Question:
Not a question, but a valuable recommendation

I am sorry, but this is not a question. Many of you are asking questions that should have been addressed by your surgeon or nutritionist LONG before surgery... but apparently haven't. I STRONGLY recommend reading "Before and After" by Susan Maria Leach. She is 6 years post-op RNY, having lost 131 pounds and kept it off. The book is a brief bio, brief pre-op journal, post-op journal, list of questions and answers (to exactly the kinds of questions being asked on this board), and 135 low-carb, high protein recipes for living and eating well after weight-loss surgery. I got this book after another gastric bypass acquaintance recommended it - saying it was her "Bible" - and I can see why. I am pre-op gastric bypass, just waiting for my insurance to approve the procedure, and I have already been on the high-protein, low carb diet since October. I've lost 25 pounds so far, because my surgeon required me to lose as much weight as I could before the bypass, to help reduce the fatty liver, and also, to get used to "living the plan". I am living off of fish, turkey, chicken, cottage cheese, regular cheese, and a very few vegetables. I've been in preparation for this surgery ever since I decided in September to do it, and it is hard for me to understand those on this list who would work so hard to get approved for surgery, then after healing, think that they can go back to eating the way they did before. Sugar is a NO-NO. White carbs (potatoes, pasta, chips, popcorn, BREAD) are a no-no. Even if you are ABLE to eat them without being sick... they are NOT a part of your life-long eating plan. I highly recommend this book, please get it and follow it. I got it as part of a "beginner's kit" from another bariatric site.    — Erica Alikchihoo (posted on January 7, 2009)


January 7, 2009
Yes, it is a great book. And it is just that, a beginners book.Bad habits have a tendency to creep back. Even Susan Maria has gained some of her weight back. Keeping it off and battling old habits is the real trick.She has a weekly online support group. Listen in, she talks about it. I can see where you're coming from as a pre-op patient. I am definately having to work extra hard to stay in control. Of course we know what the no-no's are, but saying no is another story.
   — bariatricdivalatina

January 7, 2009
Hi, Erica I realise alot of questions that are posted should be directed to the Doctors. Not all Doctors are as supportive as they should be and do not well inform their patients. Which is sad. At times people need to ask if this or that has happened to any of us that may have experienced this during our journey. Of course they should always ask their Doctor about any medical question and I would hope they would but when in the time of need, we need to be here for each other for any question. Some people are addicted to food or any way eat for different reasons maybe different then you or I and maybe never shared this with their doc thinking this surgery will be a quik fix then old habits pop up and here we are. I hope that makes since. I had RNY July 16th, 25 pounds prior and 88 since 113 total. I have read Before and after also 2 times prior and I have it aon hand . Great recamendation. All doctors are different. I can eat all of the no no's u mentioned my Nutricionalist says anything as long as not too much and only after protein our bodys need what are in these foods.(except maybe the popcorn) most of these I choose not to cause they do nothing for me.Sugar is a nightmare for me only finding out by drinking certain things or eating certain fruits. You are doing great, alot of people struggle during this preop time because of the fact of their eating habits prior to this. I feel the same we have come to far to go back but if you never had an eating problem you may not understand why some of these people return to old habits its comforting to them and they never have delt with this issue prior. I would hope they use their tool to live. This is part of this surgery some are suseccful some fail as in anything you have done your homework you have read the same as me it happens you or I may have a better chance because we wanted this so bad and we where well informed both by ourselves and our Docter and Team. It saddens me also to see people go backwards I hope by them posting we can help them when in need. Sorry so long and I wish the best for you.
   — Tammi Sandoval

January 7, 2009
Amen! I sometimes read these questions and shake my head. You don't go into this type of surgery blindly. Do your research before hand. If your doctor/hospital doesn't include pre-surgery training classes, you need to find one that does. Being an informed patient makes you a successful loser. The surgery is NOT a magic bullet. It is a tool which must be used with a new way of thinking, eating and living. You can NEVER go back to the way you were eating in the past. Ongoing sessions with a good therapist is a must in order to address the hidden situations in your life that brought you to the point of obesity. Good luck to all of you in the year ahead.
   — [Deactivated Member]

January 7, 2009
I too loved Susan's book. But I would also recommend Weight Loss Surgery For Dummies. It was very informative, discussing so much of what to expect each and every step of the way!
   — Sunny-Day

January 8, 2009
I agree with your recommendation of this book but I must say I was told to eat potato's and pasta as part of my life long eating plan. So not everyone's Dr. and Nut are the same. They told me I do need these carbs sometimes. Just thought I would let you know. Have a beautiful day!
   — bridgadean

January 8, 2009
I happen to disagree with your "NO-NO's" as a lifestyle change. Cutting out any food group is cutting out valuable nutrition which as an RNYer we already have nutrition issues with the malabsorption of fats and nutrients. Vitamins and supplements MUST be taken as a lifestyle change....Vitamins are taken in ADDITION to eating normal balanced healthy meals that contain natural vitamins. You suggest cutting out vital nutrition on a long term plan. I am sorry to be so blunt, but your big statement does not belong here...You want to start a disscussion POST it on the forums where it is more appropiate. Your diet right now is fine short term...You need a crash course on good carbs vs bad carbs before you hurt yourself! Here is a great site to explain carbs before you cut out or recommend others to cut carbs out of their "life-long plan"....This is from the Franklin Institute http://www.fi.edu/learn/brain/carbs.html If you are uncertain about foods and want a full analysis of what exactly is in your food, save this site. You will see what valuable nutrients you will be cutting out of your diet when you exclude an entire food group: http://www.nutritiondata.com/ I eat PLENTY nutritious complex carbs...daily...with most of my 5-6 meals a day! For 5 years...for a total weight loss and maintence of 150 lbs lost...I started at 315lbs and weigh 165lbs average for 5 years! In those 5 years, I learned that carbs do not make you gain weight...eating excess calories and over eating do. Eating sugar is wasted calories...No nutrition at all...White flour has lost most of it's nutrition too and so I stay away from white flour as well...But fruits and veggies and grains offer us the most potent and natural antioxidants and vitamins/minerals/etc. I have not and will not give up carbs as "life-long plan" to be thin as carbs are an important part of my LONG-LIFE PLAN to be healthy! I wish you much luck and make sure to take your vitamin supplements because you will need them guarenteed! You might consider taking many extra vitamin supplements to make up for what you are not getting with fruits, veggies and whole grains (including potaotes and rice). You should also do some research on the long term effects of a low/no carb diet...Also, if this has been so easy for you now that you've got a "bible" on weight loss, you might re-think having surgery at all!! 25 lbs! Good for you...
   — .Anita R.

January 8, 2009
I don't agree entirely on your "no-no" list. Of course I'm not on here asking food questions either. I don't do bread or pasta. I've added brown rice to my diet. I still eat potatoes, but not much. For me potatoes help me break down meat in the chewing process to make it easier to digest. That is why they are still in my diet. There are many types of potatoes as well. Protein chips are available (so saying no chips is too general). The main thing to consider is leading a low-carb, low-fat, high protein diet....NOT a no carb all protein diet.
   — Launa N.

January 8, 2009
I completely agree with Anita R. Also this was not the place to post such a thing, take it to the main board.
   — Katrina B.

January 8, 2009
I agree with you. My surgeon recommended this book along with several others, I wish I would have had the list even sooner in the planning process. If pre-op patients would put the diet into practice before surgery I think we'd be far more prepared for after surgery. I had read a lot, an even this book, but had not got real super serious about changing to the actual diet itself. Oh, it didn't take but a couple weeks to get it down, but how much easier those first few weeks would have been had I already been 'cooking' the new diet. I can't blame my surgeon's staff because I was all-over the web looking and planning but just didn't put ENOUGH energy into the actual diet planning and trying it out. I bought everything had it on the shelve but still failed to connect how important it could be to follow through beforehand. I wish good luck to everyone in the pre-planning stages and urge you to get these good books and do your research...not only on what protein drink tastes best but what the rest of your future diet will be. Start living it before surgery. Get your supplements/vitiamns planned and started while you have the leisure time to check them out. Waiting until the last minute will just add stress to you when you need to be calm getting ready for the surgery.
   — angelvh2

January 9, 2009
People do not think they can go back eating they way they did, it just happens. Life happens, stress happens, all the things that made people emotional eaters in the past happen. When you have this surgery, they fix your stomach not your head. You need to fix what caused you to get fat in the first place. I am 5 1/2 years post op. I am an "all occasion eater" I eat when I am happy, sad, mad, stressed. At first it is not easy to eat crap, try it once and you will feel horrible but after years you can eat it. Years down the road it will take lots of willpower to not eat the candy sitting on your co workers desk, not to want to go out to dinner because you are too lazy to cook, not to grab a handfull of chips. It is like being on a diet for the rest of your life.
   — Carlyn M.




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