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The liver produces, and discharges bile, which is required to digest fats. The gallbladder serves as a reservoir for bile, and discharges it when the body " sees " fats to process.

If your liver isn't functioning properly (as may be the case with PSC), a low fat diet is just that much less work for it. Additionally, a low fat diet (30 gm/day) is generally prescribed after gallbladder removal, since that reservoir is no longer there.

A Culver's milk shake contains 40 gm fat (and 822 calories!). I KNOW I'll pay for it if I have one (and I admit I do, once or twice a year).

Exercise just keeps you healthier, and better prepared for a transplant - if (or when) it's needed.

Arne

57 - UC 1977 - PSC 2000

Alive and well in Minnesota

..

________________________________

From: [mailto: ] On Behalf Of Ruth Blatt

Hi everyone,

I noticed people have mentioned that they try to keep a low fat diet and also exercise. Why?..

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Ruth,

Low fat because bile is needed to digest the fat. For me I get

increased RUQ pain, and feel like I have rocks in my stomach if I eat

to much fat at one time. Fat also makes me nauseated and gives me

abdominal cramps.

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-

My son would second your description, with the added lovely issue of vomiting in addition to the pain. Even before the PSC diagnosis, as a 8 to 10 year old, he knew he couldn't eat the pizza, cake, etc at a birthday party.

Joanne H

(, Ca., mom of , 18, UC/PSC 2-06)

Ruth, ... For me I get increased RUQ pain, and feel like I have rocks in my stomach if I eat to much fat at one time. Fat also makes me nauseated and gives me abdominal cramps.

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-

My son would second your description, with the added lovely issue of vomiting in addition to the pain. Even before the PSC diagnosis, as a 8 to 10 year old, he knew he couldn't eat the pizza, cake, etc at a birthday party.

Joanne H

(, Ca., mom of , 18, UC/PSC 2-06)

Ruth, ... For me I get increased RUQ pain, and feel like I have rocks in my stomach if I eat to much fat at one time. Fat also makes me nauseated and gives me abdominal cramps.

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-

My son would second your description, with the added lovely issue of vomiting in addition to the pain. Even before the PSC diagnosis, as a 8 to 10 year old, he knew he couldn't eat the pizza, cake, etc at a birthday party.

Joanne H

(, Ca., mom of , 18, UC/PSC 2-06)

Ruth, ... For me I get increased RUQ pain, and feel like I have rocks in my stomach if I eat to much fat at one time. Fat also makes me nauseated and gives me abdominal cramps.

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Thanks for all of your responses, but I'm still confused about what

to do. It's almost a silly discussion, everyone " knows " you're

supposed to follow a low-fat diet and exercise, but having severe UC

for so many years has taught me that what it conventional doesn't

necessarily hold for me (Eg, " eat your veggies " ). The thing is that

I've been losing weight despite trying to gain it by indulging in the

occassional steak, fries, bagel with cream cheese, or slice of pizza.

I don't know if it's because these things trigger my UC symptoms so

that the fat isn't absorbed, or that I'm not having enough. I'm a

little worried about it. I don't want to lose weight and my clothes

are already starting to hang a bit. Plus when I lose weight I stop

getting my period, and considering that I still want another child, I

don't want to mess up that system. So I'm thinking I want to up the

calories, but I don't want to do it if it's going to make my PSC

worse. The thing is that I don't have any liver-related symptoms

(yet), no pain or elevated enzymes. So maybe at this point (of

having " mild to moderate PSC " as indicated by my ERCP report), my

liver can handle it?

I'm also worried that the inability to gain weight is some sign that

I'm getting worse on some front. The UC has definitely been active,

and all I have left of my colon is my rectum, which used to always be

totally fine ( " rectal sparing " in the doc's words). I've started

taking Paxil about a week ago so that could be affecting my appetite,

but the weight thing has been going on for longer than that.

Any thoughts would be appreciated. Thanks,

Ruth

UC - 2000, Colectomy - 2007, PSC - 2008

>

> -

> My son would second your description, with the added lovely issue of

> vomiting in addition to the pain. Even before the PSC diagnosis,

as a 8 to

> 10 year old, he knew he couldn't eat the pizza, cake, etc at a

birthday

> party.

>

> Joanne H

> (, Ca., mom of , 18, UC/PSC 2-06)

>

> Ruth,

> ... For me I get

> increased RUQ pain, and feel like I have rocks in my stomach if I

eat

> to much fat at one time. Fat also makes me nauseated and gives me

> abdominal cramps.

>

>

>

> Recent Activity

> a.. 9New Members

> Visit Your Group

> Meditation and

> Lovingkindness

>

> A Yahoo! Group

>

> to share and learn.

>

> Yahoo! Health

> Early Detection

>

> Know the symptoms

>

> of breast cancer.

>

> Need traffic?

> Drive customers

>

> With search ads

>

> on Yahoo!

> .

>

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Thanks for all of your responses, but I'm still confused about what

to do. It's almost a silly discussion, everyone " knows " you're

supposed to follow a low-fat diet and exercise, but having severe UC

for so many years has taught me that what it conventional doesn't

necessarily hold for me (Eg, " eat your veggies " ). The thing is that

I've been losing weight despite trying to gain it by indulging in the

occassional steak, fries, bagel with cream cheese, or slice of pizza.

I don't know if it's because these things trigger my UC symptoms so

that the fat isn't absorbed, or that I'm not having enough. I'm a

little worried about it. I don't want to lose weight and my clothes

are already starting to hang a bit. Plus when I lose weight I stop

getting my period, and considering that I still want another child, I

don't want to mess up that system. So I'm thinking I want to up the

calories, but I don't want to do it if it's going to make my PSC

worse. The thing is that I don't have any liver-related symptoms

(yet), no pain or elevated enzymes. So maybe at this point (of

having " mild to moderate PSC " as indicated by my ERCP report), my

liver can handle it?

I'm also worried that the inability to gain weight is some sign that

I'm getting worse on some front. The UC has definitely been active,

and all I have left of my colon is my rectum, which used to always be

totally fine ( " rectal sparing " in the doc's words). I've started

taking Paxil about a week ago so that could be affecting my appetite,

but the weight thing has been going on for longer than that.

Any thoughts would be appreciated. Thanks,

Ruth

UC - 2000, Colectomy - 2007, PSC - 2008

>

> -

> My son would second your description, with the added lovely issue of

> vomiting in addition to the pain. Even before the PSC diagnosis,

as a 8 to

> 10 year old, he knew he couldn't eat the pizza, cake, etc at a

birthday

> party.

>

> Joanne H

> (, Ca., mom of , 18, UC/PSC 2-06)

>

> Ruth,

> ... For me I get

> increased RUQ pain, and feel like I have rocks in my stomach if I

eat

> to much fat at one time. Fat also makes me nauseated and gives me

> abdominal cramps.

>

>

>

> Recent Activity

> a.. 9New Members

> Visit Your Group

> Meditation and

> Lovingkindness

>

> A Yahoo! Group

>

> to share and learn.

>

> Yahoo! Health

> Early Detection

>

> Know the symptoms

>

> of breast cancer.

>

> Need traffic?

> Drive customers

>

> With search ads

>

> on Yahoo!

> .

>

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Share on other sites

Thanks for all of your responses, but I'm still confused about what

to do. It's almost a silly discussion, everyone " knows " you're

supposed to follow a low-fat diet and exercise, but having severe UC

for so many years has taught me that what it conventional doesn't

necessarily hold for me (Eg, " eat your veggies " ). The thing is that

I've been losing weight despite trying to gain it by indulging in the

occassional steak, fries, bagel with cream cheese, or slice of pizza.

I don't know if it's because these things trigger my UC symptoms so

that the fat isn't absorbed, or that I'm not having enough. I'm a

little worried about it. I don't want to lose weight and my clothes

are already starting to hang a bit. Plus when I lose weight I stop

getting my period, and considering that I still want another child, I

don't want to mess up that system. So I'm thinking I want to up the

calories, but I don't want to do it if it's going to make my PSC

worse. The thing is that I don't have any liver-related symptoms

(yet), no pain or elevated enzymes. So maybe at this point (of

having " mild to moderate PSC " as indicated by my ERCP report), my

liver can handle it?

I'm also worried that the inability to gain weight is some sign that

I'm getting worse on some front. The UC has definitely been active,

and all I have left of my colon is my rectum, which used to always be

totally fine ( " rectal sparing " in the doc's words). I've started

taking Paxil about a week ago so that could be affecting my appetite,

but the weight thing has been going on for longer than that.

Any thoughts would be appreciated. Thanks,

Ruth

UC - 2000, Colectomy - 2007, PSC - 2008

>

> -

> My son would second your description, with the added lovely issue of

> vomiting in addition to the pain. Even before the PSC diagnosis,

as a 8 to

> 10 year old, he knew he couldn't eat the pizza, cake, etc at a

birthday

> party.

>

> Joanne H

> (, Ca., mom of , 18, UC/PSC 2-06)

>

> Ruth,

> ... For me I get

> increased RUQ pain, and feel like I have rocks in my stomach if I

eat

> to much fat at one time. Fat also makes me nauseated and gives me

> abdominal cramps.

>

>

>

> Recent Activity

> a.. 9New Members

> Visit Your Group

> Meditation and

> Lovingkindness

>

> A Yahoo! Group

>

> to share and learn.

>

> Yahoo! Health

> Early Detection

>

> Know the symptoms

>

> of breast cancer.

>

> Need traffic?

> Drive customers

>

> With search ads

>

> on Yahoo!

> .

>

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Share on other sites

Ruth,

I don't have UC, so I cannot relate to that; however, it seems to me

that you could increase your calories without increasing your fat.

When my father had trouble gaining weight they added Ensure or Boost

to his diet. Also You might want to check into the diabetic planner

for a meal plan that is higher in calories yet health. My boyfriend

is diebetic and the book I have for him includes meal plans for up to

2500 daily calories. With diabeties you have to watch the fat as it

is converted to sugar. Maybe some one else out there who has UC has

some other suggestions.

Dawn

In , " Ruth Blatt " wrote:

>

> Thanks for all of your responses, but I'm still confused about what

> to do. It's almost a silly discussion, everyone " knows " you're

> supposed to follow a low-fat diet and exercise, but having severe

UC

> for so many years has taught me that what it conventional doesn't

> necessarily hold for me (Eg, " eat your veggies " ). The thing is that

> I've been losing weight despite trying to gain it by indulging in

the

> occassional steak, fries, bagel with cream cheese, or slice of

pizza.

> I don't know if it's because these things trigger my UC symptoms so

> that the fat isn't absorbed, or that I'm not having enough. I'm a

> little worried about it. I don't want to lose weight and my clothes

> are already starting to hang a bit. Plus when I lose weight I stop

> getting my period, and considering that I still want another child,

I

> don't want to mess up that system. So I'm thinking I want to up the

> calories, but I don't want to do it if it's going to make my PSC

> worse. The thing is that I don't have any liver-related symptoms

> (yet), no pain or elevated enzymes. So maybe at this point (of

> having " mild to moderate PSC " as indicated by my ERCP report), my

> liver can handle it?

>

> I'm also worried that the inability to gain weight is some sign

that

> I'm getting worse on some front. The UC has definitely been active,

> and all I have left of my colon is my rectum, which used to always

be

> totally fine ( " rectal sparing " in the doc's words). I've started

> taking Paxil about a week ago so that could be affecting my

appetite,

> but the weight thing has been going on for longer than that.

>

> Any thoughts would be appreciated. Thanks,

> Ruth

> UC - 2000, Colectomy - 2007, PSC - 2008

>

>

>

> >

> > -

> > My son would second your description, with the added lovely issue

of

> > vomiting in addition to the pain. Even before the PSC diagnosis,

> as a 8 to

> > 10 year old, he knew he couldn't eat the pizza, cake, etc at a

> birthday

> > party.

> >

> > Joanne H

> > (, Ca., mom of , 18, UC/PSC 2-06)

> >

> > Ruth,

> > ... For me I get

> > increased RUQ pain, and feel like I have rocks in my stomach if

I

> eat

> > to much fat at one time. Fat also makes me nauseated and gives

me

> > abdominal cramps.

> >

> >

> >

> > Recent Activity

> > a.. 9New Members

> > Visit Your Group

> > Meditation and

> > Lovingkindness

> >

> > A Yahoo! Group

> >

> > to share and learn.

> >

> > Yahoo! Health

> > Early Detection

> >

> > Know the symptoms

> >

> > of breast cancer.

> >

> > Need traffic?

> > Drive customers

> >

> > With search ads

> >

> > on Yahoo!

> > .

> >

>

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Share on other sites

Ruth,

I don't have UC, so I cannot relate to that; however, it seems to me

that you could increase your calories without increasing your fat.

When my father had trouble gaining weight they added Ensure or Boost

to his diet. Also You might want to check into the diabetic planner

for a meal plan that is higher in calories yet health. My boyfriend

is diebetic and the book I have for him includes meal plans for up to

2500 daily calories. With diabeties you have to watch the fat as it

is converted to sugar. Maybe some one else out there who has UC has

some other suggestions.

Dawn

In , " Ruth Blatt " wrote:

>

> Thanks for all of your responses, but I'm still confused about what

> to do. It's almost a silly discussion, everyone " knows " you're

> supposed to follow a low-fat diet and exercise, but having severe

UC

> for so many years has taught me that what it conventional doesn't

> necessarily hold for me (Eg, " eat your veggies " ). The thing is that

> I've been losing weight despite trying to gain it by indulging in

the

> occassional steak, fries, bagel with cream cheese, or slice of

pizza.

> I don't know if it's because these things trigger my UC symptoms so

> that the fat isn't absorbed, or that I'm not having enough. I'm a

> little worried about it. I don't want to lose weight and my clothes

> are already starting to hang a bit. Plus when I lose weight I stop

> getting my period, and considering that I still want another child,

I

> don't want to mess up that system. So I'm thinking I want to up the

> calories, but I don't want to do it if it's going to make my PSC

> worse. The thing is that I don't have any liver-related symptoms

> (yet), no pain or elevated enzymes. So maybe at this point (of

> having " mild to moderate PSC " as indicated by my ERCP report), my

> liver can handle it?

>

> I'm also worried that the inability to gain weight is some sign

that

> I'm getting worse on some front. The UC has definitely been active,

> and all I have left of my colon is my rectum, which used to always

be

> totally fine ( " rectal sparing " in the doc's words). I've started

> taking Paxil about a week ago so that could be affecting my

appetite,

> but the weight thing has been going on for longer than that.

>

> Any thoughts would be appreciated. Thanks,

> Ruth

> UC - 2000, Colectomy - 2007, PSC - 2008

>

>

>

> >

> > -

> > My son would second your description, with the added lovely issue

of

> > vomiting in addition to the pain. Even before the PSC diagnosis,

> as a 8 to

> > 10 year old, he knew he couldn't eat the pizza, cake, etc at a

> birthday

> > party.

> >

> > Joanne H

> > (, Ca., mom of , 18, UC/PSC 2-06)

> >

> > Ruth,

> > ... For me I get

> > increased RUQ pain, and feel like I have rocks in my stomach if

I

> eat

> > to much fat at one time. Fat also makes me nauseated and gives

me

> > abdominal cramps.

> >

> >

> >

> > Recent Activity

> > a.. 9New Members

> > Visit Your Group

> > Meditation and

> > Lovingkindness

> >

> > A Yahoo! Group

> >

> > to share and learn.

> >

> > Yahoo! Health

> > Early Detection

> >

> > Know the symptoms

> >

> > of breast cancer.

> >

> > Need traffic?

> > Drive customers

> >

> > With search ads

> >

> > on Yahoo!

> > .

> >

>

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Share on other sites

I drank a " Boost " every day when I was pregnant with my first one. I

had a similar issue back then. I hadn't had a period in 4 years, and

when I finally saw a reproductive endocrinologist he told me to stop

exercising (I was doing so about 4-5 times a week) and eat a

cheeseburger and milkshake every day. I was pregnant within two

months. But by the second pregnancy I was seeing the Chinese doctor

and he told me that Boost was actually full of chemicals. I wonder

how good that really is for me, especially with PSC.

But you're right, I can eat complex carbs and gain weight that way

(less fun). I just get full and don't feel like eating more.

Ruth

> > >

> > > -

> > > My son would second your description, with the added lovely

issue

> of

> > > vomiting in addition to the pain. Even before the PSC

diagnosis,

> > as a 8 to

> > > 10 year old, he knew he couldn't eat the pizza, cake, etc at a

> > birthday

> > > party.

> > >

> > > Joanne H

> > > (, Ca., mom of , 18, UC/PSC 2-06)

> > >

> > > Ruth,

> > > ... For me I get

> > > increased RUQ pain, and feel like I have rocks in my stomach

if

> I

> > eat

> > > to much fat at one time. Fat also makes me nauseated and

gives

> me

> > > abdominal cramps.

> > >

> > >

> > >

> > > Recent Activity

> > > a.. 9New Members

> > > Visit Your Group

> > > Meditation and

> > > Lovingkindness

> > >

> > > A Yahoo! Group

> > >

> > > to share and learn.

> > >

> > > Yahoo! Health

> > > Early Detection

> > >

> > > Know the symptoms

> > >

> > > of breast cancer.

> > >

> > > Need traffic?

> > > Drive customers

> > >

> > > With search ads

> > >

> > > on Yahoo!

> > > .

> > >

> >

>

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Hi, Ruth. My understanding from this site is that cholic acid is what

does the liver damage, and since that comes from cholesterol it's

really only cholesterol that you're trying to avoid, not all fat in

general. I'm not sure what other kinds of fats that would leave you

open to eating but there must be some out there, right? Best,

Nina in Philly

Boost was actually full of chemicals. I wonder

> how good that really is for me, especially with PSC.

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Hi, Ruth. My understanding from this site is that cholic acid is what

does the liver damage, and since that comes from cholesterol it's

really only cholesterol that you're trying to avoid, not all fat in

general. I'm not sure what other kinds of fats that would leave you

open to eating but there must be some out there, right? Best,

Nina in Philly

Boost was actually full of chemicals. I wonder

> how good that really is for me, especially with PSC.

Link to comment
Share on other sites

Hi, Ruth. My understanding from this site is that cholic acid is what

does the liver damage, and since that comes from cholesterol it's

really only cholesterol that you're trying to avoid, not all fat in

general. I'm not sure what other kinds of fats that would leave you

open to eating but there must be some out there, right? Best,

Nina in Philly

Boost was actually full of chemicals. I wonder

> how good that really is for me, especially with PSC.

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Share on other sites

There are good fats that are low in cholesterol. Try some unrefined coconut oil in your stirfrys, popcorn and even a spoonful a day. Olive oil, fish oils, and even butter (the real stuff) is good for your body and when paired with other foods helps your body absorb the nutrients in those foods (like the vitamins from sweet potatoes when butter is on them).Enjoy!Sent from my Verizon Wireless BlackBerryDate: Mon, 22 Sep 2008 17:59:46 -0000To: < >Subject: Re: Why low fat diet Hi, Ruth. My understanding from this site is that cholic acid is what does the liver damage, and since that comes from cholesterol it's really only cholesterol that you're trying to avoid, not all fat in general. I'm not sure what other kinds of fats that would leave you open to eating but there must be some out there, right? Best, Nina in Philly Boost was actually full of chemicals. I wonder > how good that really is for me, especially with PSC.

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Share on other sites

There are good fats that are low in cholesterol. Try some unrefined coconut oil in your stirfrys, popcorn and even a spoonful a day. Olive oil, fish oils, and even butter (the real stuff) is good for your body and when paired with other foods helps your body absorb the nutrients in those foods (like the vitamins from sweet potatoes when butter is on them).Enjoy!Sent from my Verizon Wireless BlackBerryDate: Mon, 22 Sep 2008 17:59:46 -0000To: < >Subject: Re: Why low fat diet Hi, Ruth. My understanding from this site is that cholic acid is what does the liver damage, and since that comes from cholesterol it's really only cholesterol that you're trying to avoid, not all fat in general. I'm not sure what other kinds of fats that would leave you open to eating but there must be some out there, right? Best, Nina in Philly Boost was actually full of chemicals. I wonder > how good that really is for me, especially with PSC.

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