Hi there.

I have a VSG in 2012 and did quiet well until 2018 (gained 15-20lbs) by the end of this period. Then 2020, Covid, working from home and multiple family deaths. The has seen another 40lbs gained. The self loathing has taken hold and I need to do something now.

I have been off of the forum for some time. Seems the website is much quieter than it was ten years ago.

I had my VSG surgery done by Dr. Alberto Aceves but he has since passed away. Who is the leading revision surgeon in Mexico these days? Thank you

Looked up fibrin obstruction. Didn't know it could happen.

Maybe see if hydrolyzed protein (there may be some shakes or powder for that) or adding protein digestive enzymes during meals helps.

I wonder if getting more of your protein from vegetable sources might help. Do you like tofu? It can be seasoned numerous ways.

Consulting with a registered dietitian with bariatric experience could be helpful.

And hit 201 today down from 217. So some progress.

Actually, I seem to be losing weight with the liver shrinking diet of several high protein shakes and a small meal plus some green vegetables and multivitamin. I haven't been obsessed with food the way I was when I did Weigh****chers some time ago. I checked with the APN for the reflux surgeon and got the go ahead to continue. I'm going to see how this goes. I'm already down just over 10 pounds without being obsessed with food, nor particularly hungry.

After reading about the side effects and possible complications of the various bariatric surgeries, I decided not to do those. I have more than enough medical issues to manage, not weight-related, particularly the triple positive antiphospholipid syndrome which has already resulted in a shoulder replacement and a small stroke. This condition has a high risk of blood clots.

A partial omentectomy could reduce intra-abdominal pressure and improve the function of my kidneys which are slightly impaired, my reflux, and my improve my lung function. The reduced pressure should also reduce the risk of the crural repair from failing, which happens fairly often regardless of repair type.