WLS for a sugar/carb addict and binger?

[katyyakyak 5]

On ‎6‎/‎18‎/‎2017 at 6:33 PM, Introversion said:

No...you can still eat sugary foods compulsively with a gastric bypass or sleeve. Only a small percentage of bypass patients experience the dumping syndrome after eating sugar; however, the majority tolerate sweets without any issues.

You can still binge-eat with a reduced-sized stomach, one donut or cupcake at a time. These are sliders, a.k.a. slurry foods. They turn into a liquid slurry once you swallow, sliding through your stomach and into your intestines rapidly without ever challenging your sleeve or bypass pouch. You can eat 50 cupcakes and never feel full.

In essence, the bariatric surgeon operates on your stomach, not your mind. 90 percent of success with bariatric surgery involves changing your psychological outlook on eating. Good luck to you.

I'm unclear on what makes a food a "slider" food and what foods that includes. Can you tell me more about it?

[jess9395 5,449]

I'm unclear on what makes a food a "slider" food and what foods that includes. Can you tell me more about it?

Think foods that crush down to nothing.... chips, toast, crackers... they take up no real estate, so the amount you can eat far surpasses what you would imagine. What might take up 2-3 cups crush down to maybe 1/4 cup. They slide IN.

Then you have the liquid type foods like broth and other things... for some people yogurt or ice cream or shakes... they side THROUGH.

Sliders are foods you can eat more of than other more dense foods.

[jess9395 5,449]

The slurry thing? No. That's all foods.

[katyyakyak 5]

Thank you. That helps!

[teacupnosaucer 445]

On 2017-06-19 at 8:56 AM, Yettid said:

Great info. Thanks! I'm not sure I have Binge eating disorders but I can eat a pound of chocolate or half tub of ice cream. And donuts, ugh 3 or 4!😳

I am similar. I don't have blackout compulsive binging, but if I have a bag of Oreos at hand I can and will eat the whole thing. The sleeve has definitely helped me to lose weight by limiting my portions in general, but more importantly I have to make a conscious choice not to bring those trigger foods into my house. Oreos and other bagged Cookies can't come into my house. Other people can't buy potato chips for the same reason, etc.

Ultimately I'd say post-sleeve that if I had a bag of Oreos here right now... I couldn't eat the whole thing the same way as I used to, but I could DEFINITELY polish off the bag by grazing over the course of a night at a slower pace. Calories are still the same no matter the pace though! So don't count on the sleeve alone to keep you from overeating unhealthy food.

[Yettid 67]

Thanks for the info. I guess the question is, in a few years, Will the sleeve be enough to help you say no to bad foods, forever. I've lost 80lbs before and kept it off for 3 years. Only to gain it all back😩

[reallyrosy 161]

The sleeve will NOT make any difference in what you decide to eat. Sorry.

[Introversion 1,876]

27 minutes ago, Yettid said:

I guess the question is, in a few years, Will the sleeve be enough to help you say no to bad foods, forever.

The answer to your question is a resounding "No."

In reality, most peoples' sleeves tolerate bad foods remarkably well. We can eat only 1 chicken breast before feeling stuffed, but crap such as chips, Cookies, pretzels, popcorn and other sliders can be eaten in nearly unlimited amounts because they don't activate the stomach's stretch receptors, so you never feel full.

So, the sleeve won't be enough to say "No" to junk foods. The surgeon operates on our stomachs, not our heads. Therefore, each sleeved person needs to have a strong enough psychological constitution and self-restraint to say no.

90 percent of success after bariatric surgery is psychological.

[Yettid 67]

I'm aware of that (sadly;). I wonder if having the sleeve will be a tool that will help in making better choices. Because clearly if I could do that now I wouldn't obese.

[heycrystal2052 430]

I'm so confused by the original poster, this person should not have the Sleeve. Their issue is well beyond the WLS, they need to tackle their addiction, first. Being forced to eat in small quantities, will do nothing. My goodness, what in the heck?!

[jess9395 5,449]

Except that studies are showing there is more at work with sleeve surgery than just restricting portions. There is a hormone aspect, a gut bacteria aspect and a lot more we don't fully understand yet.

This podcast is a great jumping off point for learning about this research--

https://itunes.apple.com/us/podcast/weight-loss-surgery-podcast-bariatric-lap-band-rygb/id662443588?mt=2&i=1000373855300


While I completely concur that psychological counseling should be a part of this person's path, I think it's beyond us to judge if the sleeve is indicated or not.

I had binge eating disrorder. I don't know the posters situation but true BED is quite different than an addiction. And while counseling is definitely part of recovery, the sleeve played a big part in mine too. I'm four years out and consider myself recovered in a way that counseling alone without the sleeve wouldn't have done.

[reallyrosy 161]

How are deaf users supposed to be able to access these podcasts? Frustrated!

[Yettid 67]

I'm so confused by the original poster, this person should not have the Sleeve. Their issue is well beyond the WLS, they need to tackle their addiction, first. Being forced to eat in small quantities, will do nothing. My goodness, what in the heck?!

I'm unsure what is so confusing about this. I overeat as I'm sure all of us do. I prefer sweets and I will compulsively eat them and crave them. I do not have BED but I do binge eat (per my Dr). As Jess commented, WLS CHANGES a lot more than the size of your stomach. It changes hormones and food tolerances as well as many other things. Of course I know I won't be successful and eat sweets. My question was whether the physiological changes would help the cravings. I'm not saying I should or shouldn't have WLS but please, get you info straight before you make unsolicited medical advice.

[Yettid 67]

Except that studies are showing there is more at work with sleeve surgery than just restricting portions. There is a hormone aspect, a gut bacteria aspect and a lot more we don't fully understand yet.

This podcast is a great jumping off point for learning about this research--

https://itunes.apple.com/us/podcast/weight-loss-surgery-podcast-bariatric-lap-band-rygb/id662443588?mt=2&i=1000373855300


While I completely concur that psychological counseling should be a part of this person's path, I think it's beyond us to judge if the sleeve is indicated or not.

I had binge eating disrorder. I don't know the posters situation but true BED is quite different than an addiction. And while counseling is definitely part of recovery, the sleeve played a big part in mine too. I'm four years out and consider myself recovered in a way that counseling alone without the sleeve wouldn't have done.

Thank you for your experiences. I appreciate your expertise!

[jess9395 5,449]

How are deaf users supposed to be able to access these podcasts? Frustrated!

Here's a written article that covers some of the same stuff--

http://phenomena.nationalgeographic.com/2014/03/26/the-humble-heroes-of-weight-loss-surgery-stomach-acids-and-gut-microbes/

Google Dr Randy Seeley and read the research articles.