Conflicting advice
Loris 344/119@ 5'2" Below Goal
Lower body lift 10/17/2007
Upper body lift 1/23/2008
369/175/136
Highest Weight/Goal/Current Weight
233lbs LOST!!
Maintenance going strong!
I have to say, what can be confusing and is *very* frustrating for me is that there are no national or international standards for pre and post-op weight loss surgery diet. I look at my doctor's plan and parts of it make sense to me, other parts don't. I feel the same way when I look at other doctor's plans. I also own a copy of Weight Loss Surgery for Dummies and I was reading that yesterday when I was trying to figure out if I was eating too much/not eating too much...and in the book they break down the different post-op diet stages and for the stage that I am in they say on one page that I should expect to be eating 1/4 cup of food per sitting and on the next page they have a sample meal plan that food stage that literally says eating 2oz. meat with 1 cup mashed yam!
I'm a very black and white person and when someone in authority tells me what to do I work hard to do it perfectly. I absolutely *hate* that I can't get a straight, consistent answer from anyone about what is "right" in this situation. I discussed it with my surgeon prior to my operation and he told me that everyone is different and everyone has to figure out what works for them in the end. He even went so far as to say that there will come a time when the nutrition plan from their clinic probably won't make sense for me, but that I will "lose a lot of weight this year" and during that time will figure out what works and what doesn't. How frustrating but probably true!
I'm just feeling those normal (I'm sure) feelings of fear and worry that I'm going to fail at this too when I've put so much effort into it. Bottom line, that I have to remember, is that I feel really good right now, the numbers are falling dramatically on my scale, I'm doing exercise and other things around the house that I haven't been able to do in a long time, and that as long as these things continue to happen I'm on the right track for me. And I'm glad that I have all of you for support, and my surgeon, nutritionist, and a kick-butt therapist that I can't wait to see next week!
Anyway, I've turned the topic of your thread. Sorry, Loris. You do have a good point in that we want to be careful not to add to the confusion that I'm sure we all go through on occasion. on 6/21/08 4:18 am - San Antonio, TX
Yeah, the conflicting advice can be confusing. For better or worse, my surgeon's guidelines were extremely vague in terms of long-term food choices. The only "requirements" was an ongoing limitation of processed carbs, sweets, and high-fat foods. Other than that, I was basically advised that I could eat pretty much anything as long as I monitored my portions. Different surgeons have different experiences, different programs, different requirements. While we make an agreement with ourselves and our surgeons to follow the surgeon's requirements, I also think it's okay to do our own research and make decisions that are right for us as individuals. It's not a one-size-fits-all kind of thing. In my opinion, as long as people are doing the research and making informed choices about what they put in their body, whether its "real" food or protein supplements, I think it's their personal choice. Also, some people have a very difficult time meeting the minimum daily protein goals because they have very sensitive pouches that do not tolerate denser proteins. If using liquid protein supplements helps them meet their daily protein goals, I think that's a valid choice for them, even if it's different than their surgeon's guidelines. I'd encourage them to talk to their surgeon and make sure there's nothing medically wrong, and if that's true, then talk with the surgeon and nutritionist about the need for protein supplementation to meet daily goals. Although they may not regularly advocate the use of ongoing supplementation for every patient, they may be open to it where a patient's nutritional needs cannot otherwise be adequately met. Thanks for starting an interesting thread, Loris. It really can be confusing about what to do, and it's good to have the discussion. LOVE the new picture by the way - looking great!!! Kellie

