There are several causes of weight regain after weight-loss surgery, most of which if addressed properly, results in a loss of the gained weight and resumption of weight maintenance. In this article, I would like to share with you my thought process in dealing with the patient who experiences weight regain.
Keys to Prevention of Weight Regain
The key to prevention of weight regain is education and follow-up. Both before and after weight-loss surgery, patients need to be taught how to use their surgery to optimize their success. The optimal education should involve counseling in dietary, behavioral health and exercise issues.
If you are facing weight regain, ask yourself these questions, answer them honestly:
- How many times a day do you eat?
- How many times a day do you get hungry?
- Do you ever feel full and if so, how long does it last?
- How much can you eat in one sitting?
- Are you having heartburn or reflux?
- Have you started any new medicines?
- How has your energy level been? Your sleep?
- Are there any new or ongoing stressors in your life?
- Why do you think you are regaining weight?
What are the reasons for weight regain?
In the vast majority of patients, weight regain is the result of the chronic nature of obesity and patients slipping back into old, unhealthy habits.
Other reasons include stretching of the stomach pouch (pouch dilatation), stretching of the junction between the pouch and intestine (stoma dilatation), adjustable gastric band system problem (balloon leak, hole in tubing, port disconnection, etc.), abnormal connections (gastric-gastric fistula due to staple line breakdown).
Rarely, weight regain can occur due to some medical conditions such as pregnancy, thyroid issues, adrenal issues, new medications.
What Can Do to START Losing Weight again?
Since the most common reasons for weight regain is chronic obesity and unhealthy habits it is important to tackle the issue by adopting healthy eating habits, exercise plan and follow up with your weight loss doctor to develop a long lasting plan to stay healthy.
Healthy lifestyle was, is and remains the cornerstone of healthy weight.
Our Advanced Weight Loss Center (link) offers several options that will address weight regain at its root. Visit our Gastric Sleeve and Bypass Revision (GSRe and TORe) page for more information.
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