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Natural Fullness vs. Learned Fullness



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Did you have to clean your plate when you were a kid? Most of our patients enter the program with a history of having to clean their plate during childhood. This habit often follows you into your adult life. This is your learned fullness.



Think about how full you feel after a meal. If you often feel too full or stuffed, then you’ve learned to overeat. After surgery, you don’t have room to overeat even a teaspoon too much. Finding your natural fullness requires that you take the time to slow down your eating and chew well.

Natural fullness is when you feel comfortably full and satisfied with the amount that you ate. You realize that a couple more bites would leave you feeling a little overfull. It takes about 20 minutes of eating before your brain recognizes that your stomach is full. By slowing down and chewing to applesauce, you will be able to feel fullness on less food.< /p>

Weight loss and better digestive health are benefits of practicing the skills that help you recognize your natural fullness. This skill is covered with our patients during their first appointment with the dietitian. Learning to slow down and chew well will cost you some time and frustration, but the payoff will help you stay safe with your eating after surgery.

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I was often told to finish my plate, at home and especially at school. I can vividly remember school puddings, the custard would have skin on it and if you were the unlucky one you'd get it. I was told to sit there once, missing out on playtime until I had finished all the custard. I gagged and gagged until I was sick but still had to finish it. I will never ever forget that bully of a woman, the school cook. I detested her.

I know my portions have always been on the large side and would think it was okay, if it was a healthy meal. However I was still living as that kid at the school dinner table. Quite often my hubby would finish his meal as he was full but I couldn't stand seeing left over food, so I would finish his too.

I know I have far to go and only on the first step of my journey. I need to 'unlearn' the learnt. I will do it though!!

Kate

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Thanks for that share. I was a normal weight child before I started school. My first grade teacher would not let me leave the lunchroom until I finished my food. She would leave me alone sometimes until the bell rang to go home. I didn't know how to tell my mother and started gaining weight to not get left in the lunchroom. I gained 30 pounds that year and that is a lot for a little kid.

I remained the biggest kid in the class until after the sixth grade. I got my beloved horse and she helped me slim down. It was after my dad died in 1992 that my weight problems started again. I was the apple of his eye and it devastated me.

In August 2011 I had gastric sleeve surgery. I started at 269 and had lost to 185 in August 2012. I was out of work from January 2012 to August. I think going back to work that August contributed to my current weight of 220. I have been out of work again since the end of December and can't get this weight off no matter what I do. I am starting back to work this Monday July 13 and I am terrified this is going to cause more weight gain. I have done nothing but Protein and a couple of cantaloupe slices this week and lost 3 pounds. My injuries from a car accident and chronic anemia (it is genetic, not Iron low) prevents me exercising enough to help add muscle and burn some fat. Sorry I got off topic but I needed to rant.

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Thank you, FloraBama for sharing your experience. Keep on trying and working on your health. We are all works in progress and if you can resume a relationship with your bariatric program to see what other things you can work on to achieve a healthier weight would be wonderful. -Rene

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You Know, no matter how many times I think I have learned this truth. I find I need to hear it again.

Thanks for the post. I think we need to learn and relearn and relearn again!

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • 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!

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