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> ...are calories absorbed in the alimentary limb at all? Or only in

> the common channel?

Yes, you will have some absorption in the alimentary limb, especially

of sugars, things that do not require digestive " help " .

Marta

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> ...are calories absorbed in the alimentary limb at all? Or only in

> the common channel?

Yes, you will have some absorption in the alimentary limb, especially

of sugars, things that do not require digestive " help " .

Marta

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In a message dated 3/12/2004 6:49:45 PM Central Standard Time,

mjs93311@... writes:

Yes, you will have some absorption in the alimentary limb, especially

of sugars, things that do not require digestive " help " .

Marta

So what your saying is Fats and complex carbs that need bile and pancreatic

and other digestive enzymes are the passed on through the alimentarty limb But

simple carbs can break down enough to be absorbed in the Alimentary limb, and

sugars are absorbed basically from the mouth down....Right? Making sure I have

my facts straight.

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/12/2004 7:09:17 PM Central Standard Time,

hevnbound1@... writes:

I'm ready to cry. A 10% biliary

limb. Isn't it suppose to be a 10% common channel?? Isn't that what

the DS gives you? Ok....I'm stopping my rant...until Monday when I

can call my surgeon's office and gripe to them. Not LOL tonight!

Laurie

__________________________________________

Laurie....Now Do you see why I'm so pro my DS??? Even a distal RNY doesn't

give the same benefit as a shorter channel DS. My common channel is 50 cm....And

I'm thinking I'm a slow loser....Imagine what if I was 100?? This is also why

the Docs stress your supplements so much. BUT looking back and talking to

proximal RNYs the nutritional problems are universal with RNYs no matter the

length bypassed....So this leave me with the assumption that this small portion

of

duodenum we are able to keep is essential in some ways to help us that the

RNYs don't get.

..... in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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> Yes, you will have some absorption in the alimentary limb,

especially

> of sugars, things that do not require digestive " help " .

>

Marta,

So, in other words, I only effectively have a 15 inch bypass? So the

only thing I'm malabsorbing is some fat and iron, calcium and B-12?

The books say " most " digestion happens in the duodenum. So, if the

food is not digested, does it not absorb fully? I'm trying to

understand what the working mechanism is suppose to be in the RNY

besides the small portions.

Tell me...what good is this RNY???? Oh my gosh...this is a new

revelation and understanding today and I'm just fit to be tied. 15

inches bypassed out of 15 FEET of intestine!!! A common channel of

NINE FEET!! And this is suppose to work for the long term?? Can you

hear the disgust in my typing? I'm ready to cry. A 10% biliary

limb. Isn't it suppose to be a 10% common channel?? Isn't that what

the DS gives you? Ok....I'm stopping my rant...until Monday when I

can call my surgeon's office and gripe to them. Not LOL tonight!

Laurie

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In a message dated 3/13/2004 12:34:14 AM Central Standard Time,

hevnbound1@... writes:

If they leave 2 inches of functioning duodenum, well, heck, that's almost 1/3

of it! One thing I " m realizing though is that I don't think I want a 50 cm

CC, which is what I would get using the 10% formula. I only want to lose a MAX

of 115 from where I am right now. I think 90-100 would be good for me. I

don't want any more deficiencies to deal with. And I sure don't want to go

underweight.

Laurie,

You have to remember that you are a revision and as a general rule

Revisins don't lose as well....So a 50 cm and the 10% rule might be appropriate

for

you. Remeber you will have a bigger tummy so the malabsorption might be more,

but you will also be able to eat more of a better quality of foods. In my

personal opinion my Nutritional intake is the best of all of the surgeries, and

I

still am losing with a few(sometimes more...LOL) indescretions(More around the

time of my period) So the 50 cm channel is great for me. They have found that

people with normally shorter intestines adapt to the surgery over a period of

time and sometimes even increase in length over the time of the window to

accomodate the persons needs. So assuming this, you might start with 100 and it

increase in length where there is less malabsorption. One thing to

note...Except for rebound weight...Which I assume is water from the way I lose

it, I have

never gained any significant amount of weight. And i have tried the DS many

times...LOL. Birthday cake, and once when I was tired and feeling blue a whole

bag of chips(over a day) Actually had a good bowel cleansing and a dreeaded

oild slick which left me down a pound...gotta love this surgery!(isn't that

Pat's

motto??...LOL)

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/13/2004 12:34:14 AM Central Standard Time,

hevnbound1@... writes:

If they leave 2 inches of functioning duodenum, well, heck, that's almost 1/3

of it! One thing I " m realizing though is that I don't think I want a 50 cm

CC, which is what I would get using the 10% formula. I only want to lose a MAX

of 115 from where I am right now. I think 90-100 would be good for me. I

don't want any more deficiencies to deal with. And I sure don't want to go

underweight.

Laurie,

You have to remember that you are a revision and as a general rule

Revisins don't lose as well....So a 50 cm and the 10% rule might be appropriate

for

you. Remeber you will have a bigger tummy so the malabsorption might be more,

but you will also be able to eat more of a better quality of foods. In my

personal opinion my Nutritional intake is the best of all of the surgeries, and

I

still am losing with a few(sometimes more...LOL) indescretions(More around the

time of my period) So the 50 cm channel is great for me. They have found that

people with normally shorter intestines adapt to the surgery over a period of

time and sometimes even increase in length over the time of the window to

accomodate the persons needs. So assuming this, you might start with 100 and it

increase in length where there is less malabsorption. One thing to

note...Except for rebound weight...Which I assume is water from the way I lose

it, I have

never gained any significant amount of weight. And i have tried the DS many

times...LOL. Birthday cake, and once when I was tired and feeling blue a whole

bag of chips(over a day) Actually had a good bowel cleansing and a dreeaded

oild slick which left me down a pound...gotta love this surgery!(isn't that

Pat's

motto??...LOL)

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/13/2004 12:36:43 AM Central Standard Time,

mjs93311@... writes:

There are simple fats, too, don't forget. The absorption in the

mouth isn't very much, I think, then the esophagus isn't abosrptive,

nor is the stomach except for very limited things, as I understand

it.

But I am not an expert in any of this.

marta

Oh Marta, have you never worked with new diabetics much.?? or am I showing my

age???...I worked in the good old days when we gave diabetics the cake icing

type stuff in the mouth to raise their blood sugars if they were unconcious or

hard to arouse.It's amazing to see them coming to from a hypoglycemic

reaction from a little sugar squirted into the cheek. Now we use D50W, but when

I

started working in 1985 we had the icing type stuff and glucogon injections in

the med cabinet for emergencies....

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/13/2004 12:36:43 AM Central Standard Time,

mjs93311@... writes:

There are simple fats, too, don't forget. The absorption in the

mouth isn't very much, I think, then the esophagus isn't abosrptive,

nor is the stomach except for very limited things, as I understand

it.

But I am not an expert in any of this.

marta

Oh Marta, have you never worked with new diabetics much.?? or am I showing my

age???...I worked in the good old days when we gave diabetics the cake icing

type stuff in the mouth to raise their blood sugars if they were unconcious or

hard to arouse.It's amazing to see them coming to from a hypoglycemic

reaction from a little sugar squirted into the cheek. Now we use D50W, but when

I

started working in 1985 we had the icing type stuff and glucogon injections in

the med cabinet for emergencies....

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/13/2004 12:36:43 AM Central Standard Time,

mjs93311@... writes:

There are simple fats, too, don't forget. The absorption in the

mouth isn't very much, I think, then the esophagus isn't abosrptive,

nor is the stomach except for very limited things, as I understand

it.

But I am not an expert in any of this.

marta

______________________________________

oh, and what is a simple fat? I thought all fats pretty much needed bile and

enzymes to break down.

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/13/2004 12:58:46 AM Central Standard Time,

moobabies@... writes:

Now of course you can have a medial

or distal Rny which does give you more malabsorption. But combined

with the ability to eat less this " in my opinion " sets up a

dangerous situation.

______________________________________

Jo,

I think I explained this to Laurie before, but someone else might be

interested. I asked Dr. K to make my pouch smaller because I was afraid of

failing. I asked for a 50cm channel and he agreed that most revisions needed

the

smaller channel. But as far as the Smaller stomach he explained it like this. He

said the DS uses both restriction AND malabsorption to not only lose the

weight but to keep it off. He then went on to explain that if restriction were

the

key to a successful surgery then the VBG would be the most successful surgery,

and as we all know it is the most common surgery to FAIL! He sad that with a

DS there were the best of both worlds, slight (not extreme) restriction AND

the Malabsorption which worked together to make this surgery so good. He can

explain it so well!! He talked about nutritional problems in the revisions he

had seen and how the more failed surgeries(RNY and VBGs) that were coming in to

be revised the more they were learning. I expect lots of information to come

out soon from the docs who are doing revisions about their finding, because the

docs say they are getting more common. And I don't mean the failures are more

common, but people who had the RNYs and are 6-10 yrs post op are looking for

people to Fix the RNY. (Most research say this is usually when the person

gains the most weight post op). So if you only lived 6-10 yrs ater a RNY it

would

be fine, but I had mine so I could live for 20-30 or more years...LOL.

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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>

So this leave me with the assumption that this small portion of

> duodenum we are able to keep is essential in some ways

Mel,

This is what I did all afternoon was try to look up the function of the

different parts of the small intestine. I was looking for what the ligament of

Treitz was and got wrapped up in it (not in the ligament..haha..but the

researching). The one site said the duodenum is about 7 inches (12 finger

breadths) and that's where the majority of digestion takes place. If they leave

2 inches of functioning duodenum, well, heck, that's almost 1/3 of it! One

thing I " m realizing though is that I don't think I want a 50 cm CC, which is

what I would get using the 10% formula. I only want to lose a MAX of 115 from

where I am right now. I think 90-100 would be good for me. I don't want any

more deficiencies to deal with. And I sure don't want to go underweight. I

actually called a doctor here in Madison, WI who is listed as being a DS doc to

see if he's ever done revisions. His nurse practitioner was already gone for

the day (and may be on maternity leave come Monday), but the secretary says she

believes he has done revisions. We shall see. Still looking at ALL options.

Hugs,

Laurie

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Laurie

Basically with a standard RNY the only thing that is Malabsorbed

are things that keep you healthy, b12, calcium, iron....The ability

to absorb those things are what is bypassed (because of losing the

intrinsic factor of the stomach and the duodenum)....yep they are

depending on the " pouch " to take the weight off and keep it off.

Plus of course the patient following the rules to the letter and

changing their eating style.... Now of course you can have a medial

or distal Rny which does give you more malabsorption. But combined

with the ability to eat less this " in my opinion " sets up a

dangerous situation.

A 10% common channel is what Dr. K does. Some Surgeons prefer to

just do " standard length " common channel...like give everyone a 100

cm common channel....which for the person who's total bowel measures

900 cm this would be a good length...but...a person who's bowel

measures 490 it would probably to tooooo long.

Jo

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...but...a person who's bowel

> measures 490 it would probably to tooooo long.

>

> Jo

Laurie, listen to Jo. You are my size, bowel-wise and I am a 50 cm

person, too. I am not too skinny. I am a size four or six

depending on how bloated I feel. I have no " issues " as long as I

eat my precious sprouted grain bread. I can and lately have

overeaten. Emotional eating. I sprang back from 124 to 129

yesterday and had to rein myself back in. I am getting back down

because I have decided to be a certain size and there I will remain.

Marta

in no danger of needing a reversal, lol

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i have a 50 cm cc i didnt want one this short but i am glad i did i feel dr k

math makes very good sence (sp) i to am a revision and was told that a 75 would

not do what i needed and at 18 months out my blood work is great

i have very little bathroom problems if any take care amber

Re: Speaking of the alimentary limb....

>

So this leave me with the assumption that this small portion of

> duodenum we are able to keep is essential in some ways

Mel,

This is what I did all afternoon was try to look up the function of the

different parts of the small intestine. I was looking for what the ligament of

Treitz was and got wrapped up in it (not in the ligament..haha..but the

researching). The one site said the duodenum is about 7 inches (12 finger

breadths) and that's where the majority of digestion takes place. If they leave

2 inches of functioning duodenum, well, heck, that's almost 1/3 of it! One

thing I " m realizing though is that I don't think I want a 50 cm CC, which is

what I would get using the 10% formula. I only want to lose a MAX of 115 from

where I am right now. I think 90-100 would be good for me. I don't want any

more deficiencies to deal with. And I sure don't want to go underweight. I

actually called a doctor here in Madison, WI who is listed as being a DS doc to

see if he's ever done revisions. His nurse practitioner was already gone for

the day (and may be on maternity leave come Monday), but the secretary says she

believes he has done revisions. We shall see. Still looking at ALL options.

Hugs,

Laurie

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i have a 50 cm cc i didnt want one this short but i am glad i did i feel dr k

math makes very good sence (sp) i to am a revision and was told that a 75 would

not do what i needed and at 18 months out my blood work is great

i have very little bathroom problems if any take care amber

Re: Speaking of the alimentary limb....

>

So this leave me with the assumption that this small portion of

> duodenum we are able to keep is essential in some ways

Mel,

This is what I did all afternoon was try to look up the function of the

different parts of the small intestine. I was looking for what the ligament of

Treitz was and got wrapped up in it (not in the ligament..haha..but the

researching). The one site said the duodenum is about 7 inches (12 finger

breadths) and that's where the majority of digestion takes place. If they leave

2 inches of functioning duodenum, well, heck, that's almost 1/3 of it! One

thing I " m realizing though is that I don't think I want a 50 cm CC, which is

what I would get using the 10% formula. I only want to lose a MAX of 115 from

where I am right now. I think 90-100 would be good for me. I don't want any

more deficiencies to deal with. And I sure don't want to go underweight. I

actually called a doctor here in Madison, WI who is listed as being a DS doc to

see if he's ever done revisions. His nurse practitioner was already gone for

the day (and may be on maternity leave come Monday), but the secretary says she

believes he has done revisions. We shall see. Still looking at ALL options.

Hugs,

Laurie

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In a message dated 3/13/2004 11:28:48 AM Central Standard Time,

hevnbound1@... writes:

LOL....here's something I never dreamed of hearing in my life!! Ok,

so it caught me as funny. Since going off simple carbs and sugar, I

tend to be more on the constipated side. It really is worse than

having diarrhea all the time, I must say. I layed off the calcium

for one day hoping that would " cure " it, but it didn't.

Laurie,

When I cut carbs I have constipation. As a Dser I have increased fats in

an attempt to cause a little diarrhea, and even that didn't work. Some

sennacot is good...It's a vegtable lax that is pretty good. And most fruits and

veggies depending on what kind are high fiber.

As far as eating, Avoid the higher glycemic foods like Popcorn, and

fruits. These increase your blood sugar levels and make you store fats....Try an

atkins type diet for a week or so and see what happens. Or at least a lower

carbs with 40 or 50 carbs....I bet you will eat more, but the scales will tell

the

tale...Know what I mean?

in Bama

VBG 1982 (lost from 433lbs to 270's)

VBG -RNY1996 revision(Lost from 343 to 299)

RNY-DS revision Dec 2002 -down 130 lbs (377.7 to 247.2 and still going)

BMI 39.4...No longer Morbidly obese!

Homepage address- http://hometown.aol.com/mdl1031/myhomepage/profile.html

Many thanks to Dr. K willing to take on a 3rd timer....LOL

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In a message dated 3/12/2004 11:45:02 PM Pacific Standard Time,

MDL1031@... writes:

> BMI 39.4...No longer Morbidly obese!

OMG -- just noticed this (I've been asleep for a while -- lol)!

Congratulations, Mel!!!!!!!!

Hugs and blessings,

Ann

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You are my size, bowel-wise

LOL....here's something I never dreamed of hearing in my life!! Ok,

so it caught me as funny. Since going off simple carbs and sugar, I

tend to be more on the constipated side. It really is worse than

having diarrhea all the time, I must say. I layed off the calcium

for one day hoping that would " cure " it, but it didn't. Does that

mean I need more fiber? The only fiber I get is in my popcorn and

there is a little in the slimfast shakes (5g). Do fruit and veggies

have fiber? I have ezekiel bread, but have only eaten two slices

since buying it. I just really am turned off by anything to do with

breads, rice, pasta, flour, sugar, etc. It's funny. The really not-

so-funny thing is that I'm plateaued now at 295. Don't see what else

I could possibly cut out of my diet to eat less. I'm already only

eating 1-2 meals a day!!

My family came to town last night and my sister was trying to raid my

house for junk food and when I told her there was none she didn't

believe me!! She finally found some hershey's kisses in a dish left

over from Christmas and ate whatever was there. lol She didn't

believe I've been set-free from my addiction and all that's in my

house is healthy stuff, protein and sugar free!! Guess seeing is

believing. Says she's going to send me her grocery list next time

she comes. roflmbo It's great!!! My sister has never been over a

size 14 in her life. She just doesn't know what a HUGE thing it is

for me not to have that junk in the house anymore...or crave it.

It's HUGE! It really is!

Ok....hitting send now...I'm rambling.

Laurie

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You are my size, bowel-wise

LOL....here's something I never dreamed of hearing in my life!! Ok,

so it caught me as funny. Since going off simple carbs and sugar, I

tend to be more on the constipated side. It really is worse than

having diarrhea all the time, I must say. I layed off the calcium

for one day hoping that would " cure " it, but it didn't. Does that

mean I need more fiber? The only fiber I get is in my popcorn and

there is a little in the slimfast shakes (5g). Do fruit and veggies

have fiber? I have ezekiel bread, but have only eaten two slices

since buying it. I just really am turned off by anything to do with

breads, rice, pasta, flour, sugar, etc. It's funny. The really not-

so-funny thing is that I'm plateaued now at 295. Don't see what else

I could possibly cut out of my diet to eat less. I'm already only

eating 1-2 meals a day!!

My family came to town last night and my sister was trying to raid my

house for junk food and when I told her there was none she didn't

believe me!! She finally found some hershey's kisses in a dish left

over from Christmas and ate whatever was there. lol She didn't

believe I've been set-free from my addiction and all that's in my

house is healthy stuff, protein and sugar free!! Guess seeing is

believing. Says she's going to send me her grocery list next time

she comes. roflmbo It's great!!! My sister has never been over a

size 14 in her life. She just doesn't know what a HUGE thing it is

for me not to have that junk in the house anymore...or crave it.

It's HUGE! It really is!

Ok....hitting send now...I'm rambling.

Laurie

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i to had this problem try adding a salad a few times a week if you use beano

there shouldnt be any gas problems . stay away from the breads pasta rice as

long as you can because once i started i cant stop i think i need to go cold

turkey on complex carbs and surgar. take care amber

Re: Speaking of the alimentary limb....

You are my size, bowel-wise

LOL....here's something I never dreamed of hearing in my life!! Ok,

so it caught me as funny. Since going off simple carbs and sugar, I

tend to be more on the constipated side. It really is worse than

having diarrhea all the time, I must say. I layed off the calcium

for one day hoping that would " cure " it, but it didn't. Does that

mean I need more fiber? The only fiber I get is in my popcorn and

there is a little in the slimfast shakes (5g). Do fruit and veggies

have fiber? I have ezekiel bread, but have only eaten two slices

since buying it. I just really am turned off by anything to do with

breads, rice, pasta, flour, sugar, etc. It's funny. The really not-

so-funny thing is that I'm plateaued now at 295. Don't see what else

I could possibly cut out of my diet to eat less. I'm already only

eating 1-2 meals a day!!

My family came to town last night and my sister was trying to raid my

house for junk food and when I told her there was none she didn't

believe me!! She finally found some hershey's kisses in a dish left

over from Christmas and ate whatever was there. lol She didn't

believe I've been set-free from my addiction and all that's in my

house is healthy stuff, protein and sugar free!! Guess seeing is

believing. Says she's going to send me her grocery list next time

she comes. roflmbo It's great!!! My sister has never been over a

size 14 in her life. She just doesn't know what a HUGE thing it is

for me not to have that junk in the house anymore...or crave it.

It's HUGE! It really is!

Ok....hitting send now...I'm rambling.

Laurie

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

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>

Avoid the higher glycemic foods like Popcorn, and

> fruits.

OMG, I'm just learning about lo-carb, simple carb, fiber...now you

want me to learn about glycemic foods? ROFLOL Hey...I'm almost 43!

I can only absorb just so much (pun intended). lol There really

should be a " Healthy eating for Dummies " book. They have them for

every other subject under the sun. Actually, I did see one for Lo-

Carb Dieting for Dummies. Maybe I better order that!!

Laurie

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Do fruit and veggies

> have fiber? The really not-

> so-funny thing is that I'm plateaued now at 295. Don't see what

else

> I could possibly cut out of my diet to eat less. I'm already only

> eating 1-2 meals a day!!

==========================

Laurie...yes fruit and veggies have fiber. I say your 1-2 meals a

day are not enough..you would help your weightloss by increasing

your metabolism with eating 4-6 small meals a day instead of a

couple medium size meals.

Jo

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Do fruit and veggies

> have fiber? The really not-

> so-funny thing is that I'm plateaued now at 295. Don't see what

else

> I could possibly cut out of my diet to eat less. I'm already only

> eating 1-2 meals a day!!

==========================

Laurie...yes fruit and veggies have fiber. I say your 1-2 meals a

day are not enough..you would help your weightloss by increasing

your metabolism with eating 4-6 small meals a day instead of a

couple medium size meals.

Jo

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