You lose weight because you can no longer have large portions and are not very hungry (at least not during the first months) because when you have the RNY the levels of a hormone called Ghrelin are changed. Ghrelin regulates your appetite.
During the first months when you can't eat a lot and you are not hungry you have the chance to learn to re- eat, to break those bad eating habits, to have your obsession with food freed from your mind so that you can think about WHY you overate to begin with rather than obessing about eating, not eating, how much you ate, etc. I wasn't told anything about calories - just to eat 4 oz of food at this stage.
As far as finding a good dr, ask around. Go to the seminars for a few dr's. Ask how many surgeries they have done if they don't volunteer that information. Ask how many patients they have lost. Ask how they deal with keeping you from developing blood clots in your legs after surgery. You might start by asking your primary care physican to recommend one.
You can't drink a whole glass of water by chugging it but you can by sipping on it. MY dr recommends having 64 oz a day but I have a hard time getting to that amount.
I decide against the band because I know of 2 people who have had it done and you can't tell that they have lost much weight. Also, I heard that you can feel the device they leave under your skin (the device is used to adjust the band).
Good luck on your decision.
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Veronica
Lap 7/6/05
215/155/123
start/goal/current At NORMAL weight!
BMI 39.32/21.8
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