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08-09-2007, 08:08 AM
| #1 (permalink) |
| Whipper Snapper  Join Date: Jul 2007 Location: Prospect ME
Posts: 23
Weight Statistics 2/26/07 Surgery Date:
Height: 280 lb Start Weight:
180 lb Current Weight:
160 lb Goal Weight:
100 lb Weight Loss:
20 lb Lb Left to Lose:
35.7142857143 % % Lost:
12/07 Goal Date:
Body Mass Index 41 BMI Start:
26.6 BMI Current:
22. BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass   |  The pouch Rules? I have been reading some of the materials on this site and I'm a little confused. I read the article about the pouch rules and it really contradicts what my Doctor says and what my surgical weightloss tem says. I'm worried because like many of you I'm scared of gaining back the weight. I'm afraid of streaching out my pouch. In the articles it says you should water log your pouch. It says to drink aas much water as you can between meals and then fifteen minutes before eating a meal you should drink as much water as your pouch can hold. And then you shouldn't drink anything more for an hour after your meal. Instead of snacking you should drink as much water as your pouch can hold as well. It also says that meals shouldn't last for more then fifteen minutes and that you should space your meals like five hours apart. My weight loss team says that you should never drink half an hour before or half an hour after meals. It says that all meals should take half an hour to eat. They said that drinking fluids within a half an hour of your meal can strech out your pouch and will push foods through more quickly and add to dumping or the foamies. It also says that going too long between meals will make you more hungry and cause overeating. They recamend snacking and suggest that you eat protein for your snack. Ok so I guess what I want is input for those of you are success stories at maintaining your weight loss sucess. There were many other things that were contradictions as well I hope pthers will read this article and then share your advice. Thanks Sue
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08-09-2007, 08:24 AM
| #2 (permalink) |
| Super Moderator  | The rules can change with experience. It isn't something that won't change, or can't be changed. The water loading is to swell, not your pouch, but the intestines. It's because your stoma--the opening of your pouch to the intestine is always open. So, the suggestion is to water load the intestine, make it swell up and close, so the meal will stay in your pouch for a while. Surgeons and bariatric teams will modify their rules with experience. If you've been given a different guide to go by, stick to that, because that is how your surgeon's team will be looking after you. Hope this helps you understand.
__________________ "In every job that must be done, there is an element of fun."   Just a li'l bit 'bout myself  |
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08-09-2007, 08:36 AM
| #3 (permalink) |
| WLS Master Guru  Join Date: Apr 2007 Location: Upstate New York
Posts: 687
Weight Statistics 6/16/2007 meda-fast Start Date:
July 19,2007 Surgery Date:
5' 6" Height: 325 lb Start Weight:
201 lb Current Weight:
150 lb Goal Weight:
124 lb Weight Loss:
51 lb Lb Left to Lose:
38.1538461538 % % Lost:
no time line i just want it to be lost Goal Date:
Body Mass Index 52.4506427916 BMI Start:
32.4387052342 BMI Current:
24.2079889807 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | first things first many of us have differnt surgens start there. what my surgen tells me is right your surgen may not. Many of my rules are similar to yours but they do have differnces. I key is folow your teams rules because they are the ones treating you. Other then that like DOC has told in many other post it is very hard to strech your pouch out in the begining its moreless happens down the road with bad eating habbits. Ill let ya in on this to ya really are not hungry ever after this surgery you moreless eat because ya know ya have to. so snacking and grazeing happen more down the road to i think. all in all I would just folow your surgens rules
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08-09-2007, 08:54 AM
| #4 (permalink) |
| Seasoned Veteran  Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 7,308
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
146 lb Current Weight:
165 lb Goal Weight:
112 lb Weight Loss:
-19 lb Lb Left to Lose:
43.4108527132 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
21.5580760344 BMI Current:
24.36357908 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | also keep in mind i think these rules are for later on. i know my surgeons office hasnt provided me with paperwork for any stage past my next appointment date. so i guess its possible that this doesnt apply at your stage? true indeed we all get different instruction, BUT i believe its based on their experience with patients and is very general. at the end of each visit i am encouraged to try things and report back. they want to know what works best for me. and also, i think a lot of our drs have told us things will stretch us out to keeo us away from doing that particular behavior. not to say that they are liars or ill informed, but a lot of this is based on modifying behaviors. in the end youhave to find what works best for you.
__________________ Anything worth having is worth working for Kenya R.  Lap RNY 4/19/07     Last edited by Kenyar : 08-09-2007 at 09:38 AM. Reason: typos.....DOH! |
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08-09-2007, 09:25 AM
| #5 (permalink) |
| Super Moderator | smaguire's surgery date is Feb 2007. The pouch rules are for beyond 6 mo, so, Sue'd be at the time when this starts to kick in. When's your next follow up appt? If your 6 mo visit isn't yet, then see what they tell you to do for the next 6 mos. At any rate, your surgeon's team will give you the rules that worked best for their patients, so best to follow that. (((((HUGS)))))
__________________ "In every job that must be done, there is an element of fun." Just a li'l bit 'bout myself Last edited by DocSanae : 08-09-2007 at 10:21 AM. |
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08-09-2007, 09:38 AM
| #6 (permalink) |
| Seasoned Veteran Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 7,308
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
146 lb Current Weight:
165 lb Goal Weight:
112 lb Weight Loss:
-19 lb Lb Left to Lose:
43.4108527132 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
21.5580760344 BMI Current:
24.36357908 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | oops. i didnt even look at the dates (sorry)
__________________ Anything worth having is worth working for Kenya R. Lap RNY 4/19/07 |
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08-09-2007, 10:00 AM
| #7 (permalink) |
| Seasoned Veteran  Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 3,527
Blog Entries: 1 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10" Height: 363 lb Start Weight:
211 lb Current Weight:
165 lb Goal Weight:
152 lb Weight Loss:
46 lb Lb Left to Lose:
41.8732782369 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
30.2720408163 BMI Current:
23.6724489796 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Follow what you Dr tells you to do. Hes the one treating you like Ashley says. |
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08-09-2007, 10:45 AM
| #8 (permalink) |
| Whipper Snapper Join Date: Jul 2007 Location: Prospect ME
Posts: 23
Weight Statistics 2/26/07 Surgery Date:
Height: 280 lb Start Weight:
180 lb Current Weight:
160 lb Goal Weight:
100 lb Weight Loss:
20 lb Lb Left to Lose:
35.7142857143 % % Lost:
12/07 Goal Date:
Body Mass Index 41 BMI Start:
26.6 BMI Current:
22. BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Thank for all the advice, I'm just a little panicky because i'm afraid that I will fall back into bad habits I know some people that has happened to. So I'm trying to find all the info i can on how not to waste this opportunity. My next appointment is on the 28th of this month. So I will be talking to my surgeon about all of this. I have so many other questions. Like I have heard people talking about protein shots? I had never heard of anything like that till i came here. I also heard that some of my tieredness and dizziness could be bcause I'm not getting enough vit-b12. I'm takeing the subligual that they recomended but my levels were really low before surgery. I have a friend who needs to get it through shots. Any input on this would be helpful too. Sue
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08-09-2007, 11:08 AM
| #9 (permalink) |
| Super Moderator | For the stuff about supplements, check out the Vitamins and Nutrition forum. The I'm a little confused thread has some detailed discussion about VB12. As for the protein shots, they actually aren't shots as in injections, but a concentrated liquid form product that you drink. Here's the thread where the subject came up. The name of the product is in one of the posts on the second page.
__________________ "In every job that must be done, there is an element of fun." Just a li'l bit 'bout myself |
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08-10-2007, 04:19 AM
| #10 (permalink) |
| WLS Master Guru  Join Date: Jan 2006 Location: Oklahoma City, Okla USA
Posts: 762
Blog Entries: 46 Weight Statistics 05/17/02 Start Date:
05/17/02 Surgery Date:
5' 5" Height: 355 lb Start Weight:
192 lb Current Weight:
175 lb Goal Weight:
163 lb Weight Loss:
17 lb Lb Left to Lose:
45.9154929577 % % Lost:
may 2008 Goal Date:
Body Mass Index 59.0686390533 BMI Start:
31.9469822485 BMI Current:
29.1183431953 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | One of the key things that is becoming more common is what I've got going on. An overlarge stoma. If I water load then my pouch which is still 1 oz (seen on the small intestine series pics 5 yrs post) will only hold a little bit of food and I'm satisfied. However if I don't because my stoma and scar tissue have relaxed the food goes right into the intestine and I can eat a lot more. Water loading is a GOOD THING to get into the habit of. NEVER EAT / DRINK AT THE SAME TIME!! --hear that--EVER-- Use a timer or better yet get a watch with a countdown timer you can set for 25-35 min. AFTER you eat to wait until you drink again, then only very slowly. Snacks ARE meals for us posties. Eating small 'meals' several times a day is best to keep blood sugars up and to stay satisified. ---Water Loading it's a GOOD THING--- --bree
__________________ --BREE open RNY 5/17/2002 -166 lbs(-200 at lowest)  Everything & Anything is possible with Belief in place....WLS changes LIVES  |
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