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4 months post op and pregnant



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Recently found out I'm 8 weeks pregnant. We were using protection so this was a shock. I had my first OB appt the other day and she told me I need to be getting 2000-2200 calories a day which is impossible I can barely get 500 in right now. She was full of scare tactics and kept spouting off all these risks (mostly because of Obesity, NOT surgery) said I was high risk, but I don't know if she said that due to the fact I'm still overweight or because of recent surgery. I'll be 4 months out next week, and since surgery I'm down 86 lbs and still losing. I still have about another 100 lbs to go. But I've had 3 other very healthy, no complications pregnancies when I was much much heavier. SO I can only think losing as much weight as I have so far would improve my chances for a healthy pregnancy as long as I can make sure to get enough nutrients in to sustain the baby. That's my biggest worry! I'm doing 2 Protein Shakes a day (adds up to 60 g of protien, it's loaded with Vitamins, minerals, and amino acids), juicing green veggies, taking my vitamins (multi + prenatal) and trying to make sure I get enough hydration. Would love any other tips or tricks to getting more nutrition in so that I can be healthy and keep my baby healthy throughout this pregnancy. Thanks!!

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I haven't had surgery but I do have experience with not being able to eat much during pregnancy so I thought I'd relieve some of your fears. I had hyperemesis gravidarum (severe morning sickness) with both of my pregnancies. I couldn't eat anything all 9 months with either and ended up losing 50 pounds with my first and 70 with my second child. Most days I was lucky to get in 400 calories and even then it was crappy food, nothing healthy. Both of my babies weighed over 7 pounds and were full term. So, although I'm sure you aren't in the most ideal situation, I am sure you will be fine. Unlike with my pregnancies, the limited calories you can take in will be quality foods and will be able to take prenatal Vitamins.

I was considered high risk with both of my pregnancies but in some ways that was better because I was more closely monitored. If the high risk doctor you are seeing doesn't make you comfortable, please find one that does, at 8 weeks pregnant you have plenty of time. Maybe talk to your bypass surgeon to see if he/she knows someone that deals with post-bariatric surgery pregnant people.

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Babies get their nutrients first, even before you get yours. Just do the best you can. There is no way for you to get in 2000 calories but your baby is not going to starve. Eat as healthy and clean as possible. Protein, veggies, fruit and make sure you get enough Calcium, milk, cheese yogurt. I would not rely so much on Protein shakes unless you just cannot get enough Protein in. Take your prenatal Vitamins and enjoy your pregnancy. Congratulations on your upcoming arrival, babies are a blessing.

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 2 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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