Can the stomach be hooked up again?   This would require a major operation, thus increasing the risk.  Bariatric surgery should be considered permanent.

Can I ever lose too much weight?   It is very unlikely with the possible exception the rare patient who develops obstruction of the outlet of the stomach with frequent vomiting (a correctable condition).  The concept of no snacking and no high calorie liquids with meals is so important that the violation of these principles can put weight readily.

• Chew all foods slowly and thoroughly. (It may take you up to an hour to complete your meals and snacks.)

• Drink fluids 30 minutes after your meal. Be sure to drink in sips. Do not drink fluids with your meals or 30 minutes before your meals. Your new, smaller stomach may not be large enough to hold fluids and food at the same time.

• Eat fewer fried, added-fat, and high-fat fast foods (including chips, candy or cookies).

How many meals will I need to eat each day?  In order to get adequate nutrition, at first you may need to eat about 5 to 6 small meals a day.  Over time, your stomach will stretch more and allow you to eat slightly larger meals.  Eventually, you will be able to eat 3 meals and 1 to 2 high-protein snacks a day.

Will I be on a special diet after my surgery?  You will be on a full liquid meal plan for the first 3 weeks after surgery.  This meal plan will include foods such as milk, strained cream soups, and commercial protein supplements.  Your dietitian will recommend liquid supplements to meet your nutrient needs during this time.  You can also drink fluids that do not contain sugar, caffeine, or carbonation.  Good choices are water, milk, or sugar-free flavored drinks.

When can I eat more solid foods?  Your diet will then advance to a thin-pureed meal plan that includes foods with a thin baby food consistency.  After about 3 weeks, you can then include soft foods such as scrambled eggs, cottage cheese, and hot cereals.

You will begin a regular diet about 2 months after surgery.  You will be able to
tolerate some foods and beverages better than others.  Many times, meats are not
well-tolerated.  If you have difficulty with meats, your dietitian will include
high-protein meat substitutes in your meal plan.

Avoid foods that cause any discomfort.  Report any foods you cannot tolerate during your follow-up visits.  Introduce new foods in very small amounts (a spoonful).

Will I experience any discomforts from eating?  Following your gastric
bypass, you may experience the following problems:

• Vomiting

• Bloated stomach

• Diarrhea

• Excessive sweating

• Increased bowel sounds

• Dizziness

These are all signs of a condition called "dumping syndrome."  These symptoms occur when food travels too quickly through the small intestine.  You can help avoid these discomforts by following the daily guidelines listed below.  For the first 2 months after surgery, you should follow these special dietary instructions:

• Eat only canned or very tender, well-cooked fruits and vegetables.
  --Do not eat any raw fruits or vegetables, except bananas.
  --Do not eat the skins of any cooked vegetables or fruit.

How can I know if I am getting enough nutrients?  John will help you plan healthful, appropriate meals.  You will also be guided in selecting a variety of foods that are rich in vitamins, minerals, and protein so that you can stay well-nourished. Your doctor will also order a multivitamin/mineral supplement and calcium supplement for you.  Finally, your doctor will examine your physical health during scheduled follow-up visits throughout the year following your surgery.

Can I exercise?  Yes.  Exercise will also keep you feeling well and energized.  Always discuss exercise options with your doctor so you can know what is most appropriate for you.  Choose an exercise that you will enjoy and look forward to doing.