September surgery buddies!!

[SpartanMaker 767]

2 hours ago, Hope4NewMe said:

What if I'm on a bad one? I'm mostly glad that my program has more options but at the same time I'm worried that a stricter plan would be more effective.

I wouldn't worry about it. I've looked for, but have not found a "definitive" guide as published by the ASMBS. To some extent I think these guidelines develop over time as the doctors adjust to their own preconceived ideas, as well as what their patients are telling them about their experiences. Some doctors (like mine), are very conservative in this regard, and others have looser standards based on what they've seen in their practice. In the end, I think they all work to accomplish the goal of shrinking your liver for surgery.

Post-op is the same. Some plans are much more conservative than others, but long term loss shouldn't really be impacted by how soon you eat solids, for example.

.

[Slwhurst 86]

On 08/23/2022 at 09:52, Hope4NewMe said:

Mine specifically listed premier shakes as a good option for me. I actually had several I could choose from and can mix and match as I want. It is kind of worrying to me that there are so many different protocols. What if I'm on a bad one? I'm mostly glad that my program has more options but at the same time I'm worried that a stricter plan would be more effective. I guess time will tell. What shakes did they say you can have?

My list contains 100% Isolate Protein Powder. Brands are Unjury, Celebrate, nectar, body fortress, inspire,isopure and dymatize. I am a little defeated right now cause I did loose the 5 pounds requested but have to start on the 31st with only Water and 3 Meal Replacement shakes a day… I might die y’all. I could have done liquid easy cause I love Soup but only 3 shakes???

[Hope4NewMe 173]

2 hours ago, SpartanMaker said:

I wouldn't worry about it. I've looked for, but have not found a "definitive" guide as published by the ASMBS. To some extent I think these guidelines develop over time as the doctors adjust to their own preconceived ideas, as well as what their patients are telling them about their experiences. Some doctors (like mine), are very conservative in this regard, and others have looser standards based on what they've seen in their practice. In the end, I think they all work to accomplish the goal of shrinking your liver for surgery.

Post-op is the same. Some plans are much more conservative than others, but long term loss shouldn't really be impacted by how soon you eat solids, for example.

.

Thank you! I hope you are right.

1 hour ago, Slwhurst said:

My list contains 100% Isolate Protein Powder. Brands are Unjury, Celebrate, nectar, body fortress, inspire,isopure and dymatize. I am a little defeated right now cause I did loose the 5 pounds requested but have to start on the 31st with only Water and 3 Meal Replacement shakes a day… I might die y’all. I could have done liquid easy cause I love Soup but only 3 shakes???

Oh wow, that is pretty restrictive for 2 weeks. Maybe it will be ok because that is a lot of Protein and protein is good for making you feel fuller. I would get lots of different flavors to at least have variety, unless you are good at having repetitive flavors. Your program is not messing around with that liver shrinking diet since that's basically no carbs. You got this! It's a temporary test of your willpower and will get easier after surgery.

[Slwhurst 86]

I honestly wasn’t expecting that because my bmi is barely 40 and I have had to watch it this whole time and not slip under. The one goal he gave me in the beginning was to stop vaping. I did that. Then he asked me to lose the 5 pounds I had gained when I got sick and put on a steroid. I did that too actually lost 6 pounds. I don’t drink regularly so my liver isn’t toast. Guess I am just looking at the thinking I was fairly healthy it wouldn’t be as harsh. 🤣🤣 I GOT FOOLED YALL🤣🤣

[SpartanMaker 767]

6 hours ago, Slwhurst said:

Y’all I am currently working on my last pre op appointment and this is a lot to take in! Wonder why some doctors said Premier Protein shakes and mine said absolutely not… they did sort of explain that premier is blended Protein and won’t fully absorb, but why are doctors so different ??

I find this really odd?

Premier Protein is Milk Protein, meaning it contains both whey Protein, and Casein. Both are considered complete Proteins, so I'm not following the comment about it being blended or unable to be fully absorbed. Both are present in all mammalian milk, including human, though the amounts can vary from animal to animal.

In cows milk, Casein makes up ~80% of the protein content. Milk Protein actually replicates that. Typically Casein is slower to metabolize, meaning it should help tide over the hunger longer. whey isolate is quicker to metabolize, so would be great as a recovery drink after a hard workout, but may leave you feeling hungry sooner.

[SpartanMaker 767]

37 minutes ago, Slwhurst said:

I honestly wasn’t expecting that because my bmi is barely 40 and I have had to watch it this whole time and not slip under. The one goal he gave me in the beginning was to stop vaping. I did that. Then he asked me to lose the 5 pounds I had gained when I got sick and put on a steroid. I did that too actually lost 6 pounds. I don’t drink regularly so my liver isn’t toast. Guess I am just looking at the thinking I was fairly healthy it wouldn’t be as harsh. 🤣🤣 I GOT FOOLED YALL🤣🤣

Oh no, sorry about that! Just remember it's for your safety in the surgery. We all just have to grin and bear it I guess. I definitely don't want to be one of those people that my surgeon starts working on, only to be told they couldn't do the surgery because my liver was too big!

[Slwhurst 86]

On 08/23/2022 at 15:48, SpartanMaker said:

I find this really odd?

Premier Protein is Milk Protein, meaning it contains both whey Protein, and Casein. Both are considered complete Proteins, so I'm not following the comment about it being blended or unable to be fully absorbed. Both are present in all mammalian milk, including human, though the amounts can vary from animal to animal.

In cows milk, Casein makes up ~80% of the protein content. Milk Protein actually replicates that. Typically Casein is slower to metabolize, meaning it should help tide over the hunger longer. whey isolate is quicker to metabolize, so would be great as a recovery drink after a hard workout, but may leave you feeling hungry sooner.

Apparently according to my doctor and dietitian there are multiple types of protein in the premier but not all of those are fully absorbed. The 100% isolate protein can be fully absorbed by the body. So basically the permeir boasts 30 grams of protein and there are 30 grams in it but the body is only capable of absorbing half of that due to the types of protein being blended together. I don’t know how true that is and am definitely not an expert but that is how they explained it to me.

[grammypammyof19 0]

I just got the call September 12th too!!

[Slwhurst 86]

On 08/23/2022 at 16:17, grammypammyof19 said:

I just got the call September 12th too!!

We are up to 5 with the same date?? I think…

[SpartanMaker 767]

26 minutes ago, Slwhurst said:

Apparently according to my doctor and dietitian there are multiple types of Protein in the premier but not all of those are fully absorbed. The 100% isolate protein can be fully absorbed by the body. So basically the permeir boasts 30 grams of protein and there are 30 grams in it but the body is only capable of absorbing half of that due to the types of protein being blended together. I don’t know how true that is and am definitely not an expert but that is how they explained it to me.

Well at the end of the day, you have to follow their recommendations I guess. It's a shame, as I think they have some unsupported beliefs about certain types of protein. I'd love to see the research they are basing this on, as I'm not really finding anything other than internet lore.

[Slwhurst 86]

For all I know it is just a ploy to get me to buy their supported brand of shakes…

[diamond65337 1]

Hi, I am a newbie my surgery date is 9/19/2022. I got the news this morning after the surgeon had peer to peer with insurance provider. They denied me a week ago saying it was not medical necessary. I am really excited about my new journey!

[Hope4NewMe 173]

1 minute ago, diamond65337 said:

Hi, I am a newbie my surgery date is 9/19/2022. I got the news this morning after the surgeon had peer to peer with insurance provider. They denied me a week ago saying it was not medical necessary. I am really excited about my new journey!

There are a few of us on the 19th so it'll be a great day. Welcome!

[SpartanMaker 767]

3 minutes ago, Slwhurst said:

For all I know it is just a ploy to get me to buy their supported brand of shakes…

Ouch, I hope not!

Ten years ago, the accepted opinion was the whey Protein was superior for supporting weight loss and preventing muscle catabolism. More recent research supports that a combination of both whey and casein is superior. I specifically picked the 2 brands I did (Premier Protein and Fairlife), because they were both milk protein instead of just whey.

I don't know if this will work, but I'm going to try and post some links to research that supports this view:

https://www.pnas.org/doi/abs/10.1073/pnas.94.26.14930

https://link.springer.com/article/10.1186/1743-7075-10-46

https://pubs.rsc.org/en/content/articlelanding/2021/FO/D0FO01960G

https://journals.physiology.org/doi/full/10.1152/ajpendo.00106.2012

https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/effects-of-hydrolysed-casein-intact-casein-and-intact-whey-protein-on-energy-expenditure-and-appetite-regulation-a-randomised-controlled-crossover-study/C90335661B4E43ACA05E7C80032D951F

[diamond65337 1]

23 minutes ago, diamond65337 said:

Hi, I am a newbie my surgery date is 9/19/2022. I got the news this morning after the surgeon had peer to peer with insurance provider. They denied me a week ago saying it was not medical necessary. I am really excited about my new journey!

I am still trying to figure how to respond. Hopefully I am doing this correctly. I never been technical 😊