Bad advice from nut today ???????????????

I had my one year check up at both the doctor and with the nut. She told me since my volume of food will increase I need to eat like pita bread, wraps or sandwishes??????????????????? I said what ????? She said point blank question I would be better off eating 1/2 cup chicken salad on pita bread than eating 1 cup or 1 1/2 cups chicken salad. I even told her I put peppers and apple and all good things,she said well it would fill you up more on bread ???????? I went to the doctor after I told him he thought she was nuts too he said don't eat breads. Just courious what you guys thought. She also only recommends 30- 40 grams of protein. I feel better on much more than that and loose better. All my labs were good and the doc ws very happy with me. I thanked him for all the pills I do not have to take not having to use my wheel chair any more and all the changes in my LIFE. he said well he was glad that he did my surgery. He is so great !!!!!!!

It's not as crazy as it sounds.  While my nut still has me push for at least 50g of protein, after a year, it's not uncommon for them to suggest a little more variety.  My nut ok'd whole grain breads, brown rice and potatoes after a year BUT I was already at goal.  I am expected, at this point, to eat no more than 1/2c. of food, six times a day AND within 15-20 min max (the longer it takes us to eat, the more it's grazing).  Under those guidelines, those complex carbs go a long way until you eat in another couple hours.  She brought me down a bit on the protein (from 60-80g) because too much for extended periods of time, no matter the form, can be unnecessarily taxing on the liver.  If your still not at goal, but losing well, you just might want to continue with what you've been doing and incorporate her plan when your closer to where you want to be.

Congratulations on your one year surgiversary!

How much experience with wls patients does your nutritionist have?  From what I have read and heard we need  more protien than what she recomends, I have heard 60 -100 grams a day. Also with regards to bread and pita bread. I  limit myself to a slice of bread or such item  only infrequently. I have vegetables and fruit for most of my carb intake. Eating our protien keeps us more full than bread and for a longer time. I don't know if you are at goal or below and need to increase your calories not to lose much more, is that maybe why she suggested bread. If that is not the case I would not make it a habit. Lots of people feel they crave and want to eat more when they take in simple carbohydrates and start to gain back weight. Take care Sher

NUTS are funny, aren't they?  I know mine once told me to have PS to drop the last 10 pounds.  Well, I posted the thought on the PS forum and I got torched!!!  Not the most popular idea.  Perhaps your NUT is also leaning towards an unpopular recommendation. Doesn't sound right to me.  We need more protein.  I can see introducing carbs to start maintaining, but, it you still want to lose more, I'd still opt for protein firs****er, exercise, etc. Carbs do nothing for me, except act as a trigger (to eat more carbs), make me feel sluggish, make me feel puffy, etc.   I'm about to detox myself.   I went without carbs for about 10 months and then slowly started introducing them, now, at 18+ months post-op, I'm set to banish them again.   Do what feels right for you....everyone is different. Good Luck! Karen

Why don't you post to the nutrition board - there are 4 nutritionists that specialize in WLS responding on there. Here is the link. http://www.obesityhelp.com/forums/nutrition/ and they give great advise. Diona

I would have to mostly agree with the nutritionist. your protein level shpuld depend on your lean body mass.  aproximately 1-2 grams per kilo.   a kilo is 2.2 pounds, to make it simple devide your weight by 2. for example My current weight is 140 and I am at 23% body fat aproximately (at lest testing) so my lean body weight is about 101 pounds - so devided by 2 makes me aproximately 50 kilos. meaning I need at least 50 grams of protein a day.  those who exercise strenuously, lifting weights and trying to build muscle may need more.  since I do weight train I aim higher so 2 grams per kilo is 100 grams a day. I am currently recovering from plastics and not allowed to weight lift so I am going lower but not by much asI am trying to heal.  some nuts just go by what your ideal body weight would b, and not subtract the fat weight, so that may show a higher level of protein than my calcualtions.  I definately believe we need to eat carbs - but appropriate carbs - whole grains, high fiber only. whole wheat breat, whole wheat pita,  Kashi cereal, I add bran buds to all sorts of foods to meet my bodies recommended requirement of 25 - 30 grams of protein a day to have healthy intestines, avoid colon cancer, diverticulosis, constipation,  etc.  fiber can also help lower cholesterol. I also believe in appropriate serving sizes.  for example  most commercially produced bagels should be considered 4 servings - not the one serving a lot of people count it as.  a hamberger bun may be 2-4 servings depending on the size.  high fiber foods do satiate longer they take longer for your body to process.  dont confuse cheap low quality carbs for heathy ones ie cheap white bread is not approriate - but brownberry whole wheat or natures ovvens whole grain breads are. barrilla plus pasta - not white pasta,  brown rice not white rice. here is a web site with proper portions demonstrated.  http://www.mayoclinic.com/health/portion-control/NU00267&sli de=1 in the long run maintianing weight is about balance and portion control and building muscle through  exercise.

I have allowed some carbs back into my diet, but mostly just the good healthy ones from whole grains, oats, etc. I do not care for bread at all anymore, but enjoy making chicken wraps occasionally. B/c of my workout schedule, I need some carbs to burn for fuel, but you have to find the right balance for you. If you are happy and feeling fine without adding any extra carbs that's ok~you might find down the line you need to change things up a bit~its so much trial and error!!!  Also, I prefer to keep my protein intake a little higher~I shoot for 60-80gms daily which is still low compared to alot of other people. I just feel better physically when I take in that amount and if I'm eating good, dense proteins I stay full longer which is a nice benefit. Again, Congratulations on your anniversary!!!!!!!!

I had a nut named Mary Beth, and I loved her so much I named my pouch after her. She found a better job and moved away, and now I feel like a dog nobody wanted that got left on the side of the road somewhere. She used to tell me to eat whole grains. I do eat bread, but I eat Nature's Own double-fiber wheat bread. It's low in calories and helps fill me up. I usually eat 1/2 sandwich at a time, just fold a piece of that bread in half with something good inside. I seem to do better to eat 6 times a day, just a little at a time. This morning I had 1/2 egg sandwich, I'm about to eat some Kashi with a few raisins mixed in, at lunch I'm having roasted chicken that I'll dip in some FF honey mustard with some green beans, then a Fiber One bar at 3:00, wheat spaghetti tonight, and a spinach salad with turkey about 8:30 tonight. I may have to tweak things as I get further along, but right now it's working pretty well. I feel good and bouncing between 141-144 pounds.I think a lot of it is trial-and-error for us. Good luck!

I do not think you received bad advice from your nut, although it may be different than what you were expecting.   Our bodies use carbohydrates for energy and, in the long run, it's good for you to eat some carbs.  Keep in mind that, gram for gram, carbohydrates and proteins have the same number of calories (4 calories per gram), so as long as you eat a reasonable amount of carbs it should be fine.  Also, as other posters mentioned, you want to eat good carbs.  They will stay with you longer and should not cause blood sugar spikes.  Finally, eating far more protein than your body actually needs can be hard on your kidneys in the long-term.  So balancing protein with good carbs is good advice.  I'm almost 2 years out and eat about 2000 calories per day.  I also lift weights 2x per week and do cardio 4-5x per week for 45-55 minutes per session.  Most days, I eat about 250 grams of carbohydrates, 125 grams of protein, and 55 grams of fat.  Yes, I said I eat about 250 grams of carbohydrates per day.  I've lost about 200 pounds and have been maintaining at around 200-205 pounds for a couple months now.  I do agree with your doc about skipping bread, unless it's whole grain.... Good luck on your continuing journey! Kellie

Holy cow! I thought you were talking about some crazy person by saying NUT. Nutritionist! Now I get it!!! -=db=-