Are you feeling hungry????
Hello everyone!
I had my surgery on February 6th 2006 (eight months post-op) I have lost 118 pounds and love being thin (144lbs) I have a major concern though. The past week I have wanted to eat just about EVERYTHING, and nothing seems to bother me! Now don't get me wrong I have not pigged out on anything like when I was heavier but it just seems as if I am able to eat more. I realize that a year after surgery my pouch should be able to hold a cup of food vs. 2 oz, but I am a bit nervous. Has anyone gone through this, maybe it is just that time of the month so I have the munchies. I just know that I NEVER want to go back to being heavy, it feels absolutely wonderful to be thin and healthy!
Any advice will be appreciated.
Thanks! Lori
With the RNY it is common that hunger returns after 6 months to 2 years out (depending on the person). The inital loss of hunger is due to surgery induced anorexia...but with the RNY after a few months ghrelin production is returned to normal and hunger returns.
Also, regardless of which surgery you have after several months you are able to eat more....because your stomach or pouch stretches. I noticed that after several months I was able to eat more too, esp compared to the 1 or 2 oz. that i was able to eat in the beginning.
I'd highly recommend you log your food intake, that way you can see if there are any issues that you should be concerned about. Debra always posts "what did you eat today" on the board, it's a good idea to log it just so you can see it, and feel somewhat accountable about what goes in your mouth.
Scott
Lori:
First hello! Second what u r experiencing is EXPECTED AND NORMAL!...read on...what u describe happened to me at 7 mo postop, it was at 1 yr out I started rregaining! I stopped it in its tracks and now at 4 yrs keep my wt in the 10# range of lowest!!!
"The Honeymoon Period" GONE TOO FAST!
The first year after gastric bypass is usually very rewarding, but this time can also be confusing, frustrating and frightening. The function of the stomach pouch "tool" changes almost continuously over the first six months, and continues to change periodically over the year or so. Just when the patient feels they have begun to understand the stomach pouch/tool and how to use it, things change all over again.
WHAT DO I NEED TO CHANGE? The first postoperative year is a critical time that must be dedicated to changing old behavior and forming new, life-long habits.
6-9 months after RNY surgery: 
Frightening CHANGES takes place!
The stomach pouch softens and expands slightly so that a patient regains a regular appetite and can "suddenly" tolerate a significantly larger amount of food.
Patients frequently worry that something has pulled apart or broken on the inside, though this is rarely the case. This increased interest in food and increased capacity for food is a very natural and appropriate part of the recovery process after gastric bypass surgery. The reason it frightens patients so much is that they had previously felt they had control of their weight for the first time in their lives, and the renewed appetite threatens that they are losing control once again.
You must realize that for the first 6 months or so after gastric bypass you did NOT have control of your weight. The pounds were going to come off almost no matter what you did. The pouch can't handle enough calories to maintain weight for the first few months.The return of appetite and the increase in food capacity signal an end to the honeymoon period and a transition to the rest of life. Your surgeon has created a stomach pouch that will be your tool to use to control your weight for life. In the beginning it worked 90% now you have to work 90%! YOU CAN DO IT! Stick With The "Principles Of The Tool" Early & Over Time!!! Think of the Pouch as a tool/understand the necessity that you learn how to use it.
(exercise daily, water 64 oz + day, do not eat/drink together, start lengthening time u drink after eating to up to 2 hrs, eat lean protein first, then vegies/fruit and some carbs multi/whoe grain if room left, avoid grazing, eat 3 meals and 2 snacks no more then 4-5 hrs between small meals to keep metabolism reved, take all vits (multi, ca citrate, b12 sublingual, others as indicated by labs) go see clinical nutrition follow up/surgeon for life!, work on triggers and emotional eating, it is with the proper use of psychology you will maintain successfully!, be accountable/self responsible for the choices you make daily, have support online/inperson forever!) Basically all the things we needed to do preop to be successful but didnt have the tool to help us with! Give up dieting forever, think lifestyle changes/habits! Avoid sugar/simple carbs, many get dumping (50%) but many do not! This sugar can set u up for hunger in a few hrs no matter how little you eat. Do not drink your calories (be careful of those lattees, soda, alcohol, ilk etc people get into easily! the slippery slope is real!) it only takes 100 cal a day to gain 10# so watch portions, eat off the small plate, avoid distractions, ask yourself what you are really hungry for (is it thirst? is it emotions, do you need a hug, relaxation etc!?)
THE BOTTOM LINE...YOU HAVE TO CHANGE!
ITS STILL ABOUT CALORIES!
ITS STILL ABOUT HEALHTY NUTRITIONAL CHOICES!
ITS STILL ABOUT REGULAR EXERCISE!
REMEMBER: ITS WHAT YOU DO 90% OF THE TIME THAT MATTERS!
ITS STILL ABOUT PERSONAL ACCOUNTABILITY/RESPONSIBILITY/CHOICE!
ITS ONLY A TOOL!
IT'S A JOURNEY NOT A DESTINATION! ENJOY DRIVING (avoid riding)! Be active!
BE WELL! 
you can succeed if you believe in yourself! Nothing tastes as good a thinn feels, remember that as you are ;hungry' and in the choices you make (physical activity, food, fluid) daily! 
Take Care,
Jamie
Lap RNY 10/9/02 Dr. Singh
320/163 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King
http://www.obesityhelp.com/morbidobesity/members/profile.php?N=c1132518510
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Frightening CHANGES takes place!
The stomach pouch softens and expands slightly so that a patient regains a regular appetite and can "suddenly" tolerate a significantly larger amount of food.
Patients frequently worry that something has pulled apart or broken on the inside, though this is rarely the case. This increased interest in food and increased capacity for food is a very natural and appropriate part of the recovery process after gastric bypass surgery. The reason it frightens patients so much is that they had previously felt they had control of their weight for the first time in their lives, and the renewed appetite threatens that they are losing control once again.
You must realize that for the first 6 months or so after gastric bypass you did NOT have control of your weight. The pounds were going to come off almost no matter what you did. The pouch can't handle enough calories to maintain weight for the first few months.The return of appetite and the increase in food capacity signal an end to the honeymoon period and a transition to the rest of life. Your surgeon has created a stomach pouch that will be your tool to use to control your weight for life. In the beginning it worked 90% now you have to work 90%! YOU CAN DO IT! Stick With The "Principles Of The Tool" Early & Over Time!!! Think of the Pouch as a tool/understand the necessity that you learn how to use it.
(exercise daily, water 64 oz + day, do not eat/drink together, start lengthening time u drink after eating to up to 2 hrs, eat lean protein first, then vegies/fruit and some carbs multi/whoe grain if room left, avoid grazing, eat 3 meals and 2 snacks no more then 4-5 hrs between small meals to keep metabolism reved, take all vits (multi, ca citrate, b12 sublingual, others as indicated by labs) go see clinical nutrition follow up/surgeon for life!, work on triggers and emotional eating, it is with the proper use of psychology you will maintain successfully!, be accountable/self responsible for the choices you make daily, have support online/inperson forever!) Basically all the things we needed to do preop to be successful but didnt have the tool to help us with! Give up dieting forever, think lifestyle changes/habits! Avoid sugar/simple carbs, many get dumping (50%) but many do not! This sugar can set u up for hunger in a few hrs no matter how little you eat. Do not drink your calories (be careful of those lattees, soda, alcohol, ilk etc people get into easily! the slippery slope is real!) it only takes 100 cal a day to gain 10# so watch portions, eat off the small plate, avoid distractions, ask yourself what you are really hungry for (is it thirst? is it emotions, do you need a hug, relaxation etc!?)
THE BOTTOM LINE...YOU HAVE TO CHANGE!
ITS STILL ABOUT CALORIES!
ITS STILL ABOUT HEALHTY NUTRITIONAL CHOICES!
ITS STILL ABOUT REGULAR EXERCISE!
REMEMBER: ITS WHAT YOU DO 90% OF THE TIME THAT MATTERS!
ITS STILL ABOUT PERSONAL ACCOUNTABILITY/RESPONSIBILITY/CHOICE!
ITS ONLY A TOOL!
IT'S A JOURNEY NOT A DESTINATION! ENJOY DRIVING (avoid riding)! Be active!
BE WELL!
you can succeed if you believe in yourself! Nothing tastes as good a thinn feels, remember that as you are ;hungry' and in the choices you make (physical activity, food, fluid) daily!
Take Care,
Jamie
Lap RNY 10/9/02 Dr. Singh
320/163 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King
http://www.obesityhelp.com/morbidobesity/members/profile.php?N=c1132518510
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!" Most Active
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