Still Eating Sweets After a Gastric Sleeve I Thought They Took the Chemical out of Your Stomach?

Thank you for reaching out with your concerns about your weight following your gastric sleeve surgery. I understand that you may have questions and confusion about the surgery's effects on your ability to consume sweets. The gastric sleeve is indeed a powerful tool for weight loss, but it's important to clarify a few points.Gastric sleeve surgery primarily reduces the size of your stomach, limiting the amount of food you can consume at one time. While it does help in curbing your appetite and promoting weight loss, it does not remove the ability to digest sweets or any other type of food. The change is more about portion control and the feeling of fullness you experience after consuming even small amounts of food.It's great to hear that you're still incorporating fruits and vegetables into your diet, as these are essential for your overall health and nutrition. However, it's also important to recognize that the sleeve is not the sole answer to long-term success. Weight loss after bariatric surgery involves a comprehensive approach that includes not only dietary changes but also lifestyle adjustments and emotional connections with food.We strongly encourage you to continue with your follow-up visits with your bariatric surgery team.

With a gastric sleeve where around 70% of the stomach is removed, the capacity decreases making you feel satisfied with a lot less amount of food, also a lot of the cells that secrete Ghrelin are removed so the secretion of this hormone also decreases making you feel less hungry, but this hormone does not determine the type of craving.Cravings for specific macronutrients, such as carbohydrate, have been postulated to result from a physiological need to alter neurotransmitters, usually endogenous opioids.Just as a “fun fact”, our desire for sweets is an evolutionary trait to ensure we as humans accepted sweet-tasting foods, like vitamin-rich fruits. There is scientific data has shown a genetic predisposition due to mutations in some genes (TAS1R2, SLC2A2, CPTP) making some individuals may be more prone to sweetness than others (sweet tooth). Anyways when you eat a lot of sweets, you will feel the instant gratification immediately, your blood sugar levels spike and later you experience a sugar “crash” making you feel sluggish and tired. So, you have to break the cycle. Try to change the chocolate and biscuits for things that taste sweet but don’t have that much sugar and also gives you healthy nutrients such as vitamins, minerals, antioxidants and dietary fiber, like: • Fruits (berries)• Dark chocolate (that contains more than 70%)• Chia seeds• Greek yogurt• Snack that contains dried fruit and nuts (trail mix)

Hello,
Thanks for your question.
With tube stomach surgery, both the capacity of the stomach is reduced and the part where the hunger hormone is secreted is removed. After the operation, the body gradually gets used to the new stomach, and small increases in the person's eating capacity appear. The patient should adapt to this new diet and maintain this situation. If the patient continues his pre-operative diet, sweet craving is observed with the self-renewal of the stomach.
I hope this answer helps you
Have a healthy day
Dr HE