This was a post from a lapband Dr. and I just wanted to copy and save it.

All weight loss comes from calorie deficit (burning more calories than you consume). Burning more and consuming less is what causes weight loss.

The band will not force you to burn calories. The band helps with the consuming less part. It helps with this in three major ways:

1. Reduced appetite - some surgeons argue that the band is an appetite reduction operation. It has been shown to reduce appetite hormones. Patients say they don't feel hungry - they don't feel like they are on a diet. The band reduces true physical hunger. Some of us struggle with emotional hunger, phantom hunger which is not cured by the band but reducing physical hunger is very helpful at combatting head hunger. Emotional hunger comes from deep rooted emotional pain causing negative emotion that is unfortunately temporarily cured by food.

2. Fullness on small portions - the amount of stomach above the band is small. You will feel full on a much smaller portion of food if the band is properly adjusted. The fullness feeling is not a "pat your lower belly" kind of fullness. Band fullness is a very high sensation - in the chest - the feeling that the last bite of food is somewhere near the base of the tongue and another crumb will not be physically allowed.

3. The impossible nature of overeating - let's say you feel full and not hungry but you decide that you will overeat anyway. A properly adjusted band simply will not allow this. A point will be reached where the system will reject anything more. The esophagus (swallowing tube) is a transport organ; not a storage organ. The esophagus has two buttons: down and up. It will try down first. If that doesn't work, it switches to up and you get to see the food again.

We've been banding for eight years and we see three groups of patients in our practice:

Group 1 - gold medal superstar patients who lose easily and steadily after band surgery and send us Christmas cards that will bring tears to your eyes.

Group 2 - patients who acheive the same ultimate results as Group 1 but it takes longer with more office visits and more education and slower weight loss but we still get there. The race car crosses the finish line but it's on fire and badly damaged.

Group 3 - patients that will be three years out from band surgery and only down 20 or 30 pounds. The three biggest reasons patients are in this group are: 1.) unsolved emotional eating 2.) zero calorie burning 3.) Quit, give up, stop coming to the practice for band adjustments, education, etc

One of the best books I've seen on emotional eating is: "Shrink Yourself" by Dr. Gould. Many patients have told me this helps. The secret to curing emotional eating is to identify the root cause of this negative emotional pain and work through it. This is the most difficult aspect of successful weight loss.

I love this! Thank you so much for sharing.