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Pt with N/V which she states can happen as occasionally as every couple

months. She is unable to determine what brings it on as it happens after

meals or on an empty stomach and she has lost 140# over the past 2 years

(RNY 93'). Poor appetite. Does better with carb heavy foods (bread,

fruit) and has trouble with protein. Can drink fluids if done slowly. No

reported dumping. Takes a Centrum Silver and B12 supplement. Labs: PAB,

B12, Iron, Vit D, Zn, B1, Vit A nl. High folate, low ferretin.

gastric emptying test nl

Would like to help this pt out but not sure what to do. Any ideas?

Hosier, RD, LD

Clinical Dietitian

Member ASBS www.asbs.org

St. Luke's Boise Medical Center

381-1519

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