Likklelime

Very glad to hear this! I'm happy for you Can you eat raw veggies? Would you mind giving me an idea of a typical days diet?

Thanks so much. This is super helpful! Are the tomatoes problematic because of gerd? Just curious. I eat a very Tomato based diet. Thanks!

Very glad to hear this! I'm happy for you Can you eat raw veggies? Would you mind giving me an idea of a typical days diet?

So glad it has been successful for you. I really want the band but everyone is pushing the sleeve. Curious whether you can eat salads and raw veggies as I hear this is a challenge with the band.

That's fantastic! May you continue to heal well and feel great!

So sorry to hear this. Hope all is well with your transfusion.

Hope you get to go home soon. That is amazing that you feel so normal!

That's great! 👍🏽🤣

That's great! 👍🏽🤣

In both North America and Europe, removal of anywhere from 70% to 85% of the stomach is standard, so when you study VSG statistics, be assured that the percentage of stomach removed is not a factor in determining successful outcomes. There’s also increasing evidence that VSG induces weight loss through other physiological alterations, not just restriction, including increased intraluminal stomach pressure, which causes early satiety; increased gastric emptying for faster small-bowel transit time; and neurohormonal changes, including the reduction of both fasting and meal-stimulated ghrelin production and increased glucagon-like peptide-1 and peptide-YY, an intestinal hormone that increases satiety.
The most recent study I read that assessed the stomach volumes and pressures of several hundred patients in the US who had undergone VSG, where the standard bougie size for VSG is 32Fr to 50Fr, found that sleeve volumes held anywhere from 90 to 220 ml. Normal stomach volume is approximately 1,500 ml for both adult men and women; there is actually very little variation there. When the sleeves were filled with a volume of saline, the pressure inside the sleeve rose to 43 mm Hg compared with 34 mm Hg when the stomach was intact, meaning that VSG reduces the stomach’s ability to distend, thereby increasing the amount of pressure within the intraluminal space. This increase in pressure is what leads to the feeling of fullness, and allows us to drastically reduce caloric intake.
It’s quite some time after surgery before we are able to eat with anything resembling speed, and part of our pre- and post-surgery routine should be building a vigilant mindfulness practice to train ourselves to eat slowly until doing so becomes a deeply ingrained neural behavior. Once you've entered maintenance (if not well before), you'll be grateful for the small volume and the restriction as it's essential for keeping the weight off long-term.

There are many factors that dictate what our final stomach capacity ends up being. The first is bougie size. A 36Fr bougie with 75% stomach removal will give us a lot more restriction than, for example, a 50Fr bougie with 85% stomach removal. The tightness of the staple line against the bougie, and whether or not the surgeon oversews the staple line will further decrease the diameter of your sleeve. My surgeon uses a 40Fr on all of his patients, but staples extremely tightly along the bougie, meaning his patients should have greater restriction -- and fewer complications -- than those who have, say, a 34Fr with no oversewing. At 3.5 months for example, I still cannot eat more than 2.4 to 2.8oz per meal, and it takes at least 75 minutes to comfortably eat it. Those who had strictures requiring removal during surgery would likely have marginally more restriction. Scar tissue and gastric motility also play a role in restriction. More critical than any of these, however, are our eating habits, since they play the most significant and influential role in sleeve capacity, amount of weight loss, and long-term maintenance.

I have very few problems with any food. My number one nemesis is tomatoes. Haven’t been able to eat them since surgery. Other than that everything works just fine. I have a 10cc band with 5.5 ccs currently in it. I still stay away from “slider foods” and I’m not big on sweets so that’s never been an issue. I have zero problems with any sort of Proteins or vegetables. (Minus tomatoes) all fruit is fine with me as well. I still have to chew carefully and I’m always the last to finish a meal but that’s fine with me.

Good to know! Thanks 👍🏽

Thanks for the links folks!

That's so frustrating. I'm sorry

How about Twoferville, that's my next planned stop after I leave 3-how much did you say-village. I can't afford the emotional rent to stay here when Twoferville beckons. And maybe in a month or 2 post-surgery I can move in!