Sleeve to bypass- weight gain!

[Tabsmith]

I was sleeved on 11/17/2017, had revision to bypass 10/28/2018. I had went from 264 to 180. I had the revision to bypass due to having awful heartburn.
3 weeks after the revision I had lost down to 164, but I had a stricture and my dr had to go back in and open the stricture.

since then I have had weight gain. I have ZERO restriction. I still only take 8 bites, 4x a day. Get my protein, drink water, and I am up to 204.
My dr says it’s just what I put in my mouth but there is no way that is what it is. I feel like something is wrong inside due to no restriction. I need help

 

[Tabsmith]

Welcome to the group! Do you have a good communication system with your doctors? It sounds like maybe you don't. It almost sounds like you need a second opinion. But it really does not make sense, stricture or no, that you can eat so little food and gain weight. So there's only really two possibilities.

First is you're not really keeping track of what you are eating and you are loading up on calories even though you're eating small quantities, or you're eating large quantities and you don't know what a small quantity is.

The other option is that there is something wrong physically and you need to have that explored. I hope you can find the answers soon. It's important not to let this thing get ahead of you. And honestly, unless there's something wrong with the installation, you shouldn't be having any symptoms like these.

• Call your doctor.
• Weigh and measure everything you eat
• Put it in writing
• Count every crumb
• Know the caloric and nutritional value of every single food you eat.
• Dont medically diagnose yourself.
• When asked questions, tell all, not just the stuff that supports your theory
• Go back to the original staged diet and do a pouch reset (scroll to bottom for instructions).
• We are standing beside you, supporting you

A doctor is more likely to help you if she can see evidence, and taking accurate minutes of your life without emotion will lead to a more helpful treatment

I will absolutely start doing that. I am living this life with my husband who had the sleeve and two best friends who also had it. We do all food and exercises together. They are all losing and maintaining. So I feel like I’m just lost.

 

[WazzuCoug]

Definitely chat with a bariatric dietician of you can. Also, you may want to consider changing the types of food you are eating. Weight loss and maintenance isn't just about calories in and calories out. Each individual metabolises different foods at different levels of efficiency depending on the makeup of their microbiome (aka gut bugs). It can take some experimentation to find the right combination of foods. You may be eating foods that trigger a glucose and insulin spikes which can trigger fat storage. Even if you aren't eating things that you would think would trigger such a reaction, it could be part of the problem. If you are doing low carb, that might not be for you. If you are doing some other sort of diet, again, it might not be best for your body.

Some recent major studies have indicated there are really only two, what I would call, "universal" suggestions that seems to be good for everyone: 1. eat a diverse selection of plants. That doesn't mean being a vegetarian, but it means eating several different varieties in a week to feed your gut bugs to create a healthy microbiome. Our gut needs a variety of fiber to feed the beneficial microbiota in our gut, if it doesn't get that, those beneficial bugs can die off and take years to replace. The recommendation is 20-30 different plants per week. That sounds like a lot, but if you are adding herbs, spices, nuts, seeds, and other vegetables to meals, it adds up very quickly. Number 2: stay away from ultra processed foods, especially things with more than 10 ingredients. These foods have no nutritional or beneficial value and are actually harmful to our microbiome.

One of the best studies that clearly illustrated that no one diet is good for everyone was the DIETFITS study out of Stanford. It was a randomized trial that had half the group eating low carb and the other half low fat. Both groups ate the same amount of calories per day and both groups were monitored for adherence to the study. The weight loss in both groups was practically identical, and in both groups some people lost no weight, and some people gained weight even though they were eating exactly the food and calories as the other people in the study. This has been backed up by other recent studies showing that weight loss and maintenance is much less about calories than it is about eating the right foods for your individual body.

I would recommend talking with a dietician and then consider making changes to what you are eating, even if what you are eating is generally considered "healthy." It just might not be the right food for you and your body.

 

[eladams2015]

Get bloodwork done - have thyroid and hormone levels checked in particular. On the thyroid, tell them you want a FULL thyroid panel, NOT just the TSH level.

 

[JudyNY]

You look fantastic Diane! You put a lot of hard work into your journey. So did you ever do that hike? When I was still working our mail carrier at the office had retired and first thing she did was hike the Appalachian Trail in it's entirety from Georgia to Maine! The trail was not far my where I grew up,... I was never that ambitious!

 

[JudyNY]

Nice pictures Diane, thanks for sharing! And I'm so sorry for all your losses.

 

[tgal0218]

I will absolutely start doing that. I am living this life with my husband who had the sleeve and two best friends who also had it. We do all food and exercises together. They are all losing and maintaining. So I feel like I’m just lost.

I am so sorry to hear this. Something is definitely not right. Get a second opinion. There are different methods, ideas and help out there. There could be something knew that doctor A doesnt know but doctor B does. Good luck! Let us know how youre doing.

 

[Dlkm]

Can I ask has anyone suggested to you to take a probiotic to help with the acid reflux and it will help with weight loss as well. It helps to build the good bacteria in your gut.