I'm a Crew Cheif and load master for a major airline at Phoenix Sky Harbor International Airport..... the reason I open with this is that I work outside rain or shine! My job is very physical and I walk upwards of 15 miles a day on top of managing and loading flights.

I had my RNY at the end of January and have been doing really great meeting all of my nutritional goals and drinking at least a gallon of Water everyday (I do live in the desert and work outside!).

One thing I am worried about and had started creeping up as the weather had begun to spike is that add I'm exerting myself and being outside working for 4-6 hours straight (sometimes without a break) I wind up not being hungry. Then when I do eat, I get rather nauseous. I feel full and not hungry when it's hot and I'm super busy with work outside....add the weather can be over 110 here, I'm concerned or wonder what I might do to try to counteract this?

Any ideas would be greatly appreciated! Thank you!

I don't want to be scraped up off the tarmac this summer, it's not too classy and will not help any of my vacation plans. Lol.

It sounds like exercise is not a problem, not at 15 miles per day. Not too sure I can give you answers, so I will give you some thoughts. Prior to RNY surgery, I experienced profuse sweating. That condition has gone into remission after surgery. So even though you are experiencing 110 degree heat, your body might be better prepared to deal with the heat. Since you are drinking a gallon a day of Water, I suspect that dehydration may not be an issue. Before surgery, I didn't mind cold weather. Generally when it was 40 degrees outside, it was comfortable to drive around town with my windows down. But after surgery as I lost the fat, I also lost the insulation that the fat provided me. Now I am sensitive to the cold.

Your body needs Protein. Without it, your muscle mass will deminish and this will affect your health. So protein is more important than meals. So I would recommend that you use Protein Bars when you reach that stage where they are acceptable post-op. I found Quest to be a good brand.

There was one individual in our Bariatric Support Group meeting that went to the extreme with exercise after his surgery. He was in his 60's. He entered a bicycle competition and rode his bike from one end to the other end of the state of Indiana across. When he crossed the finish link, he had drained all the energy from his body and he collapsed. A small amount of food revived him and he was O.K.

I experienced heat stroke one time when I was younger. As you approach this condition there are several warning signs that you should immediately react to. Your will notice that your body completely stop sweating. Your cheeks will feel hollow and have a warm glow.

Perhaps instead of eating when you get a break, you could drink a Protein drink and eat later. If I remember correctly, nausea is a symptom of heat exhaustion and stroke. I use my Protein drinks after I go for a run because it replenishes liquid while giving me carbs and protein. I personally like powders?utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury chocolate Splendor with Fairlife milk. If its cool or cold, it will help lower your body temp at least a little bit. As its gotten warmer, I don't feel much like eating in general, but especially after a run and we havent' even gotten that warm yet in Minnesota so I can only imagine what you are facing.

Just a thought.

Keep me posted on what you learn. I am training for a marathon this summer and am looking for fueling ideas, especially for the long runs in July and August, which in no way rivals your heat in July and August, but will be plenty warm.

thanks,

pam

@@BlueBongo

I'm quite interested in this as well. I'm a fairly new transplant to the Phoenix area and just had surgery in March (RnY). I don't work outside as much as you, but I do worry about Fluid intake living in the desert. But drinking a gallon of Water a day, it sounds like you're above and beyond your required daily goals. Maybe break up your Protein a bit? If you're at the stage where you can have protein bars, maybe keep one with you and have that or 1/2 of it while you're working to give you energy through the shift? I find if I go too long without eating while at work, I do sometimes get a little sick/nauseous.

When in doubt, check with your medical team/nutritionist.

You know what's crazy is that I was with BCBS of Anthem and my employer switched it to BCBS of Texas for January... though that made it a ton easier to get my RNY a month sooner they don't cover nutritionist visits... so I go monthly and pay out of pocket which is only a little bit more than my co-pay was anyway. What a way to set patients on the right track... you can have the surgery but we aren't going to cover the second most important part of the process for you, you're on your own as far as nutrition goes... mwhahahaha.... insurance companies, oy!

I have worked with the wacky airline out here for years, moved to the east coast for 5 years (DC and Philly) and recently came back in December 2014 to the gorgeous desert. I do a ton of hiking and get out and about, the heat doesn't bug me too much and I definitely won't let heat stroke over come me at work... but I do think I may switch to the Protein bars and Protein shakes when I'm at work and just try to eat at home. I called my NUT and she mentioned that as the heat is easily 20 degrees more on the tarmac that my body is going to burn more just being out there and that when I do try to eat it will make me a bit un-easy from all of the exertion. SO, I think I will try this while we are just barely peaking at 100 degrees outside (though it's supposed to cool off) and see if that helps.

Thank you all so much! I am all about the protein, my fridge is stocked with fish and tofu.... I keep finding new, fun, and delicious ways to cook the things I love. So it works out fabulously!!!

Can you add protein to some of your water? Try Syntrax nectar and ProtiDiet liquid beverage concentrates. They are lighter than "protein shakes" so are a bit more refreshing.