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Practicing for the sleeve?



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Hello everyone! I have surgery scheduled for 7/17/18. When I went to my nutritionist visit she suggested that I start practicing my eating by taking small bites (she said small like the tip of my pinky) and chewing the heck out of it. I still have my preop diet class that I will be attending in a couple weeks where they are going to be giving more detailed information about pre op and post op eating and of course my pre op appt (which is only 1 week before surgery). But I am wondering what those of you who have already had the surgery would suggest to prepare for the drastic change to our eating habits. I still don't know what kind of preop diet I will be required to do, if any (other than the day before surgery). Also, I started taking a daily PPI (Protonix) at my surgeon's request and they want me to continue this after surgery as I do get acid reflux a few times a week. Am I going to be able to take that in pill form in the first few weeks after surgery? Does it even come in a liquid form? The pill is pretty small and thin but I have seen a lot of folks talking about taking liquid forms of medications for the first month or so after surgery. Thank you all in advance for your advice and input, I appreciate it!

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You definitely have to learn to eat slower, which is something I'm still working on. I had no issues taking pills just days after my surgery.

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Try to wean yourself off of caffeine and sweets! Start drinking lots of Water now.

Sleeves on April 25, 2018
HW: 256
SW: 238
CW: 222
GW: 165

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Practice not drinking while you eat. It is a total reflex for most of us and a hard habit to break. I have to move my glass to another area or put a paper towel over it so that I remember. Good luck!

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I wish that I had started to learn how to eat slower. After surgery I still ate fast (though much less) and that caused me pain and discomfort. I have since started to eat slower but, if I learned how to do it earlier it would have saved me some pain.

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Yeah I know I am really going to have to work on eating slower and taking smaller bites,etc. I eat very quickly right now. I have always eaten very fast and it can be really embarrassing. My husband used to be a smoker and everytime he would cook dinner he would go out and smoke afterwards and then come back in to find me finished with my plate. So that is something I will work on. Refraining from drinking while eating will be hard too. I've always drank a lot throughout my meal (probably to compensate for my massive bites!). I have a good 6 weeks to practice all of this so I will start to implement it. Thanks everyone.

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12 minutes ago, Chunkysoup said:

Yeah I know I am really going to have to work on eating slower and taking smaller bites,etc. I eat very quickly right now. I have always eaten very fast and it can be really embarrassing. My husband used to be a smoker and everytime he would cook dinner he would go out and smoke afterwards and then come back in to find me finished with my plate. So that is something I will work on. Refraining from drinking while eating will be hard too. I've always drank a lot throughout my meal (probably to compensate for my massive bites!). I have a good 6 weeks to practice all of this so I will start to implement it. Thanks everyone.

Good luck!

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Put your spoon or fork down in between bites. I have found no matter how small my food is, if i eat or drink too fast it hurts. Think of your sleeve like a pipe. If you try to put too much in at one time, it overflows. Your sleeve will do the same. You will be able to take pills again. Most people are only on liquid pain meds the first few days.

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I need to start practicing as well. Some tips I've learned while researching what I need to do:

  • For not drinking with meals: Don't even make yourself something to drink until after you've finished eating. I've even thought about not making a drink until I'm done cleaning the kitchen after a meal. That gives me more time to keep busy and it won't seem like such a long time to wait for a drink.
  • For eating smaller bites: Purchase toddler utensils or Bariatric utensils (adult sized handles with smaller ends - available on Amazon). Also purchase small plates and bowls or Portion Control ones. I really like the ones with circles on them so you can measure your food on your plate in secret so you don't have to announce to the world you're monitoring your portions.
  • For chewing slowly: Cut your food into small bites (but not all at once!), put one bit in your mouth, set your utensil down, sit on your hands. Chew, chew, chew, chew, chew, chew, and chew some more. Then just sit a minute a take a deep breath, then get another bite. DON'T EAT DISTRACTED - This will be my biggest challenge, I'm the multi-tasking queen.
  • To break the gulping Water habit: Don't use a straw (my addiction!), barely open your lips and let the water drip in. Do this throughout the day, don't wait until you're thirsty to drink.

I made myself a pact that I would start practicing on July 1, but now that I've typed this all out I might as well start tonight!

Edited by Ylime

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16 hours ago, Ylime said:

I need to start practicing as well. Some tips I've learned while researching what I need to do:

  • For not drinking with meals: Don't even make yourself something to drink until after you've finished eating. I've even thought about not making a drink until I'm done cleaning the kitchen after a meal. That gives me more time to keep busy and it won't seem like such a long time to wait for a drink.
  • For eating smaller bites: Purchase toddler utensils or Bariatric utensils (adult sized handles with smaller ends - available on Amazon). Also purchase small plates and bowls or Portion Control ones. I really like the ones with circles on them so you can measure your food on your plate in secret so you don't have to announce to the world you're monitoring your portions.
  • For chewing slowly: Cut your food into small bites (but not all at once!), put one bit in your mouth, set your utensil down, sit on your hands. Chew, chew, chew, chew, chew, chew, and chew some more. Then just sit a minute a take a deep breath, then get another bite. DON'T EAT DISTRACTED - This will be my biggest challenge, I'm the multi-tasking queen.
  • To break the gulping Water habit: Don't use a straw (my addiction!), barely open your lips and let the Water drip in. Do this throughout the day, don't wait until you're thirsty to drink.

I made myself a pact that I would start practicing on July 1, but now that I've typed this all out I might as well start tonight!

Great advice. I also saw last night where someone recommended using toddler utensils. I've already got plenty of that so I'm covered there! Right now I am focusing on drinking at least 64 oz of water per day. My surgeons office wants me drinking 96 oz a day...So I am trying to get in a minimum of 64. I'll start practicing the the other things probably by mid June.

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You have to wait a long time at least half an hour after eating to drink. I would practice drinking waiting 20 mins and then eating. I still forget to drink first sometimes and then I eat and then I am thirsty for ages waiting to drink.


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In the beginning to help make sure your sips are small, I would just get a large cup of ice. I could only take a sip as it melted. This really helped.

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3 hours ago, domi said:

In the beginning to help make sure your sips are small, I would just get a large cup of ice. I could only take a sip as it melted. This really helped.

Clever!

Another thing to add to the "practice" or maybe "prepare" scenario: If you are not planning to tell others about your surgery, this is a good time to lay ground work. Start walking/exercising, start managing your portions, start eating healthier. That way, when the weight really does start to drop quickly, they'll be expecting it and won't be so nosy.

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Before surgery, I worked on not drinking while I eat (stop 30 minutes before/wait at least 30 minutes after) as well as eating 5-6 smaller means per day instead of ~2 big meals a day that I used to. Both made a big difference!

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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
      1. This update has no replies.
    • 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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