DLCoggin

The key is the weight loss to reduce the size of the liver. As long as you maintain the weight loss that your doctor requires pre-op, you'll be fine. But don't let that stop you from cominuing to lose all you can - the more the better! You're gonna love the new you!

It's easy to understand your feelings but there is no scientific evidence that folks who experience dumping are any more (or less) successful than those who don't. As noted above, about half of all RNY patients never experience dumping. Stay focused on following the protocol, stay active, and stay away from the scales. You're gonna love the new you!!

Consider shifting your focus. Forget about the scales and forget about measuring your success by the number on the scales. Instead focus that energy on following the protocol as closely to the letter as you can and continuing to get ALL of your Protein in every day. Every day that you do that is a success. Every, single, day. Trust the process and trust your body to find its own way in its own time. Forget about some arbitrary weekly weight loss number. Absolute nonsense and a sure formula for frustration. The fact that your weight loss may be different from mine, or anyone else's, means absolutely nothing. There is no one size fits all. Doesn't exist. We're all individuals, all unique, and all different. There are countless variables. There is no question that RNY works. There is no question that you have lost weight. There is no question that you will continue to lose weight. Relax. Deep breaths. Focus on doing your part. Congratulate yourself every day for being one step closer. Take the time to enjoy every delicious moment of the journey. The weight will take care of itself. Tough times never last, tough people - do. You're gonna love the new you!!

Fabulous source of protein and the calories are fine. Every day for an extended period of time might be a cholesterol concern but if you're anything like me, you'll likely get tired of the same thing every day before it becomes a problem. You're gonna love the new you!!

You pouch has stretch sensors in it which signal the brain when you're full. Following surgery those sensors are temporarily ineffective during the initial healing process. Nothing to worry about and a blessing in helping you get your protein and water intake in. Within a few weeks you'll start getting full on much smaller quantities. Keep in mind that it's important to get ALL of your doctor's recommended protein in every day. Equally important to get as close to 64 oz of water a day as possible. Dehydration can land you back in the hospital in a heartbeat. You're doing great and you're gonna love the new you!!

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Most protein "shots" or "bullets", including New Whey according to their nutrient list, include collagen protein. The high protein amount (usually 40g or more) combined with low volume (usually 3 to 4 oz) is extremely attractive to us RNY types but... The digestibility of different protein types is ranked by the Protein Digestibility Corrected Amino Acid Score (PDCAAS) which has been adopted by the FDA, the World Health Organization, and the U.S. Department of Agriculture. The PDCAAS uses a scoring system of 0 to a maximum of 1 according to the digestibility of different types of protein by the body. Whey protein has a score of 1.0, milk protein 0.94, and soy protein 0.97. Collagen or gelatin protein has a score of 0.08. Collagen is also an "incomplete" protein meaning that it is missing one or more of the nine essential amino acids (essential because they cannot be manufactured by the body). Any incomplete protein could result in developing protein deficiency and is not recommended for weight loss surgery patients. So collagen has extremely poor digestibility and is an incomplete protein. For these reasons, I would discourage anyone from using products containing collagen protein. All the protein in the world is useless if it cannot be digested by the body. There are many alternatives made with far superior whey, milk or soy proteins.

Dumping seems to be a topic that generates a lot of confusion. Some believe that everyone has dumping following gastric bypass surgery. Some may experience it and not recognize that it is dumping. Others believe that the presence or absence of dumping affects the potential success (or failure) of bypass surgery. Still others are so concerned about dumping that they avoid trying new foods or even eating healthy amounts of calories and Protein. So let’s see if we can dump the confusion about dumping. Who Experiences Dumping Estimates vary widely but somewhere between 15% to 50% of gastric bypass patients never experience dumping. It’s difficult to be exact because some experience dumping without realizing that their symptoms are the result of dumping. Others experience symptoms that they believe are the result of dumping when the cause is something else. Regardless of the exact number, a significant percentage of all gastric bypass patients never experience dumping. What Causes Dumping There are still some unanswered questions regarding the causes of dumping but it is generally thought to be the result of food being “dumped” too quickly from the pouch to the small intestine. Food high in sugar or simple carbohydrates (aka “simple sugars”) can create a rapid increase in blood sugars (hyperglycemia). The rule of thumb is that white foods (e.g. potatoes, rice, Pasta, white bread, etc.) are usually simple carbohydrates. The sugar in the small intestine rapidly pulls Water out of the bloodstream and into the small intestine. A number of the symptoms of dumping including severe diarrhea can result. With “late” dumping (see below), the body responds to the rapid rise in blood sugars with an increase in insulin to process the sugars. The increased insulin can cause the blood sugars to “crash” producing hypoglycemia (low blood sugar) and dumping symptoms follow. Symptoms may or may not include vomiting. I have experienced late dumping on several occasions, usually after eating fruit, such as grapes, or white rice, both rich in sugars. In my case, symptoms are shakiness and general weakness but I have never had any vomiting. What are the Symptoms Just about everyone knows that dumping can cause vomiting. But all vomiting is not the result of dumping and all dumping does not cause vomiting. Symptoms of dumping include: · Nausea or queasiness · Profuse sweating · General weakness · Vomiting · Shakiness · Diarrhea · Faintness · Fatigue · Heart palpitations (or increased heart rate) Types of Dumping Doctors divide dumping into two types and the symptoms may vary depending on which type you have: · Early dumping – usually occurs within 15 to 30 minutes following the ingestion of certain foods. Roughly two-thirds of people who experience dumping have early dumping. · Late dumping – usually occurs within one to three hours following the ingestion of certain foods. But it can occur as much as twelve hours after eating. About one-third of people who experience dumping have late dumping. Late dumping is linked with low blood sugar (hypoglycemia). Success of Gastric Bypass and Dumping There is no scientific evidence that patients who experience dumping are any more or less successful than patients who do not experience dumping. Dumping is not on the long list of factors that make gastric bypass surgery so effective for so many. So if you’re worried that your surgery might fail because you don’t have dumping, it just ain’t so! Fear of Dumping This is a good news, bad news kind of thing. If fear of dumping helps you to make better food choices, it’s a good thing. But if fear of dumping prevents you from eating a healthy number of calories and getting ALL of your protein requirement, it’s a bad thing. Remember the Prime Directive – the bypass surgery is a tool but the gold medal is lifestyle changes. Fear of dumping (or anything else) is not sustainable, it’s not compatible with living and enjoying your life, and it’s not a realistic expectation. Lifestyle changes are about control, not denial. So How Do You Avoid Dumping · Choose complex carbohydrates like whole grains instead of simple carbohydrates like white bread and sugary sweets. · No liquids for 30 minutes before and 30 minutes after eating. Pretty much a standard recommendation for all bypass patients but especially important for avoiding dumping. · Some people may not tolerate dairy products. · Eat smaller meals more often. · Keep a food diary to help you track your reaction to various foods. In addition to helping you avoid dumping, research has repeatedly shown that folks who maintain food logs lose more weight, lose it more quickly, and are more successful at maintaining their ideal weight. · Incorporate high Fiber foods into your diet. Fiber takes longer to digest and extends the time the food takes to move from the pouch into the small intestine. So there you have it. Dumping is not pleasant. But it’s often easy to avoid with dietary changes. Dumping does not always involve vomiting; there are a number of possible symptoms. A significant number of patients never experience dumping. And dumping has nothing to do with long term success or failure of gastric bypass. Stay focused. Stay active. Stay away from the scales. You’re gonna love the new you!!

It's possible but I don't think you can draw any real conclusions from one instance of flushing and a headache. If you develop the same symptoms every time you eat cottage cheese and yogurt, that would point to your symptoms being related to ingesting those foods and experiencing dumping as the result.

If you follow the protocol as close to the letter as you possibly can, stay active, and stay away from the scales - anything, any size is possible! Trust the process and trust your body to find its own way in its own time. You can't rush it. It's great to have a goal to work toward but even better to understand that your body will tell you when its at the right weight for you. Listen to it. There is no one size fits all. You're gonna love the new you!!

I think you can discount anything that you ate more than 24 hours ago as a likely explanation for nausea and pain today. Nausea can be a symptom of late dumping which can occur 12 or more hours after eating. Pain is much less common. If you're not better by tomorrow, probably a good idea to see your doctor. Feel better!

I didn't have a stricture or any of the symptoms. In my case they did the endoscopy to identify the cause of the tiniest amount of blood in a stool test. Turned out to be an ulcer at the anastomosis. No pain, no other symptoms, I feel great. I'll get more information after the first of the year but I don't think it's real serious. But it's there and it means no alcohol, chocolate or spicy food for a while. I miss my glass of wine before dinner but the rest is no big deal. If I can lose 130 pounds I can beat an ulcer!! Lol!

It's also an irritant that can be a contributing factor to developing an ulcer at the anastomosis. I know. Just diagnosed last week. No pain, no symptoms, I feel absolutely great. The only clue was the smallest amount of blood that showed up in a stool test. A glass of wine before dinner is (well was) my limit but regardless, the ulcer is there and I didn't drink a drop until I was six months out. I'm thinking waiting a year might be very good advice.

I hate to be the bearer of bad news but...I love spicy food too but it can be an irritant. Having just been diagnosed last week with an ulcer at the anastomosis, I would urge caution with alcohol, chocolate, and spicy food. All taboo as of last week until I get this thing healed up. No pain, no symptoms, I feel great - but it's there all the same and I didn't have a drop of alcohol, a bite of chocolate or anything even remotely spicy until I was six months out. My experience does not in any way mean yours will be the same. But it's always good to be informed. You're gonna love the new you!!

Obesity is a life-threatening disease that is the number two cause of preventable death in the U.S. No different in all of the ways that are important from any other disease. And the question you have to ask yourself when deciding on a treatment is what is the most effective option? Bariatric surgery is the most effective treatment known to medical science for treating obesity. Not by just a little, but by a huge margin. Diet and exercise for anyone with a BMI over 30 is a myth - it doesn't work. Doctors are just beginning to understand why it doesn't work but they've known for a long time that it is ineffective. Sooner or later someone will likely tell you "it's the easy way out". Absolute nonsense spoken by someone who is ignorant of the facts. Treatment for a life-threatening disease is not a question of easy or hard. It's a question of effective. Yes, there are risks as there are with any surgery. But the odds are overwhelmingly in your favor of having a successful, life-changing experience. And the risks of doing nothing are overwhelmingly against you. Nuff said.

You guys might find some helpful tips in my post "Managing Hunger" - http://www.rnytalk.com/topic/1493-managing-hunger/page__hl__%2Bmanaging+%2Bhunger . Over half of all bypass patients never experience dumping. The good news is that there is no scientific evidence that folks who experience dumping are any more or less successful than folks who don't. You can read more about dumping in my post "Dumping the Confusion About Dumping" - http://www.rnytalk.com/topic/2665-dumping-the-confusion-about-dumping/page__hl__%2Bdumping+%2Bthe+%2Bconfusion+%2Babout+%2Bdumping . Follow the protocol as closely as you possibly can, stay active and stay away from the scales for a week, two would be even better. You're gonna love the new you!!

food logs are such a powerful tool. Yes, they are tedious at first but the longer you use it, the easier it gets because you build up your own personal "food database". More importantly, they allow you to see exactly where you are at at any time of the day. Very highly recommended. You'll lose more weight and lose it faster if you log your food. You don't need a gym to get some exercise - walk! Around the block, around the neighborhood, in a park near your home, in a mall, anywhere you can think of - walking is walking and you'll be amazed how much it helps with your weight loss. Reduce your calories to 1800-2000 a day and be sure to get as close to 64oz of Water a day as you can and you will lose weight! Now's a great time to start increasing your Protein intake as well. chicken, fish, turkey all great sources of protein (along with the shake for breakfast). Doctors vary all over the place on their recommendations for protein but your post-op diet likely calls for at least 60g a day and my surgeon requires 100g. You'll be able to see where you're at in your food log. You're gonna love the new you!!

Piece of cake. I had one last week and yes, they put you to sleep (in my case for about 30 minutes). You won't feel a thing. Some folks have a little sore throat following but that's about it.

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Just emailed - think I may have missed you the first time around. My apologies and Happy New Year!

Just emailed guys. Have a Happy New Year!

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