Need ANOTHER fill??

[Holly]

Hi everyone. I was banded Feb 8th...had my first fill 6 weeks later...4 cc's. My problem is that I am still not losing any more weight...and I can eat way too much. Last night I had half of a steak and some potatoes...I know I am having wayyyy too much. I do have some restriction...because I can tell if I haven't chewed enough...but I feel like I shouldn't be able to eat this much. Is that crazy to think that I need another fill when my first one was so much?? HELP!

[MamaMichelle]

Fills are such a personal thing for everyone.. For some people they may need only 2 fills in their lifetime others may need 3 or 4 fills every year till they get to their goal weight!!

I have yet to have my first fill (only 2 weeks to go) but from everything I've read and everyone I've talked to there is no universal magic number.

The first condition to consider is the size of your band, more specifically how many cc's of saline can it hold? The 2 main types are the smaller 4cc band and the larger 10cc (also called VG band). So let's say you get a 2cc fill well that is 50% of the capacity of the smaller band but only 20% of the capacity of the VG band. That doesn't ALWAYS mean that you will need more fills with the VG band, there are some people who are really restricted with 2cc's out of a 10cc band and others that can eat anything they want with 7cc's in a 10cc band.

Here's a great article about how to tell if you are perfectly filled:

Adjustments

How to Tell When You Are Perfectly Adjusted

You are losing 1-2 pounds per week.

If you are not losing 1-2 pounds per week:

A. You may need an eating adjustment

1. Are you eating 60 grams of protein a day

2. Are you eating 25 grams of fiber

3. Are you avoiding all liquid calories

a. Soup can be sign of soft calorie syndrome

b. Alcohol contains a lot of calories 7 calories per gram

(1) Its also a stomach irritant

c. Fruit juice is just sugar water

4. Are you making healthy food choices from a wide variety of foods?

a. Are you avoiding soft foods

b. You cant just eat what's easy

c. Cheese is glorified fat

5. Are you drinking 6-8 glasses of water a day between meals

6. Are you eating too much junk

a. Chips, chocolate, nuts, ice cream, cookies and other highly

processed junk foods are too calorically dense to be regular parts of a

healthy diet. But dont avoid them completely to the point where you

feel deprived.

b. Stay out of fast food places

7. Are you getting in two servings of calcium daily

8. Do you always eat the protein first

9. Then the vegetables or fruits

a. Five servings a day

b. Potatoes are NOT a vegetable

10. Is your portion size appropriate?

a. Meat or fish

(1) 3 ounces the size of a deck of cards

b. Vegetables

(1) ½ cup the size of your fist

c. Starch

(1) If you eat the protein and the vegetables first you dont need much

(2) Avoid: rice, potatoes, pasta

11. You might try avoiding artificial sweeteners

a. Some people think that artificial sweeteners stimulate the appetite

b. They are HUNDREDS of times sweeter than sugar

c. They teach you to like things too sweet

d. There is no evidence that people who use them are any thinner

than people who dont

12. Avoid most diet foods

a. Real food usually tastes better

b. Real food is more satisfying than low calorie substitutes

c. When you are only eating a tiny bit the caloric savings is not

that great

(1) Use a teaspoon of real butter instead of a tablespoon of diet margarine

(2) The body has no way to break down artificial fats

a. They may go into permanent storage

b. Some people think liposuction is the only way to remove hydrolyzed fats from the body

B. You may need a behavior adjustment

1. Are you eating only when you are hungry?

a. If youre not sure drink 8 ounces of water and wait.

2. Are you eating three meals a day?

a. With maybe 1 or 2 small snacks

3. Are you sitting down to eat?

4. Are you eating consciously?

a. No distractions, turn off the TV, put the book or newspaper

away, pay attention to your food and your companions

5. Are you eating slowly?

a. Put the fork down between bites

b. Take 20 to 30 minutes to finish a meal

c. Taking longer might cause the pouch to begin emptying

6. Are you taking small bites?

a. Tiny spoon, chopsticks, cocktail fork

7. Are you chewing well?

8. Are you drinking with your meals or too soon after your meals?

a. Practice water loading between meals

b. You wont be thirsty if you are well hydrated before the meal

9. Are you stopping at the first sign of fullness?

a. Sometimes its a whisper: not hungry, had enough

b. Hard stop versus soft stop

10. Do not eat between meals. Stop grazing.

11. Do not eat when you are not hungry

C. You may need an activity adjustment

1. Are you getting in 30 minutes of physical activity at least 3 times a week?

a. Over and above what you would do in the usual course of your day

b. Could you make it 4 or 5 times a week?

c. Could you make it 45 or 60 minutes?

2. Are you taking advantage of opportunities to increase your physical activity?

a. Taking the stairs instead of the elevators or escalators

b. Walking on the escalators instead of riding

c. Parking your car further away from the entrance

d. Getting out of the car instead of using the drive through

e. Getting off the bus one stop before your destination

f. Washing you car by hand instead of the car wash

g. Playing with your kids

D. You may need an attitude adjustment

1. Are you committed to your weight loss journey?

2. Are you totally honest with yourself about how much you are eating and exercising?

a. Log your food and activity on ww.fitday.com for 3 days

3. Are you using food inappropriately to deal with emotional issues?

a. Have you identified what the emotions are that drive your eating?

b. Can you think of more appropriate ways to deal with those

emotions?

c. Are you willing to seek help from a qualified counselor?

4. Are you attending and participating in support group meetings?

5. Have you drummed up some support from your family and friends?

6. Have you dealt with saboteurs realistically?

7. Do you have realistic expectations about the weight loss journey?

8. Are you still obsessing about food, weight, dieting, eating?

a. Obsessive compulsive thoughts

(1) Obsess about something else

b. Perfectionism

(1) All or none, black and white thinking

c. Patience with the pace of healthy weight loss

9. Are you acknowledging your successes with non-food rewards?

10. Have you learned how to take a compliment?

11. Are you giving up diet mentality?

a. Stop weighing yourself several times a day or every day

b. Stop dieting

c. Stop depriving yourself

d. Stop defining food as good and bad

e. Stop rewarding and punishing yourself with food

12. How do you feel about all the changes taking place?

E. You may need a band adjustment

1. You feel like you are making healthy food choices in appropriate portion sizes but getting hungry between meals?

2. You can still eat white bread, fibrous vegetables and large portions.

3. You are having to struggle to lose

4. You are gaining weight in spite of eating right, exercising and having a good mind set.

F. You may need your band loosened

1. There are times when you cant get fluids down

2. You are vomiting too much

a. How much is too much?

3. Do you have frequent reflux or heartburn at night?

a. Do not lie flat or bend over soon after eating

b. Do not eat late at night or just before bedtime

c. Rinse your pouch with a glass or water an hour before bedtime

d. Certain foods or drinks are more likely to cause reflux:

(1) Rich, spicy, fatty and fried foods

(2) Chocolate

(3) Caffeine/Alcohol

(4) Some fruits and vegetables such as; oranges, lemons, tomatoes, peppers

(5) Peppermint

a. Baking soda toothpaste

e. Eat slowly and do not eat big meals

f. If you smoke, quit smoking

g. Reduce stress

h. Exercise promotes digestion

i. Raise the head of your bed

j. Wear loose fitting clothing around your waist

k. Stress increases reflux

l. Take estrogen containing medications in the morning

m. Avoid aspirin, Aleve and ibuprofen at bedtime

(1) Tylenol is OK

n. Take an antacid (Pepcid complete) before retiring

o. Try other over-the-counter heartburn medications

p. See your health care provider

4. See your health care provider immediately (or call 911) if

a. You have a squeezing, tightness or heaviness in your chest,

especially if the discomfort spreads to your shoulder, arm or jaw or is

accompanied by shortness of breath, sweating, irregular or fast

heartbeat or nausea. These could be symptoms of a heart attack.

b. If your symptoms are triggered by exercise.

c. If your pain localizes to your right side, especially if you also have nausea or fever

d. If you throw up vomit that looks like black sand or coffee

grounds. Or if your stool is black, deep red or looks like it has tar

in it. These are symptoms of bleeding and need immediate attention.

e. If your pain is severe

(Note: Pepto-Bismol or other medications with bismuth will turn your

stool black. Iron supplements can also make the stool tarry.)

This was written by

Jessie H. Ahroni, Ph.D., A.R.N.P., C.D.E., B.C.-A.D.M.

[DonnaK2231]

Holly, I was filled 2 weeks ago and have very little restriction, I'm going back this weekend to get more of a fill. If you can go back anytime and get more fill. I don't know where you went Occ or somewhere else? Occ charges only 30 for the needle the re-fill is free.....

Best of luck to you!!

Donna

[snowbird]

Holly, I was filled 2 weeks ago and have very little restriction, I'm going back this weekend to get more of a fill. If you can go back anytime and get more fill. I don't know where you went Occ or somewhere else? Occ charges only 30 for the needle the re-fill is free.....

Best of luck to you!!

Donna

4 cc isn't that much for one of the larger bands. Some surgeons actually put that much in at the time of surgery.

My husband is up to 7 cc in a 10 cc band; he had 4 cc 6 weeks out, then another 2 cc five weeks after that, and another 1 cc four weeks later. He still doesn't have that much restriction. I have a smalle 4 cc band, and have only 1.9 in it and have almost too much restriction, so as it has been said before, everyone is different. If you need another fill, let the doctors check you out and get one. The band isn't going to work for most people until they hit a good restriction level.

[Holly]

Holly, I was filled 2 weeks ago and have very little restriction, I'm going back this weekend to get more of a fill. If you can go back anytime and get more fill. I don't know where you went Occ or somewhere else? Occ charges only 30 for the needle the re-fill is free.....

Best of luck to you!!

Donna

I am totally confused. I did go to OCC...but when I called to schedule a fill...they said it was going to be the same price as the first time. Is there a time limit on when you can go back and have more put in?