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Science of why and how the pouch / sleeve works



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Ingesting article though it references gastric bypass and not the sleeve......

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Ingesting article though it references gastric bypass and not the sleeve......

Same principles. It also speaks of the benefits of using the lesser curvature.

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THANK YOU!

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Great article! Thanks so much for posting this.

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Thanks Mysty. This was a great article and consolidates a lot of information for me. Even though it seemed aimed at bypass patients, there definitely can be similarities and similar conclusions drawn for sleeve patients.

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How amazing! First, I loved the part about maximizing working out and practicing using the "the tools" in the early stages. Also, this just reinforces that this procedure is NOT a magic pill! Would I love it to be? Heck yes! But the science (not only in this article) consistently shows that those that are successful in long term (5+ years) weight loss maintenance are those that regularly exercise and have regular group work (support groups, weekly meetings, etc).

The next step is educating SURGEONS to not perform this procedure just because insurance will pay for it. Too many people are getting it without fully knowing the type of lifestyle change it involves.

Thanks for sharing the article!

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Saving to read later.

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Nice read

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Thank you so much for posting this! Great article and very informative.

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This is a little bit of a read but excellent! It just reinforces everything we have been taught and learned along the way. Compliance is the answer to reaching and maintaining goal. Thanks for posting this! :)

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Very informative...thanks for sharing!!

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The next step is educating SURGEONS to not perform this procedure just because insurance will pay for it. Too many people are getting it without fully knowing the type of lifestyle change it involves.

Thanks for sharing the article!

I think you have it backwards......"The next step is educating Surgeons????? Surgeons know enough and they are nothing more than the tool.

It always has been about knowing what is going to be done to your own body. As adults, we are the only ones responsible for the decisions we make. Some just continue to make them without any insight or understanding of what is going to be done. Even with forums like this, you need to be careful and weigh all the information and avoid the urge to be swayed quickly by random advice. While the advice may be well intended, only you can know your specific needs and how you will adjust to the realities of the outcome.

Bottom line. Do your research. The good and the bad. Be honest with yourself about dealing with the possible outcomes. Don't allow yourself to sugar coat it and rush to a decision. They'll be nobody to share the blame with afterwards.

And on that note: I also don't want any more obstacles of people telling me what I can or can't do to my own body. The insurance and the Surgeons have enough say already. The decision is mine and needs to remain so.

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I didn't exactly mean it was only up to the surgeons. :)

I cannot imagine going through this without tons of prep and research and work. Obviously many do. I've also known a few people that shouldn't have qualified for the surgery (low BMI), and still had insurance and surgeon approval for surgery. Should they be allowed to have it because they "want" it? No. I was also referring mostly to a surgery group that I'm aware of that run people through like a factory for surgery. That's very irresponsible to me. It's also not solving any problems; for the patient or for the cost of healthcare.

It is very much up to each individual to figure this out. And the healthcare professionals (not insurance companies) should help guide and educate them toward the best decision for them.

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Thanks for sharing. This was is good to know for when I get my sleeve.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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