Private Citizen

Aha...never assume the person asking doesn't know. You answered the question about what YOU do about protein, thanks for that. Remember to keep an open mind to learning new things, real science is NEVER settled, and a lot of what is produced online is not correct. And since Americans are the most overfed nation on the planet with the best longer term genetics they can experiment widely with any foods and still not suffer for it. Notice I did not disagree with you on the value of plant based diet.

what level of protein will you all now eat daily to maintain muscle mass and heart muscle? will you put protein whey into oatmeal/potatoes to get enough if you are skipping eggs and cheese? did he give a number in the book that is the lowest we can go?

For those interested in researching studies available - either in full report or at least the abstract I always use www.pubmed.gov Many studies are highly complex, but have an understandable synopsis so you may see more key words of interest. use ANY keywords 1-3 combined like bariatric and thousands of resources, the MDs name, any other key word.. Gastroesophageal reflux disease and morbid obesity: To sleeve or not to sleeve? https://www.ncbi.nlm.nih.gov/pubmed/28428706 here is one on sports drinks: Short-Term Effects of a Ready-to-Drink Pre-Workout Beverage on Exercise Performance and Recovery. https://www.ncbi.nlm.nih.gov/pubmed/28763003

Malina you are kind to offer. I wish you a speedy time to transplant. Are you on dialysis now? I WOULD be interested to see what is still being said by most renal docs/renal RDs. Send it to me here, or are you needing an email address? DiD you note I said I HAVE resolved all the misinformation the VA and most kidney nutrition sites give i.e. "eat carbs, meat is OK"? I AM on a perfect plant based VLP diet for me that RAISED my function from Stage 4 (GFR 26) to GFR 50, all by diet + some weight loss. I follow a wonderful research MD from Johns Hopkins, Dr. McKenzie Walser, he was responsible for fighting to test a VLP diet + amino acids with renal patients. His book Coping with Kidney Disease is what made the difference. Did you know every nation* BUT the US is active with a VLP diet + amino acids supplements for their renal patients? I no longer listen to the SAD diet advice, or eat "moderate" protein..because THAT is what took me to GFR 26 *China has 100,000 CKD patients in ONE study using amino acids supplements + a VLP diet or no meat. NO nation can support millions needing dialysis or transplants in future. so they are taking action to use nutrition to save citizens..they already have 100 million 80 year olds by 2020... we already know the US Medicare is broke in a few more years so we can't count on a bureaucracy to provide care. Love to hear how your surgery results go, will you be posting on that?

to be accurate: the DR in the videos maybe/ was wrong THEN, in 2012, he may be saying something else today. and also one article by one source is not the end of the conversation. However I wonder if he WAS correct on the location of the ghrelin 'spot' "....But neither of these theories fully explains improvements in beta-cell function and insulin sensitivity after bariatric surgery, Kashyap told MedPage Today." In addition I saw a medical researcher (will find if I can to document source) indicate that the CHANGE in diabetic response is IMMEDIATE within hours of the surgery...so not days or weeks of improvement, but 'something' in the (possible shock) to the body of disconnecting the stomach severely with WLS is what makes the difference. No studies yet to confirm I have seen..this may ALSO be wrongly interpreted, but for people with severe issues with BG/insulin problems this is one solution for them. shouting 'wrong' (like politico John McLaughlin) does not take away that real science is open to debate constantly as nothing is absolute. with a very short time of results of bariatric there is still much to be revealed. I am more concerned (for myself) with what I see on all the issues years out, weight gain, leaking sleeves, redoing RNY somehow again, etc.

I found this series the most helpful for a quick tutorial of 3 methods. the other videos pop up in the youtube side bar..watch the one on complications... it may help on decision making. BUT some people don't qualify for many possible reasons so you are not choosing unless they say you are.. FB posters in one site say they CHOOSE RNY because they love sweets and want to be sick and dumping so they can stick to the diet long term. [shudder] sounds like a harsh choice! Most interesting above is the "hunger hormone" explained and the "location" for Ghrelin is removed with VSG but balloon or other methods like RNY leave that signaling hormone so people do get hungry. I am just learning of the ENDO sleeve gastroplasty, it is NOT a gastrectomy, no stomach is removed. an actual stitching machine from the inside, no surgery, but anesthesia needed.

Thanks for starting this thread. I will first state I have one kidney, post cancer, and it has CKD (limited function) and I CAN'T eat high or even moderate meat/protein now. I have followed a modified vegetarian & low carb diet combined to both protect my wonky kidney, and help me lose. (on my own) Every pound lost is less burden on the system for BP and diabetes, and kidney health. I take essential amino acids which supports me getting the building blocks needed, without the load of meat protein. I lost 30 lbs on my own, but bounce up and down if I am not rigorous with fewer calories. The one issue I see with any bariatric is i NOW get a VOLUME of food- eating plant based I get 6-8 cups veggies a day, healthy fats, no processed foods/sugar/sodas.grains/carby food. I don't trust many of the 'heath sites" online, most never even spell check, let alone fact check! ---livestrong is ok, and one of the few places that lists 46 gr max "necessary" for women, 56 for men... Most sites waffle and say (wrongly) we NEED the 70-100 gr, and that is such overkill! We are the most overfed nation on the planet. As a veteran the VA hospital was pushing RNY at me (they offer nothing else), and I demanded the diet literature in advance, and sure enough it is MINIMUM 70-80+ gr protein a day...no discussion...so I will not be trusting them with my longevity. The dietitian also only allowed whey protein shakes, dismissed hemp seed (with complimentary amino to balance it out).. so it felt like a brick wall..but VA only teaches ONE way the USDA high carb 'plate' way. If I do have bariatric surgery of some kind in future I will be sure I can support my kidney first before I agree to massive protein intake. Winding up on dialysis just to be thin is not a good choice as I see it.