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Portion Size

DownsizingDonna

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DownsizingDonna    39

DownsizingDonna
Posted

I had a lapband to RNY revision on 3/28. I am having a very hard time figuring out what my new portion size should be. My Dr says that a lot of his revision patients seem to have the same issue. The "signals" or soft stops that I had with the lapband are not there anymore. And by the time I get a signal that I had enough with RNY, I am beyond full. How do you know when you are satisfied and had enough?

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KristenLe    5,979

KristenLe
Posted

Ask your NUT how much (ozs) you should be eating and stick with that. Measure everything, eat slow and stop when your portion size is gone (or before). It takes about 20 mins for your stomach to notify your brain you are full.

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Threetimesacharm    1,400

Threetimesacharm
Posted

Agree start by measuring all your food say two tablespoons then see how you feel. It may take time but you will learn what your full signal is.

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James Marusek    5,244

James Marusek
Posted

Weight loss after RNY surgery is achieved by meal volume control. So as others are recommending, stay with the amounts given by the program in order to maximize your weight loss. The weight loss stage relatively short and then you will then transition into the maintenance phase, so it is important to maximize your weight loss during this first stage.

As you go over these amounts, you may experience dumping syndrome. Not a good thing. There are several pre-triggers that tell you when you are close. These can be sneezing, running nose, hiccups, mucous, or food suddenly changing from a good taste to an evil taste. The pre-triggers can vary by individual, but generally once you get to a pre-trigger, ONE BITE MORE, and it full scale dumping. YOU DON'T WANT TO BE THERE!

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DownsizingDonna    39

DownsizingDonna
Posted

Thank you. I will make an appointment with the nutritionist. I haven't experience dumping, luckily. I have really tried to find those signals. I used to get the hiccup. Sometimes pain in my shoulder, but with RNY I haven't had anything. I may just be eating too fast, so I'm not giving my brain time to catch up and say that I've had enough.

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Go To Topic Listing POST-Operation Weight Loss Surgery Q&A

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    • KeeWee

      KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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