I haven't been here in five years, but I thought I should share what I've learned on this journey...
1. My sleeve was a very minor surgery. Less than 30 minutes passed between being knocked out and the recovery room. Quite frankly, I think this option should be more widely available for marginally obese people. Unlike the other bariatric surgeries - which change your plumbing, this is simply the removal of the stretchy part of the stomach.
2. Think long and hard about who you tell. I told a handful of family members and I think that was a mistake. I suggest you either tell everyone, or just the absolute minimum (spouse or care giver). Within the first year I was sure everyone knew and I felt I was being dishonest.
3. The honeymoon is real. For 18 months it's virtually impossible to gain weight, but after that, you most certainly can. My smaller stomach can hold 8-10 ounces of food and get refilled after about an hour. If you fill it with sugar or fat and keep refilling it, you can certainly get back all your weight. I initially lost about 90 pounds and that was too much. People kept asking me if I had cancer. I've since put 25 pounds back on and while I wish it was 15, it's fine. My weight is what it was when I was an athlete in college. I have used my reduced weight and energy to excercise and I think that has helped. I generally do 100,000 steps a week. Again, eating/drinking the wrong stuff and not exercising would surely lead to more weight gain.
4. I no longer count calories, but I do have a few tricks to keep things in check. I have designed a menu with a lot of 200-500 calorie meals and I have 3-4 of these every day. I burn enough EXTRA calories a day exercising to offset the calories I drink (I only drink 100 calorie cocktails - nothing sugary).
5. There's a lot of good and bad information on alcohol on this site. I waited 6 weeks (the European guideline) and the eased in with weak cocktails and wine. I don't think it hits me harder, but since I'm likely to have less food in my stomach, the effect is to be hit harder. I can see no reason to wait 6 months or a year other than minimizing caloric intake. The Sleeve is a timeout from your bad lifestyle, but it's not a permanent timeout. At some point you'll create a new lifestyle that will include birthday cakes, pizza, French fries and booze. You need to manage around all of these risky consumables. You should think about it ll as you enter your journey, never stop reevaluating, and constantly adjust.
I hope this helps someone...
