Jump to content
Are you looking for the BariatricPal Store? Go now!

Restriction Feeling 2+ years out?

Recommended Posts

I am 6 weeks post op but was wondering for those 2+ years with sleeves if the feeling of restriction is the same as at first. Portion Control has always been my main weakness and was the biggest motivation to have the procedure. Is it always going to feel like this though or does it gradually regress after the honeymoon phase?

Share this post

Link to post
Share on other sites
Posted (edited)

Generally capacity increases over time and eating until full years out may put you at risk for overeating/ excess cal intake.

At 18+ months out, my capacity is way different than in the early stages. Also hunger may return. I manage mine by eating healthier low cal sugar free versions of foods whenever possible and salads when I'm ravenous. I only indulge rarely these days instead of everyday.

You may have to be very diligent now while you don't have either an increase in capacity or extreme hunger prompts to really nail down making a habit out of Portion Control, but you can do it! Luckily you have a tool to help you in the initial stages to make the transition easier!

The lifestyle change is real for a lot of people to maintain instead of gain.

Good Luck 💙

Edited by GreenTealael

Share this post

Link to post
Share on other sites

Usually there will fit in more into the sleeve or pouch with time. There seems to be a growing in portion size up until to a certain point as it seems (everyone ist different though) and then there won't be much change.

Dr. Weiner has interesting videos on this.

Share this post

Link to post
Share on other sites

@summerset - that second video is interesting. Have you experimented with eating vegetables first? I'm curious about the effects of that type of diet vs. the Protein first approach so many surgeon's recommend.

Share this post

Link to post
Share on other sites
3 hours ago, Cameo325 said:

the Protein first approach so many surgeon's recommend.

“Protein first“ is the bariatric mantra of the first stages out from surgery. (your calories are so low its all you can fit in). Over time it’s easy to hit your Protein goal and all other foods on your plan.

Share this post

Link to post
Share on other sites

I'm almost 3 years out. I eat about 1500 calories a day because I work out like a maniac (I'm a nationally-competitive fencer in my age group so I work out either doing weight lifting or fencing 2 hours a day 6 days a week.) If I weren't working out like this, I'd probably eat about 1000 calories daily.

Here's what my 1500 calorie days sort of look like

Breakfast - Skyr Icelandic Greek Yogurt with Granola Factory Granola and 1/2 c. fresh strawberries

lunch - 4 ounces of Protein (chicken usually) and about 2 cups of green salad stuff with 1 tablespoon of dressing

Afternoon snack - Protein Shake made with A2 milk, handful of frozen tropical fruit and protien powder

Then I usually have my workout from 6-8 or 7-9.

dinner - 4 ounces protein and a serving of a green vegetable. Sometimes, I'll add a carb - like half a baked potato.

I vary what I eat with the following macros - 115g protein, 115g carbs. I can usually eat no more than 4-5 ounces of protein at any given time and then I'm not hungry for a while.

If i have eggs in the morning, I'll scramble 2 eggs with a bit of taco cheese and have one piece of whole grain toast. My stomach still makes it very clear when I over-eat. Your mileage may vary.

Share this post

Link to post
Share on other sites
15 hours ago, Cameo325 said:

@summersetI'm curious about the effects of that type of diet vs. the Protein first approach so many surgeon's recommend.

One effect I can think of is that constipation is not an issue. ;)

Share this post

Link to post
Share on other sites

I am 3 weeks from being 2 years out and have great restriction. I made chicken teriyaki with broccoli and rice last night for dinner. I ate 2 broccoli florets and 2 oz of chicken with a couple of bites of rice and I was stuffed. Hope that gives you an idea. Just make sure you eat Protein first.

Share this post

Link to post
Share on other sites
Posted (edited)

I'm 2.5 years out and I can tell you that although I had some restriction after surgery (mostly, I think due to the swelling of the wound and the time it takes to heal), by 6 months out I could eat what others could only do at 2+ years out (full chicken breast, some veggies, etc.). I never felt a restriction the same way that others have mentioned - I could move ahead much faster in trying new foods post-op than what was recommended (I didn't, but could have). Now I'm looking at getting a revision to bypass because clearly the restriction of the sleeve did not work for me. I know it's not just the sleeve, part of it was the mental side of things. For me, I've come to realise that there is no going back to normal eating patterns. The new food/portion control is for LIFE. Fail at that, the sleeve can fail (at least, it did in my case).

I remember the day after my surgery crying to one of my doctors that I didn't believe that they did the surgery (despite the scars and tubes and everything else) because I wasn't in any real pain, had no nausea, and was full of energy, the complete opposite to every other patient in the hospital when I was there. She told me I was one of the lucky ones that come out of surgery feeling good and that I should be thankful for it. She then showed me a picture of my stomach that was cut out (to prove it) and said that it was longer than usual. I sometimes wonder if, because of that, I didn't have the same restriction as others.

Anyway, long story short, everyone has a different reaction post-op to surgery. You may be someone who feels restriction years out so it will help you keep portions small. You may be someone who feels less restriction as time goes on, which means you have to have the mental strength and determination to stick to what is right, and not be distracted or influenced by others in what you eat. Either way, the best way to keep your sleeve small and unstretched to be vigilant in Portion Control and drinking protocols. Maybe forever.

Edited by biginjapan

Share this post

Link to post
Share on other sites

This was very helpful thanks everyone.

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • ms.sss

      Worst. Dumping. Ever. Last. Night.
      So I thought I would throw caution to the wind and sample some of the fruit salad that my mom brought over for the fam. I dutifully portioned out 1/8 cup of the stuff.  I figured the sugar in the fruit may be in issue, but come on, 1/8 cup?  Barely a couple bites, should be fine.
      Before I could finish it, my heart started to feel like it was beating out of my chest.
      *** TMI Alert: continue reading at your own risk ***
      Ended up in the washroom barfing. And while I was barfing, I had to .  I was literally alternating ends to face the toilet until it felt like there was nothing left in my insides.  I swear more came out of me that I even put in it over the last 3 days.
      I laid down with my forehead on the cold bathroom floor tile for like 20 minutes afterwards to recuperate.  Then Mr. (my hero ) carried me to the shower and helped me crawl into bed.
      So yeah, I'm feeling pretty shitty this AM.
      · 0 replies
      1. This update has no replies.
    • allwet

      Coffee and Tea drinkers Rejoice
      · 0 replies
      1. This update has no replies.
    • CJ.  »  BrendaIsela

      Did you go through with the DS? How are you making out?
      · 0 replies
      1. This update has no replies.
    • MrsGamgee

      Well, long time no see. 
      It's been a rough couple of weeks. I should have been expecting the other shoe to drop after having it so easy for the first three weeks post op. I was getting my water and protein easily, had no pain, nausea, or vomiting.
      But as soon as the soft foods really started in earnest I started having problems. Pain, foamies, slimeys, vomiting galore. There doesn't seem to be a rhyme or reason to it. Something that I ate easily yesterday causes pain and vomiting after the first bite today. Sometimes it's my pills, other times they go down easy. I just don't get it. 
      I'm trying to stay positive. I know this is a season in my life, and things will eventually even out. I'm just so tired of being afraid to eat, not knowing what kind of response my body will have. I'm mostly hitting my protein target, thanks in large part to protein shakes (which I hate, but look at as medicine). I missed my water targets by a lot over the weekend, due mostly to feeling awful, which I know is a terrible cycle... throw up, don't feel like drinking anything, get dehydrated, get constipated, feel like crap, repeat. 
      The three-week stall is also still here. I thought I had busted through it, but I've been bouncing between 216-219 for the last two and a half weeks, which is a contributing factor to my mood and frustration level. And add in wee-lings who are going crazy with end of the school year insanity, friends with busy schedules who I haven't been able to see in weeks, and I'm an unhappy girl. 
      Things will turn around. I know they will. Just not feeling it at this moment. 
      · 7 replies
      1. ms.sss

        hope things get better with the slowing down and the water-prioritizing. keep us posted :1007_hearts:

        small tip: I used the timer on my watch religiously between bites in the early days (actually I still do, but I'm a lot less rigid about it now), it really helped keep the foamies/slimies/pain/barfing at bay by helping me slow down.

      2. FluffyChix

        Oh wow. Just read of your struggles! So sorry to hear it hon! ((hugs)) It's no fun when the stalls hit, makes bearing other parts of this journey really tough. Added to the fact that most of us experience mood swings/sadness that is usually transitory for most of us. But it still just makes it that much harder.

        I promise the stall will break. If that helps? ((hugs))

        Also, maybe concentrate on upping your water and hitting it consistently? The reason I say that is cuz it will make eating that much easier/pleasant. And the up side to that is with every real meal you have, you're training your tool to accept solid foods again. And being well hydrated makes your pouch less "tricky" and finicky. You know?

        Try varying the temperature of the fluids you drink. I remember cold water was not my friend. I did better on room temp or warm liquids.

        Also, the protein drinks may be contributing a little to your stall. I know I lost better after I really reduced them to very little. I'm very IR, and whey protein isolate is very insulinogenic.

        Hang in there. I promise, in 2-3 weeks, things will feel so much better!!

      3. MrsGamgee

        Thanks @FluffyChix! I know the stall will break, it has to eventually given I'm only consuming 700ish calories a day and I am trying to be active every day. I confess it's hard to be motivated to go for a walk though when I feel like crap.

        Cold water seems to be better for me right now... icy anything makes my tummy happy. It's when my water gets to room temp that it is harder to get down. But I am committed to getting my water in. It's so funny, before surgery I never had a problem with water. Today I decided that I won't count my 'other fluids' as part of my water total... they have to be over and above my target.

        I'm looking forward to lowering my reliance on the shakes. I really don't like them. I got clearance with my RD to cut back on them, provided I can hit at least 80g of protein without them. But I haven't been able to manage that just yet. I'm hoping in the next few weeks, provided I can get real foods to go down and stay down.

        Thanks for the encouragement!

      4. FluffyChix

        80 grams without protein shakes at your stage feels very ambitious IMHO? Are you sure she didn't mean 80g including protein drinks and food sources?

        We all heal so uniquely! :( Don't rush advancing. I know it's hard not to, but your tum will heal easier if you just listen to it and what it will and won't allow for the day.

        Gosh I so get the motivation of the scale!!! ((hugs)) With one reading I can determine my mood for the day. LOL. Then I wait a bit and have a nice poop. ;) haha Mood restored. ;) I'm ever just one solid poop away from a good mood. hehe

      5. MrsGamgee

        She was pretty clear... I asked about cutting back on them last week and I'm guessing she wanted to encourage me to continue with the protein shakes without actually saying so. Making it my decision. I have 2 shakes a day, plus some protein powder in my breakfast, so I'm hoping to maybe drop one shake a day in a couple of weeks. I'm really not into the lack of satisfaction they provide for the calories they take up in my daily totals.

        I *know* that this is just a step on the road. I need to put on my big girl undies and deal with it. And I need to really learn to listen to my body and not push too far too fast.

      6. View All Replies
    • dmadms  »  ARMoma45

      I saw the post where you were denied the first time because you lost to much weight.  How much did you lose?  I lost 1 # my 2nd month and 6# my third month and scared to death I have screwed up.  
      · 1 reply
      1. ARMoma45

        I lost 11% of my body weight and they wanted me to fail to lose 10%. I even called the insurance company and asked them to clarify because the wording was confusing. I didn't know if they wanted me to lose the 10% or fail to lose the 10%. I was told to lose 10% so I did and apparently the person that I spoke to wasn't correct. But also this was in December and my company was scheduled to change to a different division of BCBS after the first of the year. So that probably played more into the denial than anything.

        I continued my monthly visits and they clearly showed that I plateaued about month 5/6 and began to regain. I originally lost from 333 to 298 and regained back up to 330 but have now lost back down to 318.

  • Trending Topics

  • Together, we have lost...