low energy
I had my rny in 2005. Unfortunately, I never made it to my goal. Over time old habits have crept back into my life. I want to try to use my tool again but I can't remember the vitamins, grams of protein, carbs etc that I am supposed to have. My doctor retired several years ago and his office closed. I did reach out to a nut. but she was no help. Even though I had a page of questions to ask her she was so busy telling me that I needed counseling that I never got to ask her a single question. I'm hoping that someone here may be able to help me. My energy level is so low and all of the blood work from my family doctor has come back normal. I would appreciate any suggestions. Thanks you
most of us were told 60+ grams of protein (I have to average around 100 a day, since we discovered early on that i malabsorb it - but for most people, it's 60+).
programs differ when it comes to carbs. Many are low-carb are ultra-low carb programs, or at least they want you to limit carbs during the weight loss phase (and some people continue to even afterwards, since many folks are carb-sensitive), but other programs stress more balanced eating, which can include some carbs (although the "good" kind - fruits, vegetables, beans, legumes, whole grains). So as far as carbs go, whatever "works" for you is OK - there don't seem to be any standards here.
as for vitamins, here are the ASMBS (American Society of Metabolic and Bariatric Surgeons) guidelines. You have to scroll down a little to find the requirements:
https://asmbs.org/app/uploads/2017/06/ASMBS-Nutritional-Guid elines-2016-Update.pdf
did they check your ferritin? or B12?
The high protein amounts are not that important once you are able to eat enough food. A high protein low carb diet gives a 10% advantage. That means if you lost 10 pounds eating high carbs, you would have lost 11 eating low carbs.
What will take the weight off now is eating less calories than you burn. Multiply your goal weight by 10. That is the number to eat each day. I am 136 and my calorie goal is 1360. To lose one pound a week, I eliminate 500 calories a day. That puts me at 860 for my daily intact. If I stay there for 10 weeks, I lose 10 pounds.
The magic of surgery wears off quickly and after that it is just calories in vs calories burned.
Real life begins where your comfort zone ends