Been doing a lot of research on this on the Internet. And I'm coming to the conclusion that this whole thing about drinking before after has far more impact on those that had a gastric bypass than the sleeve. What are your thoughts? I know what the nutritionists say, I know what the doctors say, and I know what the threads say. That being said it doesn't really make sense when you think about it. All introducing liquids to the equation for a sleeve bypass patient does is fills it up faster and leaves you with less room for actual food.

What are your thoughts and experience?

I think that drinking before a meal may be more acceptable than after. I know that if I do drink too soon after eating, I get that stuffed feeling and well, that's just uncomfortable. I can also understand how it may speed food through your stomach allowing you to eat more calories than you should, and not feeling full. I've had this too, purely from an experimenting whim.

It absolutely applies to sleeves too. This video might help some.

I've seen the video. The issue is with gastric bypass the stomach is bypassed which routes everything directly to the pylorus. With the sleeve the function of the pylorus totally remains the same as a normal stomach which means the premise of the apple sauce is not as applicable as it would be for a gastric bypass. Here is one site: http://drsimpson.net/07_surgery_stories%20(ss)/7_ss_02/duodenal%20switch/duodenal_switch.htm

Go to third section, "With the Duodenal Switch the Pylorus remains functional"

I've seen the video. The issue is with gastric bypass the stomach is bypassed which routes everything directly to the pylorus. With the sleeve the function of the pylorus totally remains the same as a normal stomach which means the premise of the apple sauce is not as applicable as it would be for a gastric bypass. Here is one site: http://drsimpson.net/07_surgery_stories%20(ss)/7_ss_02/duodenal%20switch/duodenal_switch.htm

Go to third section' date=' "With the Duodenal Switch the Pylorus remains functional"

[/quote']

Liquids trigger the pylorus to open which creates the same problem for sleeves.

Watch a swallow test you'll see that liquids past very quickly into the intestine.

I've done it by accident and it just hurts. So I drink before and wait almost an hr after I eat because I get too uncomfortable.