Small Portions, Small Bites, and Thorough Chewing
Because the stoma is very small, you will need to cut your food into small bites and chew thoroughly. Overeating can damage the pouch and stoma - if you stretch the pouch or dilate the stoma, you may not lose as much weight.
Limited Sugar Consumption
The part of the small intestine that is attached to the pouch struggles to metabolize refined sugar (table sugar). Approximately 50% of people who undergo gastric bypass encounter this problem.
What happens if I eat too much sugar?
- When large amounts of sugar (from desserts such as chocolate bars, cheesecake, or syrup) enter the pouch, your body sends a signal to the pancreas to secrete insulin. Insulin lowers your blood sugar and can cause “dumping syndrome.”
- If you experience "dumping syndrome," you will not feel well for about 5 - 20 minutes. Symptoms may include a cold sweat, an ill stomach, and/or possible diarrhea. In general, this is unpleasant, and you will choose not to intentionally experience it again. Ultimately, this will help you to avoid consuming large amounts of calorie rich sugar, which, in turn, helps with weight reduction.
The normal amount of sugar in items that are not considered desserts or snack food will generally not cause these symptoms.