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  • Comment by kimcrain on 3/1/08 9:21 pm
    Hey Tara Monday is your big day!!! will keep you in prayer..be waiting for you over here on the Loser's Bench!! Best of Luck to You.
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Time to get healthy and feel younger!!
terrabear's Blog



pre-op advice
on March 16, 2008 4:31 pm
from dave:
Firstly, you need some sort of support. A spouse, sister, brother, good friend, etc to help you around the house for a couple of weeks. With kids and normal family life that would be a blessing.
I'd get some sub lingual b12 for the first few weeks, and some cacium citrate. The calcium citrate is needed in 1500-2000mg per day, split into a max of 600 mg per dose. Too much at once and your body won't absorb. Then you want a really good vitamins. Yes, I did research and found liquids to be the best. They bypass the digestive process, and the majority of malobsorption, so you get more of the vitamin in your body vs pills. The one I used is listed on my profile page. One thing I like about the liquid I use, is that the daily dose is one ounce. If you do pills, you'll have to repeat the process 2 or more times daily, as you need a minimum of twice the adult RDA.
Find a protein that seems to taste OK to you. I hated the Isopure liquids but liked the Isopure powdered ones at GNC or Rite Aid. You can probably fine one of these locally, or they sell them on the Internet. There are protein bullet liquids too, but these tend to be thick, and most people only like a couple of the flavors. People that use the bullets for protein, mix them with Crystal Lite or Fuze in a water bottle to help mask the taste. BTW, you should only try to consume 25 grams of protein per serving, to make sure you body can use it properly. Use much more than 25 grams and it's a waste.
For the kitchen, get some disposable small plates and baby spoons. Placing small portion of initil foods on these small plates help make the meal look bigger than the 2 oz or so you can eat for the first few weeks. Using a baby spoon, allows several bites. Chew all food extremely well. Have a supply of bottled water available. Using the bottled water, you can easily account for how much wat you consume. 48-75 oz per day is what my surgeon said to drink. Drink two sips at time, a total of about 2 oz. Do this about every 15 minutes. Stop drinking 30 minutes before or after each meal. Otherwise you'll wash the food out of your pouch.
Exercise as soon as possible. This helps things "move" through your body, and helps with the weight loss. From speaking to many post ops at the 3 monthly support groups I attend, stool softeners are a good thing to use. Without them, many post ops end up constipted, even if you drink a lot of fluids.Have sugar free popcicyles in the freezer-- you can have these during the first couple of weeks when no solid foods are allowed. Helps to alleviate the urge to eat, especially when on all liquids. This is an abbreviated list. Hope it helps..
Dave Chambers
2 comments | Click here to leave a comment.

another one to reference
on February 27, 2008 8:25 pm
10 mistakes people make post RNY

1st Mistake: Not Taking Vitamins, Supplements, or Minerals

Every WLS patient has specific nutritional needs depending on the type of surgery you have had. Not only is it a good idea to ask your surgeon for guidelines, but also consult with an experienced WLS nutritionist. Understand there is not a standard practice that all surgeons and nutritionists follow in guiding WLS patients. So, it is important to do your own research, get your lab tests done regularly, and learn how to read the results. 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

A "pink cloud" or honeymoon experience is common following WLS. When you are feeling better than you have in years, and the weight is coming off easily, it's hard to imagine you will ever struggle again. But unfortunately, it is very common for WLS patients to not lose to their goal weight or to regain some of their weight back.

A small weight regain may be normal, but huge gains usually can be avoided with support, education, effort, and careful attention to living a healthy WLS lifestyle. For most WLSers, if you don't change what you've always done, you're going to keep getting what you've always gotten -- even after weight loss surgery.

3rd Mistake: Drinking with Meals

Yes, it's hard for some people to avoid drinking with meals, but the tool of not drinking with meals is a critical key to long-term success. If you drink while you eat, your food washes out of your stomach much more quickly, you can eat more, you get hungry sooner, and you are at more risk for snacking. Being too hungry is much more likely to lead to poor food choices and/or overeating.

4th Mistake: Not Eating Right

Of course everyone should eat right, but in this society eating right is a challenge. You have to make it as easy on yourself as possible. Eat all your meals--don't skip. Don't keep unhealthy food in sight where it will call to you all the time. Try to feed yourself at regular intervals so that you aren't as tempted to make a poor choice. And 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. Choose your "absolutes" based on your trigger foods and your self knowledge about what foods and/or situations are problematic for you.

5th Mistake: Not Drinking Enough Water

Most WLS patients are at risk for dehydration. Drinking a minimum of 64 oz. of water per day will help you avoid this risk. Adequate water intake will also help you flush out your system as you lose weight and avoid kidney stones. Drinking enough water helps with your weight loss, too.

6th Mistake: Grazing

Many people who have had WLS regret that they ever started grazing, which is nibbling small amounts here and there over the course of the day. It's one thing to eat the three to five small meals you and your doctor agree you need. It's something else altogether when you start to graze, eating any number of unplanned snacks. Grazing can easily make your weight creep up. Eating enough at meal time, and eating planned snacks when necessary, will help you resist grazing. Make a plan for what you will do when you crave food, but are not truly hungry. For example, take up a hobby to keep your hands busy or call on someone in your support group for encouragement.

7th Mistake: Not Exercising Regularly

Exercise is one of the best weapons a WLS patient has to fight weight regain. Not only does exercise boost your spirits, it is a great way to keep your metabolism running strong. When you exercise, you build muscle. The more muscle you have, the more calories your body will burn, even at rest!

8th Mistake: Eating the Wrong Carbs (or Eating Too Much)

Let's face it, refined carbohydrates are addictive. If you eat refined carbohydrates they will make you crave more refined carbohydrates. There are plenty of complex carbohydrates to choose from, which have beneficial vitamins. For example, if you can handle pastas, try whole grain Kamut pasta--in moderation, of course. (Kamut pasta doesn't have the flavor some people find unpleasant in the whole wheat pastas.) Try using your complex carbohydrates as "condiments," rather than as the center point of your meal. Try sprinkling a tablespoon of brown rice on your stir-fried meat and veggies.

9th Mistake: Going Back to Drinking Soda

Drinking soda is controversial in WLS circles. Some people claim soda stretches your stomach or pouch. What we know it does is keep you from getting the hydration your body requires after WLS--because when you're drinking soda, you're not drinking water! In addition, diet soda has been connected to weight gain in the general population. The best thing you can do is find other, healthier drinks to fall in love with. They are out there.

10th Mistake: Drinking Alcohol

If you drank alcohol before surgery, you are likely to want to resume drinking alcohol following surgery. Most surgeons recommend waiting one year after surgery. And it is in your best interest to understand the consequences of drinking alcohol before you do it.

Alcohol is connected with weight regain, because alcohol has 7 calories per gram, while protein and vegetables have 4 calories per gram. Also, some people develop an addiction to alcohol after WLS, so be very cautious. Depending on your type of WLS, you may get drunker, quicker after surgery, which can cause health problems and put you in dangerous situations.

If you think you have a drinking problem, get help right away. Putting off stopping drinking doesn't make it any easier, and could make you a lot sicker.

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Drug List
on February 21, 2008 6:40 pm
Copied from a post here so that I can always find this info:

DRUGS THAT CAN DAMAGE THE POUCH:
Advil
Aleve
Amigesic
Anacin
Anaprox
Ansald
Anthra-G
Arthropan
Ascriptin
Aspirin
Asproject
Azolid
Bextra
Bufferin
Butazolidin
Celebrex
Clinorial
Darvon compounds
Disalcid
Dolobid
Erythromycin
Equagesic
Feldene
Fiorinal
Ibuprofin
Indocin
Ketoprofen
Lodine
Meclomen
Midol
Motrin
Nalfon
Naprosyn
Nayer
Orudis
Oruval
Pamprin-IB
Percodan
Ponstel
Rexolate
Tandearil
Tetracycline
Tolecin
Uracel
Vioxx (off market...not safe for anyone)
Voltaren
ALL "NSAIDS" (*see below for the Cox 2 Inhibitors)

DRUGS THAT ARE CONSIDERED SAFE:
Bendaryl
Tylenol
Dimetap
Robitussin
Safetussin
Sudafed
Triaminics (All)
Tylenol (cold products)
Tylenol Ex Strength
Gas-X
Phazyme
Imodium Ad
Colace
Dulcolax-Suppositories
Fleet Enema
Glycerin-Suppositories
Milk of Magnesia
Peri-Colace
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