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PaPa · 07-19-2013, 08:27 PM

Good Evening! I am sorry for the delay in posting from yesterday's nutritional meeting, weigh-in, and doc appointment. Today was yet another test for my lungs. No results on that, but here is what I learned yesterday. I took notes! *Smiles. In the surgical program where I go 5-10% keep the weight off. They say it is quite common for those of us with weight issues to backslide and the nutritional classes and support groups offered now before surgery are to help us practice our lifestyle changes. I will type the entire sheet I received for those who are interested in reading it.

Think before you eat! Keeping food logs will help you with this. "Before you bite it, Write it!"

Chewing food well (30-40 chews before you swallow) Food should be of the consistency of appleasauce before you swallow. Venison is a very dry meat and people who have had surgery sometimes have difficulty with it getting stuck in ducts.

Slowing down the rate of eating. Pouch can hold 1 ounce of food in 10 minutes. It takes your brain 20 minutes to let your stomach know there is food in it. Meal time should last at least 30 minutes.

Stop when you feel comfortable (not overly full). After surgery eating tot he point of fullness could cause your pouch to stretch, become damaged, and/or cause sickness.

Reducing portion sizes. After surgery a meal will consist of about a cup of food with 1/2 of that coming from protein sources. Will help with pre0surgery weight loss, also.

Eat three meals per day with 2 snack times (if needed). Eating scheduled meals and snack times will decrease the amount of "Grazing" on empty calories throughout the day now and after surgery. No skipping meals! The first meal of the day should be within 2 hours of waking up. If you skip a meal ask yourself why you really missed it.

Make healthier food choices (in general). Protein, fruits/vegetables, whole grains. Will help with weight loss but will also provide adequate nutrition.

Choosing low fat/ low sugar foods and reducing alcohol consumption. After bariatric surgery foods high in fat and sugar could cause dumping syndrome. Each food serving should have no more than 5 grams total fat and 10-15 grams total sugar. Beverages containing more than 10 calories per serving should be avoided.

Sip slowly adequate amounts of non-caffeinated/ sugar free/ non-carbonated fluids. No caffeine, no carbonation, not straws!

Separate solids and liquids. No drinking with meals and separate from meals by 30 minutes before or after a meal for gastric bypass, sleeve, BPD, 60 minutes for lap band.

Exercise should be 2 hours 30 minutes or more per week. Make it do-able. Start small. 10 minutes 3 times per day.

Now via the doc afterwards. Practice behaviors learned in nutrition class. Increase physical activity by 10 minutes per exercise day. Water intake 61-96 oz per day. 1800-2000 calories per day. No skipping meals. Begin taking metformin hcl 500 mg 1 by mouth daily for 1st 7 days, then 1 by mouth twice daily. Referral to counseling for compulsive overeating to deal with the compulsivity before surgery.

Now the weigh-in results....I lost 1 pound. He said, "it is better than gaining or even holding the same. So I will take it!" Although I was disappointed, it was positive because it is one more pound toward me goal. Right??

Hope this is a refresher for those who need it or helpful to those who have never heard this info before.

07-19-2013, 08:27 PM	#4629
PaPa Senior Member How Do You Identify?: GQ Butch Daddy Relationship Status: A Very Protective BIG Daddy... Join Date: Mar 2010 Location: Pennsylvania Posts: 2,657 My Photo Gallery Thanks: 7,597 Thanked 5,873 Times in 1,530 Posts Rep Power: 21474854	Good Evening! I am sorry for the delay in posting from yesterday's nutritional meeting, weigh-in, and doc appointment. Today was yet another test for my lungs. No results on that, but here is what I learned yesterday. I took notes! *Smiles. In the surgical program where I go 5-10% keep the weight off. They say it is quite common for those of us with weight issues to backslide and the nutritional classes and support groups offered now before surgery are to help us practice our lifestyle changes. I will type the entire sheet I received for those who are interested in reading it. Think before you eat! Keeping food logs will help you with this. "Before you bite it, Write it!" Chewing food well (30-40 chews before you swallow) Food should be of the consistency of appleasauce before you swallow. Venison is a very dry meat and people who have had surgery sometimes have difficulty with it getting stuck in ducts. Slowing down the rate of eating. Pouch can hold 1 ounce of food in 10 minutes. It takes your brain 20 minutes to let your stomach know there is food in it. Meal time should last at least 30 minutes. Stop when you feel comfortable (not overly full). After surgery eating tot he point of fullness could cause your pouch to stretch, become damaged, and/or cause sickness. Reducing portion sizes. After surgery a meal will consist of about a cup of food with 1/2 of that coming from protein sources. Will help with pre0surgery weight loss, also. Eat three meals per day with 2 snack times (if needed). Eating scheduled meals and snack times will decrease the amount of "Grazing" on empty calories throughout the day now and after surgery. No skipping meals! The first meal of the day should be within 2 hours of waking up. If you skip a meal ask yourself why you really missed it. Make healthier food choices (in general). Protein, fruits/vegetables, whole grains. Will help with weight loss but will also provide adequate nutrition. Choosing low fat/ low sugar foods and reducing alcohol consumption. After bariatric surgery foods high in fat and sugar could cause dumping syndrome. Each food serving should have no more than 5 grams total fat and 10-15 grams total sugar. Beverages containing more than 10 calories per serving should be avoided. Sip slowly adequate amounts of non-caffeinated/ sugar free/ non-carbonated fluids. No caffeine, no carbonation, not straws! Separate solids and liquids. No drinking with meals and separate from meals by 30 minutes before or after a meal for gastric bypass, sleeve, BPD, 60 minutes for lap band. Exercise should be 2 hours 30 minutes or more per week. Make it do-able. Start small. 10 minutes 3 times per day. Now via the doc afterwards. Practice behaviors learned in nutrition class. Increase physical activity by 10 minutes per exercise day. Water intake 61-96 oz per day. 1800-2000 calories per day. No skipping meals. Begin taking metformin hcl 500 mg 1 by mouth daily for 1st 7 days, then 1 by mouth twice daily. Referral to counseling for compulsive overeating to deal with the compulsivity before surgery. Now the weigh-in results....I lost 1 pound. He said, "it is better than gaining or even holding the same. So I will take it!" Although I was disappointed, it was positive because it is one more pound toward me goal. Right?? Hope this is a refresher for those who need it or helpful to those who have never heard this info before.