I saw this web site from becal2015 over on the sleeve side and it has a PDF file called "Pouch Rules for Dummies". I found the document very informative and it has 8 rules of the pouch that should be followed after the sixth month of surgery. If you're a six month plus vet do you think these are good rules to follow?

http://www.victoriabariatricsurgery.com/pouch-rules-for-dummies/

I don't know. I found it a bit confusing and counter to a lot of what I have already been told so I'm not sure how I feel about this article. And it was not very well written. It confused me more than anything. If others feel differently, I would love to hear about it.

I agree, it seems to contradict things that I've been told at my practice.

I'd also worry about the "Water loading," that just doesn't seem good!

I don't know. I found it a bit confusing and counter to a lot of what I have already been told so I'm not sure how I feel about this article. And it was not very well written. It confused me more than anything. If others feel differently, I would love to hear about it.

I totally agree there was no mention of malabsorbtion which is really the basis of weight loss with bypass surgery. We lose the weight not only because we are eating small amounts of food. But because our system is re routed not to absorb nutrients carbs sugars fats etc. Hence why we need to take vitamins for life. At a recent support group one of the surgeons on hand explained that our new stomachs doesn't stretch or gey bigger. But what does start to happen around the 2 year mark is that the opening of the base of the pouch gets a bit bigger which in turn let food pass faster from our pouch to our intestines. Also our intestine learn to absorb more around this stage so the malabsorbtion stops or slows down. So if still don't watch what we eat and go back to high fat high carbs that's what our body will be absorbing hence some plp regaining a few pounds. This is the way he put it. A bag a small chips a day equals to a pound a week and if you eat a bag a day for a year you can gain up to 50lbs. So it isn't so much of stretching the pouch or not feeling full there's a lot more to it