[jenafair]

I had my pouch made smaller recently after a regain. My bypass itself was not altered

I am told my weight loss will be very slow and the amount lost will be less since the body becomes more efficient at hoarding calories as the years pass with RNY. my original surgery was 1996.

If I remain compliant can I still return to my goal weight, or is this unrealistic?

I'm feeling discouraged here but want to know what to expect. My surgical support team seems to have fairly low expectations.

Thanks for any input. Any other RNY to RNY revisions out there who have lost their regained wt?

[DocSanae]

I can't really say anything, as I think you are the first RNY-RNY revision here. Lots of band-RNY, but that's different.
I think your best would be to very strictly follow the pouch rules about eating, and measure all your foods to make sure of your intake. Also, how are you doing on exercise? Get a good exercise program going, if you don't exercise much. Build up your muscles, as muscles are more effective in burning off calories.
Also, set mini goals. For example, make your first mini goal 220lbs. When you get there, work for 200. Then 180. All the way down from the beginning will set you in the mind frame of "I'm not getting anywhere near yet, this is discouraging." Mini goals will put you in the mind frame of "Yay, I did it. Now for the next one." A more positive incentive.
Good luck (((HUGS)))

[jenafair]

I am exercising on the days I don't work 12 hours! (I'm a nurse.)

I think you are right, Doc, about small goals. The weight is coming off, but slowly. I'm also trying to limit all carbs and eating no white carbs at all.

Thanks for the input!

[MiniMe]

Hi J!

First I want to say BE OPTIMISTIC! You can lose the weight again! I have not had a revision but after losing 200lbs I regained 40 and managed to work it back off. At 5 yrs post-op I stacked on 40lbs in one particularly stressful year. I found that returning to my post-op eating lifestyle helped tremendously. After your revision you will likely lose a good bit. Let it inspire you and pretend it's the first time. Be excited about it and BE POSITIVE. I have no doubt that you will reach your goal!! MAKE IT HAPPEN!!

[ragdolldude]

If I had to go through your revision (never heard of it till your post), I'd make sure I JOURNAL ALL FOODS CONSUMED. Likely you returned to old habits to some degree. "If you bite it, write it" is the saying. Write down food eaten, approximate amount, time, and your mood at the time of eating. You might want to write a short note a hour later to see what your feelings are at that time too. You may see a pattern in your journaling that you can change for optimum results from your recent surgery. DAVE

[not quite Barbie]

It's also possible that you don't even know the rules. Your surgery was so long ago, I don't think they understood back then how important it is for us to eat a certain way and to have continued support. There are serveral great threads on here about pouch rules, you should do a search and take a look at them.

Keep posting here, talk to us about how you are doing, what your struggles are. We're here to cheer you on. Doc already gave you good advice. Don't set yourself up for disappointment, make those goals reachable and take pride when you reach them. Stop kicking yourself for failing.