diet plan for 3 yr + post RNYer .. Is this bad ??

Daisy,

Please see your physician and get your labs drawn. My cousin had RNY several years ago, and she did the same thing as you: took minimal vitamins and didn't follow up her lab work because everything seemed okay. She is now experiencing serious deficiencies, as well as reactive hypoglycemia and seizures. She has to get regular infusions, and travel to Mayo Clinic for special treatment.

Please also consider switching your vitamin regimen. An adult multi would be much better for you than the Flinstones, and Viactiv is the wrong type of calcium (it is calcium carbonate, and bariatric patients need citrate).

I say this, not to give you a hard time, but because I am genuinely concerned. Wishing you all the best,

Jenna

Hi Ami 

I am going to start with a GRRRRRRRRR! I am so shocked and appalled by the lack of teaching some of these hospitals and wls programs do!! Thank the Goddess he has you!

That diet looks great. For an average non wls person  that is.  The Program I went through says I need to get 72grams of protein a day (they go by grams not ounces for protein).  I still  stick to that.   All the blood tests I've had since my surgery are within perfect range. I find that the less carbs I eat, the less hungry I am.  Personally I don't do cereals or bread, and I don't eat margarine (except smart balance occassionally), I rather just use 1 tbs of butter instead.  If it's possible you may want to see another dietitian.

Is the dietician recommended/referred through the DS surgeon, or  RNY surgeon (are they the same?) Get a different dietician. He doesn't need the cereal, milk (with food  ) or the bread. 

Everything else looks fine. Veggies , fruit and Protein. I wouldn't be able to eat that much at one meal and would break it up into five smaller meals, not drinking with any of them as it liquifies your food and pushes it through your stomach, stoma, and instestines quicker. The quicker it hits your intestine, the more calories absorbed, the less vitamins you absorb, and the quicker your pancreas activates insulin releases to lower your blood sugar resulting in your blood glucose dropping quickly which in most cases gives dumping symptoms and hunger for more food in a shorter amount of time

The dietician is through our PCP. THe DS surgeon is 400 miles away and the ONLY RNY surgeon in the entire region is the one that did his RNY and they have their own dietician but since he is revising FROM his RNY and using a different surgeon they would not see him. THis same practice pays the dietician under the table and when  I decided to have the DS and not RNY they would not give me the dietician records for insurance purposes and since they paid themunder the table and not through insurance then there was no record of me having seen the dietician for 6 months and I had to appeal my insurance.. It was a crazy mess.. but the RNY practice whom has the dietician is very unehical as they have a monopoly on WLS in this region and they only offer the RNY and Lapband and not the other 2 WLS.
   I am wondering if maybe the DS surgeon can have us do a dietician consult over the phone with the dietician he reccomends as even though he will be gettting DS .. he has RNY now and this diet just doesnt seem right. 
   He just needs the supervised diet for insurance purposes as it is one of those hoops to go through. 

Ami

Is there any dietician that knows what she's doing closer to you than 400 miles?  If not, I guess I'd drive the 400 miles.  Yeah, I know that's a pain.  But it's not like you have to see the dietician very often. 

Kelly

That's downright STUPID. He needs fewer carbs and more protein, and considerably more veggies.