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  1. #1
    Gastric Sleeve Member sraebaer's Avatar
    I have had a gastric sleeve.
    Surgery date
    10/07/2013
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    Default Restriction Years Later

    I am still amazingly thankful for my sleeve, it never gets old, even after over 5 years. Last night we went out and I had a salad with chicken on top, also full of tons of yummy stuff like tomatoes, avocado, artichoke, cheese, olives, etc. I started with the chicken and was full without even eating maybe 1/8th of the salad. (It was huge). So anyone who tells you they lose their restriction over the years is fooling themselves, they just aren't eating what they should.

    I could easily regain all my weight by eating crap every half hour if I wanted to. But I don't.

    My doctor told me my sleeve won't stretch. I know there are conflicting opinions about this, but I believe it. If I start in on dense protein I am full quite quickly.

    Luckily I'm married to a skinny guy who bikes hundreds of miles a week (Ride the Rockies next weekend) who basically finished the salad off. He can use the calories! Can you imagine riding up and down mountains peaks every day for over a week? Plus he lost probably 40 pounds by cooking for and eating with me after surgery. That and retiring so he can bike all the time.



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  4. #2
    Gastric Sleeve Member Dutchie's Avatar
    Name
    Simonne
    Surgery date
    01/03/2017
    Surgeon
    Dr. Pablo Enriquez Valens
    Join Date
    Dec 2016
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    Default Re: Restriction Years Later

    Thank you, that is very good to know!

    I don't believe my sleeve will stretch.
    Like you, I am almost full after eating a protein, and after that I eat my veggies.
    Unless I have something mixed, like chili, then I weigh (or measure) my portion.
    I want to make sure my sleeve will never stretch.
    And I am always satisfied after finishing my meal, so its enough.
    I eat around 6 ounces per meal, or something a bit more than 3/4 of a cup.
    English is not my first language, so I may and do make mistakes in my spelling, or say things oddly. Please ask me, if you want any clarifications.



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  6. #3
    Gastric Sleeve Member WANAGL's Avatar
    I have had a gastric sleeve.
    Name
    Cyndi
    Surgery date
    12/30/2015
    Surgeon
    Dr. Robert Marema
    Join Date
    Mar 2016
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    Today 05:32 AM
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    Hampton Beach, FL
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    Default Re: Restriction Years Later

    Dense protein (4 oz) leaves me enough room for 2 oz of veggie.

    This hasn’t changed over time. I hope it lasts forever! ;-)



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  8. #4
    Gastric Sleeve Member Dutchie's Avatar
    Name
    Simonne
    Surgery date
    01/03/2017
    Surgeon
    Dr. Pablo Enriquez Valens
    Join Date
    Dec 2016
    Last Activity
    Today 05:04 AM
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    Default Re: Restriction Years Later

    Same with me, a bit less, something between 3 and 4 ounces.
    I sure hope it stays that way.
    But I still weigh my protein and it never is more than that.
    English is not my first language, so I may and do make mistakes in my spelling, or say things oddly. Please ask me, if you want any clarifications.



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  10. #5
    Gastric Sleeve Member meggieprice's Avatar
    Surgeon
    John Feng, MD
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    May 2019
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    Yesterday 03:03 PM
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    Default Re: Restriction Years Later

    I agree with you.
    I think we all learn how to eat around our sleeves but if we stick to focusing on protein our tool works forever.
    You have a bright light that makes me smile!


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  13. #6
    Gastric Sleeve Member Sandra3's Avatar
    I have had a gastric sleeve.
    Name
    Sandra
    Surgery date
    01/20/2016
    Surgeon
    Dr W
    Join Date
    Dec 2015
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    France
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    Default Re: Restriction Years Later

    Restriction might be different from one sleeve to an other first because surgeons use different bougies sizes, but also, I guess, because for some people their stomach have more folds naturally? also, if people have reflux and it's not controlled, they can actually eat more (more hungry and also more acid means a faster digestion)

    I don't know how other people feel, but I was surprised when the internist told me in January that my sleeve was still very small (210ml) could have reached it's maximum (in average) of 300/350 ml by that time. That's when she told me one of her patient's sleeve was one liter because she was "overeating"!! I was so shocked!!

    But for sure, eating protein first, never drinking during meals, stopping 30mns before and starting 30 mns after, does help big time!

    I often think about my surgeon in Taipei, who was so nice and so supportive! thanking him in my mind if I'm tempted to eat something sweet during a dinner party, and can't have more than half a bite!! this is such an amazing help!!

    But for months since gaining weight with four months of cortisone, then more weight with surgery not being to lose anything really noticeable, but without the sleeve it would have been so much worth!!

    I've been searching how those past 6 months on PPI could make a difference on calorie absorption (since I eat under my BMR and do not lose anything) or even joint pain, and found many studies about it.
    That one is also very interesting. Can't wait to stop the PPI and get back to normal!! because last week I actually saw a few signs of my IBS coming back after eating lots of salad...now I know why...getting double probiotic tomorrow!!

    https://www.researchgate.net/publica...Gastric_Bypass


    HW : 150 kgs
    09/02/2014 : 142 /1st apt
    01/20/2016 : 134 /surgery
    01/30/2016 : 130 /1st post-op
    02/27/2016 : 126 /2nd
    04/23/2016 : 118 /3rd
    07/16/2016 : 109 / 4th
    10/01/2016 : 103 /5th
    01/21/2017 : 98 /1 year post-op
    February 2017 : 100 lbs lost
    07/22/2017 : 96
    10/21/2017 : 93
    12/22/2017 : 91
    01/02/2018 : 96!! regain (medication)

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  15. #7
    Gastric Sleeve Member EllisM80's Avatar
    I have had a gastric sleeve.
    Name
    Michelle
    Surgery date
    10/11/2018
    Surgeon
    Dr. Clifford Black
    Join Date
    Nov 2018
    Last Activity
    07-10-2019 08:45 AM
    Location
    Valley, Alabama
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    Default Re: Restriction Years Later

    I hope I don't ever lose my restriction... at least til I get my will power back to say no to food.




    HW: 315 lbs (2008) Maintained at 296 until 2015.
    SW: 255 lbs (10/11/18)
    1 mth post op: 229 -26lbs
    8 weeks post op 213 -42lbs
    3 month post op 197 -58lbs (at home)
    3 month post op appt 196 -59 lbs (1/28/19)
    6 month post op 171 -84 (4/11/19)

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  17. #8
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
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    Default Re: Restriction Years Later

    I can DEFINITELY eat more than 3-4 ounces! (I'm nearly 5 years post-op.) Remember, I'm the one who eats 9-10-11 servings daily of veggies and fruits.

    However, that instruction we all had early on to "eat protein first" at every meal makes a big difference. Eating the protein first really does make me full faster.

    Also, drinking with meals can expand the volume of food I can eat.

    Also, sitting at table while eating for several hours also expands the volume of food I can eat. Of course, I don't eat for a long time when I'm by myself, but in social settings and fancy dining situations (where multiple courses are served), the eating opportunities can go on for a loooong time. Needless to say, this doesn't happen often.

    I can't say what "everyone else" will feel / experience. Just reporting for myself. I have only one sleeve.

    Bottom line: I cannot even begin to eat as much as I used to eat pre-VSG. The greatest threat to regain is "grazing" -- that's NOT the same thing as "snacking." Grazing is what one does when one nibbles constantly on high-carb foods that are already highly processed, are not challenged by the stomach, and go down easily and through the stomach into the intestine faster. Think cookies, popcorn, chips, candy. And obviously, caloric beverages (e.g., sodas, beers, cocktails, sweet teas, high-calorie coffee drinks, etc.) and ice cream) are completely immune to a sleeve's restriction.



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post

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  19. #9
    Gastric Sleeve Member kenson's Avatar
    I have had a gastric sleeve.
    Surgery date
    01/13/2014
    Surgeon
    Dr. Karl Strom
    Join Date
    Oct 2013
    Last Activity
    Yesterday 09:40 AM
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    Default Re: Restriction Years Later

    As someone who has gained 20lbs (Now 13), I can say that it was definitely due to eating junk. However, in the past instead of it being 20lbs, it would have been 40 or 50lbs I do have to say that even with the regain, I know that my sleeve is still working. I literally have no room after I eat my protein first. I have room for maybe a spoonful of veggies. I believe that my sleeve has not and will not stretch if I continue to follow my sleeve guidelines and remember that the sleeve is simply a tool--it is not the miracle!
    Sharon, I continue to be in awe of you!!!



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  21. #10
    Gastric Sleeve Member KiwiGal's Avatar
    I have had a gastric sleeve.
    Name
    Lisa
    Surgery date
    09/04/2017
    Surgeon
    Stephanie Ulmer
    Join Date
    Feb 2018
    Last Activity
    07-18-2019 08:58 PM
    Location
    Auckland New Zealand
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    1,017
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    Default Re: Restriction Years Later

    I am still not quite 2 years out but I eat my protein first - I can manage about 80-100g depending on what type of protein it is - maybe up to 120g if it is fish. Then I can usually manage a small amount of vegetables - a small broccoli or cauliflower floret, 3-4 green beans or maybe 1/4 c shredded cabbage - just one of these. That's me done. I could definitely eat more junk food if I let myself.
    What I really love about my sleeve is that now I am more than happy to leave food on a plate if I am full. Once I would have just hovered everything up!



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  23. #11
    Gastric Sleeve Member Lee6Lee's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/22/2014
    Surgeon
    Dr. Elias Ortiz
    Join Date
    Aug 2011
    Last Activity
    06-08-2019 06:48 PM
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    Default Re: Restriction Years Later

    Hi, Everybody. I'm still hanging in there. Will let you know how much I've lost each week. I weigh each Sunday. Getting on here regularly helps. I have gained 24 pounds. My advice: don't let it happen. But I still think I look great for my age. I'm just anxious to fit back into a few nice things. I'll be 70 next year. Again, getting back on the forum and reading new and old threads is a helpful dose of encouragement.


    "Lee, by "own it!" your daughter means that you should be proud of your accomplishment and understand that you deserve this. Not because you have to pay it forward or backward to justify your own benefits. She means that this is YOUR accomplishment, and accomplishing that for yourself is enough. You do not have to fix everybody. And you do not owe anyone for the benefits you have earned. They are YOURS!" Ann2

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  25. #12
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
    Posts
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    Default Re: Restriction Years Later

    Lee, support and accountability opportunities are wonderful resources. And this board offers those resources. I look forward to hearing from you.

    Maintenance is ongoing. It's not like losing XXX pounds and going Whoopee! Although that part is wonderful, too.

    I regard post-WLS weight maintenance as a form of yoga/exercise/meditation/spiritual growth and other things. It's like the rest of life -- we learn from it. And the best part is that maintenance teaches us so much about "new beginnings," which is what the best parts of life are all about. We are never "done." We just keep moving forward, learning from our failures and our successes. Peeling the onion, so to speak, going deeper, building and strengthening our skilz and our wisdom.

    It's just life.



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post


  26. #13
    Gastric Sleeve Member AnnieG's Avatar
    I have had a gastric sleeve.
    Name
    Annie
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Oct 2017
    Last Activity
    07-19-2019 08:24 AM
    Location
    NC
    Posts
    1,184
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    Blog Entries
    2

    Default Re: Restriction Years Later

    I can't really add much, except I did "graze" on the slider type things over Christmas - not to a higher number of calories, but to less nutrition. I felt crappy, was cranky, and truly caught ever virus going around.

    I do get very bored with the proteins that I tolerate well. I think I need a new way to eat eggs, since hardboiled now make me nauseaus. I keep deli sliced turkey with no additive, lean chicken, tuna, salmon, etc. And I have to have my protein drink with coffee in the am. Just not amenable to early eating.

    A salad at lunch with protein of some kind, and probably some lovely Chobani yogurt for dinner. The few exceptions are going out wth family, or as Ann said, a wonderful fancy meal somewhere.

    Life is good -- the sleeve is a tool. And you can re learn how you feel about your weight, and your food. The VGS is a great tool!.
    [I]HW: 240 lbs CW: 205 lbs: SW: 199 lbs GW: 130 lbs

    1 MO = 167.0 2 MO = 156.4
    3 MO = 148.4 4 MO = 140.6
    5 MO = 136.0 6 MO = 130.0 (GOAL)
    1 YR = 122.0 20 MO = 130.0

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