RNY eating schedule vs VSG

RubyTues
on 12/6/11 7:14 am - Canada
Just curious if there is even a difference.. I know clinics all vary but when I started the process I was signed up for the RNY, it wasn't til I finished all my nutrition seminars and how to eat and the 4 stages of food that I switched to wanting the VSG.
So today I just wondered if some of the rules were a bit different. Were you given specific VSG eating rules to follow?
                    
kimbethin
on 12/6/11 7:37 am - CA
My doc has the same rules to start with everybody.  I really don't know anything about the RNY stuff after solid foods start.  Can you contact the nutritionist that gave you your classes and ask what should be different?  I'd hate to give a bunch of info that is in conflict with your doc.
putting one foot in front of the other...        
slimpickins5280
on 12/6/11 7:39 am, edited 12/6/11 7:40 am - CO

I wasn't given a schedule.

In general for working toward good eating habits it was suggested by my doc that I do the following:

3 meals, 2-3 snacks
60-80 grams of protein a day (as much from real food instead of shakes as comfortably possible)
30-40 carbs per day
600-800 calories during weightloss period
2-5 veggies a day (I'm lucky to get 1)
at least 8 glasses of water a day
2-3 fruits a day (I get zero at this point)

It's all stuff we are supposed to work up to. My doc wants sleeve patients to live as normally as possible, but he understands that the weightloss and maintenance diets are different. I'll be able to work on my veggies, fruits and whole grains when I get to maintenance.

I never checked out the RNY.

VSG 10/18/11      If you don't like the road you're walking, start paving another one.-Dolly Parton





 


 

Meme10
on 12/6/11 8:21 am - TX
When I attended a nutrition class before my revision there were mostly RNY patients in the class . The Nut said the eating plan was the same.
              HW-307  lapband-243  SW-250  CW-225  GW-150                  


califsleevin
on 12/6/11 9:04 am - CA
You are correct in that practices vary all over the place, but it has been my assumption that the extensive post-op liquid used by some docs is a carryover from RNY practice as it seems that the pouch construction and attachment to the intestines is a more delicate structure than a sleeved stomach, even at the beginning. My doc, who is very experienced with sleeves, and many others start their VSG patients out on mush/puree/soft proteins from the hospital on out, depending upon patient tolerance.

The 60-80g protein (some docs go up to 100 for some or all patients) is a common number across all of the various WLS procedures as is 64+ oz of water. Some docs use a low carb diet while others don't - again that's pretty much across all of the procedures and is driven more by fashion and physician preference than by specific procedure.  My doc doesn't do RNYs anymore, but his VSG rules are similar to, but a bit less restrictive than his DS rules, mostly on the supplement front. Long term there really aren't any dietary restrictions for the VSG beyond what is individually required to maintain a healthy weight, while the RNY usually maintains restrictions on some foods that can cause blockage in the pouch or may cause dumping in some individuals. (VSGers can dump, too, but it is much less common than with the RNY.)

B12 supplements are pretty common with all of the procedures as the smaller stomachs don't break it down for processing as well as normal anatomy. Calcium supplements are common as well, though the RNY will require more due to its mineral malabsorption. 1000mg per day is a common VSG guideline with some going to 1500, while the RNY can easily double that requirement - this is a big PITA since calcium can only be absorbed at around 5-600mg at a time, so you're always timing calcium pills throughout the day with the RNY.  Compounding that PITA is that calcium needs to be spaced out from iron supplements, iron is another of those malabsorbed minerals. Many RNYers, women in particular, need periodic iron infusions because they can't ingest and absorb enough iron orally. Long term with the VSG, one may not need much supplementation at all beyond a basic multivitamin and B12, depending upon dietary habits and individual variations, while the RNYers will continually have some mineral issues.

In short, the VSG can be less restrictive on its' rules than the RNY but it's up to the individual docs and practices whether they allow for those variations or follow a one-size-fits-all plan.

1st support group/seminar - 8/03 (has it been that long?)  

Wife's DS - 5/05 w Dr. Robert Rabkin   VSG on 5/9/11 by Dr. John Rabkin

 

RubyTues
on 12/6/11 11:42 pm - Canada
Interesting.. thank you.
                    
(deactivated member)
on 12/7/11 12:09 am - Newnan, GA
VSG on 05/04/09 with
Do you mean the progression from liquids to solids? 

I was given a progression, it was a month after surgery that I could eat dense solids according to plan.  Before that was a progression of clear liquids, full liquids and mushies.

Is that what you mean?  And yes, so many docs have so many different protocols about it from mushies on day of discharge to no solids until 2ish months out, so best to check with your particular surgeon.
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