Crappy Dietician

[PolkSDA 116]

42 minutes ago, Keatsy said:

Has anyone else been lectured for drinking 2 Protein Drinks a day? Is that a no-no? I've been drinking 1-2 11oz Premier Protein (one right in the morning and one after my last meal at night) and my Protein goals have been solid. Will this somehow interfere with weight loss? I don't get it?

Lectured? No. But at my 1-month post-op meeting with the dietician, she did say that over time she wanted me to reduce my reliance on Protein Shakes for my daily Protein intake and to be getting it from other food sources. She never implied that 2 per day was somehow "bad".

[loridee11 519]

I'm not a big fan of my nutritionist either. She seems to have a basic set of "here's the type of meal you should eat but if I ask questions I don't get much. For example, I asked if I should eater lower fat versions of food, or less of the full fat as I'd read full fat may actually be better in the long run as they aren't as processed/chemically enhanced. I couldn't get a straight answer and this feels like something a nutritionist should be well versed on. Fortunately I don't have to see her after I just smile and nod through the appointments now.

[Darktowerdream 420]

I had a good nutritionist but still relied on my own personal guidelines, basically kept to a more strict routine and took longer on the stages than she was necessarily happy with but she was understanding, at least as much as anyone could be I suppose. Each nutritionist seems to have their own concepts and suggestions. I told her things I was doing that worked for me and I think she added some of it to her nutrition class. Such as I mix PEScience Protein Powder with Oikos Triple zero yogurt.

on that note my current obsession is Oikos Triple zero Lemon Tart yogurt mixed with PEScience select Peanut Butter cookie Protein powder that I freeze for 30 minutes and mix again. I put A little sola low carb granola On top. A manzano banana. And land o lakes whipped cream.

PEScience http://rwrd.io/c6uus2e

sorry 😐 what was I saying. I have different circumstances so it was hard to get this across to my nutritionist. I am unable to exercise. And had gastric bypass surgery because of this due to lifelong chronic illness and disability. As well as metabolic disorders. Then you get asked are you exercising ... like ... I’m being as active as humanly possible when exertion that people take for granted exhausts me, makes me ill and exercise causes damage and ages my muscles ... (without actually saying all that because hey no one listens)

I stuck to very strict low carb and low calorie until I reached goal and still do with exception of some nuts and a little fruit now. Though the nuts I eat are low carb. I’m obsessed with pepitas roasted salted I usually add a little to my yogurt for extra crunch.

my nutritionist said no gummy vitamins until I showed her the ones I take which are garden of life Whole Foods based Multivitamin and any sugars are within her guidelines of less than 4-5 grams and food based.

if two shakes a day gets you the protein you need and they are low carb low sugar And not high in calories, than I don’t see the problem. Although personally I think sometimes nutritionists recommendations for protein is too high or too generic. 0.36 grams of protein per 1lb body weight is a good starting point to calculate daily intake. Of course higher if you exercise a lot.

im not good with meals I still have issue with nausea and things I won’t get into and though I don’t drink shakes anymore and didn’t once I figured out mixing protein powder with yogurt tasted even better ... I have a Protein Bar for Breakfast and the yogurt mixed with protein powder for dinner. My main meal is lunch. And usual consists of something simple like a veggie burger with an egg. Sometimes with avocado. Or even a manzano banana.

sorry I rambled a lot and it’s likely not a practical response or not an answer you asked for either. Sorry 😐

Edited August 31, 2020 by Darktowerdream

[Arabesque 7,240]

8 hours ago, loridee11 said:

I'm not a big fan of my nutritionist either. She seems to have a basic set of "here's the type of meal you should eat but if I ask questions I don't get much.

Friends told their dietician they were pescatarians. She provided them with a meat based menu plan & then lectured them about how to cook meat. Sheesh! They never went back.

[chunkarella 59]

Wow. I really lucked out w/my team at my bariatric center.

We have a dietitian and a nutritionist. Both are very warm and caring. They both emphasized Protein and hitting it consistently. The nutritionist had to clear you for surgery and the dietitian is who you see after surgery. Before surgery, the nutritionist gave us a lot of worksheets and ideas of what to start to do before surgery. The dietitian said that around 6 weeks is when i should be more reliant on real food for protein than the shakes. she didn't say it was a no-no, but it's just so I dont have to depend on them for the rest of my life. Which I'm a-okay with.. over them for the most part.

Honestly, my air fryer (honestly amazing), tilapia has been helpful with me getting my protein goals, as well as greek yogurt. the triple 0 from oikos (i think?). they're not horrible for greek yogurt and i sprinkle in some granola from Lakanto and it makes for a decent Breakfast. Neither of these things would I have touched before my surgery.

[Paula.Hamilton 9]

Yeah my dietician/nutritionists was about on par with the others. She was always really fast and not real interested in things... Most information came from my doctor in his handout

[BayougirlMrsS 3,934]

I met with my NUT once before my revision. She looked at my Myfitnesspal and handed it back to me and said..... Good, keep that up. Then she said, well you should know what to do, this is your second time. Made me feel like a failure... which i was not. Anyway, Friday was my one year and yesterday was my one year appt. All they keep saying is you are doing an amazing job.... but still no sight of the NUT. I'm sure she is there... somewhere.

@Keatsy I think i'm with you.... may go back and become a NUT.

[Addicted 34]

I didn't care for the surgeon mandated dietician though I don't think it was anything she did. I was sort of defensive and every suggestion or direction she gave, I would justify my actions or try to correct her thinking. I guess I felt like I was being talked down to. I do tend to be paranoid. I think I just didn't want to hear what she had to say because it was not what I wanted to hear.

When I was in the hospital after surgery, my program dietician came to see me. She was the dietician from the hospital who led the required seminars and provided my manual. I have since been able to email her to ask about foods I want but am not sure if they fit the criteria of my recent diet. I can read the manual and have several times but I still have a hard time discerning some things like: Is oatmeal okay on a soft diet, what about putting fennel in spaghetti sauce, is Cereal okay? It means a lot to me that responds telling me why I can't and how to prepare what I can, like adding Protein powder to oatmeal.

It seems that it is important to work with someone that you trust and feel comfortable with. Best of luck! You got this!

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[Arabesque 7,240]

9 hours ago, Addicted said:

but I still have a hard time discerning some things like: Is oatmeal okay on a soft diet, what about putting fennel in spaghetti sauce, is Cereal okay? It means a lot to me that responds telling me why I can't and how to prepare what I can, like adding Protein Powder to oatmeal.

Oatmeal is fine. It’s a whole grain (therefore a good carb) & has beneficial nutrients. I’d make mine up using milk to up the Protein & didn’t add salt, no sugar or similar. I could only eat about 1/3 cup of the porridge for months. Can’t see an issue with adding Protein Powder to it. My dietician suggested adding milk powder for extra protein (I couldn’t stand protein powders) but I found it too sweet. Cereal is a different consideration. Check the salt, carb, fat & sugar content & only look for whole grain or multi grain cereals. I would avoid it till you’re further on in weight loss.

[Addicted 34]

Before surgery I made overnight oats with almond milk, Protein powder and plain yogurt. I also added fruit and a variety of other sugar free stuff. I loved it.i was just concerned about the texture. I actually knew better on the cereal.

[WilD4 7]

I have to go back to my surgeon’s office monthly for follow ups with the dietician and to assess progress. The dietician always seems very disinterested so I just come to the appointment with the questions I want to ask and go from there. My surgeon has multiple offices and since surgery I’ve been going to one of the satellite locations cause it’s easier and closer to my house. But the dieticians I saw pre-surgery at the main location were so much better. I don’t care much cause the insurance covers it and so far I’m doing good but if I had a need for dietician support I would probably go with a better dietician and one I felt comfortable with. There are some great ones that are on Instagram that offer support for free, have FB groups and also take private clients. Some of them are even bariatric patients themselves! Look up thesleeveddietician and dieticiankatie on IG, they’re both pretty awesome and always willing to help.

[tarotcardreader 196]

On 8/26/2020 at 9:07 AM, Keatsy said:

I've been less than impressed with, specifically, my dietician. I feel this is arguably the most crucial person of your time and I find mine...lackluster.

My appts are short, clipped, and she seems constantly in a hurry or irritated when I ask questions. She doesn't return phone calls (like when I wasn't able to make my 3 week appt and made several calls attempting to change it to a phone/telecom.) No one ever response, despite voicemails left. This was right at the moment where I was transitioning stages!

I finally sent an email saying I wanted a call back because I needed nutritional guidance. She sent a short message and I got a short phone call, where she gave me some basic info. I was less than impressed with the answers to my specific questions, where she seemed unsure or simply didn't care-a lot of "ums" or "uh ok". Then she sort of chastised me for drinking two Protein Drinks (normal size) a day to get Protein. I asked her how else I was supposed to get Protein at this point and she stated "you just won't".

Um?

I'm growing weary of her irritated attitude, lack of info and lack of communication. Thankfully, I've been getting most of my info off the forum and various other post WLS plans I'm finding online (many of which I like better, and many on here are on.) One of my biggest pet peeve is when I have a specific question, and shoot her an email or call, she'll respond with "it's in the booklet" instead of answering the question. (I'm not drilling her, and I often can't find it in the 'booklet'.)

/endvent

Anyone else has less than stellar dietitians?

Well I think it is because you are past the beginning post op phase. They have these stages in this program where you are supposed to start trying to eat real food for your protein. I am only a few days post op and get in two shakes but even with that I feel like hurling at the end of the day. Water is hard to get in too. Did you not see the food stages before you chose that program before your surgery because different programs have different eating schedules? I saw one guy who allowed green smoothies and offered his own recipes post op on youtube. There were alot of options for programs to join and the eating plan was all laid out in printouts for me prior to operation and I had to have three visits with the dietician prior to surgery where they laid out the rules. Did you not have that requirement to where the expectations were unexpected?

[Wildbutterfly69 3]

Wow my dietician is awesome but he always says I’m on top of everything and doing everything right I wouldn’t waste my money or my time find a new one if you can or like I did pre-op go online , books , videos they all tell you a lot

[2Bsmaller18 436]

On 8/27/2020 at 6:22 PM, Keatsy said:

Has anyone else been lectured for drinking 2 Protein Drinks a day? Is that a no-no? I've been drinking 1-2 11oz Premier Protein (one right in the morning and one after my last meal at night) and my Protein goals have been solid. Will this somehow interfere with weight loss? I don't get it?

Initially that was the plan I was given and even in the hospital the goal was 2 shakes a day to get in 60 g of Protein. I added Fairlife milk, Greek yogurt, then eggs, soft tuna etc but kept up with the 2 shakes a day for the first 3-4 months. Now at 18 months post I still have a PP shake every morning to try and get around 90-100 g protein a day on 1500 calories.

[Guest]

11 hours ago, 2Bsmaller18 said:

Initially that was the plan I was given and even in the hospital the goal was 2 shakes a day to get in 60 g of Protein. I added Fairlife milk, Greek yogurt, then eggs, soft tuna etc but kept up with the 2 shakes a day for the first 3-4 months. Now at 18 months post I still have a PP shake every morning to try and get around 90-100 g Protein a day on 1500 calories.

Right, that's what I thought we were supposed to do. She sort of gives mixed messages so I've adapted the most logical reasoning from multiple plans.