Surgeon Questions Bypass Surgery

I have been putting on weight around my abdomen after my bypass surgery. Why?

I am feeling a lot of bloating and am putting on weight around my abdomen after my bypass surgery. What could be the reason? I don't think my eating habits have changed.

5 Answers

Be patient. You need to increase cardio exercise.
If you are not staying active you will gain belly fat and that is not good for your heart. If you give to your pain and not walk and do other things to keep healthy you will be in trouble. Ask your doctor for a diet and exercise to do every day.
Lots of exercise. Maybe you also need to review your diet. Reduce fat and carbs, monitor the caloric intake per day, and start waking.
Every patient tends to gain a little weight back after surgery. The typical time period for weight loss is around 12-18 months. You may gain up to 30% of your weight back over time, but studies have shown that even out to 20 years, weight loss can be sustained after a gastric bypass.

Your GI hormone regulation will change as time goes on. You will start to feel hungry again. You will not feel full as quickly. I recommend that all patients start by keeping a food journal. Make sure to track your calories and your protein intake. I recommend to all my patients that even after surgery when they have reached their goal weight, that they only consume 1000-1200 calories per day to maintain their weight. You should also be consuming at least 60 grams of protein per day. You may find that you are not adhering to these recommendations by eating too many calories by substituting carbohydrates for protein.

The other simple way to start looking at your weight loss or weight regain is to see how much activity you are doing. People who exercise more tend to lose more weight and keep more weight off. I recommend at least 30 minutes per day of some activity.

Some patients with weight regain may benefit from weight loss medications such as Phentermine, Belviq, or Qsymia. I would speak to your surgeon about this as an option.
Despite the surgery, you should start an excercise routine. This will help you to manage abnormal accumulation of fat. Maybe you are quite sedentary and need some excercise to manage this fat problem.