Food Advice and Common Sense

Today I had my 3 month follow up appointments. My blood tests all look excellent and I have lost 44% of my excess weight in the three months since surgery. I've been tracking my food carefully and land somewhere between 600-700 calories per day, 60-80g protein, 20-35g carbs. My doctor, nurse and dietician are all over the moon about my progress.

So based on this, you'd think my dietician appointment would have gone well, right?

Well, my dietician wants me to up my calories to "at least 950 calories per day", try to  introduce bread, pasta, and rice, and eat more fruit. What? It seems to me if I am losing well and my labs are good, I shouldn't be adding more calories (especially carbs). Am I wrong? I really appreciate the reality check of this forum, so don't sugar-coat (pun intended) if I am out of line on this. 

Today I had my 3 month follow up appointments. My blood tests all look excellent and I have lost 44% of my excess weight in the three months since surgery. I've been tracking my food carefully and land somewhere between 600-700 calories per day, 60-80g protein, 20-35g carbs. My doctor, nurse and dietician are all over the moon about my progress.

So based on this, you'd think my dietician appointment would have gone well, right?

Well, my dietician wants me to up my calories to "at least 950 calories per day", try to  introduce bread, pasta, and rice, and eat more fruit. What? It seems to me if I am losing well and my labs are good, I shouldn't be adding more calories (especially carbs). Am I wrong? I really appreciate the reality check of this forum, so don't sugar-coat (pun intended) if I am out of line on this. 

no,you are NOT wrong, your NUT is wrong and giving old school advice.

what you are doing is working,so I wouldn't change a thing. If you do what she suggest doing, I can almost assure you the weight loss will come to a screeching halt and you will start craving carbs again. 

As has been proven on this forum many times over, an MD, DO, RD, RN or other initials after ones name does not mean they know diddly about post-RNY care.  

No sugar-coating here... a dietitian who wants you to deliberately add bread, pasta and rice to your diet at 3 months should be prosecuted for malpractice.   I wouldn't even be thinking of that for months yet.  Maybe even years.

As for adding calories in general, well, I have never been that hung up on calories and fat... that's up to you and your comfort level and labs.

As you asked, I call them like I see them... and I see them as someone who has successfully lost and kept off nearly 200 pounds for four years now.

Audrey 

That is absolutely terrible advice. Adding bread, pasta, and rice is a terrible slippery slope for most of us. Some do add it back, but sparingly and not until maintenance.

I think you seem to be doing quite well, and I would disregard the nut. More calories do not equal more weight loss.

What Audrey and Kate said.

I had a very similar experience. I disregarded the advice completely. It really seems like a lot of NUTs just try to push us into a "normal" diet as quickly as they can. Bread, pasta, and rice have almost no nutritional value. They are just empty carbs and can cause pain for us! I know bread makes me very uncomfortable. Stay away.

The 600-700 calorie range is perfect at 3 months out. It will start creeping up later on as you can eat more, you don't have to make it happen. Enjoy the ride while you can. Do you have to see the Nutritionist?

That's what I thought. Yes, I do have to see her as part of the bariatric team follow ups, but I can just smile and nod when I see her and then go do my thing. 

Thanks everyone for your responses! I thought I was in the twilight zone when she was advising me! 

I would continue to do what you are doing now- lose your weight till you are done, then add more calories if you need.