Question:
After surgery, how do I avoid falling into my old habits - snacking, wrong foods, etc

I'm always amazed by the incredible weight losses that I see everyone acheiving. What I can't help wondering is how do you avoid doing all the things that got you to your starting weight in the first place? Diets have never worked for me because I'm a snacker. If my kids want the crusts cut off their grilled cheese then I have to eat them. I'm sure that there are MANY post-op people here who were like this. Why is it that after the surgery, you were all able to DRASTICALLY change your eating habits. I understand about dumping and intolerace to certain foods. The way I am now, I would just find other foods that didn't bother me. I'm scheduled for surgery on 9/26 and know that it's the right choice for me based on everything that I've read. It obviously works, I just want to know HOW! It comes down to - IF I HAVE NO WILLPOWER NOW, WHY WILL I HAVE WILLPOWER AFTER SURGERY??    — Terry M. (posted on September 6, 2000)


September 6, 2000
Terry, I am sorry that I don't have the answer to your fabulous question. I too am a Pre-Op (10/6 Duodenal Switch) and can't believe this question isn't asked constantly. Thanking you for "raising your hand" to ask it! Best of Luck to you! ~Kjay~
   — Kjay H.

September 6, 2000
I don't have the total answer yet because being only 4 months post op, I still have a long road ahead of me. But at this stage I can tell you that because I can only eat very small portions before feeling incredibly full, this prevents me from overeating. I can eat more now than when I was immediately post-op, but it has been a gradual process, and my portions are still very small. I am not the best person to ask the medical reasons why it happens, but the physical tools this surgery has given me make it much easier to say no to foods I shouldn't be eating. I am not hungry all the time like before. And often when I think I am, after 1-2 bites, I have had enough. Prior to WLS, any time I made an attempt at better eating, it was ALWAYS such a struggle. And eventually I would get tired of the struggle and give in to bad habits. WLS gives me real tools to fight this. Having said all this, it's possible to saboutage yourself and blow it. Medical science hasn't found the perfect answer to weight loss yet. If you mis-use the tool, you can harm yourself. Good luck. You'll do great!!!
   — Paula G.

September 6, 2000
Hi Terry: I had this very question too when I began my inquiry into WLS. People would tell me you just don't want all that old stuff anymore, and here I am 6 weeks post-op and I see it's true. I have nibbled here and there to see what I can tolerate, and I've even nibbled because I THOUGHT I wanted a piece of cake or a bowl of ice cream, and I found that a bite would satisfy me, even while everyone around me was going for seconds. Last week, I bit the top of a Hershey's kiss...an hour later I bit half of the bottom. The rest ended up in an ashtray. And two more are sitting on my night stand being pitifully ignored. It just didn't appeal to me anymore. Perhaps it was the weeks of artificially sweeten high protein liquids I had to endure, but I truly do not have the desire anymore. A Big Mac does nothing to tempt me either. In fact, right now, I am finding there isn't a lot of food I really want to eat, although I can tolerate anything. Yesterday I only pulled in about 500 calories and 1/2 my protein. When I do want a snack, a small portion of cheese or sunflower seeds will satisfy me. I have heard that a high protein diet curbs cravings, then again, when you lose 10 or 15 or 20 pounds in a week or two, you see the results very quickly and stay encouraged - something that 'diets' fail at miserably. Even though there is always a way to get around the success of WLS, chances are you'll do just fine. Good Luck!
   — Allie B.

September 6, 2000
Before surgery I was a big "emotional" eater. I ate to sedate, comfort and celebrate. What I can say about that is that I still have all those old urges and desires after surgery. The first few months --- it is easier to stay within the guidelines because you cannot eat much at all. Then, the fantastic weight loss kicks in and you are motivated to stay with it because of that. But, eventually, at least for me, the old habits and desires start to haunt. I have found that the best way for me to deal with this is to replace those urges with something more positive --- I have found that riding a bike, taking a walk or writing in a journal have worked for me. I had my surgery last November. I've lost a total of 200 lbs. I'm doing things I haven't been able to do in years. The rewards far outweigh the negatives. I hope this helps.
   — Jari M.

September 6, 2000

   — Victoria B.

September 6, 2000
Terry, I was one of the WORST before surgery. I had ZERO willpower. If the thought of some kind of food came into my head, I had to act on it. I never felt full, even when I stuffed myself. I certainly was never satisfied. I loved, loved, loved food and didn't discriminate: fats, chocolate, grease, salty, it's all good! I think I was addicted to fries, probably ate them at least every day. Now, four and a half months post op and down 84 pounds, it is an effort for me to meet my daily requirements. I feel like I have been set free from a terrible prison and I don't mean just my physical body weight. I have freedom for the first time in my life from the horrible eating disorder that ruled my life for almost 20 years. I just don't WANT those things anymore. I can't explain it more than that. And certain foods, like fries, taste terrible to me, or if they are baked I will eat two or three and I am satisfied. I don't know if this control will last forever, but I certainly want it to. I hope this helps you.
   — Beth B.

September 6, 2000
I agree with the others, this was a good question. I am only a month post-op and have overeaten once and that did it for me. Its painful and it hurt just long enough for me to realize that I did not have this surgery for nothing. Its true what the others have said, you just will not want some of those foods. Now I will not tell you that you won't have cravingsin the beginning but they will pass if you use the methods that the others have mentioned. Get rid of the plate, exercise move away from the food. I never thought I would be able to form a healthy relationship with food because of my lack of Willpower but I have started to and so will you. Good Luck...Peace, Trina
   — Courtrina Amur W.

September 6, 2000
If you are certain that this is right AND you've obviously done some research AND you're asking this question, why do you think you might sabotage yourself? Sounds to me like you are smart enough to check it out, so you'd probably be smart enough to stay on target 98% of the time. NONE of us is perfect, you know? Neither are normies. I look at everything from a nutritional point of view, of course. Why do I want to eat a ________? Am I skimping on my supplements so I need some nutrient, so my body sends me out shopping for any kind of calories? (Get labs, adjust accordingly, or in my case, it usually means taking in more protein supplement) Am I anxious over something, so what i really want is that hand to mouth thing? OK, so eat popcorn, Not enough damage there to hurt me, won't hurt my pouch and I can satisfy that busy thing without guilt. Do I just want some because they have some? Do I miss certain textures? Hunt down the sugar free version of it. I want somethign cold 'n sweet? Sugar free popsicles will work usually. I mean, there are ways to work with the interest in food. Most people DO like food. It just works on out bodies differently than on other people. I find it challenging to find "safe" ways to get what I think I want and still maintain the integrity of my surgery. And I assure you, I'd be at the head of the line for those standing under the sign that reads: NO WILLPOWER WHATSOEVER pre-op. The only difference that I see now is that I am nutritionally balanced, so I don't crave. I was always dieting. I can't even THINK of the damage I might've done for so many years! However, I am healthier than I ever was in my life and now I control the food and it no longer controls me. I'm about to hit my 6 year anniversary and that's not forever in the scheme of things, but it's about 5 years longer than I had coming to me before! And by keeping my nutrition balanced, I don't spend a lot of time on working on will power issues. I just don't feel as I once did.
   — vitalady

September 7, 2000
Hello...thats a question I had before my surgery and never asked...now I'm 10 1/2 months post-op and can tell you. I had the RNY (proximal)and was told it would take care of my cravings for sweets...wellllllllllll it didn't. I still crave sweets. I was a snacker also! I still snack only now I'm not starving all the time (in fact I hardly ever get hungry) and thats what helps. You are able to control what you eat after surgery. I still crave chocolate and sometimes I don't even deny myself. I just eat a bite and am satisfied. Now I crave fruit and salads all the time. You will be fine...this surgery gives you the ability to be choosy with what you eat. I've found that since I eat so little that I like to eat foods that are healthy. I've lost 110 pounds so far and I have been far from perfect in my diet. I'm not giving you the "go ahead" to snack...I'm telling you don't be too hard on yourself if you do try something. Also...if you get too full it really really hurts and that keeps you from doing it again...oh and another thing...best wishes to you on your upcoming surgery!!!!
   — SherP

September 7, 2000
Like most people on this site, before my surgery I was on the "see food" diet -- see food, eat it. The major food groups? Sugar, salt, grease, chocolate, and cake. Now nearly 5 months post op (and down 90#), I marvel at what little attraction food has for me. Most of the time, I'm not hungry at all; in fact, I'd have to say that, most of the time, the only meal I'm really interested in is breakfast. The "willpower" after surgery comes from the fact that your stomach is the size of an egg, that a cup of coffee will fill you up for half a day, and, to use the slogan from Brylcreem, "a little dab'll do ya". Food just isn't a priority. It's very difficult to explain to those who haven't had the surgery, but it's true. You'll do great, I'm sure ... nearly everyone I've talked to post-op who was worried about willpower pre-op says the same thing! Good luck and skinny thoughts,
   — Cheryl Denomy

September 8, 2000
I am 8 months post-op and to date have lost 131 lbs. It just so happens that I still cannot eat more than 4 or 5 ounces at one session. The surgery is a mechanism which enables you to have physical will power. A tool which breaks the major cravings. It's not that this or that won't sound yummy any longer but rather you'll have three bites instead of enough for four men like I used to. You'll get full from the small amounts you eat then forget about food for hours afterward, I guarantee it. So this is something more than willpower. Diets for me always consisted of willpower (aka suffering) but you will now be armed with a full feeling so it's less hard.
   — [Deactivated Member]

September 9, 2000
YOU HAVE HIT MY WORST FEAR! LOL! And thankfully, I just talked to my surgeon about this question. He said that the RNY has a couple of built-in backup tools (and this is based on his procedure): 1) The stomach is so small, it prevents you from overeating, first of all -- One bite too much and you will basically 'spit up', 2) The intestine is bypassed by 3 feet and he said that they are finding that, while it used to be believed that you ate until you were full and your stomach eventually sent a message to your brain saying, "OK, I've had enough", but that they have found that's not so. He said that there seems to be a 'trigger point' approximately 3 feet into the small intestine where, when food reaches it, it either triggers receptors or sensors that send this message of satiety to the brain. He admits that, for all the advancement in medicine, they aren't exactly sure WHAT occurs, but he explained that bypassing that first 3 feet of small intestine really helps with feelings of SATIATION, as well as the added benefit of a safe level of malabsorption. He said that many post-op patients (not all) describe changes in tastes, in cravings (he said many no longer crave sweets at all, which is a blessing for ME!), and many patients have a depressed appetite for months following surgery (I can hope I am one of them! ha!) Hope that helps!
   — Michelle F.




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