RE: Raw vegetables after gastric bypass

[Guest guest]

We don't have strict guidelines regarding

when to start raw vegetables but it is advised not to start them until

at least 2 months post-op as tolerated.

The thing about salad is that it takes

up space without providing alot of nutrient value. As we know, protein

is extremely important during the first 4-6 months so we discourage a lot

of salads for that reason.

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@...

[Guest guest]

Our program allows lettuce and tomato as long as they add some type of

lean protein to the salad...the other raw vegetables are added in as

tolerated.

MN

>>> barird@... 04/06/04 02:16PM >>>

Hello All.

I am wondering how soon after gastric bypass other programs are

allowing raw vegetables. My program presently requires the patients

to wait 4 months before beginning raw vegetables. I am finding that

many of the patients crave salad well before that time, and rather

than waiting as advised, they are eating raw vegetables prematurely

(especially lettuce and tomato). Although I have no reported

episodes of intolerance, I am hesitant to address changing the policy

with the surgeons until I get an idea of what other programs are

doing.

Thanks in advance!

Sanford, MS,RD,LD

Bariatric Nutritionist

Lahey Clinic

Burlington, MA

[Guest guest]

,

We introduce raw fruits and vegetables at anywhere from 4-6 weeks. We have found they are tolerated quite well. A few have problems with salads up to six months, but they are few and far between. I give some guidelines with fresh fruits--stringy veggies, such as asparagus and celery must be cut into small pieces. I also recommend removing as much of the membrane from oranges as possible (mandarin oranges may be better tolerated). Good luck,

Kate Alie, M.S., R.D., L.D. Director of Nutrition Services Medabolix 600 Way

Northgate Business Park

ton, WV 25311 (304) 347-4313 (304) 347-4316 (fax)>From: "barird" <barird@...> >Reply- > >Subject: Raw vegetables after gastric bypass >Date: Tue, 06 Apr 2004 19:16:05 -0000 > >Hello All. > >I am wondering how soon after gastric bypass other programs are >allowing raw vegetables. My program presently requires the patients >to wait 4 months before beginning raw vegetables. I am finding that >many of the patients crave salad well before that time, and rather >than waiting as advised, they are eating raw vegetables prematurely >(especially lettuce and tomato). Although I have no reported >episodes of intolerance, I am hesitant to address changing the policy >with the surgeons until I get an idea of what other programs are >doing. > >Thanks in advance! > > Sanford, MS,RD,LD >Bariatric Nutritionist >Lahey Clinic >Burlington, MA > Persistent heartburn? Check out Digestive Health Wellness for information and advice.

[Guest guest]

I forgot to add, that these types of food, while very important, are not as stressed initially since it is so difficult for these patients to get adquate protein. However, once they are eating child-size portions, I encourage at least the minimum number of servings of fruits and vegetables.

Kate Alie, M.S., R.D., L.D. Director of Nutrition Services Medabolix 600 Way

Northgate Business Park

ton, WV 25311 (304) 347-4313 (304) 347-4316 (fax)>From: "barird" <barird@...> >Reply- > >Subject: Raw vegetables after gastric bypass >Date: Tue, 06 Apr 2004 19:16:05 -0000 > >Hello All. > >I am wondering how soon after gastric bypass other programs are >allowing raw vegetables. My program presently requires the patients >to wait 4 months before beginning raw vegetables. I am finding that >many of the patients crave salad well before that time, and rather >than waiting as advised, they are eating raw vegetables prematurely >(especially lettuce and tomato). Although I have no reported >episodes of intolerance, I am hesitant to address changing the policy >with the surgeons until I get an idea of what other programs are >doing. > >Thanks in advance! > > Sanford, MS,RD,LD >Bariatric Nutritionist >Lahey Clinic >Burlington, MA > Watch LIVE baseball games on your computer with MLB.TV, included with MSN Premium!