It's been a long time since I've been here. I have reasons, though.
I've been in and out of the hospital and have been very ill.
Not because of my RNY, though, just to make sure that's clear. My surgery has been a very very successful tool for me...my weight at surgery was 460 lbs, and today my weight is 205 lbs! THAT, I'm very happy with.
What I've been sick with is Auto Immune Hepatitus. Basically, it's an auto immune disease a lot like Rheumatoid Arthritis except that instead of my joints my immune system attacks my liver. It sees my liver as a foreign substance that needs to die. It can be controlled using medications, but cannot be cured.
The one problem I'm having that does tie into my RNY is that my appetite is still pretty small and my meal sizes are about half of un-freaky folk. My liver is damaged enough that it has a hard time keeping my albumin (a type of protein created by the liver) levels high enough. What I need to do for that is eat a high-protein (used to that) and higher calorie diet. It is very very strange to go from total weight loss focus to suddenly having to *increase* my calories by quite a lot.
I wish I could say that I'm having fun with it, but I feel like I'm stuffing myself silly and really am not enjoying it. It triggers a big bunch of fears of gaining it all back...especially considering that one of my (vital) medications is prednisone which can cause weight gain. So far, I've been out of the hospital two months and I'm still consistently losing weight. My goal is 180 lbs, but my family is starting to get concerned that I won't be able to maintain instead of losing if I don't start to eat more. I'm following doctor's orders, but every time I finish a meal that leaves me almost too full, it feels like I'm throwing two years of healthy training and progress down the tubes.
I've been looking all over, and while I can find a whole lot of information on either WLS or AIH, I have found nothing from someone who is familiar with dealing with AIH after gastric bypass.
I thought I'd check with you wonderful people and see if you had any ideas of where I could look, or maybe even someone who has dealt with this.
Thank you for listening to my rant...and I hope that you are all doing wonderfully!