DanielleH_RD’s Posts

DanielleH_RD
on 2/20/08 1:56 am
Topic: RE: Calling all Vegans and Nutritionists!!!!

PM me.

Tell me his "reaction" to the breastmilk.

What is his age? How much are you using formula, how much nursing? Milk allergies are SEVERE and very unusual in babies - think about it, without milk most babies would not survive.  Baby bodies are specifically designed to take in milk as their primary nutrition source - and breastmilk is best, so I'm glad you are nursing. Let's see if we can get to the bottom of this

 

Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:34 pm
Topic: RE: Calling all Vegans and Nutritionists!!!!
He has tested allergic to casein?  What about Whey? Is he allergic or collicky? Does he react to your breast milk? Your body processes casein & whey just fine then it formulates protein into breast milk.  If he is allergic to milk proteins then it doesn't matter what you eat, he will still be allergic to milk - does this make sense?   You are allergic to soy - but is your baby? If you are allergic to Bvitamins - do you mean supplements?  Maybe you are allergic to something in the vitamin preparation?  It is unlikely that you are allergic to the vitamins itself (as it is not likely to be allergic to the metal iron, just the way it has been prepared) Be careful with confusing allergies with intolerances - they are very different! Maybe we need to clarify the issues to offer better help?
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:27 pm
Topic: RE: breastfeeding, hunger, and 3 yrs post-op
It's hard to evaluate your diet adequacy - that is a bit more intensive that this board.  I would say that breastfeeding DOES make you thirsty - but your calorie needs don't increase that much.  If you have gained weight, then your calories have exceeded your needs. Most people post-baby take about 12-18 months to start to feel "normal" again and really get back on track on weight loss and exercise.  You are at 8 months out, right?  So I think you will see that over the next few months, you will be able to move toward your goals easier. It's hard to comment on breast milk quality, especially after WLS.  I assume you are taking all of your supplements religiously and getting adequate fluids.  With that, you are probably fine.
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:21 pm
Topic: RE: Calories and exercise...Question for a dietitian!

Does your doctor have a dietitian they refer to? That would be a great way for you to individualize your plan and goals.

Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:16 pm
Topic: RE: Weight loss
Keep a detailed diet & exercise journal and make an appointment with your dietitian.  Together you can look at issues or problem & try to find a solution.
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:14 pm
Topic: RE: Pureed Foods
Everything that tastes good whole can taste good pureed - it's often the visual that gets us disturbed.  In the beginning, I would stick with simple stuff because you need to get a baseline for intolerances, etc.  Go slow. I'm sure some experienced WLS'ers can offer their favorites. Good luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:12 pm
Topic: RE: How does this stack up?
It's a little high in fat. Think about using non-fat milk as a mixer or finding a lower fat product. Good Luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:10 pm
Topic: RE: Milk Question for the RDs
Your milk intake is fine - as long as it fits with your daily goals for calories. I agree, don't sweat the carbs.
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/19/08 2:08 pm
Topic: RE: Do beans really "swell up" inside you? RD/NUT please
No, beans don't swell up inside you.
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/16/08 6:31 am
Topic: RE: CALLING ALL DIETICANS!!!
You will be able to eat like this eventually - but probably not right at first. Look at the left column of this page for guidelines after RNY - that should give you an idea of what you can expect. The choices you will have will expand as time goes on.  At first you will avoid high fiber, most meats, and other foods you mentioned.  You will add things in over time per your tolerance. As far as dumping - some do, some don't.  Most people are afraid to find out! Sure, having cake at a birthday is normal.  Most people can tolerate a few bites and some cannot tolerate any at all.  It is impossible to know how your body will react. It is good that you are taking a critical look at the life changes that need to be made post-op.  This is a big, big change you are looking at.  It is good that you look at it with your eyes wide open and that you get as much information as possible. Good luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/16/08 6:25 am
Topic: RE: Sodium - how much is too much?
I agree you probably won't go over-board on the sodium with such a low calorie diet. But, you asked how much is too much. The average American consumes 5-6 grams of sodium per day (5000-6000 mg) It is recommended not to go over 3-4 g per day (3000-4000 mg) A low sodium diet would provide 2 g (2000 mg) sodium each day. Finding low sodium foods is easier today than ever before - there are just more choices at the grocery store.  But this is the time for you to start establising better habits - keep an eye on your sodium intake and aim to keep it within the above guidelines.  It is a good habit!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/16/08 6:13 am
Topic: RE: Nectar Iced Tea
Since you are a smeller - here's a couple things I tell my pregnant ladies when nausea happens Sip from a straw Use a covered container to drink from (ex: travel mug) Make sure its cool/cold to reduce smells. Good luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/16/08 6:09 am
Topic: RE: What is the harm in Coffee?

Just to clear one thing up - coffee is not dehydrating as once thought.  There has been good research on this.  Now, I'm not asking you to go against your doctors advise - no, no, no. Just clearing up the issue about fluids. we've posted on this before - see attached link http://www.obesityhelp.com/forums/nutrition/a,messageboard/a ction,replies/board_id,5389/cat_id,4989/topic_id,3423933/pag e,1/#26675098

Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/16/08 6:05 am
Topic: RE: My hair is like a brillo pad. Is it a nutritional deficiency?
Supplements are one thing, but if your diet is deficient, all the vitamins in the world won't help.  I would have to look at your diet in detail to ascertain your adequacy - which is beyond the scope of this board. What I would suggest is that you keep a diet diary, make an appointment with your dietitian and discuss it.  Protein deficiency is probably the biggest component of hair loss and texture changes but other factors may include stress and hormone changes - both of which are common post-op. Also unfortunately with hair, it shows the health you were in when it was growing - so even if you are completely on track now, if you were not in the past, it will show in your hair. I know there are others who have experienced this same thing - hell, some of us have dry, frizzy hair naturally.  I am a big fan of "Silk Effects" to help smooth my hair out without weighing it down and a big huge curling iron to straighten and curl all in one step. Good luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/16/08 5:54 am
Topic: RE: another Protein question for a Dietician
I have to disagree with the previous writer. The amount of protein that is "too much" varies from person to person and is related to your kidney function.  There is a huge number of people that are promoting the myth that too much protein causes bodily harm.  It is not true and I challenge anyone to give me data to prove me wrong. I do not know of any documented case where kidney failure was attributed to protein excess alone - or there would be a whole lot of bodybuilders on dialysis. What is a good amount of protein for you?  Talk to your doctor and dietitian - they will give you guidelines that you should follow.
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/11/08 11:57 pm
Topic: RE: GOUT, 7 weeks now! Losing hope- when will it end? R.D. please (x-post)

There is still relatively few GOOD studies on the complications post-op from WLS.  The data is getting better, but there is still a long way to go before we know all of the potential complications and side-effects of these procedures. For those of us who work in the field, we know the anecdotal evidence is compelling for some complications (gout, tooth decay, glycemic changes - etc.) but there is no reliable data we can go on for course of treatment.  Much of what we recommend is by evaluating potential problems and recommending measures to counter what MAY happen.  The big studies have focused more on BIG problems such as organ failures, complex osteoporosis, and diabetes.

I look forward to more research in the coming years.  Good luck with your gout - I hope this flare up ends soon!

 

Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 3:39 am
Topic: RE: GERITOL COMPLETE???
Geritol is fine, Centrum silver is fine, usually plain-wrap/no-name brand is fine too! Look at the labels & compare them for what you want. Good vitamins don't have to be expensive!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 3:36 am
Topic: RE: Vitamin Schedule
Just my 2 cents. Blood work DOES NOT diagnose most deficiencies. The blood is a body transport system.  The nutrients that you need are almost always tucked away inside your cells, not floating around in your body (in your blood). Just because your labs are perfect does not mean that you do not have a deficiency. The surgery that you have had will cause malabsorption issues for the rest of your life.  Yes, your body will adapt to a degree, but you will always absorb your nutrients different than you did before. The bottom line: TAKE YOUR SUPPLEMENTS FOR THE REST OF YOUR LIFE - PERIOD! I will now step down from my soapbox...
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 3:30 am
Topic: RE: GOUT, 7 weeks now! Losing hope- when will it end? R.D. please (x-post)
The gout is very likely caused by the rapid weight loss, rather than your diet.  I wouldn't recommend making changes - simply keep trying to meet your daily goals for calories, protein & fat.  Fluid is very important - the more the better. Lower fat & higher carb is recommended after you meet your protein needs. No alcohol. Consider a Omega-3 supplement to help reduce inflammation. You will have some answers after your urinalysis comes back. As far as the meds. colchicine is one of the oldest meds - probably has the most testing done on it.  Some of the newer ones combine NSAIDs in them to help with pain, so keep in mind the potential peptic side effects of those.  Medications are likely to be your best bet at this point over the more "natural" cures because they are specific to the condition and will work quickly.  Don't choose a med by its label - every drug has nausea, vomiting, and diarrhea on its label even if it doesn't cause it very often.  Also, many anti-gout medications can cause reduced absorption of nutrients so you may want to talk this over with your pharmacist so you can take extra vitamins to compensate.  For example, B12 is poorly absorbed with colchicine - and you also don't absorb it well post-RNY so you may need to up your supplement.  Other drugs for gout: Anturane (works like probenecid), Allopurinol (blocks uric acid formation), Indocin or ACTH The natural cures include cherries and cranberries - the info is widely available on naturopathic websites if you search for gout. Good luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 2:29 am
Topic: RE: Why are potatoes considered...
It has to do with the complexity of this carbohydrate. If we ate potatoes in their un-cooked form, we would be getting a complex carbohydrate. But, who can do that? Potatoes are almost always cooked.  Cooking breaks down the starch molecules and turns them into a simpler version which very readily breaks into sugars.  The only part of the potato that maintains its complexity is the skin (that's why grandma said 'eat the skins to get your roughage...') Sugars, starches, fibers are all made of the same basic components.  It's the arrangement of the molecules that allows us to categorize them as one or the other.  Sugars are simple - ready to use energy.  Starches require a little more work to extract the calories.  Fibers can "hide" their calories in a dense maze of molecules - your body gives up trying to get at them, and the calories pass undigested.  Notice on the glycemic index that cooked vegetables have a higher value than raw - this is because cooking breaks the fibers and makes nutrients more available to your body. Make sense?
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 2:21 am
Topic: RE: Question for a dietitian
You need to see an RD. Make an appointment.  This is beyond the scope of this board. You have tried so many things and you really need the individualized intervention that an RD - skilled in WLS- can provide.
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 2:18 am
Topic: RE: is eggwhite protein a complete protein
Yes, it is a good choice. The primary protein in egg is called albumin - this is considered the standard for comparing other proteins. And just a factoid - in German, another word for protein is "Eiweiss" which translates directly to "egg white" enjoy the shakes!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 2:14 am
Topic: RE: RD-need help with fingernails!
Hair & nails are often a symptom of deficiencies. Take a good hard look at your vitamin supplements.  Are you taking extra B vitamins - if not, you should add this to any daily multi you currently use (take your multi at night or with meals, take your Bs at a different time - to maximize absorption) And even with all the vitamins in the world you won't build healthy hair or nails without adequate protein - so take a good look at your diet. Good Luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/10/08 2:06 am
Topic: RE: Dietician, help low blood sugar or losing my mind?
The way you describe your symptoms sounds like reactive hypoglycemia.  The comment that I made was aimed at the fact that if you were lightheaded and woozy, you probably didn't check your blood sugar at the time - you did what most people would do and had a little bit of food. Doctors aren't likely to look for hypoglycemia first - they want to rule out all of the other things that could cause this reaction because some are very serious such as occluded vessels, changes in blood pressure, dehydration, endocrine disorders and others.  They look to rule these out because they are serious and could lead to other life-threatening consequences.  Once they can be sure none of these other things are going on, they will probably assume it was reactive hypoglycemia. It might be a pain to go through a lot of testing - but you wouldn't have much faith in a doctor who didn't do his/her due diligence. best of luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

DanielleH_RD
on 2/9/08 9:21 am
Topic: RE: Confused about food
I think you need to see a dietitian. Go talk to them and let them work out a plan based on the things you like and will eat. the alternative - take a community college course on nutrition. good luck!
Danielle Halewijn, RD,CNSD
Director of Nutrition, eNutritionCare.com
eNutritionCare.com
http://www.enutritioncare.com
DISCLAIMER: Any information contained within is meant to be general nutrition advice. Please consult your Registered Dietitian about your specific problem!

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