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)
