Aussie Bear

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About Aussie Bear

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    TT Master

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  • Location
    South Australia
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  • Height (ft-in)
  • Start Weight
  • Current Weight
  • Goal Weight
  • Surgery Date
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  1. Aussie Bear


    It was my doctor that insisted on the injections and started them from about two weeks post-op. There was nothing wrong with my B12 levels at the time. Usually at the time I have my shot my level is still at the upper end of the acceptable range, it goes to about three times that level after the shot and gradually drops back to where it was when I had the last one. So three months between shots works well for me. From memory B12 isn't one of those vitamins that can be damaging to be well above normal range. It costs me about $12 for 3 vials (9 months worth), then I just have to find a nurse to administer them, although if you wanted to inject yourself, that would save that issue. My medical team have also made the decision to not supplement iron and go with infusions instead. It wasn't until 9 months after my surgery that I needed one, and as that took my iron levels back to pre-surgery levels (which were always very high due to haemochromatosis), the expectation is that I'll only need those every 9 months or so. The less supplements I have to take each day, the better as far as I'm concerned.
  2. Aussie Bear


    B12 is probably the easiest of all vitamins to injection every three months and it's done and it's cheap. It's such an important part of the calcium, D3, B12 trilogy. Out of interest @Stephtay, do you know how long it had been between blood tests for your friend. I'd be interested to know how long it takes to deplete B12. Eggs are a great option to increase B12 as well.
  3. Welcome to my world. I actually drive 4 hours each way every three months or so to see a family doctor that I had three years ago before he left town. Many of his previous patients now make these trips having tried other doctors and found them seriously underperforming, yet at the same time overservicing. You go to see them, pay exorbitant fees for ten minutes of their time (that's if your lucky and they don't shuffle you out after 5), they'll do nothing, then want you to come back the following week if you haven't improved. The ones I can get in to see locally have so far proved appalling, and I can't afford to keep going back after being brushed off the previous visit. Trying the latest recruit to town tomorrow morning, just to get some test results, but definitely not holding my breath that he'll be much chop either. I really hope I'm wrong, but suspect I'll be once again out of pocket with nothing to show for it but the knowledge that not a single doctor in that practice is worth seeing. The one I saw last week actually told me that NSAIDS are NOT contraindicated after gastric bypass.....believe me I didn't walk out without correcting her!!!! Our doctors are usually international medical graduates from places like India, Pakistan, etc and are forced by the govt to work in rural areas for a number of years as payment for being allowed to migrate to this country. Once their indentured time is up they hightail it out of here. ETA: Just had a call cancelling my appointment. First available is Saturday.....just as well it wasn't important. Unfortunately that's the way my town runs....people can die waiting for doctors appointments. Many just give up and go to ER, dramatically increasing the pressure on our nurses there.
  4. Aussie Bear

    Good vegetable soup

    I was the same....pureed meat was just a complete no go for my brain. I vividly recall my first post-op with my surgeon at 13 days out. I'll preface this by saying we were fed soft food in hospital (soggy weetbix, yoghurt, soups etc), after asking about what I been eating since discharge, he asked where the meat was. I explained that just the thought of puréed meat turned my stomach, and at that point he cleared me to eat anything I could tolerate. According to him it couldn't do any harm to the surgery.....but I'd learn quickly to eat slowly and chew each bite. I immediately started eating minced meats in various forms with lots of Sauce/gravy along with scrambled eggs for my first meal after being cleared. From memory eggs were the only protien I tried at the time that caused me some problems. Eggs still can be a bit hit and miss for me, but pretty much everything else goes down pretty least on first cook....on reheating, well that takes some time and planning.
  5. I second papaya enzymes, had to use them yesterday for the first time in months. I don't do well at all with reheated chicken, especially chicken breast which I don't do well with even not reheated. I rarely reheat chicken in a microwave and generally use a low oven heat and a sealed container to keep moisture in for most reheating.
  6. Aussie Bear

    Good vegetable soup

    Good for fibre, but remember that your priority needs to be protien which isn't generally well provided by vegetables. My surgeon (and my crappy dietician for that matter) was quite clear that vegetables have no priority anymore in my little stomach. What they provide can be found in supplements that take up far less room. My surgeon's exact words were he doesn't "care if I never eat vegetables again". My dietician said "vegetables are for fat people, they fill up the stomach with fewer calories so aid weightloss in people with larger stomachs. That's not someone who has had WLS, and vegetables have very little place in a post WLS diet".
  7. Aussie Bear

    In 5 days, I will be one year out

    Oh Trish. You're journey to surgery has been the toughest one I've watched. Any time went I felt discouraged by delays or hurdles, I'd just think of you and all you had been through and still go through. When my opportunity came, I'd revisit your journey, and that helped me overcome any doubts I might have felt at the time. You are a shining light if ever there was one on this forum. I have no doubts whatsoever that this was the last time you'll have to lose weight. Any loss of focus on your part has been so shortlived they don't even register. Congratulations my dear on your stunning success and amazing drive!!!!!
  8. Aussie Bear

    Carbohydrate intake in maintenance.

    My first dietician was from the WLS team and did phone consults....she was dreadful....her advice was totally generic and took no account of individual circumstances. Her plan was also very different from the surgeon's. The second dietician was also all about increasing carbs. I think I'm just going to give them all a big miss. I've done better than anyone ever expected, including myself, and I've done it my way. I really can't see any point anymore in spending the $$$$ on poor advice, especially when I can get better advice freely via the good old internet.
  9. Aussie Bear

    Carbohydrate intake in maintenance.

    An excellent read, including the comments BB. Thanks for the link. It backs up everything else I've been reading on this issue. While I don't consider what I eat to be "low carb", I do consider it to be "lower carb", with the carbs I do eat being mostly of the lower GI variety. Blood glucose monitoring has proved to me that much of what the dietician has told me to incorporate more of in my diet is actually triggering the roller coaster blood sugars.....there is no way in Hell I'm going to choose to eat any trigger foods just because she (or any medical person for that matter) tells me to.
  10. Aussie Bear

    Carbohydrate intake in maintenance.

    Definitely not a WLS specialist....none of them for 300 miles. Given the number of people in this town that have had WLS I'm surprised no-one seems to have many clues. The size of meals wasn't what she meant. She went through what I eat in a day and was annoyed that I clearly stay away from most carbs because I deliberately substitute healthier options for carbs, eg eggplant and zucchini instead of pastas etc. She was shocked that I'll substitute a single wonton wrapper for pastry if I'm making something like a mini quiche, and thinks that counter productive. To me it just makes sense. Supposedly carbs aren't the evil devil I think they are!!!! I explained to her that each meal/snack takes me 20-30 minutes to eat just to get 2-3oz of protien in let alone anything else like the occasional veggie. If I have to eat every two hours then I'm not hungry and struggle with the whole concept of eating again when I don't want to. According to her I'm not fat and shouldn't be eating like I was before I lost my excess weight. Someone else said to me today that I clearly don't need to worry about fat and carbs, to which I replied that if I didn't I'd go back to being fat and then have to worry about them why change.
  11. Aussie Bear

    Time for some honesty

    My previous dietician wanted me to aim for around 200g daily. That's one of the reasons why she is my "previous" dietician. Maybe I'm the one that's wrong???? Also remember I'm not in active weightloss mode and wasn't supposed to be when I was given that target. However, I didn't agree at the time that I had reached my goal weight, so I wasn't interested in doing what she said at the time...I just had to go to her on my surgeon's instructions.
  12. Aussie Bear

    Carbohydrate intake in maintenance.

    So I tried a new dietician yesterday to get help regarding reactive hypoglycemia. All seemed to go well until the subject of carbohydrate intake was analysed and discussed. I know it is carbohydrates that cause my sugar rushes and subsequent insulin dumps which lead to hypoglycemic episodes. Everything I've read on the subject suggests that a low carb diet is the way to control and maintain blood sugar levels. In fact when I stick to lower carb eating I don't have the hypoglycemic episodes..... which I did tell her. However, she insists that I make it my priority to consume AT LEAST two serves of carbs (that equates to 30g) 6 times a day. I can't see how that comes even close to being low carb!!!! She tells me I need to eat like a diabetic. Having never been diabetic, I ask those of you who were prior to surgery if that is actually how you were supposed to eat? I thought that diabetics were supposed to eat low carb as well. She did have documentation to back her instructions, but it really seems counter intuitive to me, and definitely not the way I want to eat. Apart from anything else, protien is my priority when eating and that doesn't leave room in my pouch for that volume of carbohydrate unless I concentrate my eating around dairy. Then there was the issue that many of the carbs she suggested are the kind that actually trigger my hypoglycemic episodes. Her logic is that having lived much of my last few years of life in ketosis, that now my body reacts so extremely when it senses sugar in effect I've brought this on myself, and the only path out is to give my body access to carbs frequently so it stops over reacting when it senses the sugar. I'm seriously uncomfortable with this approach because not only does it fly in the face of what has worked for me in the past, but also I'm one that can't control carb cravings once I consume them. Carbs from dairy are a bit different, but others just set me on a path of self destruction. Given I was the one asking for help with this issue, I'm concerned that I won't bother going back and perhaps that is my response to not hearing what I wanted to hear. Afterall, my previous dietician was also telling me to aim for around 200g of carbohydrate each day, and an internet search suggests these figures are around the mark for a healthy diet for a "normal weight" adult female. I guess the purpose of this thread is to ask those of you in the maintenance stage of your lives, what kind of figures you've been given by your dieticians or nutritionists as your daily goal for carbohydrate consumption..... and are you following those guidelines. I'm also interested in those who deal with reactive hypoglycemia, how you've been advised to manage your blood sugar levels in order to stabilise them.
  13. Aussie Bear

    Time for some honesty

    On the carbs issue (which I will post about later because I'm in different situation really), I saw a new dietician yesterday. My second dietician kept hammering on about carbs and increasing them. The new one was going well until she told me my goal for carbs is 2 serves (a serve is 15g for those who might not know) 6 times a day!!!!!! That's 180g of carbs spread out over the day....and that's a minimum. What the.....!!!!!
  14. Aussie Bear

    Checking in and questions

    The pain question I'll leave for a medical professional as it could be any number of things. As for volume you can eat, that could be quite normal after a revision. Often at revision the pouch, by necessity, needs to be made smaller than they do in a virgin WLS....I know that was definitely the case with mine. Unless they also make the opening into the intestine larger to compensate, then the amount of food you can tolerate at one time will be smaller. I find that if my protien is dense then I need to spend more time eating (30-40 minutes generally), to be able to get in often only about 3 oz. It really depends on the protien and I'm a year out now. Congrats by the way on moving into your own home is definitely moving in the right direction for you these days.
  15. Aussie Bear

    I just want a little taste

    I suffer really badly with late dumping syndrome aka reactive hypoglycemia. This means most carbohydrates cause my blood sugar levels to spike and then drop dangerously low. As a result I really can't consume anything with sugar or any high GI carbs without suffering the consequences. My diet now therefore needs to preclude all high sugar beverages including alcohol, nearly all breads, pasta and rice (which I never ate before anyway). No ice-cream other than sugar free, no cakes or sweet biscuits, no lollies etc. Not everyone that has a gastric bypass will suffer dumping, but for those that do, consuming these kinds of foods comes with very unpleasant consequences and can even be life threatening. It is quite common I'm told for this condition to not kick in until about 12 months after surgery once significant weightloss has happened. After surgery our tastes often change and many find that once they've stuck with their diet and achieved maintenance, they no longer want the unhealthy choices they loved prior to their surgery.