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I was recently watching an episode of My 600lbs Life and the doctor made a comment that really surprised me. He told his patient that after five years the effects of gastric bypass are gone. I got the impression that after five years the pouch has stretched to the size of a normal size stomach. Has anyone else have heard this? Is this true for the sleeve?

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@@lunarose

in 5 years the body is adjusted to the malabsorbtion, and it has decreased to almost nothing. The intestinal track adjusts. That is why it is important to develop healthy eating habits because you can't rely on malabsoprtion forever. This is why long term, the sleeve and the bypass have the same results.

It isn't about the stomach stretching, it is about people falling back into old habits. The pouch can stretch more than the sleeve, but that isn't the issue. Success of failure is about people making real, lasting lifestyle changes.

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Yup, the effectiveness of both surgeries wane over time. My husband is 10 years out RNY and can now eat normal portions. He no longer counts on the restriction or malabsorbtion to maintain his weight, it's pretty much all on him now. It is with sleeve patients years out, also.

I look at the first couple of years after surgery as our training wheels. Soon after, the training wheels come off and we either fall or keep riding ;)

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I had wrote this exact post earlier with a different title, sorry all if that considered a double post... I was binge watching the show this morning.

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Thanks all. I am just shy of six years out and I still feel the restriction, last month I actually got sick when I ate too much too fast. I was just surprised to hear it but it makes sense.

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I'm 4 years out. I started feeling hungry 6 months after surgery. Constant struggle. Cant eat big portions but hungry every two hours. Its terrible.

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@@beachbum64

Your hunger levels decrease and still stay decreased for a long time. This gives you a chance to develop healthy habits. It isn't a forever thing, just like the initial restriction isn't forever.

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Wow! Thanks for the information. I can see how many gain weight back. Thank you for taking the time to respond. It's very much appreciated. I do not have a surgery date yet.

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I was recently watching an episode of My 600lbs Life and the doctor made a comment that really surprised me. He told his patient that after five years the effects of gastric bypass are gone. I got the impression that after five years the pouch has stretched to the size of a normal size stomach. Has anyone else have heard this? Is this true for the sleeve?

I remember this episode and it had me thinking "Should I really do this?"

Sent from my SM-G928T using the BariatricPal App

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Oh my?! The whole reason I am getting the sleeve is to stop the hunger level?

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I suppose there is a small hunger reduction, but after 9 months, it's mainly the restriction.

I avoid hunger the same way I did pre-surgery, avoid sugar and white carbs as long as possible each day. Protein and fat keep my appetite at bay.

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The effect wears off five to six years later? I'm scheduled for VSG consult next week. I will ask about this. I have successfully lost weight and maintained it for over a year a couple of times. I know there is no such thing as "retraining my eating habits" long-term without the added aid of surgery. I am deeply concerned of the surgery wearing off. Please share more experiences. :(

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Edited by sunny145

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@@sunny145

Surgery doesn't wear off. People that have RNY/Bypass, their malabsorption does not last forever. If they don't learn to eat properly, when their body finally adjusts to it, they will stop losing and start regaining if they don't have a healthy lifestyle.

A properly formed sleeve does not stretch, you keep your restriction. What wears off mostly is people motivation and desire to lose weight and keep it off. People lose weight and small things creep into their diet and then become big things. Overall, it is natural to gain weight as you age. If you make real lifestyle changes, it is easier to keep weight off, too many people treat surgery just like a diet.

And at 11.5 months, I basically have no physical hunger unless I forget to eat for 12 hours or more. My head hunger is more like a soft faint whisper in the wind, instead of a loud shouting Drill Sergeant.

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My father had bypass about ten years ago, he has regained a little weight so he is not super skinny anymore but it is nothing like he was before, he weighed over 450 pounds then. He goes back and forth he gains some and then loses some but is still healthy. He still feels the effect of surgery, he still gets the dumping syndrome. I myself am going to have the sleeve I think but I just thought I would share my fathers story with you

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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.
      · 0 replies
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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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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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