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First Nutritionist Appt Yesterday -- Surprises



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First nutritionist appointment yesterday -- she was very nice and informative however she said something that kind of took me by surprise. She was looking at my stats -- weight, BMI....

She says ok, "lets see, you have one year to get 100 pounds off". I said yeah, that would be great. Then she says ." you only have a year to do this. This doesn't go on indefinitely, you only have about a year. After that, pretty much where you are is where you are going to stay". I must have had a surprised look on my face because she said again, kind of scolding --- "Yes, you have about a year do get off as much as you can because after that is where you'll stay".

That is not the impression I've gotten from VST. I would say, yes, the majority of people lose the majority of their weight in the first year-- that makes sense, but there are many that are still losing after a year. Right?

She was also very dramatic when I mentioned I was dreading the pureed/mushy. She said. "we're not doing anything to your teeth -- YOU CHEW" I do not want you pureeing food and only eating mush. I want you to CHEW your food until it is soft. And I DO NOT want you eating baby food, for Gods sake. All these people come here and say their pureering food - ridiculous! They need to use their teeth!"

Thoughts?

Dana

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I thought the pureeing was so we didn't accidentally swallow something too big and hurt our healing stomachs. There seems to be a huge difference in the diets and nutritionist. I don't think it would hurt if you wanted to do purees for awhile. I know I couldn't chew up my food enough to feel comfortable for weeks. How long is your liquid phase? Maybe if they do a longer liquid phase they skip pureed?

I haven't heard of the where you are at a year is where you will stay. I think there are people on here who took longer than a year to get to their goal. Sure it is faster at first but I think if you diet and exercise you can keep loosing weight after a year.

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I was told that the stages: clear liquid, full liquid, puree, soft, regular are all stages designed to help us adjust to our new stomachs. Additionally, as TraceyC stated, it helps us heal so that we don't accidentally cause any undue damage. It sounds as though your NUT has some preformed opinions and perhaps you should take that info back to the surgeon. Also, might I suggest switching to a different NUT...much like any counselor you should find someone that you can mesh well with. That way they can help you post-op too.

Good luck. :)

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I just ate food that was naturally that way during the pureed/soft food stage like refried Beans, hummus, cottage cheese, blended Soups, etc. There is plenty of time later for chewing. It's not like you'll get out of the habit.

Also, the bit about only having a year is BS! As you get closer to goal, it is harder to lose, but you can lose weight at any time like anyone else, plus you have the sleeve as a tool. Their is no magic that halts you at a year just as there is no magic that says we can only lose 60% of our excess weight.

You're right. It takes many people longer than a year to reach goal. I have spoken to them here. It's just that some people tend to fall back into old habits. All of that is entirely up to you.

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I was told "majority" of the weight comes off at the beginning but not that it completely stops or becomes impossible (but 100 pounds over 52 weeks is very reasonable).

Also, my doc absolutely INSISTS on the puree stage with absolutely NO LUMPS. He is adamant about you not damaging your sleeve. Says you must puree it before it goes into your mouth.

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The medical field is full of generalities. They love to gather up tons of data and talk averages and percentages. That doesn't mean you can't keep losing after a year and it also doesn't mean that if you have bad habits you'll keep losing after 6 months. There are lots of people able to lose tremendous amounts of weight without surgery but these bariatric surgeons like to make it sound like it's impossible.

It's your body and your health. Don't let someone else stop you from achieving your goals.

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Yeesh. Your NUT sounds like real jerk. You have to use your teeth? That's preposterous. Your teeth won't fall out if you don't use them, at least during a puréed food stage.

And I've never heard that you have one year. That doesn't sound logical. I'll ask my surgeon about that but I bet he'll just laugh.

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on the 1 year: My doc says that 60% of the weight loss occurs in the first 6mos. However, he didn't cap it to a year. He just said, "get up and move (exercise), eat right (protein & vitamins), and drink drink drink (water~not alcohol)" the rest will take care of itself.

I love my doc. :)

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Yeesh. Your NUT sounds like real jerk. You have to use your teeth? That's preposterous. Your teeth won't fall out if you don't use them' date=' at least during a puréed food stage.

And I've never heard that you have one year. That doesn't sound logical. I'll ask my surgeon about that but I bet he'll just laugh.[/quote']

The "one year" is just a window of time where the weight loss is the easiest. It is certainly ideal to focus on getting to goal during that year, but it isn't absolutely necessary. My Dr called it the honeymoon stage. He said take advantage of it, because once it's over....it's over. But to say you can never lose a pound after that is ridiculous.

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First nutritionist appointment yesterday -- she was very nice and informative however she said something that kind of took me by surprise. She was looking at my stats -- weight' date=' BMI....

She says ok, "lets see, you have one year to get 100 pounds off". I said yeah, that would be great. Then she says ." you only have a year to do this. This doesn't go on indefinitely, you only have about a year. After that, pretty much where you are is where you are going to stay". I must have had a surprised look on my face because she said again, kind of scolding --- "Yes, you have about a year do get off as much as you can because after that is where you'll stay".

That is not the impression I've gotten from VST. I would say, yes, the majority of people lose the majority of their weight in the first year-- that makes sense, but there are many that are still losing after a year. Right?

She was also very dramatic when I mentioned I was dreading the pureed/mushy. She said. "we're not doing anything to your teeth -- YOU CHEW" I do not want you pureeing food and only eating mush. I want you to CHEW your food until it is soft. And I DO NOT want you eating baby food, for Gods sake. All these people come here and say their pureering food - ridiculous! They need to use their teeth!"

Thoughts?

Dana[/quote']

I think u need a new nutritionist.one with a more possitive attitude. lol .u only have to go on this site to see shes full of s... She prob a bit over weight .and is gutted that she cant have it done lol.

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I think u need a new nutritionist.one with a more possitive attitude. lol .u only have to go on this site to see shes full of s... She prob a bit over weight .and is gutted that she cant have it done lol.

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Hi alex dont really know how to send things on here.but il try it.i would like to say thank u.im so glad I found this forum.id be lost with out it.

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The "one year" is just a window of time where the weight loss is the easiest. It is certainly ideal to focus on getting to goal during that year, but it isn't absolutely necessary. My Dr called it the honeymoon stage. He said take advantage of it, because once it's over....it's over. But to say you can never lose a pound after that is ridiculous.

This is definitely what she meant but my question to her (which she didn't really address) was what about the people who have to lose say 200 pounds -- is it reasonable to think they will lose 200 pounds in one year? I'm sure weight loss continues. I didn't mean to imply that I thought she meant," ok, year is over, you're done" I just was surprised that she came at it from almost a negative position instead of saying, hey the first year is where you will have the most success so lets make sure you get the most bang for your buck.

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I think u need a new nutritionist.one with a more possitive attitude. lol .u only have to go on this site to see shes full of s... She prob a bit over weight .and is gutted that she cant have it done lol.

lol... guess what? You're right! She is overweight!

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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.
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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.
      · 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.

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