#120 Feeling Less Restriction after WLS? Bariatric Nutrition Q & A

bariatric surgery success podcast

HOST: Registered Dietitian Nutritionist Dr.

Susan Mitchell 


Are you feeling LESS restriction after weight loss surgery than you think you should feel? Does it vary with exercise and how hard you work out? Is this a big deal? Is it the surgery, your diet, what is it? Let’s talk about this feeling of LESS restriction.

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Podcast Guests: 

Bariatric Dietitian Isabel Maples, RD

Bariatric Coordinator

UVA Health in Haymarket, Virginia

Email: [email protected]


Gayle Brazzi Smith MS, RDN, CSOWM, LDN

Registered & Licensed Dietitian

Weight Loss and Bariatric Surgery Institute

Orlando, FL

Email: [email protected]

Website: OrlandoHealth.com/Bariatrics  

I want to give a SHOUT OUT to Chef Henry who said:

"I listen to a lot of podcasts but this is always the one I look forward to. Dr. Susan Mitchell provides a great service to the community with lots of information and support. Also her soothing way of communicating with the audience and her awesome guests are definitely a breath of fresh air."

Chef Henry, I’m happy to hear that I’ve brought some fresh air to you and hopefully to others. There’s so much mis-information out there to wade thru, I’m glad to deliver information you can count on to be accurate. 

My facebook group is really supportive of each other and has a lot of discussion. One question recently asked was this “Do you feel your pouch has less restriction on days you train especially hard? Is it hunger that makes you feel less restriction? What’s going on?”

Questions we did into during this episode:

What is restriction and should you be concerned or not? What causes less restriction?

From a medical nutrition therapy standpoint, what is important to know about restriction or less restriction?

What is the body set point and will it return there after bariatric surgery?

What about feeling full and learning satiety cues? Can you learn those even when you have never used them in the past? 

Can the body sense when it is full?

What about calorie and macro needs when training hard? How does this affect restriction? 

Does everyone need the same increase in calories and macros?

The role of carbs.

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