James Marusek

Welcome and let us know if we can be of any help. Here is a short article about my experiences with RNY surgery. http://www.breadandbutterscience.com/Surgery.pdf The reason why you are throwing up is probably not GERD related but rather it is called dumping syndrome. Your stomach is now smaller and will hold only so much food. When you exceed that volume, first you will sense that the taste of food no longer seems enjoyable. Then if you go beyond that early warning and eat a little more, vomiting may result. It's part of a normal learning curve.

What type of surgery did you have? A total weight loss of 15.6 kg (34 pounds) seems very minimal. hair loss sounds like it might be a lack of Protein. As you exercise more you will need a little addition protein to compensate. At a year and a half post-op, it sounds like you have transitioned from the "Weight-Loss" phase into the "Maintenance" phase. The goals and approaches in the two phases are different. This is a link to a short article about my experience in the "Maintenance" phase. http://www.breadandbutterscience.com/Surgery2.pdf But it probably depends on the type of surgery that you went through.

After RNY gastric bypass surgery, generally one loses weight quickly then after time, weight loss slows and then you bottom out and enter the "maintenance" phase. The goal in the "Maintenance" phase is to maintain the weight loss that you achieved thus far. A weight gain of 7 pounds in one week seems too drastic. During the weight loss phase it is important to consume an adequate amount of Protein. The daily protein requirement is a combination of the amount of protein obtained from supplements (Protein shakes, protein bars) combined with the amount of protein from meals. In the beginning of the process, one lives off of protein shakes to meet this requirement because the meal volume is extremely low. But as time goes on, one can begin to transition off from these protein supplements if one concentrates on high protein meals. These protein supplements contain calories. So when you say that you are increasing your calories to 800 per day are you counting the calories in the protein supplements that you are taking? So one strategy to continue weight loss is add up your daily intake of protein; concentrate on consuming high protein meals; reduce your protein supplements (and the calories they contain). That approach may help you kick-start your continued weight loss. I put together a short article on my experience in the "Maintenance" phase that you may find to be useful. It is available at this link: http://www.breadandbutterscience.com/Surgery2.pdf

The bariatricpal website automatically abbreviates web site links. You might try breadandbutterscience.com/Surgery2.pdf

Having weight gain during pregnancy is desirable. Back in the 1970's when we had our children, we went the natural childbirth route. Generally a weight gain of 35 pounds at full term was a minimum to reduce the probability of having a child with a physical birth defect or mental retardation. My wife was small. She weighted less than 100 pounds when she got pregnant and gained 52.5 pounds at full term. She lost all the weight after pregnancy. The weight gain should be on healthy foods such as Protein and fruits, not potato chips and candy bars. Otherwise it can lead to blood toxemia in the latter stages of pregnancy. But having gone through gastric bypass surgery, I think you know the difference. Our children turned out great. Good luck on your pregnancy and birth. Enjoy the little ones.

Congratulations.

I was told by my nutritionist that RNY gastric bypass patients were not to take gummy multivitamins. I asked her again when I was 2 years post-op and the answer was the same. As a result I have been using chewable Flintstone multivitamins. I have been buying these by large bottles at Sam's club but they recently discontinued carrying these. I have found a large bottle of a generic equivalent at Krogers. It is a Kroger's brand and it tastes very different from the Flintstones, much more chalkier. But it is cheaper and I can tolerate almost anything.

That is very strange. A condition that was both pre and post surgery! I did a quick search on the internet and came up with this. http://www.mitoaction.org/guide/fatigue-and-exercise-intolerance If this rings a bell, might I suggest you try a product available for purchase on the internet called Juvenon. I have been using it for almost 10 years and it restores my mitochondria. I have asthma and it improved my peak flow about 200 points. The effect is almost immediate. So if you try it, you should know almost immediately if this is a fix. http://www.amazon.com/Juvenon-Inc-120-Capsules/dp/B009XIF7C6/

In the beginning of the weight loss process, your body was converting extra fat into the energy that drove your body. Thus if you were a little shy on Protein, the effect might have been masked. But at bottom weight, you may not have very much fat to lose. So perhaps you might check the amount of protein you consume each day and see if the total of protein from meals combined with protein from supplements (protein shakes/protein bars) meets your daily minimum requirement. Here is another perspective. http://www.obesityaction.org/wp-content/uploads/Dear_Doctor_Answer_provided_by_Jacqueline_Jacques_ND.pdf Did you change any of your Vitamins recently. There are a variety of B12 supplements available. If you are taking the wrong type, this could be the cause of your problem. For example the sublingual Vitamin B12 methylcobalamin is an approved type but time released B12 is not.

Congratulations on the surgery.

After RNY gastric bypass surgery the three essential elements of the program are Protein, Vitamins and fluids. These daily requirements are important and critical. food is secondary. This is because your body is converting stored fat into the energy that drives your body. Thus you lose weight. Consuming only 200-300 calories per day is not a problem. You will not starve to death. Concentrate on the essentials.

I am sorry to hear about all the problems you encountered post-surgery. I will pray that you find healing and get back on track.

I had RNY gastric bypass surgery 30 months ago. Two days after surgery when I left the hospital I was taken off all my Type 2 diabetes meds and about a couple weeks later I was off all my high blood pressure medicines. I no longer had sleep apnea and the GERD went away. These conditions all remained in remission ever since. I lost almost 120 pound and kept the weight off. The main reason why I choose RNY gastric surgery was to take care of my health issues. If you have GERD, they recommend this type of surgery. Also my position was that if I underwent the knife once, I did not want to repeat the process over and over again. RNY had one of the lowest revision rates. I put my experiences with the surgery in a couple short articles. If you want to read them, here are the links. http://www.breadandbutterscience.com/Surgery.pdf http://www.breadandbutterscience.com/Surgery2.pdf

Good luck on your surgery. Let us know how things went when you are on the other side.

How far along are you? Did you have RNY gastric bypass surgery? For those that have moved past the "Weight Loss" phase and into the "Maintenance" phase, the general recommendations from the nutritionist is to eat a well balanced meal (Protein, carbs, and fats) with protein FIRST. Right after surgery, the part of your stomach that processes sugars and fats is cut away and those substances move into your intestines which does not know how to process these foods and it can cause dumping syndrome. But after about a year your intestines change and they begin to take up the slack. At this point you can reintroduce fats back into your diet. Fats are important because they inhibit hunger.

Welcome and let us know if we can be of any help.

After surgery I became lactose intolerant. I couldn't drink milk. This condition lasted for about 2 months and then went away. Some Protein shakes contain lactose. So you may want to see if yours does and if so switch to a brand that is lactose free. On the other hand, if you are drinking milk without any difficulty, then your problem may lie elsewhere.

This is the approach that I am using. http://www.breadandbutterscience.com/Surgery2.pdf

I am down 6.4 pounds in 9 days using a blend of essential oils that I named "Anti-Hunger". So far, so good! Able to completely resist the temptation of snacking. Loss of hunger is similar to being in the Honeymoon stage after RNY surgery. I am 29 months post-op RNY surgery and very near my bottom weight when I began this experiment. In a couple weeks if I find this experiment to be successful, I will post the formula on my updated webpage at Protein back into my diet (in the form of one large cup of hot [no sugar added] cocoa). This brought the weight loss to a dead crawl. Anyways this is good information since this experiment is just as much about weight stability as weight loss. I will now drop the hot cocoa and see if weight loss will ramp up again. [October 16] Since I dropped 1.6 pounds from yesterday. The weight loss ramped up surprisingly quick. Now here is the good news! I have now broken through my lowest weight barrier after surgery. It gives hope to those that are trying to meet a weight goal and can’t just quite seem to be able to get there. [October 17] I dropped 0.2 pounds from yesterday.

Let's see! 4 years post-op. Lost 168 pounds. Transitioned successfully through "Weight Loss" phase and "Maintenance" phase. That makes you relevant.

I had RNY surgery. After about 6 or 7 months, I transitioned from the "Weight Loss" phase into the "Maintenance" phase. My weight loss came to an end. My weight was stable within 2 pounds for the next 6 months. If you had RNY gastric bypass, you lose weight very quickly and then level off. Sleeve patients lose weight more slowly and experience weight loss over a period of a year or two. Your daily Protein requirement is a combination of the protein you consume from foods combined with the protein from supplements (Protein shakes, protein bars). If you focused on consuming high protein meals as your meal volume increased, you should be able to drop off some or all of your protein supplements and still meet your daily protein requirements. Doing this will drop off a few hundred calories and may kickstart your continued weight loss. I am 29 months post op and have written a short article that focuses on the "Maintenance" phase. It is available at http://www.breadandbutterscience.com/Surgery2.pdf

My discharge directions said that if you have a temperature greater than 100.5 call your physician.

Congratulations and let us know if we can be of any help in the coming days.

The first few weeks after surgery is rough. You may not meet your Protein and Fluid goals. But keep trying. For fluids you might try other fluids. I switched to Crystal Light. Later I found fine English teas were good. Then when it turned cold, a cup of hot cocoa (no sugar added) with no fat or low fat milk was good. The liquid in Soups also counts towards your daily requirement. Even the Water that you use to swallow your Vitamins counts towards your total. So don't get too discouraged. Experiment!

Congratulations on you weight loss thus far.