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NUT & Surgeon Diffrences



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I just have to say, I've been following and participating on this board for a little over a month and I am FLOORED by the vast different in advice each our NUT & surgeons have given us. We all had the same type of surgery - how can the professional advice be so incredibly different? Seems we've also had varying responses and recovery times to the surgery and I understand that, but Woah! What differences in professional opinions!

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I thought the same when reading the post. My surgeon was just recognized as one of the best Bariatric surgeons in the US and I found myself questioning him about all the other surgeon and NUT advice from this forum. I was terrified and almost called it off 1 week pre-op.

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You are overthinking this. Pick a b s bariatric practice with an excellent track record and do what they say - follow the program you signed up for.

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There is a lot of variety, and while there may be some differences in knowledge, I think most of the variation is explained more by differences in philosophy:

  • Don't want the patient to be injured by what they consume
  • Don't want the patient to be ill or in pain or discomfort due to what they consume
  • Want the patient to lose a lot of weight, and ideally quickly
  • Want the patient to be able to control their own appetite and eating - something they likely have faced challenges in the past

....and I think some doctors are just more conservative than others in setting the parameters for what should go in and at what schedule...

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I thought the same when reading the post. My surgeon was just recognized as one of the best Bariatric surgeons in the US and I found myself questioning him about all the other surgeon and NUT advice from this forum. I was terrified and almost called it off 1 week pre-op.

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Did you have the surgery? How are you doing?

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You are overthinking this. Pick a b s bariatric practice with an excellent track record and do what they say - follow the program you signed up for.

Sent from my KFJWI using the BariatricPal App

Overthinking, I don't know. But oversharing perhaps! I'm gonna keep my plan to myself, I think, going forward. Mine seems to be more progressive than many others. :)

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My doctor and nut were actually pretty scary in what they told me to be prepared for pre-op. And then post-op they were a lot more liberal. I think they just wanted to make sure that you were really prepared. Also keep in mind that instructions differ based on issues they have experienced with their own patient population. If you are having gastric sleeve for instance it might depend on if you also have to have a hernia repair etc. I looked up printed and read the sleeve pre and post op guidelines from the Brigham (Harvard) before I went in for my first consult. Nonetheless I did try to follow MY DOCTORS advice because he knew my case and his technique and outcomes better than anyone. So go with what your Dr says:-)

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

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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