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This is why I asked if there was a nutritionist associated with Judy's

SURGEON, someone who is VERY familiar with this kind of surgery and its

effects on our bodies. My surgeon works with a terrific nutritionist,

who has never steered me wrong, and I hope other surgeons do the same.

I'm just concerned about people getting advice online INSTEAD of asking

a professional. All of our surgeons' eating plans vary quite a bit, and

I happen to think it's safest to consult your surgeon after getting

ideas from groups online. I hope we can all continue to offer support,

just not in lieu of actual medica guidance.

Just my opinion. No offense meat to anyone :)

- Alice A.

HaaseVP@... wrote:

>

> In a message dated 10/10/2001 10:04:07 AM Pacific Daylight Time,

> dxer@... writes:

>

> > Judy,

> >

> > Does your surgeon work with a nutritionist? I’m sure people online have

> > advice, but you should ultimately consult a professional. No offense to

> > anyone, but much of the nutritional advice I’ve gotten online has been

> > negated by my surgeon. I’ve heard this from others as well.

> >

> > I too have these questions about iron, even though my tests are

> consistently

> > normal. I plan to meet with my surgeon’s nutritionist soon.

> >

> > - Alice A.

> >

>

> No offense is intended towards anyone personally, nor am I promoting or

> " dissing " anyone, but I think OUR nutrition issues are of vital importance

> and need to be on the table, without regard to profit for anyone, the only

> consideration being our health and how we feel! Unfortunately nutritionists

> are often un educated gym and health club opportunistists. . .not educated in

> real nutrition by self or any other means! Nutritionists are harmless to

> most people, (thought not to their pocket books), but not us . . . they can

> make a huge difference in our quality of life, especially BPD and distal

> intestinal surgery post ops. The proper nourishment of our bodies is the key

> to a healthy life post op, regardless of the procedure! No exaggeration, no

> BS. Nutritionists, do not have degrees or any formal educational

> requirements, not even a high school diploma with basic biology, they have

> certificates!!! Any person can call themselves a nutritionist because it's

> not regulated like the word physician, or MEDICAL DOCTOR. Some nutritionists

> have certificates, but the certificates value varies greatly. Just like our

> online friends, a nutritionists level of knowledge fluctuates with dedication

> and experience. Some " nutritionists " are mocking birds for a particular

> line of products and say what they are told. While others could qualify for a

> PHD in Nutrition! Registered Dietitians have a Bachelor of Science degree

> and pass a national certification/registration exam. They are schooled in

> general, organic and inorganic chemistry and metabolism. Their particular

> line of expertise is mainly supervising institutional menus like hospitals,

> nursing homes, daycare centers, and schools . . . They follow the FDA

> pyramid, with awareness of modifications for SOME medical and nutritional

> problems. (Latest media reports say the pyramid is obsolete.)

> Microabsorption and malabsorption issues, except in natural disease states,

> has limited coverage in general RD education. I have seen RD's give brand

> new RNY post ops full sugared juices, full fat soups, milk, ice cream and

> Jell-O in the hospital just because they aren't informed! (We inform pre ops

> to be aware or learn by experience!) Physicians have about 9 semester units

> of nutrition before beginning the practice of medicine. . .Physicians often

> know how to treat nutritional deficiencies (with extreme means like TPN,

> transfusions, iron infusions, & IV therapy), sometimes, more than they know

> how to prescribe and make recommendations to prevent them from occurring in

> the first place! Proper dosages of the right form of a micronutrient taken

> at the best time in the best combination or alone for optimal absorption

> isn't part of a standard medical or surgical residency. Multivitamins and

> 'power pack' vitamins (6 to 10 super vits) taken all at once are for people

> that don't have nutritional deficiencies and like the placebo effect as they

> are expensive and of very limited value!

> So, for those of us for which what we supplement with and when matters .

> . . we need to really be careful . . . Not offering advise......

> :o) Vicki

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This is why I asked if there was a nutritionist associated with Judy's

SURGEON, someone who is VERY familiar with this kind of surgery and its

effects on our bodies. My surgeon works with a terrific nutritionist,

who has never steered me wrong, and I hope other surgeons do the same.

I'm just concerned about people getting advice online INSTEAD of asking

a professional. All of our surgeons' eating plans vary quite a bit, and

I happen to think it's safest to consult your surgeon after getting

ideas from groups online. I hope we can all continue to offer support,

just not in lieu of actual medica guidance.

Just my opinion. No offense meat to anyone :)

- Alice A.

HaaseVP@... wrote:

>

> In a message dated 10/10/2001 10:04:07 AM Pacific Daylight Time,

> dxer@... writes:

>

> > Judy,

> >

> > Does your surgeon work with a nutritionist? I’m sure people online have

> > advice, but you should ultimately consult a professional. No offense to

> > anyone, but much of the nutritional advice I’ve gotten online has been

> > negated by my surgeon. I’ve heard this from others as well.

> >

> > I too have these questions about iron, even though my tests are

> consistently

> > normal. I plan to meet with my surgeon’s nutritionist soon.

> >

> > - Alice A.

> >

>

> No offense is intended towards anyone personally, nor am I promoting or

> " dissing " anyone, but I think OUR nutrition issues are of vital importance

> and need to be on the table, without regard to profit for anyone, the only

> consideration being our health and how we feel! Unfortunately nutritionists

> are often un educated gym and health club opportunistists. . .not educated in

> real nutrition by self or any other means! Nutritionists are harmless to

> most people, (thought not to their pocket books), but not us . . . they can

> make a huge difference in our quality of life, especially BPD and distal

> intestinal surgery post ops. The proper nourishment of our bodies is the key

> to a healthy life post op, regardless of the procedure! No exaggeration, no

> BS. Nutritionists, do not have degrees or any formal educational

> requirements, not even a high school diploma with basic biology, they have

> certificates!!! Any person can call themselves a nutritionist because it's

> not regulated like the word physician, or MEDICAL DOCTOR. Some nutritionists

> have certificates, but the certificates value varies greatly. Just like our

> online friends, a nutritionists level of knowledge fluctuates with dedication

> and experience. Some " nutritionists " are mocking birds for a particular

> line of products and say what they are told. While others could qualify for a

> PHD in Nutrition! Registered Dietitians have a Bachelor of Science degree

> and pass a national certification/registration exam. They are schooled in

> general, organic and inorganic chemistry and metabolism. Their particular

> line of expertise is mainly supervising institutional menus like hospitals,

> nursing homes, daycare centers, and schools . . . They follow the FDA

> pyramid, with awareness of modifications for SOME medical and nutritional

> problems. (Latest media reports say the pyramid is obsolete.)

> Microabsorption and malabsorption issues, except in natural disease states,

> has limited coverage in general RD education. I have seen RD's give brand

> new RNY post ops full sugared juices, full fat soups, milk, ice cream and

> Jell-O in the hospital just because they aren't informed! (We inform pre ops

> to be aware or learn by experience!) Physicians have about 9 semester units

> of nutrition before beginning the practice of medicine. . .Physicians often

> know how to treat nutritional deficiencies (with extreme means like TPN,

> transfusions, iron infusions, & IV therapy), sometimes, more than they know

> how to prescribe and make recommendations to prevent them from occurring in

> the first place! Proper dosages of the right form of a micronutrient taken

> at the best time in the best combination or alone for optimal absorption

> isn't part of a standard medical or surgical residency. Multivitamins and

> 'power pack' vitamins (6 to 10 super vits) taken all at once are for people

> that don't have nutritional deficiencies and like the placebo effect as they

> are expensive and of very limited value!

> So, for those of us for which what we supplement with and when matters .

> . . we need to really be careful . . . Not offering advise......

> :o) Vicki

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In a message dated 10/19/2001 4:56:38 PM Pacific Daylight Time,

dxer@... writes:

> This is why I asked if there was a nutritionist associated with Judy's

> SURGEON, someone who is VERY familiar with this kind of surgery and its

> effects on our bodies. My surgeon works with a terrific nutritionist,

> who has never steered me wrong, and I hope other surgeons do the same.

>

> I'm just concerned about people getting advice online INSTEAD of asking

> a professional. All of our surgeons' eating plans vary quite a bit, and

> I happen to think it's safest to consult your surgeon after getting

> ideas from groups online. I hope we can all continue to offer support,

> just not in lieu of actual medica guidance.

>

> Just my opinion. No offense meat to anyone :)

>

> - Alice A.

The point I was making was that I have seen some pretty horrible nutritional

advise from surgeons and their nutritionists as well . . . there is much to

be considered post operatively. If you fell bad . . . I don't car what your

numbers look like, good or bad . . . there is a good chance something is off

for you personally! That is what I mean by really researching, asking

questions and learning what is going on with yourself.

:o) Vicki

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