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I'm almost 2 years op post VGS. I had lost a total of 80lbs but in the last few months I have managed to gain 30lbs. I've gotten back into my old habits and I feel like a complete loser. I don't know where to go from here. I want to reach out to my doctor to help me get back on track but again I feel like I've failed and I'm embarassed. Does anyone have any advice on how to get back on track? Any help is appreciated.

Normally I can down a third of a cup if it’s substantial. Yogurt Ive been doing 5 ounces.

I was wondering if that could have been the issue. I also had to get 2 bags of magnesium before discharge as well as something to replace phosphorus levels. I spoke with the Dietician and she asked if I had been drinking a Gatorade a day and I said no. She suggested me drinking one to see if that helped. I got through half a 20 oz and alot of the brain fog went away.

Congrats on your surgery & doing well with your recovery so far. A lot of nerves were cut during your surgery so many messages wont don’t get through until your healed. It’s why portion size is important is more important from the purée stage to so yiu dint accidental eat too much. I was told 1/4 - 1/3 cup but check with your team. When your healing is further along & you’re eating more solid food, you’ll start to feel signals again. For many those signals are different though & you have to learn what they are for you. Like many find there sneeze, yawn or their nose runs when they’ve had enough to eat. Also it takes time for those signals to get through (it’s why we’re told to eat slowly). By the time you feel full you’ve likely eaten too much & more than you need. Try not to keep eating until you are full or you feel your restriction. I ask myself if I need the next bite or just want it.

Hello, So, I just called, and they stated that they didn't require the weightless medical plan, nor does where I am getting my surgery done. I am nervous! Just waiting on my EDG to get sent over.... I'm hearing from people that the policy plan for weight-loss surgery states they don't need weight-loss diet plans, and are finding out last minute even if they actually need one..

Welcome! You have some very good questions, and the fact that you are thinking about these things is great. Weight loss surgery isn't for everyone, and I think it's really important to make the decision with your eyes wide open and be prepared for the good, the bad, and the ugly. This forum is a great place to read about other people's experiences with WLS so you can know what to expect. Pay particular attention to catwoman7's posts -- she is a great example of a WLS success story, who lost all of her excess weight and has kept it off long-term (and she is a true bariatric guru with lots of excellent advice and insight). Just about all of us have had many failed weight loss attempts in the past. Most insurance companies require evidence of failed weight loss attempts before they'll pay for surgery, because surgery is a pretty drastic solution and few people would want to go through it if they could lose and maintain weight loss without surgery. But many of us who have failed so many times before have been successful with WLS. It is true that some people gain back some or all of the weight (or don't lose as much weight as they need to) after WLS because, as you've figured out, WLS isn't magic. It still takes a lot of work and commitment and (as much as I hate the term) lifestyle changes. I get the impression that in the early years of WLS, the emphasis was on the restriction (and, to some extent, malabsorption) of surgery -- the physical limitations that made it impossible to overeat and/or that made the patient ill from eating too much fat or sugar. Patients mainly relied on eating smaller quantities to lose weight. This works in the short term, but the restriction loosens up over time (so you can eventually eat more in one sitting), and if you continue eating high-calorie foods and/or get in the habit of eating around your surgery by eating smaller portions more frequently, you can easily increase your calorie consumption back to the point of regaining weight. For me (and many others), WLS made the initial weight loss much easier than dieting alone because I had no hunger for several months after surgery, but I do get hungry now and it's a challenge to stick to my plan. I think that these days, most WLS clinics have a more comprehensive approach and provide more guidance on dietary changes. After WLS, you pretty much reboot your eating patterns, almost like a baby. You go back to consuming only liquids, then pureed and mushy foods, and tiny bites of soft foods before you get back to eating like an adult. I think this process is the turning point for your long-term path after WLS. You can either take advantage of this opportunity to get into good habits of eating nutritious food, or you can get back into your old eating habits once you are physically able to eat normal foods again (which can ultimately lead to regain). As far as how WLS affects mental health, that is very dependent on the individual and not necessarily predictable. I think it's safe to say that most people's mental health benefits greatly from weight loss because living with obesity is incredibly difficult, but of course there are instances of unexpected negative results. If you have a history of mental health issues, that's something to discuss with your provider as part of your decision (and most insurance companies and clinics require a psychological consultation to make sure you are mentally/emotionally prepared for surgery). I did my surgery completely alone. I'm 2.5 years post-op and haven't told any family, friends, or coworkers about my surgery. I live alone and had no help after my surgery. I was fortunate to have a pretty easy recovery, so I had no problems taking care of myself (although I later developed bradycardia due to the rapid weight loss and had to get a pacemaker). In a way, I think living alone makes the post-op life easier because I have complete control over the food purchasing and preparation in my house. I simply don't buy foods that don't fit in my plan, so it is easy to avoid temptation. I encourage you to continue to research WLS and read about other people's experiences as you make your decision. Good luck!

I don’t believe will power plays a long term major role in your success either.. I have decades of evidence that my stubbornness & pig headedness meant I could stick to any diet & lose weight. But I always put weight back on because i always went back to eating exactly the same way. Sound familiar? I never dealt with the why I ate. I never permanently changed my relationship with food. My will power couldn’t compete with those old, strong habits & thinking. Many of the benefits of the surgery don’t last. Your hunger comes back. Your restriction isn’t as strong. You can physically eat more, etc. (People can & do eat out around their restriction & their smaller tummy.) What the surgery does is give you time. Time to lose weight. Time to examine what, why & how you eat. Time to change your relationship with food, to establish new habits & routines around eating. Time to do the head work. The surgery alone doesn’t do all the work for you. If you think it will you won’t be as successful. Reframing the problem, as @SpartanMaker suggested, certainly worked for me. For many years I managed my reflux through dietary choices. Cut out daily carbonated drinks. (Limited how much soda or tonic water or champagne I’d had when socialising.) I cut out caffeine (except green tea). No spicy food (helped I had a sensitivity to chilli). Avoided rich, creamy, fatty, oily food. If I ate/drank them I would experience severe hiccups & other reflux symptoms. It became it didn’t matter how much enjoyment/ pleasure/comfort I got from eating/drinking them, they made me sick so it wasn’t worth it. I approached my post surgical weight loss & the way I eat now the same way. I’ve put my health & well being above any emotional benefits I got from eating. I feel so much better by not eating in my old way. I don’t get bloated & windy everyday. I don’t have those little white pimply bumps on my arms & they aren’t dry & scaly either. My thighs don’t rub together so no more heat rashes. I sleep better. My feet don’t ache when I wear heels or stand for any length of time. I have more energy. I didn’t have any comorbidities before my surgery so I can’t claim I don’t have those anymore but my chance of developing them is extremely low. I’m maintaining my weight. And so on. Initially it was my physical well being that motivated the change of thinking but now there’s also a emotional & mental well being component. And yes, part of that is vanity. The old maxim of eating to live not living to eat resonates strongly with me. I’m trying to apply this thinking to the stretching exercises I do now. (I really don’t enjoy exercising.) I feel better & body parts are looking leaner & more defined. Sorry for the long post.

Once you get onto real foods your restriction will kick in. Its really hard to get a feel for it before that. I sometimes got a runny nose or began sneezing when it was time to put the spoon down. At other times I missed the signal and would get the foamies. Its a tough learning curve at the beginning. Are you allowed toast on a pureed diet? Remember your stomach has to heal together and if you are eating off your plan it can be dangerous. Contact your team

How much does your plan recommend? If they didn’t give you portion size recommendations I’d ask ask for some that will meet your needs especially if you feel more comfortable & confident with them. Best advice then is to follow your plan. Remember all because you can doesn’t mean you should. As you know there are differences with plans. Like I was told 1/4 - 1/3 cup from purée slowly increasing to about a cup near goal. I was never given calorie goals. Some are advised a larger portion because they are given a higher caloric goal. (I wasn’t given calorie goals just portion size recommendations.) I’d think everyone is able to eat/drink more soup, shakes & broths because they’re liquids & go through our tummy more quickly. I’d sip on them for hours … until the soup got too chunky.

I haven't taken any Vitamins in over a year now and I haven't been feeling well at all could this be the reason ? I had surgery well over 15 yrs. ago and din't think I needed them any more .