After Weight Loss Surgery, what has been your greatest struggle?

It sounds like Ur doing GREAT!!!

Ten years into it, I think the single biggest barrier is remembering that the surgery is just a tool, not a magic bullet. I've not had substantial gains over the last 10 years, only 10-20lbs three times, and I typically lose them very quickly once I go back to the low carb lifestyle for awhile. I don't really have many surgery related restrictions on what I can eat, albeit in very very small portions. In addition to that, the same foodie that enjoys eating still lives inside my head and he's not going anywhere. Oh, and a lesson I learned very early on (but not immediately post-op because EVERYTHING sucked for the first couple of months) was to drink water. Lots of water. If I don't, the muscle cramps are unbearable.