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Post-op Gastric Bypass Gastric bypass post-op concerns, milestones achieved, establishing new eating/exercise habits, dealing with emotions without food to turn to, etc.

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Old 09-22-2005, 12:15 PM   #1 (permalink)
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Default Help me please

Tomorrow will be my 3 week Lap-RNY anniversary. I feel like it was my birthday! Ive lost 20 lbs so far and am getting conflicting advice from my doctors and nutritionists. I had it done by the Navy and Lord knows you never see the same doctor, but Ive seen the same nutritionist.

The doctors want pureed foods for the first month, the nutritionist is ok-ing soft foods. I can only get down about 3 oz still at a time and I feel very full when I eat that much- Ive resorted to toddler foods. They told me I have low blood sugar at times and need to eat sugar. (Ive had problems with light-headedness and cold sweats but have never been diabetic)

The nutritionists recommended creme savers but the dr wanted peanut butter crackers. Im scared of candy, but I hate peanut butter.

Im just so scared Im gonna do something wrong. Ive found that the weight loss is a lot harder around "that time" too. Anyone else have these problems?

Thanks,
Candyn

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Old 09-22-2005, 12:21 PM   #2 (permalink)
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Candyn,

The idea of eating sugar is a bit scary to me. I don't know what you are eating normally, but you might try something like cottage cheese, or mashed potatoes instead of candy. What about the cheese filled crackers instead of peanut butter? Have you tried peanut butter since surgery? You might find out you can tolerate it now.
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Old 09-22-2005, 12:24 PM   #3 (permalink)
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Protein is a better source to regulate blood sugar levels to prevent sudden dips.

You can have small amounts of sugar without getting sick.


Soft foods turns into pureed when you chew it. No need to blend everything. Chew well before you swallow.
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Old 09-22-2005, 12:30 PM   #4 (permalink)
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I dont like peanut butter because of something I saw on the Discovery Channel! I just cant put it in my mouth. I think about what I eat way too much, which could be good or bad.

Candy scares me too, but the nutritionist said that the cottage cheese and even regular cheese wouldnt get it to where it needs to be that quick. Ive never been a huge sweets fan as it is...I just didnt know what full felt like until now.
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Old 09-22-2005, 01:23 PM   #5 (permalink)
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I personally would listen to your nutritionist. My surgeon was telling me at week 2 to start on more solid foods. (becuz i had the runs) My nutritionist say NO WAY JOSE! She just said hmm... i wonder why he would tell you that? Sometimes surgeons think they know but really they only do the surgery.
If your seeing a bariatric nutritionist then listen to her! She knows more than anyone what she is talking about.
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Old 09-22-2005, 01:27 PM   #6 (permalink)
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This is what the greatest surgeons Dr Potts and Dr Callery recommend.. here ya go!

Weeks two through six after surgery
During this period, patients should eat puree and very soft foods. Try these ideas.

Bean dishes and soups
Peas
Peanut butter

Tofu (soy) mixed in with soup or vegetables

Baby shrimp
Very soft fish such as sole
Chicken or meat pate or spreads, liverwurst

Skim milk
Cottage cheese or other cheeses
Low fat yogurt
Eggs: try two white with one yolk

Protein Suppliments (these can be mixed with juice or soup or can ben blended with fruit)
Problend 55
ProComplex
Pure Protein (see below)
Zero Carb Isopure (Comes as powder or liquid)

"At support group you were asking for suggestions for protein and I just wanted to e-mail you and let you know what I have found! There is a protein bar at Trader Joe's that has no sugar and is approved by the Glycemic Research Institute. It is called PURE PROTEIN and is endorsed by Tony Little. It has 22g of protein and tastes pretty good. Just thought you would like to know!!!" Sheryl S.

Pat M. suggests Jay Robb's Egg White Protein. It has 24 gm of protein and 100 cal per scoop.

Here are some more suggestions, these from the 1/17/02 support group:

Designer Protein Powder (Vanilla) blended with flat Diet orange slice
Designer Protein Powder mixed with coffee
1 scoop of ProComplex + 1 scoop soy protein. Add any fruits you like: bananas, berries, peaches
ProComplex chocolate in 1% milk 1 scoop/4oz.
ProComplex smoothie with fruit
Add sugar free pudding to protein supplement of choice
HMR protein powder from Sharp Weight Management
HMR protein powder Hot Chocolate flavor mixed with instant coffee
Trader Joe's Soy protein: 2 scoops with non-sugar Tang
Trader Joe's canned Pure Protein and Protein Revolution shakes
Spirutein protein powder Found at Henry's in various flavors
GeniSoy Shake
Links to companies that distribute protein supplements:

www.Vitalady.com
Suggested by Donna L.

www.healthkick.net
Suggested by Caprice H.


Note: these companies and products were suggested by patients. Dr. Callery's office has no proprietary relationship with them.

Weeks 6 through 12 after surgery
Gradually try meats like chicken, turkey, or fish. Cut up the meat into small pieces and chew very well. Try only a very limited quantity at first. Continue with the earlier foods in somewhat larger quantities.
Some other ideas:
Macaroni and cheese
Whole gain breads
Bran flakes
Baked potato
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Old 09-25-2005, 10:49 AM   #7 (permalink)
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I followed Dr.'s Callery and Potts menu to the letter and had no problems. The low sugar seems to be common with light heatedness and such. I would try to eat as much protien as you can, especially protien shakes. My guess is when you can eat more food your sugar will regulate, also.

As far as that time...yep...still ravenous a week before, but....BIG BUTT!!! I mean big but....I eat only the foods I know will nourish my body and eat as much as I need.

Good Luck,

Rain
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Old 09-25-2005, 08:10 PM   #8 (permalink)
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A friend of mine is one year out now. She was having the same problem. being diabetic I suggested that she eats a small amount of protein with everything she eats. (protein helps break down carbs and make "good sugar") She tried this and hasn't had a single episode since. Protein comes in almost everything. Look at the packages and find something that is over 10 grams and eat that with your meals atleast a few times a day.

Also, as my diabetic diatician told me. Never eat starch without protein. If you eat a potato eat some cheese with it. Our bodies do not absorb like they used to now. We have to over do what we didnt' have to before. Not enough protein is very dangerous to us.
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