LapBand Surgery: The Rules of the Road, Part 2
The Constant Quest for Restriction; Not enough vs. too much
Restriction. No one can really describe it but everyone wants it.
You have restriction when your band is adjusted to the point where you can eat 3-5 bites of well-chewed food and you are full. When this happens you have what is called good restriction.
You are too loose, or open, if you don’t feel full after just a few bites. You are able to eat more on a consistent basis than before. Maybe your weight loss has slowed or stopped. This is when it is time for a fill, or adjustment, in your band.
You are too tight when you can eat very little solid food or worse-none at all. If you are so tight that only liquids go through your band or you are spitting up too often this is too tight. If you can’t keep liquids down this is a medical issue and you must get some removed. You run the risk of becoming dehydrated. Being too tight is not a good thing!
Not only are you not getting the nutrition your body needs to function properly but it can also bring on a slippage in your band. If this happens you will require minor surgery to repair it.
Now that you know a little about what restriction is, let’s get a little deeper. There are three points to learn:
1. The first thing to understand is that every banded person feels restriction differently. So to compare yourself to others is difficult.
2. Also the amount of fluid in the band and the stomach’s reaction, or restriction, to it is a varied as the Bandsters reading this now. Everyone’s stomach is a different size and reacts to the band differently. It is fine to compare fluid levels but don’t get too caught up in "I have this and they have that".
3. Finally, your level of restriction can change day to day. It can change meal to meal in some cases.
You are now asking, "How in the heck do I deal with that?" My answer is trial and error and learning about your band.
Let us go back to the beginning. Immediately after surgery you will feel restriction. The surgeon usually doesn’t put any fluid in your band during the surgery. The restriction you feel is the swelling of your stomach and it’s adjustment to the band that has suddenly been wrapped around it. You won’t get your first fill until 4-6 weeks after surgery.
You will be on clear liquids and they will fill you up quickly for the first few days. Then they will stop filling you up you will begin to feel hungry. About this time you will be allowed to eat mushy foods like mashed potatoes, creamy soups, etc. You will find that you eat just a few bites and you are full. This is great! Who knew a 1/2 of a can of soup would be enough? This is going to be a piece of cake.
It isn’t going to last. Shortly this won’t satisfy and you will be moving on to solid food. That feeling of restriction comes back. A slice of turkey and you are stuffed!
This doesn’t last either. At about 4 weeks, sometimes earlier, you will start to feel hunger again. You feel like you are eating everything. Your weight loss has slowed or stopped. You start to freak out. "Where is my restriction?!" you cry.
This is a difficult time but one that every Bandster gets through. Just be patient and let yourself finish the healing process. Watch what you eat and know that you are not eating anywhere near what you were pre-band. The unfilled band supplies a certain amount of restriction and you won’t hurt your progress.
Your first fill will bring you back to the restriction point right after surgery. You will eat a few bites and feel full. You will start losing weight pretty quickly. You want to make sure you are eating your protein first, vegetables second and any starches last. This will ensure satiety.
This fill will usually last several weeks. Then it starts to loosen up. Your second fill is the one that usually kicks a Bandster in the butt. This is where they learn what not chewing thoroughly and taking bites that are too large can do.
And so it goes. Some Bandsters need one fill others need more. I had 4 over the course of the first year. I heard of one woman that lost 80 pounds on her first fill. This is why I stress not comparing yourself to your banded friends. It brings on frustration and we have spent enough time in our lives comparing ourselves to others. Now is the time to stop.
One of the largest environmental factors that make our band feel tighter is stress. I never truly understood what Bandsters were talking about when they said stress was tightening their band. That is until I started the process of buying a house. The stress of the pending inspection and what they might find had my band so tight I was barely eating. My band was so tight I cancelled my fill appointment.
Let me say right now that I learned from this experience and you need to make sure you are getting the right vitamins in to ensure your health. I wasn’t in any danger but I was very tired and was bruising like crazy!
Well, the inspection went well. I got my house and my band opened back up. Food started going through more smoothly and I started eating better.
Other environmental factors can be tiredness, excitement, sadness, or just the fact that it is morning. Many Bandsters find they can’t eat until after 11 AM every day.
I don’t know if this satisfies your curiosity of what restriction is or what you are to do with it. I do hope you understand that everyone is different and it is a learning process. You will learn what it feels like for you to have good restriction and when your band is talking to you.
Being "stuck" and "spitting up"
As WLS patients we have a few fun words we use. Some are nice and some are not. You will hear "PB" which means "Productive Burp". I prefer the simple term "spit up".
What does "stuck" mean? Stuck means that what you have eaten won’t go through the opening between your pouch and lower stomach. This is called your "stoma". The bite is too big to go through (meaning you didn’t chew it enough), it isn’t something that moves smoothly through the band (lettuce), or you just ate too darn much. When a bite of food goes through your esophagus and hits your pouch it has one of two places to go?through the band or back. If all is well it will go through with no problem either now or later. If it can’t make it to the pouch or through the stoma it will result in a spit up.
Understand that this is something that will happen to you and to every bandster out there. Call it a side-effect or whatever you like but it will happen. The questions are what causes a spit-up, what it feels like, what to do when it happens, and how to avoid them. Remember, things can change day-to-day, heck even meal to meal. This is the nature of the beast. Frustrating? Yes. Small price to pay? I think so.
What causes a spit up is easy. The bite it too big, you took one or two too many bites, you didn’t chew properly, or it is simply a food that you can’t tolerate right now. It is up to you to determine which of the above it true. Trust me? you will learn to determine this.
What does if feel like? You will know. The best way I can find to describe the feeling is when you drink a big gulp of water and it goes down with air. You get this pain in your chest that makes you feel like something is going to bust out. That is what it feels like when something is stuck. It can be minor or it can hurt like a son-of-a-gun. Some bandsters say their bodies tell them when they are finished eating and need to stop. Some Bandsters start to salivate which is their body’s way of washing the food through. Some, me included, get a heavy sigh or exhale; this tells us we are full. Don’t worry; you too will learn to read what your body is telling you?even if you don’t now.
What should you do when it happens? Stop eating is the first thing. It doesn’t matter if it is your first bite or your fifth. A spit up is your body’s way of telling you that you are full. This is your band in full-alert. It is telling you that you are done and to put the fork down. Many times you can stop eating and just wait it out. Until you are used to it you might get the "deer in the headlight" look. Soon you will just adjust. If it doesn’t go away then you need to deal with it.
Dealing with it means excusing yourself and heading to the bathroom. A spit up is just that. I compare it to a baby spit up. It should never be what you classify as vomiting. This is hazardous for a Bandster and should be avoided as it can cause slippage. There is a very large difference in spit ups and vomiting.
How to avoid them? Well, that comes with experience and a willingness to acknowledge when your "food police" tells you to stop. Very quickly you should learn when your band tells you to stop. I found that after my 2nd fill my band was at attention and told me when I was full. This is when I experienced my first spit ups and found foods that I could no longer tolerate.
One of the most difficult things to get your mind around is just how little you will be eating. Your band tells you that you are full but your brain engages and says, "You haven’t eaten nearly enough!" So you take that extra bite or two. Then there it is?the feeling in your chest?your eyes get big?and saliva fills your mouth.
The biggest point I want to get across to you is that, while normal, spitting up is not necessarily a good thing. You don’t want to be doing it every day and certainly not every meal. If this is happening you need to take a good look at what you are eating, how big your bites are, how much you are eating and to what level you are chewing.
Be aware at the beginning and it will become more of a habit soon enough.
Surgery Is Not a Magic Pill
Surgery is not the magic pill we have all been waiting for. You will not wake up thin. You must be willing to meet the band half way. You will lose weight at a different pace than your friends. You must change your behavior for this to work. It is a tool-and nothing more. An electric mixer is easier than mixing by hand but you still have to follow the recipe for the cake to taste good.
Right now you should be asking yourself one question-"Am I ready to go the distance?"
Robin McCoy was banded on Feb. 3, 2004 and has successfully reached her weight loss goal of 110 pounds. Robin is Vice-President and Senior Writer for Lapband Lifestyle, a LapBand resource and support group.
lapbandlifestyle.com
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Is Your Goal Really Weight Loss?
Are you ashamed of your weight? Do you have a goal weight that you want to reach through weight loss? I’d say so, it’s been pushed into our brains many times over and over again that "weight loss" is what we want to accomplish. There are weight loss guides, weight loss supplements, and many other things that push "weight loss". Many people even set their goals to be at a certain weight. Additionally, the medical community has developed an "ideal weight" chart, which can further add to the confusion about weight loss.
Now, let me ask you a question. Is your goal really weight loss? Unless you are trying to make a weight class for wrestling or some other sport with weight classes, you may think that your goal is weight loss, but it really isn’t. You are trying to lose that flubbery stuff attached to your body called FAT. Correct?
So then, why do we measure our progress by how much we weigh? Why do we step on the bathroom scale and hope that those numbers will be lower than before? You see, our weight is affected by more than just how much fat is on our body. Some other factors include water, muscle, glycogen, and obviously if we have eaten anything earlier or used the bathroom lately.
Our water weight fluctuates constantly. For instance, when we exhale water vapor comes out. When we sweat, we are sweating out water. There are also many more factors that can affect the amount of water in our body. Water is what usually causes those random gains or losses of a pound or two in weight that can make you happy or sad. It is almost physiologically impossible to lose a pound of fat in one day.
One reason the low-carb or no-carb (also called ketogenic) diets are so attractive is because of the large initial loss of weight. However, this weight is not necessarily fat. When carbohydrates are restricted the body has a backup store of them located in the liver and muscles in the form of something called glycogen. The human body can store approximately 400 grams of glycogen. In larger individuals this number can increase. In addition to this, for each gram of glycogen stored in the human body, 3 grams of water are also stored. If you figure it out, this would equate to about 1600 grams (3.5 pounds) of glycogen and water.
When you stop or limit your consumption of carbohydrates, your body starts using its glycogen stores. After a couple of days that 1600 grams (3.5 pounds) of glycogen and water are gone. Also, as an adaptation to the restriction of carbohydrates, your body produces these things called ketones. Ketones also appear to have a diuretic effect, which would mean an even greater loss of water.
In addition to water, if you have been working out lately to speed along your "weight loss" (you mean fat loss, right?) progress you probably have gained some muscle doing so. This gain in muscle can also affect the numbers you see on the scale. Muscle is also more dense than fat.
You may be wondering how you are going to measure your progress now that the scale doesn’t mean as much as it used to. Well, there are several methods to measure your body fat percentage. None of these methods are 100% accurate, but they will be much more useful than the use of a scale.
One of the simplest ways is to use a caliper. You can usually find these at your local sporting goods/fitness shop. If you can’t find them locally, you can order them off the internet. Calipers measure the thickness of a skin fold on your triceps. Then there are directions that come with the caliper that show you how to use the number you get to derive your body fat %.
If you don’t want to go out and buy some calipers, there is a body fat % calculator on my website. The calculator uses the circumference of several parts of your body and then plugs them into a formula developed by the U.S. Navy to derive an approximation of your body fat %.
You can find this calculator here: weight-loss-resources.com/calculators/bodyfat.html
There are also much more accurate ways to measure your body fat % like buoyancy testing or the use of special lasers.
If you insist on knowing your progress by weight loss and want to use a scale, try to weigh yourself at the same time everyday. Probably the best time would be right when you wake up in the morning and before you do anything.
So, your new goal should be to shoot for fat loss and not weight loss. Don’t necessarily trust the scale all the time as it can be deceiving – your weight is affected by more than just how much fat you have gained or lost. In addition, it is almost physiologically impossible to gain or lose a pound of fat in one day.
Nathan Latvaitis runs a website at weight-loss-resources.com where you can find even more fitness/weight loss articles, product reviews, book reviews, calculators, a message board, and more.
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