frustrated with myself not eating or drinking enought
I know I am not getting in enough liquids or proteins. Every night before I got to bed I tell myself ok tomorrow your are going to eat and drink more. Before surgery I never really had a lot to drink. I really only had something to drink when I would eat. So its hard for me to remember or want to sip all day. I will spend all day sipping on one 20 oz bottle of water and I know thats not nearly enough. I also know thats probably the reason I have a horrible headache everyday and want to sleep so much. I am also having an issue with eating. Not really an issue. Im just not hungry at all! I will get caught up in homework or other things and realize I havent eaten for hours! I have been taking my vitamins but im still not sure if I am taking the right stuff. I am taking what was on my surgeons sheet which is two children multivitamins with iorn and a viactiv chew one a day. My doctors office did say my vitamin d was low and to take some over the counter vitamin D but im not sure what to take. My weight has been going up and down from about 300-297 and I just dont want to see the 3's ever again and I think my lack of eating and drinking are probably contributing to my stall. I was thinking maybe of trying to write out a set schedule maybe that will help. Just looking for some advice.
umm a little rude. I clearly stated that I am taking what is on MY SURGEONS list. I am torn because I know kelly on this site is very knowledgable about vitamins and stuff and according to what she writes I think I might need to be taking more or different brands. Something I am planning on talking about with my surgeon on my next visit. You and your lack of empthy can just skip right on past my posts from now on :) as we say in the south bless your little heart
Ask your surgeon why he recommends calcium carbonate instead of calcium citrate. Ask why he disagrees with the ASMBS, who says we need calcium citrate and adult multivitamins. Please don't just take my word for it. Read the ASMBS guidelines yourself here: http://nutrition.otago.ac.nz/__data/assets/file/0005/4784/Ba riatricNutritionReading.pdf and here: http://www.meltingmama.net/files/asmbstos2013guidelines.pdf
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Kelly, thanks again, as usual!, for the info. I printed it out to read on my own. My wls center has both a surgeon and a bariatrician. The bariatrician got a little testy when I mentioned that my PCP had offered to give me B12 shots weekly. He said, pretty strongly, that I needed to follow the guidelines (sublingual B12, 2 childrens chewables with iron and wellesse liquid calcium) and I wouldn't have any deficiencies. I got a little intimidated, so I backed down and had been doing what he said. It kind of occurred to me though that I've gone through a lot to have this surgery, and my health is kinda my business. Thanks for doing so much research to make it easier for newbies like myself!
If he is insisting that you will not develop any deficiencies on that regimen, he's just lying to you. Many, many RNY folks DO develop deficiencies taking two adult multivitamins, plus calcium citrate, plus iron, plus B12. For instance, while taking those things, I developed a vitamin D deficiency, a vitamin A deficiency, and a zinc deficiency. If you take children's chewable multivitamins, you are even more likely to end up with deficiencies because they are usually lacking some of the nutrients we need and usually contain a form of vitamin A (beta carotene) that we can't absorb. In addition, Wellesse is only 70% calcium citrate, so you'd have to adjust the dose accordingly in order to get enough calcium (1500 to 2000 mg a day, according to the ASMBS).
I really don't care if my doctor gets a little testy. He's not the one that will lose his eyesight or develop osteoporosis or permanent nerve damage if I get severe nutritional deficiencies. Your health is totally your business. You're the one that has to live with the consequences of the vitamins you take or don't take, not your doctor.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
