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Persistence
on 6/8/19 8:29 am
Topic: RE: Starting Over after Pouch Reset

Hi Chantelle,

My surgery was in 2010 and the pouch reset worked for me. Some one suggested to skip all that and just go to protein first then veggie, and no carbs. I can't attach these files but I am using the follow-up plans I am doing now. When I get off track I just keep starting over. See above post for the whole 10 day reset plan or see below for what I am doing now.

Bitmoji ImageMaureen

Get Back on Track Bariatric Meal Diet

Breakfast CAL PRO CHO

2 Protein 2 egg, or 1 egg & turkey bacon 110 14g 0g

1 Starch 1 toast (Dave's Lite) 60 3g 15g

1 Fruit ½ grapefruit or 3 prunes 60 0g 15g

Fat: Pam spray or ½ tsp ghee

230cal 17g 30g

Lunch

2 Protein: 2 ounces lowfat turkey, chicken, tuna, or salmon 110 14g 0g

2 Vegetable 1 cup (cooked) broccoli. cauliflower, asparagus, or green beans 50 2g 10g

1 Fat 1 tsp ghee, butter, or 2T lowfat mayo 45 0g 0g

205cal 16g 10g

Snack

1 Milk 1 reduced fat string cheese, ½ c (4 oz.) nonfat yogurt or cottage cheese 90 13g 5g

1 Fruit 1 small (4 oz.) apple, orange, ½ c canned fruit or applesauce 60 0g 15g

150cal 13g 20g

Dinner

2 Protein 2 ounces baked fish, or shrimp 110 14g 0g

2 Vegetable 1 cup (cooked) broccoli. cauliflower, asparagus, or green beans 50 2g 10g

1 Fat: 1 tsp ghee, butter, or 2T lowfat mayo _45____0g____0g____

205cal 16g 10g____

TOTAL: 790cal 92g

Less 2 fruit + 1 PRO = 880 calories and 99g PRO and 30g CHO Less 2 fruit = 670 calories and 30g CHO

Chantellecortez
on 6/6/19 6:31 pm
Topic: RE: Starting Over after Pouch Reset

Hi!

I am 10 yrs post RNY this month and have recently had some serious weight gain, 35 pounds. I did very well maintaining the weight loss (320lbs at surgery, 185 steady until recent weight gain) and only began gaining after having my second child in Nov 2018 (gained a total of 7 lbs while pregnant).

I find that I have returned to ALL my horrible eating habits and am having a really hard time controlling myself.

I was looking at doing a pouch and mental reset and was just hoping to get some input....

All opinions and suggestions are welcome!

My questions are:

Would a pouch reset work this far post surgery?

Do you think a couple of weeks of optifast be a good way to reset the pouch and then slowly reintroduce foods following the full liquids to full diet method?

Any thoughts or advice are greatly appreciated, thanks in advanced! :)

H.A.L.A B.
on 6/5/19 1:05 pm
Topic: RE: Reactive Hypoglycemia VS Insulin Resistance

I have hypoglycemia, RH (Reactive Hypoglycemia) and I have insulin resistance.

A long time ago I bought a blood sugar meter and I periodically test my blood sugar to be able to distinguish between, Hypoglycemia, RH, and High sugars. A person can have insulin resistance (IR) and RH.

I most likely have IR from before I had my RNY. Post op, since my gut ha been rerouted, it response to carbs or sugars with releasing too much insulin. Even with insulin resistance, too much insulin compared to normal person would still drive the BS down, causing RH.

Beside RH I also can get the simple hypoglycemia in a middle of the night or in the mornings. I developed adrenal insufficiency, and our body needs cortisone to control insulin and to bring the glycogen stored in the liver or muscles to balance low BS. Too much steroids can create insulin resistance, but not enough - the body may not know when to stop releasing insulin and bring sugar from storage to replenish the used blood sugar.

Our body is such a complicated machine, and when one element failed, all the others may not be properly balanced.

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

JA
on 5/28/19 12:23 pm - East Haven, CT
Topic: RE: Starting Over after Pouch Reset

Thanks so much; I actually returned to the gym (I was absent for a long time) and got rid of "most" of the carbs and sugar and I'm down 3 lbs. I truly do know what to do, but I get lost some times. All these years later, and it is still so hard. I really laugh when people say WLS was the "easy way out." They never experienced what we do.

I wish you nothing but the best; feel free to reach out for support any time. I try to pop in here from time to time; there is always "good stuff" here.

JA

Persistence
on 5/28/19 9:41 am
Topic: RE: Shrinking stomach

Hi there. You asked..

"Has anyone else experienced this? Is the key to keeping good restriction just eating smaller amounts so the stomach doesn't stretch very much?"

Research shows that two years after the sleeve operation, the volume of stomach can double--that's natural and it's no one's fault. As the stomach expands, some patients begin to eat more, and we can also change our eating patterns from our original post-op plan. Portion control is the hardest thing for me. I kick-started starting over with the post bypass plan, setting limits, weighing and measuring my food again. This has knocked out some of the stomach issues I was starting to acquire. I keep forgetting that I lie and cheat about my food and that's part of the problem that got me to the surgery in the first place. I don't intend to give advice, but if physical symptoms dangerously persist, of course see your doctor.

Bitmoji ImageMaureen

Persistence
on 5/28/19 9:16 am
Topic: RE: Starting Over after Pouch Reset

JA,

Good for you to catch yourself so early! I went into oblivion mode and gained 36 pounds. What got me off, I think, is having issues with certain foods and then replacing them with easy to swallow starches. The Pouch Reset is a plan to (?) restore the pouch to its original size by starting over with clear liquids etc... I researched and found a ten day plan that got me restarted. I posted it in the RNY forum and someone responded with a simpler plan that worked for her. For 8 lbs, her plan is probably just as, or even more effective. She recommended forgetting the liquids, oatmeal, fruit etc. and just going back to protein and 1/2 c veggies, which is what I am doing now. Keeping it simple seems to be important for me. I copied the Reset plan below if you want to see it or readjust it, or just forget it and go simple. I don't really intend to give advice. Keep me posted...

Bitmoji Image Maureen

Pouch Reset

  • Day 1: Clear Liquids

1 cup ho****er with lemon and honey on arising and ho****er throughout day.

Breakfast (8:00 AM)

  • 1 bowl gelatin
  • 1 cup of coffee or tea, without dairy products
  • Sugar substitute or honey, if desired

Snack (10:30 AM)

  • 1 cup of coffee or tea, without dairy products
  • 1 bowl gelatin
  • Sugar substitute or honey, if desired

Lunch (1:00 PM)

  • 1 bowl gelatin
  • 1 glass water
  • 1 cup broth
  • 1 cup tea with honey

Snack (3:00 PM)

  • 1 pulp-free ice pop
  • 1 cup tea, without dairy products, or a soft drink
  • Sugar or honey if desired

Dinner (6:00 PM)

  • 1 bowl gelatin 1 cup broth
  • 1 cup broth
  • 1 cup coffee or tea, without dairy products
  • Sugar or honey, if desired

Days 2 and 3: Liquid Proteins

1 cup ho****er with lemon and honey on arising and ho****er throughout day.

Breakfast (8:00 AM)

  • 1 protein shake
  • 1 cup of coffee or tea, without dairy products
  • Sugar substitute or honey, if desired

Snack (10:30 AM)

  • ½ cup nonfat Greek yogurt
  • Sugar substitute or honey, if desired

Lunch (1:00 PM)

  • 1 protein shake
  • 1 cup tea without dairy products
  • Sugar substitute or honey

Snack (3:00 PM)

  • ½ cup Pudding (low-fat, sugar-free, no added sugar)
  • Sugar substitute or honey if desired

Dinner (6:00 PM)

  • 1 protein shake
  • 1 cup tea
  • Sugar substitute or honey, if desired

Snack (8:00 PM)

  • ½ cup nonfat Greek yogurt
  • 1 cup tea, without dairy products, or a soft drink
  • Sugar substitute or honey if desired

Days 3 and 4: Pureed Foods

1 cup ho****er with lemon and honey on arising and ho****er throughout day.

6-8 cups non-carbonated sugar free beverages throughout day

No drinking ½ hour before or after meals (1 cup of coffee or tea, without dairy products, Sugar substitute or honey, if desired)

Total volume per meal no more than ½ cup

Breakfast (8:00 AM)

  • ¼ cup scrambled egg and ¼ cup applesauce

Snack (10:30 AM)

  • 1 protein shake

Lunch (1:00 PM)

  • ¼ - ½ cup split pea, lentil soup

Snack (3:00 PM)

  • 1 protein shake

Dinner (6:00 PM)

  • ¼ - 1/3 cup mashed tilapia or tuna with 2 T. soft cooked vegetables (avoid fibrous)

Snack (8:00 PM)

  • ½ cup nonfat Greek yogurt

Days 5, 6, and 7: Semi-Soft Foods

Breakfast (8:00 AM)

  • 1 scrambled egg and 1 oz. low-fat cheese, or
  • ¼ - ½ cup oatmeal made with milk plus 2 T protein powder

Snack (10:30 AM)

  • ¼ - ½ cup 1% cottage cheese and 2 T fruit (no skin or seeds)

Lunch (1:00 PM)

  • ¼ - ½ cup split pea or lentil soup, or cream soup made with 1%milk

Snack (3:00 PM)

  • 1 protein shake

Dinner (6:00 PM)

  • ¼ - 1/3 cup tilapia or tuna with 1-2 T. pureed cooked vegetables

Snack (8:00 PM)

  • ½ cup nonfat Greek yogurt

Days 8 and 9 Solid Foods

Breakfast (8:00 AM)

  • 1 scrambled egg with diced tomato, onion , and 1 T black olives, or
  • ¼ - ½ cup oatmeal made with milk plus 2 T protein powder

Snack (10:30 AM)

  • ½ cup nonfat Greek yogurt with ¼ cup allowed fruit

Lunch (1:00 PM)

  • 2-3 oz. tuna with light mayo and cucumber slices

Snack (3:00 PM)

  • 1 Low-fat cheese stick and apple slices without skins

Dinner (6:00 PM)

  • 2-3 oz. tilapia, tuna or chicken with ½ cup cooked vegetables (broccoli)

Snack (8:00 PM)

  • ½ cup nonfat Greek yogurt with ¼ cup allowed fruit

JA
on 5/28/19 8:48 am - East Haven, CT
Topic: RE: Starting Over after Pouch Reset

That is fabulous news! So happy for you. I am struggling as well. Had RNY in 2004 lost 100 lbs, kept it off all this time, but have gained 8 lbs and while that doesn't seem like a lot; it's enough for my clothes not to fit, and scary! What is the pouch reset?

Andibabe
on 5/27/19 10:25 am, edited 5/27/19 10:26 am - Sharonville, OH
Topic: Shrinking stomach

I'm 9 years post VSG, and I still have pretty good restriction, but I can eat half a sandwich and a cup of soup at Panera, for instance and feel full from that. But the soup has to be watery, and often I only eat half the bread on a sandwich. Anyway, you get the picture.

Last December, I had a stomach virus or something and wasn't able to eat much for a day. THe next day it was as if I'd just gotten home from surgery. I could hardly eat anything. (Which is good because I've regained some and want to get rid of it.) I mean, I couldn't even finish half a cup of soup. Over time, this went away.

Well, a couple of days ago, I again had some kind of stomach issue and couldn't eat dinner. The next two days, it's again like I just got out of surgery. There is a ton of restriction.

Has anyone else experienced this? Is the key to keeping good restriction just eating smaller amounts so the stomach doesn't stretch very much?

    
Persistence
on 5/26/19 10:53 am
Topic: Starting Over after Pouch Reset

I am returning to OH after many years. My RNY was in 2010. I got down to 189 and then regained 36 pounds over the last eight years. I started having trouble handing more and more foods and having dumping syndrome. I am starting over and just completed a 10 day pouch reset plan and have a beginning loss of 8 lbs. I have not had any symptoms since beginning again. I really want to get to my goal even though I am much healthier now than I was before the RNY. My goal is 140. I have tried to restart many times and have given up after the first or second day. I am really pleased I have gone these 10 days. I am hoping that some of you who have regained the weight, or regained and lost it again will share and support with me your successes.

Bitmoji ImageThanks, Maureen

Persistence
on 5/26/19 10:45 am
Topic: RE: New year....NEW YOU (me too)

I am returning to OH after many years. My RNY was in 2010. I got down to 189 and then regained 36 pounds over the last eight years. I started having trouble handing more and more foods and having dumping syndrome. I am starting over and just completed a 10 day pouch reset plan and have a beginning loss of 8 lbs. I have not had any symptoms since beginning again. I really want to get to my goal even though I am much healthier now than I was before the RNY. My goal is 140. I have tried to restart many times and have given up after the first or second day. I am really pleased I have gone these 10 days. I am hoping that some of you who have regained the weight, or regained and lost it again will share and support with me your successes.

Bitmoji ImageThanks, Maureen

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