Thank you from Canada, Dr. Pitcher. I am at the end of my 2nd week after surery and your videos are educating me so much that I feel less and less concerned with the possiblitiy of not succeding. i was very afradi given my past behaviour with food. You are definitely a great educator.
Thank you Dr. Pilcher, This was very helpful I was really feeling very alone, and the embarrassment of failure has been very overwhelming this information helps and gives me hope again. Thank you!!
Great video! It helps to hear I'm not alone. I will check out the other 2 videos and will try to jump start my metabolism before I let it get further out of control. I'm almost 7 years out and have gained about 35 of the 130 I lost. I don't want to add to it. Thank you so much for your videos!
Hey Doc, I have a question. This is hypothetical, say the normal stomach holds 20 oz before surgery and after surgery the new size is 4 oz. With natural stretch like you said will it maybe go to 8 oz and thats the max it will ever stretch for the rest of your life or it can go back to being 20 oz over time? My logic of thinking of the surgery is that if my stomach never can hold the volume it use to and I eat 3 Normal portion of food a day theoretically I should never gain the weight back.
You're correct, as long as you stay with no more than three meals per day. When we see bariatric patients who have weight gain, it's almost always because they shift to a "frequent snacking" process of eating. They unintentionally "eat around" the bariatric operation.
Hello Jan, sad thing is that I don't know of any sweetener that's actually healthy. I recommend for folks to 'soften' their coffee with real dairy cream (using the natural fat to take away some of the bitter flavor), then see if they really need a sweetener. If you need something, just use a half or a quarter of a pack to give the essence of sweetness.
Sounds like you might actually be on the skinny side. Weight management is a very individualized issue; I recommend for you to stay connected with your bariatric team.
That is a great question to ask. First thing to understand is that the Obesity Disease is not mainly a failure of will or discipline, but is mostly an imbalance in the body's energy management system, a biologic hormone imbalance. Second, the operations share that they have a positive impact on the hormone balance so that hunger is massively reduced, more in line with what the body actually needs. You may also be interested in these videos: Obesity is a Metabolic Disease (not just a bad habit) th-cam.com/video/X3B3UHTmGGk/w-d-xo.html The Actual Physics of Weight Loss th-cam.com/video/7Vk_FoYSXJg/w-d-xo.html Gastric Bypass or Sleeve? Factors that may help you choose th-cam.com/video/F5YDrqon7G0/w-d-xo.html
I never felt full. I was eating 4 oz 6 weeks out from surgery. They told me that was to much. I said I can't tell. So now I just weigh my food . I feel I could eat and eat.
If you want to count calories, it's pretty easy to do. Both phone apps and tables are available on the web. They tell you how many calories there are in 'X' number of ounces for basically any food.
That's a smart question. Unless the surgeon does some advance planning by attaching the stomach to the body wall at the time of gastric bypass ("gastropexy") then laparoscopic surgery is needed to get there. Fortunately, that bypassed stomach usually behaves well.
Doc - as a newly post op sleeve patient - these uploads and information are so useful and address many MANY questions in an easily understandable way
So glad these are useful! Best of luck on your journey!
Wow so much information packed into a video that’s easy to comprehend and follow
Thanks so much, and I'm glad it was helpful!
Thank you from Canada, Dr. Pitcher. I am at the end of my 2nd week after surery and your videos are educating me so much that I feel less and less concerned with the possiblitiy of not succeding. i was very afradi given my past behaviour with food. You are definitely a great educator.
Thanks for watching, and best of luck on your journey!
I’m learning so much… I just found you … you are an excellent communicator.
You are so kind. I'm glad this is useful information, and I wish you the best on your journey!
The time you give us is so rewarding! Thank you for all of your informative videos.
You are very welcome - thanks for watching!
Thank you Dr. Pilcher, This was very helpful I was really feeling very alone, and the embarrassment of failure has been very overwhelming this information helps and gives me hope again.
Thank you!!
So glad this was helpful! That's exactly why I made it!
Great video! It helps to hear I'm not alone. I will check out the other 2 videos and will try to jump start my metabolism before I let it get further out of control. I'm almost 7 years out and have gained about 35 of the 130 I lost. I don't want to add to it. Thank you so much for your videos!
Thanks for your positive feedback Debbie. I hope this is helpful!
Hi from Canada 🇨🇦. Great video. I just found you today. I’m 16 days post-op and I like the fact I don’t have to make myself eat if I don’t want to.
Thanks for watching, and best of luck on your journey!
Me too. My dietician is going to push the protein hard though, 80-100g, how is that even possible?!
Dr. P you are a wealth of information.
You are super kind. Thanks for watching!
Thank you so much for your videos Dr. Piltcher. They are very informative. I have cleared all my hurdles and just waiting to start the process.
So glad these were helpful, and best of luck on your journey!
A great video with excellent information , thank you so much for the efforts to explain it.
So glad this was helpful!
Excellent informative video thank you
So glad this was helpful
So informative!!!!
So glad this was useful!
Hey Doc, I have a question. This is hypothetical, say the normal stomach holds 20 oz before surgery and after surgery the new size is 4 oz. With natural stretch like you said will it maybe go to 8 oz and thats the max it will ever stretch for the rest of your life or it can go back to being 20 oz over time? My logic of thinking of the surgery is that if my stomach never can hold the volume it use to and I eat 3
Normal portion of food a day theoretically I should never gain the weight back.
You're correct, as long as you stay with no more than three meals per day. When we see bariatric patients who have weight gain, it's almost always because they shift to a "frequent snacking" process of eating. They unintentionally "eat around" the bariatric operation.
Dr Pilcher, thank you for the response and suggestions. Do you personally take the time to read and respond to the questions?
Yes, it's me personally. I appreciate questions and I often learn from them.
Love your videos!
Glad you like them!
Your videos have helped me so much Dr Pilcher!
Can you tell me what sweetener is acceptable to you for my coffee?
Hello Jan, sad thing is that I don't know of any sweetener that's actually healthy. I recommend for folks to 'soften' their coffee with real dairy cream (using the natural fat to take away some of the bitter flavor), then see if they really need a sweetener. If you need something, just use a half or a quarter of a pack to give the essence of sweetness.
Thank you doc I got my gastric bypass Jan 17/23 and scared I’m eating too much my scale doesn’t go up 152 to 154 lbs
Sounds like you might actually be on the skinny side. Weight management is a very individualized issue; I recommend for you to stay connected with your bariatric team.
What allows people to eat heathy ( make healthy choices) after surgery that they can’t do before surgery?
That is a great question to ask. First thing to understand is that the Obesity Disease is not mainly a failure of will or discipline, but is mostly an imbalance in the body's energy management system, a biologic hormone imbalance. Second, the operations share that they have a positive impact on the hormone balance so that hunger is massively reduced, more in line with what the body actually needs.
You may also be interested in these videos:
Obesity is a Metabolic Disease (not just a bad habit) th-cam.com/video/X3B3UHTmGGk/w-d-xo.html
The Actual Physics of Weight Loss th-cam.com/video/7Vk_FoYSXJg/w-d-xo.html
Gastric Bypass or Sleeve? Factors that may help you choose th-cam.com/video/F5YDrqon7G0/w-d-xo.html
How do you know what vitamin you need
The bariatric team will prescribe appropriate vitamins
I never felt full. I was eating 4 oz 6 weeks out from surgery. They told me that was to much. I said I can't tell. So now I just weigh my food . I feel I could eat and eat.
What if your lactose intolerant and cant do cottage cheese? Any lactose makes me dryheave. I am hungry all the time.
My diet goes by ounces of protein,veg,fruit...I worry about calories,what should I do?
If you want to count calories, it's pretty easy to do. Both phone apps and tables are available on the web. They tell you how many calories there are in 'X' number of ounces for basically any food.
How to access the unused stomach in case of pain or infection?
That's a smart question. Unless the surgeon does some advance planning by attaching the stomach to the body wall at the time of gastric bypass ("gastropexy") then laparoscopic surgery is needed to get there.
Fortunately, that bypassed stomach usually behaves well.
Is there anything else I can try the cottage cheese test besides cottage cheese?
🤢
Sorry, cottage cheese is the substance that's been studied.