Divine Lady

Send Message

Block

Add Friend

My history, was 280 day of RNY (2005), never felt much restriction, lost only to 255 a year later, went on nutrisystem, lost to 229 by hard work of dieting and exercise, had to go on hormone therapy for other medical issue, started regaining, now up to 289 with no restriction. Recently had an EGD due to severe GERD and found out my stoma is wide open and so food just drops through. I am scheduled to see a bariatric dr. next month. I want to lose but I am more concerned about the GERD than anything else. The stomach acids just wash back up through my wide open stoma causing severe burning and pain making it difficult to function and especially hard to sleep. I have been in emergency twice because the chest pains can get so bad. Do any of the stoma surgeries (eg stomaphyx or ROSE) help with GERD even if there is no weight loss?

Auto-immune diseases are brought on my serious nutritional deficiencies.   It is important for all WLS patients to continue taking vitamins even when they feel good.  These are degenerative diseases and may take years to show up or get bad enough that you feel the effects of it.  Supplements I take:

Calcium Supplement (Calcium Citrate, Vitamin D, Magnesium and Boron) (4)
Iron Ferrochel (with vitamin C) (4-6)
Tender Iron (4-6)
Sublingual B-12 (6)
B-complex (4)
Essential Oils for women (contains Omega 3 and other oils, 1 tablespoon per day)
Chewable Multivitamin with chelated minerals (2-3)
Aloe Vera on occasion (good for the intestines)

I am taking mega doses of 2 types of iron to get my iron up to an acceptable level, then I will level off to an amount that sustains that level.

Is there a good nutritional diet for lupus?
Beloved A. People with Lupus may benefit from B complex supplements, especially pantothenic acid (B5). A diet with an increased intake of omega-3 fatty acids and fewer omega-6 fatty acids may help to reduce inflammation. This means more fish, canola oil, walnuts and flax seeds and with less corn, sunflower and safflower oils. There may also be some connections with lupus and inflammatory bowel disease or celiac sprue. If this is the case, some patients may feel better when they avoid gluten, a protein found in wheat and other grains.

I would suggest an Anti-Inflammatory diet with lots of fresh anti-oxidant rich fruits and vegetables plus B complex vitamin supplements for people who have lupus.

You should speak with your doctor or a nutritionist first before making any dietary changes.

It was interesting listening to the women on the video talk about their experience with this technology.  It is worth looking into if you are experiencing problems with fibroids or severe anemia caused by your fibroids.

http://www.uterine-fibroids.org/

I am posting this to keep track of because once upon a time the "old" WW plan of food exchanges was effective for me.  I never lost weight on the "new and improved" point system.  I think the old approach was more disclipined and definitely easier to count and follow.

This site helps you figure out WW points on the point system:
http://www.stormpc.com/ww/

The old WW exchange plan was my favorite.  It was a more disciplined plan for me:

Protein....3-5
Milk........2
Bread.....4-6
Fat.........3
Veggie....3 (minimum)
Fruit.......3
You also had the option of choosing an additional 21 selections weekly from the Bread/Protein/Fruit groups as well as 700 "optional" calories weekly.
  
I was on this plan with my co-workers.  I actually was not overweight at the time but wanted to lose 5 pounds.  I was 142 pounds at 5 '10.  One co-worker lost 50 pounds.  My favorite was low fat ice cream which we counted as 1 fruit and 1 dairy for a half cup.

Last year my hemoglobin was 11.5.  At the time I was taking Floradix liquid iron with herbs which is Ferrous Gluconate with B1, B2, B6, B12 and vitamin C) and a chelated chewable iron that had vitamin C as an ingredient.    I switched to tender iron which is carbonyl iron because I know many WLS patients take it and seem to do fine with their iron.  I took it several times a day with vitamin C.   It was not a good switch for me.  My labs last month showed my hemoglobin was down to 8.1!!  I left the lab with my results and drove straight to the health food store to buy a bottle of Floradix and I ordered a bottle  of chelated iron.  I take the Floradix in the morning (its gentle enough to take on an empty stomach and I order 2 bottles of chelated iron tablets.  I just re-took my labs and my hemoglobin is up to 9.1.  My PCP wants to repeat my test every month until my hemoglobin comes up to an acceptable level. 

This is the link to the chelated iron tablet I take.  I chew it with my multiple vitamin.  It contains chelated iron, B-12, Folate and Vitamin C to aid in absorption.  I chew a couple of these several times per day. 

http://www.vitaminshoppe.com/store/en/browse/sku_detail.jsp?id=SR-1143


This is the link for Floradix
http://www.vitaminshoppe.com/store/en/browse/sku_detail.jsp?id=FL-1011

Another reason I like Ferrochel Iron is because I just don't feel comfortable taking mega doses of iron because I am not comfortable with how my organs are responding internally to receiving such large does at a time.  In fact there are articles supported by medical research that provide warnings against high dosages of certain vitamins, like iron,  entering your system at one time.  That is why it is important to spread your dosages out during the day.  I found articles again supported by medical research that support the safety of Ferrochel being taken in large doses.  
http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&list_uids=10496373&cmd=Retrieve&indexed=google

PLAN FOR GETTING BACK ON TRACK

The idea of this is to stimulate your metabolism to start burning fat and stop the grazing!!!

Of course, adjust the times to your schedule, however, do NOT go past 1 ½ hours between some kind of “feedings”.

6 am coffee, tea, or some other kind of warm beverage to “get things going”
7 am 8 or more oz of PURE water
8 am protein shake
9 am 1-3 oz of protein type food*
10 am 8 or more oz of pure water
11 am protein shake
noon 1-3 oz of protein type food
1 pm 8 or more oz of pure water
2 pm protein shake
3 pm 1-3 oz of protein type food
4 pm 8 or more oz of pure water
5 pm protein shake (like while cooking dinner * prevents ‘tasting”  and “grazing”)
6 pm dinner 1-3 oz of food total, i.e., 2 oz of protein food, a bite or  two of veggie and perhaps a ‘taste” of a complex carb 
7 pm 8 or more oz of pure water
8 pm protein shake
9 pm light snack like string cheese, deli meat or cheese, about 1 or 2 oz total 
10 pm 8 or more oz pure water

Pure water is very important to optimum health and to flush the fat  cells through your body. You may drink crystal light, diet Snapple, flavored  waters, etc., however, you still MUST get in the 64 oz of PURE water every day  and do not count the water in shakes or the flavored waters UNLESS you are  flavoring them yourself with lemon, etc. Propel is good, but still do not count  towards your water.

You may make your protein shakes with just 1 scoop for 20 g of protein  or less, but your total protein shake consumption must be at least 90 g. I use  the full 30 g portion for each of my shakes, but my body requires more protein supplement. Please adjust accordingly, however the importance is actually drinking them. You can make up a half a portion in 2-3 oz of water to equal 15-20 g of protein then your daily total of drinking 5 shakes would be  around 100 g.

You will find that by setting the timer, you will never be hungry, and in fact, by the latter part of the day, you will be surprised when the timer goes off to have water, protein, or food again!

All meals must have a beginning and an end. No more than 15-20 minutes  per “mini-meal”. If you are full in five minutes, STOP and discard food  or put away for the next meal. It doesn’t mean that you can still eat during  that hour. This constitutes grazing.

Track your food in Fitday (www.fitday.com). This helps. You will find that even tho you are eating every three hours your pouchie can’t handle as much as it could have before.

If you aren’t “carbophobic” add some whole grains to your meals,
but eat them LAST.

Mix all protein shakes with water and ice only. No milk or fruit. This
adds calories and causes cravings for more carbs. You may add SF syrups, or  mix your shakes with SF beverages, i.e., Propel, crystal light, Fruit 2-0,  etc.

This does work esp. for someone with a slow metabolism. It is also
the best way to control your appetite. You literally never want to
eat. Which is the hard part. Eating becomes a chore. You will find
that you want to skip the intervals but don't do it. When you skip,
your appetite will come roaring back and your metabolism gets kicked
down again. 

NOTE: YOU HAVE TO DO THE REGULAR FEEDINGS EVEN WHEN YOU ARE NOT HUNGRY OR IT WILL NOT WORK.

ADVICE: IN ORDER TO AVOID MISSING A FEEDING WHEN YOU ARE ON THE GO OR HAVE MEETINGS TO ATTEND, KEEP A SMALL SNACK OF NUTS (COUNT OUT 10).
HAVING A LOW CARB PRE-MIXED PROTEIN SHAKE HANDY IS ALSO A GOOD IDEA.

Low Glycemic Information:  When doing low glycemic,
pay attention to the glycemic load, not just the
glycemic index.  Glycemic load is affected not only by
the glycemic index but by the portion size as well.
Simply put, a food with a low glycemic index can cause
an insulin spike if you eat so much of it that the
glycemic load is significant. Also if you eat a small
portion of a high glycemic food, you may be able to
control the insulin spike particularly if you eat it
with vegetables and protein which aids in preventing
insulin spikes.  If you eat a fast carb   such as a
baked potato, it should be a small portion plus you
should eat protein and non-starchy vegetables with it.


Low-glycemic diet inibits re-gaining lost weight
By DrRich
http://heartdisease.about.com/od/dietandobesity/a/logly.htm


http://health.groups.yahoo.com/group/LowGlycemicEating/

http://health.groups.yahoo.com/group/South-Beach-Diet-Getting-It-Right/

http://health.groups.yahoo.com/group/SBDS-foods/

http://www.glycemicindex.com/

Low Carb Out, Slow Carb In?

 

Researchers Say People Lose Weight on a Low-Glycemic-Load Diet

By Daniel DeNoon WebMD Medical News

Reviewed By Michael Smith, MD on Wednesday, May 11, 2005

May 11, 2005 -- They ate all they wanted, yet lost weight.

They didn't avoid fats or carbs. They didn't count calories or eat prepackaged foods. Yet 11 obese 30-year-olds lost more weight than 12 of their peers on a conventional low-fat diet. And they lowered their risk of heart disease.

They didn't do it with a low-carb diet, but with a slow-carb diet. It's what nutritionists call a low-glycemic-load or a low-glycemic-index diet. The key is eating plenty of satisfying foods that your body can't quickly convert into sugar -- slow carbs, as they're coming to be called.

And it seems to work, says David S. Ludwig, MD, PhD, associate professor of pediatrics at Children's Hospital, Boston. Ludwig's small study appears in the May 1 issue of the American Journal of Clinical Nutrition.

"A diet focused on glycemic index may be easier to follow than diets restricted in either fat or carbs," Ludwig tells WebMD. "And there seems to be an additional benefit in reducing the risk of chronic disease."

Low-Glycemic Diet Made Simple

Foods have a higher or lower glycemic index (GI) depending on how much of them you eat, how you cook them, and what you eat them with.

This can quickly get complicated -- especially as it's not always easy to tell which foods are low-GI and which are high-GI. Ludwig's team came up with a simple plan. They created a low-glycemic-load food pyramid:

• At the bottom -- the basis of the diet -- are fruits and vegetables, cooked or served with healthful oils.
• Next come reduced-fat dairy foods, lean meats and fish, nuts, and beans.
• Higher up -- and meant to be eaten less frequently -- come whole grains, unrefined grains and pastas.
• At the top -- to be eaten sparingly if at all -- come refined grains, potatoes, and sweets.

Obese participants in the study were instructed to eat nonstarchy vegetables, fruits, beans, nuts, and dairy products. They were told to eat carbs with protein and healthful fat at every meal and snack. And they were told to eat until they were full and to snack when hungry.

Other obese study subjects were put on a traditional, low-fat/low-calorie diet. Both groups were asked to exercise regularly and were given lifestyle counseling.

"Those in the low-glycemic-diet group were told to eat as much as they wanted and to snack when hungry," Ludwig says. "Yet after a year, they lost fully as much weight as those told to cut back on fat and to cut back on calories. But they did better in terms of heart disease risk reduction."

Yesterday, I wandered far off the path.  I have been slowly moving away from the path mostly because I thought I was ready to start substituting my own meals for NS meals.  Yesterday showed me 2 things, 1.  I am not ready yet to even go partially on my own, I need the controlled meals and portion sizes and 2) I have made good progress in my behavior modification and thought process.  I refuse to say that I messed up yesterday.  I made choices that may slow down my progress but it will not derail my plan.  Today I am making the choice to go back to my original plan of 100% NS because that is what bests works for me at this time.  I refused to go back to the old habits of jumping on the scale to see how much I "messed up".  Sure I believe my weight may be slightly up today but I also know that part of the increase is due to water weight from a sudden change in my diet in one day to foods high in sodium.  I still plan to weigh myself at the beginning of the month.  I also made sure I got at least 1/2 hour of exercise in yesterday.  I normally do 90 minutes but I was having a lot of gastric distress yesterday.  Today I got up 1/2 hour earlier to ride my exercise bike 1/2 hour.  I will do this all week until I fill the exercise gap from yesterday.  So today and tomorrow I am doing 2 hours exercise instead of 90 minutes.  I am amazed at how calm I feel as compared to the past when I would have been so down on myself that I would have wasted precious exercise time dwelling on my "mistakes".  Not anymore.  I only look forward.  Yesterday was yesterday and today is today.

I crave salty snacks from time to time.  The only problem is that most of these snacks are not filling as they crunch down to nothing and you can wind up eating way more of it than you should.  They way I get around this is that I have a rule I follow, before I take one bite of a saltly, crunchy snack, I have some filling protein first.  I will literally eat 1 or 2 slices of deli turkey or a small piece of baked chicken or 1/2 protein shake and then eat my crunchy snack. I like the quaker 90 calorie mini popcorn cakes.  After eating the protein, I can only eat half the bag (45 calories) and I save the rest for later or another day. If I didn't do this, I could easily go through a couple of bags and still feel hungry.  I also make sure that I am on track with my water for the day.  If I am way behind on my water, I have to catch up before doing a snack to avoid the confusion of thirst vs. hunger.  Sometimes this takes the craving away completely.