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Topics in this digest:
1a. Re: Back in the saddle again
From: stmhazel
Message
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1a. Re: Back in the saddle again
Posted by: stmhazel@yahoo.com stmhazel
Date: Sat Sep 21, 2013 3:50 pm ((PDT))
I truly needed to read your post. I had my RNY in November 2002
and like yourself had forgotten all the most important parts of
what is necessary and why. Please keep us updated as to other
thoughts & suggestions as you make your way. It would be very
important to not only myself but I'm sure to many others. My
weight has crept back up over the years but in the past two
years, it's been a horrid upward trend that I'm more than ready
to reverse. Again, thanks so much for sharing!! Steph RNY
11/06/02
--- In afterweightlosssurgery@yahoogroups.com,
<afterweightlosssurgery@yahoogroups.com> wrote:
My RNY was in January 1999. In the intervening 14 years, I've
gotten a bit lax about my 'pouch rules' and early last year I
realized I'd gained 30 pounds.
Early last October I joined a gym and started going every other
day and I stopped drinking wine. I figured that would do it, no
problem. But there was a problem. I hadn't lost an ounce by the
end of December
In January 2013, I started a low carb, low fat diet. After a
month, I'd lost 5 pounds. Hmm.
So I decided to see a bariatric (I love how autocorrect just
changed bariatric to 'barbaric'!) physician. Surely something was
wrong with my pouch and I needed a revision. I'd moved from
Illinois to Florida, so I had to find a new surgeon, and I
started making calls.
But at 14 years post-op, no physician would see me. How could
that be possible? On my 4th call to a surgeon, the phone was
answered by a nutritionist who worked for the doctor. She
encouraged me to make an appointment with her. The $93 fee wasn't
covered by my insurance, but my husband encouraged me to go
anyway. I also didn't think it would help much, but I reasoned to
myself that seeing her might help me get in to see the surgeon,
so I went.
What a revelation. I've moderated this group since I was 6 months
post-op, sharing my experiences. But I didn't have enough
self-reflection to realize I'd completely fallen from 'the path'.
That path is the training I learned for living with my gastric
bypass. I had RNY surgery and not a lapband, so your mileage may
vary on your 'path'. But people are still getting surgery, so I'm
hoping the following is relevant.
I had stopped the good practices that 'respect' my surgery, and
thus was defeating it. Part of that is my pouch and esophageal
and intestinal openings have stretched, and my dumping reactions
had a higher threshold. The other part is that I've got the
concept that I want to be 'normal' - meaning I don't want to have
to watch everything I eat and drink. I want to be like 'regular
people' who don't gain weight from the very thought of a
doughnut.
I was naive about both those 'parts', and the nutritionist has
set me to 'rights'. She offered the following 'refresher course',
which I'll share with you. It is not medical advice to you, this
is the information I learned 14 years ago, but which I have
'conveniently' forgotten. This is what she told me:
1. No drinking 30 minutes before, during or 30 minutes after
eating.
2. Three meals plus three snacks a day, all of which are
protein-centered, no matter what else you eat. Plain Greek yogurt
and quinoa were suggested, as was a daily protein shake.
3. Track your weight, daily if possible. Weigh yourself and keep
a log. Doing so keeps you cognizant of changes so you can correct
them.
4. Journal your eating. Very important, very easy to not do. Nike
yourself and just do it.
5. Exercise daily. 30 minutes of uninterrupted walking at
minimum. Anything else is a bonus.
6. Take vitamins (I'd totally stopped them). She recommended 2
Flintstones chewables with iron (morning and evening), a
B-Complex (B-6, Riboflavin and B-12) sublingual liquid), and
calcium citrate daily.
7. Have a full vitamin blood panel done at least annually to
ensure you're within range. Also check for anemia.
8. Participate in a support group. Her bariatric center has
monthly meetings. Of course they're on my Game Night, but I'll
have to miss it.
9. Be moderate with obviously bad food choices and alcohol.
Research has shown that artificial sweetners do promote
over-eating, so limit or avoid them in drinks, food and
candy/gum. Unprocessed vegetable oils are your best choice for
fats, limit butter, avoid margarine and the jury is still out on
coconut oil.
10. Analyze your eating habits. Are you eating because of stress?
Are you 'emotionally eating'? Are you missing something in your
life and relationships? Take a step back and observe yourself.
Look for stress and lack (!) and attempt to manage it with
alternatives like meditation, yoga, socializing, walking and
spirituality.
I hope what I've 're-learned' may be of help to you. Sometimes
what we know can evade us. Best of luck to you all.
-Vic
group founder
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