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Pre and post gastric bypass

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Hello colleagues,

Can anyone tell me if there are specific protocols to follow when working with

someone who is going to have gastric bypass surgery? The first visit is not the

problem. I am going to do an assessment of current habits, food choices, etc.

I am mainly wondering how the follow ups are handled and if there is a set of

protocols available. This bypass candidate is required to see me once before

surgery and 3 times following surgery. Any info is much appreciated.

Happy healthy new year to you, and may we all experience growth in our wonderful

field from 2007 on.

Jacqui

Jacquelyn A. Pressly, RD

The NON-DIET dietitian

Northeast Ohio and Western Pennsylvania

Internet and telecounseling for distance clients

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Iwould highly recommend that you have them pay for all 4 visits up

front as it tends to encourage them to follow up. We require 2 visits

pre op-> 1 visit to see what habits they have that could affect their

success and the other to review the diet/supplements/vit/mineral

needs post operativesly. We then have a " test " that we give to review

their understanding.

The post op we see what stage they are at and how well they are

meeting their fluid/pro needs as well as vits/min. We find unless

they are taking a clear liquid supplement during the clear liquid

phase they will not meet their pro needs. We use Bariatrix- we are

distributors but we have a RD in PA that we can also refer you to if

you need a clear liquid (drink, broths and gelatins- also contain

arginine for healing). We find that people will try to advance to

regular diet too quickly and monitor that closely- I find the quicker

they progress the more problems they have long term with weight gain.

hope this helps.

peace-

aimee

bariatrixrd@...

optimalnutritionrd.com

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