RNY 1 week post op weight gain

Question
Dear Dr. Jacques,
   I had RNY surgery 7/1/09.  I weighed 320 exactly the day of surgery.  Due to a low H & H prior to surgery, I had a follow up with my private physician 1 week to the day post-op.  I had gained 9 pounds!!!!  I almost fell off the scale.  I had the nurse weigh me again, because I couldn't believe what I was seeing.  I ran a fever in the hospital, so I was actually on nothing but ice chips the first 3 days post-op, and now nothing but protein drinks, broth and sugar free popsicles.  How is this even possible????   I am still reeling.
Thanks for your help.

Answer
Mary,

I know that might sound distressing, but the mostly likely thing is that if you weighed in the hospital prior to surgery and now you are weighing at your private physicians office that the scale in your physician's office may not be accurate.  Most standard scales are challenged to be accurate at over 300 pounds.  I would rest easy and just stay off the scale until your first follow up with your surgeon.  If you had RNY, you will be losing weight.  Follow the guidelines you have been given for phasing in your diet as carefully as you can - they are designed both to help you heal and to help you be successful.  

In Health,

Dr. Jacques

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