There are several issues with alcohol, and different docs have differeing concerns about them. The basic initial concern is healing of the stomach, and that's where many docs come down to something around a three month limitation. Empty calories, too is a concern during the weight loss period, but that's no different than talking about Twinkies or any other kind of junk food. The biggie that some docs fret over is liver health - as obese patients, our livers are generally in pretty poor shape to begin with, and then they are further taxed with their role in metabolizing all of the fat that we are losing - they don't need any more stress from metabolizing the alcohol. So, that's where some docs come up with a no alcohol during the entire weight loss period policy - this is my doc's plan, and he's a bit more anal about liver health than most WLS docs as he also does liver transplants, and he doesn't want to see his bariatric patients coming back as transplant patients. The other concern is the prospect of transfer addiction - many of us were addicted to food, and with that taken away by the surgery, that addiction can be transferred to something else that was never a problem pre-op, like alcohol or gambling - so that is something to watch out for. The other thing to watch is that most find that their body's response has changed - usually feeling the alcohol's effects sooner and with less (things tend to go thru quicker, particularly liquids), but then they tend to recover quicker, too. Those are the major issues that influence the differerent surgeons' policies on alcohol and WLS, so take them for what you will. Overall, the occasional drink is not likely to be any more harmful than the occasional twinkie, but there are potential problems with it being a regular thing during the post-op period. Good luck, and may you have something to celebrate!
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