Cravings are not unusual for many people after RNY or sleeve. Some people experience a lot more hunger during the liquid and soft food phase than others. I had periods of hunger more often before I started eating soft foods and regular foods after that. For me, my hunger regulated better once I got about 2 months post-op. The hunger feelings for some people is remnants of old habits and routines from your pre-surgery life. Some of it may actually be thirst which can manifest as hunger. Sometimes it is plain old hunger that we will still have to deal with and focus on making good choices.
Although the surgery does effect our hunger hormones, those hormones are still there and the level of influence of those hormones can be quite a bit different from person to person. You also have to keep in mind that you are eating a significantly lower amount of calories. It can take some people's bodies some time to adjust to that.
From the beginning to now, I generally take the following steps when I feel hungry but I don't think it's really time for me to eat something:
- Get some about 16 oz of water or other drink, like protein water, and sip it over 30 minutes. If I still feel hungry,
- Continue sipping water and find something distracting to do, such as a hobby, work project or browsing bariatric forums. If I still feel hungry,
- Have a protein shake/bar/healthy snack, or if it is now time, have an appropriate meal
Also, after you are eating regular food again, look for something healthy that can by your "go to" in between meal snack. For me, I eat carrots and hummus. I enjoy it, it I feel satiated pretty quickly, and I don't feel guilty about snacking. I would recommend some sort of whole food vs something processed, but as a last resort I'll have a protein bar or shake if I don't have a whole food available too me. It usually doesn't take much of some vegetables to get you feeling full, especially if you eat slowly.
You'll probably have ups and downs throughout the process and for the rest of your life when it comes to hunger. Now is the time, while the effects of the surgery will be at its peak for the next several months to really focus on building a new relationship with food and new habits.
I'm sure you'll do great! Stick with your recommended plan and things will come together.