How Your Appetite Increases Over Time
All patients progressively increase their capacity for food. Your body adapts to the new stomach size, neurohormonal changes occur and will adjust after gastric sleeve surgery.
For example, after gastric sleeve surgery, patient’s appetites tend to increase as shown below.
- 1 month: 2 to 3 bites per meal
- 6 month: 3-4 ounces of food per meal
- 1 year: 6 ounces per meal
- 3 year: 8 ounces per meal
- 5+ year: 8+ ounces per meal
The goal is to avoid increasing your stomach’s capacity more than it will naturally. Remember, the slightest boost of eating more food can grow exponentially over the course of a few weeks and cause weight gain after gastric sleeve surgery.
Solution: Ask for support from your dietitian, psychologist, or personal trainer
What Causes Weight Gain After Gastric Sleeve?
- Medications: It is important to do research on your current medications if you are facing gastric sleeve weight gain.
- Processed Foods: Artificially sweetened or unnaturally sweetened foods.
- Lack of Physical Activity or Injury: Being active isn’t always enough. Even if you are currently active, you may need to become more active through exercise or working out.
- Liquid Calories: Drinks that have a high amount of calories without providing a feeling of fullness (such as soda and juice).
Other Potential Causes
- Stress, Depression, and Anxiety
- YoYo Dieting
- Lack of Sleep
- Chronic Disease
Solution: Address food addiction
How to Restart Weight Loss After Gastric Sleeve Weight Regain
Here are eight options to help you reverse weight gain:
- Cut out all added sugar from your diet.
- Increase water intake to a minimum of 64 ounces.
- Find a healthy meal plan that will help give you guidance.
- Try out the 5-day pouch reset diet or the 10-day pouch reset diet.
- Speak with your nutritionist.
- Be open and honest.
- Join a support group.
- Start a food journal to fully understand your eating habits and what types of food are causing weight regain after gastric sleeve surgery.
Solution: Ask about the medications you are taking and their side effects
Strategy to Overcome Weight Gain
Some patients have to work a lot harder to lose weight and keep the weight off. Gastric sleeve surgery is not a perfect “fix-all” solution. It is a tool, and you can work with the tool or work against it.
- Nutrition: What are your current eating habits?
- Support: Seek support and join a gastric sleeve support group
- Exercise: Be more active and start a new exercise routine.
- Medications: Have you started gaining weight since you started a new medication? Speak with your doctor to discuss other alternatives.
- Bariatric Revision Surgery: Undergoing a correctional procedure is one of the best methods to get back on track when all else fails.
Solution: Revise your gastric sleeve into a gastric bypass surgery
Gastric Sleeve Revision
Fortunately, there are many options available for you to take advantage of if you fail to get to goal weight with sleeve procedure. Popular revision procedures include:
- Sleeve to Gastric Bypass
- Sleeve to Mini Bypass
- Sleeve to Duodenal Switch
Solution: Find a top bariatric surgeon in Mexico that specializes in revising failed surgeries.
Rather than your sleeve stomach “stretching”, patients can see an increase in capacity for food. By overeating, you are causing loss of restriction, which can result in weight gain or increased capacity for food.
After gastric sleeve surgery, the stomach size holds roughly 2 to 3 ounces of food as opposed to the average stomach holding 40 ounces of food. It is a common misconception that the smaller stomach is capable of stretching back to its original size. This is false, but patients may encounter slight dilation with bad eating habits for long periods of time. The stomach is an elastic organ, making stomach stretching after gastric sleeve possible, but insignificant.