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Showing results for tags 'NUT'.
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Hi All - I have been lurking on this board for a good year. I am 47 years old and mother to seven year old twin girls. My BMI is around 35. I have co-morbidities so my insurance WILL cover WLS (I've checked!). I have severe sleep apnea (75 event an hour)…to the point where the pressure is so high on my machine I have to tape my mouth shut….its awful. My rational side understands the statistics around wls and I that it really the only intervention that actually works. I know I can't do this myself - I've done the yo-yo weight thing my entire life. I want off the bi-pap and to be around for my daughters and husband….. I even pretty much have a surgeon picked out and just need to get the ball rolling. However, I'm stuck in a couple of places mentally. First, I'm concerned about the first few months post-op. I had a terrible illness a few years ago and I felt like I was going to die. Fatigue was one of the main symptoms….the kind where you can barely get out of bed…and I'm terrified of that happening after surgery for the months where calories are very low. Secondly, I spoke to a NUT at the program I may go through about the calories a year out from the vsg and she said its about 1200 to 1400. I am 5'10" and my BMR is around 2300 (according to my BodyMedia device) so I would waste away at that amount. When I asked about the calories being too low…she basically blew me off and said "I wasn't ready." I get that my BMR will go down a lot….but I doubt that low. For the folks who have had the vsg, what is your experience with fatigue? How about maintenance calories for a tall woman? Thanks in advance for your replies!
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So yesterday I had my first nutrition appointment and my initial consult with the surgeon (Dr. Galvani). I thought I was going to have to do 3 months supervised diet, but apparently I wouldn't have to (because of my BMI). However I want to do my surgery in early December (good time to be off work) and so I'll do 4 months with the NUT. Dr. seemed agreeable to my timeline, and the insurance coordinator was not concerned about my approval. The NUT was a hoot...enough energy for all of us! My husband went with me and so she included his calories/targets as well...he only gets 300 more calories than I do...I was surprised. So here is what it turns out my first month targets are: 1. 1500 Calories a day 2. between 125-150 grams of Carbohydrates (will go down in the following months but she figured out pretty quickly I'm a carb-a-holic) 3. between 80-90 grams protein 4. minimum 30 minutes daily moving 5. lose weight (no target pounds given) It was very liberating for me to get some guidelines to follow. I know that may not make sense, but I've been winging it for so long, actually having a target to shoot for that I know will ultimately result in weight loss is kind of cool. I'm using my fitness pal to log my food and we will call it up at my next NUT visit on 04 August. For the first time in a very long time....I believe I can do this! Beth
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I just got off the phone with my NUT. I'm 2 1/2 weeks post op and on the full liquid diet. For the last few days I've been having problems with all Protein shakes and the protein supplements she recommended. So today after days of just feeling like a 90 year old with no energy... nausea dizziness fatigue.... I tried a cheese stick... and guess what... I KEPT IT DOWN. Zero adverse side effects. I called my nutritionist to explain and get her take on it... thinking she would be thrilled I found a source of protein I can handle and boy was I wrong... She was SHOCKED that I had chewed something, because cheese sticks aren't on the liquid phase and thats bad.... So instead her recommendation was... lets stop the protein and just try... puddings, gerber baby food (fruit), Soups (but only tomato or butternut squash NO OTHER TYPES ALLOWED), maybe try some milk again with cocoa.... how does any of this make sense... why can't I have the cheese stick... it works? Others have it at 2 weeks. Also this full liquid hell Im in.... lasts 3 weeks according to my nutritionist before they move me to puree.. WHAT THE FUCK. I get thats the usual protocol (even though comparatively its very strict) but I'm clearly not the average case....Anyone ever disagree with a nutritionist??
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Is / was your nutritionist all that helpful?
VSGAnn2014 posted a topic in Post-op Diets and Questions
Looking back, I don't think my nutritionists (NUT) added all that much to my journey. Both of them offered very basic information that I learned in high school back in the dark ages and already knew from a lifetime of dieting. I don't especially regret the 3-4 hours I've spent with them over the last year, but wish they'd offered more. Plus, I see threads here from time to time that make me think some NUTs don't understand much about bariatric surgery or the differences in nutritional requirements for bypass patients and sleeved patients. Your thoughts?- 88 replies
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Hi guys! I am a newbie to posting but have been following for a while. I am struggling with a plateau (I know this is common), and after talking to my NUT she said to just focus on eating only when hungry and to eliminate my Protein drink that I am still doing in the morning. I usually drink it even if I'm not hungry to make sure I get my 60g of protein but my NUT is saying I don't need to focus on protein at all and just focus on eating different things and ONLY when hungry. She specifically said I do not need to worry about getting 60g in. So my question is...has anyone else's NUT told them not to worry about counting protein? I thought that was the main hurdle post op, but I guess I could be wrong.