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Your first priority is drinking two quarts of water every day for the

rest of your life. It is essential to your weight loss and continued

good health. You MUST have 120-160 grams of protein supplement and

all

of your vitamin and mineral supplements each day to maintain adequate

protein, vitamin and mineral levels for optimum weight loss. You

may

consume up to three ounces of the following high protein foods 5

times a

day. ****NOTE**** I am a distal RNY

HIGH PROTEIN FOODS:

MEAT

Beef

Pork

Chicken

Turkey

Lamb Fish

OTHER SOURCES

Eggs

Cheese (low fat)

Cottage cheese

Yogurt (plain or artificially sweetened)

peanut butter

Beans

You may also have:

Sugar free popsicles (avoid Welches or all-fruit juice pops). Stick

to

artificially sweetened varieties.

Tea or coffee

sugar free sodas

sugar free Jell-O

Broths and Bouillons

Crystal Lite Drinks

If it is not on the list, you may not have it!!!!

If you feel hungry between meals, try hot soup stock. Swanson's

chicken or beef broth with the fat skimmed off is a good choice. Add

your favorite herbs and spices. If you want to add fresh vegetables

for

flavor, strain before serving. For interesting beverages, try

mixing

flavored herbal teas with Crystal Lte or diet sodas for new flavors.

Keep a diary to keep you on track. Do your best to get 30 minutes of

aerobic exercise daily.

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Thanks to all who responded to me with the " jump start " plan! You are all so

great! Love Ya'! bobbie

Here is the diet.

> Your first priority is drinking two quarts of water every day for the

> rest of your life. It is essential to your weight loss and continued

> good health. You MUST have 120-160 grams of protein supplement and

> all

> of your vitamin and mineral supplements each day to maintain adequate

> protein, vitamin and mineral levels for optimum weight loss. You

> may

> consume up to three ounces of the following high protein foods 5

> times a

> day. ****NOTE**** I am a distal RNY

>

> HIGH PROTEIN FOODS:

>

> MEAT

> Beef

> Pork

> Chicken

> Turkey

> Lamb Fish

>

> OTHER SOURCES

> Eggs

> Cheese (low fat)

> Cottage cheese

> Yogurt (plain or artificially sweetened)

> peanut butter

> Beans

>

> You may also have:

> Sugar free popsicles (avoid Welches or all-fruit juice pops). Stick

> to

> artificially sweetened varieties.

>

> Tea or coffee

> sugar free sodas

> sugar free Jell-O

> Broths and Bouillons

> Crystal Lite Drinks

>

> If it is not on the list, you may not have it!!!!

>

> If you feel hungry between meals, try hot soup stock. Swanson's

> chicken or beef broth with the fat skimmed off is a good choice. Add

> your favorite herbs and spices. If you want to add fresh vegetables

> for

> flavor, strain before serving. For interesting beverages, try

> mixing

> flavored herbal teas with Crystal Lte or diet sodas for new flavors.

>

> Keep a diary to keep you on track. Do your best to get 30 minutes of

> aerobic exercise daily.

>

>

>

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

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<<****NOTE**** I am a distal RNY>>

First of all, Vicki, the requirements of a distal, and one with

malabsorption are vastly different from others. 15 ounces of protein (3

ounces, 5X a day) is 425 grams! I couldn't eat that much protein on my best

day. MY dietary requirements, if I had NO WLS, would only be about 60 grams.

And that's about what I get. Thank you for clarifying that you are a distal.

It makes a world of difference in your needs.

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

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Jac,

I am the one that originally posted the Jump Start plan that my surgeon

recommends just as a temporary measure to break a plateau.

However, you have misunderstood the directions (OR I typed them wrong).

I am required 150 grams a day of protein supplement. That is five shakes a day

of 30 grams protein. I do NOT get my protein from food, as I am a distal,

however, this plan is also fine to use for proximals and also for medials. Your

protein SUPPLEMENT (shakes) requirement would, however, be less.

This plan recommends you consume no more than 3 ounces of food protein at a

sitting, five times a day, and have protein shakes in between. Do the plan for

not more than 10 days at a time. I know of several people who have done this

" jump start " to " jumpstart " their weight loss after hitting a plateau for a few

weeks, and have been very successful, with then adding in the carbs, fruits, and

veggies.

I was only trying to be helpful in posting this plan, and everyone is different.

I, myself, have not used the jump start for longer than a day or two as I was

too sick (due to protein malnutrition) to actually stick to it.

YMMV

B

Distal RNY 12/27/95

275/152

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The docs actual words are: if it doesn't walk, fly or swim, do not eat it.

LOL!

Thanks,

Vitalady T

www.vitalady.com

If you are interested in PayPal, please click here:

https://secure.paypal.com/affil/pal=vitalady%40bigfoot.com

Re: Here is the diet.

> Jac,

> I am the one that originally posted the Jump Start plan that my surgeon

recommends just as a temporary measure to break a plateau.

>

> However, you have misunderstood the directions (OR I typed them wrong).

>

> I am required 150 grams a day of protein supplement. That is five shakes

a day of 30 grams protein. I do NOT get my protein from food, as I am a

distal, however, this plan is also fine to use for proximals and also for

medials. Your protein SUPPLEMENT (shakes) requirement would, however, be

less.

>

> This plan recommends you consume no more than 3 ounces of food protein at

a sitting, five times a day, and have protein shakes in between. Do the

plan for not more than 10 days at a time. I know of several people who have

done this " jump start " to " jumpstart " their weight loss after hitting a

plateau for a few weeks, and have been very successful, with then adding in

the carbs, fruits, and veggies.

>

> I was only trying to be helpful in posting this plan, and everyone is

different. I, myself, have not used the jump start for longer than a day or

two as I was too sick (due to protein malnutrition) to actually stick to it.

>

> YMMV

>

> B

> Distal RNY 12/27/95

> 275/152

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

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In a message dated 12/18/2002 5:19:24 AM Pacific Standard Time,

jholdaway@... writes:

> And I don't know why they aren't still doing the

> surgery that I and my mother had. It appears that there are a lot of things

> that I don't know or understand. :) What I DO understand is, if it works

> for

> you, then do it!!!

>

>

What surgery did you and your mother have? Do you not need protein or

vitamins?

B

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In a message dated 12/18/2002 5:20:53 AM Pacific Standard Time,

jholdaway@... writes:

> What I do not understand is why doctors are still performing surgeries that

> cause malabsorption.

Restricted quantities are not enough to manage my metabolism into losing or

maintaining a weight loss while giving me what I consider a quality of life

at the same time. In order to lose weight, I need to consume less than 800

calories a day, and exercise vigorously at least 5 times a week. To maintain

a weight level, I can bring my calories to 1000 a day, with the same exercise

level. I was unable to do either of these regimes for any lengthy period of

time.

I needed a malabsorptive procedure in order to ensure loss and maintenance.

Kate

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<>

MIS understanding is one of my strongest points! LOL

(as an aside---when I was growing up, my mother always called me Miss

Information. I was in my 20's before I found out that she wasn't calling me

" Miss Information. " She was calling me Misinformation. LOL)

I understand that your dietary needs are different than mine. Honest I do.

What I do not understand is why doctors are still performing surgeries that

cause malabsorption. And I don't know why they aren't still doing the

surgery that I and my mother had. It appears that there are a lot of things

that I don't know or understand. :) What I DO understand is, if it works for

you, then do it!!!

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

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<<

What surgery did you and your mother have? Do you not need protein or

vitamins?

B

>>

We had what was called a Mason By-Pass. From what I have read, it is the

immediate predecessor of RNY. My stomach was reduced, with 4 rows of

surgical steel staples, to a 3 ounce capacity. None of my stomach was

actually removed. This was explained to me as being necessary for my stomach

to keep producing gastric acids, necessary for digestion. This is the only

part of my surgery that has caused me problems, because it produces too

much. THEN my surgeon took my small intestine and moved the connection to

the side of my stomach, from the bottom. He said that NONE of my intestinal

tract was removed, to PREVENT malabsorption.

I guess it worked! I have NEVER had to have a protein drink or any other

supplement. I SHOULD take a vitamin daily, but I have such an aversion to

pills that I usually " forget. " I get all the protein I need thru normal

dietary venues...meat (not a lot), cheese, yogurt and beans/peas/legumes. I

eat carbohydrates. To be blunt, I CRAVE carbohydrates. And, with all this

discussion of cutting carbs, I have to ask, at least from a maintenance

standpoint, " WHY??? " I mean, don't overload yourself on simple sugars.

That's sure failure. But, carbs are your energy source. Not protein. Complex

carbs are good for you! And they are usually tied to fiber. All of you with

poopy problems know that you have to increase your fiber...what do you think

Metamucil is? I eat vegetables. A lot of vegetables. Cooked, of course, I

don't tolerate a lot of raw. But, I don't have excremental problems either.

I go, every morning, within 30 minutes of getting up (it seems that the

first sip of coffee stimulates my system). I USED to go every 3 days. It

doesn't float, it doesn't stink, and I only flush one time. What I don't

eat?

Fatty or fried foods. My tummy will tell me in very short order that I

screwed up. I am going to be sick. Puking my guts up, taking my teeth out (I

have dentures), slam the bathroom door. Sick.

My tummy tells me lots of things. Fortunately, I learned to listen. I give

it the 15 minutes it needs to talk to my very small brain. And I listen when

it tells me that the hot fudge sundae that looks so good is not good for me.

It lets me have ONE BITE. If I go over that, it BITES ME.

I'll repeat, again, the hardest thing I had to learn was to be patient, and

give my brain and stomach time to communicate without my superior

interference.. THAT is the secret to my success.

Jac

mailto:jholdaway@...

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

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What surgery did you gals have that you have NO malabsorption? VBG or

AGB? I hope you don't have one of those surgeons that thinks a proximal

RNY doesn't cause malabsorption... There are over one hundred 25 cm

(yes, just 10 " ) bypass patients in our support group, and I have seen 12

of them crash nutritionally in the past 15 months because their surgeon

doesn't believe they have malabsorption and tells them to take a single

kids' chewable multi a day. Those that actually follow his program,

instead of taking a good adult multi, calcium citrate, and a few other

things as needed based on labs, either crash fast or will crash

eventually. Grey ghosts indeed. And I shudder to think what their bones

will be like in 20 years with Tums or no calcium at all.

I do appreciate your live-and-let-live attitude, and I try to have it,

except when I see that people in my support group are on the road to

nutritional disaster. Then I intervene. I can't put the pills in their

mouths but I can help them understand, via diagrams of their rerouted

insides and other diagrams that show where we absorb various nutrients,

that they do indeed have malabsorption that they have to deal with if

they want to stay in peak health.

Ziobro

Open RNY 09/17/01 125cm bypass

Plastics 07/22/02

310/128/125

BMI 54.9 to 22.0

Jeans size 32 to 4

http://www.ziobro.us

RE: Here is the diet.

LOL) I understand that your dietary needs are different than mine.

Honest I do. What I do not understand is why doctors are still

performing surgeries that cause malabsorption. And I don't know why they

aren't still doing the surgery that I and my mother had. It appears that

there are a lot of things that I don't know or understand. :) What I DO

understand is, if it works for you, then do it!!!

Jac

mailto:jholdaway@... http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

Homepage: http://groups.yahoo.com/group/Graduate-OSSG

Unsubscribe: mailto:Graduate-OSSG-unsubscribe

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My gawd! Un-f$*&!ng-believable! --Steve (taking 12 Vita4Life/day for life!)

At 11:38 AM -0800 12/18/02, Ziobro wrote:

>There are over one hundred 25 cm

>(yes, just 10 " ) bypass patients in our support group, and I have seen 12

>of them crash nutritionally in the past 15 months because their surgeon

>doesn't believe they have malabsorption and tells them to take a single

>kids' chewable multi a day. Those that actually follow his program,

>instead of taking a good adult multi, calcium citrate, and a few other

>things as needed based on labs, either crash fast or will crash

>eventually. Grey ghosts indeed. And I shudder to think what their bones

>will be like in 20 years with Tums or no calcium at all.

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, I hope you read my post that explained the surgery I had. It isn't

even listed as one of the current choices I've seen. It was performed over

20 years ago!!! Do I have malabsorption? I probably do, but obviously it's

not life threatening! ly, I don't think someone, who is 15 months post

op, is going to be able to tell me, 247 months post op, much about what my

body needs. I don't mean that to be hateful or ugly, just a fact. I DON'T

take protein supplements, or enormous amounts of vitamins. I haven't crashed

in the nearly 21 years I have post surgery, and neither has my mother.

Obviously someone thought there was a problem with the surgery we had, or

they'd still be doing it. But, honestly, I don't know what it is. BTW I

don't have a clue what " VBG or AGB " even is.

Jac

mailto:jholdaway@...

before and after pictures at:

http://hometown.aol.com/jrandjrholdaway

http://www.pictureitdigitaldesigns.com/

http://members.cox.net/xxxfarmpaints

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Jacque . . . I went to your page and am totally impressed. You have

done what we all dreamt of, which is put morbid obesity behind you.

You have a life, which many post ops only dream of, or aftaid to

dream of, because the past doesn't define who you are today. Please

stay on the list and take the time to share your 21 years of post op

life. It will help us all realize we have moved on. If we haven't

then we'll know we should. Thanks for being here on the Grad list.

Besides being beautiful outside (even when excess weight was an

issue) I can tell it runs all the way down to the bones and beyond.

And than you for your sound advise about my anxiety . . . BTW, I post

to the list as I read it at yahoo and not individual emails,

otherwise I would reply all!

:o) Vicki

> , I hope you read my post that explained the surgery I had. It

isn't

> even listed as one of the current choices I've seen. It was

performed over

> 20 years ago!!! Do I have malabsorption? I probably do, but

obviously it's

> not life threatening! ly, I don't think someone, who is 15

months post

> op, is going to be able to tell me, 247 months post op, much about

what my

> body needs. I don't mean that to be hateful or ugly, just a fact. I

DON'T

> take protein supplements, or enormous amounts of vitamins. I

haven't crashed

> in the nearly 21 years I have post surgery, and neither has my

mother.

> Obviously someone thought there was a problem with the surgery we

had, or

> they'd still be doing it. But, honestly, I don't know what it is.

BTW I

> don't have a clue what " VBG or AGB " even is.

>

> Jac

> mailto:jholdaway@c...

> before and after pictures at:

> http://hometown.aol.com/jrandjrholdaway

> http://www.pictureitdigitaldesigns.com/

> http://members.cox.net/xxxfarmpaints

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Jacque,

I'm not attacking you and I'm sorry you read what I said that way. I'm

glad your health is great and that you've been able to move on to a

wonderful post-WLS life. But my mother also had a Mason bypass, in

August of 1979, and it almost killed her. She had life-threatening

immediate post-op complications and serious nutritional deficiency

issues for the rest of her life. She died at age 43 but already had

serious osteoporosis and a dowager's hump (she was 32 when she had the

surgery). She took calcium carbonate at the recommendation of her

surgeon, and was on every vitamin regime known to medical science at the

time. (Cancer killed her; related to the WLS or not, very hard to say).

Needless to say, I researched RNY and other surgery types until my

surgeon teased me and asked me if I wanted to help him perform one

before I had mine done. :-)

My point is that I'm really glad that *your* experience has gone well,

but it's certainly not universal, and I DO have personal experience with

this issue. Everyone's results vary and I think it's worth it to know

your body and what's working for you AND what challenges you are likely

to face as a result of your WLS, so you can deal with them head-on,

before they are life-threatening problems.

Ziobro

Open RNY 09/17/01

Plastics 07/22/02

310/128/125

-----Original Message-----

> , I hope you read my post that explained the surgery I had. It

isn't

> even listed as one of the current choices I've seen. It was

performed over

> 20 years ago!!! Do I have malabsorption? I probably do, but

obviously it's

> not life threatening! ly, I don't think someone, who is 15

months post

> op, is going to be able to tell me, 247 months post op, much about

what my

> body needs. I don't mean that to be hateful or ugly, just a fact. I

DON'T

> take protein supplements, or enormous amounts of vitamins. I

haven't crashed

> in the nearly 21 years I have post surgery, and neither has my

mother.

> Obviously someone thought there was a problem with the surgery we

had, or

> they'd still be doing it. But, honestly, I don't know what it is.

BTW I

> don't have a clue what " VBG or AGB " even is.

>

> Jac

> mailto:jholdaway@c...

> before and after pictures at: http://hometown.aol.com/jrandjrholdaway

> http://www.pictureitdigitaldesigns.com/

> http://members.cox.net/xxxfarmpaints

Homepage: http://groups.yahoo.com/group/Graduate-OSSG

Unsubscribe: mailto:Graduate-OSSG-unsubscribe

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But, carbs are your energy source. Not protein. Complex

Jac, I think when people say " carbs " that they are generally referring to

the simple and not the complex......I know that is what I am usually doing

anyway......... P.

RE: Here is the diet.

> <<

> What surgery did you and your mother have? Do you not need protein or

> vitamins?

>

> B

> >>

> We had what was called a Mason By-Pass. From what I have read, it is the

> immediate predecessor of RNY. My stomach was reduced, with 4 rows of

> surgical steel staples, to a 3 ounce capacity. None of my stomach was

> actually removed. This was explained to me as being necessary for my

stomach

> to keep producing gastric acids, necessary for digestion. This is the only

> part of my surgery that has caused me problems, because it produces too

> much. THEN my surgeon took my small intestine and moved the connection to

> the side of my stomach, from the bottom. He said that NONE of my

intestinal

> tract was removed, to PREVENT malabsorption.

> I guess it worked! I have NEVER had to have a protein drink or any other

> supplement. I SHOULD take a vitamin daily, but I have such an aversion to

> pills that I usually " forget. " I get all the protein I need thru normal

> dietary venues...meat (not a lot), cheese, yogurt and beans/peas/legumes.

I

> eat carbohydrates. To be blunt, I CRAVE carbohydrates. And, with all this

> discussion of cutting carbs, I have to ask, at least from a maintenance

> standpoint, " WHY??? " I mean, don't overload yourself on simple sugars.

> That's sure failure. But, carbs are your energy source. Not protein.

Complex

> carbs are good for you! And they are usually tied to fiber. All of you

with

> poopy problems know that you have to increase your fiber...what do you

think

> Metamucil is? I eat vegetables. A lot of vegetables. Cooked, of course, I

> don't tolerate a lot of raw. But, I don't have excremental problems

either.

> I go, every morning, within 30 minutes of getting up (it seems that the

> first sip of coffee stimulates my system). I USED to go every 3 days. It

> doesn't float, it doesn't stink, and I only flush one time. What I don't

> eat?

> Fatty or fried foods. My tummy will tell me in very short order that I

> screwed up. I am going to be sick. Puking my guts up, taking my teeth out

(I

> have dentures), slam the bathroom door. Sick.

> My tummy tells me lots of things. Fortunately, I learned to listen. I give

> it the 15 minutes it needs to talk to my very small brain. And I listen

when

> it tells me that the hot fudge sundae that looks so good is not good for

me.

> It lets me have ONE BITE. If I go over that, it BITES ME.

> I'll repeat, again, the hardest thing I had to learn was to be patient,

and

> give my brain and stomach time to communicate without my superior

> interference.. THAT is the secret to my success.

>

> Jac

> mailto:jholdaway@...

> http://www.pictureitdigitaldesigns.com/

> http://members.cox.net/xxxfarmpaints

>

>

>

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

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Actually, all food eventually converts to energy. Carbs whether complex

or simple convert faster. Protein takes the longest to convert but it

does eventually convert. Having said that, I am a firm believer in

everything in moderation including some carbs. I still feel so much

better when I am doing mostly protein but I also know that my body craves

fruits and vegetables. I do eat carbs but I still try to focus on whole

wheat instead of white, corn bran instead of frosted flakes, etc. Just

my humble opinion.

Lori Owen - Denton, Texas

CHF 4/14/01 479 lbs.

SRVG 7/16/01 401 lbs.

Current Weight 302 lbs.

Dr. Ritter/Dr. Bryce

On Wed, 18 Dec 2002 19:50:36 -0500 " nancy pugliese " nanpug@...>

writes:

> But, carbs are your energy source. Not protein. Complex

> Jac, I think when people say " carbs " that they are generally

> referring to

> the simple and not the complex......I know that is what I am usually

> doing

> anyway......... P.

> RE: Here is the diet.

>

>

> > <<

> > What surgery did you and your mother have? Do you not need

> protein or

> > vitamins?

> >

> > B

> > >>

> > We had what was called a Mason By-Pass. From what I have read, it

> is the

> > immediate predecessor of RNY. My stomach was reduced, with 4 rows

> of

> > surgical steel staples, to a 3 ounce capacity. None of my stomach

> was

> > actually removed. This was explained to me as being necessary for

> my

> stomach

> > to keep producing gastric acids, necessary for digestion. This is

> the only

> > part of my surgery that has caused me problems, because it

> produces too

> > much. THEN my surgeon took my small intestine and moved the

> connection to

> > the side of my stomach, from the bottom. He said that NONE of my

> intestinal

> > tract was removed, to PREVENT malabsorption.

> > I guess it worked! I have NEVER had to have a protein drink or any

> other

> > supplement. I SHOULD take a vitamin daily, but I have such an

> aversion to

> > pills that I usually " forget. " I get all the protein I need thru

> normal

> > dietary venues...meat (not a lot), cheese, yogurt and

> beans/peas/legumes.

> I

> > eat carbohydrates. To be blunt, I CRAVE carbohydrates. And, with

> all this

> > discussion of cutting carbs, I have to ask, at least from a

> maintenance

> > standpoint, " WHY??? " I mean, don't overload yourself on simple

> sugars.

> > That's sure failure. But, carbs are your energy source. Not

> protein.

> Complex

> > carbs are good for you! And they are usually tied to fiber. All of

> you

> with

> > poopy problems know that you have to increase your fiber...what do

> you

> think

> > Metamucil is? I eat vegetables. A lot of vegetables. Cooked, of

> course, I

> > don't tolerate a lot of raw. But, I don't have excremental

> problems

> either.

> > I go, every morning, within 30 minutes of getting up (it seems

> that the

> > first sip of coffee stimulates my system). I USED to go every 3

> days. It

> > doesn't float, it doesn't stink, and I only flush one time. What I

> don't

> > eat?

> > Fatty or fried foods. My tummy will tell me in very short order

> that I

> > screwed up. I am going to be sick. Puking my guts up, taking my

> teeth out

> (I

> > have dentures), slam the bathroom door. Sick.

> > My tummy tells me lots of things. Fortunately, I learned to

> listen. I give

> > it the 15 minutes it needs to talk to my very small brain. And I

> listen

> when

> > it tells me that the hot fudge sundae that looks so good is not

> good for

> me.

> > It lets me have ONE BITE. If I go over that, it BITES ME.

> > I'll repeat, again, the hardest thing I had to learn was to be

> patient,

> and

> > give my brain and stomach time to communicate without my superior

> > interference.. THAT is the secret to my success.

> >

> > Jac

> > mailto:jholdaway@...

> > http://www.pictureitdigitaldesigns.com/

> > http://members.cox.net/xxxfarmpaints

> >

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