Two months out and ate a huge steak

What a great response! I agree with you 100% I cannot trust what I "think" is full because for years I have eaten until I am sick full thinking this was what satisfied or full meant. I don't have a clue what feeling full or even comfortable should be. So I time and measure everything and know I have an absolute limit to work within and that it doesn't mean I HAVE to finish what is there.

Just wondering about the pylori valve. Could you tell me more? What are the risks of stretching the esophagus (just more acid reflux)?

Thank you

 

At 6 months post-op, I ate 2 ounces of steak and threw it right back up. Steak is difficult for a still-healing sleeve to process. Don't know how you kept it down, but just because you did doesn't mean it was a good idea to eat it.

"Keep to the Code (i.e. Plan)!"

 

psychoticparrot

I know that most of the replies have been admonitory, but I'm just saying I feel for you. At 8 or 9 years post op there are times that I don't notice much restriction at all, and I have to control my own portions. I don't remember it being that for the first two years post surgery though. 

Take control now!!! Have you been food journaling? I would strongly suggest you do and talk over your meal plan with your Nutritionist. Perhaps she/he can suggest something to you. 

  Stop this behavior now.

You have to stop thinking in terms of eating until you feel full.  That's what led most of us to a life of morbid obesity.  You don't need to eat everything on the plate.  Measure and/or weigh your portions.  Otherwise you'll self-sabotage and be looking at limited weight loss or easy regain.

I read though your old posts. This is your 2nd WLS.

Restriction alone failed for you the first time, and it may fail again.

Just like everyone said "be careful", but I'm saying it more like "you may need to look at a revision that includes some malaborbtion.

Do everything you can to succeed. CBT, dieting, protein loading, exercising, etc.

Good luck to you!
Scott

I'm going to play the "gramma grad" card. I don't like to do that, I don't do it often and when I do, it's because I'm concerned about what's really at the heart of the matter. 

I'm in a rare situation, where I had a lot of gastric bypass complications and needed to be reversed. I did have issues with major regain, prior to my reversal, due to meds. RNY was in 2001, almost 15 years ago, reversal was a little over 6 years ago in 9/2010.  

While you're not the first newbie sleever where I've heard about eating that much food, so early out, what I'm concerned about is the WHY. Because no matter how much other wls peeps preach about "following the rules of the tool", I get why sometimes people self sabotage, for multiple reasons. 

When I talk about the "WHY", I mean, depending on certain medical and mental health conditions, sometimes depending on meds, sometimes depending on surgeons and surgeries, people don't have satiation. 

But kind of like what the above poster said, what are you going to do, in this case, where your 2nd surgery isn't providing you with physical restriction. If you're only prayer of losing weight and keeping weight off, is going to be based on having restriction and you don't have any, you will have gone through everything you have, for no good reason. 

I really would get both medical and mental health help with this. Find out why so early out, you don't have surgical restriction. Also if you have health conditions and/or on certain meds that create a severe case of both physical and mental head hunger, that needs to be re-evaluated. 

Being as far out as I have and knowing thousands of people's stories, I do know people long term, who have to make their peace with having medical and mental health reasons for NEVER getting to their goals. 

And if that's the case with you and you're okay with that, that's OKAY. That's your perogative. But if you're NOT okay with it, and the chances are unlikely that you'll be eligible for any other wls, you're going to have to find a way that works for you, of making your peace that if you want to accomplish your goals, you're going to have to deal with being hungry sometimes. 

I don't follow a bariatric regimen, so to speak. While I'm not longer thin, I've kept off way more than my excess weight (I had gained almost ALL my excess weight back, starting 6 years post rny). And in my case due to the bizarre complications I had from a technical performed PERFECT RNY, my surgeon wouldn't have done a revision on me, at my heaviest. And by the time I needed a reversal to save my life (again, I"m not anti-wls OR anti gastric bypass), I just wanted to not have to worry about dying. 

But to keep any weight off, I had to be realistic about the fact that while food isn't the enemy, it's not my best friend, either. And while my sense of hunger is skewed, being reversed and now having Gastroparesis (which is common for us rny reversed peeps) I do have a sense of satiation though. 

But no matter how many physical tools you have at your disposal, whether or not they work properly, before you do anything in the physical realm of trying to lose more weight, you have to deal with your head hunger issues, first, if you care about losing more weight and/or keeping off the weight that you have. 

I can't stress enough, that if you do actually care about losing weight and/or keeping weight off, work on your head, first. Because when you're in the rare category where I'm similar in the respect that I can't go by restriction to lose weight, if I hadn't worked on my head first, NOTHING would be of help and I wouldn't have a prayer of losing and/or keeping ANY weight off. 

This won't go away without proper professional help. The longer you wait, the harder it's going to be for you. So I really hope for your sake, you'll take into consideration of what I said about working on the emotional/mental aspect of this NOW. Versus waiting, gaining weight and it only being harder, as you get further out. 

Wishing you the best of luck... Peace... Lisa 

Clarification to my above post, as it can't be edited. I've kept over 1/2 my excess weight off, at this point. And while I don't qualify for any bariatric surgery, even if I'd gain 300 lbs and develop every co-morbidity due to obesity, I don't weigh enough at this point to be eligible for bariatric surgery, based upon my bmi. 

While I don't think that makes me any better or worse than any other wls peep, the point I'm trying to say, is that there are NO easy answers or solutions to what you're going through. But if you want to lose weight and/or maintain, working on your head and using your body, if you're able to exercise, will help, if you have another bariatric surgery tool that isn't providing you with restriction and any kind of satiation. 

I apologize for not being clearer... And again, I mean this with the best of intentions, as it applies to your own best health and happiness... 

I always ask the server to bring a carryout/doggy bag container at the same time that they bring the meal.  I cut everything in half, or into the appropriate size fraction and put the rest into the container, and move it away from me during the meal.  I think that has helped me.

Thanks for all of the replies.  I know I will have to be very careful.  I'm weighing and measuring everything and staying at 750 calories.  I'm hungry more than I'm not; typically within 90 minutes of when I eat.  I'm staying on track and within my macros.  I think that because I'm a revision patient my restriction must be different.  

I'm down 33 pounds in 2 months, and I'm not going to give up, but it's frustrating to be so hugry all the time.  I'm on pantolac for acid reduction. so I don't think that this is the problem.  

 

K