Weight Loss Surgery in Central New Jersey — Quality, Care, Trust.
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By Seun Sowemimo, MD, FACS, FASMBS

For many surgical weight loss patients, year two after gastric bypass, sleeve gastrectomy, or bariatric revision surgery is critical in their weight loss journey. By this time, dramatic weight loss has often slowed or plateaued, and patients are entering the long-term maintenance stage. While it’s a time to celebrate hitting major milestones—such as reaching or nearing their goal weight—this phase can also present new challenges.

The initial excitement from family and friends often fades, and old habits can begin to resurface for some. Nighttime snacking, grazing, emotional eating, or reintroducing unhealthy foods can lead to weight regains. But don’t worry! At Prime Surgicare, we’ve helped thousands of patients successfully navigate this phase of the journey. Here are expert tips to keep you on track.

1. Reconnect with Your Bariatric Support System

Attend Bariatric Support Groups: The first step to staying on track is to reconnect with your support system. We offer twice-monthly free Zoom and in-person support group meetings. These meetings are an opportunity to gain expert advice, share your struggles, and get encouragement from fellow patients who understand exactly what you’re going through. These connections can reignite your motivation and remind you that you’re not alone.

Join Online Bariatric Communities: For more flexible support, consider joining online communities like BariatricPal.com or ObesityHelp.com. These forums provide ongoing support, anonymous advice, and an outlet for sharing challenges and successes. Staying engaged is key during the maintenance phase.

2. Be Aware of the Sugar Trap

One of the biggest threats to long-term weight loss success is the reintroduction of sugar, especially in processed foods. Refined sugar is a major contributor to weight regain for many bariatric patients, as it can trigger cravings for other high-calorie, nutrient-poor foods. During year two, slipping back into the comfort foods you once turned to for emotional reasons is easy.

My team and I encourage patients to focus on whole foods with minimal sugar. This includes fresh vegetables, whole grains, legumes and healthy fats. If you find yourself reaching for sugary snacks, pause and ask whether it’s hunger or habit driving your choice. You can stay one step ahead of the sugar demon by making conscious food choices and reading labels carefully.

3. Return to Bariatric Basics: Baby Steps Count

Mindfulness & Meditation: If you find yourself slipping, returning to the basics of bariatric post-op care is important. Start by engaging in a mindfulness activity, such as meditation or deep breathing. These practices can help you refocus your attention on your goals and reset your mindset toward health.

Portion Control & Hydration: Another crucial habit to reinforce during this phase is portion control. Measure your meals and practice mindful eating to avoid overeating. Also, be sure you’re hitting your hydration goals each day—dehydration can sometimes be mistaken for hunger.

4. Vary Your Exercise Routine

Physical activity is a critical component of successful weight maintenance. However, doing the same daily routine can lead to boredom and plateauing results. Year two is the perfect time to switch up your workout plan. Try new activities like hiking, swimming, strength training, or group fitness classes. The key is to stay active, challenged, and engaged.

5. Stay Connected with Your Prime Surgicare Bariatric Team

We understand that long-term weight loss is a journey, and staying motivated can be difficult as the months go by. If you’re struggling, don’t hesitate to contact our team. We support you every step of the way, whether answering questions, offering a check-in visit, or helping you address any specific concerns.

Reach out today to schedule a follow-up appointment if you’re stuck or want to recalibrate your goals. We also offer nutrition counseling and personalized fitness guidance to help you get back on track.

Final Thoughts: You’ve Come So Far—Don’t Stop Now!

Over the past two years, you’ve accomplished so much! Now is the time to maintain those hard-earned results. By leaning on your support system, being mindful of your eating habits, and staying active, you can continue to thrive. Remember—this journey is not about perfection; it’s about progress. Even small steps can lead to significant long-term success.

If you need help, your Prime team is just a phone call away. Let’s keep moving forward—together!

About Dr. Seun Sowemimo, MD, FACS, FASMBS

Dr. Seun Sowemimo is a leading bariatric and general surgeon in New Jersey and the medical director of Prime Surgicare, based in Freehold. A board-certified surgeon with fellowship training from Columbia and Yale, Dr. Seun specializes in advanced laparoscopic bariatric procedures, including gastric sleeve, gastric bypass, and revisional surgeries. With over a decade of experience helping patients achieve lasting weight loss success, Dr. Seun and the Prime Surgicare team are committed to providing personalized care throughout your weight loss journey. Dr. Seun is an in-network provider with Blue Cross Blue Shield of NJ and on staff at Hackensack Meridian Health and Atlantic Health (CentraState Healthcare System.)

To learn more and schedule a consultation with Dr. Sowemimo, call (732)-761-1740 to schedule an appointment.

The pandemic has made weight loss and weight management a challenge for all of us, including people who had bariatric surgery. Regardless of the procedure—lap band, gastric sleeve or gastric bypass—it is possible to regain the weight after surgery.

A few weeks ago, Jessica Berger Cruz checked in to let us know that she had just passed her 10-year surgiversary and had maintained most of her 150-pound weight loss since 2011. She kindly offered to speak with us and share her personal tools for long-term weight maintenance:


Jessica had gastric sleeve weight loss surgery performed by dr seun sowemimo

Jessica, age 24, before gastric bypass bariatric surgery (2011).

Jessica has faced weight challenges since childhood. Once she was an adult and ready to start her life, her size 24 body restricted her confidence to go after everything she wanted in life.

At age 24, she weighed close to 300 pounds and was out of diet and exercise options. “I had my whole life ahead of me and didn’t want to face it being so heavy,” she recalls.

She and Dr. Seun Sowemimo agreed that bariatric gastric bypass would be the optimal surgical weight loss tool to propel her mind and body forward to living a healthy lifestyle.

“I was inspired to have bariatric surgery because I wanted to live life, not just be living.”

Jessica Berger Cruz

Immediately after surgery, Jessica felt the weight loss momentum finally kick in and she quickly lost more than 100 pounds the first year after surgery.

“The program gave me simple tools to live by,” Jessica explains. “To this day, when I need to regroup, I go back to those steps to start losing again.”

Prime Surgicare’s bariatric dietitian explains Jessica’s success strategy

Lori Skurbe, MPH, CDE

Over the past decade since weight loss surgery, Jessica has faced several common milestones that can lead to weight gain and even obesity: marriage, having a baby, career changes, health challenges and the recent pandemic.

“Jessica sets a terrific example of what dedication to basic bariatric lifestyle principles can accomplish,” says Prime Surgicare bariatric dietitian Lori Skurbe, MPH, CDE.

“Eating healthy meals, drinking calorie-free fluids and consistent exercise are the essential keys to long-term weight management success.”

Facing the stress of Covid-19 and weight regain

“During Covid-19, I’ve been at home working and taking care of my eight-year-old, who is still not back in school,” she explains. “It’s been tough to get out and exercise and it’s also been a stressful time on both the work and home front.”

Six years ago, the paralegal was shocked to see her weight had crept up to 180 pounds during a doctor’s appointment. “I knew I had gained weight after having my son, but I didn’t realize how much.”

She immediately returned to her personalized Prime Surgicare post-op bariatric guidelines to get back on track and eliminate bad nutritional habits that had snuck back into her diet.

One of the key assets she turned to was journaling everything she was eating. “Journaling doesn’t have to be a permanent part of your life, but when you veer off course, it can help you see on paper the wrong things you are eating during the course of a day.”

READ: Why Journaling during Weight Loss is Worth the Effort

The extra weight steadily came off and today, she keeps her weight range between 145 and 160 pounds and a 6-8 clothing size.

“Taking off the weight I had gained made my clothing fit right again and I just felt more like myself,” Jessica explains.

Jessica in 2021, successfully maintaining her weight loss for 10 years.

“My mantra is ‘when you look good, you feel good, you do good!’”

Jessica Berger Cruz

Today, she shares her healthy eating habits with her son. A snack in the Cruz family means fruit or a whole grain bar and a treat is a sweet treat offered only occasionally.

Keeping fit with chronic back pain

Jessica’s low back pain restricts some fitness opportunities, so she relies on cardio dance classes, biking with her family and competitive daily step counting with her husband.

“At the height of the pandemic, I was doing laps around the house just to beat my husband’s number at the end of the day,” Jessica says with a smile.

Advice for future bariatric warriors

Jessica is a healthy living role model for her young son.

Jessica offers words of advice a decade after her own experience having gastric bypass weight loss surgery:

  • Identify your inspiration for losing weight and never forget it
  • Remember that you—and only you–will determine your success
  • You don’t have to give up your favorite foods—just eat them less often and in smaller volume
  • Follow the guidance of your team of bariatric experts who know the tips and tricks to help you lose weight quickly and safely

Prime Surgicare’s top 5 tips to avoid weight regain

Lori Skurbe spells out the tools she offers bariatric clients to achieve—and sustain—a healthy weight after any surgical weight loss:

  1. Enjoy healthy meals comprised of lean protein, non-starchy veggies and a healthy whole carb food, if you still have “room” in your pouch.
  2. Drinking 64+ ounces of calorie-free, caffeine-free fluids between meals.
  3. Consistent physical activity – at least 30 minutes most days of the week.
  4. Eating slowly and paying attention to signs of “fullness.”
  5. Take your bariatric multivitamins daily, no matter what.

Are you ready to tell your weight loss success story?

We would love to welcome you to our Prime Surgicare family and partner with you before, during and after your weight loss surgery journey.

To find out if bariatric surgery may be the obesity treatment solution for you, register for Dr. Seun’s next New Patient Seminar. Or, if you’d prefer to have a private consultation first, call us at 732-414-2707 to schedule an appointment. Feel free to ask our team of friendly bariatric specialists to help confirm your insurance coverage for metabolic syndrome treatment (bariatric surgery).