Guest blog by: Lillian Craggs-Dino, DHA, RDN, LDN, CLT Embarking on the journey of metabolic and bariatric surgery represents a significant step toward battling obesity by achieving weight loss goals and maintaining a healthy lifestyle. However, it's crucial to understand that surgery isn't a quick fix or a magical solution. Instead, it demands dedication, motivation, and active participation for successful outcomes.In this blog, we explore the realities of life after surgery, emphasizing the importance of maintaining a balanced diet, staying physically active, and participating in ongoing medical care. We also address common challenges, like weight regain and provide practical tips and strategies to overcome setbacks and maintain progress toward weight management and long-term health. Understanding Weight Regain Regaining weight is the body's natural response to losing weight, even after metabolic and bariatric surgery. While claiming that individuals undergoing these surgeries will never gain weight again is inaccurate, the primary objective remains to maintain overall health and achieve an appropriate weight and body composition.Research shows that regaining 10% or more of lost weight can increase the risk of weight-related conditions such as type 2 diabetes, high blood pressure, and heart disease.1 Many patients opt for metabolic and bariatric surgery to address these conditions initially, aiming for remission. Once in remission, the desire to maintain this improved health status motivates weight management, supports weight loss success, and, most importantly, upholds a healthy weight range. Maintaining Health Post-Surgery To maintain a healthy weight after metabolic and bariatric surgery, following the health basics is essential. This includes following a balanced diet plan, incorporating sustainable physical activity into your routine, and taking a holistic approach to your well-being. This involves prioritizing adequate sleep, managing stress levels, and engaging in activities that bring you joy and fulfillment.Regarding your diet, it's crucial to prioritize high protein and maintain a balanced intake of complex carbohydrates and healthy fats. Additionally, staying hydrated through adequate fluid intake is essential for good health. It's important to remember that regardless of the type of surgery you've undergone, taking vitamin and mineral supplements is a lifelong commitment. Your bariatric practitioner should monitor which supplements and dosages are appropriate for you. Deficiencies in these nutrients can have serious consequences, underscoring the importance of prevention and proactive management. Overcoming Setbacks It's common to experience setbacks along the journey. Instead of viewing them as failures, you should see them as challenges to overcome. Regrouping and setting new goals are essential steps toward progress. If you find yourself experiencing weight gain, here are some tips to help you get back on track with your weight loss journey: 1. Schedule a follow-up appointment with your surgeon, registered dietitian, and the bariatric team to develop a plan.2. Remember to schedule a follow-up appointment with your primary care provider for a wellness checkup. Additionally, consider visiting specialists like an endocrinologist if necessary.3. Make sure to schedule your bariatric lab work to assess your current levels of vitamins and minerals. These tests can also provide valuable insights into other nutrition-related factors like cholesterol and blood sugar levels.4. Before making any changes, keeping a 14-day food diary to evaluate your current food choices and identify any trends, like poor eating habits or lifestyle changes, is helpful.5. Set achievable goals for your diet, physical activity, and emotional well-being.6. Make gradual yet impactful lifestyle changes to your routine.7. Seek support when needed.8. Regularly monitor your progress, reassess, and set new goals as required. Summary Lastly, be proud of yourself. The decision to undergo metabolic and bariatric surgery was not easy, and your dedication is commendable. Embrace the journey, have faith in yourself, and strive to achieve your health and weight loss goals. Reference 1. Ryan DH & Yockey SR. Curr Obes Rep. 2017;6(2):187–194. This blog is for information and education purposes only. This information is not intended to substitute professional medical advice, diagnosis, or treatment. Please consult with your bariatric surgeon or another qualified healthcare provider with any questions in regard to a medical condition. A qualified healthcare professional can best assist you in deciding whether a dietary supplement is suitable based on your individual needs.Dr. Lillian Craggs-Dino is a retained consultant for Bariatric Fusion.