RNY Vets--here goes....

I second the calorie-dense slider foods that we are usually cautioned to avoid along with liquid calories. Maybe take a look at the Ensure-type shakes that are usually designed for people who have trouble getting in their calories through other methods. My only concern with those is I'm sure they're full of sugar which would not be optimal due to the risk of dumping and bloating discomfort. Fat is very calorie dense and usually doesn't come with the problems sugar causes.

Good luck with your surgery and let us know how you get on.

Jen

They do have some that are lower sugar for the diabetic population.

Thank you for your well wishes. Dumping is not anything I experienced with the sleeve- other post info describe it as not so very good an experience. Is it only sugar that causes dumping? If I don't start with the simple carbs, I have no problem staying away from them.

It's usually sugary/simple carbs and it doesn't happen all the time to everyone. Here's a link to the Mayo Clinic page that gives a good overview. With the RNY, you no longer have your pyloric valve controlling the flow of food into your intestine, so RNY patients are more prone to it. Something to keep an eye out for.

Jen

Thank you for the link- it was very helpful. Appreciated!

my daughter's Mimi had severe pancreatic issues although she did not have your procedure she did have an open surgery of some sort. I know that her diet is limited but I think that has to be different with each patient. I hope you can find a support group with people who have been through your procedure because I think that will give you the most realistic spectrum in conjunction with your team. I know some teams are great with the information and support they offer and some not so much but having people who have endured the same thing is priceless. Prepare for the worst but hope for the best is my take at times. Facebook has so many specific groups. I like these forums but for really specific issues that I can't find here Facebook has given me information and support that even my surgeon's team hasn't been able to offer. We are very fortunate to live in the world we live in as far as that aspect. So much information and support is available to us that wasn't even 10 years ago.

Amen and Amen.

My procedure is being undertaken at a very high volume university surgery center w/surgeon who is an experienced specialist in this area. Thank you so much for this response. Your straightforward words are a handle I will grab on to. I take them to heart. bonnie

Are they going to remove you sleeve completely, or they plan to leave you a pouch?

Remember that you have your knowledge about WLS. Plus you have some of us here.

I would consider a few things:

• A very detailed blood work, and have it repeat 3 or at the most 6 months after the procedure. Then you can adjust your vitamins and minerals uptake. You can check what values are dropping, and increase that supplements before you hit a low levels
• Testing for food allergies and intolerances (repeat tests every 6 months or so)
• Introducing foods slow. Especially fats and carbs. Things like milk, or even yogurt would go directly into small intestine, so if you drink things like specialty coffees, you may have to change that.
• Making sure you get enough proteins and good fat. Plus some carbs if you see your body doesn't keep your BS stable.

When I used to have severe RH - due to lean proteins or liquid protein drinks, I had to add 1-2 hard candies, I would take them app 15 min after my protein meal to offset the BS drop due to Insulin dump in response to foods. Read on food Insulin index. That may help you anticipate your body reaction to foods. I.e - if I have a low carb protein shake - I try to drink it slow, and I keep candies (natural) to help with my BS. I read that on average 1 gram of sugar can raise BS by 4-5 points. When my normal BS is around 80-90, but drops to 50-60 after low carb protein drink - I need enough sugars to bring it up, i.e 4 great of sugar would help stabilize my BS at 70, and that level is high enough for my body not to freak and have a full blown RH episode. Hard candies are great for me, I keep a candy in my mouth as it slowly disolve. That candy gets absorbed from my mouth, slowly, keeping steady level of my BS.

Some of my meals that require the candy is a few slices of lean ham, turkey or chicken, or 2 HB eggs, or eggs omelette, or..

Ideally vegetables would be advised instead of candies, but vegetables have fiber, so I need more "space" in my gut to process them. And they often give me more gas and pain. At the beginning, your portion would be small, so adding something so small as a candy may make sense. I often use good quality ginger candies. Not only the help my BS, but also they help my digestion. Or high quality real mint oil candies. I often can find things like that at World Market, Aldi, Lidl, or even international section in some grocery's stores. Publix near me has some great mint hard candies. They also help witn bad breath when I do Keto-Paleo diet.

You have to find things that work for you. I love potatoes, but that can cause very severe insulin release, even small qty of " mashed taters". My friend reacts to any wty if rice.

When they remove GB, you may deal with either runs or constipation. I had to increase my consumption of fats rather slowly. And some fats are easier on my insides than others. I can eat 1/2 avocado, or handful of olives, but bacon, even crispy, can cause nausea.

After surgery - I would recommend you keep a journal of foods you eat and how you feel after. Sometimes pattern of bad reaction can show after a couple of weeks of loving things in. I.e - I can easily eat 3 eggs. Scrambled, or omelet, or HB. But I only can eat eggs every other day. And sometimes I need a longer that 48 hours time between me eating eggs.

Good luck. You got it! And you going to learn what works and what doesn't. One day at a time ! Or rather one meal at a time.!!

Just - wow.

I think a good part of the reason I chose to have the sleeve was because I "knew" there was going to be no way I could wrap my pea-sized mind around all of these particulars and contingencies, counterbalanceing, and if...thens . The sleeve seemed so simple- protein, good for you carbs, portion control, liquids in right sequence--a no brainer. Honestly, you guys are rocket scientists and rock stars!

You are right- One meal at a time, and I just must consider myself worth the effort it will take to figure this out.

Gallbladder gone already these 20 some odd years ( If the surgeons go looking for that puppy- they are out of luck..Nananaboo-boo!) As to my sleeve- the reference to RNY-type procedure regards the lower section of the sleeve- how much of it removed above the loss of the pyloric valve yet to be determined- I don't believe I will have a pouch, and I will not have a floating remnant stomach and duodenum and some of the small intestines - the duodenum will be removed and what is left of my sleeve will be attached somewhere to my small intestines

Thanks so much, H.A.L.A.B. For the details and small particulars. Good thoughts re blood work and food charting/reactions. Like Santa, I'm making a list, checking it twice, and cultivating some courage.

My prayers to you that all goes well and you are feeling better soon with the best outcome from your surgery.