Im 8mo post op

For my post op diet my nutritionist told me no more than 5grams of total fat or sugar per serving.

I want to make salmon for meal prep which is high in fat but even 2-4 oz is higher than 5grams of fat, do i just don't eat the damn salmon or what!?!?! 1oz of salmon is 3grams of fat and 6 grams of protein that's not much! but what the hell do i do!!

Somebody help me please!?

Not to overrule your dietician or doc, by my inclination in this situation would be to "borrow" against other meals of the day; I never worried much about macro counts (other than protein) but just concentrated on calories for the day and getting the best nutrition that I reasonably could within that budget. I would inquire with them as to whether that would be acceptable (I suspect that it would be). These limits per meal are usually just a tool to get you thinking about how to balance out a meal and not go overboard on the fats or sugar, but there are compromises in real life and sometimes there are things that are very nutritious that are a little higher in those undesirable elements than we would like, so we make trade offs.

I suspect that since you are talking about real food with real nutrition (as opposed to bulletproof coffee, fat bombs or soda pop) that can be worked into your daily budget, and is a desirable food to have on your long term menu, that it should fly.

thank you! i totally agree! and when you say "borrow" do you mean after eating a higher fat everything else has to be lower to make up for it? @RickM

Just eat the damn salmon. LOL. Seriously. The only thing that gets me sick post RNY is a food that is too fatty, or too rich, or too much cheese. Then it makes me seriously nauseated and ill.

But I've been eating salmon since week 4 and it never bothers me. I now eat between 3-4oz at a meal with 1/2c of veg + 1/8c of avo/tomato salad. I am losing just fine. My doc is happy with the rate of loss (even though I'm a slow poke). and it's good healthy fats. I also eat sardines packed in water for other healthy fatty omega 3 fish. I try to eat 3 portions per week of fatty omega-3 rich proteins.

I don't think you'll have issues either with the relatively high caloric load of salmon, or the higher fat macro from it. It's really good-for-you fat to have...and I eat a very low fat diet. But like Rick said, I do take in my meal load when planning for the day. So on the days I have salmon, I do plan lighter meals before that meal so I still make my daily macro and caloric targets. I weigh and measure everything.

6 hours ago, kat brown said:

thank you! i totally agree! and when you say "borrow" do you mean after eating a higher fat everything else has to be lower to make up for it? @RickM

Yes, if the rest of the day is fairly lean, you can afford to have something fatter for one meal. Likewise, if one wants to average, say 200 calories per meal, one can combine meals and have a 300 calorie meal followed by a 100 cal snack = just make the average work out for the day (or even the week, if one has an "off" day.)

I thought it was the carbs you had to watch for?? So basically low carb low fat. My nutrition classes always stressed low carb. Now I'm confused

21 hours ago, AJP said:

I thought it was the carbs you had to watch for?? So basically low carb low fat. My nutrition classes always stressed low carb. Now I'm confused

We all do different plans.

For me, I watch ALL macros and caloric levels since I'm in super-menopause from a cancer drug. If I eat too many cals, I quit losing and can actually gain. So I know what it takes to lose (650-850cals/day) and I know that I MUST keep my carbs low.

I only figured out that fat levels keep me from losing by trial and error. But after RNY surgery, fat just plain makes me feel sick, cuz they removed part of the small intestine that handles fat. So I feel really bad and have to go to bed if I eat too much rich, fatty food.

So I personally do low carb, lower fat, calorie limited diet. LOL. Not everyone is as broken as I am and can enjoy more stuff. That's ok not to be me. Or follow my diet! We each have to figure out the rules of the road as they apply to our unique bodily reqs.

I just shared about me and fat in my diet cuz you asked about salmon. Even with my issues with fat, I still eat salmon at least 1 or 2 meals a week and have not had a problem either from nausea or weight loss because of it.

Edited August 27, 20187 yr by FluffyChix

OK that makes sense and thanks for explaining ?. I have pcos so I def have to do low carb. I am one of the odd balls that actually gain weight doing weight watchers. Before surgery couldn't do more than 30g carbs at a meal. Post nutritionist has me at under 6 per meal.

On 8/26/2018 at 7:41 AM, AJP said:

I thought it was the carbs you had to watch for?? So basically low carb low fat. My nutrition classes always stressed low carb. Now I'm confused

As Fluffy said, differences for different programs - and also for different individual needs. I never worried about carb or fat counts as those don't bother me, just calorie count as that is what ultimately drives the weight loss. There is too much good nutrition associated with foods that are nominally carbohydrates for it to make sense to place arbitrary limits on them; on junk food (high calorie/low nutrition stuff) yes, but not solely on the basis of something being high carb or fat - the calories are an adequate limitation.

With your bypass, however, and the prospect of dumping or reactive hypoglycemia, a reasonable carb restriction can be in order, particularly for simple carbs and/or sugars, at least until one figures out ones' individual tolerances.