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Personal Stories Whether you, a family member, or a friend had a gastric bypass or Lap-Band® surgery, share your story with others.

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Old 01-30-2008, 09:24 PM   #1 (permalink)
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Default Not Sure If My Gastric Bypass Worked

Hi,

I'm new to the forum, and I'm so glad that I've found this site. I'm six weeks out from gastric bypass surgery, and it seems that my stomach can take in a lot more food than I'd expected. My surgeon had told me that my stomach could only take 1 to 2 tablespoons of food, but I can actually eat an entire Smart Choice frozen dinner without feeling sick. Yes, I do feel full after the meal. The other thing is that I was told that for the first 6 months after surgery, you wouldn't feel hungry at all. I've been hungry every day since the first or second week.

I don't know what I should do, or whether I should get it checked for a problem. Could my surgeon have made my pouch too large, or could I have stretched it out at the beginning?

I'd appreciate any input on this.

Thanks.

Michelle
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Old 01-30-2008, 09:34 PM   #2 (permalink)
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posts like yours amaze me.
I'm 3 months out. I had lap ry surgery oct. 23 2007. I thought I ate too much because I could eat about 1/2 cup of cream of wheat but as it turns out it was a slider food and we can eat more of slider type foods. Anyway, now I can bulky food like chilli or beans or peanut butter and crackers all less then 1/2 cup more like 1/4 cup. It all depends on the type of food. Warm creamy foods I can eat more of but still like only 1/2 cup. How long does it take you to eat one of those meals. I am also shocked that your pouch can tolerate it. I could not eat one today if I tried. That doesn't mean your surgery is a fluke. Alot of people can tolerate alot of foods I can't this far out. If you can eat one of those meals and your full that's wanderfull. you are lucky and will not have the problems I do. Count your blessings. I'm sure it is a lot less than you could eat prior to surgery. Do you eat 3 meals a day and 2 snacks plus your protien, vitamins ect...?
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-33.6 lbs (pre-op) -134.0 bs (post-op)
-165.0 total loss)
Lap RNY 10\23\2007 Dr. Juarez
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Old 01-30-2008, 10:57 PM   #3 (permalink)
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Michelle,

I'm only a little over 2 weeks out...and believe me my "allowance" of 2 tablespoons 3x a day...just doesn't cut it! I have over that amount (not by much though) Tonight I was hungry after dinner and waited 1/2 hour to see if it would pass...it didn't so I thought I'd get a sugar free jello and could only eat 2 bites with a baby spoon...then I was full. Are you losing weight? If you're losing weight I'd say that your "new tool" the pouch is working.

I too get hungry and that surprised me. Seems as if everyone states they aren't hungry and have to force themselves to eat...NOT ME! LOL But smaller amounts fill me up.

Sorry to ramble...

Cathy
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Old 01-31-2008, 10:49 PM   #4 (permalink)
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Default Not Sure If My Gastric Bypass Worked

Thanks for your two messages. Yes, I can eat a full Smart Choice frozen dinner in about 10 minutes, but I stretch it out to 15 minutes. I am shocked at the amount. I am full after I eat that, and as I mentioned before, I'm actually over full. I'm still working on my psychological hunger. But the point is that the surgeon said I would only be able to eat a little bit and others have said I wouldn't be hungry for several months. I do feel hungry (as I said, perhaps it's in my head).

My surgeon doesn't like any snacking. He only wants you to eat 3 meals a day and that's it. I don't think that plan is very practical, so I'm trying to find a good dietician that can guide me.

I'm just afraid that if I can eat this much now (an amount that I'm supposed to be able to eat at 6 months) then how much will I be consuming then?

I don't want to feel like I'm on a diet (just restraining myself). I'd like to not be hungry. I called my surgeon's office twice about this, but he wouldn't return my call. I guess he doesn't think it's an important topic.

Thanks.

Michelle
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Old 02-01-2008, 01:06 AM   #5 (permalink)
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You are six weeks out and can eat real food... I'm jelous but you don't want to hear that do you? ok.. I am told you can not stretch out your pouch... The objective is that you can't eat as much, you won't be able to tolerate the kinds of food that made you large like sugar and high fat foods. You should not graze meaning eat small amounts of food on the fly. nibbling throughout the day. Remember the sensor that tells your brain that you full is gone... You feel pressure now and sometimes pain when you eat too much and you can even vommit. My nutritionist told me to eat 3 meals a day and 2 snacks in between. Plus my protien shakes in between. That's alot for me and I have a hard time doing it. I don't want to go against your surgeon but a routine should be your goal. Snacks should not be junk food but good food like yogart, sugar free pudding, cottage cheese (I add splenda), maybe peanut butter and crackers. You should have a list given to you by you doc. Your doing fine... I should not eat too much to the point of feeling stuffed or hurting... Don't drink with your meals so your meal will digest properly. My doc recomends 30 min. before and 30 min. after each meal. If you follow this you really can't go wrong. 1/2 cup to 1 cup of food per meal is what's normal. I don't know how big of a meal smart choice is but you might want to check the amount and cut it down. also by eating too much I fealt tired quickly after cutting back I fealt much better. The hunger part may be phsycological. Your so used to eating alot and often that you have to retrain your brain.

These are my rules:
Rule 1: Protein First:
The first rule for living after Weight Loss Surgery (WLS) is Protein First – that means eating protein for three daily meals, and protein must be 50 percent of food intake. Animal products are the most nutrient rich source of protein and include fish, poultry and meat. Dairy protein, including eggs, is another excellent source of protein. Nuts and legumes are also good sources of protein, but sometimes difficult for the bariatric patient to consume.

Science is proving that a protein rich diet will prompt weight loss and increase energy. The body contains over fifty-thousand different active proteins all made out of the same building blocks: amino acids. Amino acids are made of carbon, hydrogen, oxygen and nitrogen as well as sulfur, phosphorus and iron. Many diseases – including obesity – indicate an amino acid deficiency.

Weight loss surgery patients don’t have a choice, they must eat lean protein or they will get sick, anemic, and weary. Weight loss will cease if they eat processed carbohydrates instead of lean protein. Dumping or vomiting may also result if patients do not eat lean protein for the first half of every meal.

The distinction must be made between high fat proteins and lean proteins. A gastric bypass patient cannot tolerate high fat proteins such as bacon, fatty beef or sausage products or greasy fried chicken: these foods cause nausea and vomiting. In addition, these high fat protein rich items are contributors to obesity and should be avoided by anyone wishing to control their weight.

Rule 2: Drink lots of water
Dieters are often told – drink water. Drink a minimum of 64 ounces a day – eight glasses a day. Gastric-bypass patients don’t have a choice: they must drink lots water. Other beverages including coffee, tea, milk, soft drinks and alcohol are forbidden. Water is the essential fluid for living. Water is one of the most important nutrients the body needs to stay healthy, vibrant and energetic. A tell-tell sign of a gastric bypass patient is the ever-present water bottle.

The human body is a magnificent vessel full of water. The brain is more than 75 percent water and 80 percent of blood is water. In fact, water plays a critical role in every system of the human body. Water regulates body temperature, removes wastes, carries nutrients and oxygen to the cells, cushions the joints, prevents constipation, flushes toxins from the kidneys and liver and dissolves vitamins, minerals and other nutrients for the body’s use.

Nutritionists say a precise measure of the body’s need for water is to divide body weight (pounds) in half and drink that many ounces every day. That number could well exceed 200 ounces a day for morbidly obese people actively engaged in weight loss.

The body will panic if actual water intake is significantly less than required. Blood cannot flow, waste processes are disrupted and the electrolytes become imbalanced. Proper hydration prevents inflammation, promotes osmosis and moistens lung surfaces for gas diffusion. It helps the body regulate temperature, irrigate the cells and organs and promotes all functions of elimination. Certainly by drinking plenty of water many people could resolve inflammation and elimination problems that result from insufficient water intake. Adequate water facilitates weight loss.

Rule 3: No Snacking
Gastric bypass patients are instructed to avoid snacking. No exceptions.

Snacking is the worst possible thing a WLS patient can do. If patients snack they cease to lose weight and could possibly regain weight. In addition gastric bypass snackers risk severe swings in blood sugar levels and glucose overdose, they fail to move forward to the healthy life that surgery makes possible. They feel like failures when the WLS does not result in weight loss.

The nature of gastric bypass surgery gives patients an edge on beating the snacking habit. When a patient eats three protein-rich meals a day the body’s fuel requirements are met and satiation results. Hunger does not occur if water is sipped throughout the day. If a patient is taking vitamins they will not be nutritionally wanting. Given that, patients who snack are doing so out of the very habit that contributed to obesity.
If a dieter must snack they must be mindful of their choices. Fruits, vegetables and lean proteins will contributed to wellness and weight loss. Processed carbohydrate convenience foods fail to meet nutritional needs or facilitate weight loss and should be avoided.

Successful WLS patients understand that snacking is bariatric purgatory. When they begin to snack weight loss will cease and weight gain will certainly result. Successful weight loss patients – those who maintain their weight loss years after surgery – do not snack. The same is true for all successful dieters regardless of the means by which they initially lost weight.

Rule 4: Exercise
The final rule, the one WLS despise the most, patients must exercise every day.

Nothing is more disappointing than hearing a gastric bypass patient brag that they didn’t have to exercise to lose weight. It’s true; patients will lose weight without lifting a finger. But patients who do not use the time of rapid weight loss to incorporate exercise into their lifestyle are doing themselves a grave disservice.

Obesity cripples the body. Bone tissues are compromised, joints are swollen, the vascular system is inadequate and the skeleton overburdened. As weight is lost, the burden on the bones, joints and vascular system is decreased. However, the body is a magnificent machine. Given proper nutrition and physical motion it will rebuild its broken framework. The systems can become strong and vital.

The most effective way to heal the body from the ravages of obesity is to exercise. Exercise means moving the body: walking, stretching, bending, inhaling and exhaling. Exercise is the most effective, most enjoyable, most beneficial gift one can bestow on themselves in the recovery from life threatening, crippling morbid obesity. People who successfully maintain their weight exercise daily.

Conclusion:
Successful weight loss surgery patients will tell you these are the four rules they live by, that the gastric bypass is only a tool to facilitate mindful behavior for better health. They will confirm that weight control, even with surgery, takes a lifetime of diligent attention to their bodies and behavior. They will assure you it isn’t easy, but the results are worth the effort.
__________________
Janine344/310.4/176.4/117 (6/15/08)
-33.6 lbs (pre-op) -134.0 bs (post-op)
-165.0 total loss)
Lap RNY 10\23\2007 Dr. Juarez
gym Rat #68 (11/07/07)
Boo Boo Bear (TT Bear member) (02/04/08)
Ducksack club member #6 (02/06/07)

journey to success
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Old 02-01-2008, 04:45 AM   #6 (permalink)
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Default Great post!!!

Thats fantastic,Janine.Thanks for all that info.They have only just started to do wls here in Ireland and i have booked to have a bypass on July2nd.You have answered a lot of questions for me and I love your positive structured outlook.
Thanks!I may be calling on you for more advice!!!!
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