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After hospitalisation

The first month

The first month will enable you to adapt to your gastic band.

The effectiveness of the system is not maximum, because it is not yet inflated.
The capacities of taking food remain broad, except for large mouthfuls.

You must however take the good practices which will be useful when the device is inflated.

Split the food catches in 3 meals plus 2 collations, do not drink water during the meals, mix or crush ham, meat or fish in order to obtain a semi-fluid or “tender” consistency.

After the first month  

The inflation of the gastric band usually takes place at the end of the first month. 
  
It should be known that the inflation is not obligatory: if the weight loss is suitable (2 to 4 kgs), and if the feeling of satiety is good, the band can be tightened at the end of 2 or 3 months, or later.

When your band is tightened, the feeling of satiety must occur quickly, but the risk of vomiting increases.
Continue to select your food and eliminate all the mets with high caloric value.
You will be probably obliged to grope at the beginning on various food, their volume, their size.  
 

Eat in calm at regular hour. 
 Split your food catches in three meals (and, possibly, one or two collations).
Vary your food.
Eat only small pieces.
You must chew lengthily, and swallow several times.
Take time to appreciate your meal. Do not forget that digestion starts in your mouth.
 Never drink during your meal, and avoid drinking up to 30 minutes before or after the meal.
With the appearance of a feeling of satiety, imperatively cease eating.
Supervise your teeth.

One coffee spoon moreover could make you vomit. You have only a mini gastric pouch, do not forget it. 
 
 
If you vomit, Try to understand why : 
You eat too much.
You eat too quickly.
You eat too large pieces.
You do not chew enough.
You swallow too quickly. 
 
Beetween meals
Avoid sweetened drinks and, in theory, aerated beverages.
Often Drink apart from the meals, by small quantity, even without thirst.

Take again a regular physical activity, leisures and endurance.
The simplest regular physical activity is walking : walk of a good step but at your own rythm, the ideal being 3 times 30 to 40 minutes per week. A kinesitherapist may help you.
After the first month, you can practise any sport activity.

Respect sufficient hours of sleep.
Possibly make you accompany on the level '' management of stress ''. 
 
A regular follow up by your general practitionar is important. 

 Sometimes your doctor will incite you to optimize your food in the direction of a better contribution out of Iron, Calcium, some vitamins, particularly B Vitamins (possibly after a biology of these elements). Sometimes a specific supplementation should be considerated.

You must be also careful with a possible proteinic denutrition. If you do not eat sufficient proteins, you will lose on your muscular masses, whereas it would be preferable to lose on your fat or water of your body.
In worst case, you can undergo a protéin denutrition, with fall of immunizing defenses and a tiredness, an anaemia, a increased sensitivity to infections. 
 

When to insuflate the gastric band ?

Ideally, you must decide when to make insuflate your gastric band.

If the weight loss (2 to 4 kgs per month) is insufficient, if the feeling of satiety decreases. In short, if the gastroplasty appears definitely less effective to you, it is time to make tighten your band.
Contact quickly your surgeon.

On the other hand, if the food does not pass well, if vomiting appears, if the weight loss is higher than 4 kgs per month, also contact your surgeon.
A radiography of the gastric pouch is necessary, and possibly the surgeon will make the decision to loosen the band.

The number and the importance of inflations are very variable. Some patients do not make tighten the band the first year and lose 2 to 4 kgs per month. For some others, it is necessary to tighten the band 3 or 4 times to obtain a good result.

Do not forget that maximum weight loss is obtained in the first two years after the procedure.

Good luck and enjoy your life !



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