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At 1:36 AM +0000 11/26/01, mkf5t@... wrote:

>...What were you ACTUALLY able to consume the first three weeks or so?

>

,

You do what you can do for the first few weeks. ADEKs are at least

chewable. There are pre-mixed protein drinks. See lists in the DS

archives. Or flavored designer water. Not to worry too much about

the first few weeks.

--Steve

--

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the first 3-6 wks are very flexible as far as vits are concerned, and

protein intake. i spaced my chewable vits out - 2 in the am and 2

before bed. i also was still taking my glucophage for diabetes, 1 in

am and 1 in pm. then a zoloft in the am. and i was taking anti-

biotics several times a day for a couple of weeks. you just have to

space them out, and when you are taking your sips of water, include a

pill every now and then. then wait a while before you take another.

i also had to take 2 iron tabs daily. didn't take calcium or the big

prenatal vits til i was 6 wks out.

i probably only got in 32-40 oz water per day at first. i knew i

needed more if my back/sides started to hurt. that was my kidneys

saying " more water please " . so then i would push the H2O that day

and it would get better. the eating was like for breakfast: 2 vienna

sausages, and 1 or 2 crackers, maybe a few spoons of applesauce.

then lunch would be a couple tablespoons of tuna with mayo and pickle

relish mixed in and a couple of crackers. i snacked on kosher dill

wedges. sour stuff really tasted good then. supper would be some

thin sliced lunch meat like turkey or chicken or ham with a slice of

american cheese and a cracker or two. then some fruit cocktail or

applesauce for a bedtime snack. if i had to take a pill with food, i

would eat a slice of cheese first, then take the pill. wait about 20-

30 min after you eat to start sipping your fluids again. then about

20-30 min before you want to eat, stop drinking. you can take tiny

sips with a meal to wash down something if it sticks in your throat.

you are still very new postop so don't be in a big hurry to get all

that stuff crammed down your gullet. you are healing inside now so

take it easy. eat what you crave. listen to your body. for variety

in what you drink, try hot tea, cold tea, chicken broth, diluted

fruit juice, and you'll be surprised what you can get down in a day.

hope your recovery goes well for you.

mary y

> OK, guys:

>

> How on earth am I supposed to get in a bare minimum of 50-60 grams

of

> protein, 64 oz. of water, and all of these freakin' Flintstones,

> ADEKs, Viactivs, etc., etc.? Chewable vitamins are DISGUSTING!

>

> Is it really humanly possible to get all of this stuff inside of me

> considering that I shouldn't eat and drink a lot at the same time?

> What were you ACTUALLY able to consume the first three weeks or so?

>

> Best,

>

>

> (who, when she feels better, promises to do her part to answer all

of

> the boring and seemingly endless questions about post-op

particulars

> so as to give you old timers a rest!!)

>

> Dr. Gagner

> lap D/S

> 11-20-01

> NYC

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In a message dated 11/26/01 2:40:40 PM, duodenalswitch writes:

<< There's no way to get it all in. So relax, it will happen slowly.

Matter of fact Dr. B told me not to even worry about vitamins till a

month postop. It takes a long time to develop a defficiency. I

Could only get in about 30 oz of water. The first month--is just

about healing--doing what you can for that day. Sip, nibble, walk

and rest. Your long term routine will probably start to take shape

around 8 weeks postop. Until then--you strive for the ultimate--but

only do what your new tummy can tolerate.

>>

I agree that the focus should be on doing what your tummy can tolerate and

taking it easy. However, I am living proof that it IS possible to get it all

in early post-op! :) Barring nausea and food sensitivities (which I didn't

have and obviously can influence what or when/how much one eats), it's a

matter of focusing on high-protein stuff, eating frequently and in smaller

amounts...

I'm going to post some excerpts from my early post-op journals --- Hope that

will help many newbie post-ops to get more protein. It can only help with

healing, provide energy, help build muscle mass and ward off various

deficiencies... NOT SAYING that people who can't/don't get 75 gms/day in will

end up miserable or anything like that... Just that it IS POSSIBLE to do

(based on one's tolerance of certain foods, etc. and other post-op

conditions)!!! :):)

ALSO, something to consider: a lower protein level *may* contribute to

nausea and high protein foods *may* help reduce such nausea from

occuring/continuing... It seemed that a few people who were nauseous noticed

an alleviation of their problems with an increase in protein. Of course,

nausea can be for many different reasons (stomach sensitivity, vagus nerve

swelling, etc.), but low protein post-op can also contribute to the problem...

all the best,

lap ds with gallbladder removal

January 25, 2001

Dr. Gagner/Mt. Sinai/NYC

10 months post-op and still feelin' fabu

preop: 307 lbs/bmi 45

now: 204 lbs (gained again! yuck!)/size sweet 16/large-MEDIUM in regular

people's clothing! :)

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,

In the first few weeks those are the objectives but most people can't meet them!

I still can't get in 64oz of fluid or 50-60gms of protein, although I did order

liquid protein that will get my protein levels up there as soon as the damn

thing arrives! For the Twinlabs LLP protein (tastes like crap I'm told), 2

tablespoons is 17.5 gms so you can get over 30 gms with 4 tablespoon of liquid

protein. Since you can only absorb about 30gms at once, you can do your 2nd dose

of 4 tablespoons in the evening and that will get you up to 60 gms of protein!

You may want to try protein drinks as that will count for fluid and protein, but

I just couldn't stomach them and I'd rather try to force down 4 tablespoons of

liquid than 4oz-8oz of protein drink that makes me gag. You may want to try

vanilla soy milk with protein powder..I can stomach vanilla soy milk with

bananas, but I'm home now and have a blender. It's hard to blend bananas with a

hand blender *grins*. Btw, I was managing Circus Mates chewable multi-vitamins

on the 3rd day I was out of the hospital..they weren't as sweet as the

Flintstones and I got them from Walgreens. I didn't start my Citracal until

about a week post-op and they were giving me heartburn until a few days ago, so

don't take pills and lie down afterwards because you'll feel like crap!

Good luck!

Anita

Surgery Date 11/08/01

> OK, guys:

>

> How on earth am I supposed to get in a bare minimum of 50-60 grams of

> protein, 64 oz. of water, and all of these freakin' Flintstones,

> ADEKs, Viactivs, etc., etc.? Chewable vitamins are DISGUSTING!

>

> Is it really humanly possible to get all of this stuff inside of me

> considering that I shouldn't eat and drink a lot at the same time?

> What were you ACTUALLY able to consume the first three weeks or so?

>

> Best,

>

>

> (who, when she feels better, promises to do her part to answer all of

> the boring and seemingly endless questions about post-op particulars

> so as to give you old timers a rest!!)

>

> Dr. Gagner

> lap D/S

> 11-20-01

> NYC

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I am going to ask a very dumb question so everyone bear with me.....I am

interested in the pre-digested protein....would taking the pre-digested protein

conflict with taking calcium supplements?

Lisbeth

June 25, 2001

254-->192

---------------------------------

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Hi, Anita.

Didn't know that people/we could only absorb 30 grams of protein at

one time. Makes sense that there would be a limit, however, because

there are limits to other things the body can take in at one time,

such as vitamins, minerals, etc.

Are you just getting the liquid protein to be on the safe side or

have your labs results indicated a deficiency somewhere?

Thanks,

> > OK, guys:

> >

> > How on earth am I supposed to get in a bare minimum of 50-60

grams of

> > protein, 64 oz. of water, and all of these freakin' Flintstones,

> > ADEKs, Viactivs, etc., etc.? Chewable vitamins are DISGUSTING!

> >

> > Is it really humanly possible to get all of this stuff inside of

me

> > considering that I shouldn't eat and drink a lot at the same

time?

> > What were you ACTUALLY able to consume the first three weeks or

so?

> >

> > Best,

> >

> >

> > (who, when she feels better, promises to do her part to answer

all of

> > the boring and seemingly endless questions about post-op

particulars

> > so as to give you old timers a rest!!)

> >

> > Dr. Gagner

> > lap D/S

> > 11-20-01

> > NYC

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,

There's no way to get it all in. So relax, it will happen slowly.

Matter of fact Dr. B told me not to even worry about vitamins till a

month postop. It takes a long time to develop a defficiency. I

Could only get in about 30 oz of water. The first month--is just

about healing--doing what you can for that day. Sip, nibble, walk

and rest. Your long term routine will probably start to take shape

around 8 weeks postop. Until then--you strive for the ultimate--but

only do what your new tummy can tolerate.

Pammi

-33#s

10/15/01 Spain

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,

I'm not even a month post-op yet, so no labs until my 3 month check up. I'm

getting the liquid protein because at this point, eating 60-80gms of protein

that's required a day is still hard. I may actually get close today, but I want

to make sure I'm definitely getting at least 60gms a day, hence the need for a

supplement.

Anita

Surgery 11/08/01

> > > OK, guys:

> > >

> > > How on earth am I supposed to get in a bare minimum of 50-60

> grams of

> > > protein, 64 oz. of water, and all of these freakin' Flintstones,

> > > ADEKs, Viactivs, etc., etc.? Chewable vitamins are DISGUSTING!

> > >

> > > Is it really humanly possible to get all of this stuff inside of

> me

> > > considering that I shouldn't eat and drink a lot at the same

> time?

> > > What were you ACTUALLY able to consume the first three weeks or

> so?

> > >

> > > Best,

> > >

> > >

> > > (who, when she feels better, promises to do her part to answer

> all of

> > > the boring and seemingly endless questions about post-op

> particulars

> > > so as to give you old timers a rest!!)

> > >

> > > Dr. Gagner

> > > lap D/S

> > > 11-20-01

> > > NYC

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