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Hi everyone! Its official, i booked my flight today and will be getting my band to sleeve revision on feb 10th with Dr Kelly! i am soooo excited, but im also very nervous. im doing this all by myself and im praying that there will be someone else there on or around the same time as me. also, if anyone has a list of things to buy before surgery and a list of things i should take with me that would be great. i want to send a big thank you to everyone on this site. i have learned so much and appreciate all the support and suggestions during the last couple of months. cant waith to hear from all of you! shaundra

Band broke after 10 years went from 12stone to 16stone had op cant lose weight 16.3 spent £6000 feel a failure had abroad need help support wish got another band gutted Heather from Scotland op in latvia too expensive here Sent from my SM-G960F using BariatricPal mobile app

Hello! I am looking for any advice to help with this dilema. I have had the lap band 2 1/2 years with great success. A few months ago I was violently ill with the flu and the band slipped. The company I work for changed insurance in Jan 2010 to Anthem BC BS California. The insurance co is denying my claim for revision surgery due to an exclusion placed by my company P&G. Ins is telling me that I have to request an exception from my company benefits manager. When I try to get that information I am giving a title & po box to mail all requests. This has been 2-3 months ago! I have no way to contact anyone directly and the insurance company keeps pushing it back on my company. P&G. If anyone out there has had a slipped band, you understand just how painfull and misreable it can make your life! Any advice would be greatly appreciated!!

Yes I couldn't agree more, and if you focus and get it done now, it will be out of your way. You will be on track to a new you. My surgery is booked Oct. 26 and I start my pre-op in a week. Also good news is I successfully defended my PhD and it is out of the way for now (revisions I will do after). I feel its time. You will get through this. Do you have a date set?

I had revision to sleeve on the 30th as well! One night in the hospital and they took my drain out before I left. My surgeon said that is his preference and I was ok with that. As for the removal it didn't hurt necessarily but did surprise me. Felt it come out and it was longer than I realized. After a sharp intake of breath, due to the foreign feeling, I was fine. Hope your removal goes well! From-amyjo316

Not sure from the title of your post whether or not you have GERD? If you do, the sleeve is likely not the best procedure for you. Check with your surgeon on this. The sleeve can make GERD worse resulting in a revision to bypass. It is the reason i had bypass, I had my heart set on the sleeve and then was told it was not the best solution for my health issues. I had my RNY over two years ago. I am 53. I had type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, severe gerd and worst of all stage 3 kidney disease. I also have psoriatic arthrits, Osteo arthritis and hypothyroid. Within 3 months my diabetes, high blood pressure, high cholesterol and severe gerd were completely GONE. My kidney disease was in remission and liver function went back to normal. Within 12 months my sleep apnea was gone. I was off all medications for those issues with the exception of my thyroid replacement and biologics for my Psoriatic arthritis. I of course now take calcium citrate, a multi Vitamin, Vitamin D, vitamin b1 and vitamin b12. It is alot less expensive for me, I lost all of my excess weight and other than my lousy back, I feel fantastic. Years younger......prior to losing my weight i felt like I was dying every day. Try not to worry, just educate yourself. Get on line, go to support groups, talk to those on forums like this. It will help you know everything you need to know to get healthy and stay healthy. Best of luck to you!

You might want to repost this to the band to sleeve forum on the sleeve side of this forum? Many banders who have had revisions revise to the sleeve. You'll find some angry band haters over there but most are quite reasonable. Maybe someone else with your issue?

Hey there, I have a question....I am also back at 1 1/2 yrs out. lost 45lbs, had major back surgery in January so 6 months of no or little exercise. Thank goodnes for the band. I had a weird problem. I think I need to have a little taken out of the band but I am scared. If I eat three hours before bed and it is not practically liquid, I wake up choking, not sick though, for I can get water down easy. I try real hard not to do that.I am now really aware of what I am eating, definatly protein. I cannot eat in the early morn so I have a warm protein drink, the warmth seems to open the band. If I have some removed I am worried that I will be able to get too much in. I finally got filled to what I felt was the right amount. I just hate choking and figure it is really a must to pay attention and not eat meat that is not ground, or anything too heavy at dinner. I have stayed at this weight, otherwise without the band and a surgery( had 7 knee replacement revision in 5 years) why I gained so much, I would surely have gained again. I have not read of anyone being maybe overfilled and choking and or coughing during the night..... Anyone hear??? Info would be great. Debra

@kiki52 And good luck to you also! I can't imagine two slippages. This experience has been really painful but I'm happy it's out and looking forward to the revision. I'm not as concerned with how fast I lose either. I just don't want to feel sick and in pain every day which is why I'd like to understand from others what the physical feeling has been between the two. I've gathered from my research and conversations with my dr. that I won't go through the same complications. Fingers crossed!

I understand how you feel...helpless and frustrated. When I had gastric sleeve surgery on 2/13/2014, it was in Tijuana (cost was less that $5,000 at the time)! This was because of insurance denying my initial attempt (I wasn't going to appeal since my health was in jeopardy. Now I need a revision to gastric bypass, I kinda expect the same response. Of course, now with COVID, Tijuana is high risk, if I was allowed to go and it was safe. But do not give up, nothing will change if you stop trying. Pain stopped me from working in October 2018, and due to lots of meds, I have gained almost all the weight that I lost, and kept off over five years. I share your frustration-let's keep going until we get what we need!

I currently have the band and want to make the switch to the sleeve but I am Very nervous since first off I have been big/mostly unsuccessful losing weight since birth, ha ha. Secondly, it was really embarrassing to pay out of pocket for the band & put my family in debt only to feel like the biggest failure ever! I read these revision stories & they all sound so positive. My experience with the band has not been a rough one so I just want to make sure I don't make the same mistake if I end up getting a revision. I have so many questions but my biggest one is when I did lose weight with the band it was because I was eating/keeping down almost nothing. I had to go to ER due to dehydration, got kidney stones a couple of times, my hair was falling out so badly I hardly had eyelashes or eyebrows & I felt weak and very sick but everyone would rave about how I looked which made it even harder. I remember thinking if this is how thin feels I don't want it. I was tired/shaky all the time and struggled to do everyday things like go to work, play with my kids & work out. I still struggle to get in my Protein since it gets stuck so easily and causes pain. I would like to know how do you all feel overall with your revision. How many calories are you eating roughly? How is your energy level ?

I am currently banded but undergoing a revision & plication this Thursday August 29th! I'm so excited as I've been having problems for such a very long time and I'm ready to get back on the bandwagon!

Hi there! Welcome! I wrote this list a liong time ago. It's based on my own, personal experience, so it may not apply to you. Some of it that is not relevent any more has been cut out, so if you see numbers missing, that's what happened. Best wishes to you on your journey! INDEX: 1. Any question that begins with "Should I ask my Doctor about 2. "Should I tell my family and friends?" 3. "Is it normal to be REALLY NERVOUS and wonder if I will fail at this?" 4. "How can I tell if my band slipped?” 5. "Why can I eat this food one day, but not the next?" 7. "Is it possible to get pregnant while wearing a Lap-Band?" 8. "Will my tastes in food change because of this?" 9. "What food will I be able, or unable, to eat?" 10. "I weigh XXX pounds. Am I too big for the Lap-Band, and will I lose weight with it?" 11. "It's been XX days, and the scale hasn't moved. What am I doing wrong?" 12. "What are the slang words you use here, like "PB" or "SLIME"?" 13. "I had restriction, but it went away. Where did my restriction go?" 14. "Which surgery should I have?" 15. "What should I take to the hospital?” 16. "How many days should I take off work?” 17. "I'm "Stuck"! What do I do?" 18. "Do I qualify for surgery?" 19. "Will insurance pay for my surgery?" 20. "How much does surgery cost?" 21. "I'm sick, and have a fill scheduled for tomorrow. Should I cancel my fill?" 22. "How much food will I be able to eat at one meal? How much SHOULD I be eating?” 23. "How many fills will I need to hit my sweet spot?" 24. "What is the sweet spot?" 25. "How much exercise should I do?" 26. "I had a PB, when can I eat again?" 27. "What Is The Reason For A Pre-Op Diet?" 28. "My doctor said to avoid caffeine, why is that?” 29. "Can I have soda or a beer?" 30. "Can I use a straw?" 31. "Can I chew gum?" 32. "What is a "Soft Stop" and what will my "Soft Stop sign be?" 33. "How often should I weigh myself?" 34. "Why should I take measurements?" 35. "Why do I have to eat Protein first?" 36. "Why can't I drink with food, or for a half-hour after eating?” 37. "Will I have loose skin after the weight loss?" 38. "Why are there different band sizes?" 39. "Will I feel full with a Lap-Band?" 40. "How does a Lap-Band actually work?" 41. "How much Fluid should I be drinking per day?" 42. "Is the Lap-Band permanent?" 43. "What time should I stop eating during my day?" 44. "What is "Water-Loading" and why is it important?" 45. "Is it possible to stretch out the small stomach, or "Pouch"?" 46. "Is it normal to feel tighter in the morning than any other time of day?" 47. "How Important Is The Post-Op Diet?" 48. "Is it normal for a Lap-Band to feel tighter during my menstrual period?" 49. "Can I gulp fluids with a Lap-Band?" 50. "How long does it take to feel the effects of having a fill?" 1. Any question that begins with "Should I ask my Doctor about..." the answer is YES! It's their JOB to answer our questions! 2. "Should I tell my family and friends?" It's up to you. In an ideal world, everyone would love you and support your decision to have life-saving surgery. But this is the REAL WORLD, where some people just can't keep themselves from making nasty, hurtful, ignorant and insensitive comments to people. If you don't want those comments, or are not strong enough to NOT CARE what other people think, DON'T TELL THEM! 3. "Is it normal to be REALLY NERVOUS and wonder if I will fail at this?" Yes. All of us are lifetime failures at dieting and keeping off weight. That reality makes us question whether or not the Lap-Band will work for us, when we have failed so many times before. The Lap-Band is DIFFERENT, because it puts a physical LIMIT on how much we can hurt ourselves. Also, anyone who isn't nervous about having MAJOR SURGERY is very unusual. 4. "How can I tell if my band slipped?" You go to the doctor and have a fluoroscopic examination. People sometimes have slips with minor symptoms, and sometimes they have major symptoms. Band slips are indicated by sudden UNEXPLAINED RESTRICTION or sudden UNEXPLAINED LOSS OF RESTRICTION. If you have either of those symptoms, you need to call your doctor. 5. "Why can I eat this food one day, but not the next?" Some theorize that the Lap-Band is affected by the amount of dehydration of the patient's body. A person who is dehydrated may have a looser Lap-Band due to "Flatter" cells that are not fully hydrated. Conversely, a patient who is fully hydrated may experience a tighter lap-Band due to "Plumper" hydrated tissues. This is another reason to drink more fluid that you did before you were banded. 7. "Is it possible to get pregnant while wearing a Lap-Band?" Yes. All normal precautions to avoid pregnancy need to be followed if pregnancy is not desired. It has been speculated that morbidly obese females experience weight-related infertility, or impaired fertility. Many women who experience weight loss suddenly become pregnant after many years of trying. If a patient becomes pregnant, their doctor may or may not decide to unfill the Lap-Band for the duration of the pregnancy. Some doctors do not unfill, some unfill some of it, and some unfill all of it. If a patient is unfilled for the pregnancy, they must receive a fill or series of fills after the delivery to regain effective restriction. 8. "Will my tastes in food change because of this?" They might, they might not. Many people report intolerance for a certain food that they previously enjoyed. Many people also report an increased desire for spicier or tastier food. 9. "What food will I be able, or unable, to eat?" People have different food tolerances after being banded. Some people report that no food is difficult; some say bread, rice or Pasta is difficult. It all depends on the individual, and the only way to find out is to try that food for yourself. 10. "I weigh XXX pounds. Am I too big for the Lap-Band, and will I lose weight with it?" My starting weight was 570 pounds. Whether you lose weight with any weight loss surgery will depend on whether or not you adapt to the lifestyle modifications that the surgery requires. Success is ultimately up to you, and depends on your effort. 11. "It's been XX days, and the scale hasn't moved. What am I doing wrong?" Scale weight repeatedly stalls during the weight loss process. Common reasons include the following: (A) Patient is eating more than they think they are. ( Patient is retaining fluid for some reason, like salt intake or menstrual cycle © Patient's body is dehydrated, and is retaining fluid for that reason (D) Patient's body weight has increased due to muscle tissue increasing due to increased exercise (E) Unknown. The best way to not go insane about scale weight is simple: Stop weighing obsessively. Weigh in not more than once a week, because momentary weight fluctuations of as little as 1% of your body weight will wipe out a full week's weight loss. Take measurements before being banded so that when the scale weight stops, you can re-measure to see if your body size is shrinking while the scale stalls. EXPECT the scale loss to stall once in a while, this is NORMAL. Weight loss is a "Staircase, not a curve" that is, its stop, then drop, stop, and then drop. 12. "What are the slang words you use here, like "PB" or "SLIME"?" "Slime" refers to the uncontrollable production of saliva, which usually happens when a piece of food is "Stuck". "Sliming" can also occur as a reaction to eating too much food, or from not chewing food well enough. Sliming can lead to a "PB", or "Productive Burp", which is a small amount of vomit. 13. "I had restriction, but it went away. Where did my restriction go?" My experience with receiving fills has been a temporary restriction, caused by the swelling of the stomach post-fill. This temporary restriction is followed by a lessening restriction as the swelling subsides. That lessening restriction is usually followed by weight loss, which shrinks the residual fat-pad that lies between my Lap-Band and my stomach. The loss of the residual fat-pad causes a loss of restriction, due to increased space between the inside of the Lap-Band and the outside of the stomach. When I lose that restriction, the entire process begins again when I get another fill. I have had 7 fills now, and I go through the same process with every fill. 14. "Which surgery should I have?" The type of surgery that is best for you should be determined by you and your doctor. There may be underlying medical issues that you have that are not known to anyone but you and your doctor. Those medical issues may make a difference in which surgery is best for you. Every weight loss surgery has advantages and disadvantages. Doing the research into the different types of surgery is a very good idea. One more thing, weight loss surgery, in itself, does NOT guarantee the success of the patient. The patient who is determined to do whatever is required in adopting a new, healthier lifestyle will be successful, no matter what type of operation they have. 15. "What should I take to the hospital?” This varies from person to person, but the following are nearly universal: 1. Loose-fitting clothes for the trip home. 2. A pillow to cushion the tummy from the seat belt on the ride home. 3. Chap-Stick. 4. A CPAP if you use one, and the hospital permits patient's CPAPs instead of providing one for them. 5. Your insurance card and I.D. (You would be surprised how many patients forget this) you may decide to add items to this list. 16. "How many days should I take off work?" People will differ as to their recovery time. Most Lap-Band patients report that one week is sufficient time to recover enough to return to work, but if your job is physically demanding, you may require additional time off, or have restrictions placed on you. You may have restrictions on the amount of weight that you may lift. Please discuss this with your doctor, as they may be able to answer this question more accurately. 17. "I'm "Stuck"! What do I do?" Being "Stuck" means that a piece of food has lodged somewhere in your esophagus or stomach, causing extreme discomfort until the food dislodges. A "Stuck" happens because of a lack of chewing, or because the food was dry, or any number of reasons. The best way to prevent getting "Stuck" is the chew your food extremely well, and avoid dried-out foods. Unfortunately, there is no effective way to "Unstick" food. You just have to wait it out. The food will either eventually go down by itself, or you will "Slime" or experience a "PB". See number 12 to see what "Slime" and "PB" are. 18. "Do I qualify for surgery?" This depends on which surgeon you choose and where you plan on having the surgery. For example, some surgeons in other countries only require you to be 20 or so pounds overweight, while many American surgeons require a BMI of at least 35 with the presence of qualifying co-morbidities. 19. "Will insurance pay for my surgery?" I suggest you call you insurance company to see if they cover the Lap-Band procedure. If they do, then you will need to call your employer's human resource department to see if there is an exclusion for weight loss surgery that they have put in place. (Many companies exclude weight loss surgery as a means to save on insurance premiums) If the Lap-Band procedure is covered by your insurance, most companies require you to meet one of the following weight requirements: 1. Have a BMI of 40 or higher or be at least 100 pounds overweight; 2. Have a BMI of at least 35 with comorbidities (health conditions caused by obesity, such as high blood pressure, heart disease, diabetes, etc.) The insurance company may also have other requirements that you must meet, such as a medically supervised diet, meeting with a psychiatrist/psychologist or certain health clearances. This will vary from company to company, and the only way to find out is to ask the insurance company. 20. "How much does surgery cost?" This will depend on the surgeon you choose and where you have the surgery. If you choose to travel to a foreign country for surgery, you will usually pay a lower price than if you chose to have surgery in the United States. Most Mexican surgeons charge less than $10,000, while most American surgeons charge $14,000-$20,000 or more. While it is important, price should not be your only consideration when choosing a surgeon. After-care is extremely important for Lap-Band patients, and Inamed/Allergan states that lack of proper patient after-care is implicated in the majority of band revisions. 21. "I'm sick, and have a fill scheduled for tomorrow. Should I cancel my fill?" In general, unless you have been throwing up, (Which may cause swelling in the stomach tissues) the band would not be affected by common illness. If this is a concern for you, I recommend you call your doctor and ask them. 22. "How much food will I be able to eat at one meal? How much SHOULD I be eating?" Most Lap-Band patients report eating between one and two cups of food at one meal. You may eat less or more than this. If you are eating more, I recommend you be evaluated for a fill. Most Lap-Band patients consume between 1000 and 1500 calories per day. Eating very few calories may actually impede your weight loss due to your body going into "Starvation Mode" where it holds onto every calorie. 23. "How many fills will I need to hit my sweet spot?" I talked to Inamed about how many CCs in a Lap-Band made for a "Good fill". Their answer surprised me: "It really doesn't MATTER how many ccs are in the band. The only thing that matters is whether or not that CC amount provides EFFECTIVE RESTRICTION" (Emphasis added) So the trick then is NOT how many CCs are in the Lap-Band, it's whether or not the band works well at that level of fill. 24. "What is the sweet spot?" The phrase "The Sweet Spot" is just another way of saying "Effective Restriction". The problem is that people expect "The Sweet Spot" to last, it doesn't, and neither does "Effective Restriction". Not until the entire residual fat-pad on the outside of the stomach muscle is melted off, and that takes TIME. 24. "How soon should I exercise?" As soon as you feel able to, with attention being paid to any restrictions that your doctor may have put on you. When in doubt, call your doctor. 25. "How much exercise should I do?" That is going to depend on your ability and fitness level. Exercising to the point of pain is not advisable. Start slowly, and if you have any medical conditions, please consult your doctor. Walking is excellent exercise for newly banded patients. The type of exercise is not as important as doing the exercise on a consistent basis. A small amount of exercise daily is better than a large amount done once weekly. 26. "I had a PB, when can I eat again?" Many doctors advise going back to fluids with a slow re-introduction of food, starting with "Mushies" following a PB. My own doctor advises 2 full days of full fluids following any fill, PB or vomiting. 27. "What Is The Reason For A Pre-Op Diet?" The purpose of a pre-op diet that precludes a binge eating session is to shrink the amount of fat stored in the patient's liver. A patient with a fatty liver has much higher risk in surgery, because the surgeon has the "Shove" that fatty liver out of the way. Possible complications of binge eating resulting in fatty liver include the following: 1. Conversion of surgery from LAP to OPEN. 2. Laceration of the liver. 3. Internal bruising of the liver. 4. More post-op pain for the patient. 5. A longer operation time. 6. *IF* the theory about hair loss due to time under anesthesia is correct, greater hair loss. 7. Higher possibility of respiratory complications, pneumonia, etc., due to longer time under anesthesia. 8. Higher possibility of blood clots due to longer operation time. 9. Longer lingering side-effects from the anesthesia due to being under anesthesia for a longer time. 10. More stiffness and more pain from being on a cold operating table on your back for a longer period of time. 28. "My doctor said to avoid caffeine, why is that?” Many doctors believe that caffeine, because it is a stimulant, may stimulate a patient's appetite. Caffeine may also be a gastric irritant, which could be a contributor to GERD, acid reflux or eventual band erosion. 29. "Can I have soda or a beer?" Some doctors believe that carbonation may stretch out the pouch. Other doctors do not follow the "No carbonation" rule. I find it uncomfortable to drink carbonated beverages, especially if I try to drink them fast. In any case, the Lap-Band is not designed to restrict fluids, so the calories in any beverage must be counted as food. 30. "Can I use a straw?" Some doctors believe that swallowing air by using a straw will cause the patient's stomach to fill up on air, which leaves no room for food. Some patients find using a straw produces too much trapped air pressure, and some patients use straws daily. 31. "Can I chew gum?" Probably. Just don't swallow it. If you do swallow gum, be aware that it could cause a total obstruction of the stoma, the opening created by the band. If this happens, either the gum will eventually dislodge and pass through the stomach, or you may PB or vomit to clear the blockage. In rare instances, the blockage is so severe a trip to either the doctor's or the hospital is necessary to remove the blockage. 32. "What is a "Soft Stop" and what will my "Soft Stop sign be?" I wish I could answer that, but I can't. My experience is that it took me some time to recognize that that funny little hiccup was a stop sign. I don't even recall how long it took me to figure it out. What REALLY messes me up is when my body tricks me by substituting another sign for my hiccup. Many a PB followed when that happened, so now I look for ANYTHING different. A feeling of fullness, stuffiness, a runny nose, a hiccup or hiccups, watering eyes... ANYTHING that's different! 33. "How often should I weigh myself?" I have an opinion on scales for post-op patients: "Scales are NOT your friend!" Let me explain why. The typical Lap-Band patient loses between one and two pounds per week after obtaining effective restriction in the Lap-Band. Normal body weight fluctuations can, and do, wipe out a month's worth of scale weight loss. We can't do anything about those fluctuations, and higher scale weight sometimes triggers feelings of despair and hopelessness, which can lead to out-of-control overeating. I advise new post-ops who are fewer than 6 months out to not use a scale at home. Use the scales at your doctor's office when you go in for your checkups. After six months have passed, I advise people to weigh in as little as possible, but never more than once a week. (Note: Some people feel compelled to weigh in every day; I used to be one of them. Some people feel that weighing often helps them to "Stay Focused" on weight loss. If weighing in does NOT cause you anxiety that is compensated for by overeating, weigh in every five minutes if you like.) 34. "Why should I take measurements?" Taking measurements before your operation is one of the most effective ways to "See" a weight loss when those scales just are not moving. The typical pattern in post-op patients is for the scales to "Stop, then drop" when the scales stop suddenly, it helps to confirm that you are still losing inches, despite what the scales say. 35. "Why do I have to eat protein first?" Eating the protein food first guarantees that you will not "Fill up" on other food and run the risk of a protein deficiency. Adequate protein is necessary for good health, and most post-ops find that solid protein fills the small stomach created by the Lap-Band faster, which helps them to feel fuller for a longer time. 36. "Why can't I drink with food, or for a half-hour after eating?" Drinking with food turns the food into "Soup", and "Soup" runs through the stoma quickly. The Lap-Band is designed to offer effective restriction when eating solid food. People who drink while eating will eat more and they will be hungry quicker after eating. 37. "Will I have loose skin after the weight loss?" Like so many things, this will depend on the individual. Skin tone is primarily determined by a person's genes. Some people's skin reduces with their body size, and some don't. Many people who have lost large amounts of weight will have excess skin. Currently there is no cream or drug that will reduce excess skin, the only way to get rid of it is by having plastic surgery. Common plastic surgeries post weight loss include the tummy tuck, thigh lift, breast lift, breast implants, face lift, neck lift, lower belt lipectomy, buttock lift and arm reduction. 38. "Why are there different band sizes?" The differences in the bands that are approved for use are: 1. The internal diameter of the band, and 2. The fill capacity of the band. The reasons for the differences are so that the surgeon can make a choice as to which band to use on the patient. That decision is made during surgery, when the surgeon is actually looking at the patient's unique anatomy. Because of this, the surgeon should have all the bands available to them during the surgery. In terms of restriction ability, there are very little differences between the bands. Here is some more information on stoma sizes. The maximum diameter of an unfilled VG band is only 32.86 millimeters. The maximum diameter of an unfilled 10cm band is only 26.46 millimeters. The maximum diameter of an unfilled 9.75cm band is only 25.23 millimeters. Remember, the entire, folded stomach wall has to fit in there too! And at maximum fill: 16.73 millimeters for a VG. 16.35 for a 10cm. 15.13 for a 9.75cm. 39. "Will I feel full with a Lap-Band?" A post-op WLS patient is probably are not going to have the same sensation of "Full" after their operation that they experienced before their operation. In my case, before my operation, when I ate (Which means when I "Overate") I felt sort of "Stuffed" as if I had eaten a full meal, and drank with it, until my stomach was so full that it felt as if I had eaten a smaller version of a Thanksgiving dinner. I felt slightly distended or bloated, and as if I couldn't (Or shouldn't) eat another bite. I routinely ate so much food that I would feel right on the edge of uncomfortably full. That was the only way I felt "Satisfied". I believe that as a pre-op, I had never really learned my body's "Full signal", so I just kept on eating until I felt physical discomfort from over-eating, which I interpreted as "Being full". Angela says that her Grandmother taught her one way to tell if you are full: "If the food stops tasting as good as it did when you first started eating, that means you are full". I think that is a good way to tell fullness, as I know that applies to me now. I will be eating a meal, and halfway through the meal, the food stops tasting good to me, so I put it away. Patients who are post-op report many different "Full Signals", some of which I have listed here: A hiccup or hiccups. Sneezing. Stuffiness in the chest. Watering eyes. Coughing. Burping. Excessive saliva. This is by no means a comprehensive list, as there are many more "Full Signals" than I have listed. In summary, part of the "Behavior modification" that is a requirement of the post-op care for WLS patients is learning to recognize their body's "Full signal". When a person experiences any new signal, they need to see if that signal is consistent with their being full. Then a person will know when they are full, as opposed to the full signal they used before their surgery. 40. "How does a Lap-Band actually work?" This may help you in understanding the restrictive mechanism of a Lap-Band. The INAMED protocol for Lap-Band fills calls for a six-week delay after surgery, prior to any fills. The purpose for the six-week delay is for the patient’s stomach to heal from the surgery, as well as allowing time for the Lap-Band to “Seat” or “Nestle” into the fat pad between the stomach wall and the interior wall of the Lap-Band. Prior to receiving an EFFECTIVE fill, it is VERY uncommon to have any restriction from a Lap-Band. Some patients will NOT lose weight, or may even GAIN weight until they have received an effective fill in their Lap-Band. Normal weight loss with a properly restricted Lap-Band is between 1 and 2 pounds per week. The normal cycle of fills, restriction and weight loss is as follows: 1. The patient's Lap-Band constricts when the patient receives a fill. Swelling for a few days after receiving a fill is very common. Many doctors require a patient to go on a liquid diet for a day or two after receiving a fill. A fill may have a “Delayed Action” of up to two weeks. A “Delayed-Action” means that the fill may not become effective for up to two weeks after the fill. That is why the INAMED protocol states that fills should not be performed on patients who will not have access to medical care for at least two weeks after a fill. 2. The patient's stomach capacity is lessened as a result of the restriction caused by the Lap-Band. 3. The patient loses weight because they cannot eat as much food. 4. The residual fat-pad between the inside of the Lap-Band and the outside of the patient's stomach reduces in size because of the overall weight loss in the patient. 5. The reduction of the residual fat-pad causes the Lap-Band to become loose again. 6. At that point, the patient needs another fill, because the Lap-Band is loose, and the patient has a loss of restriction, which allows the patient to eat larger amounts of food. 7. The patient receives another fill and the process starts all over again. Most Lap-Band patients receive several fills to adjust the Lap-Band as their weight loss progresses, and there is less and less residual fat-pad between the inside of the Lap-Band and the exterior of the stomach wall. Once a patient has lost all of their residual fat-pad, fills become less common. As the Lap-Band patient progresses in their weight loss, the effect of very tiny fills (Less than .2ccs) becomes greater and greater. It is not uncommon for a late-stage Lap-Band patient to experience a significant difference in restriction with as little as .05cc of fill. 41. "How much fluid should I be drinking per day?" To calculate minimum fluid intake requirements, take current (Not goal) weight and divide by 2.2 to obtain Kilos of body weight. Using a 150-pound person as an example: 150 / 2.2 = 68.18 (Kilos of body weight. Multiply the Kilos by 35 to obtain the minimum ccs of fluids needed per day: 68.18 X 35 = 2386.3 to convert the ccs into ounces, divide by 30: 2386.3 / 30 = 79.54 ounces, minimum fluid intake per day. The entire equation looks like this: 150 / 2.2 = 68.18 X 35 = 2386.3 / 30 = 79.54 minimum ounces of fluid per day. A very quick and very close approximation for fluid intake is half of current body weight, converted to ounces. Once again using the 150-pound example, half of weight converted to ounces would be 75 ounces per day, as opposed to the equation's goal, which is 79.54 ounces of fluid per day. That is very close, and many people use the approximation, rather than doing this math. 42. "Is the Lap-Band permanent?" Many people are under the misconception that the Lap-Band surgery is not permanent. The surgeon's instructions from INAMED, the maker of the only approved Bands in the USA states that the Lap-Band is a permanent operation, and should be presented as such to the patient. Lap-Bands can be removed under dire medical emergency, but they are not normally removed. Patients should also be aware that Lap-Band removal is actually a more complicated and therefore higher risk, surgery. Many Lap-Band removals are done with open incisions, which are considerably more complicated that laparoscopic implantation. Fewer than 3% of Lap-Bands are removed for ALL reasons combined. 43. "What time should I stop eating during my day?" It's a good idea to stop eating at least 2 hours before lying down. That assists in preventing heartburn because the food in our small stomachs is much closer to our esophagus. It's also a very good idea to drink a glass of Water before bed to flush any residual food from the small stomach. 44. "What is "Water-Loading" and why is it important?" "Water-Loading" is the practice of drinking to full capacity shortly before a meal. It is important because a person who is fully hydrated will be less likely to drink during a meal or shortly after a meal. Drinking with a meal or shortly after a meal will turn the food into "Soup" which will go through the band quickly and make you hungrier faster. In addition, many people confuse thirst with hunger; the practice of "Water-Loading" will help prevent eating when the patient is actually thirsty. 45. "Is it possible to stretch out the small stomach, or "Pouch"?" The pouch seldom enlarges, because it is created in an area that is very resistant to enlargement. The esophagus above the pouch will usually stretch before the pouch itself does. That is almost always caused by repeatedly over-eating, AKA "Stuffing the pouch". Not very many people do this, but if they do, it can result in "Esophageal Dilatation" or stretching of the esophagus, which can be a very serious thing. The usual remedy for esophageal dilatation is to completely unfill the band for a period of time, in the hope that the esophagus will shrink back to its original size. In some instances, where the patient refuses to stop "Stuffing the Pouch" band removal is necessary. 46. "Is it normal to feel tighter in the morning than any other time of day?" Some people do, some people don't. There is a theory about mucus accumulating during the night and obstructing the stoma, resulting in morning tightness. Personally, I am VERY tight in the morning and find eating solid food to be impossible. I choose to drink a warm Protein shake, usually mixed with coffee, because of that morning tightness. 47. "How Important Is The Post-Op Diet?" It is critical. Most doctors prescribe a post-op diet of weeks of clear fluids, followed by weeks of full fluids followed by weeks of mushy food. My doctor said 2 weeks clear fluid, 2 weeks full fluids and 2 weeks of mushy food. The time following the operation is for your stomach to heal. The Lap-Band needs to form a groove on your stomach. That groove makes the Lap-Band resistant to slipping. Eating food during the post-op period before you are supposed to be eating food could cause the Lap-Band to slip, or increase the risk of a future slippage. Food causes the stomach muscle to "Work" to digest the food. The "Work" could cause the band to not seat properly on the stomach. Weight loss is NOT to be expected during the recovery time after the operation. If you lose weight, wonderful, but don't expect it. The time between the operation and getting an EFFECTIVE fill that causes restriction is called "Bandster Hell" for a good reason. Without an EFFECTIVE fill, our hunger is just as strong, but the band does not work to help us. Getting an EFFECTIVE fill sometimes takes multiple fills, it is not unusual for it to take 3-5 or even MORE fills to obtain restriction. Because the band has to seat into the groove to hold its position, and every time the band is filled the fill adds extra pressure on the band, most doctors choose to let time pass between fills. Most doctors will not fill a band before 4 weeks after the operation, 6 weeks is common and 8-12 weeks of healing time is not unheard of. 48. "Is it normal for a Lap-Band to feel tighter during my menstrual period?" Many women do report this, and some also report less restriction during their periods. "Normal" is whatever your experience is. 49. "Can I gulp fluids with a Lap-Band?" Yes, I can, and do, gulp liquids with a Lap-Band. (The exception is anything carbonated) Most patients don't have any issues gulping fluid, as long as it's not in the morning (Some people are "Tighter" in the morning) or ice-cold fluid. (Some people report that ice-cold fluid "Snaps the band shut") Soda is a subjective thing. Sugared soda is a poor food choice because of the calories, but diet soda is something that many patients drink. There is a concern by some doctors that the pressure from carbonation may stretch out the small stomach. Personally, carbonated beverages are PAINFUL for me unless sipped very slowly. I used to drink over 8 liters per day, but no more. Now I drink Kool-Aid sweetened with saccharine. As far as caffeine, many doctors view caffeine as an appetite stimulant, which is why they don't like patients drinking it. Caffeine is also a diuretic, and getting in enough fluids is already difficult for many patients. Myself, I drink coffee, tea and the occasional cola and it is not an issue for me, you may be different. 50. "How long does it take to feel the effects of having a fill?" It depends. Some people experience a feeling of increased restriction immediately, whereas some others have "Delayed Restriction" of up to four weeks, or more, after a fill. The effects of a fill may vary between fills, with one fill having immediate effect, while another may cause a "Delayed Restriction" or vice-versa. The important thing to remember is that a fill may not take effect immediately, which is why many doctors will not give an additional fill until four weeks after the previous fill.

It has been 6 months since my VSG.... And I still LOVE my sleeve. Aside from marrying my husband, this is the best thing I've ever done. No regrets... I'm not at all saying its easy. It's not all sunshine and rainbows. The emotional stuff is hard. I look in the mirror and cry sometimes, but the good outweighs the bad completely. I still write down everything I eat. Protein first. I still (and plan to forever) stay away from potatoes, bread, Pasta, and rice. I try my best to take in enough Fluid (notice I said TRY). I still use Protein shakes and bars as Meal Replacements from time to time-- but truth is, I really enjoy them. I exercise 1-2 hours most days a week- walking, jogging, weights, crunches, squats, BodyFlow classes (my new fav), whatever-- but tonight is my first belly dancing class. Wow, never would've done that before! As of this week I am 92 lbs down and officially "overweight!" I have 8 lbs until I meet my original goal of 100 lbs GONE! (But I'll probably revise and lower that goal). I can't explain how much I truly love this lifestyle-- the workouts, the food choices, the energy... Just feeling so good. Oh , and the sex hehe, sorry. Info: Age: 26 Ht: 5 ft (4' 11.5") Sleeved on 6/11/2013 Highest weight: 245 Surgery weight: 240 Current weight: 148 Largest size in my closet; 24. Most days I fit a 20-22. Currently size 12.

I use dr. Touliatos at trinity. He's the one who put my lap band in. I really like him. By the way, I loved the band- it totally worked for me. But unfortunately the stupid thing broke down & eroded into my stomach! So I had to get it out. Now dr. Touliatos doesn't even do bands anymore! So he recommended the sleeve. I'm really worried BCBS is gonna reject it - even though its a "revision surgery" due to the band erosion.

I had an extended tummy tuck back in 2011 and I've been thrilled with the results as well. I had lost 90 pounds prior to the procedure and I have since regained 80 of that. My tummy is still flat and the muscle repair has held up amazingly well. I'm hoping that after I am sleeved and re-lose the weight, I won't need any sort of revision.

I'm not sure about the liquids for some reason Iv never been a big drinker of anything so the band just increased what was already a struggle with the whole don't drink and eat thing and wait 30 mins. I didn't revise only because of reflux, It was managed with Prilosec well enough but more so because of just sick of the whole lifestyle that came with the band. Yes I could have loosened or unfilled but only with weight gain. Iv not had even a slight bit of reflux since removing the band but I also had a hiatal hernia repair during the revision. I had many barium swallows over the years since I worked in the surgeons office, a few dilated pouches that I would refill for about a month to correct but they never fully corrected. My esophagus is still dilated even in my recent X-rays.

All is good. my revision went smoothly- I walked the first day- slept like a hibernating bear too. the only pain I can really complain about was the headaches I had 3 nights in a row while at the hospital. Turns out I dont get on too well with that morphine drip. Day 3 starting liquids and have been just fine. Belly is sore from bending and stretching too much once I got home. Abdominal muscles feel really worked! I have enjoyed my couch nights- just me the tree lights and junky TV. Not being dependant to drive does suck tho since I need to finish my Christmas Shopping, Also, I am wired at night- cant seem to fall asleep til like 4am. Not even tired during the day either, strange Thanks everyone,I know your positive thoughts support and prayers were key in this very pleasant experience these first 5 days, Nighty night my friends

First banded 2009, slipped, had a revision 3-25. Ever since surgery feeling sluggish tired .....new onset symptons are dizziness, light headed, when I'm standing up feeling like I'm about to pass out......Doc says might be that the band interfere with my vasageal. Has any one have this happen to them. Is it curable....please help

One of the key factors those people are missing is time. As I said in a previous post, it can take time for the skin to catch up to the weight loss. That's not to say that all of their skin would have shrunk had they given it more time, but it may have improved somewhat. I don't want to sound like a hypocrite here though. Full disclosure: I lost 90 pounds back in 2010/2011 "on my own" and had an extended tummy tuck and breast lift afterward. And that was after having maintained my weight for almost a year. So clearly my skin didn't tighten back up to the point where I was happy with it. I do wish that I knew back then what I know now about steps I could have taken to reduce the loose skin issue WHILE losing weight. Once I am sleeved on September 1, I intend to be religious about hydration, moisturization, supplementation, and resistance training. Hopefully by doing that, I can reduce the likelihood of needing to have any revision to my tummy tuck or any additional skin removal surgery down the road.

I haven't been able to get on this website for about 3 weeks due to computer issues, and then family illness. Thankfully, that's all taken care of now! It's hard to believe that 2 months ago I had a life-changing, mind-blowing experience with the realization of getting my sleeve. After years of major struggles with the lap-band, and 2 years spent searching for a Doctor who would even consider seeing me, God opened the door for me at Dr. Kaler's office. Dr. Kaler had no hesitation in telling me, "Yes, I can do your revision". I remember sitting in his exam room with tears in my eyes, thinking "Finally, someone who can help me". The sense of relief that this ordeal was finally over was surreal. After years of struggling with the band, the sliming, the sticking, the not being able to eat out in front of anyone other than my DH, my mother's comments of "Oh honey, I just wish there was something that could be done for you", my revision was done in one surgery. The changes that have occurred in my life since have been amazing. No more sticking, no more sliming, eating out with friends, feeling like I'm 15 years younger, the energy, the ability to get out and move, the improved numbers from my bloodwork, actually enjoy life has been such a blessing. As of this morning, I am down 42lbs, and 3 dress sizes. I still struggle with my eyes being WAAAAYY bigger than my sleeve. I suspect this will be a challenge for quite a long time. But it's always surprising to me how much is left on my plate. My DH has enjoyed my leftovers many times and isn't complaining. To have the ability to eat without the expectation that it's going to be a painful experience, has made me realize that I have taken eating for granted. I no longer do that. I know truly enjoy my food, more as a true pleasure, and I'm focusing on making sure that those meals are well worth the effort. I'm learning new recipes, experiencing new foods, and focus on eating whole, healthy, fresh foods. And it's such a great time of the year to do this. With the Farmer's Markets that are open now, my vegetable garden, learning to can and freeze fresh fruits and vegetables, purchasing grass fed beef, free-range chicken, and the most recent addition to our little farm - a Devon pig, who will be filling our freezer this fall, our food quality has increased by leaps and bounds. No more pre-processed food, no more white carbs, a significant reduction in gluten in our lives has made a tremendous difference in not just my, but my DH's life. I never would have made these changes in our life had it not been for the sleeve. I'm eating pretty much anything I want, just in drastically smaller quantities, and the only thing I haven't tried yet is a salad. For some reason, that's the one thing that looms in my mind as the "The Big One". I'm sure it's just in my head that way, but I still see a Salad and think, "One day I'll be able to eat that and really enjoy it", but I haven't tried one yet. I'm not big on restaurant salads, but prefer to buy my own ingredients and make them at home. That way I can control what goes in to it. I will always encourage those who are thinking about getting the lapband toward the sleeve, and I will support those who want a revision by sharing my experience. Just as so many of the folks on this wonderful website have done for me.

Thank you ladies for your response to my call for help. It is nice there are people I can ask for help on these forums regarding eatting right after having a Sleeve Revision and while trying to be smart and not fall into the wrong way of looking at food now. hhhHappy- i did put a call in to Nut/DR office but they havent called back, yet. Ktklass- I will go out and buy some Premier shakes from costco this weekend, they have 30gr of Protein and that will help me get the protein in that I need. EscapePod, thank you for your words of kindness and wisdom. Your right grief isnt normal there are days when it hits you and days when your just numb. I do appreciate your honesty. I lost my father many years ago and turned to "comfort food". This time I wanted to be smart. It is true that I havent been getting my Water in and that is something I try really hard to do. When i realized that I also figured I wasnt so hungry either just 3 meals a day instead of my 6 small meals. hugs to all of you again.

I'm looking for a revision buddy I'm sleeve to Rny but lost like a band so that's why I'm doing Rny I'm 37 5'6 mother of 3 I go up and down from 206/210. My date is first week of June So anyone want to be buddy's

That is so exciting! I can imagine and understand that you are nervous and unsure.. but honestly having your current loose skin removed will help SO much in your day to day life. I would say it's totally worth it to go ahead and do this now and once at goal to do the revision later! Not having the painful loose skin will make it easier for you to exercise and get around which will help you get to goal.. so I say go for it! No matter what you decide or what happens, I know you can do this and it is so awesome how far you have come in your journey so far! Congrats girlie

There is also a band to sleeve revision forum - an excellent place to hear detailed input on this subject as this forum was intended for vets to discuss vet issues. I was a revision and can share my personal experiences but bottom line - with the sleeve I don't have food restrictions. Sleeve has been for me a good tool, whereas the band was a midevil torture device.