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size of sleeve / portion stomach removed matter?

Hi all.

I am considering having a VSG. I thought I would seek advice regarding this. I have a very large appetite, largely emotional eating, I am sure, but I am able to consume large portions of food, and tend to get hungry fairly easily. Result has been many years of yo-yo dieting. my BMI is now in the mid 30's.

does anyone know if the post-op portion of food is affected much by sleeve size? Ie, I believe it is common to take 75-85% of the stomach.... has anyone ever had say a 45-55% reduction to remove ghrelin cells, but a larger stomach size remains? I would still like to be at least able to enjoy family meals once in a while. thank you all kindly for any advice.

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  • OutsideMatchInside
    OutsideMatchInside

    They remove the Gherlin by removing most of the stomach, that is what the surgery is. And the Gherlin part only lasts for so long, your levels go back up eventually, not to what they were pre-op but t

  • QueenOfTheTamazons
    QueenOfTheTamazons

    I agree that taking only part of the stomach would be pointless. You are basically asking for the surgeon to leave you the ability to continue to same negative behaviors that made you fat in the first

  • Knowing what I do now I will say that going through WLS is more mental than anything else. Yes, I struggled with the same issues: what if I want to go to Buffalo Wild Wings and pig out every once now

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Outside match inside and Newadventure2016:

thanks so much for your comments! I love the term you use about sliders. I tend to be a visual person and I can understand slider: it slides down. And often too easily. So that tells me those are foods where I need to be exceptionally cautious.

im hoping to have my surgery date in August; that's what my surgeon initially said. I'm undergoing the necessary tests and ordering a few protein items to try. Did you find that things you liked presurgery taste different postsurgery. Trying to understand that part.

Im reading and learning a little t so I hope there will be less to concern me.

The post about the sliders from OutsideMatchInside is one of the best I have seen on this forum.

"When you see people at 2 to 5 years post op and they have regained, do you think theyou regained on Protein shakes and dense protein? No, they regained on sliders."

That says it all. Nothing about this is easy......but I bought my first pair os Size 10 pants today and they feel good!!!!! Really good!!!

I was astonished that I didn't like coffee after the surgery. Quit it about 2 weeks before so I shouldn't have to deal with headaches from no caffeine. After, even decaffeinated tasted awful. Drink a lot of herbal teas now.

From the day I could start buying Protein shakes, the Premier Protein chocolate have been my favorite and are now just a part of my grocery list. I get them at Walmart (4 for $6.67) and usually drink 1-2 a day. 30 grams of protein each. I loved bananas before surgery and now after, they make me nauseated (even at 7 months out!). Mostly the rest of foods I like (or dislike) about the same.

A lot of comments by people who didn't read the OP's question yet are so quick to slam the answers with their own, which are completely non-relevant to OP's original post.


Regarding grehlin, it is one of four hormones responsible for hunger. Many people find themselves hungry a few months after surgery, but they are easily sated by the small stomach.

It's a package deal. Reducing some grehlin while leaving the stomach mostly intact will not stop hunger or keep you from overeating.


No, that's just not an option at first or surgery is pointless. When you have sleeve surgery you want it to be tight and to keep you from being able to eat. This is what stops you from eating. Over time, a couple years, your portion size will increase but it will never be quite the same.

If you are an emotional eater and a yo yo dieter who is co-dependent on food, I would suggest considering another option other than surgery. Your weight is not that high- mid thirties isn't crazy high at all. You still want to be able to enjoy food with your family.

Perhaps check into intuitive eating? It is a method of eating that helps you stop dieting, stop binging, stop emotional eating, gradually lose weight, and yet still be able to enjoy food you love and celebrations around food.

VSG is not for everyone. It is a life long drastic alteration to your body and unless you are vastly overweight to the point of danger or you are just so emotionally spent you need to take drastic measures, there are other alternatives to making peace with food and also weight loss.

Intuitive eating- you can buy the book on amazon or google it.


Outside match inside and Newadventure2016:
thanks so much for your comments! I love the term you use about sliders. I tend to be a visual person and I can understand slider: it slides down. And often too easily. So that tells me those are foods where I need to be exceptionally cautious.
im hoping to have my surgery date in August; that's what my surgeon initially said. I'm undergoing the necessary tests and ordering a few protein items to try. Did you find that things you liked presurgery taste different postsurgery. Trying to understand that part.
Im reading and learning a little t so I hope there will be less to concern me.


There were quite a few things that I liked prior and changed afterwards. Several sugar free items became waaaay to sweet. It's not tied to a specific sugar alternative though. I love a few Splenda items and can't stand other. Loved pickles and now they make me horribly nautious for hours. Many companies like GNC and Sam's Club allow you to return protein if you don't like the flavor. Take advantage of that so you don't get stuck with $100s in unused protein. Try different add ins to vary the flavor of your base protein (like pb2 in chocolate) so you can vary the flavors.



From the day I could start buying Protein shakes, the Premier Protein chocolate have been my favorite and are now just a part of my grocery list. I get them at Walmart (4 for $6.67) and usually drink 1-2 a day. 30 grams of protein each. I loved bananas before surgery and now after, they make me nauseated (even at 7 months out!). Mostly the rest of foods I like (or dislike) about the same.

Do you have access to a Sam's Club? I pay $16.50 for a 12pk of Premier RTD.



  • 2 weeks later...

Didn't want to start a new thread but was curious about the restriction when you discovered you could eat more, or feel hunger and what you did about it.

Going on 10 mos post op and I noticed recently... although I still feel my restriction-- I can eat more than I could but its time related. In one sitting I can still only eat the same amount but in an hour I could eat again and again vs before when I ate I had to remind myself to eat again. I went to Fridays yesterday and ordered the traditional wings no sauce. I can still only eat 2-3 before pushing my plate away. However since my hubby met me for lunch, he took the leftovers home for me and I went back to work. In 1 hour I could've eaten more... this is something that I noticed I've been doing and that will have to stop. I haven't gained but I could see it being an issue so I'm glad hubby took them home. Soon as I got home from work I ate a few more which was fine because it had been about 4 hours-- that was my dinner and I was done eating for the day.

The other day I took a leftover box and put it in the car so when I got hungry I could eat a few bites throughout the day. there was steak, lobster tail, a baked potato and broccoli. So of course I ate the lobster tail first. that was breakfast. it was actually half of a fairly medium sized lobster tail. A few hours later.. I ate a few bites of steak and a bite of my baked potato. that was lunch. About 2 hours later, a few more bites of steak and 1 bite of baked potato (about the equivalent size of those small redskin potatoes.) The fact is I'm not sure that might be such a good idea. something like that would have gone to waste now I'm finishing it off in 2-3 sittings. So I guess I just need to pay closer attention to my intake. My eating intervals and making sure I'm getting my fluids in.

2 hours ago, Candygyrl said:

Didn't want to start a new thread but was curious about the restriction when you discovered you could eat more, or feel hunger and what you did about it.

Going on 10 mos post op and I noticed recently... although I still feel my restriction-- I can eat more than I could but its time related. In one sitting I can still only eat the same amount but in an hour I could eat again and again vs before when I ate I had to remind myself to eat again. I went to Fridays yesterday and ordered the traditional wings no sauce. I can still only eat 2-3 before pushing my plate away. However since my hubby met me for lunch, he took the leftovers home for me and I went back to work. In 1 hour I could've eaten more... this is something that I noticed I've been doing and that will have to stop. I haven't gained but I could see it being an issue so I'm glad hubby took them home. Soon as I got home from work I ate a few more which was fine because it had been about 4 hours-- that was my dinner and I was done eating for the day.

The other day I took a leftover box and put it in the car so when I got hungry I could eat a few bites throughout the day. there was steak, lobster tail, a baked potato and broccoli. So of course I ate the lobster tail first. that was Breakfast. it was actually half of a fairly medium sized lobster tail. A few hours later.. I ate a few bites of steak and a bite of my baked potato. that was lunch. About 2 hours later, a few more bites of steak and 1 bite of baked potato (about the equivalent size of those small redskin potatoes.) The fact is I'm not sure that might be such a good idea. something like that would have gone to waste now I'm finishing it off in 2-3 sittings. So I guess I just need to pay closer attention to my intake. My eating intervals and making sure I'm getting my fluids in.

That all sounds fine to me! What once was one meal, is now at least 3. I see no problem at all. For some, a potato is off-plan, but that just depends on what your plan is.

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