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Drinking with meals



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I'm 8 months out and I've forgotten what does drinking with meals do to us. Does it cause weight gain or just flush the nutrients out? I haven't mastered not doing this.

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i cannot drink for at least an hour if not longer. if i do it really hurts. Specially if i ate a dense Protein. Good reminder to not eat and drink for me..

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i cannot drink for at least an hour if not longer. if i do it really hurts. Specially if i ate a dense Protein. Good reminder to not eat and drink for me..

Same here. If I try to drink while eating I can hardly eat anything. I still feel like I get full on Water. Thought I was strange. Well I guess I am strange :-) but at least I'm not alone with this.

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When I got to about 18 months out, I started slipping on this. I'm trying to get back into the habit, but I guess that the pain I used to have just went away.. I am at 24 months now with no regain, but I do believe in the logic behind this rule and I'm working on getting back to it.

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i cannot drink for at least an hour if not longer. if i do it really hurts. Specially if i ate a dense Protein. Good reminder to not eat and drink for me..

Same for me. It really hurts if I try to drink something after I eat. It's about 45 minutes before I can drink after eating.

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I don't believe it has any affects on nutrient absorption since nutrients are mostly absorbed in the GI tract anyway, not the stomach. But it can certainly make you hungry sooner. In my experience, the longer I wait to drink, the longer it is before I'm hungry again.

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I'm now a big believer in actually TIMING my drinking in regards to eating. For example I will eat Breakfast and the moment I'm done I set a timer on my phone. I will not drink anything until at least 45 minutes have passed, but I usually go an hour. Then I start drinking my Water. This helps keep hunger at bay, and I find that this also helps reduce my tendency to "snack"...because I'm not putting anything in my mouth for a good hour after eating. It's tempting to go and have a handful of nuts, or a nibble of cheese, but I've noticed since I'm actually timing myself it has cut down on snacking a lot.

I never was eating and drinking "together" per se after surgery (I knew that was not acceptable behavior post-op due to all the reasons listed above) but my timing had gotten sloppy and sometimes I was drinking in as little as 15 minutes after I was done eating.

So I think this is an important thread...

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You know, guys, I'll be honest here. I am a HUGE DRINKER! (not booze, yall!!!!) I can remember as a very young child drinking at least two glasses of Water BEFORE our food arrived if we ate out. That has always been the case. Now, I have also ALWAYS HATED water! LOL. As an adult, I always drank gallons of Diet Coke. Once I was sleeved, I actually cold turkeyed from DC a few months before not even realizing I was going to be sleeved so I had broken the habit prior. I did have the occasional diet drink or carbonated diet something but nothing like before.

Once sleeved, and having the need to get the water/fluids in I found that the Water made me nauseous and discovered Crystal Light (I know - I know - don't give me any guff about the aspartame) I now drink at least 12-15 cups of water a day always with my favorite citrus Energy CL. And I drink during, before and after meals. It doesn't phase me. I have played around with it and I don't get any hungrier if I wait or don't drink prior.

Now, in the early stages of recovery I did adhere to the policy simply because I could NOT eat/drink and needed to get my Protein in. At 3+ years out, I don't see myself not drinking with my meals. I don't actually drink much at all. Maybe a few sips because I don't eat much food either!!!!! STILL. Here is a good explanation of the Pyloric Valve and how it works with fluid:

The function of your Pyloric valve is the single most not talked about important part of understanding how and when you should eat and drink.

The Pyloric Valve is just that....It is a valve that is located at the bottom of your stomach/sleeve. This valve is in between your sleeve and the lower intestine. The basic definition of a valve is an apparatus that opens and closes.

When open this valve it is about the diameter of a dime. When closed it’s opening is closed down to the diameter of the head of a ballpoint pen.

Dense Proteins and harder to digest foods will cause the Pyloric valve to close to hold the food in your stomach for pre-digestion...... stomach acids breaking down this “Rough” food.

That’s why we are told to eat dense Proteins first.....To close the Pyloric Valve so food stays in your stomach/sleeve longer so we have a sense of satisfaction.

It takes about 30-60 minutes for the food to clear the Pyloric Valve...... Than it’s OK to drink.

That is also where the term slider food comes into play. A slider food does not close the Pyloric Valve and as the term is intended.....food slides right past an open Pyloric Valve.

There is a video that gets posted every so often that is supposed to explain food going past the Pyloric Valve. The guy uses a funnel and has apple sauce or something in it....and it shows the apple sauce dripping out the end of the funnel very slow. Than he pours water on top of the apple sauce to dilute it, illustrating drinking after eating.....and the diluted apple sauce runs through the funnel end faster. Than he concludes that this is how your pyloric valve works.

Well, it is a great video that only tells half the story.....remember it’s a valve...and he is only showing it in the open position....

So now the other half of the Pyloric Valve function..... You eat a dense Protein like chicken that causes your Pyloric Valve to close. Say for example your sleeve has a 4oz. capacity.....and you eat 4oz. of chicken.....your sleeve is full and holding all 4 oz. of chicken for pre-digestion because your Pyloric Valve is closed.

So now try and drink something....where is it gonna go? Up.....Up until it hits another valve of sorts..... the Esophageal Sphincter (valve) and above that is a flapper valve. The function of these two valves is to hold food, bile and stomach acids in your stomach and not backing up into your air way. This is a very high pressure system. Thats why when you eat to much or drink after eating a hard to digest food and your Pyloric is closed.....It hurts cause you pressurized your intake track. Vomiting would be a natural pressure release.

So you can see how learning and understanding how the Pyloric Valve works is important as it pertains to eating and drinking with a Gastric Sleeve.

So that was kinda like VSG and the Pyloric Valve 101

As you get further a long you will want to use the Pyloric Valve in other ways to keep food in your sleeve longer to stay satisfied longer.

A sleeve empties faster than a stock un altered full size stomach so sometimes it’s beneficial for you to learn what foods stay in your sleeve longer to extend satisfaction.

Dense proteins are #1 in closing the Pyloric Valve. Chicken, steak, pork, fish.....in that order seems to be the way it goes for me.

Other foods that are hard to digest and help close the Pyloric Valve are foods like:

  • Broccoli Stalk
  • Asparagus
  • Celery
  • Cucumber with Skin
  • Radish
  • Cabbage (I’m testing this right now)
  • Bell Pepper

So I hope you understand my 5 cent tour of the Pyloric Valve and how it effects the way we eat with a VSG and how important it is to work the Pyloric Valve to your benefit.

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Georgia, that's excellent. Thank you for posting.

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You know' date=' guys, I'll be honest here. I am a HUGE DRINKER! (not booze, yall!!!!) I can remember as a very young child drinking at least two glasses of Water BEFORE our food arrived if we ate out. That has always been the case. Now, I have also ALWAYS HATED water! LOL. As an adult, I always drank gallons of Diet Coke. Once I was sleeved, I actually cold turkeyed from DC a few months before not even realizing I was going to be sleeved so I had broken the habit prior. I did have the occasional diet drink or carbonated diet something but nothing like before.

Once sleeved, and having the need to get the water/fluids in I found that the Water made me nauseous and discovered Crystal Light (I know - I know - don't give me any guff about the aspartame) I now drink at least 12-15 cups of water a day always with my favorite citrus Energy CL. And I drink during, before and after meals. It doesn't phase me. I have played around with it and I don't get any hungrier if I wait or don't drink prior.

Now, in the early stages of recovery I did adhere to the policy simply because I could NOT eat/drink and needed to get my Protein in. At 3+ years out, I don't see myself not drinking with my meals. I don't actually drink much at all. Maybe a few sips because I don't eat much food either!!!!! STILL. Here is a good explanation of the Pyloric Valve and how it works with fluid:

The function of your Pyloric valve is the single most not talked about important part of understanding how and when you should eat and drink.

The Pyloric Valve is just that....It is a valve that is located at the bottom of your stomach/sleeve. This valve is in between your sleeve and the lower intestine. The basic definition of a valve is an apparatus that opens and closes.

When open this valve it is about the diameter of a dime. When closed it’s opening is closed down to the diameter of the head of a ballpoint pen.

Dense Proteins and harder to digest foods will cause the Pyloric valve to close to hold the food in your stomach for pre-digestion...... stomach acids breaking down this “Rough” food.

That’s why we are told to eat dense Proteins first.....To close the Pyloric Valve so food stays in your stomach/sleeve longer so we have a sense of satisfaction.

It takes about 30-60 minutes for the food to clear the Pyloric Valve...... Than it’s OK to drink.

That is also where the term slider food comes into play. A slider food does not close the Pyloric Valve and as the term is intended.....food slides right past an open Pyloric Valve.

There is a video that gets posted every so often that is supposed to explain food going past the Pyloric Valve. The guy uses a funnel and has apple sauce or something in it....and it shows the apple sauce dripping out the end of the funnel very slow. Than he pours water on top of the apple sauce to dilute it, illustrating drinking after eating.....and the diluted apple sauce runs through the funnel end faster. Than he concludes that this is how your pyloric valve works.

Well, it is a great video that only tells half the story.....remember it’s a valve...and he is only showing it in the open position....

So now the other half of the Pyloric Valve function..... You eat a dense Protein like chicken that causes your Pyloric Valve to close. Say for example your sleeve has a 4oz. capacity.....and you eat 4oz. of chicken.....your sleeve is full and holding all 4 oz. of chicken for pre-digestion because your Pyloric Valve is closed.

So now try and drink something....where is it gonna go? Up.....Up until it hits another valve of sorts..... the Esophageal Sphincter (valve) and above that is a flapper valve. The function of these two valves is to hold food, bile and stomach acids in your stomach and not backing up into your air way. This is a very high pressure system. Thats why when you eat to much or drink after eating a hard to digest food and your Pyloric is closed.....It hurts cause you pressurized your intake track. Vomiting would be a natural pressure release.

So you can see how learning and understanding how the Pyloric Valve works is important as it pertains to eating and drinking with a Gastric Sleeve.

So that was kinda like VSG and the Pyloric Valve 101

As you get further a long you will want to use the Pyloric Valve in other ways to keep food in your sleeve longer to stay satisfied longer.

A sleeve empties faster than a stock un altered full size stomach so sometimes it’s beneficial for you to learn what foods stay in your sleeve longer to extend satisfaction.

Dense proteins are #1 in closing the Pyloric Valve. Chicken, steak, pork, fish.....in that order seems to be the way it goes for me.

Other foods that are hard to digest and help close the Pyloric Valve are foods like:

[*']Broccoli Stalk

[*]Asparagus

[*]Celery

[*]Cucumber with Skin

[*]Radish

[*]Cabbage (I’m testing this right now)

[*]Bell Pepper

So I hope you understand my 5 cent tour of the Pyloric Valve and how it effects the way we eat with a VSG and how important it is to work the Pyloric Valve to your benefit.

Most informative....thanks!

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tparker, you look amazing btw!!!

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That was great Georgia! I was always told (and told others) that drinking with meals makes you either a) hungrier sooner or B) can make you throw up....now I know why I was told that and why it makes sense!

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THANK YOU GEORGIA !!!!!!!!!!!!

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    • 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.

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        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.

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        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
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