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I have no restriction 2 1/2 weeks out, can eat normal portions. WHY?!

I had my sleeve done on 9/17 and I asked for a smaller size sleeve because I am am aware of restretching the sleeve. I was given a 40 bougie with an "oversew" to 36 I am presuming. I wanted and asked for a 32 but he has never done a 32 in his practice, he does 40's. He oversewed it smalller because I asked and asked for a small tight sleeve.

Well, I woke up from surgery hungry. I got liquids down from the very start with seemingly no interruption or restricton. So the office told me to wait until I have solid foods- that that would make a difference. So I moved through yogurts and soups- still no restriction.

Yesterday and today, I had minced canned chicken and minced canned tuna. Both were 5 ounce cans. Both days I ate all of it with no need to pause and no feeling that I was pushing it. And I still feel like I could eat more but I'm not.

I feel like I am starving myself to lose weight. Obviously- I should not have this kind of ability at 2 weeks out to get anything like this amount in.

From what I read, 1-2 ounce limitation is normal for this stage. Not 5 ounces.

Please advise I am scared SHITLESS that I Will have to go back for a revision surgery when I didn't do anything!

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@@Babbs I will lose with restriction, if I have it you mean! I have a photo of my stomach and it is indeed as I describe it. There is a large pouch at the bottom of the banana. Actually there is really not a banana as the illustrations appear. Not on mine at least. And I don't overeat. I eat until I am satisfied. I am not and I wasn't a volume eater. I was an occasional overeater- bad choices- but not a volume eater. I am going to ask about a stronger acid reducer though I cant say I feel any acid. I feel hunger like I felt hunger before the surgery. I'll find out more at my next appointment.

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@@JamieLogical that's good to know! I can easily get in 80-90 grams if I eat and drink a Protein shake. Its not hard at all. I had a Protein Shake and a 1/2 yogurt and that was 40 grams right there. I guess this is where the larger stomach benefits you. I like your story,

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@@kranky813 yeah, no, that's not a feeling I recognize. I can eat 4 oz without any of that feeling. I did have that feeling the first week, so I know that feeling, it just went away after about a week and a half. Now when I eat, I don't feel discomfort or pushing it- now of course I'm not trying to push it- Im saying that when say I ate the can of tuna, there was no feeling of hitting a wall like i felt the first week.

Thanks, JamieLogical. That makes me feel a lot better.

I am already taking 40mg of the Omeprazole but I take it all at once around 11:30am to get me through the afternoon hungries. Maybe I should take it one in the AM and one around 5pm? I was hungry just now and had a high-Protein greek yogurt and feel better. Should be able to have a really light supper now and go to bed early. :-)

I took my omeprazole all at once since I only had issues in the evening. I would take it around 2 -3 ish and like you had a small snack then a sensible dinner.

@@JamieLogical that's good to know! I can easily get in 80-90 grams if I eat and drink a protein shake. Its not hard at all. I had a protein shake and a 1/2 yogurt and that was 40 grams right there. I guess this is where the larger stomach benefits you. I like your story,

Early on I started beginning my day with a high protein shake. Scoop of Protein powder + ¼ - ½ cup of FAGE0% greek yogurt. I also occasionally added nut butter, a tiny bit of rolled oats or pureed spinach. It helped me meet protein goals early on, kept my calories low, and kept me fuller. You may need to eat more filling foods.

Two thoughts coming from a pre-op:

1) Head hunger

2) the sphincter connecting your stomach to the duodenum (or jejunum...not 100% sure where it connects to) has stretched out. That's the "melon" at the bottom.

What the heck do I know, though.

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@@LittleBunnyFooFoo could that sphincter really stretch that large? I would imagine if it did I would be running to the bathroom since that would mean things are pouring into my intestine.

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@@Babbs I'm going on Thursday to the PA and next week to the surgeon follow up- The PA probably won't order the drink test- I am betting he will- but I kind of want to bring in a tub of cottage cheese and say, lets skip the expensive medical test and just watch me actually eat this. :)

Yeah -- skinny banana on top of a melon is not what VSG surgery is supposed to produce.

And FTR, there is no "pouch" in VSG surgery. A "pouch" is something that's designed by RnY (gastric bypass) surgery.

You can google all this. Here's what VSG surgery produces:

sleeve.jpg

I was sleeved 3 weeks ago and can eat pretty much anything. My sleeve was done at a 36 French Bougie. I can also eat larger amounts than the guidelines but I eat 700-800 calories and get all my protein in. I am down over 10lbs.

I was eating 800 calories 3 weeks post-op, too.

I hit 60 grams of Protein 5 days post-op.

13.5 months later I can eat only 1 cup MAX at a single sitting.

I'm 2 weeks out rny and can eat 4oz easily.

Re the "melon", my surgeon mentioned a couple of times that some surgeons don't carefully check the stomach is flat before they do the staple/cut thing. If they are not careful, then a little extra stomach can be hidden on the back side, and they end up creating more of a ball shaped pouch than the one they're supposed to make. He explained that he's very careful to lift the stomach up and check the back to make sure it's flat to prevent that.

But otherwise, I'll tell you that even on mushy chicken/tuna, I didn't feel very full, and I thought maybe they hadn't done the surgery -- but as soon as I started eating more solid things, WOW, yes, I felt the restriction. If your duodenum is "loose", you may pass soft foods fairly easily, and not feel much constriction, but with solid foods, you may.

Either way, as others have said, it's a tool. You CAN eat more, and you CAN stretch it out, and you CAN overcome any level of volume restriction. One has to decide to make not doing that a habit.

Your "restriction" at this point (and maybe always) should be MEASURING your food and not eating more than that!!!!!!! Putting down the fork is a restriction too.

I didn't, and still don't, feel full most of the time. My "full" is when I have had my portion. You don't have to feel full to have had enough food.

Eat 2 oz (or how much for whatever stage you are at) and put the rest in the fridge. The food isn't going to run away. It will be there for your next meal.

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