Ahhhh.... OK.  Thanks for the information. 

 Every surgeon allows foods in different stages.  Check at your next follow up visit.  I allow my clients to start salads and whole fruits and veggies at 3 months post op.  

Good luck!

 Wait, let me get this straight ... 

1. You went to see a R.D. because you were at a weight loss stall
2. She told you to eat 50% Carbs & 100 g protein
3. You've done this and you've GAINED 7 lbs?

If this is right, then, yes, I would say something is not right & you should call her immediately and tell her you've gained 7 lbs and likely need a re-evaluation (for free).  

If you are exercising & eating low fat as well .... there may be something wrong with her calculations.  

Good luck.

 Hi!

 First of all, Pam is right on.  I'm glad she chimed in right away as I don't check this a regularly as I used to.  If I had the power, I'd give Pam and honorary R.D. degree.  Sometime I read her posts to educate myself!  Anyway, good work Pam.  

 I agree with Pam, I don't advocate low-carb diets.  The problem I find is that it's a DIET.  I always try to get my GBP clients away from diets and on to a LIFESTYLE CHANGE.  You can only low-carb for so long -- at some point, one is bound to gorge on carbs if they deprive themselves from them for too long.  

 EXERCISE.  Get out there and move your butt.  
 Let me tell you -- I hate exercising.  Absolutely hate it.  I find every excuse not to do it.  But, I drag my butt out of bed 3 mornings each week and go for a run. WHY?  Because exercise is by far the most important aspect of weight loss & weight maintanence.   You can't do it without exercise.  Even if you just park your car in the last spot at work or the mall and walk 5 minutes to get in the building --- then 5 minutes back -- you just gained 10 minutes of exercise for the day.  Start there.  Slowly add a bit more.  Try to exercise at least 20 minutes each day.  You don't have to hit the gym to exercise, you can go for a walk, do gardening, dance ... find something you like and start doing it TODAY!  

 At 5 years out, your pouch likely has stretched and you likely won't dump from eating and drinking at the same time.  Likely.  Of course, I don't know for sure.  It also depending on how the surgeon connected your RNY.  In any event, some people drink while eating because it slows down how quickly they put food in their tummy.  One bit food, one sip water, wait.  One bite food, one sip water, wait ..... and so on.  If you want to drink & eat to slow down your eating during a meal, then I would tell you to go ahead and do it.  However, if you want to drink & eat like all the non-RNY-ers, then I would tell you DON"T DO IT!  Putting too much in your pouch at one time can stretch your pouch even more - causing you to lose any benefit you many have left of the RNY.  

 All in all, I think if you start exercising, you will see that those 40 lbs will come off much easier.  :)  

Good luck!

 Sara

 Calcium citrate is the best source of calcium at this time.  Although you can probably get by with Viactiv, I wouldn't chance it.  I mean, it is your bones we're talking about.  Try Pam's suggestion.  Sounds like a good option.  Viactiv and other calcium carbonate supplements should be your last option.  

 Same as beef .... 

 Awesome protein, awesome vitamins.  When eaten in moderation (no more than 4 per week) can be part of a healthy diet.  

Enjoy!

 one more .... 

we also allow small curd cottage cheese on the pureed protein stage. 

 Try going to your local hospital and ask if the hospital dietitian takes out patients.  Try to get an appointment for a consultation.  If the hospital dietitian can not take you as an out patient, he/she may be able to refer you to a dietitian in your area.  

 You need to see a dietitian.  You're eating far too little of EVERYTHING.  Far too little protein, carbs, and the most concerning: fluid.  

 You need some meal planning and  help with your diet.  You need to get a  handle on this as it appears you are headed down a road of deficiencies & dehydration. 

 See a dietitian ... soon!

I do know two on-line dietitians - Jeanne Barnett & Sonia LaFlamme.  Both are runners (Sonia is a marathoner) and can offer you advice.  They can be contacted through www.enutritioncare.com.  


Good luck.

 B6 is not toxic in your body.  A high blood level of B6 will not harm  you.  I would suggest you take a regular multi-vitamin and not worry about the B6.  You still need to supplement B12, but take B12 by itself and not a b-complex.  

 You can search the American Dietetic Association website at: www.eatright.org.  Look at the top left corner of this website: find a: other professional.  

A dietitian has  a license to practice.  They have taken state & national board exams and have become a Registered Dietitian.  They should have the letters RD behind their name.  They have (at least) a bachelor's degree.  They can treat diseases (with diet) like diabetes, hypertension, obesity, etc.  

A nutritionist is not licensed.  They have not taken state or national exams and can not treat disease.  They can give you information and guidance on a general, healthy diet.    

Whether you choose to see a dietitian or a nutritionist, make sure they have experience with gastric bypass before making an appointment. 

Good luck.