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Nutrition Md Suggest Seeing An Endocrinologist Do To Poor Loss



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I had a band and in November had it revised to a sleeve. I weighted 293 at surgery. I got down to 282 on the liquid diet, but then have started gaining weight. Now, 2 months post op I weigh 290. I have worked with nutritionist (who is also an MD) and she had me start following a diet that requires eating more, including 6 tortillas and an avocado/day (She is in Mexico). I started this on Monday at 285 and this morning I was up to 290.

She says my diet is not the issue, that it is metabolic and to go see an endocrinologiest. Has anyone else been to see one??

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I'm no expert, but deciding your issue is metabolic after putting you on a diet that sound like its high in carbo and fat seems premature. What has your eating been like post op would you say? How much Protein are you getting, versus carbs and fat? how many calories? Was the nutrition MD familiar with bariatric procedures?

I have been to an endocrinologist several times because of diabetes and some other issues, but I guess I have more questinos for you at this point. I am sure it wouldn't hurt, but the diet she has you on sounds really odd to me.

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Oh my this must be extremely disappointing! I can't imagine how I would feel in your shoes. Althought I have never heard of seeing a endocrinologiest my opinion is do what ever it takes. I hope some other speak up and give your advice. I am curious about your original diet (not the new one with 6 tortillas and an avocado). I would like to see if your initial diet was close to mine. Right out of surgery my goals were 70 grams of Protein, 30 grams of carbs, less than 5 grams of fat per serving, 300-400 calories a day. I did up that around 4 months to 600 calories and then until I hit goal I tried to work in those daily amounts. Please keep posting...I am concerned for you.

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Prior to the corn tortilla diet I was eating about 50gr of Protein, 40gr of carbs and 20gr of fat.

Not a lot different than yours twoboysandagirl.

Julie, The Nutrition MD works directly for the Bariatric Surgeon I saw in Mexico. In the past I have seen nutritionists who also feel I need to eat more, but they didnt work directly with WLS patients, so I never listened to them before.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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