XP - Asked my NUT some questions.
on 8/16/11 10:09 pm
The first question I asked her is what my goal weight should be. Depending on who is measuring me, my present BMI is between 24.5 and 25.5.
Her response follows:
Your first question: I usually aim for a goal of BMI 25, but really you should be very happy with the success you have achieved thus far! I think you are almost there now:) A BMI below 20, if you get there, should be brought to our attention.
My second question to her dealt with what my caloric intake should be in order to maintain that weight. This was the response that really surprised me.
Her response follows:
The second question- I don't count calories- these are especially complicated after DS as we do not know your absorption. Best guidelines are to: emphasize eating lean protein foods, fruits, veggies; minimize processed carbs; include healthy-fat foods like nuts, avocado.
Liz's NUT gave her a specific calorie intake guidance during her last visit. The thing that gets me is we both had the SAME WLS but with different surgeons. Both NUTs work at Bariatric Centers of Excellence. Upon further reflection, I like my NUT's advice better.
What do you think?
Secondly, a Bariatric Center of Excellence means NOTHING as to how good a practice or surgeon is. It is merely a designation that a center has done a minimal amount of surgeries, has post-op care, etc., so that insurance companies will pay them. It's all about the Ben Franklins.
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125
on 8/17/11 12:53 am
What scares me is I started out as a patient of the same bariatric surgeon as my wife. My wife was forced to use them because of insurance. They would not let her go out of state.
I had a real problem with the $3,000 program fee this practice charged. So I looked around and went to Weill Cornell in New York City.