“…for now I have regained almost all the weight I Iost”. Is this you? The first 2-3 years post bariatric surgery the operation in itself effectively limits what you can and cannot do in terms of eating and drinking. This gives most people an initial ‘automatic’ quick weight loss, of course with varying amounts of discomfort if they eat too fast, get dumping syndrome and so on.
In the longer run your gut will be adaptive towards your daily habits -it will try to adjust to you! The operation in itself to be ‘at fault’ for weight regain is rarely the case; instead you must assess how you behave in relation to your gastric bypass or sleeve gastrectomy. The key element is that the operation helps you get full effect from your good daily habits -but it is you who must keep these habits ‘good’:
What a bariatric operation demands of you is that you always try to follow the right routines, as well as you can. You will not always succeed (nobody does!), but you should always try. Do this, and you will forever have an effective surgical procedure on the inside.
To challenge your operation?
The countrary is to constantly ‘challenge’ ones operation, to stop trying to do the right things. Instead you live like everyone else, as long as the operation does not stop you. It will now be up to your surgery to maintain your weight loss -you eat until ‘it’s full’, test candy and treats to get a sense of when you cross the line and get dumping syndrome (after which you can stay below that threshold and still endulge…). You stop taking vitamin supplements and exercise. Your brain and own will is not longer part of it. When your body is then exposed to these behaviours for a longer period of time, it will start to adapt. If you always eat too fast and too much, the body will in time learn to forward food faster down the small intestine (intestinal hypertrophia), the body is ‘trying to help’. If you in addition to this drink fluids with your meals, the portions will gradually increase. And no, it is rarely your stomach that has ‘expanded’.
What do I do now?
It’s not too late to change this around! But you must get a grip of what habits you currently have. How do you look upon your surgery now? Are you living in co-operation with it, or constantly fighting against it?
A gastric bypass or sleeve gastrectomy wants you to slowly eat small meals 5-6 times daily, not drink fluids with food, but drink regularly in between meals. Your body in general needs its vitamin demands taken care of, your muscles and circulation need daily physical activity. All positive changes count! Focus on what you can do right, and take one day at a time. You are still operated on the inside -you just have to start utilizing it again.
Our app works equally well for someone who needs a ‘restart’ many years after their obesity surgery, as for one who has just attended their first preoperative visit. The app pushes daily reminders of meals, fluids and vitamins, it has an Eating Speed Timer and helps you to order new vitamin supplements. ‘Tag along’ the app’s push notifications and you will day by day get back into better and more effective routines. And then your weight curve will start heading downwards again.