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Thanks ,

I hadn't realised it, but you may be exactly right. Maby it is me? I

do feel a lot better & may seem more aproachable now.

Sha

-- In 100-plus , " " <sandra.mygroup@...> wrote:

>

>

> New to group

>

>

> Hi, I'm a 39 yr old wife & mom. I've lost 69.5lbs since august with

> healthy diet, cardio, & resistance training. I'm curently 239.5lbs

> down from 309lbs & still have a little over 100lbs to go. Welcome!

It sounds like you are off to a great start.

> I'm so happy with how much easier it is to do simple things now. My

> little boy is 5 & it was so hard explaining why we couldn't sit in

a

> booth instead of a table & chairs. I had my eye exam yesterday & I

was

> so excited that I could actually sit in the chair & put my chin on

the

> machine thing. Last year I had to stand up to do it. The little

things

> that average size people take for granted were so hard for me. And

> worse yet embarrasing for me and my family. And forget playing with

my

> child! I felt like the fat mommy & I don't want that anymore. These

small things is what I noticed that made me now I had to lose. One of

my most awful moment was needing new jeans and going to walmart and

having one pair in the whole store to fit me and it wasn't a " good

fit " I knew then that I was out of control.

> I am happy to find a place that I feel like I can vent about these

> things, because I know that you guys understand what I'm talking

> about. Oh yeah..... I'm sure we have heard it all or lived it

ourselves. Vent away whenever you need to. Thats what is good about

the group. we are all in the same boat.

>

> P.S people are treating me differently now. Strangers smile & speak

> to me. They hold open doors for me. It's nice to be treated good,

but

> at the same time it's upsetting . I'm still the same person.

> Has anyone else noticed this?I think someone else had mentioned

this but maybe it's YOU! Maybe since you have lost weight, you are

smiling more. Maybe you are making more eye contact with other

people. And this they are smiling and making eye contact back:)Look

at it as a good thing. As you said they are strangers to you. They

didnt know how much you weighed previously. So what has changed.

Maybe you smiled in their direction first and didnt even realize it:)

> Sha

>

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Welcome Sha I would love to hear a day in your life with your health plan. What do you eat? How much do you exercise?

NH... Mom to Abby Liz 10/94 Anne 7/99

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Hi Louise,

What an exciting time for you. It's wonderful that at

19 you are taking charge of your life. As a soon to be

senior senior citizen turning 55 in June, I am feeling

younger than I have in 25 years. My weight is almost

at what I weighed then and going down every week

almost. I am more active now than I was in high

school. Listen carefully to your docs instructions and

stay on here for support. Find a support group in your

area that is lap band only if possible. We will be

looking forward to hearing from you. Bet alot of us

will " adopt " you. We can't stop ourselves from being

mothers.

Kathy R. in Walla Walla

278/257/190/135

10/13/2005

--- ljtrowern <ljtrowern@...> wrote:

> Hello.. my name is Louise.. I'm 19 (i'll be 20 in

> july) and i am

> getting my band on May 16th... I'm a little

> nervous...//>

__________________________________________________

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Kkallick (for lack of knowing your first name),

I like your writing style: Mixing the serious with a humorous overlook.

All of us on this Board have experienced what you have to one extent or another, which is why you relate so well to the posts you have read.

Achalasia is a progressive disease. The esophagus was not intended to be used as merely a tunnel for the food to pass through. Without the peristalsis, you are eroding the esophagus. Eventually, without any medical intervention, it loses its shape and elasticity, and will become a mega-esophagus, with perhaps an increased risk of esophageal cancer.

Since you've been reading older posts I strongly recommend you go to the "Messages" of this site, and in the "Search" field, you enter the word "mega-esophagus" and see the posts that come up. Then click on "Search More" at the bottom of the page for additional posts.

It appears that you should have had surgery years ago, but your condition "slipped through the cracks." You will read about members, who have "megas" have had their esophagus' removed, or have had the myotomies, or have had nothing done, or are presently researching surgeons to make the most informed decision. I strongly suggest you read " from NY"s posts over the last few months. is around 33 years old now, with a mega, who has been told that she needs to have an esophagectomy, but might be finding a less extreme alternative.

In any event, to do nothing, is most likely not going to make your life any better. You just can't expect by drinking lots of liquids, lighter meals, and eating early will do it for you. It helps the quality of life, but chances are that by doing nothing, in the end, will give you fewer, less "friendly" options.

You have a very good attitude about all of this. Please try to take control and pick as many brains as you can. Many people here can offer more help, and the more surgeons you communicate with, the closer you will get to the course of actions that's most appropriate for you.

In a message dated 5/15/2006 2:40:34 P.M. Eastern Daylight Time, kkallick53@... writes:

hello all- this is my first time posting to the group, though I have been "lurking" for a few weeks, reading and reading. Really great for me as I have lived for the last 12 years thinking I was the only person alive with these problems.I have been dignosed with an ulcer (in 1991) and treated with all those zantac, tagamet,etc. things, then I had the Hpiloric treatment of antibiotics/pepto bismol, then I was diagnosed with GERD, and have had years of taking acid reducing drugs. Nobody ever did an endoscope on me, doctors just listened to my discriptions of not being able to swallow, regurgitation,etc. and prescribed drugs. I also was dignosed with "Nocturnal asthma" for my nighttime coughing, and given allegra, which I have taken for years.On March 16th I had a blood vessel burst in my esophogus, and had my first endoscopy in the ICU, during which the excellent doctor clamped the vessel, stopped the bleeding, and discovered that I have achalasia. Before I left the hospital I had the barium swallow testing. In the next few weeks, as I recovered, I learned that I have a HUGE esopgogus, no peristalsis, and yet my body has continued to cope and accomodate. I have never had any weight loss, even though I've tried pretty hard to lose a few pounds from time to time! My inability to swallow has been episodic, very stress related, and sometimes lasts for up to a week, then dissapates for monthes at a time. I guess if this had been more profound somebody would have figured it out, and I probably would have been treated for A before my E had grown to be essentially a second stomach.The GI doctor who treated me in the hospital is not sure a myotomy is in order, and says he doesn't know if it would make much of a difference. Gravity seems to be what makes my system work, in other words, when I have enough volumn in my E, the pressure makes my LES open briefly.The surgeon I went to for a consultation wanted to do surgery that minute, and became very agitated when I told him I might not want to have a myotomy.He then threatened me with having an esophectomy, or ,ultimately, death. Nice.Neither of these doctors are specialists in A, though they were both very excited to meet someone who has our special and rare condition. I have a phone number for two surgeons at UCSF who specialize in A, and I guess eventually I'll consult with them, but, HERE'S MY QUESTION ; Has anybody just decided to carry on? Eat smaller amounts of food, chew really well, drink lots and lots of fluids, never eat and lie down, wait 3-4 hours after eating before sleeping, this kind of thing, and just live a life? It seems to me from my reading on the list, some people have the myotomy, still have times when things don't work as well, still have a dilated E. , and still have to be careful.I'm wondering if anybody out there has had a history like mine, and decided not to have surgery. I know when I consult with the UCSF surgeons they'll want to do surgery, because, well, they're surgeons, and if the only tool you've got is a hammer, then everything looks like a nail.I've loved looking at this list so much. I've laughed and I've cried. I have gone through the debate over warm drinks versus cold drinks by myself for 12 years. Coffee? Tea? Bubbles? Ice cream? Mashed potatoes? It's insane and crazy making, and I'm not alone. That's made a huge difference in my life, just finding out that I'm not the only one. I feel a huge debt of gratitude to all of you, and comraderie as well. I wish I could go to borough( a very cool place I visited two years ago as a matter of fact!) and meet with the A support group. So, too long a post, I know, but I'll wait eagerly for any and all responses . K.

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Hi Louise!

I just had lap band surgery last Tuesday, May 9th and like you I had

never undergone surgery, unless you count my c-section 25 years ago and

that was involuntary. You are going to be fine. You'll be better than

fine and will be amazed at how good you'll feel. If you are going to

NWWLS, then you'll be treated like a movie star, they are just

wonderful, warm, caring and extremely professional. [:)] Just take it

slow and follow your doctor's advice.

>

> Hello.. my name is Louise.. I'm 19 (i'll be 20 in july) and i am

> getting my band on May 16th... I'm a little nervous... Never had

> surgery before.. and i cant imagine what its gonna be like with the

> band... Its definatly gonna be life changing.... But i'm very excited

> and i honestly cant wait!! I think i'll need some advice on what to

> eat in the first month and there after.. thanks!!

>

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K,

Welcome to the group! Would you mind giving us your name and location - it helps to keep us all straight as to whom we are speaking.

I've only been dealing with this for a few years, and only been diagnosed for a few months. The one thing I have been told - over and over and over - by all of the doctors (my family dr, gastroenterologist, esophageal specialist, and surgeon), as well as by numerous others on this board - is that "doing nothing is NOT an option." As it has been explained to me - doing nothing will lead (as it has in your case) to the esophagus getting more and more dilated. This has the perverse effect of making our achalasia appear to have improved - and to feelings of being able to cope with it and just get on with things. In actuality, because the esophagus is larger and larger, more and more food can sit in there for longer and longer before we feel stopped up. One of the dangers of this is an increased risk of Barrett's esophagus and even esophageal cancer down the road, if not the esophagectomy you mentioned. Based on this information, I would go talk to the surgeon... and soon. I just had a consultation with Dr. Rice at the Cleveland Clinic and he mentioned that he has done the surgery even on people with a grossly dilated esophagus. Hopefully, it will still be an option for you.

Continue to read the posts - there are tons of them and they are quite informative and comforting at times.

I hope I haven't been too alarmist, but it seems sometimes we need a push to look at the real picture.

Again, welcome to the group.

(in Ohio)

From: achalasia [mailto:achalasia ] On Behalf Of kkallick53Sent: Monday, May 15, 2006 1:33 PMachalasia Subject: new to group

hello all- this is my first time posting to the group, though I have been "lurking" for a few weeks, reading and reading. Really great for me as I have lived for the last 12 years thinking I was the only person alive with these problems.I have been dignosed with an ulcer (in 1991) and treated with all those zantac, tagamet,etc. things, then I had the Hpiloric treatment of antibiotics/pepto bismol, then I was diagnosed with GERD, and have had years of taking acid reducing drugs. Nobody ever did an endoscope on me, doctors just listened to my discriptions of not being able to swallow, regurgitation,etc. and prescribed drugs. I also was dignosed with "Nocturnal asthma" for my nighttime coughing, and given allegra, which I have taken for years.On March 16th I had a blood vessel burst in my esophogus, and had my first endoscopy in the ICU, during which the excellent doctor clamped the vessel, stopped the bleeding, and discovered that I have achalasia. Before I left the hospital I had the barium swallow testing. In the next few weeks, as I recovered, I learned that I have a HUGE esopgogus, no peristalsis, and yet my body has continued to cope and accomodate. I have never had any weight loss, even though I've tried pretty hard to lose a few pounds from time to time! My inability to swallow has been episodic, very stress related, and sometimes lasts for up to a week, then dissapates for monthes at a time. I guess if this had been more profound somebody would have figured it out, and I probably would have been treated for A before my E had grown to be essentially a second stomach.The GI doctor who treated me in the hospital is not sure a myotomy is in order, and says he doesn't know if it would make much of a difference. Gravity seems to be what makes my system work, in other words, when I have enough volumn in my E, the pressure makes my LES open briefly.The surgeon I went to for a consultation wanted to do surgery that minute, and became very agitated when I told him I might not want to have a myotomy.He then threatened me with having an esophectomy, or ,ultimately, death. Nice.Neither of these doctors are specialists in A, though they were both very excited to meet someone who has our special and rare condition. I have a phone number for two surgeons at UCSF who specialize in A, and I guess eventually I'll consult with them, but, HERE'S MY QUESTION ; Has anybody just decided to carry on? Eat smaller amounts of food, chew really well, drink lots and lots of fluids, never eat and lie down, wait 3-4 hours after eating before sleeping, this kind of thing, and just live a life? It seems to me from my reading on the list, some people have the myotomy, still have times when things don't work as well, still have a dilated E. , and still have to be careful.I'm wondering if anybody out there has had a history like mine, and decided not to have surgery. I know when I consult with the UCSF surgeons they'll want to do surgery, because, well, they're surgeons, and if the only tool you've got is a hammer, then everything looks like a nail.I've loved looking at this list so much. I've laughed and I've cried. I have gone through the debate over warm drinks versus cold drinks by myself for 12 years. Coffee? Tea? Bubbles? Ice cream? Mashed potatoes? It's insane and crazy making, and I'm not alone. That's made a huge difference in my life, just finding out that I'm not the only one. I feel a huge debt of gratitude to all of you, and comraderie as well. I wish I could go to borough( a very cool place I visited two years ago as a matter of fact!) and meet with the A support group. So, too long a post, I know, but I'll wait eagerly for any and all responses . K.

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Hello K and a warm welcome to you.

You can be in my club !! (lol). I have had Achalasia for 16 years now and in two weeks time I will be having the first ever treatment for it, which will be a Hellers Myotomy. I was originally diagnosed with A in 1990 when it was described as "possible A, but there is SOME action at the sphincter muscle". I was told then about the options available which were dilatation, which carried a risk of perforation or surgery, which at that time was an open and major operation. So basically, not fancying the idea of either and also not realising what risks I was taking, I decided to see how things went.

Since then I have coped in my own way and am a normal weight. However, in the last 18 months two things have happened. Firstly my sister started working in the endoscopy department of the local Hospital and secondly I became computer (a little bit) literate and got lots of information from the Internet and consequently joined this group. I then went for some reassessment and was told I was not being wise to carry on trying to handle this myself as I was jeopardising the health of my oesophagus.

So basically that is my story up to now. I am sorry to talk at length about myself but I wanted to point out that I am one of those who have tried to carry on regardless and been stupid to do so.

I hope you can get to meet someone else "in the flesh" because I cannot describe in words how fantastic it is to do so. It does something to you that restores you and makes you whole again and part of normality, instead of a medical statistic or a case history in a medical book, usually at the end of the chapter as an afterthought.

I hope you will now become an active member of the Group, which is filled with knowledge, information, caring support and, to the despair of some and to the delight of others, a bit of fun and games. (The last bit is best, because it reminds us that we are more than just people who have Achalasia).

Best Wshes from Ann in England xx>> hello all- this is my first time posting to the group, though I have been "lurking" for a few > weeks, reading and reading. Really great for me as I have lived for the last 12 years > thinking I was the only person alive with these problems.> I have been dignosed with an ulcer (in 1991) and treated with all those zantac, > tagamet,etc. things, then I had the Hpiloric treatment of antibiotics/pepto bismol, then I > was diagnosed with GERD, and have had years of taking acid reducing drugs. Nobody ever > did an endoscope on me, doctors just listened to my discriptions of not being able to > swallow, regurgitation,etc. and prescribed drugs. I also was dignosed with "Nocturnal > asthma" for my nighttime coughing, and given allegra, which I have taken for years.> On March 16th I had a blood vessel burst in my esophogus, and had my first endoscopy in > the ICU, during which the excellent doctor clamped the vessel, stopped the bleeding, and > discovered that I have achalasia. Before I left the hospital I had the barium swallow testing. > In the next few weeks, as I recovered, I learned that I have a HUGE esopgogus, no > peristalsis, and yet my body has continued to cope and accomodate. I have never had any > weight loss, even though I've tried pretty hard to lose a few pounds from time to time! My > inability to swallow has been episodic, very stress related, and sometimes lasts for up to a > week, then dissapates for monthes at a time. I guess if this had been more profound > somebody would have figured it out, and I probably would have been treated for A before > my E had grown to be essentially a second stomach.> The GI doctor who treated me in the hospital is not sure a myotomy is in order, and says > he doesn't know if it would make much of a difference. Gravity seems to be what makes > my system work, in other words, when I have enough volumn in my E, the pressure makes > my LES open briefly.> The surgeon I went to for a consultation wanted to do surgery that minute, and became > very agitated when I told him I might not want to have a myotomy.He then threatened me > with having an esophectomy, or ,ultimately, death. Nice.> Neither of these doctors are specialists in A, though they were both very excited to meet > someone who has our special and rare condition. I have a phone number for two surgeons > at UCSF who specialize in A, and I guess eventually I'll consult with them, but, HERE'S MY > QUESTION ; Has anybody just decided to carry on? Eat smaller amounts of food, chew > really well, drink lots and lots of fluids, never eat and lie down, wait 3-4 hours after eating > before sleeping, this kind of thing, and just live a life? It seems to me from my reading on > the list, some people have the myotomy, still have times when things don't work as well, > still have a dilated E. , and still have to be careful.> I'm wondering if anybody out there has had a history like mine, and decided not to have > surgery. I know when I consult with the UCSF surgeons they'll want to do surgery, because, > well, they're surgeons, and if the only tool you've got is a hammer, then everything looks > like a nail.> I've loved looking at this list so much. I've laughed and I've cried. I have gone through the > debate over warm drinks versus cold drinks by myself for 12 years. Coffee? Tea? Bubbles? > Ice cream? Mashed potatoes? It's insane and crazy making, and I'm not alone. That's made > a huge difference in my life, just finding out that I'm not the only one. I feel a huge debt of > gratitude to all of you, and comraderie as well. I wish I could go to borough( a very > cool place I visited two years ago as a matter of fact!) and meet with the A support group. > So, too long a post, I know, but I'll wait eagerly for any and all responses . K.>

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-Hi K,

would love to know your name. You are not alone. We all know what you

are going through. I opted to have the surgery in Oct 2005. I had to

do something. I could not eat or drink most of the time, it just came

straight back. My life is so much more bearable now and I have no

regrets. We can go out to dinner again and enjoy more outings. Before

almost every outing went hand in hand with an embarring situation.

You owe it to yourself to go and see a doctor who knows and

understands A and is not excited about discovering it and cutting.

You can then have all your options on the table and make a calculated

decision that will suit you.

Time is allowing your E to continue to dengenerate more. The decision

must be what you are comfortable with.

I have no regrets.

All the best

-- In achalasia , " kkallick53 " <kkallick53@...> wrote:

>

> hello all- this is my first time posting to the group, though I

have been " lurking " for a few

> weeks, reading and reading. Really great for me as I have lived for

the last 12 years

> thinking I was the only person alive with these problems.

> I have been dignosed with an ulcer (in 1991) and treated with all

those zantac,

> tagamet,etc. things, then I had the Hpiloric treatment of

antibiotics/pepto bismol, then I

> was diagnosed with GERD, and have had years of taking acid reducing

drugs. Nobody ever

> did an endoscope on me, doctors just listened to my discriptions of

not being able to

> swallow, regurgitation,etc. and prescribed drugs. I also was

dignosed with " Nocturnal

> asthma " for my nighttime coughing, and given allegra, which I have

taken for years.

> On March 16th I had a blood vessel burst in my esophogus, and had

my first endoscopy in

> the ICU, during which the excellent doctor clamped the vessel,

stopped the bleeding, and

> discovered that I have achalasia. Before I left the hospital I had

the barium swallow testing.

> In the next few weeks, as I recovered, I learned that I have a HUGE

esopgogus, no

> peristalsis, and yet my body has continued to cope and accomodate.

I have never had any

> weight loss, even though I've tried pretty hard to lose a few

pounds from time to time! My

> inability to swallow has been episodic, very stress related, and

sometimes lasts for up to a

> week, then dissapates for monthes at a time. I guess if this had

been more profound

> somebody would have figured it out, and I probably would have been

treated for A before

> my E had grown to be essentially a second stomach.

> The GI doctor who treated me in the hospital is not sure a myotomy

is in order, and says

> he doesn't know if it would make much of a difference. Gravity

seems to be what makes

> my system work, in other words, when I have enough volumn in my E,

the pressure makes

> my LES open briefly.

> The surgeon I went to for a consultation wanted to do surgery that

minute, and became

> very agitated when I told him I might not want to have a myotomy.He

then threatened me

> with having an esophectomy, or ,ultimately, death. Nice.

> Neither of these doctors are specialists in A, though they were

both very excited to meet

> someone who has our special and rare condition. I have a phone

number for two surgeons

> at UCSF who specialize in A, and I guess eventually I'll consult

with them, but, HERE'S MY

> QUESTION ; Has anybody just decided to carry on? Eat smaller

amounts of food, chew

> really well, drink lots and lots of fluids, never eat and lie down,

wait 3-4 hours after eating

> before sleeping, this kind of thing, and just live a life? It seems

to me from my reading on

> the list, some people have the myotomy, still have times when

things don't work as well,

> still have a dilated E. , and still have to be careful.

> I'm wondering if anybody out there has had a history like mine, and

decided not to have

> surgery. I know when I consult with the UCSF surgeons they'll want

to do surgery, because,

> well, they're surgeons, and if the only tool you've got is a

hammer, then everything looks

> like a nail.

> I've loved looking at this list so much. I've laughed and I've

cried. I have gone through the

> debate over warm drinks versus cold drinks by myself for 12 years.

Coffee? Tea? Bubbles?

> Ice cream? Mashed potatoes? It's insane and crazy making, and I'm

not alone. That's made

> a huge difference in my life, just finding out that I'm not the

only one. I feel a huge debt of

> gratitude to all of you, and comraderie as well. I wish I could go

to borough( a very

> cool place I visited two years ago as a matter of fact!) and meet

with the A support group.

> So, too long a post, I know, but I'll wait eagerly for any and all

responses . K.

>

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Ann in England- thank you so much for your response, and for telling me some of

your

story. I love hearing about others who have been through similar experiences-

it's making

me feel " normal " ! I think if I had been diagnosed with A earlier I would have

seen more

reason for treatment, in order to save my E from extreme dilation. I wonder now

if it would

make much of a difference, as I'm not in much discomfort, and seem to be

functioning. I'm

possibly putting my head in the sand, and still getting used to the whole deal.

And I wish I

had a family member in the endoscopy department! Still, I feel like this list is

a new sort of

family, and I, like you, am very new to the computer and the internet. What a

lucky thing

for us to be able to connect, eh? I look forward to reading about your Heller,

and best of

luck. K.

> >

> > hello all- this is my first time posting to the group, though I have

> been " lurking " for a few

> > weeks, reading and reading. Really great for me as I have lived for

> the last 12 years

> > thinking I was the only person alive with these problems.

> > I have been dignosed with an ulcer (in 1991) and treated with all

> those zantac,

> > tagamet,etc. things, then I had the Hpiloric treatment of

> antibiotics/pepto bismol, then I

> > was diagnosed with GERD, and have had years of taking acid reducing

> drugs. Nobody ever

> > did an endoscope on me, doctors just listened to my discriptions of

> not being able to

> > swallow, regurgitation,etc. and prescribed drugs. I also was dignosed

> with " Nocturnal

> > asthma " for my nighttime coughing, and given allegra, which I have

> taken for years.

> > On March 16th I had a blood vessel burst in my esophogus, and had my

> first endoscopy in

> > the ICU, during which the excellent doctor clamped the vessel, stopped

> the bleeding, and

> > discovered that I have achalasia. Before I left the hospital I had the

> barium swallow testing.

> > In the next few weeks, as I recovered, I learned that I have a HUGE

> esopgogus, no

> > peristalsis, and yet my body has continued to cope and accomodate. I

> have never had any

> > weight loss, even though I've tried pretty hard to lose a few pounds

> from time to time! My

> > inability to swallow has been episodic, very stress related, and

> sometimes lasts for up to a

> > week, then dissapates for monthes at a time. I guess if this had been

> more profound

> > somebody would have figured it out, and I probably would have been

> treated for A before

> > my E had grown to be essentially a second stomach.

> > The GI doctor who treated me in the hospital is not sure a myotomy is

> in order, and says

> > he doesn't know if it would make much of a difference. Gravity seems

> to be what makes

> > my system work, in other words, when I have enough volumn in my E, the

> pressure makes

> > my LES open briefly.

> > The surgeon I went to for a consultation wanted to do surgery that

> minute, and became

> > very agitated when I told him I might not want to have a myotomy.He

> then threatened me

> > with having an esophectomy, or ,ultimately, death. Nice.

> > Neither of these doctors are specialists in A, though they were both

> very excited to meet

> > someone who has our special and rare condition. I have a phone number

> for two surgeons

> > at UCSF who specialize in A, and I guess eventually I'll consult with

> them, but, HERE'S MY

> > QUESTION ; Has anybody just decided to carry on? Eat smaller amounts

> of food, chew

> > really well, drink lots and lots of fluids, never eat and lie down,

> wait 3-4 hours after eating

> > before sleeping, this kind of thing, and just live a life? It seems to

> me from my reading on

> > the list, some people have the myotomy, still have times when things

> don't work as well,

> > still have a dilated E. , and still have to be careful.

> > I'm wondering if anybody out there has had a history like mine, and

> decided not to have

> > surgery. I know when I consult with the UCSF surgeons they'll want to

> do surgery, because,

> > well, they're surgeons, and if the only tool you've got is a hammer,

> then everything looks

> > like a nail.

> > I've loved looking at this list so much. I've laughed and I've cried.

> I have gone through the

> > debate over warm drinks versus cold drinks by myself for 12 years.

> Coffee? Tea? Bubbles?

> > Ice cream? Mashed potatoes? It's insane and crazy making, and I'm not

> alone. That's made

> > a huge difference in my life, just finding out that I'm not the only

> one. I feel a huge debt of

> > gratitude to all of you, and comraderie as well. I wish I could go to

> borough( a very

> > cool place I visited two years ago as a matter of fact!) and meet with

> the A support group.

> > So, too long a post, I know, but I'll wait eagerly for any and all

> responses . K.

> >

>

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I had difficulty at first too....In fact, sometimes I would go nuts!!!! I

remember one time I went in the kitchen and ate everything I was not supposed to

really fast like I was in the desert with no water!!! I felt like crap

afterwards.. I have heard this is not really a " weight loss " diet but people do

lose weight... I have found that your body will let you know if something is

working or not...When I used to eat carbs (white

pasta,bread,CEREAL,chips,pizza,etc....) I felt like I was in a coma afterwards

and then would fall asleep after dinner sitting on the couch...The mornings

would be worse, I had trouble going to the bathroom. It would take 5 or 6 visits

until something happened. I felt sluggish all day!! I went through 8 yrs of

this..I started over every morning..When I first began the diet, I got so

overwhelmed with trying to stick to it to perfection. I also stressed over

organic vs not organic. I have 2 kids a husband and a dog and organic is too

expensive for

me.....Walmart is starting to get alot of organic stuff..You said you live in

Florida, Publix rocks..I used to live in Tampa...Now I am in Biloxi MS..Ever

since Katrina, resources are slimmer..I just could not get used to certain

organic foods like the meat..So, I just eat regular meat....I personally think

that the Atkins diet is superb for weight loss...Of course stay from the avoids

like bacon...Although bacon doesn't really bother me at all...It is the carbs

that kill me...If you find the diet working for you, great...One thing I did was

stick to the diet 100% for 2 weeks then I would try certain things like

strawberries,or bacon and cheese..They didnt give me any trouble so I know for

me it was the bad carbs that kick my butt...There are a lot of good people in

this group and you will get some great tips....If you do similar to the Atkins

diet using the ER4YT foods and begin walking you WILL lose weight...I have been

loseing about 1/2 to 1 pound per day..I walk 2

miles in the morning and ride my bike 2 miles in the evening..It takes

dicipline but after about a week solid, it got soooo much easier and I almost

CRAVE exercise now...I drink about 64 ounces per day of water...Some people

can't do that because it makes them sick...Once you get past the first 10 days

or so then you can really hear what your body is telling you..If I find that I

am hungry and I recently ate I will drink some water..It helps...Best wishes..

<misssuetest@...> wrote: Hi Everyone,

I'm new to this group and have read Eat Right 4 Your

Blood Type and have been doing this way of eating now

for 4 days. My name is Sue and I am 51 years young.

I have been married to my high school sweetheart for

31 years. We have two grown children and 8 cats. I

have a daycare in our home and take care of 6 kids

full time during the week.

The first couple of days were really hard because I

really hate most meats. I eat chicken and turkey and

most seafood, but don't like red meat and fish. It

has really been a challenge, but I can feel it working

already. I am quite " icky " in the morning -- feels

almost like morning sickness when I was pregnant. I'm

supposed to eat a big meal in the morning, the largest

meal at noontime, and then a small meal at dinnertime.

I'm a big yogurt and yogurt smoothie person in the

morning and have not really transitioned into the

larger meal in the morning. I hoping that this will

become easier as I go along. I have a lot of weight

to lose and I'm diabetic as well as asthmatic, so I

really think that this way of eating will benefit me

if I stick with it.

Can anyone give me some advice for my breakfast

eating? Will the sick feeling ever go away? I do

find that by lunch when I have my bigger meal with

turkey or tuna fish that I do feel less sick.

I'm also missing my breads, pastas, and crackers --

all those carbs that our 0 type can't eat. Any

replacements that you all have come up with would be

most helpful.

Thanks for letting me join your group.

Sue

Florida

__________________________________________________

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The only real replacement you might want is to get Ezekial Bread (All the graIns

in it are sprouted) or spelt bread. . Occasionally you might like rice noodles

or spelt noodles. I'd make th use of any of them very rarely. The weight will

come off easier. sweet potatoes are a good sub for potatoes and you can even

oven bake thin sliced ones for chips. Meat and greens with the proper fats will

help you loose to a healthy weight.

New To Group

Hi Everyone,

I'm new to this group and have read Eat Right 4 Your

Blood Type and have been doing this way of eating now

for 4 days. My name is Sue and I am 51 years young.

I have been married to my high school sweetheart for

31 years. We have two grown children and 8 cats. I

have a daycare in our home and take care of 6 kids

full time during the week.

The first couple of days were really hard because I

really hate most meats. I eat chicken and turkey and

most seafood, but don't like red meat and fish. It

has really been a challenge, but I can feel it working

already. I am quite " icky " in the morning -- feels

almost like morning sickness when I was pregnant. I'm

supposed to eat a big meal in the morning, the largest

meal at noontime, and then a small meal at dinnertime.

I'm a big yogurt and yogurt smoothie person in the

morning and have not really transitioned into the

larger meal in the morning. I hoping that this will

become easier as I go along. I have a lot of weight

to lose and I'm diabetic as well as asthmatic, so I

really think that this way of eating will benefit me

if I stick with it.

Can anyone give me some advice for my breakfast

eating? Will the sick feeling ever go away? I do

find that by lunch when I have my bigger meal with

turkey or tuna fish that I do feel less sick.

I'm also missing my breads, pastas, and crackers --

all those carbs that our 0 type can't eat. Any

replacements that you all have come up with would be

most helpful.

Thanks for letting me join your group.

Sue

Florida

__________________________________________________

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What Dr Patti told me is that the longer you wait, the more messed

up your E gets. It gets big, then it goes to an `S' and finally

into a banana shape. The more misshapen the more risk there is in

food getting stuck down there and not being able to be

regurgitated. Have you had the " flu " more often the last couple

years? It may not be the flu, might be food rotting in your E.

The other risk is aspiration, breathing food into your lungs. I

know there are more than 2 people on this board that have been in

the hospital due to a lung infection caused by aspirated food. Dr

Patti tried to scare me into surgery talking about aspiration during

sleep, I don't know if that is an issue with you or not. It was

never a problem with me, I have sleep apnea and I used a breathing

machine that I think, blew any food back down the right tube.

Dave

State of Jefferson

I think if I had been diagnosed with A earlier I would have seen

more

> reason for treatment, in order to save my E from extreme dilation.

I wonder now if it would

> make much of a difference, as I'm not in much discomfort, and seem

to be functioning. I'm

> possibly putting my head in the sand, and still getting used to

the whole deal.

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If breakfast is hard on your stomach maybe you don't need such a hefty morning

meal. Try fresh fruit and nuts with green tea and lemon. See if that holds you

good until lunch.

Drink some water every hour, even just 3 or 4 ozs.

Get a tablespoon of olive oil and lemon with or on every meal.

Water with lemon should help with your sugar.

Kathy

<misssuetest@...> wrote:

Hi Everyone,

I'm new to this group and have read Eat Right 4 Your

Blood Type and have been doing this way of eating now

for 4 days. My name is Sue and I am 51 years young.

I have been married to my high school sweetheart for

31 years. We have two grown children and 8 cats. I

have a daycare in our home and take care of 6 kids

full time during the week.

The first couple of days were really hard because I

really hate most meats. I eat chicken and turkey and

most seafood, but don't like red meat and fish. It

has really been a challenge, but I can feel it working

already. I am quite " icky " in the morning -- feels

almost like morning sickness when I was pregnant. I'm

supposed to eat a big meal in the morning, the largest

meal at noontime, and then a small meal at dinnertime.

I'm a big yogurt and yogurt smoothie person in the

morning and have not really transitioned into the

larger meal in the morning. I hoping that this will

become easier as I go along. I have a lot of weight

to lose and I'm diabetic as well as asthmatic, so I

really think that this way of eating will benefit me

if I stick with it.

Can anyone give me some advice for my breakfast

eating? Will the sick feeling ever go away? I do

find that by lunch when I have my bigger meal with

turkey or tuna fish that I do feel less sick.

I'm also missing my breads, pastas, and crackers --

all those carbs that our 0 type can't eat. Any

replacements that you all have come up with would be

most helpful.

Thanks for letting me join your group.

Sue

Florida

__________________________________________________

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Guest guest

I thought that lemon juice is an avoid for Os. Am I wrong about this?

And, what about pinto beans? My ER4YT books says one thing and my pocket book

says another (one says avoid, one says, neutral). I vomit the day after I eat

beans, which is why I initially thought the blood type things had some merit to

it.

Thanks for your help,

Marci

Re: New To Group

If breakfast is hard on your stomach maybe you don't need such a hefty morning

meal. Try fresh fruit and nuts with green tea and lemon. See if that holds you

good until lunch.

Drink some water every hour, even just 3 or 4 ozs.

Get a tablespoon of olive oil and lemon with or on every meal.

Water with lemon should help with your sugar.

Kathy

<misssuetest@...> wrote:

Hi Everyone,

I'm new to this group and have read Eat Right 4 Your

Blood Type and have been doing this way of eating now

for 4 days. My name is Sue and I am 51 years young.

I have been married to my high school sweetheart for

31 years. We have two grown children and 8 cats. I

have a daycare in our home and take care of 6 kids

full time during the week.

The first couple of days were really hard because I

really hate most meats. I eat chicken and turkey and

most seafood, but don't like red meat and fish. It

has really been a challenge, but I can feel it working

already. I am quite " icky " in the morning -- feels

almost like morning sickness when I was pregnant. I'm

supposed to eat a big meal in the morning, the largest

meal at noontime, and then a small meal at dinnertime.

I'm a big yogurt and yogurt smoothie person in the

morning and have not really transitioned into the

larger meal in the morning. I hoping that this will

become easier as I go along. I have a lot of weight

to lose and I'm diabetic as well as asthmatic, so I

really think that this way of eating will benefit me

if I stick with it.

Can anyone give me some advice for my breakfast

eating? Will the sick feeling ever go away? I do

find that by lunch when I have my bigger meal with

turkey or tuna fish that I do feel less sick.

I'm also missing my breads, pastas, and crackers --

all those carbs that our 0 type can't eat. Any

replacements that you all have come up with would be

most helpful.

Thanks for letting me join your group.

Sue

Florida

__________________________________________________

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In a message dated 5/17/2006 12:22:13 AM Eastern Standard Time,

mputman@... writes:

I thought that lemon juice is an avoid for Os. Am I wrong about this?

And, what about pinto beans?

Lemon juice is neutral for all Os and pinto beans are neutral for

non-secretor Os.

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In a message dated 5/17/2006 12:22:13 AM Eastern Standard Time,

mputman@... writes:

My ER4YT books says one thing and my pocket book says another

The ER4YT book is a great read and is full of good information but it's

pretty old. New developments occur all the time. To me, the best book to have

for

ready reference is the Blood Type Encyclopedia. It has the most current food

lists althought they do change often. You can get it at Amazon.com.

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In a message dated 5/17/2006 12:22:13 AM Eastern Standard Time,

mputman@... writes:

I vomit the day after I eat beans

Well now, that's a clue. I'm not a particular fan of vomiting so I'd

probably take those beans off of my food list.

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The Eat Right book was the first book in the series. As time went by Dr. D was

able to find more and more delicate machinery to help him learn in more detail

what foods are better for each blood type. If you can go to www.dadamo.com and

find the Type4 food base and it will have the latest updates. You'll notice

there that Pinto beans are now avoids. Also when you can get Live Right for Your

Type you'll see a bit more about amounts and frequencies for foods and that any

beans should not be eaten very often. Lemons and lemon juice are not avoids.

They are neutral.

Re: New To Group

If breakfast is hard on your stomach maybe you don't need such a hefty

morning meal. Try fresh fruit and nuts with green tea and lemon. See if that

holds you good until lunch.

Drink some water every hour, even just 3 or 4 ozs.

Get a tablespoon of olive oil and lemon with or on every meal.

Water with lemon should help with your sugar.

Kathy

<misssuetest@...> wrote:

Hi Everyone,

I'm new to this group and have read Eat Right 4 Your

Blood Type and have been doing this way of eating now

for 4 days. My name is Sue and I am 51 years young.

I have been married to my high school sweetheart for

31 years. We have two grown children and 8 cats. I

have a daycare in our home and take care of 6 kids

full time during the week.

The first couple of days were really hard because I

really hate most meats. I eat chicken and turkey and

most seafood, but don't like red meat and fish. It

has really been a challenge, but I can feel it working

already. I am quite " icky " in the morning -- feels

almost like morning sickness when I was pregnant. I'm

supposed to eat a big meal in the morning, the largest

meal at noontime, and then a small meal at dinnertime.

I'm a big yogurt and yogurt smoothie person in the

morning and have not really transitioned into the

larger meal in the morning. I hoping that this will

become easier as I go along. I have a lot of weight

to lose and I'm diabetic as well as asthmatic, so I

really think that this way of eating will benefit me

if I stick with it.

Can anyone give me some advice for my breakfast

eating? Will the sick feeling ever go away? I do

find that by lunch when I have my bigger meal with

turkey or tuna fish that I do feel less sick.

I'm also missing my breads, pastas, and crackers --

all those carbs that our 0 type can't eat. Any

replacements that you all have come up with would be

most helpful.

Thanks for letting me join your group.

Sue

Florida

__________________________________________________

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I vomit the day after I eat beans

Well now, that's a clue. I'm not a particular fan of vomiting so I'd

probably take those beans off of my food list.

I did take beans off my list years ago before I read the book! Of course!! I

didn't know why I reacted that way, but when I read the book, I realized there

was a reason for it!

Thanks for the advice about the newer books.

Marci

In a message dated 5/17/2006 12:22:13 AM Eastern Standard Time,

mputman@... writes:

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Dear Kathy,

That has been my problem exactly - that I have been coping, and so life goes on and on and this gets pushed aside. Why should you go through the fear, discomfort, inconvenience etc. of an operation when you are managing? (sound familiar?). When I was with on Saturday he did me some very funny drawings. They weren't meant to be funny, but you haven't seen the way draws! Monet has nothing to worry about in the way of competition anyway. And I don't know what Deborah the Artist would have made of them!

The first drawing was supposed to a normal oesophagus. The second was 's (a cute little bird beak formation). 's A came on quickly and acutely and she needed urgent attention. But thirdly, his 'piece de resistance' was his drawing of what mine looked like. Now I can't do you a drawing here so you will have to use your imagination. Think of a cobra trying to do a belly dance and you are half way there. The point is, you and I have now probably got a weird shape in there, which can only get worse. Don't leave things any longer. Do something. I wish I had had more sense a long time ago. I have been so stupid. There is nothing I can do about the past but I will never be so neglectful of this ever again. That is why you must take action. Everyone here will support you at every stage.

Love from Ann in England xx> > >> > > hello all- this is my first time posting to the group, though I have> > been "lurking" for a few> > > weeks, reading and reading. Really great for me as I have lived for> > the last 12 years> > > thinking I was the only person alive with these problems.> > > I have been dignosed with an ulcer (in 1991) and treated with all> > those zantac,> > > tagamet,etc. things, then I had the Hpiloric treatment of> > antibiotics/pepto bismol, then I> > > was diagnosed with GERD, and have had years of taking acid reducing> > drugs. Nobody ever> > > did an endoscope on me, doctors just listened to my discriptions of> > not being able to> > > swallow, regurgitation,etc. and prescribed drugs. I also was dignosed> > with "Nocturnal> > > asthma" for my nighttime coughing, and given allegra, which I have> > taken for years.> > > On March 16th I had a blood vessel burst in my esophogus, and had my> > first endoscopy in> > > the ICU, during which the excellent doctor clamped the vessel, stopped> > the bleeding, and> > > discovered that I have achalasia. Before I left the hospital I had the> > barium swallow testing.> > > In the next few weeks, as I recovered, I learned that I have a HUGE> > esopgogus, no> > > peristalsis, and yet my body has continued to cope and accomodate. I> > have never had any> > > weight loss, even though I've tried pretty hard to lose a few pounds> > from time to time! My> > > inability to swallow has been episodic, very stress related, and> > sometimes lasts for up to a> > > week, then dissapates for monthes at a time. I guess if this had been> > more profound> > > somebody would have figured it out, and I probably would have been> > treated for A before> > > my E had grown to be essentially a second stomach.> > > The GI doctor who treated me in the hospital is not sure a myotomy is> > in order, and says> > > he doesn't know if it would make much of a difference. Gravity seems> > to be what makes> > > my system work, in other words, when I have enough volumn in my E, the> > pressure makes> > > my LES open briefly.> > > The surgeon I went to for a consultation wanted to do surgery that> > minute, and became> > > very agitated when I told him I might not want to have a myotomy.He> > then threatened me> > > with having an esophectomy, or ,ultimately, death. Nice.> > > Neither of these doctors are specialists in A, though they were both> > very excited to meet> > > someone who has our special and rare condition. I have a phone number> > for two surgeons> > > at UCSF who specialize in A, and I guess eventually I'll consult with> > them, but, HERE'S MY> > > QUESTION ; Has anybody just decided to carry on? Eat smaller amounts> > of food, chew> > > really well, drink lots and lots of fluids, never eat and lie down,> > wait 3-4 hours after eating> > > before sleeping, this kind of thing, and just live a life? It seems to> > me from my reading on> > > the list, some people have the myotomy, still have times when things> > don't work as well,> > > still have a dilated E. , and still have to be careful.> > > I'm wondering if anybody out there has had a history like mine, and> > decided not to have> > > surgery. I know when I consult with the UCSF surgeons they'll want to> > do surgery, because,> > > well, they're surgeons, and if the only tool you've got is a hammer,> > then everything looks> > > like a nail.> > > I've loved looking at this list so much. I've laughed and I've cried.> > I have gone through the> > > debate over warm drinks versus cold drinks by myself for 12 years.> > Coffee? Tea? Bubbles?> > > Ice cream? Mashed potatoes? It's insane and crazy making, and I'm not> > alone. That's made> > > a huge difference in my life, just finding out that I'm not the only> > one. I feel a huge debt of> > > gratitude to all of you, and comraderie as well. I wish I could go to> > borough( a very> > > cool place I visited two years ago as a matter of fact!) and meet with> > the A support group.> > > So, too long a post, I know, but I'll wait eagerly for any and all> > responses . K.> > >> >>

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  • 2 weeks later...
Guest guest

At 03:06 AM 5/28/2006 -0000, you wrote:

>HI - My name is Debbi.

>I am new to the group and wanted to introduce myself. We have a 16

>month daughter . she has received all recommended shots up to 12

>months. I had read a lot about vaccine reactions for several months

>and am really got nervous once it was time for the MMR shot. Our

>peditrician said we can get them done seperately -a month apart- but

>if we don't get them done by the time she is 18 months, we must leave

>their practice. So we left and found another peditrician. they don't

>push as much but still STRONGLY recommend them. My husband wants to

>get them b/c he is super nervous about our daughter getting one of the

>diseases. Of course, I am too but I had read more about vaccine

>induced problems than him. I have to say it completely terrifies me.

> I get so sick thinking about it.

>

>I have a couple questions -

>

>- Have you heard that if autoimmune diseases run in your family, and

>especially if the mother has one, it is more likely your child will

>have a reaction to vaccines? Is that true?

Yes, that appears to be true.

>

>

>- What do you give your children to help immune system? I am giving

>my baby girl flax seed oil and probiotics daily. Is that enough?

Omega 3 oils (like Nordic Naturals)

Probiotics

Cod Liver Oil for the Vitamin A

Breastfeed as long as possible.

And see a homeopath to work with whatever might have been disturbed from

the vaccines.

Read read read and give them to him to read too

and ask questions

Sheri

>

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

Sheri Nakken, R.N., MA, Hahnemannian Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

$$ Donations to help in the work - accepted by Paypal account

earthmysteriestours@... voicemail US 530-740-0561

(go to http://www.paypal.com) or by mail

Vaccines - http://www.nccn.net/~wwithin/vaccine.htm

Vaccine Dangers On-Line course - http://www.nccn.net/~wwithin/vaccineclass.htm

Reality of the Diseases & Treatment -

http://www.nccn.net/~wwithin/vaccineclass.htm

Homeopathy On-Line course - http://www.nccn.net/~wwithin/homeo.htm

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Hi Debbi,

As a breastfeeding counsellor I can only answer your last question

about what to give your baby to strenghthen their immune system. The

other question is better answered by someone like Sheri N., the list

owner.

Anyway, the answer to the seconed question is lots of breastmilk, if

possible exculisive until about 6 months and therafter for as long as

possible, even for many years. Here is some more info on why it is

such amazing stuff for babies and children, from the LLLI website:

Can Breastfeeding Prevent Illnesses?

Breastfeeding has been shown to be protective against many illnesses,

including painful ear infections, upper and lower respiratory

ailments, allergies, intestinal disorders, colds, viruses, staph,

strep and e coli infections, diabetes, juvenile rheumatoid arthritis,

many childhood cancers, meningitis, pneumonia, urinary tract

infections, salmonella, Sudden Infant Death Syndrome(SIDS) as well as

lifetime protection from Crohn's Disease, ulcerative colitis, some

lymphomas, insulin dependent diabetes, and for girls, breast and

ovarian cancer.

Schaumburg, IL (February 2005) February is American Heart Month and

recent studies show that human milk may provide a lifelong gift for

future heart health. While the immunological benefits of human milk

for the infant are well-known, there is also compelling evidence that

there are lifelong benefits for the child related to weight control,

blood pressure and blood lipids.

An article in Current Paediatrics [1] reviewed data that concluded

breastfeeding has beneficial effects later on in life with regard to

cardiovascular risk factors including blood pressure and plasma lipid

profile (cholesterol), and that it reduced the risk of obesity during

childhood.

Another study, which appeared in Circulation[2], states that children

who had been breastfed as infants had lower blood pressure at age

seven than those who had been formula fed. While the benefit resulted

from even two months of breastfeeding, the effect was greater for

those who had been breastfed for at least six months.

In addition, a study published in the British journal Lancet [3]

concluded that preterm infants fed banked human milk had reduced

C-reactive protein. The amount of this protein is a measure of the

inflammatory process associated with atherosclerosis.

Breastfeeding offers the greatest protection from illness when babies

are receiving human milk alone; this protection declines in proportion

to the amount of supplements, such as formula, cow's milk, or solid

foods they receive. Babies also receive more benefits the longer they

are breastfed. Scientific studies call this effect a " dose response. "

One way breast feeding protects your newborn from illnesses is the

immune molecules, called antibodies, that are present in breast milk.

Antibodies are made by your body's immune system and are very specific

molecules that help you fight each illness. When babies are born,

their immune systems are very immature and they have less ability to

fight illness-causing germs. Through your breast milk, you give your

baby immunities to illnesses to which you are immune and also those to

which you have been exposed. Nursing also allows your baby to give

germs to you so that your immune system can respond and can synthesize

antibodies! This means that if your baby has come in contact with

something which you have not, (s)he will pass these germs to you at

the next nursing; during that feeding, your body will start to

manufacture antibodies for that particular germ. By the time the next

feeding arrives, your entire immune system will be working to provide

immunities for you and your baby. If you are exposed to any bacteria

or viruses, your body will be making antibodies against them and these

will be in your milk. Breast milk also contains a host of other immune

molecules that also help protect your baby from germs. It's an awesome

system!

Research shows your child's immune system will not be fully mature for

many years. While it is developing, he will be protected by being

breastfed. His own immune system also develops more rapidly than does

baby who is fed formula.

Does this mean breastfed babies never get sick? No, they can and do.

However, the illness is generally less severe and lengthy than if the

baby were not receiving his mother's milk.

Good luck and all the best wishes. Breastmilk is a lot more than just

food, it is love, antibodies, protection from many serious diseases

intended just the way nature meant, with no nasty needles or anything

else that can have serious side effects. Perfect in every sense!!!

Breastmilk is liquid gold, and it's yours to give!

Love,

Ingrid

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Do you have any idea on how much of these a baby should get daily on top of a

healthy diet & breastmilk?

:o) ~ mom to Gavin ~ 07.09.05 ~ 10 Months Old (can somebody slow him

down?!?) ~ http://www.thelucastribe.com

~ KUSTOMIZED KIDS ~ http://www.cafepress.com/kustomizedkids

Featuring Personalized Baby & Children's Clothing + Natural

Parenting/Breastfeeding Advocacy Products

~ Visit Us on LiveJournal (ask to be my friend!)

http://rachellucas6.livejournal.com

Omega 3 oils (like Nordic Naturals)

Probiotics

Cod Liver Oil for the Vitamin A

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