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

Is / was your nutritionist all that helpful?



Recommended Posts

My NUT was ok as I thought she was a nice lady and I enjoyed the conversation.

But

I do think that the Nutritionist and the Excersize appointents were a waste of money and time. Neither were covered by insurance so I had to pay $100 a visit. and my excersize appointment had the nerve to schedule an extra appointment. I was actually mad, took a day off work and had to keep paying that $100 and got absolutely nothing out of it.

but the NUT gave basic information. I guess if there was a person that hadn't done any research at all it would be helpful...but then again, my doc had a free 2 hour class for every patient that covered everything that the NUT or any other research you may have done.

I really felt like those 2 were just things that opportunist used to make some extra money not because they were helpful, but because they knew insurance companies required it.

Share this post


Link to post
Share on other sites

@@jenn1 If you are still losing hair at over a year post op, I was advised that is most likely nutritional based. Hair loss occuring in the first year are quite likely more related to the surgery itself.

My guidebook - which I still keep beside my desk by the way even after all these years - says to first suspect Iron and zinc deficiencies. Protein, especially the amino acid l-lysine might be the culprit too.

My data is like 4 years old at this point but I think this info is still true. Look into the Iron and zinc if you believe you are consuming adequate high quality Protein. When I had surgery they said 60grams plus on the protein but my center has now revised to 80 g plus. I have a new friend who is a dietician at a different bariatric program and she told me that due to my high muscle mass type build I seriously need to be in the 80-100gram range.

Share this post


Link to post
Share on other sites

My nutritionist is great. I had a lot of dietary issues to tackle. I'm a vegetarian and I have multiple food allergies. That means I can't eat artificial sugars, stevia, and food dyes to name just a few. Crafting an eating plan was challenging. Our sessions had to be very conversational as I needed to ask a lot of questions to figure out what I could safely eat. I also like that my program utilizes a patient email portal. When I needed to increase my calories or share info and it was not time for a follow up appointment I could shot an email and get a response either by email or a phone call within 2 days. The fact that I have no had an ER visit or hospitalization because of my allergies since surgery has a lot to do with how helpful my nutritionist has been.

Share this post


Link to post
Share on other sites

@@jenn1 If you are still losing hair at over a year post op, I was advised that is most likely nutritional based. Hair loss occuring in the first year are quite likely more related to the surgery itself.

My guidebook - which I still keep beside my desk by the way even after all these years - says to first suspect Iron and zinc deficiencies. Protein, especially the amino acid l-lysine might be the culprit too.

My data is like 4 years old at this point but I think this info is still true. Look into the Iron and zinc if you believe you are consuming adequate high quality Protein. When I had surgery they said 60grams plus on the protein but my center has now revised to 80 g plus. I have a new friend who is a dietician at a different bariatric program and she told me that due to my high muscle mass type build I seriously need to be in the 80-100gram range.

Glad to hear this. I am experiencing some thinning in the front of my hair. I have increased my protein to 100gms a day. Hopefully this helps. I just sent an email to my doctor. I may get repeat bloodwork when I go in next month to check my zinc and magnesium levels.

Share this post


Link to post
Share on other sites

My NUT was ok as I thought she was a nice lady and I enjoyed the conversation.

But

I do think that the Nutritionist and the Excersize appointents were a waste of money and time. Neither were covered by insurance so I had to pay $100 a visit. and my excersize appointment had the nerve to schedule an extra appointment. I was actually mad, took a day off work and had to keep paying that $100 and got absolutely nothing out of it.

but the NUT gave basic information. I guess if there was a person that hadn't done any research at all it would be helpful...but then again, my doc had a free 2 hour class for every patient that covered everything that the NUT or any other research you may have done.

I really felt like those 2 were just things that opportunist used to make some extra money not because they were helpful, but because they knew insurance companies required it.

It really depends on the program. Mine is affiliated with the program so she specializes in bariatric. They also facilitate the support groups so they are very in tune with the patients. I saw her one on one at each pre-op visit. She reviewed my daily diary and gave suggestions catered just to my specific needs. The nutrition class was required by my insurance. The one on one visits were part of the program.

Share this post


Link to post
Share on other sites

I'm one of the lucky ones too. Love my dietitian. I had to attend an 8 week mandatory class with her and the psychiatrist prior to surgery. We left with a giant binder of information. She's checked in with me in every post op appointment and offers advice for my current stage. For example, at my 9 month appointment, she told me to keep an eye on my carbs because this is around the time people start relaxing on the plan and the carbs creep back in and the weight loss slows.

Share this post


Link to post
Share on other sites

Hmmm. Sounds like we need to do some work on rating nuts, psychologists, and support staff with the surgeons? That would be more helpful to know because the surgeon you see less than the support staff.

Share this post


Link to post
Share on other sites

Mine is great! She has a certification in bariatric nutrition (as well as being an RD) and works exclusively with bariatric patients.

What helped me the most was the fact that she is super-strict. I had to have regular follow ups with her, she had very strict and conservative plans about what to eat, when to eat, how much to eat, and she made sure I logged everything. At every visit I had to sign into MFP on her computer and she went over everything in my diary with a fine tooth comb. She was really important to me. I'm looking forward to checking in with her next month at my 2 year post-op appointment.

Share this post


Link to post
Share on other sites

Yes! Mine reviews my MFP diary as well.

Share this post


Link to post
Share on other sites

When I had surgery they said 60grams plus on the Protein but my center has now revised to 80 g plus. I have a new friend who is a dietician at a different bariatric program and she told me that due to my high muscle mass type build I seriously need to be in the 80-100gram range.

Yeah, I know someone who had surgery with the same surgeon as me and had the same nutritionist and was told 65 grams of Protein, but by the time I had MY surgery, they were saying 100 grams. I think it's definitely best to aim high. I usually get 85-100 grams of protein per day no problem and haven't had any hair loss beyond month 5. Of course, there are so many other things that could be a factor in that as well....

Share this post


Link to post
Share on other sites

Seriously?!? You asked about Type I DM with a BS of 35 & she didn't know or get back to you?!? While a label of "nutritionist" doesn't imply any specific level of education or licensing; that is just beyond the pale. Perhaps you should mention this to your surgeon? She (your NUT) definitely should not be counselling anyone...

To get back to the original question - my NUT was not the greatest, but would seem like a genius compared to PP's!

She also recommended all sorts of foods with artificial sweeteners and other ingredients I consider almost harmful to one's health. When I asked how she could consider them "healthy" she changed tactics and proffered using instant brown & wild rice (just 2 examples). Sorry - what's the point of that? And I'll pass on using Aspartame & the like in the Quest for "health". Just sayin...

She also told my son (who is going thru the process as well) that he should change his career because he's a shift worker and mentioned that he probably couldn't give up caffeine forever. Right - like that's gonna happen.... (He's in his mid-forties & makes a good living.)

In the end, I think it's up to us, as educated consumers, to follow the advice of the professionals - but also to know the difference between a professional & someone who may not know his/her head from a hole in the ground.... Research & education are good things - especially under the guidance of a good physician.

@@VSGAnn2014

I had four consults wit my dietician/nutritionist. It was good information for beginners in WLS. Protein and Water requirements. Vitamin supplements. food portions and stages.

My team from our hospital is great. With this exception. All answers are cookie cut for people in the weightloss stage. Its a one size fits all.

I talked to my dietician at a meeting. I asked about my blood sugars dropping to 35. I'm a type one diabetic. She did not know. Took my information and said she would call me...Never returned my call

I talked with the same nutritionist at another meeting. My hair loss is ridiculous at this point. I'm over a year out and its still falling. She gave me the cookie cut answers that we all get. Biotine, Protein intake.. i had to explain how far I'm out again and I have tried more that what she had mentioned. She took my contact information said she would call me back ....Still have not received a call back.

Edited by gigito2

Share this post


Link to post
Share on other sites

my nuts, ive had 3 because one went on sabbatical hen came back then left for a triathlon etc, but they have been very supportive and offering me alternatives i never thought of, in Vitamins, shakes etc, and they also talk to the surgeon to get any scripts i need for Vitamin d etc. The nut i have now is great he is a triathlon trainer, for several olympic athletes, and he is behind me in the couch to 5k app, helping me get ready for my first 5k which is still a few months away. Ive enjoyed them thoroughly. The key i feel is not to just sit there passively but to ask questions write them down before you go in, so you dont forget things, and tell them what you are having problems with.

Share this post


Link to post
Share on other sites

Nope! My lady was nice but I didn't learn a thing from her. I had already done so much of my own research I could have taught her a thing or two ;)

Share this post


Link to post
Share on other sites

Well. I feel like a lot of you had some good advisors.

I had the wife of my surgeon for one hour with 2 other WLS patients. She talked about portion size...period.

No grams of Protein, carbs, etc.

I did have paperwork indicating the food that was a yes or no for the first

3 weeks. There was a list of Protein sources.... A weak list...

This was 2006 and I'm so thankful the process has changed for the better. I'm glad to hear more on these boards too.

Share this post


Link to post
Share on other sites

I actually had the bariatric surgeon give an RD recommend to a previous PCP. This person even admitted she knew nothing about it, no one in that group did. Considering what I said about the previous one, this doesn't surprise me. Like I said, the $$$ aren't in that.

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

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • SabrinaGoddess

      I am OFFICIALLY SLEEVED! (surgery was Dec 9th, 2019)
      It was an easy procedure for me and I am not having complications. If you want to see part one of my journey go here: https://sabrinagoddess.com/life-on-the-other-side-post-op-wls
      I will be making new posts during this whole process!

      · 1 reply
      1. GreenTealael

        💚CONGRATULATIONS💚

    • SabrinaGoddess

      TOMORROW IS MY DAY! (note this did not post properly so I am still  posting it after the fact)
      I am so very excited! My sister is here with me and my son. I am so excited. My anesthesiologist called me tonight to discuss our plans for tomorrow. I am not feeling nervous at all. Just excited for the future!
      I did buy a few bottles of CFpreop which is really suppose to help you stay hydrated. It's pricey but I feel it's worth it. I tried the Watermelon tonight. I have to stop all liquids after midnight and I go into the hospital at 5:30am for check in. My surgery is at 8am.
      SO HAPPY for this journey!
      You can get the CFpreop on Amazon if anyone is interested. It comes in Watermelon and White Grape.
      Read my night before thoughts on: www.SabrinaGoddess.com

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

      Today I said I’m an XS or size 8 (Aust) at a clothing store. I never thought I’d say those words and say them with confidence. And when I commented a dress was too big on me I was told it was the smallest size. As was the belt I wanted. 
       
      I tried on a slim fitting singlet dress yesterday & was shocked to realise the lumpy bits on the dress were my hip bones. I have an hour glass shape so I always had hips but never ones that stuck out on the front of my body! 

      I’ve been a size 10 before - for about 5 minutes. While I am now confident about saying I’m an 8, clothes shopping is all still a bit freaky for me. It’s not that I’m focussed on the size on the label. I’m well aware the cut/line of the clothes and the designer’s style will dictate what size I need or if it will suit my body shape. The size is the starting point & it’s starting at an 8/XS/38 which is a big mind set change. It’s thinking a pair of pants will be too small & discovering they are almost too big. 

      While I’m still coming to terms with my actual new body shape and size, I’m very happy to be in this new reality. 
       
      · 2 replies
      1. ms.sss

        Yay!!

      2. ms.sss

        ...ah! I see you are from Brisbane! We lived there for a year when Mr. got a work contract there.

        I have fond (and not-so-fond, lol) memories of the weather there this time of year. It it crazy hot yet?

    • Krestel

      Meal replacement shakes are soooooo good when you have a sore throat and don't feel good enough to cook. Plus, I always have lots of them at home. So I'm not tempted to grab crap from McDonalds (which has the best cold "medication"). 
      · 0 replies
      1. This update has no replies.
    • Arabesque

      This morning I had an abdominal ultra sound because apparently my cholesterol keeps rising.
      I don’t get it. My cholesterol was always fine & now when I eat less of everything & have lost weight it starts to go up.

      My intake of fats & oils has decreased (not that I was a big fried food person before anyway) & not just because I eat way less. Always cut the fat of meats, still don’t eat bacon, use spray olive oil instead of regular oil. Even the tub of butter in my fridge has been there since before May. Lol.
      I just don’t get it? Is it because I don’t eat anywhere near the amount of vegetables I ate before? It surely can’t be because I eat a piece of cheese every day which I didn’t before? Are all my hormones screwed up? 
      Sigh! 
      · 3 replies
      1. Krestel

        Cholesterol seems to be odd that way. I've got a suuuuper skinny brother-in-law who has sky high cholesterol. So don't let the whole "overweight" thing fool you. They seem to find it in people who have the genetic predispositions for it nowadays it seems. Our bodies are really still a mystery of how they react to certain changes. Just keep at it and keep talking to your doctor. Who knows, you could be a medical mystery?!? Embrace the challenge.

        https://www.heart.org/en/health-topics/cholesterol/about-cholesterol/common-misconceptions-about-cholesterol

        Think of it this way, you now have an excuse to try ostrich meat! http://safariostrich.co.za/2016/06/ostrich-meat-benefits/

        PS. Gah hormones!

      2. Arabesque

        My dietician thinks it may be the regulatory hormones too & that my liver & gall could be having a freak out from the weight loss. It may be causing my low BP too. Hopefully the abdominal ultra sound will show something when I get the results.
        My maternal grandmother had issues which developed in her 70s but she’s the only one. No heart probs, no cholesterol worries in any one else (incl 13 aunts & uncles & my parents) - cancer seems to be our worry - sad face. And they still live into the 80s & 90s.
        Just strange that for 53 yrs my levels have been normal & 6months of weight loss & it’s now high.
        Don’t know about eating ostrich though that could just be burying my head in the sand - tee hee hee.

      3. Arabesque

        PS - My menopausal symptoms are still MRI. Even with a 42.5 degree day (108F) last Friday not a twinge of a hot flush. Best non scale victory ever. Guess you win some hormonal battles but lose others.

        PPS - Wrapping Christmas presents with air con cranked up today even though it’s only 33C. Ho ho ho

  • Trending Topics

  • Together, we have lost...
      lbs
    ×