Leslie, in reply to your plateau concerns, even though I haven't had surgery yet, I've noticed that people that drink all of their water, and keep their protein very high do the best at licking plateaus. If things don't change soon, you may have to think about the surgery itself. For example, was your stomach only stapled, or was the pouch completely transected from the main stomach during the stapling? If it was not completely separated it may have developed a tunnel, of sorts, from the pouch to the "old" stomach, and your food may be going into it. One sign of that would be a larger than expected appetite so early on after your WLS.
Another thing to be careful of, is drinking during or too soon before or after your meals. Don't drink thirty (30) minutes before or one (1) hour after your meals. This is to ensure that you stay full for a considerable time and that you don't overeat, causing the dreaded plateau. If this plateau continues and you know that you are doing everything as you should, please discuss this with your PCP and your surgeon. It may help to keep a diary just in case you have one of those doctors who will blame you for the surgery not working even though you are behaving just as you should. As time progresses, if there is no change, you may want to get CT scan or x-ray to make sure that the surgery was actually done. In a very small portion of patients this has actually been a problem. Not to cause you to doubt your surgeon; I'm sure that you did your research and found one that was most capable. I simply include this information as one more thing that may cause plateaus.
Now, after all of this has been said, Leslie,please don't worry unduly. Plateaus are very common--ask everyone--and since all people have different makeups, we can never expect to progress in exactly the same manner as our peers, OK? Keep up the good work, Leslie, and you should be fine.~~~~~Phyllis Moore~~March 7,2003~~~~~~~~~~(Hoping to have surgery.)