well, #1 for me is slowing down my eating. Before surgery I could eat a huge plate of food in a matter of minutes. If I did that now, the food would buildup in the pouch and it would make me throw it up. It's not the same kind of sick as when you have the flu. It starts as a lot of saliva coming out and then maybe a little bit of food. Now I measure out what I am supposed to eat and take my time. This has kept my intake to what it should be.