If you have an adjustable gastric band, you know it works. The band was placed around the upper part of your stomach, dividing the stomach into two parts. Now you’re eating less because the upper portion of your stomach is small, making you feel full faster.

You probably also know that the band has to be adjusted over time. The adjustment, known as a fill, takes just 5 or 10 minutes and does not require surgery. The idea is to customize the band, either by slightly inflating or deflating it, based on your needs and goals. This is accomplished by changing the amount of saline that’s in the band. The saline is injected through an access port just under your skin.

So when is it time for an adjustment?

• It’s been a few weeks. Once you have been eating solid food for several days, usually about 4 to 6 weeks after the initial procedure, you’ll need to be evaluated. Your first adjustment may happen then.
• You’re pregnant. If you become pregnant while having a gastric band, talk to your doctor right away. You will probably need to have the band deflated to allow more nutrients to reach your growing baby.
• Food disagrees with you. While eating less is a good thing, eating too little can be problematic. If you can’t tolerate food, explain the symptoms to your doctor. Your band may need to be adjusted to better fit your body.
• Weight loss is slow. Most gastric band patients lose 1 to 2 pounds a week. If you find yourself losing less than that, your doctor may inflate the band more.
• You’re sick. If you are under the weather, your body may need more food. This may be a time to have the band deflated temporarily.

Some people have only one band adjustment during the first year, while others require several fills. Everyone is different, so listen to your body and stay in contact with your doctor.

If you have questions about gastric band adjustment, contact North Florida Regional Medical Center. You can visit out bariatric page online or call 1-800-342-6057. We’re here to answer your questions and help you meet your weight-loss goals.