Jump to content
×
Are you looking for the BariatricPal Store? Go now!

First Nutritionist Appt Yesterday -- Surprises



Recommended Posts

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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. :)

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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. :)

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×