NUT has me sooo confused!
My surgeon and his nurse practitioner have given very good, solid advice/requirements that seem to line up with most of the plans on here: Minimum 80 g protein/day, 600-800 calories, protein-dense foot first and carbs < 40-50 grams.
I emailed the nutritionist in their office with a question about sugar alcohols. She responded with a lot of info but said I should be aiming for 1,000-1,500 calories/day, 100 grams carbs, and minimum 80 grams protein - hello, confusion!
She said I should follow the pre-op eating plan, the one their office requires patients to go on 2 weeks prior to surgery. Is it just me or is this waaaaay too many calories and carbs? She says as long as I'm losing 1-2 pounds per week, I'm in good shape - um, no, that's what I'd expect on a "normal" diet plan, not my post op results!
I'm just very confused and frustrated. This is the second time that she has directly contradicted them and I don't know what my next step should be. She said she's going to turn my email/questions into a newsletter that she sends to all of us once a month...so now I feel everyone will be getting contradictory information!
All I know is what worked *for me* which was the plan given to you by your surgeon/NP.
I am, quite honestly, thankful that I did not have to answer back to anyone, be checked in on by anyone, be held to anything by anyone else but ME, so I did not have a nutritionist to confuse me, or a doctor's standards that might have been high enough for me to doubt I was doing very well.
So.. I dunno, my love. I do not think you are going to get a huge yea or nay, since there are so many of us and we all do things a bit differently.
But here is what I *also* know about me, its easier for me to get used to lower cals and THEN bump them up, than it is for me to get used to higher cals, and THEN bump them down, especially if a lot of those calories were carbycals.
But at the very beginning, you will not be able to eat the 1000 to 1500 calories per day *anyway*
Maybe let your surgeon/np know that all of their team members are not on the same page, just in the interest of less confusion all the way around?
Id follow the surgeons advice if it were me. Thats just my $.02.
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160 lbs lost. Surgeons Goal Reached in 33 weeks. My Goal in 37 Weeks.
VSG: 11/2/2011; LBL+Thigh Lift+BL: 10/3/2012; Brach+Mastopexy: 7/22/2013
Conservatism dictates that one should start on the low side on the calories and work up from there if needed - not everyone works well with the low carb game and it isn't essential for weight loss, but it's a lot easier to add more calories/carbs/fats as you proceed and are experiencing a good weight loss rate than to cut back if you are going too slow or stop too early.
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
The Nut does work in their office so I was seriously thinking of alerting them to the discussion, just so they know things are being confused. This is the second or third time she has contradicted them, so I don't think it's the most professional situation.
I haven't been doing anywhere near 100 g carbs/day and agree - it will be way easier to slowly inch them up then to do that now and have to drop them back! Just reading the email, everything seemed so HIGH!! I was like, "Holy crap, I can barely get in 500 calories a day right now, let alone 1500!"
Again, thanks again for the words of wisdom and the verification that I'm not losing my mind :)
It happens, in life, at home, at the office, with our vendors, blahblah. It just is helpful when someone has insight to let people *who can change the situation* know!
And sad to say, you may well be losing your mind :} but not about this.
First step, in my opinion, is to contact the surgeon and/or NP and alert them that she'd giving direct contradictory advice to their patients and causing great confusion. Secondly, I'd follow my surgeon and NP's advice over a nutritionists advice.
We never talked about sugar alcohols....I simply cut it down to basics and didn't consume anything (to my knowledge) that had it. 60gm max protein per day in preop is all I remember. Less than 1000 cals a day for sure, didn't count fat or anything else.
I was sleeved 2 weeks before you and there is NO way I could eat that many calories unless I was eating biscuits and gravy and fried potatoes! Perish the thought... Anyway, when I saw my Doc 2 weeks ago he was upset with me as I was only eating 450 calories/day. He said I needed 700-800 per day of course mostly protein. I still have trouble with that and am lucky to get to 650, but I feel good and everything seems to be progressing normally. I would listen to your Doc and his nurse and maybe discuss the situation with him next time you see him. As far as weight loss rate, I am considered a "lightweight" as I started at 232/216 approval weight and am now only losing 1-1/2 to 2 lbs per week and am completely happy with that. I will still get to goal by August and I know I could not have done that on my own and kept it off! Sorry for your confusion and hope you get some resolve soon.