Tracyringo

Sounds like you are in the norm at three months out to me. What you are describing is common for the sleeve. Your restriction relaxes you progress out from surgery. (it’s not back to full size) It’s a bit alarming when you experience this sensation for yourself, Right? *If anyone thinks they stretched their pouch have it diagnosed by a surgeon* (its rare)
I hit two points where I notice my restriction was less. 3rd month and again in my 6th month. If you are following your plan and staying within your weight loss calories and macros, you will continue to lose weight.

Thanks I think I'm going with the sleeve I just want to know was it hard to drink 64oz of Water and 60mg of Protein the first 4 weeks.

From the research I did, I found the sleeve has less complications than other ones. Also the part of the stomach they remove has a hormone that send signals to your brain to eat even when you are not hungry. Good luck on which ever you choose to have 😊

Mu cousin suggested I do the by pass but I want the sleeve the thought of rerouting your intestines is scarey

I eat very small amounts of grain carbs at this point (5.5 months out) because as I get closer to goal, the weight loss is slowing down. I want to save the carbs for maintenance phase. I will eat rice cakes once in a while, or a little bit of cooked quinoa or rice, but that's about it. I might have a corn tortilla very very rarely. I have had an occasional piece of gluten free bread or some GF spaghetti. My highest carb intake is from fruit, some Beans and lentils. I look forward to adding more whole grains back into my diet, but that is for later, when I can afford the extra calories.
I think you need to be pretty careful in the beginning so you don't jeaprodize your weight loss. Just getting enough Protein is challenge enough, and then adding veggies, legumes, nuts/seeds, and a little fruit. Starches should be the very last thing to add. Of course, a very little bit once in while is not really going to hurt anything as long as it doesn't set you up for over indulging.

I never asked mine. As another poster said there are lots of variables. I am pleased with my surgery and the success I've been having with my weight lost journey.

My dr used a 22 fr

I am taking Dexilant for GERD and have recently halved the dose and I don't have any regrets. I was scheduled for RNY and changed it to the sleeve .

I am taking Dexilant for GERD and have recently halved the dose and I don't have any regrets. I was scheduled for RNY and changed it to the sleeve .

http://www.youtube.com/watch?v=vKBfkTqcwVo&feature=youtu.be
This is really good info about the bougie size

I take ibuprofen 800 prescribed to me by my bariatric NP . Sleeve patients here can take it, but not by pass patients.

I have read articles saying the sleeve has more restriction then the RNY . I am 23 months out and still have great restriction. Before the surgery my portion size was huge and I loved cake, ice cream and candy lol. Now I keep all that stuff out of my house and when I want something I go out and get a one serving.
Either surgery will work and you get out of it what you put into it. You have to remember its a tool. Good luck to you !

http://www.youtube.com/watch?v=vKBfkTqcwVo&feature=youtu.be
This is really good info about the bougie size

YOU CANNOT STRETCH/DILATE out your sleeve to anything remotely close to its original size.

From LapSF/Dr. Criangle: The removed section of the stomach is actually the portion that stretches the most. The long vertical tube shaped stomach that remains is the portion least likely to expand over time and it creates significant resistance to volumes of food.

The fundus is ALL but removed with VSG. The fundus is the upper most part of the stomach's greater curvature. The fundus is:
1) the stomach's stretchy/expandable tissue, capable of expanding 2-3xs its resting 'unfilled' size
2) the pre-op 'mass quantities' of food, waiting to be digested, storage section
3) where 70% of the body's grehlin a "hunger hormone" is produced.
Stretching, due to overeating is most common in RNY because more of the stretchy fundus part of the stomach is retained to make the 'pouch'.

Mine was a 36 French, but depending on how closely the surgeon staples to the bougie, the size might not be exact.

If a larger bougie size is used, the sleeve will be larger and the operation safer, but the concern is that it may not produce enough weight loss.

http://www.youtube.com/watch?v=vKBfkTqcwVo&feature=youtu.be
This is really good info about the bougie size

Standard bougie sizes in the United States range from 32-50F. The bougie size is not the same as stomach size, although it does influence the size of the sleeve.

Generally, the smaller the bougie, the smaller the new stomach size, but the same size bougie does not always create the same size stomach. The finished sleeve size is determined by how close the stapler gets to the guide and whether the surgeon oversews the staple line and if so, by how much.

While the gastric sleeve is now widely accepted as a primary bariatric procedure, there is not yet unanimous agreement on an ideal bougie size. The decision is trying to find the size that will provide the safest results with the most amount of weight loss.

With a smaller bougie size, the smaller the sleeve and greater the restriction, but greater the risk of leak and stricture rate.

My surgeon used a 34

Your pouch will relax over time and its highly unlikely that you have stretched it out. I would imagine people that do stretch there pouches would be binge eaters and do it over and over again ( my personal opinion ) I was told they don't stretch but on an episode of My 600 lb life Dr. Now said one of his patients had stretched their pouch. Just stick to the guidelines your surgeon gave you. Good luck

I have read articles saying the sleeve has more restriction then the RNY . I am 23 months out and still have great restriction. Before the surgery my portion size was huge and I loved cake, ice cream and candy lol. Now I keep all that stuff out of my house and when I want something I go out and get a one serving.
Either surgery will work and you get out of it what you put into it. You have to remember its a tool. Good luck to you !

It could also be acid or thirst. I got hunger confused with these two things early on, so I would take an antacid and or drink something before running to the food. Good luck to you

My goal is to lose 100 lbs. with the sleeve and at 9 months I've lost 70 lbs. and have 30 to go. But you really have to change the way you eat, because you can still overeat with the sleeve and gain the weight back. Good luck!

That is so good to know! Thank you for your response!!

I have read articles saying the sleeve has more restriction then the RNY . I am 23 months out and still have great restriction. Before the surgery my portion size was huge and I loved cake, ice cream and candy lol. Now I keep all that stuff out of my house and when I want something I go out and get a one serving.
Either surgery will work and you get out of it what you put into it. You have to remember its a tool. Good luck to you !