- Username: Sindarin
- Location: West Chester, OH, USA
- Member Since: 7/10/2005
- BMI: 33.8
- Post Op
- Surgery Type: RNY (12/05/05)
- Surgeon: Trace Curry
Before & After
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Surgeon TestimonialTrace CurryUpdate 12/2010/five years later.
Just to let those who are looking for a surgeon know what kind of follow up to expect from Dr. Curry. Recently I e-mailed the office to get the paperwork to have annual bloodwork done (my gyn refused to order the bloodwork which is how I usually have it done, sending a copy thento Dr. C.) Within a few days I had the paperwork and orders. Had the blood drawn, planning o make an appointment in Jan. BUT a few days later (and this is over Christmas break), I got a call from Erin the dietitian letting me know my D levels were low!!! I hadn't made an appointment yet! Can anyone else claim such good aftercare?
What can I say? Dr. Curry is a god! He is very personable and is amazing in today's medical field! He calls/e-mails you nearly immediately with answers to any questions (none are too dumb!). Both of his office staffs are outstanding. They do excellence pre-op and post-op training and Erin and Rebecca, the nuts., are helpful, knowledgeable, and humane. There are twice monthly support meetings run by Rebecca. If you sign on with Dr. C., don't think you can "disappear" after your surgery.
- Cats - Three red tabby cats.
- Writing - teach it and do it! NaNoWriMo Winner 2010 and 2011
- Writing - I write. Visit me at www.sindyewyndham.wordpress.com
- Walking - WATP rocks!!!
- Fencing - and archery and pistols at twenty paces
- Football - The Ohio State University Buckeyes
- Teachers - High School English
- Renaissance Festivals - Nothing is better than Elvish singing under the stars on Midsummer's Eve.
- Classical - I also like Enya and New Age-ish things.
- Reading - LuckyJack Aubrey and Frodo Baggins
I stole this from someone's sig. I love it! It looks like Tonykhat.
Continuation of introduction.....
Teaching all day was exhausting!
In June of 2005, my gyn suggested WLS and gave me a brochure from Dr. Curry's office. I thanked him and went away righteously indignant...and then began thinking about it...and researching it...and talking to a friend who'd just had a revision from surgery back in the 80's. I went to an information meeting and ended up standing in the line to make my first appointment.
While driving to our vacation spot that summer, I told the DH all about RNY surgery and, nervously holding my breath, asked what do you think? After asking some really pointed questions, he said whatever you want to do, I support you. (Bless his heart.) My insurance has an exclusion so this was self-pay which really sped things up. I planned my surgery to back up to Christmas break and after a smooth sail through the pre-op testing (didn't need a psych---Dr. C. said if I was writing the check, I must know what I was doing), my surgery was on Monday, 12/05/05.
I did not tell anyone at work except for my best friend there who understands weight issues. A colleague had surgery the year before and she was the constant lunch topic---easy way out, look at what she's eating, oh my god, she looks terrible!) They even called her mother at one point because they were worried about her BEHAVIOR!!!! I wasn't going to deal with that.
I sent an information e-mail with diagrams, FAQs, etc. to my closest friends and family telling them what I was doing, but not asking for advice. I did this because I felt again it was no one's business what I chose to do and no one had the education/technical knowledge to give me useful advice.
Their response was positive. My sister called with some additional questions and told me she knew I was making whatever choice I thought was right (hhhmmmmmm......), my good college friend wanted to fly in immediately to help (YIKES! DH said he'd be fine without help and I didn't want anyone flapping around me; besides I would have had to spend days cleaning before she arrived!!!), and everyone else was supportive---they knew better than not to be.
Serum thiamin - B1 (thiamin)
Normal range: 10-64 ng/mL
Postop deficiency: Rare, but occurs with RYGB, AGB, and BPD/DS
PLP - B6 (pyridoxine)
Normal range: 5-24 ng/mL
Postop deficiency: Rare
Serum B12 - B12 (cobalamin)
Normal range: 200-1000pg/mL (Andrea's ideal is around 1200-1800)
Postop deficiency: Common with RYGB in absence of supplementation, 12-33%
RBC folate - Folate
Normal range: 280-791 ng/mL
Postop deficiency: uncommon
Ferritin - Iron
Normal range: Males 15-200 ng/mL, Females 12-150 ng/mL (Andrea's ideal is 200)
Postop deficiency: common with RYGB for menstruating women (51%) and patients with super obesity (49-52%)
Plasma retinol - Vitamin A
Normal range: 20-80 mcg/dL
Postop deficiency: common (50%) with BPD/DS after 1 yr, <= 70% at 4 yrl may occur with RYGB/AGB
25(OH)D - Vitamin D
Normal range: 25-40 ng/mL (Andrea's optimal is 80-100)
Postop deficiency: Common with BPD/DS after 1 yr; may occur with RYGB; prevalence unknown
Plasma alpha tocopherol - Vtiamin E
Normal range: 5-20 mcg/mL
Postop deficiency: Uncommon
PT - Vitmain K
Normal range: 10-13 s
Postop deficiency: Common with BPD/DS after 1 yr
Plasma zinc - Zinc
Normal range: 60-130 mcg/dL
Postop deficiency: Common with BPD/DS after 1 yr; may occur with RYGB
Serum albumin - Protein
Serum total protein
Normal range: albumin 4-6 g/dL; total protein 6-8 g/dL
Postop deficiency: Rare, but can occur with RYGB, AGB, and BPD/DS if protein intake is low in total intake or indispensible amino acids
There has been so much discussion lately on BMR that I thought I'd do some calculations:
BMR at current weight is about 1700 calories
BMR at 179 (goal) is about 1500. Both are without added exercise.
Summer Boot Camp
walking: 6:45 daily
M/R: I want those abs/Iwant those arms/10 minutes leg pilates
T/F/S: Ballet Strength/Pilates/Standing abs
W/S: Stong and Graceful/Balanced Body Sculpt
Goal: Driver's License Renewal: 7/2010
# on it: 179. Grand total of 300 lbs. lost.
The Philosophy of Losing Weight
We stop losing weight when we stop working at losing weight. Just as before WLS you can lose weight any time you choose to with your method of choice...high protein/low carb. WW, Nutrisystem, whatever. Just because you have had WLS does not mean you cannot "go on a diet" if you choose to, just like any other person, but you are lucky in that you now have an additional tool to do it with and you have lost that large amount that in the past kept you from being one of those folks who wanted to lose 20 or 30 pounds.
It will always be an issue of calories in versus calories out. If you "stop" losing at 10 months and still have weight you want to lose, you adjust your eating accordingly to meet your body's demand...18 months....24 months....three years.....
Often, your body will "take breaks" in its weight loss to adjust (re-set? reboot?). They might last for weeks or even months, but then if calories taken in are less than calories expended, you will begin to lose again, perhaps not as rapidly as at the beginning of post-op, but "normally" 1-2 pounds a week.
It works oppositely also. If you have lost too much, you increase your calories in a NUTRITIOUS way to get back to where you want to be. However, if you fall into old eating habits and get there by eating too many simple carbs (candy, chips, sugary drinks) you'll probably overshoot your mark.
Dearest Weight Loss Surgery Friends,
As my NUT says, please be kind to yourselves. Quit beating yourself up for ONLY losing 40 or 50 or 100 pounds in three or six or twelve months!!! That is a great accomplishment that took a lot of hard work and you deserve credit for it. Hell, you deserve a party and presents!!!
I sadly read some posts here by folks who are beating themselves up because their "GOLDEN WINDOW OF OPPORTUNITY" is nearly over and they aren't at goal. This timeline myth deserves to be locked away with the "One pound of muscle weights more than one pound of fat" one.
The surgery, not matter if it's band, DS or bypass, is not a container of cottage cheese: it does not have an expiration date. Just because you are nearing the 12 or 18 or 24 or whatever month post-op "deadline" some surgeons throw around, does not mean the self-destruct will engage on your WLS and you WILL stop losing weight and never shed a pound again. This is simply a guideline for when you can expect the quickest weight loss.
With a healthy eating (I had typed "diet" and changed that because I'm not talking about the latest fad to roll down the pike) and exercise plan, you can still lose weight, conquer that last 20-30-40 pounds and reach whatever goal you've set (please make it a reasonable one).
Which reminds me of a story....
Back in junior high, I had a sweatshirt that I was particularly proud of (mostly because I'd found a "normal" thing that fit). It was a putrid yellow color, had fuzzy green footpints on it, and said "I'm the doormat for the Jolly Green Giant". My can't-be-understood-by-an-adult junior high persona thought this was hilarious. Now, I couldn't let myself be a doormat for anyone, not matter if they were jolly or green, and especially not for the hidden fat alter ego inside myself that nay-says every accomplishment. (Think Moaning Myrtle from Harry Potter but way too overweight to ever fit down a toilet pipe!!!).
Quit being a doormat for your "fat personality" and take credit for your great accomplishments!!! Continue working it and you will get to whatever goal is suitable for your body.
A poster was asking about menus for eating at about 4-6 months out.
My diet was six small meals. Some days I counted my protein drink as a meal; some days I added it as extra. (I cannot eat chicken or pork so none are on the menus.)
1 cup Calorie Countdown milk with 1 scoop protein powder
1 C SF yogurt with 1t. sf jam
1/2 C beef-veg soup
1 T. pb and 1/2 small banana
1/3 Pria Bar
1/2 C cottage cheese with salsa
3/4 oz. pretzels
Stuffed tilapia (2/3 of the serving)
1 C cal countdown milk
1 SF cookie
1/2 c Cheerios and 1/2 c milk
3/4 oz. pretzels
2 oz. lunch meat ham
1 oz. cheese
Shrimp Bisque 1 C
Lean Cuisine Spaghetti and meat sauce (ate about 1/2)
Cal Countdown milk and sf hot cocoa mix
1 sf cookie
1/2 C Special K/1/2 c cal countdown milk
1 ff beef hotdog
1 oz. cheddar
1 oz wheat thins
1/2 mini bagel
1 c beef stew
2 sf popsicles
oatmeal with raisins 1 c. (made with milk)
2 string cheese sticks
Lean Cuisine Mac and Cheese (ate about 2/3)
1/2 Pria Bar
1 Fish Fillet w/ ranch dressing
1/2 c green beans
hot cocoa made with cc milk
2 oz. moz cheese
4 melba rounds
Insides of two beef tacos (Taco Bell)
South Beach Bar
Beef Fillet (2 oz.)
Salad w/ ranch
1/2 c broccoli cheese soup
SF pudding cup with 1/2 c sliced strawberries
1/2 c. Total cereal/1 c. milk
South Beach bar/AchieveOne
1/2 biscuit outsides
1 oz. turkey
4 melba rounds
Lean Cuisine Enchilada (ate insides of enchilada and some of the rice)
1/2 c green beans
protein shake smoothie (milk, protein powder, frozen fruit)
1 c milk with SF CIB
Atkins breakfast bar/hot tea
1/2 baked potato with cheese
2 oz turkey
sf jam and peanut butter
4 melba rounds
Chili salad (Wendy's chili on salad)
Sour cream and cheese
1/2 c applesauce
1/2 c vanilla yogurt
|The Plateau-Buster Diet
#1 - Do this diet for 10 days to break a plateau
#2 - Drink 2 quarts of water a day
#3 - You must have 45 grams of protein supplement and all your vitamins/minerals supplements each day (some suggest at least 60 and up to 80 gr)
#4 - You may consume up to 3 oz of the following high protein foods, 5x a day
low fat cheese
plain yogurt or artificially sweetened (?)
You may also have:
sugar free popsicles
tea or coffee (decaf only)
sugar free jello
crystal light drinks
#5 - If it's not on the list, you can't have it for 10 days!!!!
#6 - Keep a food diary and try to get up to 30 mins of exercise daily
Boot camp is what I made up myself to increase my exercise now that school is out. Here it is:
Mon. powerwalk 2 laps/45 minutes 7 AM or 7 PM
Jazzercise body sculpt/60 minutes 8 AM
Tues. powerwalk 21 laps/45 minutes 7 AM
Water aerobics 60 minutes 9:30 AM
Wed. powerwalk 2 laps/45 minutes 7 AM or 7 PM
Jazzercise circuit training/60 minutes 8 AM
Thu. powerwalk 2 laps/45 minutes 7 AM
water aerobics/60 minutes 9:30 AM
Fri. powerwalk 2 laps/45 minutes 7 AM
Sat. powerwalk 2 laps/45 minutes 7 AM
Balance ball and weights/exercise on Demand Stb. Ball 1,2,3 30 Minutes
Sun. powerwalk 2 laps/45 minutes 7 AM
From the adventures of Karen and Damn!
My stability ball kicked my butt, literally. It tossed me off like Lightin' the bucking bronco. Then I had to go catch it!!!!!!!
Just when I was getting cocky about being a big old jock with my power walking, I decided to try Stability Ball 1, 2, and 3 on my new favorite cable channel Exercise on Demand.
The instructor who has one of those high class British accents told me to follow Tonya for the beginners session. I did but Tonya didn't seemed to be struggling as much as I was. And her ball seemed much better behaved than mine. Maybe I should have gotten a gray one instead of a red one---they seem calmer.
Thirty minutes later I was lying on the floor and the ball was on top of me and I think it was laughing.
You've got to try it!!!!!
Did a fast one mile WATP with weights and then did battle with Damn (that's my stability ball). Let's call it a tie today...it's now resting in its corner (I think it's looking at me). I actually accomplished rolling down the ball on my back and BACK UP!!!
Today was supposed to be my exercise day off but I got to thinking about poor Damn! (my stability ball) sitting there all by himself. So I did the upper and lower body workout and increased my handweights. Actually, he was lying in wait like a big old anaconda. There I was flailing along with Tanya (the low level instructor) and I let my guard down. Next thing I knew my feet were above my head and I was rolling down the back side of the ball. (Wish I had a video, knowing I was losing it but could do nothing to stop the inevitable). There's just not near as much padding on my backside as there used to be. I think I'm going to have to tie on a pillow. Maybe I need to call the Ball Whisperer.
March 2007 On Setting Realistic Goals I think the most important thing is to set a realistic goal. If you drop below that, excellent, but you can't beat yourself up if you don't end up being a size 2 runway model. (Just being extreme here).
In thinking this all out over the last year of my journey, I really think there are different physical expectations for our bodies for those of us who have been very heavy all our lives and those folks who gained weight later. If you went from a kid's size 6x to a 24 1/2, (which I think I must have :smile: ) I think your body has a different set point than someone who was "normal" but gained a lot of weight later
Not saying you can't get to whatever goal you set for yourself with regimented dieting and dedicated exercise, but it might take MUCH more effort than someone who gained weight later in life. There are several studies and scientific research on the "Memory of fat cells" and the idea that if you develop your obesity as a child, you grow more fat cells to fill up with fat versus someone who gained weight later who has less fat cells but they simply swell up with more fat (very simplified).
You need to decide where the balance is between the weight you are comfortable at and can maintain (remember, for most of us, losing weight wasn't the issue---it was maintaining the loss) and the amount of time you have (unfortunately most of us have to work 8-10 hours each day and have family demands). Food obsession is obsession no matter if it's focused on eating entire boxes of Ho-ho's or compulsively measuring, calculating, and beating yourself up over every bite you take. While some folks transfer their obsessive behaviors to sex, gambling, or (Heaven forbid) shopping, a person with this inclination can just as easily become obsessed with extreme exercise.
Excuse my rambling, but this is an issue that I think the nuts and drs. don't spend enough time on and maybe don't understand as much as they should. (And neither do I really.)
To answer your question, yes, 199 is a weight you could easily see and is probably a very realistic goal. Then when you get to 179 you will simply be awed and amazed by yourself.
(By the weigh, 199 is my goal also!)
2/24/2007 BINGO! Dropped below the 230 mark----228 today. Went shopping at Coldwater Creek and C.J. Banks. Took a real good look in the mirror and guess what? I saw it. I'm kind of skinny (not the middle part but certainly skinny looking in clothes) in those dressing room mirrors. Had to go back and get smaller sizes...still picking the wrong ones! What happens after 1X? It's totally uncharted territory! Unfortunately, I also saw my black jeans are getting baggy in the hind-end. Isn't stretch supposed to work both ways?????
Sort of having a conversation with myself here but I thought some of you might want to listen in:
So, you've been whining to yourself that the scale really hasn't been moving much since the "high eating season" started at Thanksgiving. Thinking that maybe this is it? Agreeing that a 170 pound weight loss is great but that's certainly not at goal yet?
Yeah, yeah, yeah...you've dropped another size or two and you're bagging up those 22s and buying 18s BUT it's not the SCALE behaving the way you want it to. So you decided to kick up the exercise a notch, track what you've been eating, and use the plateau buster plan.
It's only been a week for the plan but you noticed a few things:
Those 100 calorie snackies were really adding up...sweet and salty and crunchy.
If there are no carbs (including veggies and po-ta-toes and Dreamfields pasta) on the plate, you have to eat protein first.
You have to use a measuring device (empty Diet Oceanspray container) to know you're getting the water in.
That three mile WATP DVD really kicks your butt but you can do it.
Green jello is preferable to SF popsicles as a snack when the windchill is -10.
And guess what? This morning the scale woke up and moved.
(By the way, I wasn't "perfect." I had 7 soy crisps with my cottage cheese one day, a spoonful of broccoli with cheese sauce one night for dinner, and ONE Heshey's Special Dark with almonds mini on Friday with lunch.)
I was just sitting here, reading posts and getting really aggravated. It's amazing how many folks post asking how much can you cram into your pouch or bragging "I can eat a box of chocolate without dumping." Seems to me these folks are setting themselves up to fail before they begin, so to answer the question, "YES, WLS can fail."
The current question seems to be "Can I eat the way I did before surgery?" with the implication being I really don't want to change the way I eat. Sure, you probably can park your rear on the sofa, eat soft slippery ice cream and easily crunchable cookies and chips. It's a sure thing that at some point you will stop losing weight and start gaining it back.
It seems a waste of time and effort to go through major surgery with the mind set that I hope I can continue to eat all the junk that I previously did and I'll be real disappointed in the surgery if I dump on sugars or fats or a big pile of chips or half a coconut cream pie!!!!!!! For goodness sakes, folks, what ARE you thinking?
If you look at this as just one more "diet" you'll get tired of and go off, it probably won't work long term and if you haven't had the surgery yet, you probably shouldn't. If you really are ready to change the way you think about what food is for and how you eat, then you are ready for surgery. And you know I'm not talking about a slip off the wagon. I am speaking about not even being on the road when the wagon rolls by.
It seems like there are too many surgeons out there just collecting the fee and doing the ops without providing any kind of readiness screening or nutritional education. Think about the surgery rationally, do your homework, have a heart-to-heart with yourself, and pick a surgeon carefully. This isn't the fad of the week like buying a colored IPod cover or dressing your dog-ette in baby clothes.
Had my say.
I had been at the 235 mark and had been playing with the same weight since Thanksgiving Too much holiday cheer. (Although I have dropped another size during that time period also). In the last two weeks the scale has started moving again (-3.5).
I started charting on Fitday and found some interesting things.
I was eating many more carbs than I thought, so I have been backing off on those and replacing them with protein. I consistently eat between 1100-1300 calories. Talked to my nut and she said get the protein in (80-100 daily) and worry less about the calories UNLESS YOU"RE EATING JUNK CARBS. I still keep my food broken into six small meals because I can still only eat about 1 cup of food at a time.
I increased my exercise (power walking) to daily.
And I have been working at increasing my liquids to 64-80 oz. which is hard in the winter...hot tea is my friend. I also decided that two cups of CarbCountdown Milk gives me nearly as much protein as my protein drink and tastes a hell of a lot better. And it adds to my fluid intake.
I had been using the little lunch cups (chili, beans and franks, etc.) and have replaced them with deli ham and beef (can't eat chicken or turkey) and cheese.
These changes seem to have worked....
-170.5 since 12/05/05. Goal: -29.5 by 6/2007.
12/5/06 4:05 pm
Today is my one year surgiversary! It's been a great year. I am down 166 lbs. and daily experience a WOW moment. My surgery experience was abnormal---no problems, no pain (except for that UPS box), all due to a great surgeon. My eating experience has been so normal, it's nearly boring---can't eat chicken (food from Hell) or bread, pouch is pleasant most days (wasn't pleased with the tuna salad for lunch today), and I try to avoid most refined carbs and sugar. Working on my exercise --- not my area of strength. Just bought a new round of clothes (have replaced the wardrobe three times now) in a size I have never ever been -18/20.
It's a wonderful life! I think I heard a bell ring...was that Dr. Curry getting his wings????
Yesterday I was in Columbus. After dropping the DH and our friend off for the OSU game, I went by Tuttle Crossing Mall and did a bit of shopping. Ran into LB and bought a pair of 22 jeans (the salesperson told me 22 was the "normal" size at LB and usually is very hard to keep in stock.) Got some hazelnut coffee in Godiva. Sniffed a few new lotions in Bath and Body Works but resisted the temptation. Then I got gas and went home to watch the game.
This sounds so normal because it is and that's the point. A year ago I would have never gone to a strange mall. The entire time yesterday, I never felt I was being stared at and even rode the glass elevators up to the second floor! (In the past, I would have felt a glass elevator was another name for a display case allowing everyone below to point and laugh at the fat woman.)
Earlier this week I got a roll of film back that had been in the camera for a year. I finally had visual proof and could see what others had been telling me about the dramatic change in how I look. Amazing.
-164 lbs. since 12/05/05
I have been noticing how many posts asking what people are eating at various months out, about calorie counts at so many weeks/carbs, etc. there have been recently so I was pondering about what I do....
I guess I have been away from calorie counting as a diet tool for so long (Atkins and Weight Watchers) it never ocurred to me to "count calories." My nut never stressed total # of calories at each phrase of the post-op diet, just the type and quantity of food. And I didn't stress much about the "final" diet high protein/low carb because my DH and I had been doing just that for two years so it is pretty much a lifestyle.
I also should say I cannot eat "a lot" of anything. Pouchy likes dinner served on a salad plate and most times refuses to belong to the clean plate club. A good example of the amount of food I have at dinner (usually largest meal) is about the size of a Lean Cuisine and usually I can't finish the last few bites.
I plan six "feedings" each day.
Breakfast is usually 1/2-3/4 cup cereal like Fibre One with Carb Countdown milk. Or a protein bar like SouthBeach or Atkins breakfast bars with CC milk.
Morning snack - yogurt or cottage cheese or "carry along" cheese (comes in several varieties now including moz. stix),
Lunch: LC or soup with added protein (I also occasionally indulge in a bunless Wendy's single with cheese, lettuce, and mustard (takes forever to eat) or two insides of Taco Bell soft beef tacos supreme with hot sauce),
afternoon snack: soy crisps with cottage cheese or protein shake,
Dinner: fish or beef (I still urp on chicken and pork), salad or veggie, MAYBE 1/2 c Dreamfields pasta or 1/2 baked potato, (best new dinner eat-out find is Ruby Tuesday's crab cake appetizer, comes with nice size crab cake, a little sauce and enough greens to call it a salad),
PM snack: 1/2 c. fruit or SF pudding or more protein if I think I'm a little lacking for the day.
Dumping: I haven't gotten the shakes, sweating, dizzy kind of dumping but I am careful about fat and sugar; however, if I eat too fast or don't chew throughly or take that one extra bite...back it comes. If I eat chicken or pork or bread and sometimes eggs, and CHINESE...URP!
Also, usually in the morning I drink an AchievOne and sometime during the day I allow myself an indulgence: ONE Hershey's Special Dark chocolate MINI bar. (30 calories) When I buy them, I count them out and write the ending day on the bag. Some days I have one and some days I don't.
I don't eat much sugar because I haven't for so long. Also, I don't regularly eat "junk": doughnuts, tater chips, cookies, etc. Occasionally I'll have sugar free items or those 100 calorie snack bag (love the Snack Fairy) things but sugar alcohols are much less kind to me now than before surgery. I do like tortilla chips and salsa (especially salsa) and have a few at Mexican restaurants. I also had a sliver of cake for my birthday. I cut off the icinged parts and ate the cake. It was fine but no big whoop.
I keep trying new water products. Propel seems the best. I dilute my Crystal Light because I think it is too strong. I disappointedly found Talking Rain is carbonated and now I have a whole case. I do occasionally have a carbonated beverage but they are not nearly as appealing as before surgery. I drink iced tea: full strength, two packets of Splenda, and find this might be the easiest way to get in my liquids for the day. And coffee but not nearly as much as before surgery (not as tasty).
Vitamins: four Optisource (bariatric vits from Walgreens.com), Citracal chews, B-12 sublingual, and potassium daily. Labs have been great.
I exercise by walking, water aerobics, or stretching/weight training about three times each week. I'd like to do this more but I am lazy. As the fall comes, I plan to increase my walking to daily and switch my water aerobics to jazzercise. (I don't like to be wet and cold and I am lazy.)
So, that's what I do. I think I'll take a page from Tooter's book and say that this seems to work for me but might not for you...
The 10 Most Common Mistakes Weight Loss Surgery Patients Make
1st Mistake: Not Taking Vitamins, Supplements, or Minerals
Some conditions and symptoms that can occur when you are deficient in vitamins, supplements, or minerals include:
Osteoporosis; pernicious anemia; muscle spasms; high blood pressure; burning tongue; fatigue; loss of appetite; weakness; constipation and diarrhea; numbness and tingling in the hands and feet; being tired, lethargic, or dizzy; forgetfulness, and lowered immune functioning.
Keep in mind, too, that some conditions caused by not taking your vitamins, supplements, or minerals are irreversible.
2nd Mistake: Assuming You Have Been Cured of Your Obesity
3rd Mistake: Drinking with Meals
4th Mistake: Not Eating Right
Eat all your meals--don't skip. Try to feed yourself at regular intervals so that you aren't as tempted to make a poor choice. Consider having a couple of absolutes: for example, avoid fried foods completely, avoid sugary foods, always use low-fat options, or only eat in a restaurant once a week.
6th Mistake: Grazing
5th Mistake: Not Drinking Enough Water
7th Mistake: Not Exercising Regularly
8th Mistake: Eating the Wrong Carbs (or Eating Too Much)
9th Mistake: Going Back to Drinking Soda
10th Mistake: Drinking Alcohol
Here is a list of fruits and vegetables grouped into high starch and low starch. You can use this list to balance your menus. Remember that pastas, breads, and grains are have a higher starch than the vegetables.
Low Starch Vegetables
Asparagus, Bean Sprouts, Leafy Greens, Broccoli, Cabbage, Cauliflower, Celery, Swiss Chard, Cucumber, Endive, Lettuce, Radishes, Spinach, Watercress, String Beans, Beets, Brussels Sprouts, Chives, Eggplant, Kale, Kohlrabi, Leeks, Okra, Onions, Parsley, Peppers, Pumpkin, Rutabagas, Turnips
High Starch Vegetables
Artichokes, Parsnips, Peas, Squash, Carrots, Dried Beans, Lima Beans, corn, Potatoes, Sweet Potatoes, Yams
Low Carb Fruit
Cantaloupe, Rhubarb, Berries, Watermelon, Melons, Tomatoes, Apricots, Grapefruit, Guava, Lemons, Limes, Oranges, Papayas, Peaches, Plums, Raspberries, Tangerines, Kiwis
High Carb Fruit
Apples, Cherries, Grapes, Loganberries, Kumquats, Mangoes, Pears, Pineapple, Pomegranates, Bananas, Figs, Prunes, Dried fruit
Top ten iron rich foods
· clams, cooked, 3 oz (23.8 mg)
· tofu, 1/2 cup firm (13.2 mg)
· raisin bran, ready-to-eat, 3/4 cup (4.5 mg)
· sirloin steak, cooked, 3 oz (2.9 mg)
· shrimp, cooked, 3 oz (2.6 mg)
· black beans, boiled, 1/2 cup (1.8 mg)
· chickpeas, canned, 1/2 cup (1.6 mg)
· turkey breast, 3 oz (0.9 mg)
· bread, whole wheat, 1 slice (0.9 mg)
· chicken breast, skinless, 1/2 breast (0.9 mg)
My surgical experience from 12/05/05
I had Lap RNY in the early morning on Monday. Woke up fairly awake in the recovery room. Was very cold. No pain---the nurse asked me to rate my pain 1-10; I said 1 but complained about the cold. Took a snooze while they wheeled me up to my room. I couldn't see the clock without my contacts so asked DH and best friend for the time about a dozen times; I think it was about 1:30. Napped and woke up, sat up (no real pain just tightness), ate ice, used spirometer with DH's encouragement, nurses brought pain meds, Dr. C. came to visit. I had "dinner": broth and cranberry juice, and took a walk.
Tuesday, I graduated to jello with my meals and cruising multiple laps around the nurses' station. They removed the catheter in the afternoon and the laps got easier.
Wedneday A.M. woke up at 4 (I'm usually up at 5:30 anyway ) BORED and convinced one of the nurses to help me wash my hair. Sat on chair tipping my head backwards into the sink (told you I didn't have much pain!) Cruised the halls and watched it snowing from various window.
Dr. C decided he better send me home before I started causing problems. So I was home in my own bed by 5:00 on Wednesday.
I never experienced much pain but I think I have a high tolerance. Used my pain drugs at night because "stretching out" lying down was a little slow.
One word of caution: DO NOT lift anything. About a week after my surgery (a couple of days before the drain was removed) i thought I'd simply "edge" a UPS box delivered to the front porch up the step and slide it into the house. WRONG! That required a refill of my pain meds.