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Can you stretch out/damage your sleeve?



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I just wondered. I said something to my surgeon about worrying that my stomach would stretch over time and he said it doesn't stretch that something happens to the nerves and you no longer feel restriction. The day I met with him I was anxious and I can't remember exactly what he said.

Let's say one day down the road after I'm sleeved I eat too much - will my sleeve stretch and the staple line become thinner or compromised? Does anyone know? I get worried I won't know when I'm full (like longer term) and I'll overeat and hurt it.

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If it is done properly in the first place no. A sleeve that isn't formed right and too much of the stretchy part is left can stretch more than others but it will never get close to normal size. The staple line they make is 3 rows of titanium staples. Some people do have leaks and develop complications but that is rare.

You can however eat around your sleeve. There are food that break down very easily and are high calorie, called slider foods. You can eat a lot of these items. You will find on forums a lot of people eat these kinds of foods and complain about not having restriction but some things will never trigger your restriction, thus they are called slider foods.

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Here. Watch this:

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what *can* happen is you can learn to eat around it, if food issues remain unresolved.

but the good news is that if you fall off the wagon, you can always come back to following the rules and back on track.

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Great video very informative!

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Thank you for that video @@Babbs

I do wonder if my surgeons office is setting me up for failure. They want you to eat 500 calories and 15g or less of carbs until you meet your weight loss goal.

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That doesn't seem like a good nutritional goal. You can't even get enough Protein from 500 calories

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Thank you for that video @@Babbs

I do wonder if my surgeons office is setting me up for failure. They want you to eat 500 calories and 15g or less of carbs until you meet your weight loss goal.

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All offices are different. But that would feel impossible for me honestly. I'm supposed to stay under 1200 calories, eat Proteins first in my meals, and try to get ~100g of Protein per day plus Water. I have a hard time with the calories as it is - many days I'm pushing 1600. I'm only about 3 months out right now. I definitely can only eat so much. But by eating little bits all day long, it's easy to over eat even by prior standards.

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I also was shocked. I will prob do what feels best for me. I will focus on getting my required 60g of Protein and 64 oz of Water and keep my carbs under 50g a day. I'm not too awfully concerned about the calories at this point. I will track my food in myfitnesspal so I'm aware. But 500 calories is nothing.

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The short answer is no. Your sleeve should never become any bigger than two thirds the size of a normal stomach. That is not based on your individual habits.

Dr. Weiner has some great videos for bariatric patients. He discusses many of the myths perpetuated by other surgeons. Not only is he a bariatric surgeon, but he is the first sane voice I have heard post surgery about long-term weight loss and Maintenence.

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    • 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.
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    • 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. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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