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The band is not a miracle. It does not magically make calories disappear from food. It is a tool you need to work WITH not AGAINST. If you work against it, you?ll fail. End of story.
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Let?s clear up a few misconceptions about the band.
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The band is not malabsorptive like the gastric bypass. The GB works by allowing the patient to eat less, and more to the point, to absorb LESS calories from the food they eat. The band ONLY restricts the QUANTITY of food, not the QUALITY. If you continue to eat high-calorie crap, you?ll lose nothing? period. What this means is that you DO need to change your eating habits. You need to eat healthier food, and less garbage. Some folks will lose some weight with the band because of the smaller quantities without changing their eating habits, but that loss will slow or stall, and WILL NOT BE SUSTAINABLE unless they learn new habits. Face it folks, what we eat is what got us fat in the first place. If you don?t wanna change that, then you can stay fat, and don?t complain that you aren?t losing.
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Yes, you can have occasional treats. I am not saying that you have to live a deprived life with no treats ever again, but keep them occasional, and keep them small. Dessert every day is NOT OCCASIONAL. Once a week, maybe. Start looking at your favorite foods and look for ways to make them healthier. Maybe use less fat, or healthier fats, leaner cuts of meat, more veggies etc. Try to treat yourself with healthier foods as well, fruit instead of pie, baked pretzels instead of fried chips, try those rice cakes you see in the store. When you do have a treat? have ONE SERVING. Look at the label? if it says that 9 rice cakes are 1 serving? count them out and only have 9, not the whole bag! Use the sugar-free versions of things, the lower fat versions, and the lower carb versions? eat more fresh foods, and less from packages. Yes, I know that fresh food is more work? too bad. You wanna get healthy? Then do it right. Kraft in the box might go down fine, but is it the right thing to do? Make the effort to cook healthier. It takes more time, but aren?t you worth it?
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RNY and Gastric Bypass patients need to diet too. If you think that they lose faster, you are right. In essence from malabsorbtion, they technically starve to lose initial weight, and lose a lot? more quickly than we do. SO WHAT?!?!? The human body is an amazing thing. It is smart, and learns to compensate. If the GB/RNY patient does not learn new, healthy eating habits, then they WILL GAIN THE WEIGHT BACK. In the long run, we have the advantage, as we do not lose at ALL without new habits. We have to learn from the get-go, and in the end? our system willl adjust with us as we lose? not giving our smart body a chance to get used to the new ?arrangement? and compensating for it. RNY/GB might look like a miracle, but it isn?t either. You still are the one in control, but the complications for it are much worse. I?m not dissing it, it is the right choice for some, but for those who which to switch, simply because they have not been doing the band with TRUE lifestyle changes? well? they are fooling themselves. Wisen up, and realize YOU need to change to make any bariatric surgery a long-term success.
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Head hunger, and stress eating are real. They are some of the things that got us here. If it happens to you? GET HELP. Don?t just stand there and say? duh, I don?t know how to stop. Get on a program, see a therapist, join a bandster support group. Don?t just cry about it?, DO SOMETHING. If you know emotional eating is an issue, then you have an EMOTIONAL PROBLEM, best dealt withby a therapist. Guess what folks, that is part of a whole weight loss program! Some may not need it, but if these issues plague you, then get the help! That leads me to the next one?
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Yes, you DO NEED TO EXERCISE. If you think you don?t, then you are being foolish. Exercise does not mean a formal program at a gym with a personal trainer (although that is a GREAT IDEA). It means getting out there and moving? biking, skating, swimming etc. Move? move? move!!! A sedentary life is another of the things that got us here. If you think sustained weight loss will happen without it, then you are again fooling yourself. Don?t forget, that other than a healthier life, the number 2 reason we got this done was to look better. Folks, diet alone will not give you a better bod, exercise and diet will.
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This is not a liquid diet. Yes you will have periods of being on liquids, before and after surgery, and right after fills, but this is not meant to be liquids for life. The band works by allowing a small amount of food to stay in the pouch for a while, keeping hunger away. If all you have are protein shakes? well frankly, they pass right thru, and give NO sustained satiety. You?ll be hungry. Period. If all you can get down are liquids, then you are TOO TIGHT. It will NOT HELP YOUR WEIGHT LOSS TO BE TOO TIGHT! In fact, the opposite is true. If you cannot eat solid foods you will likely gain, because LIQUID CALORIES ARE MORE DENSE. You have GOT TO eat solid food.
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Low carb does not mean NO carb. Should you restrict carbs? yep. We eat too many. This does not mean eat only protein. You cannot survive on only protein, you need veggies and carbs too? just less of the carbs than you have been having. For one, try using healthier carbs? want a potato? Eat a small baked red-skin new potato, with some butter spray on it? instead of fries. Try Dreamfields low-carb pasta for Sunday spaghetti dinners, try brown rice instead of Minute Rice. Avoid the carbs in packaged foods? Mac and cheese, rice a roni etc. If you want mac and cheese, ame it from scratch with lower fat cheese and Dreamfields or whole wheat pasta. Use wholegrain bread, not Wonderbread. And? eat carbs last. Eat the protein first, then veggies, then if you have room finish your carbs. Lastly? eliminate the sugar? get it out period
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Fast food is bad. End of story. Stay away from it? all of it.
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Is a pre-op liquid diet important? You bet your boots it is. No, I know not all doctor?s ask for it? but that doesn?t change the fact that they should be asking for it. First off, it shrinks the liver, making it easier for the surgeon to perform the procedure. Second, it begins the weight loss process. Third, it speeds up recovery by having the body have less solid waste in the digestive tract, it will work less, and not stress the points where the band is attached.
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Is the post-op diet? liquids? mushies then solids important? See above. This is for healing. Yes you can eat solid food sooner, and I know that this varies from doctor to doctor, but that doesn?t mean it should. The stomach needs time to heal, and even though you CAN eat solids earlier doesn?t mean you should. Heal properly first. As most docs will say, any weight loss during this phase is a bonus. This is not the time for loss but healing. May folks WILL gain when going to mushies. Expect it. If you don?t, you are one of the lucky few? not the norm. Most folsk do not see real weight loss for MONTHS. This is how it is, deal with it.
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You WILL NOT LOSE ALL YOUR WEIGHT IN A COUPLE MONTHS. Especially those of you with under 75 lbs to lose. Less to lose, the slower it will be? that?s it folks. If you got the band with 60-75 lbs to lose, do NOT expect to lose as much a month as someone who has 200lbs to lose. Won?t happen. If the doc told you it did, he lied. Most successful band patients lose 75% of their excess weight in the FIRST 2 YEARS? yep? years, not months. Deal with it? you are not gonna lose it by summer for swimsuit season. This is not intended to be SPEEDY weight loss? if you don?t get that, see #3 above.
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It?s OK to go to a foreign country to bet my band because it is more affordable to me? Hmmm this one is debatable, and I will keep my opinion of foreign docs out of it. First off, when it comes to surgery for my bod
y, I don?t want the lowest bidder, even though I was also self pay? but let?s put that aside. I see too many folks going to places like Mexico for this procedure because they say the doc is a brilliant surgeon? this is only 10% about the actual surgery folks! It is the pre and aftercare provided that makes it work. If you do NOT have an aftercare doc set up locally BEFORE you go to Mexico for the surgery? then you are making a HUGE MISTAKE. I am getting tired of seeing folks say?? I just got my band last weekend, anyone know of any docs I can see for fills around here?? Geez?!@?!? What are you thinking? Didn?t you have this all set up beforehand? How could you have such a procedure done to your body? a procedure that requires constant attention (and it is not just for fills folks!) and not be prepared before you do it? If this is your plan, then I am confused on what you are doing. Aftercare with the band is not just fills, and you need access to a band doc locally for any problems. Sure you can get the procedure done in Mexico, but have preparations for aftercare BEFORE they cut you open.
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Look at the whole program. This is NOT just a surgical option. I?ve said it before and I?ll say it again, the surgery is only 1 hour long? the rest of my life will be losing and maintaining my healthier body. Nutritionists, exercise physiologists, psychologists, dieticians, support groups, a good fill doc? these are ALL necessary to lose and maintain our health. If you only deal with some of them? you?ll fail. When you scout out docs to do this procedure, see how they deal with ALL of these factors?not just are they a good cutter. Then, after the surgery, follow through with all of these.
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If you don?t know? ASK! The doctor, not the web group. Sure, it?s great to get support and ideas here, but I am amazed how many people are on here soliciting medical advice? ASK YOUR DOC! If he won?t give you a straight answer? then he?s not a good doc, and you need to seek out a better one. I mean COMEON!?!?! Now that we have that straightened out? let?s say your doc tells you to do something? like stay on liquids for 2 weeks? DO IT. If he is a good doc, then there is a reason to do what he says. This is NOT about you making your OWN? UNEDUCATED judgment calls? he?s the pro here? do what he says. If you don?t understand why? then we go back to? ASK.
