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1.POOR EATING HABITS:  

The gastric sleeve‘s main function is to reduce the capacity of your stomach. You will be able to eat very small quantities of food at one time so you will need to eat 5-6 times a day to be satisfied. The type of foods you choose will determine your success. If you eat carbs all day for example or consume high calorie drinks several times a day your sleeve will not be able to stop you and you will hinder your weight loss results. 

WHAT YOU CAN DO: 

Make sure each meal and snack has a protein component. 

Avoid high-calorie drinks like smoothies, sodas, milkshakes, sweetened coffee, sweetened tea, juice, etc.  Make sure you comply with your surgeons recommended daily caloric intake. 

2.SLEEVE IS TOO BIG:

Not all sleeves are created equally.  If you have a sleeve that is too big, not uniform, you have a large fundus or have a large antrum your sleeve may be able to hold way too much food. Initially, nearly all sleeves will give you some restriction even if it was not done small enough but over time as the sleeve stretches you will lose the restriction and may regain the weight. 

WHAT YOU CAN DO: 

If your sleeve was done big from the start then it can be redone to make it smaller. A barium swallow x-ray will show the size of your sleeve so that your surgeon may determine if it can be made smaller to give you proper restriction long term.

3. YOUR INTESTINES ARE TOO LONG: 

Calories, carbs, fats, as well as nutrients are all absorbed along the intestinal tract. The average length of the small intestines in humans is 6 to 7 feet long.  Some bariatric patients have intestines that are much longer, we have had patients with intestines up to 15 feet long! The longer the intestines the more surface and more time for everything to be absorbed. Unfortunately, there is no way to know the length of your intestines unless a surgeon goes in to measure them. Long intestines are very efficient in absorbing everything. 

WHAT YOU CAN DO: 

  If you have a good size sleeve ( which can be checked by having a barium swallow x-ray) and have been working with your sleeve properly ( eating healthily and exercising) and still fail to lose weight or are regaining you may need a malabsorbic procedure like a Duodenal Switch or a Gastric Bypass. These procedures will only permit food to travel in a reduced portion of the small intestine which will not let you absorb all the calories, fats, carbs, etc that you do eat. 

At Mexicali Bariatric Center we want you to lose weight in a healthy way! 

With over 12 years of experience, the Mexicali Bariatric Center has one of the world’s most successful weight loss programs. Our multidisciplinary team of experts will follow through each individual case to give you the best follow-up post-surgery.