Trying to figure things out...
Don't expect much help from the dietician. They will probably give you the "canned advice" that they give all wls procedures, which is relatively useless and sometimes dangerous to DSers. Lunchmeats and cheese are perfect for you right now. I often did salami rolls (salami rolled in cream cheese) early out and still love them today. If you are mixing protein drinks with milk, try something with water instead. Many of us have trouble tolerating regular milk, but cheese, yogurt, etc sit just fine. Don't worry about fat at all, for you are malabsorbing 80% of the fat you consume.
Your protein goal is to work up to 100g of protein each day. Some do a more progressive approach, with 30g by the first month, 60 the second month, 90 the third month, then 100g thereafter. Fit it in any way you can with whatever sits well. Start with the softer foods, and work your way up when you feel ready for it. If something doesn't sit well - back off for a week or two and try again later. Other good soft things to try are egg salad, chicken or tuna salad (lots of mayo), deviled eggs, and shrimp
You should be getting 64oz of fluids daily right now. That includes anything decaf and wet. Steer clear of all noodles and rice right now. They can cause all kinds of bloating and discomfort in new stomachs. Pay attention to sugars in items, for you want to keep that as low as possible.
Valerie
DS 2005
There is room on this earth for all of God's creatures..
next to the mashed potatoes
Frosty's / Milk Shakes - if you make it yourself from CarbSmart and Almond Milk and heavy whipping cream and protein powder then you can still enjoy those plus get you hi -pro lo-carb needs met.
There seems to be very little we can't eat even those just take some reinvention. Take noodles, there are lower carb noodle products like shirataki noodles but I have never tried them.
There is spaghetti squash. There is dreamfields pasta but again I've not tried any of them. For inspiration check out www.atkinsdietgeek.com or look up bowolf on YouTube and see the cornucopia of food you can eat.
Wow - you poor dear, you were left completely in the woods about what to eat. I shudder to think what they've told you about vitamin & mineral supplementation!
Val gave you some great advice above. I'm only going to add to it.
1. The 30/60/90 rule: We should get 100-120 grams of protein a day, but it's hard to get there right away on a surgery-traumatized stomach. The basic rule of thumb is for DS post-ops to aim for at least 30 grams of protein from food per day by the end of 30 days, 60 grams by 2 months, 90 grams by 3 months. The rest of the daily protein quota can be reached by protein shakes. Nobody finds them less palatable than I do, by the way, but even I have found a way to drink them that I enjoy. I like mine to resemble a milkshake in texture, so I make them in my blender, using half & half, crushed ice, protein powder, and whatever add-in I want - espresso powder with chocolate is a favorite, whatever sugar-free syrup my husband has bought for his coffee in with my cake batter flavored protein. Then I whiz it up, pour it into a plastic lidded cup, and pop in a straw - voila! My shake is disguised - everyone thinks I'm a normie drinking a milkshake. Only I know I'm drinking a nutritious (and delicious) protein shake.
2. Good soft foods: Greek yogurt, scrambled eggs (scrambled in butter, mixed with cream cheese or boursin cheese, egg salad with lots of mayo, cottage cheese, ricotta cheese, ricotta "fluff" (ricotta mixed with sugar-free pudding mix and cool whip), cream cheese, refried beans (personally, I hate them), tuna salad with lots of mayo, soft cheeses like Laughing Cow, peanut butter. As you progress, harder cheeses are good, sliced deli meats, chicken salad with lots of mayo (chicken is a really dense protein and hits my stomach really hard), soft meatloaf or meatballs, tender pot roast, small bites of rotisserie chicken, soft white fish cooked in butter & lemon, pork tenderloin. Later, progress to steak, burgers, pork chops, etc. They tend to be dry and harder to digest. Take small bites and chew well, resting between bites. Add green vegetables to supplement your proteins as you can eat more, but take it slow with the raw stuff. Some people find raw lettuce & celery to be hard to eat/digest.
3. Foods allowed "by the bite": starchy carbs like potatoes, corn, grains, rice, breads, cereals, pasta. Sweet carbs: fruit, ice cream, frozen yogurt, sweets, candy, cake, pie, you know - all the good stuff. These are foods that you can still have, but should be limited to just a bite or two when you absolutely have to have them - AND - after you've gotten your daily protein in.
I found that, personally, that "just a bite" rule was like a release valve. If I allowed myself the freedom to have just a bite of whatever it was that I wanted, then there was no anxiety or guilt about eating something that was on the "naughty" list. Plus, it had the advantage of allowing me to "fit in" socially during special occasions - if someone brought in cake, I could take a piece just like the rest of my friends. I could take a bite or two with everyone else, and save the rest for later if it was really delicious. Usually after my second bite, I found that I didn't really want any more and could easily throw the rest out. Something about making all the foods "legal" took the allure right out of the ones that used to be "forbidden." So if you absolutely have to have a piece of chocolate, then have one. Eat it slowly, savor it, really taste it. Eat it in front of your family and dare them to say anything about it. You're allowed a bite or two of the things you love. Just make sure to get your protein in!
4. Fluids: 64 oz is good, 80 oz is better, 120 oz is not unheard of. However, this isn't jus****er. I hate plain water, so I counted everything - coffee, tea, water, crystal light, diet soda - in my liquid count. Don't drink your calories, though - with the exception of protein shakes, you should have non-caloric fluids. No juice.
Come back here after you've met with your nutritionist and tell us all about the foolishness she tells you. I'll bet you a cookie that she gives you the RNY diet rules. Now go forth and nourish your new body. Good luck!
Thank you so much for taking the time and posting all of that! I printed it off and have it on my frig. As for my dietitian.. I won't see her for my 2nd visit until the end of February. I will say I am having a hard time drinking my liquids. I can't seem to get in all 64 oz on top of my protein. I've had diarrhea for the past few days, which concerns me a bit. I also was told no carbonation, and no peanut butter. But I noticed you have it on your list. I can't for the life of me figure out how they feel not seeing your dietitian for two months after surgery is a good thing. You also mentioned vitamins.. I take 2 one a day vita crave 4 times a day, 1 aquadeks with breakfast, 5000 mg of vitamin D every other day with breakfast and 2 calcium bits one between breakfast and lunch and one between lunch and dinner. I guess I'm suppose to start iron at night at the beginning of February too.
Thanks again for all your help. I'm not sure what I'd do with out y'all's support.
Vitamins: are you cleared to take vitamin capsules & tablets yet, or does your surgeon/NUT want you to do chewables? I can see a multi, ADEK, and calcium. I know it's routine to have baby post-ops take the ADEKs just to ease them into the routine of taking vitamins multiple times daily. As you get further out and have your labs done on a more routine basis, it's easier to adjust the dosages if you take them separately. I'm not familiar with the dosages of vitamins in the brands you listed, so I'll give you some general guidelines that you will want to tweak after you've had your labs done. My one BEST piece of advice for labs is to ask for a courtesy copy of the results to be sent directly to you, that way you can see the actual numbers and track the trends yourself. It's easy to get deficient with a DS, so be extra-vigilant. Anyway, here are the DS basics:
* 1800-2400 mg of calcium CITRATE daily. Tums are calcium carbonate, and are NOT a good source of calcium for us (not that you're taking them, just throwing that out there). Also, check your brand to see what the serving size is - many are 600 mg per 2 capsules)
* 50,000 iu of DRY vitamin D3 daily. Non-DS NUTs and MDs will FREAK at this dosage. Trust me, we need it. Prescription D is 50K iu D2 in oil - we don't absorb that as well. I get my D3 from vitalady (vitalady.com). Even with the shipping, it's the most cost-effective option for the dosage I need (I take 100K iu D3 daily).
20-40K Vitamin A daily. Adjust this with your labs.
* 1mg Vitamin K - so far, there hasn't been any evidence brought to light to point out the benefits of K1 over K2, so pick one and take it.
* Vitamin E - people are RARELY deficient in vitamin E, but if you're feeling kind of dry, use a Vitamin E oil - we will absorb it transdermally.
* 50- 75 mg Zinc daily.
* iron: I can't advise you well on iron, as I've never been deficient, even without *any* routine iron supplementation. I'm a freak, though, so you'll want to take some (just don't take it within 2 hours of your calcium or any calcium rich foods).
* A good multivitamin (without iron) one or two doses a day.
* You may need some B vitamins, but wait for your labs, as the multivitamins should take care of those.
There are others here that take other vitamins, too (I also take copper, but that's because my labs showed I needed it), and you may have to adjust what you take as well, down the line.
I usually take this in 3-4 doses a day: breakfast, lunch, afternoon snack, and bedtime. Here are the playground rules: Iron plays well with vitamin C, but not Calcium and it only tolerates Zinc. Zinc tolerates Calcium, bit doesn't like Copper one bit. Vitamin A plays well with Calcium and D, but not K. Vitamin K gets along fine with Calcium & D when A's not around.
While you're healing, sipping, and nibbling, try to figure out when you're going to schedule all of your "grown-up" vitamins. I'll tell you how I do it if you want, and there are other vets who would also be happy to chime in here with their vitamin schedules too, I'm sure.
Didn't know there was going to be a logic test, didja?
I don't want you to think I was trying to be rude by deleting what I wrote... I had copied the wrong reply and pasted it under the wrong post. I don't like spell check on this thing so I do all my typing in a different window then copy and past. Anyways I too had your same doctor and feel your pain. I'm not sure who your dietitian is but I am getting the same run around with the one I have. I'm not sure what other advice I can give you that these ladies already have other than take it slow. One day at a time and don't feel like you have to have everything perfect right now. I've learned this takes time, every day for me is different. Keep your head up it will get better as the days go by.
no worries... and i don't remember her name i'd have to look. I saw her once so far and that was a month and a half before I had surgery. I don't go see her again until the end of february. I saw the surgeon last week and he said i was free to eat normal as long as i focused on protein and drinking and took my time. but that totally contradicted what the papers said she gave me. I find this whole process frustrating and annoying. you would think they would have a better team helping us through such a major change. Have you been in for your follow up? if so what did they say... if you don't mind me asking?