Thanks everyone for all of your responses I no longer have a dietician I have moved away since I had my surgey. That is why I have been looking for some hel[p with answers. I do think I need to excercise more but I dont have energy because I'm severly anemic. And on top of that I am always hungry. I take the 20lb weight gain serious I have a long life ahead of me and I need to be healty for my family