Gain 3 years out. Considering revision. Help

[WLJourneyJ 89]

i was sleeved in 2012 and lost 110 lbs within 10 lbs of goal weight. Did plastics and was loving life. About 6-8 mo back though I noticed less and less reStriction ( I could easily eat a whole sub sandwich Before it was maybe equivalent if ¼. I rarely if ever eat breads Etc. sometimes if Out I'll have a little piece of baguette but anyway). I'm hungry and I could eat way way more. I've now gained back enough to where my bmi is getting up there again ( 20 ish lbs) and am considering revision. Resleeve? Other option? Has anyone done this? I'm active several times per week and with the exception of an occasional night out with friends am a salad and Protein girl.

My work schedule will allow time off for a redo in August if needed. But I'm not sure what to do. Master all this hard work and all the plastics too I don't want to go backwards. I feel a little failure even though i do feel my diet is pretty solid

[bewell 222]

Good for you, thinking about this before it's a lot more weight to lose.

I have no experience with this but will be interested in what people have to say.

One of the support people at the center I went to for WLS did have to use diet pills to lose what she gained and lose some more. She went back to basics and talks about it a lot to us newbies. It can be any one of us a few years out.

[jane13 2,256]

@ - kudos for realizing you were headed down a path you fought you way out of three years ago. Go to support meetings, get back to basics (REALLY look at and record) what you are eating, do a re-set. Come here and read about others who have slipped and re-set. Are you drinking Water? Have you slipped into old habits that got you to your HW? You are currently where I would like to be by my next doctor appointment in Sept. We have roughly the same stats and I hate to see a sister slide. I would want someone like @@bewell or myself to step up and say "get it together girlfriend". I hit 282 on the scale early this year when I backed off the WLS and realized it was not a matter of if I could weigh 300lbs, it was a matter of when. I am only a little over 2 months out and I am not losing as fast as others but I am losing.

Hang in there and let us know what you decide to do.

[MichiganChic 3,262]

Statistically, this is the time when regain happens. The ability to eat a lot more at this point is also common. The hard reality is that it's really up to us, at this point. I am also coming to the same realization. I am going to need to increase my diligence and really watch it, or I'm going to gain. I also have not gotten all the way goal (within 5-10 pounds and had plastics) so I don't have any wiggle room.

My surgeon does not do revisions for regain. His coordinator openly said that at the last support meeting, stating that if you didn't do what you needed to do to keep weight off, a second surgery probably isn't the answer. He had also told me previously that they are finding areas of ballooning in sleeves which is probably the reason capacity increases, though there is no evidence to support that it causes gain, and the risk is higher, so not worth an unknown benefit.

I always knew regain was possible. What I didn't know is how EASY it would be. I thought you'd have to really be going out of your way to eat wrong, way too much, etc. My harsh truth is that it only takes a little indiscretion, for a very short time, or those pounds pack on. Every veteran sleever I know who has regained says it's harder to get it off the second time, also a disappointing thought. However, I do know what it takes to lose the weight and maintain it, so that's what I've got to do.

I saw some statistics @AlexBrecher posted, and I think it said revisions accounted for about 11% of all WLS. It didn't say what the revisions were. So while my surgeon doesn't support that, obviously, it is being done. I suspect some of those numbers are band to sleeve, or sleeve to RNY for complications.

To answer your question - I'd be trying to go back to basics before I would undertake another major risky surgery to combat a regain of 20 pounds. You know what to do, you've done it before. Good luck to you.

[VSGAnn2014 12,992]

To the OP ... despite your feelings about what you're eating, your original post sounds a bit vague as though you don't know as much as you could about how much and what you're eating:

"I'm active several times per week and with the exception of an occasional night out with friends am a salad and Protein girl ... feel my diet is pretty solid."

How we feel about how we're eating may not be the best way to discover what we're actually doing.

Are you open to honestly tracking every day what you're really eating? If so, you might (?) discover that your daily / weekly / monthly food intake is a more than you feel that it is.

And if you are eating too much or the wrong foods to maintain your weight, you will then know what to do and can avoid a second surgery.

Good luck to you!

[WLJourneyJ 89]

Sorry.. i was posting on my ipad late last night which was harder than on my computer. I should have been more clear. I do dilligently log my food and stay around 1200 calories a day. I eat Protein first and then veggies etc.. I do on rare occassions go out with friends (maybe 1x week) and have a little more carbs than normal, but my normal meal is: Breakfast shake or eggs
Lunch: salad with chicken or other meat
Dinner: Grilled meat (steak, salmon etc..) veggies, salad etc..

I do drink socailly maybe 3x month.

I belong to a health club and go at least 3x a week for an hour, either with a class or cardio. I SHOULD up my weight training...

My concern is that I could eat a lot. i could easily eat a large steak and still want more.. be hungry. that doesnt seem normal right? I'd never have surgery to fix 20 lbs... but I also dont want to start down a slippery slope if i SHOULD fix it now to avoid bigger issues in the future... Has anyone done a resleeve or other revision?