Guest guest Posted January 21, 2004 Report Share Posted January 21, 2004 Can you give me the exact reference from Obesity Surgery re protein requirements? A few questions >Date: Wed, 21 Jan 2004 14:01:30 -0500 > >I'm sure some of these things have been addressed before but I am just >wondering: > >We recommend supplementation of iron for menstruating women, a complete >multivitamin and B complex, 1000-1200mg calcium, B12 and protein >supplementation from .8(maintenance) - 1.2g/kg (immediately post-op). > >What are you all recommending? > >Marisa , RD.LD. > >Dekalb Medical Center Outpatient Diabetes Education >2701 North Decatur Road >Decatur, GA 30033 >PHONE (404) 501-5398 FAX (404) 501-1773 >moore_marisa@... > >*************************************************************************** ********* >This communication, including any attachments, is confidential and may be >legally privileged. Access to this e-mail or its content, in whole or in >part via any method or medium, by anyone other than the intended recipient >is unauthorized. If you received this message in error, please contact the >sender and permanently delete the original from any computer and destroy >any printout thereof. > >DeKalb Regional Healthcare System, 2701 North Decatur Rd., Decatur, >Georgia, 30033, USA, http://www.drhs.org >*************************************************************************** ********* _____ High-speed users-be more <http://g.msn.com/8HMBENUS/2728??PS=> efficient online with the new MSN Premium Internet Software. _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2004 Report Share Posted January 21, 2004 I have misplaced the journal at the moment. When I find it, I'll definitely let you know. Kate Alie, M.S., R.D., L.D. Director of Nutrition Services Medabolix 400 Court Street Suite 203 ton, WV 25301 (304) 347-4317 (304) 347-4316 (fax)>From: "Larue, " >Reply- >"' '" >Subject: RE: A few questions >Date: Wed, 21 Jan 2004 12:44:03 -0800 > >Can you give me the exact reference from Obesity Surgery re protein >requirements? > > > A few questions >Date: Wed, 21 Jan 2004 >14:01:30 -0500 > >I'm sure some of these things have been addressed before >but I am just >wondering: > >We recommend supplementation of iron for >menstruating women, a complete >multivitamin and B complex, 1000-1200mg >calcium, B12 and protein >supplementation from .8(maintenance) - 1.2g/kg >(immediately post-op). > >What are you all recommending? > >Marisa , >RD.LD. > >Dekalb Medical Center Outpatient Diabetes Education >2701 North >Decatur Road >Decatur, GA 30033 >PHONE (404) 501-5398 FAX (404) 501-1773 > >moore_marisa@... > > >*************************************************************************** >********* >This communication, including any attachments, is confidential >and may be >legally privileged. Access to this e-mail or its content, in >whole or in >part via any method or medium, by anyone other than the >intended recipient >is unauthorized. If you received this message in error, >please contact the >sender and permanently delete the original from any >computer and destroy >any printout thereof. > >DeKalb Regional Healthcare >System, 2701 North Decatur Rd., Decatur, >Georgia, 30033, USA, >http://www.drhs.org > >*************************************************************************** >********* > > _____ > >High-speed users-be more efficient >online with the new MSN Premium Internet Software. > > _____ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2005 Report Share Posted May 6, 2005 see below for my responses - in cap locks next to the individual questions you posed. Randi > > From: barbara hodges <bhodgesrd@...> > Date: 2005/05/06 Fri PM 01:04:45 EDT > > Subject: a few questions > > Hello > I am looking to make some improvements to our clinic and I was wondering if anyone would be able to share: > 1. How long do you take with a new bariatric patient visit (i.e. how many minutes)60-75 MINS. > 2. How many preop visits do you have with a patient1-2 > 3. How many support groups are required prior to surgeryNONE, BUT I STRONGLY ENCOURAGE PTS TO ATTEND, SINCE THE FACILITY HAS A EXCELLENT GROUP AND LEARNING ENVIRONMENT > 4. How long do you take with a follow up bariatric patient30-60 MINUTES > 5. Do you see patients requiring medically supervised weight loss in a group or one on oneINDIVIDUAL > 6. Do you coincide your nutrition visits with the MD visit (i.e. your note requires an MD signature for a higher rate of reimbursement) or do you see the patient on your own.ACTUALLY, AT ANOTHER FACILITY WHERE I WORK (NOT BARIATRIC) WE DO USE MD SIG. I SEE PATIENTS WITH CHRONIC DISEASES > Thanks in Advance!! > > Barbara Hodges, RD, MPH > Baystate Medical Center > Springfield, MA > > wrote: > > There are 18 messages in this issue. > > Topics in this digest: > > 1. Re: insurance > From: jeremaih elizondo > 2. reference for GBP and Calcium > From: " walterslm38 " > 3. Re: Re: leak > From: Beth Taschuk > 4. Re: insurance > From: " Beverly " > 5. OOPS > From: " walterslm38 " > 6. oral iron therapy vs. IV therapy > From: Carla Evers > 7. Summer support > From: " Townsend, R. " > 8. RE: Summer support > From: " Gregoline, L. " > 9. Re: Bariatric Centers of Excellence > From: Kathleen Roehling > 10. Re: Insulin requirements after weight loss surgery > From: Kathleen Roehling > 11. Re: beth > From: melissa miceli > 12. RE: liver enzymes > From: Jill Gorton > 13. RE: liver enzymes > From: > 14. RE: liver enzymes > From: jeremaih elizondo > 15. Re: insurance > From: " jrsagator " > 16. Breath Hydrogen Test > From: tina musselman > 17. new member > From: " le Paciera, LDN, RD " > 18. RE: Summer support > From: Elina Schwartz > > > ________________________________________________________________________ > ________________________________________________________________________ > > Message: 1 > Date: Wed, 4 May 2005 06:25:28 -0700 (PDT) > From: jeremaih elizondo > Subject: Re: insurance > > We bill using the codes - 97802 - Medical Nutrition Therapy Initial assessment, and 97803 Medical nutrition Therapy re-assessment - it varies with how much we get reimbursed depending on the insurance company. > > Jerry > > kiwi_razz wrote: > I have been told by the director of the bariatric center that the > nutrition component is NOT reimburseable. I was under the impression > taht insurance companies DO reimburse for counseling when specified > for medical reason. I work in a VA setting and do not deal with > insurance companies (lucky me!)- but now it seems I need to do some > research! > Does anyone get reimbursed, and if so HOW and what CODE/S do you use? > > Thank you! > > > > > > --------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2005 Report Share Posted May 6, 2005 barbara hodges <bhodgesrd@...> wrote: Hello I am looking to make some improvements to our clinic and I was wondering if anyone would be able to share: 1. How long do you take with a new bariatric patient visit (i.e. how many minutes) we usually spend about 1 hour 2. How many preop visits do you have with a patient it depends on the insurance- for bcbs we see the pt monthly for 12 months,for aethna we see the pt for 3 months (3 visits) and for everyone else we like to have at least 2 visits preop 3. How many support groups are required prior to surgery none are required- we have our information seminar as a requirement 4. How long do you take with a follow up bariatric patient we have 30 min slots but it usually takes 45 mins 5. Do you see patients requiring medically supervised weight loss in a group or one on one right now 1 on 1 but we are starting the learn program next month so that will be groups up to 16 people 6. Do you coincide your nutrition visits with the MD visit (i.e. your note requires an MD signature for a higher rate of reimbursement) or do you see the patient on your own. we do both hope this helps melissa Thanks in Advance!! Barbara Hodges, RD, MPH Baystate Medical Center Springfield, MA wrote: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2005 Report Share Posted May 6, 2005 Each Pt has an 1 hour pre-op consultation on an individual basis. I only have one pre op visit. No support groups but all pts must attend a seminar before the pre-op consult. Jerrybarbara hodges <bhodgesrd@...> wrote: Hello I am looking to make some improvements to our clinic and I was wondering if anyone would be able to share: 1. How long do you take with a new bariatric patient visit (i.e. how many minutes) 2. How many preop visits do you have with a patient 3. How many support groups are required prior to surgery 4. How long do you take with a follow up bariatric patient 5. Do you see patients requiring medically supervised weight loss in a group or one on one 6. Do you coincide your nutrition visits with the MD visit (i.e. your note requires an MD signature for a higher rate of reimbursement) or do you see the patient on your own. Thanks in Advance!! Barbara Hodges, RD, MPH Baystate Medical Center Springfield, MA wrote: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2005 Report Share Posted May 9, 2005 Barbara, Hope this helps!! Joan a few questions Hello I am looking to make some improvements to our clinic and I was wondering if anyone would be able to share: 1. How long do you take with a new bariatric patient visit (i.e. how many minutes) I usually plan for 90 minutes. We have a monthly class that goes over the post op protocol that we just changed to weekly, and are requiring that they go to that before they see me. I was finding that if a person comes to see me before they have gone to the class, then I spend more time working on the post op info vs. past eating habits, changes to implement, healthy eating. So far, it's working out well. Those group classes are not reimbursable, but we do have a $400.00 program fee. 2. How many preop visits do you have with a patient At least 2 unless there are unresolved issues. Sometimes it is driven by the insurance co. 3. How many support groups are required prior to surgery 3 which also includes the open house info night. We find people get hooked on the meetings and come to more than 3. Our group meetings are about 40 minutes of some type of educational session, then about 20 minutes of questions/sharing/etc. We try REALLY hard not to let a few individuals "control" the room. 4. How long do you take with a follow up bariatric patient I plan any where from 30-45 minutes, but am finding 45-60 minutes is more realistic. We find that "something" happens to them while they have been in the OR and they seem to "forget" a lot of info! Just kidding...I think it is more that they are actually having to live it everyday and it now becomes a reality. 5. Do you see patients requiring medically supervised weight loss in a group or one on one One on One, although I do a LOT of nutrition teaching in the support groups. 6. Do you coincide your nutrition visits with the MD visit (i.e. your note requires an MD signature for a higher rate of reimbursement) or do you see the patient on your own. We try NOT to for reimbursement purposes, our notes don't require MD signature. We also feel that the contact with them throughout the first year with all of us at different times really helps. Sometimes we have people that blow off the nutrition end of it, but the NP and RN co-ordinator are on their tails to get them in. I have great back up from them. If it's an insurance issue and they can't come, we make sure we work it out so they don't go without. Thanks in Advance!! Barbara Hodges, RD, MPH Baystate Medical Center Springfield, MA wrote: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2005 Report Share Posted May 26, 2005 Remember to top up your electrolytes afterward. Saul do you have recommendations on products for doing so? There is so much out there it is confusing. Thank you kindly Christel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2005 Report Share Posted May 26, 2005 Re: A Few Questions > Dear , > > The rash being gone means that the release of toxins is at a rate that > your > detox capacity (read liver) can handle, so that is a good sign. > > You are still having Herxheimer reactions, so that shows you still have a > ways to go. > > For the ozone to penetrate your skin, the pores need to be open. So a > light > sweat is necessary. However, a heavier sweat is better for detoxing > metals, > and resetting the thyroid, so if you can handle it, and stay in for 30 > minutes, then go for the higher heat. > > Remember to top up your electrolytes afterward. > > Best of Health! > Dr. Saul Pressman > --------------------------------------------------------------------- Saul, As long as you mentioned resetting the thyroid, I have one thing to add about some studies I found when researching my book on sauna therapy. It was discovered that the contrast of showering or bathing in cold water after a really intense sweat reset the thyroid more efficiently than simply the heat alone. Best, Nenah Nenah Sylver, PhD http://www.nenahsylver.com * The Handbook of Rife Frequency Healing * The Holistic Handbook of Sauna Therapy * products and services for wellness Some studies done on Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2005 Report Share Posted May 26, 2005 If I can ask a question...Does anyone know anything about oxygen curing lung cancer orany cures for lung cancer... I don't remember where i read it? Re: A Few Questions Remember to top up your electrolytes afterward. Saul do you have recommendations on products for doing so? There is so much out there it is confusing. Thank you kindly Christel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2005 Report Share Posted May 26, 2005 Hi Nenah. I wonder if a short stint with some cold water after a hot shower would be helpful for this also? Do you know? Thanks Donna Re: A Few Questions Saul, As long as you mentioned resetting the thyroid, I have one thing to add about some studies I found when researching my book on sauna therapy. It was discovered that the contrast of showering or bathing in cold water after a really intense sweat reset the thyroid more efficiently than simply the heat alone. Best, Nenah Nenah Sylver, PhD http://www.nenahsylver.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 26, 2005 Report Share Posted May 26, 2005 Re: A Few Questions > Hi Nenah. I wonder if a short stint with some cold water after a hot > shower would be helpful for this also? Do you know? > > Thanks > Donna I would think it has some benefit, Donna, though I don't think it's as good as an all-out sweat and cold shower. (Unless you sweat a lot in the hot shower.) Before there were fancy ozone steam saunas ;-), hydrotherapy was used a lot for all kinds of ailments. That's discussed in Chapter 1 of my book on sauna therapy. You're welcome. Nenah Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 I don't post very often, but as a pregnant BFLifer, I know that if she is planning on becoming pregnant it would be a really good idea to go ahead & start taking a prenatal vitamin, or a regular multi & then take extra folic acid on top of that. Folic acid helps prevent so many birth defects it would be a good idea for her to take it! A few questions > I have a friend who wants to start BFL - she won't read the damn book, > so I'm having to answer all her questions - it's > exhausting...anyway...there are a few things I'm not sure about (for > her) - she's 37 and in very good shape already but > 1) She wants to know what multi-vitamins to take...I told her she > shouldn't need one b/c of all the good foods she'll be eating, but she > argues that she is prepping her body for the baby she wants to have > (pregnant in 6 months is the goal). Any thoughts? > 2) Also, what info can I give her about flabby skin around the middle? > She already works out - ALOT and you'd never know she had the loose > skin, but when I took her before and after pics, it became a topic of > discussion. Are there any solid resources I can give her about what to > do for this? I know there are alternatives to surgery, I just don't > know what they are... > > Thanks, guys > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 I don't post very often, but as a pregnant BFLifer, I know that if she is planning on becoming pregnant it would be a really good idea to go ahead & start taking a prenatal vitamin, or a regular multi & then take extra folic acid on top of that. Folic acid helps prevent so many birth defects it would be a good idea for her to take it! A few questions > I have a friend who wants to start BFL - she won't read the damn book, > so I'm having to answer all her questions - it's > exhausting...anyway...there are a few things I'm not sure about (for > her) - she's 37 and in very good shape already but > 1) She wants to know what multi-vitamins to take...I told her she > shouldn't need one b/c of all the good foods she'll be eating, but she > argues that she is prepping her body for the baby she wants to have > (pregnant in 6 months is the goal). Any thoughts? > 2) Also, what info can I give her about flabby skin around the middle? > She already works out - ALOT and you'd never know she had the loose > skin, but when I took her before and after pics, it became a topic of > discussion. Are there any solid resources I can give her about what to > do for this? I know there are alternatives to surgery, I just don't > know what they are... > > Thanks, guys > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 well, i told her that maybe she should look in to pre-natal vitamins but she said she had heard they make you gain weight.... Dan & wrote: > I don't post very often, but as a pregnant BFLifer, I know that if she is > planning on becoming pregnant it would be a really good idea to go ahead & > start taking a prenatal vitamin, or a regular multi & then take extra folic > acid on top of that. Folic acid helps prevent so many birth defects it > would be a good idea for her to take it! > > > A few questions > > > >>I have a friend who wants to start BFL - she won't read the damn book, >>so I'm having to answer all her questions - it's >>exhausting...anyway...there are a few things I'm not sure about (for >>her) - she's 37 and in very good shape already but >>1) She wants to know what multi-vitamins to take...I told her she >>shouldn't need one b/c of all the good foods she'll be eating, but she >>argues that she is prepping her body for the baby she wants to have >>(pregnant in 6 months is the goal). Any thoughts? >>2) Also, what info can I give her about flabby skin around the middle? >> She already works out - ALOT and you'd never know she had the loose >>skin, but when I took her before and after pics, it became a topic of >>discussion. Are there any solid resources I can give her about what to >>do for this? I know there are alternatives to surgery, I just don't >>know what they are... >> >>Thanks, guys >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 I've never heard that one before, they're pretty much like a regular multivitamin with a few things extra like more iron & more folic acid. I don't think there's anything in them that would cause you to gain weight. Re: A few questions > well, i told her that maybe she should look in to pre-natal vitamins but > she said she had heard they make you gain weight.... > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 I've never heard that one before, they're pretty much like a regular multivitamin with a few things extra like more iron & more folic acid. I don't think there's anything in them that would cause you to gain weight. Re: A few questions > well, i told her that maybe she should look in to pre-natal vitamins but > she said she had heard they make you gain weight.... > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 ---i second the folic acid.... if she doesn't want to take prenates than make sure she takes a multi and folic.... they didn't make me gain weight.. val In , " Dan & " <dangela4@s...> wrote: > I've never heard that one before, they're pretty much like a regular > multivitamin with a few things extra like more iron & more folic acid. I > don't think there's anything in them that would cause you to gain weight. > > > Re: A few questions > > > > well, i told her that maybe she should look in to pre-natal vitamins but > > she said she had heard they make you gain weight.... > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 I'm going to be quite blunt here... your friend has some fairly strange ideas. First, she wants to do a program without having a clue what's in it? It really isn't a hard book to read! But, I know I'm preachin to the choir there, right? Second, pre-natal vitamins are vitamins... there's less vitamin A and more Folic Acid than normal ones, but they are VITAMINS, not hormones or any other weird thing that would make you gain weight. You need to start taking Folic Acid AT LEAST three months before you plan to get pregnant to gain the best protective effects from it. It helps to prevent Spina Bifida and a bunch of other things, especially in older mothers. On the skin front... is it really loose skin? or just tummy flab? If she's never been very overweight and hasn't had babies it's more likely to be flab, which BFL will take care of. If it is loose skin, there's not a lot that can be done. Flax oil is good for skin, so are vitamins, some people swear by Bio-oil (brand name), but I didn't find it useful. I'm saving for the abdominoplasty once I've lost all the fat from under my raisiny belly. Phoenix > > I don't post very often, but as a pregnant BFLifer, I know that if she is > > planning on becoming pregnant it would be a really good idea to go ahead & > > start taking a prenatal vitamin, or a regular multi & then take extra folic > > acid on top of that. Folic acid helps prevent so many birth defects it > > would be a good idea for her to take it! > > > > > > A few questions > > > > > > > >>I have a friend who wants to start BFL - she won't read the damn book, > >>so I'm having to answer all her questions - it's > >>exhausting...anyway...there are a few things I'm not sure about (for > >>her) - she's 37 and in very good shape already but > >>1) She wants to know what multi-vitamins to take...I told her she > >>shouldn't need one b/c of all the good foods she'll be eating, but she > >>argues that she is prepping her body for the baby she wants to have > >>(pregnant in 6 months is the goal). Any thoughts? > >>2) Also, what info can I give her about flabby skin around the middle? > >> She already works out - ALOT and you'd never know she had the loose > >>skin, but when I took her before and after pics, it became a topic of > >>discussion. Are there any solid resources I can give her about what to > >>do for this? I know there are alternatives to surgery, I just don't > >>know what they are... > >> > >>Thanks, guys > >> > >> > >> > >> > >> > >> > >> > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 Do you think your friend would read the message boards here? I have read the book (twice), but I love the information and support here - I'm thinking if I did not like to read I would still love a board like this. Regardless of BFL, I hope your friend gets the right info about prenatal vitamins. Neural tube defect is such an awful, deadly problem - and so easily prevented by the right amount of folic acid in a prenatal vitamin (best started before a pregnancy occurs). My son was born missing a structure in his brain - not caused by anything I did or didn't do (as far as anyone knows), but it's such heartache to wonder. Keep giving her the right kind of support, Fuzzy, and perhaps she'll join us here. Sherry > > > I don't post very often, but as a pregnant BFLifer, I know that > if she is > > > planning on becoming pregnant it would be a really good idea to > go ahead & > > > start taking a prenatal vitamin, or a regular multi & then take > extra folic > > > acid on top of that. Folic acid helps prevent so many birth > defects it > > > would be a good idea for her to take it! > > > > > > > > > A few questions > > > > > > > > > > > >>I have a friend who wants to start BFL - she won't read the damn > book, > > >>so I'm having to answer all her questions - it's > > >>exhausting...anyway...there are a few things I'm not sure about > (for > > >>her) - she's 37 and in very good shape already but > > >>1) She wants to know what multi-vitamins to take...I told her she > > >>shouldn't need one b/c of all the good foods she'll be eating, > but she > > >>argues that she is prepping her body for the baby she wants to > have > > >>(pregnant in 6 months is the goal). Any thoughts? > > >>2) Also, what info can I give her about flabby skin around the > middle? > > >> She already works out - ALOT and you'd never know she had the > loose > > >>skin, but when I took her before and after pics, it became a > topic of > > >>discussion. Are there any solid resources I can give her about > what to > > >>do for this? I know there are alternatives to surgery, I just > don't > > >>know what they are... > > >> > > >>Thanks, guys > > >> > > >> > > >> > > >> > > >> > > >> > > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 Hey Phoenix! Good luck with that abdominoplasty - I recently had one and I highly recommend it! >>> zyth2002@... 9/6/2005 5:29:08 am >>> I'm going to be quite blunt here... your friend has some fairly strange ideas. First, she wants to do a program without having a clue what's in it? It really isn't a hard book to read! But, I know I'm preachin to the choir there, right? Second, pre-natal vitamins are vitamins... there's less vitamin A and more Folic Acid than normal ones, but they are VITAMINS, not hormones or any other weird thing that would make you gain weight. You need to start taking Folic Acid AT LEAST three months before you plan to get pregnant to gain the best protective effects from it. It helps to prevent Spina Bifida and a bunch of other things, especially in older mothers. On the skin front... is it really loose skin? or just tummy flab? If she's never been very overweight and hasn't had babies it's more likely to be flab, which BFL will take care of. If it is loose skin, there's not a lot that can be done. Flax oil is good for skin, so are vitamins, some people swear by Bio-oil (brand name), but I didn't find it useful. I'm saving for the abdominoplasty once I've lost all the fat from under my raisiny belly. Phoenix > > I don't post very often, but as a pregnant BFLifer, I know that if she is > > planning on becoming pregnant it would be a really good idea to go ahead & > > start taking a prenatal vitamin, or a regular multi & then take extra folic > > acid on top of that. Folic acid helps prevent so many birth defects it > > would be a good idea for her to take it! > > > > > > A few questions > > > > > > > >>I have a friend who wants to start BFL - she won't read the damn book, > >>so I'm having to answer all her questions - it's > >>exhausting...anyway...there are a few things I'm not sure about (for > >>her) - she's 37 and in very good shape already but > >>1) She wants to know what multi-vitamins to take...I told her she > >>shouldn't need one b/c of all the good foods she'll be eating, but she > >>argues that she is prepping her body for the baby she wants to have > >>(pregnant in 6 months is the goal). Any thoughts? > >>2) Also, what info can I give her about flabby skin around the middle? > >> She already works out - ALOT and you'd never know she had the loose > >>skin, but when I took her before and after pics, it became a topic of > >>discussion. Are there any solid resources I can give her about what to > >>do for this? I know there are alternatives to surgery, I just don't > >>know what they are... > >> > >>Thanks, guys > >> > >> > >> > >> > >> > >> > >> > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 Thanks! It's gonna take a while for me to save up the 10,000 NZD to have it done!!! (or 20,000 if I need my boobs shifting back up my chest as well, which seems likely! lol) I love NZ , but sometimes it sucks that we are such an itty-bitty country that specialised stuff like that is really costly. And the surgeons may not be as good simply because they don't get all the practice that US ones do! So I'm scared to death, but I hate my wrinkly tummy, it's gross, even though my two preschoolers think it's great, they like squishing it. urgh! Hey, do you think they would repunch my belly ring while they are in there? I'm too chicken to have it done a THIRD time! Phoenix > Hey Phoenix! Good luck with that abdominoplasty - I recently had one and I highly recommend it! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2005 Report Share Posted September 6, 2005 Thanks! It's gonna take a while for me to save up the 10,000 NZD to have it done!!! (or 20,000 if I need my boobs shifting back up my chest as well, which seems likely! lol) I love NZ , but sometimes it sucks that we are such an itty-bitty country that specialised stuff like that is really costly. And the surgeons may not be as good simply because they don't get all the practice that US ones do! So I'm scared to death, but I hate my wrinkly tummy, it's gross, even though my two preschoolers think it's great, they like squishing it. urgh! Hey, do you think they would repunch my belly ring while they are in there? I'm too chicken to have it done a THIRD time! Phoenix > Hey Phoenix! Good luck with that abdominoplasty - I recently had one and I highly recommend it! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 25, 2006 Report Share Posted January 25, 2006 - I rarely eat bars and use very little protein powder. I make my shakes with the liquid boxed egg whites (like egg beaters, but pure whites, without seasonings). I use 1 cup egg, plus some fruit, sometimes a dollop of cottage cheese, sometimes 1 Tbsp of natural peanut butter, etc. A favorite breakfast is egg/oat pudding: 1 cup egg whites, 1/3 cup oats, 1/3 cup water, plus cinnamon and/or splenda. Sometimes some cut up apple, or pureed strawberries. I use kashi, brown rice, winter squash, yams or white potatoes for my carbs.... I had spaghetti squash with the sloppy joe from Eating for Life - it was soooo good. I have a bag of frozen blueberries in the freezer; mixed with cottage cheese and some oats - let the berries melt slightly. A great mini-meal. Cook up a big batch of chicken breasts and freeze individually. Same thing with any other recipe you make (chili, sloppy joe, beef stew - these all freeze perfectly and are great plopped on top of salad). Fish takes only 3-4 minutes to cook in the microwave; I like tilapia or salmon, cooked over a bed of skinny pieces of carrot & zucchini, with brown rice. Hope some of this strikes your fancy - n T. At 06:18 PM 1/24/2006, you wrote: >So, all that said, I'm trying really hard to >phase out all processed foods, including protein powders and the >like and go with more whole, organic foods. Any suggestions in that >department? So far, I'm doing more cottage cheese and using cottage >cheese and yogurt as a shake base for the protein. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 25, 2006 Report Share Posted January 25, 2006 > What I'd > like to add to my nutrition is more green veggies - would that > help? Green leafy veggies can be added in abudance to your BodyForLife Nutrition program. One cup of green-leafies has only about 30-40 calories so add away. They are full of iron and vitamins and are wonderful for you. Also, if you haven't, you should take a folic acid supplement to help prevent birth defects. How much sleep are you getting? > Second: I had been eating protein bars every day and I recently > read (on this group) that sometimes those bars can hamper progress. > So, I am currently phasing out the bars and going to more whole > foods. Does that sound like I'm heading in the right direction? From what the on-board experts say... yes. That also fits with you going more organic and unprocessed. > Third: My husband and I are going to try to conceive in a few > months - I want to be in optimal shape preconception - and stay in > shape throughout the pregnancy (I'm a wannabe midwife (one day I'll > get there) and know that good fitness leads to easier (and possibly > shorter) labors). So, all that said, I'm trying really hard to > phase out all processed foods, including protein powders and the > like and go with more whole, organic foods. Any suggestions in that > department? So far, I'm doing more cottage cheese and using cottage > cheese and yogurt as a shake base for the protein. Sorry, no advice for going organic and unprocessed. It's (organic) a bit too expensive for my bank account. It seems to me that you will very busy in the kitchen cooking a lot of made from scratch stuff though. > And Lastly: In my first challenge, on my LBWO, I used the machines - > but now I feel ready to move on to free weights. I was thinking > about doing the squats on the squat bars but am pretty unsure of > even where to begin weight wise. My highest weight on the leg > extension (Body Masters) was 100 pounds - 110 pounds on the leg > curls. Any advice you women could give would be sooooo appreciated! Changing the routines always gets me too. I either start off with too much weight or too little. Maybe on a non-leg day you can load a bar with 75 lbs (just remember the bar weighs 45lbs) or so and just see how it feels. Not do a full workout but see how you handle it. Maybe the first week go light if you haven't done squats before so you can get the form and then jump up to a weight that will really work your muscles. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 26, 2006 Report Share Posted January 26, 2006 Do you mean the # of pancakes, or the # of portions? I didn't post the recipe, but I imagine the # of pancakes is dependent on the size of each pancake. As for the # of portions..... from the protein I would say it is one portion, but 1/2 cup of raw old-fashioned oats is a bit more carbs than I usually have in one meal (my box says 1/2 cup is 27 grams of carbs). But not outrageously overboard. (5 egg whites and 1/2 cup oatmeal) HTH n T. At 05:31 AM 1/26/2006, you wrote: >How many pancakes does that recipe makes? Quote Link to comment Share on other sites More sharing options...
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