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ADVANCED LAP-BAND CENTER

Surgical Center for the Treatment of Morbid Obesity
Louis Fox, M.D., F.A.C.S.
Medical City Hospital, Dallas, Tx. 75230
phone 972.566.4560 - fax 972.566.6239
bariatric surgeries

 

FREQUENTLY ASKED QUESTIONS, contd.

11. Q: Is it true that the LAP-BAND seems “tighter” in the morning?

This is a fairly common feeling, especially for people with bands that are tight or just after an adjustment. During the day the water content in the body changes and this may cause the band to feel “tighter” some of the time. Some women have also noticed that the LAP-BAND feels tighter during menstruation.

12. Q: Will I feel hungry or deprived with the LAP-BAND?

The LAP-BAND makes you eat less and feel full in two ways – by reducing the capacity of your stomach and increasing the time it takes food to get through the band channel and into the digestive system. After a small meal, the amount of which varies from person to person, you should feel full. If you follow the nutrition guidelines when you choose your food and then chew it well, you should not feel hungry or deprived. Remember that the LAP-BAND is a tool to help you change your eating habits.

13. Q: What will happen if I become ill?

One of the major advantages of the LAP-BAND® System is that it can be adjusted. If your illness requires you to eat more, the band can be loosened by removing saline from it. When you have recovered from your illness and want to lose weight again, the band can be tightened by increasing the amount of saline. If the band cannot be loosened enough, it may have to be removed.

14. Q: What about pregnancy?

Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. If you need to eat more while you are pregnant, the band can be loosened. After the pregnancy, the band may be made tighter again, and you can resume losing weight.

15. Q: Will I need to take vitamin supplements?


You may. It’s possible you may not get enough vitamins from three small meals a day. At your regular check-ups, your specialist will evaluate whether you are getting enough vitamin B12, folic acid, and iron. It is recommended to take a daily chewable multiple vitamin and calcium supplement.

16. Q: What about other medication?

You should be able to take prescribed medication. You may need to use capsules, break big tablets in half or dissolve them in water so they do not get stuck in the band opening and make you sick.

17. Q: What if I go out to eat?

Order only a small amount of food, such as an appetizer or share a meal. Eat slowly. Take small bites and chew well. Finish at the same time as your table companions. You might want to let your host or hostess know in advance that you cannot eat very much.

18. Q: What about alcohol?

Alcohol has a high number of empty calories. It also breaks down vitamins. An occasional glass of wine or other alcoholic beverage, though, is not considered harmful to weight loss.

19. Q: Can I eat anything in moderation?

After your stomach has healed, you may eat most foods that don’t cause you discomfort. However, because you can only eat a little it is important to include foods full of important vitamins and nutrients and as advised by your surgeon and/or dietitian. If you eat foods that contain lots of sugar and fat or drink liquids full of “empty” calories, such as milkshakes, the effect of the LAP-BAND may be greatly reduced or cancelled. Some foods, such as bread or carbonation, may not be "band friendly" and should be avoided.

20. Q: Will I suffer from constipation?

Not likely. There may be some reduction in the volume of your stools initially, which is normal after a decrease in food intake because you eat less fiber. This should not cause you severe problems. An occasional over the counter laxative may be necessary, e.g., milk of magnesia. Fiber supplements should be in the powder form only!!

 

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