I'm 9 weeks out from band to sleeve conversion. I have had a couple of episodes of diarrhea and vomiting after I eat either too much or certain foods (ice cream)? You would have thought I had bypass. It does not happen all the time? Any ideas?

I had bad reactions to dairy for about a year after my sleeve. I am now able to tolerate a little at 14 months out.

Dumping can happen, it does not happen to everyone. This is a really common misconception (that you don't dump with the sleeve).

I tend two see two approaches to bariatric lifestyles.

1. Avoid bad foods, they're what made you fat.

2. Don't avoid, just moderate.

When I had my band I only avoided the foods I knew I physically could not eat, like slimey fruits. They wouldn't go down without pain, so I just stopped eating them. I stopped eating red meat because I could not get it to chew up well enough. And so on. I suspect I will have the same approach, as much as I'm able, with the sleeve.

#2 is a holisitcally healthier approach, IMO. Part of the great thing about restrictive procedures is that you're still able to eat (for the most part) what you want. You just have a little bit of enforced will power.

I'm a #2. I had about 1 oz of ice cream last weekend. Still lost 2 pounds. I'm not on a diet. People have to come off diets eventually so this is my lifestyle now. I may as well have had bypass if I can't have a bite of pie every now and then. I did this so I could eat like a normal thin person.

That said, if certain foods do not agree with you or you are unable to moderate, then abstaining is the only way.