Bariatric surgery can be life-changing, offering many people a new lease on life by helping them lose significant amounts of weight and improving their overall health. However, weight management doesn’t end with the surgery. Some patients may experience weight gain 10 or more years after their procedure. Understanding the reasons behind this weight gain and how to manage it effectively is crucial to maintaining long-term success.
1) Understanding weight gain after bariatric surgery.
Common causes of weight gain after bariatric surgery:
Weight gain years after bariatric surgery can be frustrating, but it’s a common challenge for many. There are several reasons why this might happen:
- Stomach stretching: Over time, the stomach pouch created during surgery can stretch, allowing you to eat larger portions.
- Behavioral changes: Old habits, such as emotional eating or consuming high-calorie foods, can slowly creep back into daily routines.
- Nutrient absorption: The body may adapt and increase its efficiency in absorbing nutrients and calories, leading to weight gain.
Changes in metabolism & hormone levels:
Metabolism and hormone levels also play significant roles in post-surgery weight gain. Initially, bariatric surgery triggers rapid weight loss due to drastic changes in how your body processes food. Over time, however, the body adjusts:
- Slower metabolism: As you lose weight, your metabolism naturally slows down, which means your body burns fewer calories at rest.
- Hormonal shifts: Hormones that regulate hunger and fullness, such as ghrelin and leptin, may change post-surgery. These shifts can influence appetite and food intake, making it easier to regain weight.
Effects of lifestyle & dietary choices:
The lifestyle and dietary choices you make years after surgery are pivotal in determining whether you maintain your weight loss. Some factors to consider include:
- Portion sizes: Consuming larger portions, even of healthy foods, can contribute to weight gain.
- Food choices: High-calorie, processed foods, and sugary drinks can quickly add extra pounds.
- Physical activity: A sedentary lifestyle without regular exercise can lead to weight gain as your metabolism slows over time.
2) Managing weight gain: Solutions & strategies.
Importance of regular exercise & physical activity:
Exercise is a cornerstone of weight maintenance, especially after bariatric surgery. Incorporating regular physical activity into your routine can help:
- Boost metabolism: Regular exercise helps maintain a healthy metabolism and prevent weight regain.
- Build muscle: Strength training builds muscle mass, which increases the number of calories your body burns at rest.
- Improve mood: Exercise releases endorphins, which can help manage stress and reduce emotional eating.
Dietary modifications to promote weight maintenance:
Making mindful dietary choices is essential for long-term weight management. Consider the following tips:
- Portion control: Use smaller plates and utensils to help manage portion sizes.
- Balanced diet: Focus on a diet rich in lean proteins, vegetables, fruits, and whole grains to keep you full and satisfied.
- Mindful eating: Pay attention to hunger cues and avoid eating out of boredom or stress.
Seeking professional guidance & support:
Managing weight gain after bariatric surgery is a lifelong journey that may require professional support:
- Regular check-ins: Schedule regular follow-ups with your bariatric team to monitor your progress and address any concerns.
- Nutritional counseling: Work with a dietitian to develop a personalized eating plan that meets your nutritional needs and weight goals.
- Support groups: Join support groups to connect with others who have undergone bariatric surgery. Sharing experiences and strategies can be incredibly motivating and helpful.
Experiencing weight gain more than 10 years after bariatric surgery can be disheartening, but it’s not uncommon. By understanding the causes and implementing effective strategies, you can regain control and continue your journey toward a healthier lifestyle. Remember, maintaining weight loss is a lifelong commitment, but with the right tools and support, you can achieve lasting success.
Article By: Whittany Gibson, RDN
Whittany is a Registered Dietitian Nutritionist who specializes in bariatric nutrition counseling, and owner of Level Up Bariatrics, LLC, a bariatric lifestyle coaching program that provides pre and post-op support for weight loss surgery patients. Learn more on Instagram (@level_up_bariatrics).
BariMelts provides general recommendations, not to be construed as medical advice. Please consult your doctor.