M M

Send Message

Block

Add Friend

Protein Quality Chart

Via Wikipedia

After bariatric surgery you need to eat protein every day to speed wound healing, and to preserve your lean body mass.

Foods that are high in protein should always be eaten first during meals. The recommended long term post-surgery protein intake may vary from 50/100 grams per day depending on your individual needs and diet plan provided by your surgeon or dietitian.   Ask them.

Protein quality matters, and you might need to use protein to supplement your diet.    What are the best sources of protein supplements?

• Click to enlarge images, or  Download Protein Quality chart.

Continue reading "Protein Quality Chart" »

 

Have you been burned?  Still waiting on an order?  Never got it?  Never got a refund?  As a consumer and an advocate  -- I have sent a compilation of consumer issues to the press -- add yours.

Seeking consumers who have been burned by Bariatric Eating.com in the last 6-12 months -- please add your experiences below- 
http://www.emailmeform.com/builder/form/y6X6iVA5d0I5g3q

I think we have established my feelings on the topic in the previous post.  However, it's TV, and topics recycle.  Go on.

http://www.meltingmama.net/wls/2012/07/dr-drew-hln-can-gastric-bypass-fuel-alcoholism.html

 

Can Gastric Bypass Fuel Alcoholism? You bet it can. Interview, video and my heart in my throat.

Short answer:  sometimes, too many times. 

Remember when I was shuffled off to NYC a few weeks ago to interview with ABC?  I wasn't fibbing, I was there.   The other night, I was in San Diego to attend the ASMBS meeting and my cell-phone rang.  It was the producer of the ABC program that I had interviewed with, she wanted to let me know that a portion of my segment would air that night.  I really did not have a chance to process that, and I saw it while half-asleep in a hotel room in California.
They asked me during that interview -- what did I see as the biggest challenges in the post weight loss surgery community.  I answered immediately, without consideration:  addiction.  And in my non-professional watching the community for years and years take it for what it's worth because I am one of you opinion -- it is.   

A study was published recently about the prevalance of post gastric bypass alcoholism rates.

JAMA June 20, 2012-

As the prevalence of severe obesity increases in the United States,¹ it is becoming increasingly common for health care providers and their patients to consider bariatric surgery, which is the most effective and durable treatment for severe obesity.² Although bariatric surgery may reduce long-term mortality,^3 - 4 and it carries a low risk of short-term serious adverse outcomes,⁵ safety concerns remain. Anecdotal reports suggest that bariatric surgery may increase the risk for alcohol use disorders (AUD; ie, alcohol abuse and dependence).⁶However, only 3 studies have examined AUD before and after bariatric surgery.

Click here for a PDF of the full study -  Download Joc120031_2516_2525

Context  Anecdotal reports suggest bariatric surgery may increase the risk of alcohol use disorder (AUD), but prospective data are lacking.

Objective  To determine the prevalence of preoperative and postoperative AUD, and independent predictors of postoperative AUD.

Design, Setting, and Participants  A prospective cohort study (Longitudinal Assessment of Bariatric Surgery-2) of adults who underwent bariatric surgery at 10 US hospitals. Of 2458 participants, 1945 (78.8% female; 87.0% white; median age, 47 years; median body mass index, 45.8) completed preoperative and postoperative (at 1 year and/or 2 years) assessments between 2006 and 2011.

Main Outcome Measure  Past year AUD symptoms determined with the Alcohol Use Disorders Identification Test (indication of alcohol-related harm, alcohol dependence symptoms, or score ≥8).

Results  The prevalence of AUD symptoms did not significantly differ from 1 year before to 1 year after bariatric surgery (7.6% vs 7.3%; P = .98), but was significantly higher in the second postoperative year (9.6%; P = .01). The following preoperative variables were independently related to an increased odds of AUD after bariatric surgery: male sex (adjusted odds ratio [AOR], 2.14 [95% CI, 1.51-3.01]; P 

 

• http://blog.massivehealth.com/infographics/tale_of_two_meals/

 How Do I Know If I Am Overweight or Obese? Thank you The Weight Of The Nation.

Posted: 15 May 2012 04:21 AM PDT

Everyone is watching the documentary The Weight of The Nation.  It took over my Twitter stream, since it's full of RDs, dieticians, nutritionists, weight loss related Tweets who clearly are promoting it, and... OMG.

 I have yet to watch it, as I am afraid it will spawn 69268 angry blog posts.  However, clicking around their accompanying web site this morning (because you know I will watch it...) I am finding some nicely "written for everybody" information.

So here, let's start with this!  Am I fat?  Yep.  Aw, hell.  I am obese.

Height: 5 feet, 3 inches
Weight: 169 pounds 

Your BMI is 29.9, indicating your weight is in the Overweight category for adults of your height.  For your height, a normal weight range would be from 104 to 141 pounds.  (Um.  Kiss my fat ass?)

As an Adult, How Do I Know If I Am Overweight or Obese? 

Weight of The Nation -

• Weight and height are used to calculate a number called the "body mass index" (BMI). For most people, BMI is a good estimate of body fatness.
• A BMI of 25 to 29.9 is considered overweight.
• A BMI of 30 or higher is considered obese.
• To find your BMI, try one of these BMI calculators:
  • BMI calculator 1
  • BMI calculator 2
  • BMI calculator 3

For example, if your height is 5' 9" and you weigh between 169-202 lbs., you are considered overweight; if you weigh over 202 pounds, you are considered obese.

The CDC  BMI Chart tells me that my...

Healthy Weight - it's not a diet, it's a lifestyle!

And I stab my eyeballs out.

  

 I am aware that I did not share the details of the interview with 20/20 this week in my previous post about the show.  I wasn't purposely keeping anything from you, in fact I wished I had documented the process as it happened, but I only had a phone and it happened so. very. fast.

CONTINUE READING "20/20 INTERVIEW CONFESSIONS" »

 

 

MM Interview for 20/20 today

This is all I have right now. Will blog more later. OMG!

• ABC 20/20

Share on Facebook • Technorati Links • Subscribe to this feed

Nasogastric Tube Feeding Crash Diet for Brides and More! Get one! O-o

Feeling a little chubby before your big day?  Are you horrified that you might waddle down the aisle on your wedding day?  Is your fiancee upset by your love-handles?  

http://www.meltingmama.net/wls/2012/04/nasogastric-tube-feeding-crash-diet-for-brides-and-more-get-one-o-o.html

Forget your typical crash diets, forget the Weight Watchers, nutrisystem, Jenny Craig, Slim-Fast, Medifast, The Cookie Diet, even drinking horse urine... you can now --

...GET A FEEDING TUBE!   The K-E Diet costs $1500 for ten days and those willing to wear a tube in their nose 24-7 will be rewarded with weight loss of up to 20 pounds.

 

A nasogastric tube better known as a NG tube, is a tiny flexible tube that carries calories/medicines medicine to the stomach through the nose.   It is often used for tiny infants who cannot take in enough nutrition on their own, and those who can't - for a variety of reasons - ingest solids for an extended period of time.  Sometimes bariatric surgery patients require a tube-feed if they become malnourished due to a functional issue with the weight loss surgery procedure.   At times a NG Tube is used due to a psychological inability to take in oral calories, and malnourishment.  It's usually for REFEEDING, not WEIGHT LOSS.

Such as eating disorders like anorexia -

• The patient is less than or equal to 85% ideal body weight (IBW).
• The patient has experienced greater than 1 month severe restriction (less than 500 calories per day) prior to admission.
• The patient is severely restricting fluid intake and needs the NG tube to maintain hydration status.

No longer a is a nasogastric tube for the medically fragile person, it's for the crash dieter!  How, exciting?  Go, get one?  (Please understand my level of sarcasm here.)

An article in the NY times shares a variety of crash-diets for the Bride-To-Be, including the tube feeding option which is something new to the United States.

Dr. Oliver R. Di Pietro has been offering what he calls a K-E diet at his modest clinic in Bay Harbor Islands, Fla., since last July.

It uses a nasogastric tube (a tube that goes through the nose and down the esophagus into the stomach) to provide all nourishment, with no carbohydrates for 10 days. Dr. Di Pietro said body weight is lost quickly through ketosis, the state in which the body burns fat rather than sugar. 

“Any extreme low-calorie diet is associated with side effects, kidney stones, dehydration and headaches,” Dr. Aronne said, “and if you lose muscle mass and water, what’s the point of that?”

Dr. Scott Shikora, the director of the Center for Metabolic Health and Bariatric Surgery at Brigham and Women’s Hospital in Boston, said: “Putting a tube in one’s nose, it’s not always comfortable and pleasant. And this has to be medically supervised.”

Dr. Shikora was the director of Bariatric Surgery at the hospital I had my gastric bypass at 8 years ago, and was also the President of the ASBMS a couple years ago.  He knows how to help people lose weight.  

Dr. Shikora also said any caloric restriction will lead to weight loss.

“The novelty is, they shove a tube in your nose,” he said.  “It doesn’t matter if it’s through a tube, a straw, a meal plan,” he said. “They all work, if someone goes from 3,000 calories a day to 800.”

Which is why WEIGHT LOSS SURGERY WORKS.  What do WLS patients do?  We go from 3000+ calories per day to 0 calories, to about 500-800 calories for many months.  WLS can be described the most severe crash diet you ever go on.

Tube feeding -- delicious.   Makes me want to go get one to lose my last 20+ lbs.  o-O  I am sure people whom have had to have a NG tube, or had to help a child or family member with one... would just love to try that again. 

PS.  Edited to add.  If you've already HAD weight loss surgery, do not even THINK about it.

 

 http://www.meltingmama.net/wls/2012/04/nasogastric-tube-feeding-crash-diet-for-brides-and-more-get-one-o-o.html