The Mandolean® treatment program
In preparation for bariatric surgery, we will teach you how to allow your normal mechanisms of hunger and satiety control your food intake, placing you in control of how much you eat. After surgery, you will have to eat slowly and eat smaller portions than you have been eating, but you will still need to learn to recognize your body’s cues for hunger and satiety to be able to avoid the adverse consequences that often accompany this surgery and our program also will allow you to maintain your weight loss over time.
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Just as we use devices like alarm clocks, mobile telephones, and electric toothbrushes in everyday life, people may need the assistance of an electronic device to learn to eat normally. We will have you use two devices to help you learn to recognize hunger and satiety. The device is called the Mandometer® and it is used to train you to slow your eating rate until your body’s normal satiety mechanisms become engaged to terminate your meal.
When you learn to recognize and respond to your body’s normal hunger and satiety cues, you will be in control of the amount of food that you eat without arbitrarily restricting the amount or kind of food that is available. Indeed, it is important that you do not feel food deprived as you engage in this new mode of eating, since this feeling actually leads to abdominal pain, nausea, vomiting, diarrhea, and eventual weight gain.
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