Everything posted by AliveAgain
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Non Fat, Low In Sugar Yogurt
Unflavored, non-fat, Greek Yogurt is best. Depending on your doctor's guidelines, you can add your own level of sweetness later with 4-6 blueberries OR raspberries.
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Anyone Else Have Dr. Cirangle ?
Yeah, I know. The avocado is "technically" a bit of a no-no b/c of the fat content. And I love his nutritionist, she's very smart and gives wonderful guidance. So this was me straying a little from the plan. But I have two sisters who are Naturopathic doctors and they tout the health benefits of avocado to no end. It's a healthy fat, good source of Fiber (which I needed by a month out). Just be sure to keep it to a small amount, enjoy it for it's flavor and texture. I think out of a 56g Hass avocado, I would eat about 15g tops -- and only every other 1-2 days. It was a treat, not a staple. Cottage Cheese: Homemade salsa (so I could keep the sugar and salt content low), salt & pepper, tomato slices, even w/avocado. Again, measuring everything and tracking it all in MFP to watch carb counts. Even the applesauce was unsweetened or I made with real apples with my blender thingy. I had my surgery at Good Samaritan in San Jose. It went really well with no complications at all, I was very pleased with Dr. Cirangle's work. Again, they try to keep most patients away from fatty and sugary foods (even fruits) b/c it's a slippery slope to getting a taste of something so good, then wanting/adding more or going for other foods like them. It's not that avocado, blueberries, or applesauce are bad for you -- they just want to be sure you only use a small amount (in the beginning) and use it sparingly for some variety to keep you sane. But it requires self-monitoring to keep within the protein/carb/sugar/fat limits they ask of you!
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Anyone Else Have Dr. Cirangle ?
How far out are you? I do remember being quite frustrated with the limited options in weeks 2-4. I looked back at MyFitnessPal journal, though, and realized I really stuck to those items listed in my soft food phase. It did get boring, but I tried to push through it the best I could because I wasn't losing as much as he wanted me to in my first month. The best way I varied things was by having a lot of Soup with Protein added. I pureed French Onion, added Protein powder and extra tofu to Miso Soups, tomato, chicken w/vegetables, roasted cauliflower. Sometimes I would add less than an ounce of very soft things like cooked mushrooms, okra, asparagus to the broths as well. That gave me some texture, but was soft enough that with a lot of chewing was not going to do harm to the healing stomach. I also allowed very small amounts of ripe, soft avocado that would melt in my mouth. Once or twice I cooked a Trader Joe's chicken meatball - literally, one meatball - in a little broth to get it really moist. Then I'd fork it apart until it was mush, add like a teaspoon of marinara sauce (no sugar on ingredient list) and that was a nice treat. I'd still chew like crazy, but it was mush before I swallowed it. Do you have protein Jell-O? I make mine with unflavored powders?utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury powder for a different kind of treat, even now at 7 months. Do you add anything like a tablespoon of applesauce to the cottage cheese? I would stick as closely as you can to the plan. It does work, worked for me. And it will go by faster than you think. I still do all those things in the soft phase now, one of them almost every day. Once you hit solids, the variety comes back and you'll realize this was worth it. If you want to friend me on MFP to look at my old journals from Feb/Mar, then send me your MFP name. I haven't journaled in months b/c I rotate the same meals now and it was becoming monotonous
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Anyone Else Have Dr. Cirangle ?
I had surgery with Dr. Cirangle about 7 months ago. What your question?
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Attention Experienced Sleevers
Like Nate, I experienced "head hunger" in the first month after surgery. That's where I wasn't truly hungry, but my emotions missed certain foods. It got better with each passing day. Now almost 7 months out, I rarely feel hungry like I used to. I used to get wicked cravings for carbs that would literally take over my thinking. Not anymore. But I do get the normal, "Hey, it's time to eat" around lunch or dinner. It's not a ravenous feeling. And while sometimes I definitely want a lot, I still can't eat past 4-5oz of food and I feel full quickly. The only way to overeat is to do slider foods or to munch for hours. So yes, I could eat 1-2 hours after dinner. But no, I don't want to.
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Have You Sold Clothes Online?
I've been using the free photo sharing site, Flickr, to advertise my clothes on this site and Craigslist. I've had some hits, though I'm anxious to move more and get the space back in my guest closet! I'm planning to take them to some friends' yard sales this month, and a Goodwill-sponsored community sale. Hopefully that will get them moving! For those that have used eBay, do you do a reserve (pay a fee) or just take bids? I'm considering it for a ew high-end items I have. If you're looking for clothes from S/6-2X/22 take a look at mine!
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Things I Don't Like About Being Sleeved, What Are Yours?
My surgeon told me no NSAIDS for the first 6-8 weeks. He allows it after that but strongly encourages limited use, and NEVER on an empty stomach. I take simple ibuprofen (200-400mg) only as needed now, sometimes twice a week or a month longer. Never had any problems with it. But I think it's different on a case-by-case basis. I have no problems with acid, etc.
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Pcos (Polycystic Ovary Syndrome) And The Sleeve
I was diagnosed with PCOS about 3 years ago at my heaviest (275) with horrible PMS symptoms every month. I've lost 100 pounds and I will say that my PMS symptoms have gotten better, though I'm not completely out of the woods. While my OB/GYN says I appear to no longer be PCOS, I am still dealing with one large ovarian cyst on the right that is taking it's time to go away. So, yes, it's getting better - but it's still not gone yet! There is hope!
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How Much Should I Be Lossing A Month
Everyone loses at different paces, so there is no clear answer for that. It also depends on how much you want to lose overall, if you're male or female, etc. At five months, you are now living with the healed, true-new-size stomach. No you have not stretched it, that takes a lot of repetitive overeating over many years (so I've been told). And even then the most it will stretch is 2-3X it's new smaller size. You're just finally in the cruising lane where you don't get restriction quite like before when you maybe had swelling. Not sure what you mean by dieting, but yes: You still need to get 60-90g Protein daily, as much from lean protein food sources as possible, keeping your carbs to a decent minimum, and keeping calories between 700-900 depending again on if you're closer or further away from goal. Keep with lean meats, green veggies, low-sugar fruits, and work in healthy fats/fiber like avocado, nuts, lean cheeses. If candy and sodas are a weakness, then continue to keep them at bay. A lot of these changes are lifelong if you want to keep the weight off. I still drink Protein Shakes daily, at least one but sometimes two if I'm on the run a lot. They say to start weening off them around month 6 IF you are able to get in protein w/food. I still don't have an appetite at all, and forget to eat regularly.
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I Have A Hemorrhoid!
Sitz bath, sitz bath, sitz bath. You can buy them at the drugstore for like $15 and they work wonders. Warm-hot Water is best for blood circulation, NO ICE! I've fought hemorrhoids on and off since surgery. Adding Fiber is good, but I've found is can actually stop me up more sometimes. So I try not to get too much. Probiotics help me the most, a nice Super Bifido Plus with over 100Billion cells. Your doctor can prescribe suppositories that are more powerful than Prep-H. Using those can help, but it takes about two weeks to see relief. Drink plenty of water. In a pinch EmergenC packets with 500mg or more of Vitamin C every 6 or so hours will help loosen stool. But I would not recommend unless you are three or more months out. I got to a point where I wanted the doctor to laser it off, but my gyno did not recommend it. She advised that most of her patients feel worse and it just leaves a weakened area of skin and doesn't rule out them coming back.
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Cucumbers & Tomatoes
You should crave them, they're in season right now! And they're great for you. Go easy, at 6 weeks you still need to focus on Protein first. But a couple slices of cucumbers are an excellent snack, full of Vitamins and Water. And tomatoes are just awesome. I think I eat tomatoes with almost every meal, sometimes just a raw slice with a little salt, pepper and fresh basil. YUM! I'm drinking a Protein shake right now made with 1.5 scoops of Syntrax nectar Lemonade and water, and I added 1/2 a juiced cucumber, 1 cup spinach, and 1/2 an apple. Green and mean!
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Is Tylenol The Only Thing We Can Take?
I was the same, never bought Tylenol before surgery because it didn't do squat. But I found it did help (some, not a lot) when I needed it for aches/pains. Children's liquid, of course.
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Please Tell Me What You Think Of These Shake Nutritional Values
The first one is too high in carbs, especially for only 15g Protein. And it's main source is pea protein, which is not ideal. Peas are on the "somewhat" high in sugar for vegetables. Yes, there is a difference between a teaspoon of white table sugar and that in a serving of peas, but your doctor doesn't want you to have either in the first three months or so. It also has corn syrup on the label which is a big "NO!" (not just for protein). The second one is also high in carbs and fat, and is whey casenate when you want WHEY PROTEIN ISOLATE. It is the most digestible form of whey protein and is ideal for post-WLS patients. Look into Syntrax nectar and
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Bra Post Op
Hi, I'm also very large breasted. It would be great to daydream just "not wearing a bra" when outside of the house, but I understand that when you're large -- that is just NOT an option. Mine, swing, sway and hang low like a pendulum. I'm embarrassed in front of technicians just getting MRIs and xrays. I found a non-underwire bra from Aviana and wore it home with some padding made from folded gauze pads pinned between the band and the incision. Granted, I couldn't walk or go far comfortably for it rubbing or moving, but just sitting in a car was OK. I mention Aviana because they fit larger breasted women well, unlike a lot of those Genie and Ahh bras that assume if you're large in the boob, you must be tall and have a larger band measurement. (I'm short and not that large around back so the straps were always too long and the band was gapingly huge). Then sometimes, once I got in the car, I'd unhook the back (take off pressure) and just let them "rest" in the bra -- asking my husband to hook them back when I had to get out of the car.
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Thinner Protein Powder?
I can mix Syntrax Nectar's chocolate with 1/2 Water and 1/2 1% milk and and it's like chocolate milk. Very smooth, Fluid - not heavy. Same with their Cappuccino flavor, which I sometimes add 1/2 cup of decaf coffee to for a stronger flavor. unjury mixes really well, too.
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Ladies - Top Incision What Did You Do?
This was a PITA for me as all my bras have underwire. I found that taking a big patch of gauze pad, like the size of an index card, folding it once or twice, and fixing it between the skin and the band of the bra helped. Most of the time. My incision had surgical glue, so it never really scabbed or got wet. It will eventually heal, I think it was a month before I no longer noticed the discomfort.
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Done With Actigall. Side Effects?
They got back to me and told me that to be safe I should continue taking it until the rate of my weight loss slows down by 30-50%. **SIGH** I was really looking forward to not having to take them any more. I hate pills!
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Done With Actigall. Side Effects?
I'm 10 days away from my 6-month period taking Ursodiol (Actigall) for gallstone prevention. They told me to take it during rapid weight loss months; however, I continue a steady march of losing 10-11 pounds per month. Not sure if I should stop? Did anyone have symptoms after stopping it? I've put a call in to my doc and his nurse, but thought I'd ask here as well.
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I Just Messed Up I Had Peanuts
Pre-op diets vary all over the place. Some docs (like mine) only had me do liquid for two days prior to surgery. Other than that, I was just told to eat high Protein, low carb/fat and lose 10-15 pounds. He encouraged drinking Protein shakes to get to know which ones I liked so it wouldn't be a shock after surgery. You'll be fine, don't beat yourself up too much. Thankfully they are good protein Snacks, just a little higher in fat than you may want. But if you had only a little, let it go. Get back on the diet and move forward!
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Food Question... How Long Did You Wait?
At 3 mos I could eat about 1oz of sausage on occasion. My husband likes to cook them for Breakfast as a treat and I'd have a little. We're talking the big sausages (Bavarian, Jalapeno, etc) not the little breakfast links. I can't do hot dogs, couldn't before surgery without risking stomach riots. I think it was around month 4-5 I started using low-carb tortilla's for shrimp/avocado tacos and homemade chicken pizza. Could only eat about 1/3 at first, now it's rare I can finish one still. And again, only on occasion, once a week at most. I'm not a big dumpling/potsticker fan, so haven't done those yet. It was explained to me that when starches are toasted or cooked, it reduces the sugar content before you eat it. It's also easier to swallow and digest, which is good in the first two months. Just plain bread can expand in your tummy and make you feel full really fast, and carbs pass through your system faster than Protein.
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Pasta
Yes, and it's so easy to make! I love spaghetti squash, even just by itself with a little Parmesan and fresh parsley or basil. I would ask at restaurants how they prepare it since most chefs use butter, butter, butter to make things shiny and taste good. It keeps well, so even if you have a lot, it heats up quickly for a little addition to some leftover roasted chicken or filet and veggies. Yum!
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When Will I Feel Better
Give it a week, you'll feel about 30% better. At the end of two weeks, you'll be another 30%. That last bit will take the next 2-4 weeks. What you're feeling is normal. Keep sipping fluids, walk when you can, sleep when you need it, and you'll get there. I agree with SunnyCox, protein shakes may feel like a struggle to get down right now, but they will give you more energy, help you heal faster, and get you over this hump sooner. Good luck!
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Noodles?!
In general, no, it's not on the approved list of soft foods. But some docs vary on this, so I would check with yours. Noodles are carbs and not on most post-op diets, as trying to keep under 30-40g daily for the first month. However, I had strained chicken noodle soup in my soft phase and I think a *few* noodle parts made it through and it didn't hurt it any way. I would say if you're getting more chicken than noodles, you're doing OK. Sometimes if you puree the soup with a hand immersion blender helps so you don't have to chew like crazy.
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4.5 Months Out, About How Many Calories
It's good to have a target, but it's more important to keep a journal to track what you're eating (calories, Protein, carbs, fats, etc). My doctor wanted me to stay at 600 until after six months. But the more I read on here, I realized it was good to mix it up and do 800-1000 some days and then back to 600 other days. I saw that Dr. Oz calls it "Calorie Confusion" and is a good metabolism boost. That being said, I think the body can get too comfortable if you're always keeping within the same 50-100 calories every day. Try to mix it up on days you're exercising more perhaps? But always shoot for the 60-90g protein (females), keeping carbs between 40-70g, and drinking plenty of fluids.
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Pain!
Children's liquid Tylenol works well, too, and was recommended by my doctor since narcotic pain meds cause constipation.