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Sleeve Myths

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Howdy folks. I've noticed a lot of newbies coming onboard recently (welcome!) and some misinformation getting posted. As I learned a lot from vets who posted wise words when I was pre-surgery and early in my journey, I wanted to share the knowledge and dispel some of the inaccurate info I'm seeing posted. Please feel free to add your own info, and as always, there will be exceptions to the info below - there always are! I'm sure I will be flamed by someone who eats McDonalds and pizza day in and day out, never gets their Protein in and drinks vente vanilla lattes every morning and still loses 4 lbs. a week. For the rest of us, this is written to help folks set appropriate expectations about their sleeve. Good luck to all of us on this amazing journey.

Myth #1: The sleeve will do it for you and you have to work at making it fail.

Nope, not true. Even though you will have restriction, you still have to deal with some increase in sleeve capacity that happens over time and the effect of sliders (foods that reduce in your stomach and don't fill you up, like popcorn and chips....) and the calories in liquids (ah Brownie Frappucinos...). So, while the sleeve is an amazing tool and the restriction will help you sooo much, you still have to follow basic rules of sleeve eating in order to have continued success in the long run. The stats for VSG are around 60% excess weight loss. Think of that as an average of some people losing 100% of excess weight, some losing little or none, some only losing half before they stop, and some losing great and then gaining it back.

Myth #2: When you have the sleeve you can eat "whatever you want" or "like a normal person," (whatever that is).

Nope. Unless "whatever you want" includes lots of protein and vegetables and other healthy foods, it's unlikely you will be able to eat whatever you want with no limitations and have the sleeve do it all for you. While we all have exceptional days here and there where we don't eat what's best for us, overall you will be following protein first, vegs second, and carbs third forever. Are there exceptions to this rule? Sure, there are some people who are exceptions and go back to eating fast food, junk food, and sodas every day and keep the weight off, but not many and they certainly are not the majority on this board, at least. Why set yourself up for failure? Learn good habits early on.

Myth #3: Everyone must follow 1200 calories a day (or whatever amount) or they will go into "starvation" mode.

You are not on a regular diet. You are on a medically supervised plan that works in conjunction with major surgery, and most plans utilze VLC (very low calorie) eating plans. I see people here think they can't do on 500 calories a day and use "starvation mode" as an excuse to eat more, then before you know it they are writing in asking for help because they haven't lost in 5 months. Does "starvation mode" exist? I don't know, and some people do drop weight after adding an extra 100 calories a day, but don't go hogwild with the concept of starvation mode. Trust in your nutritionist or find a nutritionist that you can trust. And remember that many people (especially older, postmenapausal or sedentary people) can only maintain on 1200 or 1000 calories a day and will stop losing if they take this advice to eat more. On the other hand, if you are 22 years old and very active, you will probably do just fine with a higher calorie count, but again, everyone is different.

Myth #4: You have to eat X amount of protein, carbs, fats, etc.

Nope. The nutritional guidelines vary from doctor to doctor. Everyone wishes they were the same and it would sure make it easier, but doctors and nutritionists differ. Those in Centers of Excellence have a long track record that they base their recommendations on, and others use published research. Sometimes it seems like our nuts just pull stuff out of the air. Some doctors are very strict and others give vague guidelines with few or no limitations. What to do? If you trust your doctor and nutritionist, then stick with their plan. If you are getting results, stick with your plan. You hired them for their expertise, so trust what they say. If you don't trust your doctor/nut, then move to a different practice if you can and find someone you can trust. Almost everyone agrees that protein is very important for sleeve patients (one thing to agree on!) but what that magic number is ...open to debate. You will see everything from 60 grams of protein a day to 100 or more. And you will see people who can't get it all in and get by on 40 grams a day with no problems. That's why it is important to stick to the plan you trust and works for you. Many people here vary on how many grams of protein, fat, carbs, Fiber, 5:2, Atkins, yadayadayada. What is right for you may not be right for someone else.

Myth #5: You can stop your hair from falling out with Vitamins, protein, etc.

Not really. You can probably help it with vitamins and Biotin and making sure you get in all your protein, but many people do all this and still lose hair. It is the body's natural response to the extreme stress you have put it in with surgery and severely limited calories. A few people don't lose their hair, others lose anywhere from a little to a lot and some resort to wigs. Eventually it grows back, but even that timetable varies from person to person.

Myth #6: Once the honeymoon (6 months) is over you will stop losing.

Not really. As vets can attest to, your first 6 months are your best window of opportunity and your doctor will expect you to lose a significant portion of weight in that time. However, if you stick with (or return to) your basic plan of firm protein first, vegs second, carbs third and lots of Water, you can get back to losing (and it's still easier than if you did not have the sleeve). You may not lose like you did in Month Two, but you will still lose. Some doctors say your window of opportunity is 18 months out from surgery. They vary on this, too.

Myth #7: You have to exercise.

Not really. Lots of people don't and still lose. However, exercise will give you much better results and most importantly, you will be much healthier. Also, if you start building good exercise habits now it will make keeping the weight off much easier in the long run. So, even if it's just a walk around the block, start moving your body around.

Myth #8: You will need plastic surgery when it's over.

Maybe, maybe not. Depends on your age (a lot), how much you had to lose, where you carry your weight, how much you exercise and type of exercise, genetics, if you've born children, etc. A lot of people do need plastic surgery, but a surprising number don't.

Myth #9: If you eat "bad" food it will make you sick.

Nope. While there are some folks who have very delicate tummies (and in the early months there are lots of delicate tummies), in the long run most people can get pretty much anything down.

Myth #10: Sleevers don't dump.

Nope. Sleevers can dump, it just isn't nearly as common as RnY folks. Dumping (aka Gastric Emptying) is just food hitting your intestines too quickly, causing really yucky stomach discomfort, weakness, lightheadedness, flushing, cramps, nausea, explosive diarrhea, and other fun symptoms. It can hit immediately or several hours after eating. Most sleevers never get it, but some do. You'll know it if you do.

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  • A good list, and I guess my comments are more clarifying rather than disagreeing. On the topic of exercise - you are right that plenty of people lose just fine without it. I think that you will be

  • feedyoureye
    feedyoureye

    Good list... I would add: "there is 20 pounds I will never see again" If you hear this coming out of your mouth, think again. That 20 pounds is around every corner waiting for you to let your guard

  • I love this post! At almost 4 months out I've read alot of it while lurking through this forum looking for answers to what was wrong with me. News flash! Nothing is wrong with me! It's normal to go th

Featured Replies

Great post !

Thank you for this, very good information!

Great post!

Boy, I needed to read this today. I am two weeks out of surgery and having stress over not having enough restriction in my sleeve. Granted, I'm still on full liquids, but I can consume more than I expected and it doesn't bother me. I thought the sleeve would be like a steel door that shut after you consumed a few ounces or their would be Grimm consequences. I don't have that. It's really shined a light on the fact that I'm a food addict. I want to keep eating or eat something I shouldn't. Realize I still have to use the same willpower that I failed to harness for the last twenty years. Feeling afraid that I could fail and I never even thought that was a possibility. I have lost 12 pounds since surgery; guess that's ok, but really nervous and depressed. Any of you vets go through this?

This is a really great thread. Thank you for taking the time to write it. Even the non-newbies appreciate the reminders.

  • Author

Boy, I needed to read this today. I am two weeks out of surgery and having stress over not having enough restriction in my sleeve. Granted, I'm still on full liquids, but I can consume more than I expected and it doesn't bother me. I thought the sleeve would be like a steel door that shut after you consumed a few ounces or their would be Grimm consequences. I don't have that. It's really shined a light on the fact that I'm a food addict. I want to keep eating or eat something I shouldn't. Realize I still have to use the same willpower that I failed to harness for the last twenty years. Feeling afraid that I could fail and I never even thought that was a possibility. I have lost 12 pounds since surgery; guess that's ok, but really nervous and depressed. Any of you vets go through this?

MizNola,

You can do it, really. While you certainly have to be aware (no magic wand here) you have a great tool now that will really help you. It won't be like it was before. If you have cravings, eat a piece of Jerky and you'll be stuffed - no room for bad stuff (once you are one regular foods, that is, not during liquid phase). Now, Liquids - they slide right through. That is what you are seeing now. When you get to solids you will see the difference. Be patient and don't stress. You are doing well, just keep at it. The first month is really sucky. You'll get through. Be nice to yourself this month, get a pedicure or facial :)

Edited by NMJG

Great post!!

I love that you threw in dumping.
I was actually told by my doc that sleevers don't dump.
Boy did I prove HIM wrong ...

Thanks, NMNG! I made an attitude adjustment and went to the gym for the first time since surgery!

Miznola I am worried. Are you cleared for the gym just2 weeks post op?

Did your surgeon or NUT explain that the first 6weeks you might not feel restriction? It is due to the liquids diet but also due to nerves damaged during surgery take time to heal. Those early weeks it is so important to eat by the clock and measuring spoon as you cannot yet trust your sleeve to tell you. Are you on an acid inhibitor? The tiny tummy is still pumping out acid for a full-size tummy. Acidy can feel like hunger.

Having the right education and "expectations" makes this journey so much easier. It gets so much better!

Edited by CowgirlJane

Boy, I needed to read this today. I am two weeks out of surgery and having stress over not having enough restriction in my sleeve. Granted, I'm still on full liquids, but I can consume more than I expected and it doesn't bother me. I thought the sleeve would be like a steel door that shut after you consumed a few ounces or their would be Grimm consequences. I don't have that. It's really shined a light on the fact that I'm a food addict. I want to keep eating or eat something I shouldn't. Realize I still have to use the same willpower that I failed to harness for the last twenty years. Feeling afraid that I could fail and I never even thought that was a possibility. I have lost 12 pounds since surgery; guess that's ok, but really nervous and depressed. Any of you vets go through this?

MizNola,

I'm not a vet. I had my surgery 2/17. I just wanted to say that I'm right there with you in terms of feeling only a little restriction. Thanks for posting cuz I thought it was just me. :)

I love this post! At almost 4 months out I've read alot of it while lurking through this forum looking for answers to what was wrong with me. News flash! Nothing is wrong with me! It's normal to go through every phase of this and (for me) the rough patches along the way have only served to boost my willpower and make me keep adjusting my attitude to accommodate my new lifestyle. I'm glad cowgirl added the head struggles and depression. So many ups and downs have already hit me! I cry at the drop of a hat at times and at other times find myself wound so tightly I could scream. That's when working out at the gym has helped me to work through frustration and help me to unwind and be able to come home and love myself and my family. Im doing this for me and to better all of our lives and its totally been worth it.

Thanks, NMNG! I made an attitude adjustment and went to the gym for the first time since surgery!

I too am planning to check out my local gym now to see how affordable it will be ...either wsy started my exercises again. Great post!

Hi Cowgirl Jane! I am cleared to walk and do a little cardio.; no lifting. I just walked on the treadmill and it went fine. Thanks for the info. about the tummy producing same amount of acid as before. Makes sense. Will be more patient with learning how my new sleeve works.

Glitter- past few days I have started to get a little clearer feeling of full after starting purée food. Feeling the shift.

Great post! Thank you!

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