I am 14 years out of gastric bypass. I recently went to my doctor's looking to get another surgery because I was gaining too much weight back and thought maybe my bypass had enlarged too much. Instead of the surgery he recommended I go to a colleague of his who does nutritional support for people out of surgery. So far he has suggested that I examine the calories in what I am drinking and trying to stay under a 1400 calorie diet. I did this and discovered that I was drinking most of my calories. A simple change there and I started losing the weight. I don't know what else he has in store for me but he seems to know his stuff.