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wt loss plateau advise

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Hello All,

I am writing in hopes of getting some new ideas as to how to help my

patient. She is a young 31 yo F s/p RNY x 11 mo with PMH including

dyslipidemia and endometriosis. She lost about 50# (33% EWL) in the

first 6 months and has been on a plateau for the last 5 months. She

exercises with a trainer 2-3x per week and keeps a food

log...consuming ~ 1000-1200 kcal. Her course has also been notable

for a low alb level (2.7 from a month ago) therefore she aims for 100

g pro daily. However her baseline Alb is on the low side (pre-op

3.4). She is very frustrated and disappointed with her poor wt

loss.

Any Advice?

Thanks in advance,

Boyer RD, LDN

Bariatric Surgery Nutritionist

Beth Israel Deaconess

330 Brookline Ave

Shapiro 348

Boston, MA 02215

www.bidmc.harvard.edu/wls

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