You might be asking yourself, just what sizes does the Realize™ Band come in? Simple, one size fits all. That’s right, because it’s an adjustable band, it can be tailored to your individual needs.

The purpose of an adjustment is to ensure that you feel satisfied when you eat and that you are losing weight gradually, about 1-2 pounds per week.

The adjustments are done by your doctor or another healthcare professional by adding sterile saline to the band through the port. Adjustments can also involve removing saline from the band through the port.

When filling the band, saline travels from the port through the tube and into the band, making the band fit more snugly around your stomach.

Here is some additional information you should know about adjustments:

• Because your doctor wants to make sure that your stomach completely heals from the surgery, your first band adjustment won’t usually occur until 4-6 weeks after your surgery.
• Adjustments do not require more surgery. In fact, an adjustment can be made in a doctor’s office or a clinic, and usually only takes 5-10 minutes.
• An adjustment when fluid is added is referred to as a “fill”. Fills tighten the band around the stomach so you’ll feel full sooner and longer than you did before the fill, because the food will empty from your upper stomach more slowly.

• Preparing for an adjustment
  • Always follow your doctor's specific instructions
  • Don’t eat any soft or solid foods for at least 2 hours before the adjustment
  • Wear clothing that will allow the health care professional to easily access your abdomen
• Locating the REALIZE injection port:
  • The health care professional may use 1 of 2 methods:
    • By gently pressing on the area of your abdomen where the port is fastened or
    • Using fluoroscopy, which a special type of video image
• Inserting or removing saline
  • The health care professional will then disinfect the site and insert a fine needle through the skin and into the port
  • During a fill, the health care professional will inject about 0.5-1.00 cc of saline into the port
• Checking the band tightness
  • You may be asked to drink small amounts of water to ensure you can swallow

A word of caution: if you vomit within 48 hours after a fill, or if food gets stuck in your stomach, you will need to contact your health care professional right away; these symptoms may indicate that your band is too tight.

Hear from others who have had band adjustment