Every year, around about this time, I get an influx of messages relating to stalls and regain of weight after WLS. I don’t know if it follows hard on the heels of celebratory weekends; frustration since the warmer weather has usually arrived and skimpier clothes are the order of the day; or longer days
at home sometimes with children on holiday and eating regimes proving tough to follow. I know I have a challenging week coming up (my daughter is getting married) and it seems like one treat, excursion and celebration after another which throws any routine into a tail-spin.
As with all things this time will pass but it is also important to recognise these phases and to figuratively get a grip on them before they spiral out of control. For, as the feature below says … non-compliance is the main reason for downfall.
I won’t be blaming my surgery this week if I stray from the norm (it’s a tool not a fix) and I personally will be trying my hardest to conform to what I know works and getting firmly back to basics if I’ve strayed too far. Thankfully knowing these days aren’t going to be easy I have made a few plans – hopefully they’ll limit any damage. Do you recognise any of these symptoms?
The main reason for weight regain following bariatric surgery is simple non-compliance. Patients still have an unhealthy relationship with food that surgery alone cannot fix. They continue to consume high calorie coffees or fruit drinks and try to keep trigger foods in their lives. These food are in great part what led to their obesity to begin with and can include sweets, bread, and alcohol. Trigger foods often do little to satisfy hunger but can create cravings. Successful patients engage a post-surgical lifestyle that is free of trigger foods.
The second reason for weight regain after bariatric surgery is that within the first 12 to 18 months post-surgery, weight is lost rapidly and without too much difficulty. Many patients compromise their diet plans and ignore the maintenance suggestions offered by healthcare professionals but continue to lose weight anyhow. Once the body adjusts to its new physiology, the poor habits practiced by patients begin to yield poor results. The healthy patterns of diet and exercise that needed to be developed during the first 12 to 18 months were not, and the end result is failure.
The final reason for post-bariatric surgery weight regain is lack of support. Patients may find themselves in the company of people who are either non-supportive or do not know how to lend sufficient support. This leaves patients in a situation where they are self-reliant and accountable only to themselves for their behaviors and actions. The successful bariatric patient is one who develops and maintains a proper support group made up of people who understand the challenges of the bariatric patient.