically. Don't give up your fight and don't believe the low weight loss statistics. Don't let that be your measuring stick. This journey is more about you than it is about the surgery. If you go into it knowing that you are the driving force not the surgery the weight will come off. Good luck to you all and have a blessed holiday.

I really do not appreciate your snarky and patronizing response. I am fully aware that you cannot outrun a bad diet, and I obviously could not maintain even a 77lb weight loss for years if I was eating crap. As mentioned, I eat a whole foods plant based diet, meaning my meals consist of veggies, fruits, whole grains, legumes, nuts and NO animal products, processed foods, or oils.

I do eat way too much to feel satisfied and it's as if I never had WLS. I can eat a salad of 2 cups of kidney beans, 4 cups of fresh spinach, 1 cup of broccoli, 1 cup of mushrooms, 1 cup of carrots, and 2 oz of tofu and be hungry for more 30 min later. I now power lift heavy weights 4-5x a week, so that likely contributes to my insatiable appetite that I have a hard time controlling. Obviously, I should not be able to eat so much even 10 years post op.

Regardless, I was not asking for nutritional advice, and I really do not care to hear your opinion on my diet. I was simply asking if my weight loss numbers were considered an RNY failure.

There are many posts around regain and revision, so IDK why you are coming for me? Seems like you like to think of yourself as some kind of authority on WLS- maybe YOU should see a therapist? I would think that someone *****sulted to WLS in MX at such a low BMI would have more empathy. I, too, had a swollen head and thought I knew everything about WLS and nutrition as I was riding my weight loss high in the early stages of my post op (it's annoying when someone assumes everything about your WLS journey, isn't it?). I suggest you humble yourself, and I hope that strangers on the internet will be less assuming and more empathetic to you than you were to me if you ever regain and seek help in the future.

I had RNY WLS in June 2008 at 297 lbs. Shortly after surgery, I had stenosis, and my surgeon performed an endoscopic dilation as treatment. After, I went on to lose 112 lbs over 1.5 years at a somewhat slow weight loss pace.

I got really into nutrition and fitness, exercising at least 1-2 hrs a day 6-7 times a week but never got down lower than 185 lbs. I then injured my femur and couldn't keep up with the intense exercise, and my weight went back up to 215 by 4 years post op. I then had some problems with drinking too much alcohol and went up to 240lbs. I got that under control and lost 20lbs from cutting it out of my life.

I have since been sitting at 220lbs for a while and have not been able to get under 200lbs since my initial post op weight loss. I eat a whole foods plant based diet, but I do feel like I have trouble controlling my appetite. It has become such a problem that I have turned to phentermine to help suppress it, and I am worried that I will gain weight if I go off of it.

I am starting to consider seeing a surgeon for revision. So, I guess what I'm wondering is if my maintained weight loss of 77 lbs after 10 years is considered a rny failure considering that I started at 297 lbs? My current BMI is 34.5 and my starting BMI was 46.5.

Thanks so much for the information. I'm trying to decide between having a DS or SIPS as a revision from RNY from the year 2000. I'm looking to loose 75 lbs of excess weight that I have regained. Do you think instead of having a common channel at 300, shortening it to 250 would help fight off the regain in the future. I suppose I would need to know the real difference between a single and a double (whatever it's called) to know if having a SIPS surgery with a shorter common channel is just the same as the DS. What are your thought on this?

Is the ricotta bake ok for the puréed phase postop? What about puréed Wendy's chili?