Here is info will come in handy when thinking about fills/adjustments. Great information. I have seen this information before and it is really good.

How to Tell When You Are Perfectly Adjusted

You are losing 1-2 pounds per week.

If you are not losing 1-2 pounds per week:

A. You may need an eating adjustment

1. Are you eating 60 grams of Protein a day

2. Are you eating 25 grams of Fiber

3. Are you avoiding all liquid calories

a. Soup can be sign of “soft calorie syndrome”

b. Alcohol contains a lot of calories – 7 calories per gram

(1) It’s also a stomach irritant

c. fruit juice is just sugar Water

4. Are you making healthy food choices from a wide variety of

foods?

a. Are you avoiding soft foods

b. You can’t just eat what’s easy

c. cheese is glorified fat

5. Are you drinking 6-8 glasses of water a day between meals

6. Are you eating too much junk

a. chips, chocolate, nuts, ice cream, Cookies and other highly

processed junk foods are too calorically dense to be regular parts of a

healthy diet. But don’t avoid them completely to the point where you

feel deprived.

b. Stay out of fast food places

7. Are you getting in two servings of Calcium daily

8. Do you always eat the protein first

9. Then the vegetables or fruits

a. Five servings a day

b. Potatoes are NOT a vegetable

10. Is your portion size appropriate?

a. meat or fish

(1) 3 ounces – the size of a deck of cards

b. Vegetables

(1) ½ cup – the size of your fist

c. Starch

(1) If you eat the protein and the vegetables first you don’t need

much

(2) Avoid: rice, potatoes, Pasta

11. You might try avoiding artificial sweeteners

a. Some people think that artificial sweeteners stimulate the

appetite

b. They are HUNDREDS of times sweeter than sugar

c. They teach you to like things too sweet

d. There is no evidence that people who use them are any thinner

than people who don’t

12. Avoid most diet foods

a. Real food usually tastes better

b. Real food is more satisfying than low calorie substitutes

c. When you are only eating a tiny bit the caloric savings is not

that great

(1) Use a teaspoon of real butter instead of a tablespoon of diet

margarine

(2) The body has no way to break down artificial fats

a. They may go into permanent storage

b. Some people think liposuction is the only way to remove

hydrolyzed fats from the body

B. You may need a behavior adjustment

1. Are you eating only when you are hungry?

a. If you’re not sure drink 8 ounces of water and wait.

2. Are you eating three meals a day?

a. With maybe 1 or 2 small Snacks

3. Are you sitting down to eat?

4. Are you eating consciously?

a. No distractions, turn off the TV, put the book or newspaper

away, pay attention to your food and your companions

5. Are you eating slowly?

a. Put the fork down between bites

b. Take 20 to 30 minutes to finish a meal

c. Taking longer might cause the pouch to begin emptying

6. Are you taking small bites?

a. Tiny spoon, chopsticks, cocktail fork

7. Are you chewing well?

8. Are you drinking with your meals or too soon after your meals?

a. Practice water loading between meals

b. You won’t be thirsty if you are well hydrated before the meal

9. Are you stopping at the first sign of fullness?

a. Sometimes it’s a whisper: not hungry, had enough

b. Hard stop versus soft stop

10. Do not eat between meals. Stop grazing.

11. Do not eat when you are not hungry

C. You may need an activity adjustment

1. Are you getting in 30 minutes of physical activity at least 3

times a week?

a. Over and above what you would do in the usual course of your day

b. Could you make it 4 or 5 times a week?

c. Could you make it 45 or 60 minutes?

2. Are you taking advantage of opportunities to increase your

physical activity?

a. Taking the stairs instead of the elevators or escalators

b. Walking on the escalators instead of riding

c. Parking your car further away from the entrance

d. Getting out of the car instead of using the drive through

e. Getting off the bus one stop before your destination

f. Washing you car by hand instead of the car wash

g. Playing with your kids

D. You may need an attitude adjustment

1. Are you committed to your weight loss journey?

2. Are you totally honest with yourself about how much you are

eating and exercising?

a. Log your food and activity on ww.fitday.com for 3 days

3. Are you using food inappropriately to deal with emotional

issues?

a. Have you identified what the emotions are that drive your

eating?

b. Can you think of more appropriate ways to deal with those

emotions?

c. Are you willing to seek help from a qualified counselor?

4. Are you attending and participating in support group meetings?

5. Have you drummed up some support from your family and friends?

6. Have you dealt with saboteurs realistically?

7. Do you have realistic expectations about the weight loss

journey?

8. Are you still obsessing about food, weight, dieting, eating?

a. Obsessive – compulsive thoughts

(1) Obsess about something else

b. Perfectionism

(1) All or none, black and white thinking

c. Patience with the pace of healthy weight loss

9. Are you acknowledging your successes with non-food rewards?

10. Have you learned how to take a compliment?

11. Are you giving up diet mentality?

a. Stop weighing yourself several times a day or every day

b. Stop dieting

c. Stop depriving yourself

d. Stop defining food as “good” and “bad”

e. Stop rewarding and punishing yourself with food

12. How do you feel about all the changes taking place?

E. You may need a band adjustment

1. You feel like you are making healthy food choices in appropriate

portion sizes but getting hungry between meals?

2. You can still eat white bread, fibrous vegetables and large

portions.

3. You are having to struggle to lose

4. You are gaining weight in spite of eating right, exercising and

having a good mind set.

F. You may need your band loosened

1. There are times when you can’t get fluids down

2. You are vomiting too much

a. How much is too much?

3. Do you have frequent reflux or heartburn at night?

a. Do not lie flat or bend over soon after eating

b. Do not eat late at night or just before bedtime

c. Rinse your pouch with a glass or water an hour before bedtime

d. Certain foods or drinks are more likely to cause reflux:

(1) Rich, spicy, fatty and fried foods

(2) Chocolate

(3) Caffeine

(4) Alcohol

(5) Some fruits and vegetables

a. Oranges, lemons, tomatoes, peppers

(6) Peppermint

a. Baking soda toothpaste

(7) Carbonated drinks

e. Eat slowly and do not eat big meals

f. If you smoke, quit smoking

g. Reduce stress

h. Exercise promotes digestion

i. Raise the head of your bed

j. Wear loose fitting clothing around your waist

k. Stress increases reflux

l. Take estrogen containing medications in the morning

m. Avoid aspirin, Aleve and ibuprofen at bedtime

(1) Tylenol is OK

n. Take an antacid (Pepcid complete) before retiring

o. Try other over-the-counter heartburn medications

p. See your health care provider

4. See your health care provider immediately (or call 911) if

a. You have a squeezing, tightness or heaviness in your chest,

especially if the discomfort spreads to your shoulder, arm or jaw or is

accompanied by shortness of breath, sweating, irregular or fast

heartbeat or nausea. These could be symptoms of a heart attack.

b. If your symptoms are triggered by exercise.

c. If your pain localizes to your right side, especially if you

also have nausea or fever

d. If you throw up vomit that looks like black sand or coffee

grounds. Or if your stool is black, deep red or looks like it has tar

in it. These are symptoms of bleeding and need immediate attention.

(Note: Pepto-Bismol or other medications with bismuth will turn your

stool black. Iron supplements can also make the stool tarry.)

e. If your pain is severe

Go, go, go, go, go! Get to your doctor and get some restriction taken away. It could ease up on its' own, but if it is that tight, it may not. And in the meantime, you can be doing some damage by throwing up a lot.

I have been very inpressed with a company called fill centers USA. They

are very helpful in finding me a provider where ever I am at. They have

wonderful people to work with you. check out there web site

www.fillcentersusa.com or give them a call at 866-345-5872. I would

recommend them to anyone. They even sent me a book that is very helpful

with alot of differnt question I was having.:clap2:

Is this person just an ad for them? I've seen this entry more than once and am getting suspicious, particularly after the negative feedback on the centers posted by another user.

Hi, just wondering does anyone have their port placed under the muscle? I had a tummy tuck 18 months after lapband and my surgeon placed my port under the muscle. Which is fabulous as you can't see or feel it, however I need an unfill and havn't had anything done for quite some time and my memory of the fill with the port under the muscle was very painful as the port was so hard to find... Has anyone else experienced this?? Thanks for your help.

Hello everyone, i need some good info from you guys. ..I was banded april 2008 my last fill was a lil over 6 months ago i now have no trouble eating almost whatever i want do i need another fill? And how do you know if your band is damaged in any way. Thanks

I believe it depends on if you are losing or not ? When you lose the weight from your lapband you do need regular fills - if you are not losing. If you can eat comfortably and are losing weight you are doing fine but if your weight loss has stalled and you feel like you can eat anything then you are ready for a fill - you should definately feel some restriction - only able to eat small amounts - If you are continuously losing dont worry - but if the scale wont budge go visit your doctor. I myself have had several fills including 1 unfill when i was too tight. My band got filled pretty much once a month for 5 months every other month. I am now consistantly losing 1-2 lbs per week have lost 75 lbs and have 50 lbs to go till goal keep going for maintenance it works !

thanks sooo very much for that info......i just made my fill next week...yes kind of scared what the dr gonna tell me i havent lost any weight just pretty much maintaining....well i will get back to ya with some good news, just hope for the best thanks again.

Can I get information on Texas Doctors for fills? I was banded in Tj, Mexico.

I see Dr. Lara in El Paso at the Las Palmas & Del Sol Bariatric Center. His phone number is 877-335-7657. He didnt perform my surgery, but has been my doc for every fill since (2 yrs ago). I really like him. He is kind, but gets straight to the point. His nurse, Deborah and dietician, Blanca are terrific! Very supportive and full of information.

What caused your erosion? What are you doing presently for weight loss, if anything?

just checking to see if new ticker works. it will not turn the white into black why?

Edited May 31, 201016 yr by skinnygirl

just checking to see if new ticker works. it will not turn the white into black why?

<a href="http://www.TickerFactory.com/weight-loss/wNST0m5/">

<img border="0" src="http://tickers.TickerFactory.com/ezt/t/wNST0m5/weight.png"></a>

I was banded about 2 months ago.....it seems like I am still eating a lot of food....i have 5CC in the band now and really am not loosing any weight......any ideas what is going on here??? Info would help...

I was banded about 2 months ago.....it seems like I am still eating a lot of food....i have 5CC in the band now and really am not loosing any weight......any ideas what is going on here??? Info would help...

Sportsguy you might need a fill. How many fills have you had? And do you feel any restriction?

Hello everyone, i need some good info from you guys. ..I was banded april 2008 my last fill was a lil over 6 months ago i now have no trouble eating almost whatever i want do i need another fill? And how do you know if your band is damaged in any way. Thanks

Hey! We were banded the same month and year! :thumbup:

Anyway, keep in mind that as you lose weight on the outside, you also lose fat from around your organs... this would cause your band to be looser and you may need a fill.

I have only 3 fills>>>>>i really feel no restriction at this time

Go to the doctor and get a fill. It takes different people a different amount of fills. You will know when you are at your sweet spot.