There are a couple of reasons for it, according to my doctor.

One is that you may start at a lower weight at the time of the revision, and patients with lower BMI lose more slowly than people who weigh more.

Another reason is that the big metabolic changes that happen to your body after surgery (which I guess scientists don't understand 100%) have already happened, so you don't get that "honeymoon" that most folks go through after their first surgery. With VSG to RNY, at least you get the bonus of malabsorption from the second surgery.

Third, many people are already starting with a mindset of "diet fatigue" from the first time they've lost weight after surgery. It takes a lot of mental energy to be vigilant and get to your goal weight, and not everybody is able to do that again because it's so darn exhausting.

That said, it's possible to still work your tool and lose a lot of weight. I'm roughly four months out from my revision and down by 50lb. 5 to go until my initial goal, 25 if I want to get down to the lowest weight I was after VSG (and I'm not sure I do).

I am in the same boat as you. Revision scheduled for early January. Don't want to do it. But have no choice. Please post about how your surgery and surgery recovery go.

I'm confused. How can you have GERD after a RuNY? Isn't the stomach (where acid is produced) "offline?"

Curious how your recovery went - from the revision surgery. Thanks for posting.

Thanks for your post. I'm curious to know more about you post revision surgery recovery experience. I have to do a similar thing in Jan (revise from sleeve to RuNY), for health reasons.

How are you doing now?