disappointing 6 month dietician appointment...

avivaps
on 9/9/12 6:55 pm
RNY on 02/28/12
Feeling kind of upset over my 6 month follow up.

I have reached a normal BMI (am now just under 24) and feeling good.  Have been playing around with my calorie intake (upping it a litte) to see what happens. between 1000-1200 and am still losing about a lb/week or a bit more.

I have been getting around 70-90 grams of protein per day.  The dietician said that this was too much and I should be getting only around 45 grams now (I am only 5 ft tall and now weighing in at 117lb).  She also said that I am eating too many "treats".  So for example I told her I ate a greek yogurt that was sweetened (it had about 10gr of sugar vs 1.3 gms in the unsweetened) she seemed to feel this was a slippery slope.  I ate out recently for my daughter's 16th birthday (only done this twice in 6 months) and although ate small amounts, sampled a few high fat foods (one fallafel ball, some hummus and a small wedge of thin crust pizza) .  I logged this and accounted for this but she made me feel bad.

I left feeling discouraged.  I had been trying to transition to a more "normal diet" and not making everything SOO rigid.  It appears I am not a dumper and while I don't want to be eating what I ate before, felt that a little flexibility was not a bad thing.

She said most post-ops maintain at 1000 calories/day in the long run and made me feel that the fact that I was eating 1000-1200 cal/day was a problem (even though I am still losing weekly).  I should say I do exercise (training now for a 10k so run 3x/wk for about 1 hour and work out with a personal trainer 1/wk).

I know there is no pure science here but I live in fear of regain (as I know many of us do).  This has triggered some negative feelings for me and (to be frank) has also triggered some of my binge urges (which I posted about elsewhere).  I don't want to give her this power but I am struggling to find a balance between some of her valid observations and some things which I felt were too rigid.

Would love to hear from others your thoughts/experiences.

Thanks,

Andrea. 

    

RNY February 2012

starting BMI 40

smiley_k
on 9/9/12 7:22 pm
Hi Andrea,

Can I ask who you saw at HRRH? I had a similar experience.
Katie  ♥     
  
      
avivaps
on 9/9/12 7:38 pm
RNY on 02/28/12
 Denise. Was it the same person for u?

    

RNY February 2012

starting BMI 40

debralight
on 9/9/12 7:24 pm - Canada
Let me guess you saw Denise?

She's a *peach*
Sometimes the best support  you can get isn't all purple puddles and pink rainbows.


avivaps
on 9/9/12 7:42 pm
RNY on 02/28/12
 OMG! Yes, it was Denise!  Do u know if we can request particular nutritionists for our follow up. IYKWIM had an excellent experience with Michelle at my 3 month and was thinking of calling and requesting her for my next appointment. 

    

RNY February 2012

starting BMI 40

sam1am
on 9/9/12 7:32 pm
Take the best and leave the rest!  It sounds like she is not giving the best advice.  Maybe you could see if there is another one that you could go to?

Hang in there!

 Sandy                                           
                
"The best way to cheer yourself up is to try to cheer somebody  else up"                     
                          
      Mark Twain                                                       LW-Apple-Gold-Small.jpg image by PlicketyCatAnimation One      
   

                               

(deactivated member)
on 9/9/12 8:13 pm - barrie, Canada
I have heard some real horror stories about Denise and I am terrified that I am going to end up having her for one of my post-op appts but so far I have had Michelle for all my appts and I beyond adore her, she is very informative, helpful and supportive and she is firm without being degrading.

I am sorry you had a bad experience with Denise but like one of the other ladies said take the good and leave the bad and hopefully next time you can see one of the other RD.
stephanie2011
on 9/9/12 8:32 pm - toronto, Canada
Your diet sounds totally reasonable to me, especially given the amount of exercise that you do.  BTW, I see Rashni (sp) and she is really good.  she is practical and realistic while still mindfull of the slippery slope.  It sounds like either her or Michelle would be better options.  Good luck!

Steph
Referral: Aug 3, 2010       Info Session: Dec 12, 2011   
Nurse Appt: Jan 30, 2012    Diet/Nut Appt: Feb 8, 2012
Surgery Class: Jan 24, 2012
Meet Surgeon: Feb 8,2012    Start Optifast: April 24, 2012
Surgery Date: May 8, 2012
           
debralight
on 9/9/12 8:32 pm - Canada
how Denise keeps her job i don't know. Maybe people don't complain about how she treats them
Sometimes the best support  you can get isn't all purple puddles and pink rainbows.


birdiegirl
on 9/10/12 3:25 am


Hi Andrea

Sounds to me like you are doing great

Just as an FYI....when maintaining.....I eat 1500 - 2500 roughly ......I vary the calories per day to keep my body in suspense....

I am currently trying to lose my small regain....so have cut back...

So I am not sure where she gets the 1000-1200 calorie post op figure from....I lose on that

You know your body better then everyone.....the slippery slope is true....but you are at goal....

The key is to learn to live in moderation....if you cant do it then dont touch your trigger foods.....if you can....then you can eat everything

         

        

 

 

 
  

Most Active
Fall Clothing Exchange!!!
Mallory · 0 replies · 60 views
Recent Topics
Fall Clothing Exchange!!!
Mallory · 0 replies · 60 views
Historical Movies
rebeccaardens · 0 replies · 79 views
i cant write essays
rebeccaardens · 1 replies · 263 views
Education in Nigeria
sophiaburton · 0 replies · 241 views
Plastic Surgeon near Toronto
Jellybean1414 · 1 replies · 687 views
×