Yesterday was class two of three before we can submit my paperwork to Cigna for approval (see this post for what the current requirements are for my insurance plan). The class was on grocery shopping and how to read labels in order to make smarter decisions post op. This is super important post op (especially for gastric bypass patients because of the malabsorption part of that procedure) since you physically wont be able to consume a normal volume of food.
The recommended program for nutrition post op for RNY/Gastric sleeve are as follows:
- Eat 5-6 small meals per day
- 60-80g of protein per day
- 64 oz sugar-free and caffeine-free fluid per day
- No drinking during meals and for 30 minutes before or after meals
- Take a Multivitamin daily
- Take 1500 mg Calcium Citrate (no more than 500-600 mg at a time)
- Take Iron daily (separate from calcium)
- Take B-12 daily
- Limit calorie dense foods (sugar, fat)
- Carbonated beverages (soda, beer, fizzy water etc.)
- Nicotine use/exposure
- Alcohol consumption during the rapid weight loss period (12-18 months)
- High fat and high sugar foods
- Chewing Gum
- Getting pregnant for at least 18 – 24 months.
The class starts by everyone introducing themselves, what procedure they are having, what class they are on, and any struggles they are having. Then our nutritionist had us “go shopping” by selecting from a wall of food (empty food packages). She then would create a days worth of meals composed of the things people selected to see where we would land for our daily goals. She did this different times once for sugar, fat, sodium, and protein. After she would create the plan that put us over the daily limits she went back and selected things that were smarter alternatives.
Most of this information was review for me however I thought the class was beneficial, and I did learn a handful of new things. I didn’t know that fruit doesn’t count toward your daily allowed grams of sugar which makes me feel a lot better about the days that I was over for sugar on My Fitness Pal because I ate fruit for multiple meals.
I was a little shocked to see how many people in this group didn’t know how to read nutritional labels. Obviously we are all there because we could use a little help with our food choices, I just don’t understand how you can have made attempts at weight loss without knowing how decipher this information. I was also blown away by how many people didn’t know much about any of the surgeries or which one they were considering. Granted we had some people who haven’t meet with surgeon yet, however by the time I decided to go in for the consultation I had already done days of research and pretty much had my mind made up about what I wanted. Now I know I am an over preparer for sure but one would think you would gather some basic details before considering going under the knife.
After my class I had a physical with my PCP, I recently switched to her and she is fabulous. She was also blown away by how stellar my labs were. The only things that she’s worried about is that my HDL level is still low, but she thinks that the surgery should help with that since weight loss will bring that number up.
Cholesterol 123 (140-200)
Triglycerides 113 (35-135)
HDL 29 (40-75)
LDL 72 (60-100)
Estimated Average Glucose 103 (68-126)
Hemoglobin 5.2% (4.o – 6.0)
Thyroid Stimulating Hormone .657 (0.465-4.680)