Yeah, just makes me sleepy.. which at this point, I don't particularly care.  LOL

I go see Dr. Clare here in about an hour, going to find out if I can use Nystatin cream, since the Triam is only really helping keep it from spreading.

I found this today, I have not tried it but for some reason it just reminded me of you.. a very delicate dessert, and you have patience for this sort of thing!

Tiramisu

Makes 10 servings

• unsalted butter
• 4 oz. ground almonds
• 1 tsp. baking powder
• 1/4 tsp. salt
• 6 large eggs
• 1/2 cup Splenda
• 1 tsp. vanilla extract

Grease a 15-by 10-by 1-inch pan with butter. Line with parchment paper and grease with butter again. Preheat the oven to 350 ° F (175 ° C).

Combine the almonds, baking powder and salt. Separate the eggs. With an electric mixer, beat the yolks and Splenda with an electric mixer until thick and lemon coloured, 3-4 minutes. Beat in the vanilla. Fold in the almonds. With a clean bowl and beaters, beat the egg whites to firm peaks. Stir 1/4 into the almond mixture. Fold in 1/2 of the remaining whites until barely combined and then the remaining 1/2 until thoroughly combined. Spread evenly into the prepared pan. Bake for 20-25 minutes until the top springs back when pressed lightly. Let cool.

• 5 eggs
• 5 Tbsp. Splenda
• 1 500 gr. Container mascarpone
• 1/2 cup strong coffee
• 3 Tbsp. rum
• 1/2 cup cocoa

Separate the eggs. Beat the yolks with the Splenda until thick and lemon coloured. Add the mascarpone and beat it into the yolk mixture on low speed, scraping down the bowl. Do not overbeat or the mixture will curdle.

With clean bowl and beaters, beat the egg whites to soft peaks. Stir 1/4 into the mascarpone mixture. Fold in the remaining 3/4. Choose a large straight-sided dish, such as a soufflé dish to assemble the Tiramsu in.

Cut the almond cake into 16 fingers by cutting in half crosswise, then lengthwise. Cut each half crosswise into 8 fingers. Combine the rum and coffee in a shallow dish. Place the cocoa in a sieve over a bowl.

Sprinkle the bottom of the dish lightly with cocoa. Quickly dip a few of the fingers into the coffee mixture and line the bottom of the dish. Do not get them too wet or your tiramisu will be runny. Spread on 1/4 of the mascarpone mixture and dust the top with cocoa. Repeat the process 2-3 times so you have 3-4 layers. End with a sprinkling of cocoa. Cover and refrigerate overnight.

Total Carbohydrates: 91.81

Total Carbohydrates Minus Fiber: 65.62

Carbohydrates per Serving (10): 9.18

Carbohydrates per Serving minus Fiber (10): 6.56

Sounds like you have a good regimen Melissa

I take two chewable childrens vitamins

I take DRY d3 is yours an oil based or a powder/tablet form and I do not think 400IU twice a day is enough even with the vitamin D that is prob in your calcium citrate.  This is based on my 8 year history with my husband and other longer out postops I am seeing come up deficient.  RNY docs are just now catching on to this problem so make sure they draw the PTH, Vitamin D panel and serum calcium togehter - ask them.  Make sure your calcium chews are not carbonate, that they are citrate.  You say "chews" and there aren't many chews that are citrate out there anymore. 

Glad they are gonna retest you... a good thing, keep us posted girlie!!

Hi there!!

A couple of things Melissa I'd like to ask you....

1) to answer your question on the b12, I take the exact same strength (rexall brand from walmart) 1/2 of a 2500mcg tablet daily sublingually (under the tongue).  Is yours under the tongue? it should be for maxium absorption.  We do not have intrinsic factor so we cannot absorb it through the gut (swallowed).  You can certainly try more b/c a B vitamin is water soluable and any excess will just be excreted in your urine.  Can't hurt in other words.

2) Are you taking iron?  What are are your iron and ferritin levels?  Ferritin is sorta like a holding place for your iron storages.  Once you deplete your ferritin there is no where for the iron to be stored.. so usually the ferritin goes down first then the iron level.  It is VERY hard to bring your ferritin storages up once they are depleted.. this is why many postops end up on IV infusions of iron and will be on them for life b/c they just get thier ferritin levels out of the whole once it is in the "crapper".  Sorry for the terminology LOL.  Be sure you are taking iron only with vitamin c.. no dairy foods, tea or coffee (even decaf) or calcium within 2 hours either way of iron.  It is a VERY finicky vitamin and calcium will negate the effects of iron every time.

3) Are you taking a vitamin D supplement? They are finding more and more that ppl are deficient in Vitamin D and can make you feel lousy, even somewhat depressed.  I take 10,000 units a day to keep my levels optimal and I get it from vitalady.  Vitalady.com.  Problem with taking it over the counter is that it comes in an oil based capsule (we cannot absorb anything oil based) so you must get it in a dry formulation and it should be D3 form.  Vitalady has this - she sells it in 1,000, 5,000 units and 50,000 units.  What was your vitamin D level?  Be sure they are drawing this and as well as a PTH (parathyroid level) and serum calcium level.  It should be drawn as a triad to really understand what is affecting what as they all go together.  My husband's parathyroids were going haywire b/c his D level was in the crapper.  But his PTH level was HIGH meaning they were trying to compensate.  His calcium level was NORMAL.  His bones were leaking calcium into the blood and making it look like it was "OK" when indeed he was in danger zone.. already heading towards osteoporosis.  Once our calcium levels look low... we are in serious danger.

Edited to add:  My husband has to take 50,000 units of dry D3 twice weekly to keep his stable, was on more to get back up.  Took a while (6 months?) Now his PTH level is down and Vit D3 level is up. Whew.  We have to keep an eye on it.  Now vitamin D is NOT water soluable so any regular doc that does not understand RNY patients would FREAK out at that dosage, we just can't overdose very easily b/c of our bypassed anatomy but if a "normie" took this amount it would be severly dangerous to go this high.  

Be sure you are getting enough fluids b/c dehydration can also cause sluggishness and all your necessary vitamins and PROTEIN.

All the above can cause issues with fatigue.

Hope this helps!

Getting close Heather! Are you ready?!?!?! How exciting!!!

Sorry about the rashes - soon that issue will be over soon ;-)

I send u an email with many attachments of whatever I have here on my mac.  My old computer may have more, I will try to fire it up and see if there is anything else but I am pretty sure that is about it.

I feel pretty good, Thurs my nerve endings woke up suddnely and I have to admit i was in tears calling the office nto sure what to do.  They say I am a strange duck.  I am way ahead of the curve on a lot of the stuff and normally stuff wakes up gradually.  Well it all woke up at once and i felt like zing zing zing all over.. i didn't want anthing touching me.. it was crazy.  the sensitivity to the touch is still there some but overall i feel a lot better.  Belly button still numb and healing, rest of incisions look great.  I just don't have my stanima back at all.. ran errands today for 4 hours and drove for the first time and I am just totally totally wiped, been fighting slieeping all day so i could sleep tonight.  Not to mention I feel like you probably do at 9 months preggo.  I am SWOLLEN... swell hell, my numbers will be staggering this wednesday and actually I think I am gonna break from the scale for a week bc its doing nothing but getting me down honestly... its all fluid and I know this but it still doesn't make the number feel any better looking down at it on the scale.. just sorta in a funk.. i know it will pass...

BUT ANYWAYS... i am really doing fine :-) LOL.  Hey.. you asked! ;)

So glad baby is almost here, I am so very excited for you!!!! Keep us posted ok?  When is the actual due date again?