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Post by goodkel on Jul 25, 2014 16:58:43 GMT -5
Cindy - you and I are not only Surgery Twins separated at re-birth (had surgery with Greenbaum same day) but we're going through the same things. What's killing me is the mis-information given us be the doctors office specifically, they say: - don't drink 15/30 before after - learned doesn't apply to us - eat mashed potatoes and grits, and low fat everything - from what I reading, no wonder my weight loss has slowed SO MUCH I seeing Greenbaum Tuesday and hopefully get some answers but I'm kind of pissed and want to see a NUT but as a self pay feel like I'd be wasting my money!!! Im down 24 since our surgery but the breaks are on - this thread is great but I'm fearful my high carb low fat could have screwed me and I won't get to goal. Mike You have just toddled your first steps onto what will be a long road. Nothing you've done will have broken your DS. Do not expect your surgeon to have answers. His specialty is cutting, not nutrition. Don't waste your money on a nutritionist who, even if they think they know about bariatric nutrition, will only give you RnY advice. You are in the right place to learn how to eat and manage your DS. A board full of long term vets who have learned through research, trial and error, and from those who came before us what works and what doesn't.
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Post by west4thavenue on Jul 25, 2014 17:02:49 GMT -5
Cindy - you and I are not only Surgery Twins separated at re-birth (had surgery with Greenbaum same day) but we're going through the same things. What's killing me is the mis-information given us be the doctors office specifically, they say: - don't drink 15/30 before after - learned doesn't apply to us - eat mashed potatoes and grits, and low fat everything - from what I reading, no wonder my weight loss has slowed SO MUCH I seeing Greenbaum Tuesday and hopefully get some answers but I'm kind of pissed and want to see a NUT but as a self pay feel like I'd be wasting my money!!! Im down 24 since our surgery but the breaks are on - this thread is great but I'm fearful my high carb low fat could have screwed me and I won't get to goal. Mike You can still get to goal, Mike. No permanent damage done and you are very early out. You still have the DS and it will work for you. Cut the carbs and focus on getting in enough fluid, protein and fat. You will be fine.
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Post by historytracker on Jul 26, 2014 1:56:07 GMT -5
Cindy - you and I are not only Surgery Twins separated at re-birth (had surgery with Greenbaum same day) but we're going through the same things. What's killing me is the mis-information given us be the doctors office specifically, they say: - don't drink 15/30 before after - learned doesn't apply to us - eat mashed potatoes and grits, and low fat everything - from what I reading, no wonder my weight loss has slowed SO MUCH I seeing Greenbaum Tuesday and hopefully get some answers but I'm kind of pissed and want to see a NUT but as a self pay feel like I'd be wasting my money!!! Im down 24 since our surgery but the breaks are on - this thread is great but I'm fearful my high carb low fat could have screwed me and I won't get to goal. Mike Michael. In my preoperative meeting with Lisa - she said it really doesn't matter when you drink before you eat. It is more important that you wait after you eat. I understand that because you want to stay full and not flush out the food or widen any of the surgical connections . I cannot wait until this postoperative diet (which is just for healing) is over with. Right now I am eating cheese (low and full fat - whichever hits my mood), sometimes yogurt and protein shakes, refried beans (full fat). After next week when I am in soft - I want some tuna with mayo, fish, crabcakes and other real food. Sometimes I am in the 400-500 range and sometimes I am not. When this diet is complete - the first breakfast will be one slice of low carb toast with REAL BUTTER AND BACON! Call me and tell me what Greenbaum tells you. I am making an appointment with the nutritionist sometime in the coming months. But I believe the book is too generic and is taking into account the RNY patients because they have to watch fat because of dumping.
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Post by historytracker on Jul 26, 2014 2:09:59 GMT -5
After next week - I progress to the soft diet and I will be eating more food that will meet with soft diet requirements. I want to include plenty of protein requirements. Right now I am getting anywhere between 75-100 a day with protein shakes and food. I am pureed stage and I have decided not to puree food, but to just eat the foods that I have been able to.
I feel you guys are right about the fat/calorie restriction. When I was an RNY we were told to do protein shakes the first month. Calories were out about 800 a day. Then as we progressed through the food - there was no calorie restriction. We ate until we were full and didn't drink with our meals.
I know as a revision I may lose slower. I am thankful for the weight I have lost and I will be fighting to get the rest of the weight off. I wish this surgery was offered back in 2001 because I believe it is a better option.
Michael - hang in there. We just need to get through this 6 weeks of the healing diet.
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Post by historytracker on Jul 26, 2014 2:15:46 GMT -5
This is such a great thread, but there are three things going on: 1) Ladies only issue; 2) Interpersonal issues re frustration; and 3) DS Malabsorption and eating. Would there be any way to tease these out? Especially the "women only" opening post, as a lot of guys may miss some critical information. Is there an ongoing "DS Nutrition" thread? If not it would be great! I did not mean to offend anyone when I started this thread. Men have a history of losing weight better than women. That is just a none fact because they have more muscle and require more fat in their diet. Now there is a question - do men lose faster with DS than women? I wonder.... I didn't think this thread would have taken off like it has, but there is a lot of great information and I appreciate everyone's comments.
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Post by illinids2 on Jul 26, 2014 6:30:32 GMT -5
There was a rule of thumb floating around awhile back that said that to be on track to lose 100% of your excess weight, you should have lost 25% of it by 3 months out, 50% by six months, and 80% by one year. I never met those goals. But, I kept plodding along following the DS rules and by the end of year two I had lost 100% of my excess weight. I am now 7 years post op and I have maintained a normal BMI since then. I am living proof that slow and steady wins the race. I did happen to meet those goals, but I agree they are meaningless targets and people will lose at their own pace.
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Post by illinids2 on Jul 26, 2014 6:31:11 GMT -5
Cindy, you are taking the advice of a nutritionist who does not understand the DS. Yes - this. NYB just cut to the chase of what I was dancing around. She kind of has a way of doing that.
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Post by illinids2 on Jul 26, 2014 6:33:40 GMT -5
Cindy I forgot to mention about fish. I have tried different kinds. What really agreed with me is a smoked salmon. We buy it in 3 or 6 oz. Package I put it on top of some Philadelphia cream cheese and it makes it so soft and delicious. You get protein from both salmon and cheese. One package goes along, really long way for us. Soups like lobster bisque work for me as well. I freeze extras as soon as we get it. Pork has been better to me then chicken so far. Have you tryed eggs yet? There is so many ways we can cook them to keep it soft and yammy. I hope it was helpful. Hugs. Here comes the different strokes for different folks, or YMMV part of the DS and nutrition. Salmon does horribly for me. It is just heavy and sits like a rock, plus I really don't care for salmon much (okay at best and have never understood why some people like so much...good for them, but I just don't) and pork unless it was juicy pulled pork, was very hard on me as well (up until a month or two ago). Now Lobster Bisque, crab, lobster, scallops..bring it on sister!
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Post by illinids2 on Jul 26, 2014 6:38:40 GMT -5
Thank you. What about watermelon? Fruit is perfectly fine, when you are further out, but right now it is getting in the way of your protein. I am different but if I had a craving for something sweet or something in general, I just had a small bite. To be honest, early on I didn't crave sweets and things tasted nasty so I had a bite of a cinnamon roll with icing one day and it was Bleh. Later on I tried a bite of cheese cake and the one little bit did the trick and satiated me....but right now focus on the protein. One suggestion......Heavy cream with a pack of splenda. It is silky, creamy and sweet while having plenty of fat. Even better you could whip some heavy cream with a little splenda.....NOTE: the artificial sweeteners really bother some but they do well for me.
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Post by illinids2 on Jul 26, 2014 6:45:47 GMT -5
Cindy - you and I are not only Surgery Twins separated at re-birth (had surgery with Greenbaum same day) but we're going through the same things. What's killing me is the mis-information given us be the doctors office specifically, they say: - don't drink 15/30 before after - learned doesn't apply to us - eat mashed potatoes and grits, and low fat everything - from what I reading, no wonder my weight loss has slowed SO MUCH I seeing Greenbaum Tuesday and hopefully get some answers but I'm kind of pissed and want to see a NUT but as a self pay feel like I'd be wasting my money!!! Im down 24 since our surgery but the breaks are on - this thread is great but I'm fearful my high carb low fat could have screwed me and I won't get to goal. Mike No worries Michael....you will be fine because you recognize now that you need to ignore your nutritionist and focus on protein first. I really don't look at the DS as eating low carb I look at it as eating protein first. That may be a subtle distinction but I am not big on restriction and the focus on protein first then if still hungry eating some carbs, has really worked well for me. I am far enough out now that I know how much carbs and protein I can eat at a given meal so I don't eat all my meat, then go to the veggies or taters now..but I did in the beginning or just had a tiny bite of potatoes while focusing on the meat. FYI - the grits/cream of wheat/potatoes for the first few weeks is not a horrible thing if you can't get anything else down. It gives a little fullness to the stomach to keep away nausea and heartburn (those were horrible for me) and a little sustenance. Just know that you aren't absorbing enough of anything to "sabotage" your weight loss. If you do the DS math you it becomes shockingly clear that early on many of us were getting next to no calories so that is why I say early on an oz or two of cream of wheat with half and half doesn't hurt anything if it doesn't bother your system. You will do well so don't worry, both of you willl!
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Post by illinids2 on Jul 26, 2014 6:47:21 GMT -5
Cindy - you and I are not only Surgery Twins separated at re-birth (had surgery with Greenbaum same day) but we're going through the same things. What's killing me is the mis-information given us be the doctors office specifically, they say: - don't drink 15/30 before after - learned doesn't apply to us - eat mashed potatoes and grits, and low fat everything - from what I reading, no wonder my weight loss has slowed SO MUCH I seeing Greenbaum Tuesday and hopefully get some answers but I'm kind of pissed and want to see a NUT but as a self pay feel like I'd be wasting my money!!! Im down 24 since our surgery but the breaks are on - this thread is great but I'm fearful my high carb low fat could have screwed me and I won't get to goal. Mike Michael. In my preoperative meeting with Lisa - she said it really doesn't matter when you drink before you eat. It is more important that you wait after you eat. I understand that because you want to stay full and not flush out the food or widen any of the surgical connections . I cannot wait until this postoperative diet (which is just for healing) is over with. Right now I am eating cheese (low and full fat - whichever hits my mood), sometimes yogurt and protein shakes, refried beans (full fat). After next week when I am in soft - I want some tuna with mayo, fish, crabcakes and other real food. Sometimes I am in the 400-500 range and sometimes I am not. When this diet is complete - the first breakfast will be one slice of low carb toast with REAL BUTTER AND BACON! Call me and tell me what Greenbaum tells you. I am making an appointment with the nutritionist sometime in the coming months. But I believe the book is too generic and is taking into account the RNY patients because they have to watch fat because of dumping. Sorry hon but that is 100% incorrect. We have a pylorus valve and nothing will wash out.
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Post by illinids2 on Jul 26, 2014 6:49:00 GMT -5
After next week - I progress to the soft diet and I will be eating more food that will meet with soft diet requirements. I want to include plenty of protein requirements. Right now I am getting anywhere between 75-100 a day with protein shakes and food. I am pureed stage and I have decided not to puree food, but to just eat the foods that I have been able to. I feel you guys are right about the fat/calorie restriction. When I was an RNY we were told to do protein shakes the first month. Calories were out about 800 a day. Then as we progressed through the food - there was no calorie restriction. We ate until we were full and didn't drink with our meals. I know as a revision I may lose slower. I am thankful for the weight I have lost and I will be fighting to get the rest of the weight off. I wish this surgery was offered back in 2001 because I believe it is a better option. Michael - hang in there. We just need to get through this 6 weeks of the healing diet. You will get there Cindy and the board is right about not staying away from fat (I don't believe we need to seek out fat but no way should one avoid) and that calories do not ever need to be counted.
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michaelp
Junior Member
Posts: 65
Surgery Type: DS
Surgery Date: June 30, 2014
Surgeon: Dr Greenbaum
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Post by michaelp on Jul 26, 2014 7:06:35 GMT -5
Thanks all - this thread has been extremely helpful!
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Post by newyorkbitch on Jul 26, 2014 8:19:44 GMT -5
Cindy the advice about not drinking after you eat is absolute nonsense. Stop listening to that ignorant nutritionist.
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Post by Joanne on Jul 26, 2014 8:31:20 GMT -5
Cindy - you and I are not only Surgery Twins separated at re-birth (had surgery with Greenbaum same day) but we're going through the same things. What's killing me is the mis-information given us be the doctors office specifically, they say: - don't drink 15/30 before after - learned doesn't apply to us - eat mashed potatoes and grits, and low fat everything - from what I reading, no wonder my weight loss has slowed SO MUCH I seeing Greenbaum Tuesday and hopefully get some answers but I'm kind of pissed and want to see a NUT but as a self pay feel like I'd be wasting my money!!! Im down 24 since our surgery but the breaks are on - this thread is great but I'm fearful my high carb low fat could have screwed me and I won't get to goal. Mike Michael. In my preoperative meeting with Lisa - she said it really doesn't matter when you drink before you eat. It is more important that you wait after you eat. I understand that because you want to stay full and not flush out the food or widen any of the surgical connections . I cannot wait until this postoperative diet (which is just for healing) is over with. Right now I am eating cheese (low and full fat - whichever hits my mood), sometimes yogurt and protein shakes, refried beans (full fat). After next week when I am in soft - I want some tuna with mayo, fish, crabcakes and other real food. Sometimes I am in the 400-500 range and sometimes I am not. When this diet is complete - the first breakfast will be one slice of low carb toast with REAL BUTTER AND BACON! Call me and tell me what Greenbaum tells you. I am making an appointment with the nutritionist sometime in the coming months. But I believe the book is too generic and is taking into account the RNY patients because they have to watch fat because of dumping. The washing food out of your stomach concept she is talking about is for an RNY and not a DS. It shows that she doesn't understand. We have our pyloric valve intact, not a stoma and pouch. There is no washing out. Our stomachs empty exactly as they did before we had any surgery. There is no surgical connection to widen. She is referring to the "stoma" with the RNY. With the RNY your pouch has a stoma (hole) that is connected to your intestines. The VSG and DS have a normally functioning pyloric valve. There is no washing out of anything, no widening. It is a normally functioning, albeit smaller, stomach. I'm glad you see the high carb thing as a hinderance to your loss, but don't worry. You can catch up. The low carb / high fat works any time. I'm 5 years out and if I want to lose a few pounds I can cut carbs and it still works for me.
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Post by goodkel on Jul 26, 2014 19:43:40 GMT -5
Yes - this. NYB just cut to the chase of what I was dancing around. She kind of has a way of doing that. I wish I was so concise and clear.
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DSwitcher
Junior Member
Posts: 88
Surgery Type: Revision
Surgery Date: 08/26/2014
Surgeon: BOYCE
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Post by DSwitcher on Jul 26, 2014 19:52:25 GMT -5
This is such a great thread, but there are three things going on: 1) Ladies only issue; 2) Interpersonal issues re frustration; and 3) DS Malabsorption and eating. Would there be any way to tease these out? Especially the "women only" opening post, as a lot of guys may miss some critical information. Is there an ongoing "DS Nutrition" thread? If not it would be great! I did not mean to offend anyone when I started this thread. Men have a history of losing weight better than women. That is just a none fact because they have more muscle and require more fat in their diet. Now there is a question - do men lose faster with DS than women? I wonder.... I didn't think this thread would have taken off like it has, but there is a lot of great information and I appreciate everyone's comments. Sorry, didn't mean there was a problem with the "ladies only" part. Just didn't want anyone to miss the excellent info herein. I am SO glad you got this started!! Thanks! xx
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