Question for Garber/Holliver patients & everyone else too
At last night's support group @ Mercy, Sharon the nut. was really adament about just having 3 meals, no snacks. I have a hard time with that. If I have a substantial meal, I can do without "snacks", but because of my schedule, I find myslef not so much snacking, but having about 4 small meals plus a whey protein shake. When I did the math on Fitday, it comes out to about 800 - 900 calories a day.
I'd really like to know about G/H patients, and also what other nuts recommend.
Even though she's so adament, after the meeting, several substantial losers (100 lbs. +) were chatting, and none of them stuck to 3 meals either.
So I guess I have 2 questions:
A) what does your nut say, and
B) what do you do?
Many thanks,
Hi Karen
My "NUT", is a n ut, but she's a good one. She makes out a menu plan for us if we absolutely have to have the meals and the snacks. There is absolutely nothing wrong with snacking as long as its low calorie, no calorie and even high protein. Its better to snack and fill yourself than to starve yourself and end up overeating in one meal. I have 3 meals and snack throughout the entire day. I have lost 150pounds and still losing and I have no problems. Doctors and Nutritionists sometimes don't know it all because they have not had the surgery themselves and don't understand what it means to not have a snack. i think there is nothing wrong as long as it is in moderation.
Hi, thanks for this topic, I bet you will receive a variety of responses!
Your nutritionist sounds as if she is trying to instill the best/healthiest guidance for postop living that will support health, wellness and long-term success.
Every program varies to some extent on their nutritional f/up and guidelines. Some are very rigid others are sadly non-existant.
There are so many rules that we teach concerning the use of the "pouch/tool" it is important to emphasize that it is not necessary to follow every rule all of the time. More like what you do 90% of the time matters. I see it as the 90/10 philosophy. Rigid unrealistic goals tend to be very perfectionistic and support failure and sabotage more than success (from my psychological perspective).
What the guidelines are about is a template to set up a healthy life for ever and ever, one that avoids the possibly #1 tool sabotager GRAZING! The slippery slope for many of a snack that in the beggining is so small what would it hurt can grow almost with us unaware over time. It takes only 100 cal a day over a year to gan 10#... (or reducing 100 cal a day over same year to lose 10#!).
What works for many may not work for you. Finiding your groove is a learning experience and journey that is ongoing forever each moment. Snacks if times accordingly, nutritionally sound and if they fit in daily allowances/needs and support success are not inherently bad/wrong; it is the notion that a snack here or there is not harmful that can grow and become just that.
My program states 3 meals and possibly 1 small snack, no protein shakes.
What do I do? Depends on the day and has changed over my 5+ yrs out. Typically I believe in 4-5 smaller meals a day (included in there 1-2 may be a protein shake, whey 100-120 cal a serving and 0-3g fat 0-3g carbs and 23g protein)...
If you feel deprived figure a way for balance, harmony but just consider needing to be aware!
Hope you find your groove an keep on this wondderful journey! Take in all the opinions medical and non mendical and make the best educated and informed decision for you.
~~~~~~~~
5 Behaviors of Successful Maintainers
1 Give UP Dieting FOREVER, instead practice a healthy way of eating based on bodies nutritional needs.
2 Stop being a couch potato:
EXERCISE: Regular/intentional
3 Find SUPPORT:
Friends/Family
Group
In person
Online
Therapist
4 HONESTY: Look at self-sabotaging behaviors/attitudes & develop positive ones to support their wt loss.
5 STOP reacting to STRESS
Realize they turn to food to cope with stress
Practice proactive stress management
Problem solving
Relaxation techniques
~~~~~~~~~~~~~~~~~~
NUTRITIONAL KEYS
The goals of the long term gastric bypass food choices...
Consume minimal calories (promote weight loss)
Consume adequate nutrition (achieve excellent long term health)
~BOTH without undue hunger/cravings
These goals can all be achieved by using the pouch/tool with:
~the right kinds of food
~at the right intervals
~with appropriate management of fluids.
The first thing to understand is that when the pouch is filled with food it sends signals to the brain that say that hunger is satisfied - no additional food is needed.
This feeling is called "satiety." Any time a mature pouch is stretched by stuff inside it, the pouch will send a satiety signal to the brain, and (here's the cool part) the satiety signal will continue as long as the stuff is still in the pouch!
~~~~~~~~~~~~~~~~~
How to Defeat the TOOL
Not losing much wt or regaining
#1 Skipping Meals=hunger=grazing (aka snacking)
Snacks are rarely nutritious *you can make them so!*
Grazing=lots excess calories
Drinking Calories
~Alcohol, lattees, soda, juice, etc.=excess calories
_________________
My parting words:
WLS is a tool, if you eat the wrong foods (carbs/sugar which we NEVER EVER malabsorb, digestion/absorption of these substances happens starting in the MOUTH!), overfill pouch, graze all day, don't exercise, drink calories, eat and drink together then we can/will regain wt.
The proper use of PSYCHOLOGY is the tool to help us maintain that loss! Be well! Thanks again for the topic!
Take Care,
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Your nutritionist sounds as if she is trying to instill the best/healthiest guidance for postop living that will support health, wellness and long-term success.
Every program varies to some extent on their nutritional f/up and guidelines. Some are very rigid others are sadly non-existant.
There are so many rules that we teach concerning the use of the "pouch/tool" it is important to emphasize that it is not necessary to follow every rule all of the time. More like what you do 90% of the time matters. I see it as the 90/10 philosophy. Rigid unrealistic goals tend to be very perfectionistic and support failure and sabotage more than success (from my psychological perspective).
What the guidelines are about is a template to set up a healthy life for ever and ever, one that avoids the possibly #1 tool sabotager GRAZING! The slippery slope for many of a snack that in the beggining is so small what would it hurt can grow almost with us unaware over time. It takes only 100 cal a day over a year to gan 10#... (or reducing 100 cal a day over same year to lose 10#!).
What works for many may not work for you. Finiding your groove is a learning experience and journey that is ongoing forever each moment. Snacks if times accordingly, nutritionally sound and if they fit in daily allowances/needs and support success are not inherently bad/wrong; it is the notion that a snack here or there is not harmful that can grow and become just that.
My program states 3 meals and possibly 1 small snack, no protein shakes.
What do I do? Depends on the day and has changed over my 5+ yrs out. Typically I believe in 4-5 smaller meals a day (included in there 1-2 may be a protein shake, whey 100-120 cal a serving and 0-3g fat 0-3g carbs and 23g protein)...
If you feel deprived figure a way for balance, harmony but just consider needing to be aware!
Hope you find your groove an keep on this wondderful journey! Take in all the opinions medical and non mendical and make the best educated and informed decision for you.
~~~~~~~~
5 Behaviors of Successful Maintainers
1 Give UP Dieting FOREVER, instead practice a healthy way of eating based on bodies nutritional needs.
2 Stop being a couch potato:
EXERCISE: Regular/intentional
3 Find SUPPORT:
Friends/Family
Group
In person
Online
Therapist
4 HONESTY: Look at self-sabotaging behaviors/attitudes & develop positive ones to support their wt loss.
5 STOP reacting to STRESS
Realize they turn to food to cope with stress
Practice proactive stress management
Problem solving
Relaxation techniques
~~~~~~~~~~~~~~~~~~
NUTRITIONAL KEYS
The goals of the long term gastric bypass food choices...
Consume minimal calories (promote weight loss)
Consume adequate nutrition (achieve excellent long term health)
~BOTH without undue hunger/cravings
These goals can all be achieved by using the pouch/tool with:
~the right kinds of food
~at the right intervals
~with appropriate management of fluids.
The first thing to understand is that when the pouch is filled with food it sends signals to the brain that say that hunger is satisfied - no additional food is needed.
This feeling is called "satiety." Any time a mature pouch is stretched by stuff inside it, the pouch will send a satiety signal to the brain, and (here's the cool part) the satiety signal will continue as long as the stuff is still in the pouch!
~~~~~~~~~~~~~~~~~
How to Defeat the TOOL
Not losing much wt or regaining
#1 Skipping Meals=hunger=grazing (aka snacking)
Snacks are rarely nutritious *you can make them so!*
Grazing=lots excess calories
Drinking Calories
~Alcohol, lattees, soda, juice, etc.=excess calories
_________________
My parting words:
WLS is a tool, if you eat the wrong foods (carbs/sugar which we NEVER EVER malabsorb, digestion/absorption of these substances happens starting in the MOUTH!), overfill pouch, graze all day, don't exercise, drink calories, eat and drink together then we can/will regain wt.
The proper use of PSYCHOLOGY is the tool to help us maintain that loss! Be well! Thanks again for the topic!
Take Care,
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Take Care, 
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
My NUT is adamant about 3 meals AND 2-3 snacks every day! She stresses the importance of making sure you have those snacks! Now that being said I personally cannot bring myself to eat snacks - I never was a snacker. I have no desire to eat other than at meal time so I just eat the 3 meals and call it a day. I say whatever works out best for you and you body. Everybody is different and what's best for one is not best for all.
(deactivated member)
on 1/10/08 8:18 am - MT
on 1/10/08 8:18 am - MT
Karen,
well when I was going to the nutritionist here and they are very strict with saying 5 small meals a day! It keeps you body blood sugar regulated and helps you not feel hungry. Now note that those snacks have to be low carb and high in protein, something that is good for you!
~Hugs~
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