Ask a Dietitian
I'm 3 weeks out from surgery and I have some questions on what I'm eating. I was on my liquid diet for about 1 week and then my surgeon told me to go to a soft diet for about a week and then start to slowly add solid foods to my diet. So I did about a week of soft foods and started trying solids. I think the reason that he suggested trying some solids a week early was because I was doing so good with everything and had no problems with any food.
I've been trying solid foods for about a week now and I feel great. But the more I think about it the more I think I might be eating to much. Today for lunch I had about 5oz of grilled chicken and a few bites of green beans. I even had a couple bites of a wheat roll. I had no problems and I felt satisfied.
I will tell you that I am a big guy, not just heavy but tall. 6'4" and I'm naturally bilt like a linebacker. I was wondering if that had anything to do with it. Maybe the surgeon made my pouch a little bigger than the most, even though he said he was not going to, and maybe the opening to the top and bottom of my pouch is naturally bigger than most. I'm also very young, 24.
With all this together, am I still eating to much? I would like a real dietitian to answer my questions but any comments are welcome.
Thanks
Go ahead and post your comment as a new topic. Sometimes when you post in the "ask a dietitian" topic, the messages get lost in here & we don't always see them. Just cut & paste this into a new topic & one of us 'real dietitians' will comment soon. Thanks!!
Sara Nejat-Bina, RD, CNSD, CDE
Registered Dietitian
Registered Dietitian
(deactivated member)
on 3/9/08 5:34 pm, edited 3/9/08 5:36 pm - NJ
on 3/9/08 5:34 pm, edited 3/9/08 5:36 pm - NJ
Can you tell me ways to prevent weight gain after RNY, I heard that it becomes inevitable, even when sticking to a proper diet. Is this true? If I had RNY and ate my protein and made wise choices, didn’t graze or convert back to bad habits, will I eventually gain weight? Will I have to eat less and less as the years go by to maintain what I lost? Please explain this to me. Also, are nutritional deficiencies possible for someone who gets annual blood work, takes their vitamins, minerals and protein intake? I fear that because I'm so young, that if I have RNY I'll develop nutritional deficiencies one day, possibly even major ones. Is that a more likely outcome for younger people?
I had my upper GI series done today because my Dr was concerned why I went from 0 hunger level to hunger all the time. Found out my pouch is fine is about the size of a large egg but the exit to my stomach is dialated to the size of my intestinal opening (about the size of a jumbo hotdog) in diamiter. I meet with my Dr again on Friday but am concerned ....Has this happened to anyone else? I know I need to have another surgery to fix the problem but not sure of what options I have . I originally went to the dr to discuss revision thats when we found out it may be something else other than my pouch. I would like to go to the Dr with at least knowing what options are available so I dont just pick the 1st one. Please help....!!! I also need help know what I should eat until I meet with the Dr on Friday so ther opening doesnt dialate any farther. PLEASE HELP!!
MaryTeresa (Proud mom of 2 boys)
HI,
ok i have saw my surgen (well his nurse and dieation) THEY said i was taking all the wrong iron and mag and cal for a post opp and to stop them so i did and i had labs done they referred me to one of their dad's herbal store and they thought he may lead me down the right path ???? i decided not to follow up with the dad's shop. so today i saw my own pc dr (eric) had my labs faxed to him and he gave me a b12 shot told me to try shanklee product gave me a # to call about a sales rep close to me and he would do a repeat lab in 30 days????? what the #*%% is that shankleee product? im so confused here are my bad levels anyone have any advice please
CBC -
HGB IS 11.7 SHOULD BE 12.0-16.0
MCH IS 25.6 SHOULD BE 26-32
RDW IS 16.8 SHOULD BE 11.5-14.0
MAGNESIUM IS 1.6 SHOULD BE 1.8-2.4
CALCIUM, IONIZED
FERRITIN IS 6 SHOULD BE 10- 291
UIBC IS 381 SHOULD BE 150- 375
IRON SAT IS 12 SHOULD BE 15-55
I WAS TAKEING (nov-dec)
800 MG OF MAGNESIUM WITH CHELATED ZINC A NIGHT AT BED TIME
1260 MG CALCIUM CITRACAL AT BEDTIME
1 A TO ZINC CENTRUM EVERY MORNING
1 325 MG FERROUS SULF (65 MG ELEMENTAL IRON) 3 TIMES A DAY
THE DR UPPED ME TO (jan-feb)
1200 MG OF THE MAG
IRON 5 TIMES A DAY
2-3 STOOL SOFTENERS A DAY WITH 4-5 GAS X (THAT DID NOT HELP AT ALL)
BUT NOW I TAKE NOTHING
SO DO YOU SEE WHY IM SO CRAZY WHAT THE *#%% IS THE RIGHT THING I SHOULD BE TAKEING & DOING HELP ME PLEASE!!!!!!!!
CBC -
HGB IS 11.7 SHOULD BE 12.0-16.0
MCH IS 25.6 SHOULD BE 26-32
RDW IS 16.8 SHOULD BE 11.5-14.0
MAGNESIUM IS 1.6 SHOULD BE 1.8-2.4
CALCIUM, IONIZED
FERRITIN IS 6 SHOULD BE 10- 291
UIBC IS 381 SHOULD BE 150- 375
IRON SAT IS 12 SHOULD BE 15-55
I WAS TAKEING (nov-dec)
800 MG OF MAGNESIUM WITH CHELATED ZINC A NIGHT AT BED TIME
1260 MG CALCIUM CITRACAL AT BEDTIME
1 A TO ZINC CENTRUM EVERY MORNING
1 325 MG FERROUS SULF (65 MG ELEMENTAL IRON) 3 TIMES A DAY
THE DR UPPED ME TO (jan-feb)
1200 MG OF THE MAG
IRON 5 TIMES A DAY
2-3 STOOL SOFTENERS A DAY WITH 4-5 GAS X (THAT DID NOT HELP AT ALL)
BUT NOW I TAKE NOTHING
SO DO YOU SEE WHY IM SO CRAZY WHAT THE *#%% IS THE RIGHT THING I SHOULD BE TAKEING & DOING HELP ME PLEASE!!!!!!!!
I am anemic so I have to take Folic Acid and Iron shots all the time, however , I am also epileptic and as a medical student I found out yesterday that folic acid counter acts the anti covulsive meds that would explain why they never work. Is there any way nutrition wise once you have had RNY to get the levels of vitamins I need and still not have it counter act my anti convulsive meds?