Weight regain is one of the most impacting long-term complications after bariatric surgery. Some common definitions for weight regain are:
Regaining weight to achieve a BMI above 35
An increase in weight of above 10 kg (22 lbs.) from the patient’s lowest post-operative weight
Weight regain is frustrating and can sometimes lead to feelings of defeat, anger, or even depression, with the sense of “I failed.”
As many as 50 percent of patients may regain a small amount of weight (~5 percent) two or more years following their surgery. ‘Successful’ weight-loss is commonly defined as weight-loss equal to or greater than 50 percent of excess body weight. Successful results are determined by You (the patient), and your perceived improvement in quality of life. Weight regain after bariatric surgery does not mean failed weight loss!
It is nearly impossible to pinpoint exactly what causes weight regain after weight loss surgery because everyone is different. Some potential mechanisms may be:
Lifestyle
Mental health
Hormonal changes
Surgical factors
Behavioral changes
Tips to Get on Track
#1-Go Back to the Basics
Follow a balanced meal plan focusing on protein, and an adequate intake of vegetables, fruits, and healthy fats
Drink at least 60 oz of fluids each day, avoiding high-calorie fluids
Increase movement throughout your day, and incorporate a weekly exercise regimen including some resistance training and aerobic exercise
#2-Take Your Vitamins
Adhere to the vitamin/mineral regimen set by your bariatric team
Have your nutrition-related lab values checked annually at a minimum
#3-Manage Stress
Stress plays a huge role in our hormone balance and eating patterns and can therefore lead to weight gain after bariatric surgery
Find healthy ways to deal with stress
Seek out a counselor
Keep a journal
Go for a walk
Read a book
Console in a trusted family member or friend
#4-Set small, attainable goals
Trying to take on too much at once can be overwhelming
Identify behaviors or skills that helped you lose weight in the beginning
Examples might include:
Food tracking
Meal prepping
Step counting
Journaling
Reincorporate those skills one or two at a time so that it’s manageable
#5-Stay Involved with Your Bariatric Clinic
Weight regain after bariatric surgery is common, and your bariatric team is there to help you for life
Attend support groups
If you cannot go back to your original clinic, do not hesitate to find a new clinic. Other practices will be more than happy to continue your care!
Before making any changes, it is important to consult with your doctor and bariatric team to ensure they are appropriate for you
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Samantha Stavola MHA, RDN, LD Lifestyle 
