It is true that some patients do regain all of their weight after surgery. That has happened to two people I know out of several who have had a by-pass. I’m not certain, but I believe that they were both very compulsive eaters who force fed themselves until their stomachs could hold more and more.
Compulsive eating is a disorder and not as simple as just a matter of will power anymore than other compulsive disorders.
When I had the procedure, my stomach was made into about the size of an egg. Actually, I have two stomachs. The food goes to the egg-sized one which doesn’t hold very much and I fill full very quickly.
When the food enters my intestines, gastric juices from the old stomach held to digest the food. The intestines have been shortened to limit absorption of calories, etc. So I have to take supplements to make sure that I am getting all of the vitamins and minerals that I need.
I have read that most gastric by-pass patients regain about 1/3 of their weight and then level off. I lost 155 pounds and regained 33 before leveling off.
About a year or so ago, one of my physicians decided that he wanted me to try a medication called topamax. He said that it was originally developed for treating seizures but that it had been successful in controlling compulsive behaviors. Since then I have lost 13 pounds without any effort to curtail my eating at all.
That is only a pound a month. But considering that I no longer relate to food compulsively (even though it still tastes great), that is amazing to me. I just don’t think about eating and have to remind myself that I need something.
I used to think that I ate because it tasted good. If that were true, I would still be eating all the time. With my brain chemistry slightly rewired, I’ve suddenly developed all of this “will power” that everyone said that I needed to exercise. :rolleyes:
I have never once regretted the surgery. It has been my greatest gift to myself. But it is serious surgery and quite painful. Everyone reacts differently. Get all of the information that you can.
My understanding is that a woman should be at least 100 pounds overweight. With men, it is slightly more. I think most surgeons want you to be under age 60.
My surgery was on Fat Tuesday in 1998. Given my ups and downs and the use of topamax, I have maintained an overall weight loss of 135 pounds for six years and eaten pretty much what I have wanted to eat.
I wish you every success in whatever you choose to do!