I Julie. My name is Bryan and I had Roux en Y gastric bypass surgery 19 years ago. I went from 353 to 218 (135 pounds) before I plateaued. I could never get below 218 and it was frustrating and discouraging. I started finding ways to cheat the surgery to the point that I gained back up to 306. In July of this year, I saw some information about revision surgery and called the surgeon who did my surgery 19 years ago and he said to come in and talk. Turns out, he does do revisions so I decided to work his plan - nutritionist and exercise goals - in order to qualify for insurance approval. There was no nutrition support when I originally had surgery. Anyway, I had revision surgery on December 3rd. When I checked in to the hospital, I was down to 248 just by working hard on my own. My surgeon built in about three times more malabsorption than was factored in to my first bypass. This means i have to really concentrate on protein and supplements since my body doesn't absorb them as well as it did. I try to take in about 110 grams of protein daily. It is difficult as I am only eating 1000 calories a day - 3 ounces meat and 1 ounce veggies per meal with two to three protein supplements between meals. As of today, I weighed in at 210. I am down 38 pounds in just under eight weeks since surgery. I am now going to the gym six days a week and doing elliptical or treadmill for no less than 60 minutes each visit. Tonight was elliptical followed by 25 minutes of water aerobics. My ultimate goal is to reach 180 pounds and to take up kayaking. I am well on my way. I hope my story helps in any way. It is rare to find people who had the surgery as far back as we did. Have a great evening.