ok here goes...

Megan B.
on 1/1/10 7:04 am - Southgate, MI

I am almost 13 weeks pregnant.  I am SICK all day long.  I find myself eating just so that I don't vomit (or dry heeve).  My coworker has been riding me hard because of my salt intake.  I eat a can of beeforoni for lunch.  But she don't understand there are only so many things I can actually eat without making me sick.  She scared me a little bit though.  She said I shouldn't be drinking tea or crystal light while pregnant.  Is there any truth to this?

Also the lady that did my blood work the other day is 5 years post op and she told me that birth control bills do not work in gastric bypass pts because we don't absorb them.  Is there any truth to that?

All in all the pregnancy is moving along but I wi**** were further so I could feel the baby and KNOW everyday if its ok and not just wonder.  ARG...

Tabetha A.
on 1/1/10 7:13 am - Ajax, Canada
 Congrats on your pregnancy...

Re: the salt intake... I was actually advised to eat salt because my blood pressure was so low and i suffered fainting during my pregnancy... 

Re:  Tea/Crystal Lite - I did switch to decaf tea's and coffees but I couldnt tolerate plain water very well so I had crystal lite for almost every beverage.  My doctor said this was okay.

Re:  Birth Control - It is true that while we are still malabsorbing (doesn't last forever, our bodies adapt) we should use a 2nd form of BC as back-up.  I got pregnant while on BC,  I believe once we are about 2 years out, our bodies have re-adapted itself and has learned how to get around the malabsorbtion issue.  

All in all... like everything else, bring any of your concerns up with your OB and surgeon to get the most accurate info :)  Oh and tell your co-worker to f-off :)

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SHANNYN B.
on 1/1/10 7:15 am

I know most docs told me to avoid cafeine while pregnant so they said no tea. Salt you will have to limit but I know when I found something that stayed in thats all I would eat. We do not absorb birth control correctly just like everything else. I say eat what you can though. In my pregnancy sweets was all that made my stomach calm down. How strange. :)

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Bridget P.
on 1/1/10 7:18 am - Leechburg, PA
You should try and watch your salt intake, because it can contribute to water retention and swelling, not to mention high blood pressure.  Maybe you could make a homemade beef-a-roni instead so you can control what you put into it.  Those canned foods have lots of sodium in them. 

There have been studies in regard to caffeine intake and healthy pregnancy.  There is an acceptable amount of caffeine that most doctors will say is just fine.  Tea has a much lower caffeine content than say coffee or soda... and it also has lots of antioxidants that help ward off illness.  I have had tea with all my pregnancies... both caffeinated and decaffienated.  As for Crystal light... there is also no studies that have shown that artificial sweeteners affect your pregnancy at all.  While water is probably the best choice during pregnancy, it is understandable that this is a boring option.  LOL  You have to get your fluids in by all means necessary.  Perhaps you could alternate... drink a tea, drink a water, drink a crystal light, drink a water... kinda balance it all out.  I probably drink in excess of 100 oz of liquid a day... that is usually a combo of water, caffinated and decaf tea. 

There is truth that oral BC is not effective after gastric bypass and other forms of BC should be used. 

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mrsmyranow
on 1/1/10 10:51 am - Pasadena, CA
1)   Eat what keeps you feeling okay... I am pregnant with #2.  I couldn't stop being sick like you and finally I got a prescription for Zofran.  It is AWESOME.  lol.

2) Everything in moderation.  Pregnancy #1 I allowed myself one serving of Aspartame a week.  I used Splenda because it isn't absorbable (for anybody).  I did a fair amount of caffeine.  This pregnany I am less on the caffein and more on the Aspartame (coke zeroes about 2x a week).

3) I had no trouble absorbing BC pills but that's not scientific.  

When do you go for your sonogram? 

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Andrea U.
on 1/1/10 11:21 am - Wilson, NC
1) In the earlier part of pregnancy, the blood volume is much higher and so many ladies experience a much lower, and in some cases TOO low blood pressure.  In this case, since there is no medicine that can safely be used in pregnancy, salt is the only way to help retain fluids.  So this early, I wouldn't say it's damaging or harmful.  Later on, it definately can lead to trouble when blood pressures begin to rise and hypertension begins to rear it's ugly head once again.  Keep an eye on your ankles -- when they become one with your calf, LAY OFF THE SALT.  Also, at your visits, don't just trust your doc's on the BP -- ask what it is and keep a mental note on the bottom number.  WHen it starts to creep upwards, that's your clue that you need to get rid of the salt shaker.

2) Tea has tanin in it, as well as perhaps caffeine depending on your desire.  Tanin will leach b-12, iron, and other things from your system, so you should be careful when you drink it, or be prepared to take additional supplements as you go through your pregnancy.  Personally, I'd rather die than give up my tea and coffee (even during my pregnancies -- my kids were born fully caffeinated, and even with Red Bulls!) and I was willing to deal with the additional supplements if needed.  It's part of the package.  Tea DOES have antioxidents that makes it a healthful drink -- so it's not all bad, just not necessarily wonderful for iron and b-12 levels (or, as I'm studying right now, thiamin, which can drop quickly if you puke..)

3) Aspertame is the evil stepchild in the artificial sweetner world right now.  My OBs universally agreed that if I wanted something sweet, and it wasn't sugar the order should be yellow, pink, THEN blue.  The kids' current pediatrician agrees (although, he prefers just sugar and splenda over pink and blue, just moderate sugar), and there are links between aspertame and several neurological conditions in non-pregnant conditions (including headaches and migraines -- something that affects me deeply).  So with this in mind, and knowing CL is sweetened with aspertame, that's why she said that.

However, if you drink it, it does not mean your child will be born with a tail.  Or horns.  That honor only comes if you do something far worse -- drink SF Red Bulls..err.. (I say this because it's 10:16PM as I write and my youngest, dear, dear son Daniel, who will be 2 in February, who shares a room with his sister and is in a big boy bed, has decided to crawl OUT of his bgi boy bed and WILL NOT GO TO BED and thus must have cloven hooves somewhere...  Although his sister was a SF RB child and she's sleeping soundly...  )  In any case, everything is in moderation.  The same is with the deli meat you inevitably will want to eat, the seafood in a few weeks, the soft cheese, etc.

4) I've seen too many women on this board who have had "oops" pregnancies while on the pill to say that the pill is infallable post op -- even in those several years out.  Sure, there's a level of failure built in, but c'mon, we're a pretty small group for it to just be a coincidence.  The question I'd have, and I know that this is sheer hypothetical at this point is where is the pill actually absorbed.. is it absorbed in the duodenum, or the ileum, or jejunum?  Does it matter?  Is it passive absorption?  These are things that would make a difference, especially given the types of bypasses -- if it's absorbed in the duodenum, then RNY'ers and DSers would never absorb it and it would be a matter of time for failure since the pill never even passes through that section of the small intestine again.  But if it's the other, well, see.. I know.  No answers here.  So this is a research question for another day when I don't already have a stack of papers on my desk of things to do.


Liz R.
on 1/1/10 9:30 pm - Easton, PA
you have such great info - I never knew that about the tanin in tea and B12! That could explain A LOT of things for me... Most of what I drink is unsweetened decaf ice tea and I have trouble keeping my B12 up. I'll have to try and lay off of it and see how my next labs are. I take 5000mcg daily.

Thanks for sharing
Andrea U.
on 1/1/10 11:27 pm - Wilson, NC
I'm doing a series on the blog about all the vitamins -- in fact, about to hit "publish" on VItamin A now -- and studying B1, or thiamin now.

In any case, I just learned that tea will eat thiamin, too.  So watch your thiamin level as well.  I have a feeling that tea will kill all the b's, but I don't wanna say that until I go through them one-by-one cause I hate putting out misinformation.


(deactivated member)
on 1/2/10 1:11 am - NY

everyone pretty much answered your questions...lol

Just wanted to say congrats! Hopefully your all day sickness gets better mine started to around 13 weeks and now I only get sick once and a great blue moon...

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