Her portions are not small either!
She can only eat those portions because she’s eating “soft” foods that can pass easily through the anastomosis. I only really started watching Fat Alex around the time she was having her gastric bypass surgery. Did she eat more “solid” foods (steak, chops, chicken, roast meat, fish etc) before her bypass? People having WLS are supposed to focus on solid protein after the initial 6 week post-op progressive diet. A piece of meat the size of a deck of cards should fill you up for hours, with no cravings. I’m aware she didn’t eat correctly from early post-op with her liquidising chicken ranch dip, plus all her Christmas sugar cookies and other fare. Solid proteins can be a hard adjustment post-op, because over eating them is painful, but that’s how post-op you learn portion size. If she didn’t eat them before though, then it would be hard to introduce them afterwards.
Although I personally think they are a pricey gimmick, Fat Alex is someone who really should have invested in the portion control plates post-op. She would die to see these are about the size of an entree plate (and you don’t go onto the plate rim so really more like a bread and butter plate). Check out the protein : salad/free veg : carbs ratio. I’m sure she could find them on Amazon to link.
+Every waking minute she's shoving something in her gob.
This is a huge part of her problem, not just that she’s constantly eating, but what she’s eating tends to either be highly processed junk or massive serves of high GI fruits like grapes and bowls of watermelon. Oranges and bananas are also problematic during the weightloss phase, although in correct portion size would be okay to have two serves a day in maintenance. Mind you a portion of grapes is 15 grapes, not a whole bag, and a portion of watermelon is 2/3 cup not a whole fruit bowl. She’s also focussing most of her meals and snacks on foods that are not only not satiating, they are also foods that cause blood sugar spikes and cravings soon after eating. The insulin spiking in response to the blood sugar spikes is also not doing her any favours because insulin is a fat storage hormone.
She would know all of this if she bothered to attend her post-op monitoring. She never talks about attending these appointments, and I suspect she hasn’t since her one year appointment. I don’t see her as the type to reach out to her bariatric clinic and ask for help, because she knows she can’t fool them, and that she’ll be told to weigh-in on arrival…exactly the same as Dr Now does. I’m sure she’d be treated respectfully, and they’d offer her all kinds of help and support, but I expect she knows she’d have to take responsibility for failing herself rather than pretending the surgery failed her. That’s a step to far for Fat Al.