Pouch Reset | Gastric Sleeve Surgery | Questions and Answers 

This is probably the most informative and realistic video I have heard. Definitely true I was planning on a reset diet knowing well it was BS! But I wanted so bad to believe it would work. The truth is my eating habits are horrible and I need to control and be more disciplined with myself starting NOW! Good luck everyone that’s struggling.

I was 330Lbs at the date of my surgery. After surgery (months) I hit 200lbs. I wanted to be 199 so bad haha i remember it like it was yesterday. As I am writing this I can tell you that I am sitting at 250lbs. I want so badly to get myself back to around 210ish. I was so in love with life so full of energy. I am going to do my best to achieve this starting today. Thanks for the heads up, its evident I know what i need to do.

I often wonder if some people use the reset diet as a mental reset (as opposed to a pouch) to help get the back into the swing into what they really need to be doing

So true, I just did my 3 yr post op. I changed what I was eating and the weight came off again. Tfs

I'm over 7 years out and had 2 more children, and slacked off with my eating habits and exercise, the reset button is remembering where you came from and continuing to improve yourself. Go back to healthy eating, exercise, drinking water...just doing healthy things. This video is motivating me to go back to the things I learned pre op and using the tool.

Great advice!! I am 16 months out and I have completely stopped losing. Partially my fault. This advice will definitely help me get back on track. I have only gained 6 lbs but I’m not trying to go backwards. I have came too far

286 at the time of surgery. 2 1/2 months later, down 60 pounds. Feeling good, and staying with the program.

Hi Dr. A. It’s Misty..one of your first patients many years ago! Great to see how successful you have been over the years.

You are right on the money!!! I regained because I started eating the wrong foods again.

Thank you for making this video. I’ve seen this subject so many times and I knew it’s BS!!! You’re gaining because of what you’re stuffing your mouth with.I’m 6 yrs post sleeve surgery and I’ve for the first time have gained. I do know it’s because I’m eating junk and fry fatty foods. I’ve started keto and upped my water intake and it’s helped so much.

I must say that these videos are a life saver,no BS,straight to the point suggestion. Thanks

I want to say thank you since listening to you I understood the assignment and I loss an extra 20 pounds and realized that what I was in taking and the amount was my issue got resolved and now I feel like a winner 🏆 ❤

Yes I stopped logging and that's where I gained 10 lbs......and when I started logging and being mindful and drinking more water and being active walking strength training made all the difference

Amen!! After 5 years I feel my sleeve is just at its full potential! I've lost about 40 lb the past 6 months.

I’m 10 months post op sleeve surgery and these videos are so so helpful ThankYou very much for taking the time to make them

I have my surgery in 8 days. I'm so excited and so ready! Thank you for these videos.

I had the surgery in 2006 and in the 2019 had 2 babies gained 55lbs and now I'm trying to get back down and it's hard. I was told reset the pouch. I'm like that sounds like BS. I started exercising September 1st and have lost 10lbs. I guess I'm on track eat better food is key. Thanks for this video.

This surgery saved my life, I followed dr A throughout my journey. Waiting for getting pregnant.. feeling blessed and healthy

Thank you for telling the truth because I’ve seen a lot of misinformation videos it makes sense I need to watch what I eat

Dr. Alvarez is my favorite place to come to for the best info. I'm a year out from my sleeve & have lost 80 pounds. I am trying to analyze why my weight loss seems to have completely stopped. I know I don't eat perfectly even though I am super careful about avoiding sugars and carbs, sometimes I have an occasional treat. I don't eat a lot but I probably eat too often. I exercise nearly every day and my tummy is an absolute monster! I considered a "reset" diet but instead going to take a look at overall calorie consumption since I stopped counting calories and only count carbs and protein. I think my calories may be too much over a 24 hour period. I hope to get at least 20 more lbs off before I get to 18 months post op. Thank you Dr. Alvarez for your consistently great videos!!!

Very encouraging I'm 2years out and only gained back 10 pounds. My highest weight was 320. I can eat so much more now. Thank you for being real. I got to comfortable eating junk getting back on track is a must.

your videos give me all the hope I need, I need to hydrate more and walk and NOT obsess with the scale!

This the only thing that makes sense I have listen to all week. Thank you it's all about control from now on.

thank you so much for this info. i am 3 weeks post op vsg. this process has been so hard. I have lost 20 pounds since my surgery. i lost 27 pounds before my surgery. i have struggled with eating healthy already. i am going to stay with this and do what i need to do to be successful. use this tool. thank you. god bless!

This is great information and makes perfect sense and maintaining a healthy diet along with exercise and the proper rest and vitamins is the key to success! Thanks Dr. Alvarez!

Thank you for this video. My doctor actually gave me a pouch reset diet plan. I guess he just went with what people want to hear.

You make sense! More than anyone else I’ve listened to

Thank you. The most intelligent advice & information that I have heard from a physician so far. I was banded 10-years ago. All of the physicians want me to convert to the sleeve..., why? It's not the device, it's behavioral. I started at 265 10-years ago. I am fluctuating between 217 and 220 to date. Hence, I have basically kept the weight off. I refuse to go back for another surgery because I couldn't behave myself and stop drinking an occasional rum and coke, ooopps.. Moreover, I still eat in moderation and exercise. I find it absolutely amazing when I see people who have gained twice as much weight with the device in place.

I love this video. This is the best one yet. I felt like you were speaking directly to me Dr. Alvarez. Thank you for the great advice!

Thinking about having a gastric sleeve; spoke to my Dr; 250lbs/ 5ft4/ Diabet type 2/ waiting for the referral; crossing my fingers;

Great advice! Usually, not what someone wants to hear but is the best advice. No such thing as a "reset". You need to own it.

Good info, I never believed in a pouch reset anyway.

Thank you for this explanation! Makes perfect sense! Analyze what you are eating!

Very good advice! I'm glad I found your video! Thanks. 3 years post-op, 15lbs regain.

I had a miscarriage 1mo th and half ago and i gainened 12lbs as i emotionally ate to deal with it all... i was thinking of a poich reset but i needed to hear what you said to be able to get my mind set again (look at what im eating, cut carbs and sweets and exercise). Hopefuly i will lose yhese 12lbs and continue to lose after this. Thank for your videos

Best video ever! Straight to the point and debunking this "pouch reset" myth. I had gastric bypass back in September 2016 and now I'm getting some of the weight back, but watching this video opened up my eyes, Dr. Alvarez, thank you so much for your honesty and great advice. I will follow your guidelines and log my food intake and hopefully this will be a change for good, thanks again

Can't the stomach stretch, though? I feel, almost 3 yrs since my surgery, that I can eat WAY more... obviously I AM eating more, and yes, the bottom line is that I should not do it. My question still stands: can't the stomach stretch with time?

3days post op and im sucking all of this information in. Thanks DR. A

I like it! Thank you for this. I’m going to get back on track to lose it. 💗♥️

Doc, you are an absolute legend! I love your honesty, your humility & of course your wealth of knowledge. Thank you so much for all your well chosen topics, you just nail it every time 🙏♥️

You explained that PERFECTLY Doc 👏🏿👏🏿👏🏿 time for me to get back to basics

I lost nearly 50lbs during the month of liquid diet before and after my sleeve surgery. At about 1.5 weeks after the surgery, I was still on a liquid diet. I was only drinking water and 3-4 protein shakes per day. I gained 5 lbs in about 3 days. It was very strange. But, after that, I started to go down again. This was all while on the liquid diet.

Thank you so much. I really needed this. I see myself going off track and I just need to ‘reset’ my eating habits!

You have been very helpful for me and this process it’s been two years and I’ve been so caught in my mind that I can’t get myself together I realized it is what I’m eating because I dnt eat as much as I use to smh. Transition is hard but I refuse to go back

Thank You!!!!! For the reality check. Needed that!!

Ty sir still on my journey!!

Jan 11 2021 gastric sleeve lost 60 pounds 2022 I gain 21 pounds I'm currently 195 my lowest weight was 169 my highest weight before was 245

Yes I agree with you Dr. Alvarez

Nothing like the truth, thanks Doc.

Thanks so much 💕

Thank you for posting this information.

Thank you i change my way of eating keto/ carbs

Extremely helpful!!! Thank you Dr. A 😊

As hard as this was to hear, I appreciate you. Thank you.

Thank you so much it makes so much sense to analyze what you are eating not how much!

Thank you Dr. Alvarez. Thank you thank you thank you.

The hand gestures when he said “resent this” lol had me laughing. Thank doctor I will follow these tips

I needed this message

Thank you! This made so much more sense to me.

Thank You for the information

Thank you for the info

love this u gain a subscriber

I am 3 weeks and two days post op and I no longer feel that restriction I was afraid I stretched my pouch Bc of not having that feeling to identify. But to clarify, this doesn’t necessarily mean Iv stretched my pouch, right? Why does that restricted feeling diminish?

Thanks i knew all that i just needed to hear very good video

Hello, I am getting my done in March. I was wondering if we can fast for faith purposes? Thank you for all your videos

All of a sudden I can't eat. I've had times when I could eat normally; however, recently, I no longer eat nowhere near as much. Idk what that's about. I had my surgery in 2014.

That's the key log everything you intake everything.

Thank you 😊

Thank you for the great information.

Thank you so much for this information !!! Makes absolute sense and I need to re apply it.

Thank you!!!

I wish I would have been your patient..

you are amazing :)

Great info, Thank you.

Thank you so much for clarity

You are awesome 👏

So if someone with 9 years post op with a sleeve can they go back to basic and lose weight? Or should she get another surgery?

I needed this.

I had gastric bypass RNY January 2019. My heaviest recorded weight I was 355 pounds. I got down to 190. I met my now husband and had our little girl January 2021 while pregnant with her I gained 40 lbs I lost 25 right after she was born. Right when I returned to work I broke my ankle. Snapped my fibula in half. I was non weight bearing for months. I gained the weight back because before I was really active always on the go? Going to the gym and I ate a high protein/fiber rich diet. But I just wasn’t moving like I should. Now I’m sitting at 227 and I’m healed completely and back into the groove of things and going back to the gym. My problem is I snack at work. I snack on mainly sunflower seeds but I snack constantly cause 80% of my day is spent in a truck the other 20% I’m lifting heavy stuff and pushing heavy items hear to there but it’s just really hard for me to lose the weight. My sleep and vitamin intake could be better but as of today I’m going to make sure I get enough sleep and wake up and take my vitamins! Thank you for this video

Hello doctor. Which type of sweetener do you recommend? I am using whole earth with stevia and mink fruit. And also I used to use stevia in the raw. Which sweetener is best? Please advice. Thank you!

I don’t understand why I’m not losing. Unless I only drink water. The protein shake they gave me is what I drink and it made me go up when I started it after 4 days of nothing but water. I slowly added it in and follow everything they keep telling me. I was so frustrated that I decided to see what would happen if I only took in water on day 7. I lost one pound. Day 8 took in 1 low carb high protein 150 calorie shake and a 4 ounce glass of skin milk. It went up a pound. I was put on metformin because of this before surgery. I would fast for 3 days only water and my sugar would still be high. I know the liver dumps glycogen which makes my sugar go up. Which makes me hold weight. I’m so frustrated and nobody has answers. My team even said it’s not normal to go up in weight right after.

Freaking love ❤️ this man realist Man God Bless you and Family ..Body is fragile need to listen

Brilliant

Yes so true its wat we are eating that makes us gane weight I'm at 18 pounds more but I eat things I don't suppose to bit in January I'm hitting the gym and watching wat I eat 300 pounds before surgery went to 135 Kwon 168 my weight has to be 150 and this video help me a lot to open my eyes

I’m 15 months post op and I’ve lost 190 pounds......I feel great

I recently had my gastric sleeve surgery 1 week post op.. people affraid me that i cant eat food my whole life

Love.

Hello Dr. Alvarez, I wanted to know if you can help me figure out why I am having problems losing the weight like I’m suppose to after a sleeve. On Sept 28 2021, I got the sleeve done as of today, A year later I’ve lost 33 pounds. This is not right. My way of eating did change, besides the fact that I do eat way less but I’ve added more protein in my diet. I’m not perfect with my diet but for the most part I have done what was suggested by bariatric. So I do not eat the way I use to, and yet I have not lost the weight that “MANY” others have successfully lost after the sleeve. This has been extremely discouraging and has made me feel like a failure. Now I do want to add that during this time and currently, I haven’t been able to exercise the way I should because I had problems with my ankle to the point where I had to get my ankle reconstructed last month. Plus, I was dealing with back pain (sciatica) on and off where at times I couldn’t walk. So for those 2 reasons I couldn’t be active and exercise like I wanted to. Addition to this, I take antidepressants for clinical depression and lamictal for mood disorders. Can these medications be contributing to my problem? No one seem to know for sure, not even my bariatric provider. I really am at a point where I am convinced I will never lose the weight, and that I will always be a complete failure in this matter. If you do have the answer to my problem, then my next question will be Do I still have a chance to start back on day one? Oh I do want to mention that I did have another surgery done, my gallbladder was removed.

Dr este video no lo tiene en espańol?

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Hello I am so glad that I found this I'm 2 years in I had my sleeve done in 2019 June 3rd I've been around 170 and 180 for the past year and now for the past 3-6 months I've been a hundred ninety four pounds so the first thing I thought reset the pouch I'm so glad I came across your video because in the back of my mind already knew I needed to start back eating right and working out because like you said I already have the tool🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩🤩😜😜😜😜🤩🤩🤩

100%

I’m 1 week and 3 days post. I can not keep another shake down !!!! It’s been 3-4 days and I can’t it makes me sick wat do I Do at this point ? I know I need protien all I been able to drink is gaterade zero and water ☹️☹️☹️

Hey dr I was wondering y I never felt any pain after the surgery it felt like nothing ever happened I can eat anything and nothing affects me I recently during the pandemic have gained weight back I don’t wana blame anything or make excuses but the pandemic really hit me as I recently lost my job in may and been just stress eating as I have not had any financial monetary since than but I really wana know y I didn’t feel any affect and if I might have stretched my pouch