{"id":597,"date":"2013-04-16T18:57:06","date_gmt":"2013-04-16T18:57:06","guid":{"rendered":"https:\/\/www.njbariatriccenter.com\/?p=597"},"modified":"2013-04-16T18:57:06","modified_gmt":"2013-04-16T18:57:06","slug":"determining-when-to-adjust-your-realize-or-lap-band","status":"publish","type":"post","link":"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/","title":{"rendered":"Determining When to Adjust Your REALIZE\u00ae<\/sup> or LAP-BAND\u00ae<\/sup>"},"content":{"rendered":"

For patients who have just had Gastric Band surgery (LAP-BAND\u00ae<\/sup> or REALIZE\u00ae<\/sup> band)<\/strong><\/a>, one of the first questions they want to know is how will they know when they need to adjust their Gastric Band. But before you\u2019ll know when it\u2019s time to adjust your gastric band, you need to understand how gastric band surgery helps you lose weight.<\/p>\n

Gastric band surgery<\/strong> works by restricting you from eating large portions of food at one time. When the band is filled, the opening between the small stomach pouch at the top of the stomach and the lower portion is made smaller. This restricts the amount of food you can eat at one time.<\/p>\n

The LAP-BAND\u00ae<\/sup> does not prevent you from eating high calorie or unhealthy foods, such as ice cream or fast foods. It also does not prevent you from ingesting liquid calories \u2212 like soda, juices, vitamin water \u2212 which slip through the band\u2019s restriction around the top of the stomach with ease. Eating more than 3 meals per day, or grazing, will hamper weight loss as the total calorie count per day will go up. It\u2019s critical for LAP-BAND\u00ae<\/sup> and REALIZE\u00ae<\/sup><\/strong> band patients to aim for three meals per day with 30 minutes spent on each meal.<\/p>\n

Patients typically lose one to two pounds per week with LAP-BAND\u00ae<\/sup> or REALIZE\u00ae<\/sup> Band<\/strong>. So if you are no longer able to achieve a 1- to 2-pound per week weight loss while eating healthy foods, you may want to talk to your doctor about adjusting your band. Or if you feel hungry between meals to the point that it is distracting you from normal daily activities, you may need a Band adjustment.<\/p>\n

During the first year after surgery, you will likely require approximately three to five adjustments to your LAP-BAND\u00ae<\/sup><\/strong> to achieve your goal weight \u2212 although some patients require more, some less. The band adjustments are done either in your surgeon\u2019s office or under fluoroscopy (x-ray) at a hospital or surgery center. At the New Jersey Bariatric Center<\/strong>\u00ae<\/sup>, the great majority \u2212 99% \u2212 of LAP-BAND\u00ae<\/sup> or REALIZE\u00ae<\/sup> Band<\/strong> adjustments are done in the office. There is no need for local anesthesia with adjustments. They usually take five to 10 minutes and are less painful than getting blood drawn.<\/p>\n

The key is finding the level of restriction that decreases your food intake without making you uncomfortable or hungry all the time. It\u2019s important to be patient with yourself in the beginning; you will be getting accustomed to a new way of eating and may face the inability to tolerate certain hard foods that you used to eat prior to surgery.<\/p>\n

LAP-BAND\u00ae<\/sup> Myths and misconceptions<\/h4>\n

I hear different gastric band myths from patients all the time. Here are some of the most common misconceptions about LAP-BAND\u00ae<\/sup> and REALIZE\u00ae<\/sup> Band.<\/strong><\/p>\n

    \n
  1. The tighter the band, the faster the weight loss. When the band is too tight it often leads to cheating. When it\u2019s so tight that you\u2019re at the point where you can\u2019t tolerate solid foods, you will often compensate by eating high-calorie liquids like soda or soft foods like ice cream. So you\u2019re band may be tighter band, but you can actually gain weight from consuming too many calories. Another way to cheat is to graze, eating smaller meals all day long. This can backfire too by increasing your calorie intake. And finally, patients whose bands are too tight often will \u201clubricate\u201d it with sauces and creams to get the food through the opening, once again increasing the calorie intake and gaining weight, instead of losing it.<\/li>\n
  2. The more adjustments, the faster the weight loss. Making too frequent adjustments will only lead to a very tight band, leaving you unsatisfied, which often leads to cheating.<\/li>\n
  3. You can lose the same amount of weight per week as with Gastric Bypass surgery or Gastric Sleeve. Gastric bypass surgery restricts your food intake like gastric band surgery, however it also involves malabsorption of food, which increases weight loss. Therefore, you will not lose weight at the same rate as a gastric bypass patient, which is about 3-5 pounds per week. While the Sleeve does not have a malabsorptive component, the procedure decreases hunger hormones, making patients feel less hungry in addition to restricting the amount of food that can be eaten at one time. Weight loss with the sleeve is about 2-4 pounds per week.<\/li>\n<\/ol>\n

    If you feel off track and aren\u2019t happy with your weight loss, try a calorie-counting experiment for a week or two to determine why you\u2019re not losing the weight. The assignment starts by recording everything you eat daily to calculate the total calories taken in each day. Two sites I recommend to help with the calculations are www.FitDay.com<\/a> or www.thecaloriecounter.com<\/a>. I find that patients who aren\u2019t happy with their weight loss tend to take in more calories per day than they realize. Remember, to lose weight with the band, you need to take in no more than 1,200 calories per day and perform 30 minutes of cardio exercise three times per week to be successful. Some additional tips to maximizing weight loss include weighing yourself on a weekly basis, regular monthly appointments with your bariatric surgeon to evaluate progress and regular calorie counting to keep you on track.<\/p>\n","protected":false},"excerpt":{"rendered":"

    For patients who have just had Gastric Band surgery (LAP-BAND\u00ae or REALIZE\u00ae band), one of the first questions they want to know is how will they know when they need to adjust their Gastric Band. But before you\u2019ll know when it\u2019s time to adjust your gastric band, you need to understand how gastric band surgery […]<\/p>\n","protected":false},"author":2,"featured_media":5313,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,14],"tags":[],"yoast_head":"\nDetermining When To Adjust Your REALIZE Or LAP-BAND - NJBC<\/title>\n<meta name=\"description\" content=\"For patients who have just had Gastric Band surgery (LAP-BAND or REALIZE band), one of the first questions they want to know is how will they know when...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Determining When to Adjust Your REALIZE\u00ae or LAP-BAND\u00ae\" \/>\n<meta property=\"og:description\" content=\"For patients who have just had Gastric Band surgery (LAP-BAND or REALIZE band), one of the first questions they want to know is how will they know when...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/\" \/>\n<meta property=\"og:site_name\" content=\"New Jersey Bariatric Center\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/njbariatriccenter\" \/>\n<meta property=\"article:published_time\" content=\"2013-04-16T18:57:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.njbariatriccenter.com\/wp-content\/uploads\/2013\/04\/BAND2B-173x115-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"173\" \/>\n\t<meta property=\"og:image:height\" content=\"115\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dr. Ajay Goyal\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@NJBariatricDocs\" \/>\n<meta name=\"twitter:site\" content=\"@NJBariatricDocs\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Ajay Goyal\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/\"},\"author\":{\"name\":\"Dr. Ajay Goyal\",\"@id\":\"https:\/\/www.njbariatriccenter.com\/#\/schema\/person\/7fc829117753160730af7a56774b775e\"},\"headline\":\"Determining When to Adjust Your REALIZE\u00ae or LAP-BAND\u00ae\",\"datePublished\":\"2013-04-16T18:57:06+00:00\",\"dateModified\":\"2013-04-16T18:57:06+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/\"},\"wordCount\":891,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.njbariatriccenter.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.njbariatriccenter.com\/wp-content\/uploads\/2013\/04\/BAND2B-173x115-1.jpg\",\"articleSection\":[\"After Weight Loss\",\"Before Weight Loss\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/\",\"url\":\"https:\/\/www.njbariatriccenter.com\/determining-when-to-adjust-your-realize-or-lap-band\/\",\"name\":\"Determining When To Adjust Your REALIZE Or LAP-BAND - 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