Diet , Exercise, Fasting nothing (not all at once) is working. Also just had my hormones checked with my Dr. Curious has anyone tried any weight loss supplements or prescriptions and does anyone have any opinion on if they work or would be horribly wrong for someone with a J-pouch. *****Not seeking medical advise only opinions or experiences
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I went through a medical weight loss program 10-15 years ago through my health plan (Kaiser). It worked and I lost about 60-65 pounds. It was very much like the one Oprah used so many years ago. Bad news is that I gained it back. It all boiled down to portion control with exercise added in. The older I get, the more difficulty I have with exercise, as I have enteropathic arthritis that flares up and sidelines me. Also, feeling like I am depriving myself all the time was not great.
But, bottom line, it works because you are off real food for 3 months and you are so bored with the fake food, you are less interested. You have to increase your activity in order to keep your metabolism up. Reducing calories alone does not work because your body thinks it is famine days and lowers your metabolism to conserve fat for survival.
I wish I had the will to maintain it long term, but sadly I failed. Otherwise, the plan (similar to Optifast) was fine with my j-pouch. Plus, the program starts with a battery of blood tests and a physical exam to rule out any metabolic or organ disease that might worsen with severe calorie restriction. There were folks with diabetes and kidney disease enrolled and their diet was tailored to them.
Jan 
Thank you Jan. I am seeing my Dr. next week to see what he thinks might work just has a blood test run of everything so he should be up to date on that. Looking at options and I always start here
