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Do you/Did you trust your NUT/Dietitian?



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I've done this all without using any kind of NUT post surgery. I find the bariatric forums much more informative.

I totally agree, i shudder to think where i would be if i wasn't using forums to gain information . I'd Probably be eating 90% bread and Pasta.

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I trust mine but I have had several horrible nutritionist in the past. Prior to looking into WLS I saw 3 separate nutritionist. One insane lady kept asking me to eat chicken breast even after I had explained I was vegetarian. The worst one was one I was sent to by my endocrinologist. Once she started telling people it was okay to drink diet soda, I knew I was done with her. I then saw a holistic nutritionist who I really liked. Unfortunately her practice was nearly 2 hours away and she was too pricey for my budget.

Finding a program that was willing to actually have a conversation with me about food options and work with my allergies & vegetarianism was a deal breaker. I don't like to eat a lot of processed and artificial foods no matter what the calorie count. I needed someone who understood and could accept that. If I felt that wasn't going to happen I would have kept researching programs. I do think you we need to take some responsibility and do a little research on our own, but I expected to have a reasonable conversation with my nutritionist. I like and trust the person I have now, but I understand why many don't.

Speaking for my self, I am limited in what knowledge I can share in an online forum. When someone post that they aren't losing but they are following a good eating plan, however they also have medical issues, I think the wise thing to do is direct them to their medical team or nutritionist. It's not a cop out, it's just understanding the limitations of how much support you can provide in an online forum like this.

I'm sorry if i sounded like i was having a go at forum members who refer other posters to seek advice from their doctor/nuts. I just wanted to see how many people are having issues with their nut like me.

Also, the thing about researching online about weight loss is a huge part of it is people's opinions and experiences which can be very relative in regards to other people. I feel comforted by definitive answers and I'm frustrated that my Dietician is reluctant to give me any.

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I kept getting shuffled around to different NUTs through the entire process. Some were leaving, new one's coming in. So I don't feel I got any solid information or formed a good connection with anyone where nutrition was concerned. The NP is always better for me to talk to, than anyone. I have a new NUT now, who is fresh and new, and tells me, "we don't count carbs" and we want you off all Protein shakes. Well, not counting carbs....that's kind of how I got here to begin with. I count carbs, calories and Protein and see how I am doing at the end of the day.

>My NUT was ridiculous. She had no knowledge of WLS and she tried hawking her MLM Vitamin catalog on me.

I saw her the required amount of times, assembled nutritious portions of plastic veggies and meats on a plastic tray under her direction for 15 minutes and was approved for competency.

My surgeon and his NP were my sources for diet and follow up meal plans. I loved my NP. She was helpful, knowledgable and in tune with my process.

Forgive my ignorance but what's a NP?

Nurse Practitioner.

I trust mine but I have had several horrible nutritionist in the past. Prior to looking into WLS I saw 3 separate nutritionist. One insane lady kept asking me to eat chicken breast even after I had explained I was vegetarian. The worst one was one I was sent to by my endocrinologist. Once she started telling people it was okay to drink diet soda, I knew I was done with her. I then saw a holistic nutritionist who I really liked. Unfortunately her practice was nearly 2 hours away and she was too pricey for my budget.

Finding a program that was willing to actually have a conversation with me about food options and work with my allergies & vegetarianism was a deal breaker. I don't like to eat a lot of processed and artificial foods no matter what the calorie count. I needed someone who understood and could accept that. If I felt that wasn't going to happen I would have kept researching programs. I do think you we need to take some responsibility and do a little research on our own, but I expected to have a reasonable conversation with my nutritionist. I like and trust the person I have now, but I understand why many don't.

Speaking for my self, I am limited in what knowledge I can share in an online forum. When someone post that they aren't losing but they are following a good eating plan, however they also have medical issues, I think the wise thing to do is direct them to their medical team or nutritionist. It's not a cop out, it's just understanding the limitations of how much support you can provide in an online forum like this.

I'm sorry if i sounded like i was having a go at forum members who refer other posters to seek advice from their doctor/nuts. I just wanted to see how many people are having issues with their nut like me.

Also, the thing about researching online about weight loss is a huge part of it is people's opinions and experiences which can be very relative in regards to other people. I feel comforted by definitive answers and I'm frustrated that my Dietician is reluctant to give me any.

I wasn't offended.

However just as a clarification, when I said do research I don't mean other forums like this. I mean legitimate sites by people who have actual credentials in health and wellness. I also am leery of information on sites that are trying to sell a product. My search for wellness was more than just a weight loss issue. I wanted to feel better and hopefully lessen the impact that my chronic conditions were having on my life. I didn't want artificial foods or short cuts and I prefer to limit the amount of medication and supplements I take. I wasn't interested in fad diet or detoxes and I was open to both traditional & holistic methods, and I was willing to put in the work necessary for a lifestyle change. I didn't want a temporary, quick fix. With those things in mind, I read everything from WebMD, to Wikipedia, to bloggers I respected such as BGG2WL.

I was the same way when I looked at Bariatric programs. I invested to see what my insurance would cover. I then looked at what programs were available in my area. Once I narrowed it down to 2 I then attended informational seminars. What helped me finalize my decision was speaking with a trusted friend who had their bypass surgery with the doctor I choose.

Sounds like a lot, but this is how I approach things.

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I trust my NUT completely. As soon as we started talking, I knew right away that she wasn't in it for the money. She was in it to help me succeed and just happens to pay her bills doing so. That makes a HUGE difference. I've had dieticians and nutritionists whose only goals were to berate me or make me feel wholely inadequate with comments like "You can't tell me you know how to eat a healthy diet and weigh what you do. You don't know anything!" or when there's no weightloss accuse me of cheating on the plan, which I haven't. Or just treating me like a total imbecile and pulling out the plastic food portions and having mock dinner parties and then saying "well, you don't really eat like this otherwise you wouldn't be here." Having that trust and faith and just general feeling of being able to be open and honest without judgement from your NUT is paramount to success in the process. This is the person we are going to rely on to teach us how to eat and live with our new pouch. The rules are different on the other side and we can't just be expected to wing it. If we can't take their advice and follow their guidance knowing it's what's best for us even if we can't fully understand that point, then I don't know how it can work. If they aren't listening to your concerns and answering questions, that's a HUGE problem. There should be no unanswered questions. You need to know how they came up with this particular approach. I mean, what are you going to do post op when the NUT says nothing but liquids for 2wks and then slowly add in soft foods like thin cream of wheat or cottage cheese and you say, but I don't feel that wheat is a good food for me, so I'm going to go with......Teddy grahams soaked in milk to make it go down and after that rely on any pain to tell me what foods I should eat because my body knows better than him/her. That can be kind of dangerous if your NUT didn't take the time to explain WHY there's this progression and what could happen if you jump too fast. This is all just an example, not saying this is your problem at all, but just showing how important that trust and guidance is. If you can't get it from the NUT you have, you either need to find a new one, or pay for a second opinion elsewhere. My insurance only allows for my PCP to oversee the 90 days of supervised diet, but I decided to pay the extra to get a NUT I can trust and work well with. Sure my PCP wants me to be healthy too, but all she relies on are books and manuals and eating charts, whereas my NUT that is costing me dearly, has ditched the charts and is working with me as a whole person. I don't know how I could hope to make it through this process and succeed if I had to do it without her.

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My nutritionist specializes in baratric surgery diets. I trust her even though I may not always agree with her. There are some foods she thinks I should eat that I hate and I'm not going to eat them ever. Sorry but there are plenty of other options.

And she gives me free stuff all the time - Protein shakes, Vitamins. She even gave me a free diabetes meter for my husband when we were having a conversation about his meter.

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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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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💪
      · 0 replies
      1. This update has no replies.
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