I have had the lapband for 6 yrs lost the weight and now it is BACK!! I have not had a swallow or anything to see if my pouch is dilated. However I have had fills and with good restriction (not throwing up). Should I ask for a swallow or just let the doctors decide?
I don’t eat much and I try to watch what I eat but the scales are not budging. I am considering the gastric sleeve but if the lapband is not working or I am not working, how do I know if the sleeve is right for me? I feel like such a failure. By the way I see a psychologist regularly and we address emotional eating also.
There are many factors to consider and if you have have regained weight after having good initial weight loss, you probably need to start from scratch.
A swallow study, also known as an esophagram, is a simple Xray procedure that will allow your doctors to see the size of the stomach pouch above the Lap Band as well as view the position of the LapBand and the flow through it. It might be helpful in your case, ask your doctor.
The first thing I would suggest is to keep a meticulous food journal. Record everything you eat for 10 days. Every single thing! We suggest a computer and phone based app such as LoseIt, which is a free app for smartphones and available to use on the computer for free at www.loseit.com
Be meticulous and record everything you eat for 10 days. I’m talking about being super analytical about it. If you eat some chips, count how many chips you ate or weigh them and enter it in your online journal. If you eat nuts, count them or weight them, and then enter them on your calorie counting app on your computer and/or phone.
You should invest in an electronic kitchen scale and you can usually pick one up for about $20.
As you are recording your food intake, review your intake, paying close attention to the carbohydrates and the protein, aiming to eat more protein than carbohydrates everyday.
Lastly, my personal opinion is that in most cases, switching to a different bariatric procedure such as the gastric sleeve will not necessarily yield any success. You have to refocus your behavior with the Lap Band to regain the success you had.
Here’s a brief commentary on that topic: Dr. Mark Watson: Sleeve to Lap Band?