Everything posted by BLERDgirl
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Are you following a Paleo Diet?
I don't because being a vegetarian with multiple food allergies is enough of a challenge right. I just try to eat as natural & unprocessed as possible
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Pureed diet HELP!
Ricotta bake is like the filling fir stuffed shells topped with a little cheese & tomato sauce then baked.
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MyFitnessPal
I use it, but I don't do a specific percentage configuration. ETA: I rechecked because I have my calorie limit set to 900 and I want to get no more than 100gms of Protein a day. My numbers look like this: 900 calories 35 carbs 45 protein 20 fat. I typically get between 80 -100 gm of protein/ 750- 900 calories a day. Doing an average of the 7 days my numbers for this week are 794 calories, 65 carbs, 28 fat, 88 gms protein. I know it's a weird combination, but since I have so far to go I try to keep calories low and protein high. My carbs probably are higher than what most eat, but they are mostly plant based because I am vegetarian.
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Soda Pop
Some people go back to it, but it's not recommended by nutritionist. I quit soda over 4 years ago & font miss it one bit
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Of course I'm losing weight where I don't want to.
Bye boobs. But the butt & thighs are sticking around.
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Difficulty Walking/balance/gait/hip problems
Have you seen a doctor? None of this is normal or typical.It could be a spinal issue of some sort. I would call the doctor ASAP.
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After surgery care? Need your input!
Some of your concerns sound like they may be a result of your mental health issues. The bariatric program is not a mental health program. I have also noticed that the surgery can sometimes throw people out of whack for a bit. Perhaps the correct people to speak with would be those who manage your MH care. When I use out email system it states that it may be 2 -3 days before I get a response so I take that into consideration. What happened to me yesterday was that once she replied back we were able to coordinate when I could chat and that's how the emailing back and forth occurred. No one is trying to downplay your concerns. Diarrhea is not uncommon and therefore was not a red flag for the program. Perhaps your next step needs to be who can help get your MH issues back on an even keel and what you plan to do for the rest of your follow up care. Just please keep in mind the bariatric center is not a MH facility. They may not be equipped for that. If that is not something you can deal with then perhaps you should speak with your PCP about taking over follow care.
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Struggling
Learn how to cook. I'm not talking anything fancy, but learn to make a few basic meals that meet your nutrition goals. Then you have the choice to ask your parent to buy one or two things for you or use you allowance and purchase them yourself. The only thing you have control over is you and what you put in your mouth. Your parents have shown they are not ready yet. The fact is they may net ever be ready to diet and exercise. So it's time to put on your big girl panties and do this for yourself. Call your nutritionist and speak with her about portion sizes and the challenges you are facing. Then brainstorm about how you can work around them.
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After surgery care? Need your input!
You took notes, but no one asked about what follow up care would be like? I agree with @ladycook9713 at your next f/u appointment someone needs to ask at what intervals you will be seen and what the process is for after hours emergent care. My practice also has an email/electronic system. I am mailed copies of all my test results an bloodwork. I spent most of yesterday emailing back and forth with the NP because my Vitamin D level remains low despite taking supplements.
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2 Days Post Open Severe Nausea
If she had fluid in her lungs, moving is very important. Also have her do a few exercises like she's lifting dumb bells a few time a day.
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Lots of frustration!
I don't see you doing anything wrong. 40lbs at 3mths is a little over 13lbs a month. I also don't think the calories are too low. I'm at 6mths and my calories run between 700 -900 and 80 -100gm Protein. I'm losing just fine. If you want to exercise, check youtube for chair exercises or use handweights.
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Hi All!
Hey!
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Clear Protein
Prosource no carb is a clear liquid Protein. You can buy it online. Are you talking about Clear Liquids before or after surgery? Post op they may not be as worried about protein. Some practices just want to make sure you are staying hydrated.
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After surgery care? Need your input!
My first f/u was at 2 weeks. However my doctor schedules an actual f/u appointment. Not calling you for 2 weeks as a follow up is not uncommon. Especially since they actually had updates with the sick calls about the diarrhea. I don't know what your pre-op experience was. What types of handouts if any you were given, if your program has a support group, did you take notes at your doctor's appointments, what plans did you make for aftercare. I spoke with my nurse while in the hospital. Once it was discovered that I lived alone, arrangements were made for a visiting nurse to check on me. Turns out I really didn't need it, but it was a nice thing to have in place. I am a planner by nature. I researched the types of Protein drinks/powders that were available before my surgery. I read that some can give people diarrhea. I bought a few and tested them before my surgery. Some of this sounds like it may be due to you other issues. Are you seeing anyone for that? Your hormones may be out of whack due to the surgery. If you are on medication it may need to be adjusted. So what are you plans now for aftercare now?
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One Week Post Op
It is a lot but it's not uncommon that people don't feel full on liquids.
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"picky eaters" - my pet peeve
I cannot agree more. I've only 6 mths out and I'm sick of it.
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Atkins/Stalled
No exactly. bariatirc diets are designed to put you into ketosis, which is just a part of the Atkins theory. My carbs range from 30 -70 daily and I have been losing consistently with no stalls.
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Poop talk.... TMI
DO NOT USE THAT! It will only give you more diarrhea and possibly a lot of cramping as well. The enema is the way to go. If you have an impaction you need to break that up so that you can pass it. The alternative is manual removal.
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2 Days Post Open Severe Nausea
Having worked in an ER, I can tell you this is not uncommon. She was not in any breathing distress and she wasn't bleeding or dying. Unless her doctor called ahead and told the ER to expect her, she's gonna wait. If you speak with her doctor and they say there's is nothing physically wrong with her, she's gonna have to start to help herself. That means at the very least taking the pain meds no matter how nasty they are. If she can't drink, try ice chips. Laying there doing nothing is going to make her dehydrated and ill. I realize people have different pain thresholds, and this is your baby, but she's got to help herself.
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how are approvals handled?
The insurance company calls the shots as to how paperwork is submitted because they are the ones paying for it. If that's what they said, then that's how it has to be done. You can talk to the 2 offices and see how they can coordinate together, but ultimately if the insurance company doesn't receive the request in the correct manner, they can deny the claim. Not all insurance program work the same. Some want the request to come from the PCP, others will allow the bariatric program to make the request.
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Meat 7 days out?
@@carolinacrumb88 - why did you make a separate post about essentially the same thing?
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HELPPPP PLEASE
You aren't thinking rationally. You yourself have said it could be water retention because it's that time of the month. That's not a true weight gain. You lost 3 stone(42lbs) in 3 weeks! When has that ever happened? You have to realize that there will stop, starts and times when it will appear that you are gaining as your body undergoes this transformation. If this upsets you, throw away your scale and only get weighed at the doctors.
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At what point do I seek out a consult?
It depends on whether you plan to pay for it yourself or through insurance. Most insurance companies want at least 2 years of documented maintenance. It can be done earlier if you can document problems due to excess skin. (rash, infection, etc...). If you plan to use insurance, thoroughly check your policy before you do anything.
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Enough calories?
It only gives an alert if you are under 1000.You can close out your day but it gives this warning. It seems to bother some people, but I just ignore it. "Based on your total calories consumed today, you are likely not eating enough For safe weight loss, the National Institutes of Health recommends no less than 1000-1200 calories for women and 1200-1500 calories for men. Even during weight loss, it's important to meet your body's basic nutrient and energy needs. Over time, not eating enough can lead to nutrient deficiencies, unpleasant side effects & other serious health problems. To safely meet your goals: Focus on consuming nutrient-rich foods and beverages Check your progress in MyFitnessPal throughout the day Add nutritious Snacks between meals as needed"
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1 week post-op
Your body already told you the answer. Give yourself time to heal.