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Thanks for the great advice, Roe. Your menu sounds yoummy. :)

Love,

Trace in Va. Beach, VA

Dr. Schechner, Norfolk and Va. Beach, VA

Open RNY -- 9/5/02

Height -- 5' 9 1/2 "

Starting weight -- 351.2

Current weight -- 316

Minus -- 35 pounds gone!

Gal. 2:20

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Hello Everyone:

Just thought I'd put in my two cents worth here. I get 60 grams of

protein from food every day. I guess I'm lucky because I'm able to

eat 3/4's of a cup of food. This is what I ususally do. In the

morning I have 3/4's of a cup of no fat or light cottage cheese.

That's 20 grams. For lunch I eat some type of fish mixed with light

mayo. My favorite is crab. I also use tuna because it's less

expensive but I don't like it as much. Most 3 oz. portions of fish

and meat are about 20 grams of protein each. For dinner I usually

have a small salad and another 3 oz. of fish or meat. I mix a

protein drink called Isopure with my water and that is another 40

grams of protein and it also counts toward the 64 oz. of water we're

supposed to be getting a day. I also buy protein cake. It is a

piece of cake that tastes like pound cake. It comes in various

flavors. It has 121 calories, 4 carbs and 21 grams of protein.

Sometimes I switch between that and the protein drink. I also try to

eat some fruit and raw veggies during the day if I can. So, by my

count I'm getting any where between 90 and 100 grams of protein a day.

I bought a book called " The Protein Counter " by Annette B Natow and

Jo-Ann Heslin. I think I got it in Waldon Books but I'm not sure.

It's a good investment for anyone having problems getting in all of

their protein. As I said most meat and fish seem to have around 20

grams of protein per 3 ounces. Fish is much easier going down

because it's less dense than meat. So, maybe some of you will be able

to eat more than 3 ounces of fish and get in more of your protein.

I hope this helps.

Roe

> Glad that it is working for you. It does not work for many. You

made the excellent point that you have to keep an eye out, watch what

you choose to eat and therefore make changes in your choices.

>

> What does your daily diet look like? Just curious. I have not

been able to find anything food wise, that would give me enough

protein to meet my needs every day, in the small quanities I eat. So

please enlighten me. I need 90 grams of protein a day, prefferably

120 grams. That is what I need to feel the best.

>

> Romero

> Louisiana

> 381/289/160

> Lap RNY 5-29-2002

> FRIENDS are the siblings God forgot to give us

>

>

> I beg to differ.

>

> I am 6 weeks post op and my sister is 9 months out....both get

our protein from food, not supplements, and both have EXCELLENT labs,

so far.

>

> We are not stupid, however, if the need arises and we don't get

enough from our food, we will make the necessary changes. But point

being it IS possible to get your protein from food if you PAY

ATTENTION to yourself!

>

> ~Debra

> Lap RNY 8/28/02

> -32 Lbs!!!

> Dr Fisher, Las Vegas

> doc/nutritionists

>

>

> Theresa makes a great point. It frustrates me so badly when

doc do this surgery, and then tell patients to get their protein from

their food, Eat 2-3 small meals a day. Honestly...... they

would have to take in massive quanities of protein to do that. It

is impossible.

>

> That is what gives this surgery any bad rap it gets. IT's not

the surgery, it;s the followup care that fails miserbly.

>

> Romero

> Louisiana

> 381/289/160

> Lap RNY 5-29-2002

> FRIENDS are the siblings God forgot to give us

>

>

>

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Thank you again.

Re: doc/nutritionists

> Sheri:

>

> I don't recall saying that I was going to wait for labs to drop

before making changes.

>

> You know, I was really offended by both your and Theresa's

responses at first and was ready to fire back a caustic email.....but

that would be non productive. Thank you for your concern

>

> ~Debra

> Dr Fisher, Las Vegas

Debra,

Sorry you were offended. I did not intend to offend, only to share a

concern that I have about your perspective.

This journey we are on is like exploring new territory. While there

are many wonderous things to appreciate as we travel, there are also

many treacherous pitfalls. And as when any new territory is explored,

there aren't allot of accurate maps to guide us along the way. That's

why I choose to follow the advice and information provided by those

who have gone before me - they are willing to share what has worked

well, as well as the pitfalls they encountered and ways to avoid

those.

I mentioned B.'s story and saw that she shared some of her

experience with you in a recent post. There are many others who have

had similar experiences, but 's is so recent and dramatic that

it really stands out in my mind. I feel I can learn so much from her

and the others who are many years out. My enthusiasm about learning

from them leads me to want to share their information with others

just starting the journey.

Certainly we each have to make our own decisions about the exact path

we will travel on our journey. I wish you only the best of luck and

health in your travels.

Sheri

In Sunny Florida

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In a message dated 10/13/2002 8:54:41 AM Pacific Daylight Time,

dalindass@... writes:

> karen i would like to try them can i get them from a local store instead of

> ordering them through the mail.

Do you have a GNC or Discount Nutrition? You could go there. Where abouts

are you at?

B

Folsom, CA

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In a message dated 10/13/2002 8:54:25 AM Pacific Daylight Time,

Aprilfool@... writes:

> Alright, I'm going to check the labs.....am I looking for anything other

> than the protein level?

>

You want to look at the protein and albumin levels. Also, the hemaglobin

level (your iron). Also, you want to compare your present labs with your

preop labs and see if you see any of the levels dropping, even slightly.

That will tell you that you are headed slowly down the wrong path.

Hugs to you.

B

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Hey, Roe.

That's great for " normies " , however, bypassed patients are just that

" bypassed " . Part of the intenstine that provides much of the breaking up of

the food proteins has been bypassed, therefore, you don't have the acids to

break down with the proteins from food in order for the food proteins to be

absorbed. Thus, eventually your body will know it. However, it may be a

gradual process, and our minds are so strong, that we just feel bad, but not

bad enough to see the doc, and we just keep thinking we're fine. Then one

day (and it may be years down the line) we crash. Crashing is no fun. It is

a huge loss of income when your doc says " no work for 3 plus months " because

you're really too weak to work, but you don't realize it, cuz your mind says

this is how you are supposed to feel. How are your muscles? How far out are

you from surgery? Are you flabby? That's called " muscle wasting " . I kept

saying for about 2 years " I need to tone " ...........can't tone damaged

muscles, you got to FEED them with protein - predigested is more readily

absorbed, however, it has still taken me since February of 150 grams of

protein supplements (not including the food proteins) to get to a 7.0 (still

not even at preop stage yet).

Good luck, and hugs to you.

B

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Debra,

We are all here to learn. That is what is so kewl about this list and our

shared commonalities.

There is not a day goes by that I don't say a pray for everyone here. It is not

an easy journey, as some would like us to believe. It is difficult at times,

easy at times, but most of the time, somewhere in the middle. And there is

not one person who has all the answers. We each have info to share,

experiences to share, learn from, and that's what is the best. We don't all

always agree, but in those circumstances there is a saying that I try to live

by. It is:

People do not care how much you know until they know how much you care.

Words for me to live by........

Hugs,

Romero

Louisiana

381/289/160

Lap RNY 5-29-2002

FRIENDS are the siblings God forgot to give us

,

I must say yours was the most diplomatic reply I received and I thank you for

that.

I know I'm not getting 90 grams per day, you're right you can't eating 9-12oz

per day, but I do eat proteins first, veggies, fruit later....I am confident in

my ability to listen to my body and at the first hint of something unusual will

be checking into extra protein.

Our surgeon believes we can get what we need from our food, I don't believe

this is always true either, in fact, that's why I'm here, to LEARN.

~Debra

doc/nutritionists

Theresa makes a great point. It frustrates me so badly when doc do

this surgery, and then tell patients to get their protein from their food, Eat

2-3 small meals a day. Honestly...... they would have to take in massive

quanities of protein to do that. It is impossible.

That is what gives this surgery any bad rap it gets. IT's not the

surgery, it;s the followup care that fails miserbly.

Romero

Louisiana

381/289/160

Lap RNY 5-29-2002

FRIENDS are the siblings God forgot to give us

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,

This was a kewl way of saying that. It really gets the point across. Your

such a sweetie

Hugs,

Romero

Louisiana

381/289/160

Lap RNY 5-29-2002

FRIENDS are the siblings God forgot to give us

Actually, I know you're feeing picked on a bit. Look at it this way. To

these girls who are seeing real live people get sick, you are like a toddler

headed into the street. What's happening is that you have 20 moms all running

at you at once to snatch you out of harm's way.

I think that's why you feel overwhelmed. For those of us who've seen the

result of incomplete nutritional plans, we all get tense when we see it headed

that way. If you know what I mean?

m

Re: doc/nutritionists

Debra,

That's great you are feeling so well NOW just a short time period out from

surgery, and also your sister, just 9 months out, without doing protein

supplements.

I felt really good too, for several years, and my labs kept dropping,

although still in the normal range, so didn't think I was doing badly.

However, within a matter of a month, they went from the " within normal

range "

to crashing. I was off work for more than 3 months, am getting iron and

vitamins IV and learning really what it feels like to feel good again. My

doc said it was like someone with chronic pain syndrome. You just

gradually

start to go down hill, and get used to the way you feel, and accept it as

" great " or " normal " .

I was 6 years out before I crashed, 99% of the time " getting my protein

from

food " , but now I see a cardiologist to see if we can repair the heart

damage

with medications, or at least try and get the rhythm back to a normal

beat,

eat 4-7 times a day setting a timer to remember, drinking 5-7 protein

shakes

a day, and although the first four months, I was getting iron IV three

times

a week, now I am down to every other week, and this has been since

February.....

I'm not trying to imply that this WILL happen to you, but your chances of

it

happening are very good. The place in our body that supplies the enzyme

to

break the proteins from food into absorbable protein to be absorbed into

our

muscles and tissues (and that includes the heart muscle) is lacking, or

byp

assed, thus we MUST do protein supplements in order to live.

You made this very important choice to have surgery, please don't shut

those

of us out, who understand our bodies' needs (at least NOW I do!), those

who

have walked the walk and have been there, and lived with this surgery for

years (almost 7 for me now), and those of us who have also almost died

because of turning a deaf ear, and thinking we were " fine " .... truly we

only

care about you, and support you, and really believe in the protein

supplements as a necessity for life. Doctors do the surgery, we do the

living. the choice is yours.

B

Distal RNY 12/95

275/155

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HI ROE WHERE DO YOU GET YOUR PROTEIN DRINK FROM? AND BY THE WAY IM PRAYING

FOR YOU GOOD LUCK I HOPE YOUR TEST COME BACK OK GOD BLESS YOU ALWAYS DOLLY

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IM IN ALABAMA AND WE DO HAVE A GNC AT THE MALL ILL GIVE THEM A TRY TODAY .

MAYBE I CAN GET SOMEONE THERE TO DIRECT ME TO THEM THANKS DOLLY

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OK, please teach me....

Labs

Preop -4/2/02 Preop - 5/21/02 Preop - 8/15/02 6

Wks Post - 10/8/02

This was Thyroid Testing

Total Protein - 6.8 7.4 N/A

6.8

Albumin - 3.8 4.0 N/A

4.6

B 12 - 262 N/A N/A

396

Hemoglobin 11.6 12.8 12.9

13.6

Calcium 8.8 9.3 N/A

9.3

My GGTP is always high.....even before, levels are: 80, 87 (pre) and now 51

(post op), that started years ago, anything to fix that?

What other numbers should I be concerned with? Usually Doc seems to do a pretty

complete blood work up......Uric Acid has gone up....Potassium is low

normal....Cholesterol low - 139, but Triglycerides high at 149....what is VLDL?

What are Folate and Ferritin?

I'm taking Trinsicon 2Xday.......Calcium Citrate 1200mg Daily, 4 Chewable

Centrums Daily, Urso 2Xday for gall bladder, Flax Seed Oil Big capsule 2x

day......plus protein from food only.

What else?

Thank you!

~Debra

Lap RNY 8/28/02

-30 Lbs!!!

Dr. Fisher, Las Vegas

Re: doc/nutritionists

In a message dated 10/13/2002 8:54:25 AM Pacific Daylight Time,

Aprilfool@... writes:

> Alright, I'm going to check the labs.....am I looking for anything other

> than the protein level?

>

You want to look at the protein and albumin levels. Also, the hemaglobin

level (your iron). Also, you want to compare your present labs with your

preop labs and see if you see any of the levels dropping, even slightly.

That will tell you that you are headed slowly down the wrong path.

Hugs to you.

B

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April,

I'm having a little trouble lining up your columns in the email, but I see a 7.4

for protein, and a 6.8 now, is that correct? In that case, hon, you HAVE to

start doing protein shakes as it proves your body is not absorbing protein from

food. Hon, you cannot possibly be eating enough protein in order to get those

levels up. If I'm wrong, please let me know.

Ferritin is where our body stores it's iron. When that gets low, it's cuz the

hemaglobin is " stealing " from it (the " warehouse " ) in order to keep it's levels

up. When I crashed, my ferritin was 2, virtually no iron left. My hemaglobin

was 7, should be at least 12 (now is 12.2) Low protein also affects your iron

levels too, so be very watchful.

Take care!

B

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Hm, B12 WAS 262 and then not retested? Spacing is all messed up, so I am

assuming the first # is pre & 2nd number is later? I would think your B12

shoulda started you on shots back then. Anything under 300 makes me very

nervous.

Where is ferritin? Did you get " iron " as in " iron " ? Vit A, D, and zinc?

More calc citrate. Which brand?

m

Re: doc/nutritionists

In a message dated 10/13/2002 8:54:25 AM Pacific Daylight Time,

Aprilfool@... writes:

> Alright, I'm going to check the labs.....am I looking for anything other

> than the protein level?

>

You want to look at the protein and albumin levels. Also, the hemaglobin

level (your iron). Also, you want to compare your present labs with your

preop labs and see if you see any of the levels dropping, even slightly.

That will tell you that you are headed slowly down the wrong path.

Hugs to you.

B

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Wait. You're not saying you have a sis who's a Fox distal (like me) and she

takes no protein, right?

When was she done??

m

Re: doc/nutritionists

Debra,

That's great you are feeling so well NOW just a short time period out from

surgery, and also your sister, just 9 months out, without doing protein

supplements.

I felt really good too, for several years, and my labs kept dropping,

although still in the normal range, so didn't think I was doing badly.

However, within a matter of a month, they went from the " within normal

range "

to crashing. I was off work for more than 3 months, am getting iron and

vitamins IV and learning really what it feels like to feel good again. My

doc said it was like someone with chronic pain syndrome. You just

gradually

start to go down hill, and get used to the way you feel, and accept it as

" great " or " normal " .

I was 6 years out before I crashed, 99% of the time " getting my protein

from

food " , but now I see a cardiologist to see if we can repair the heart

damage

with medications, or at least try and get the rhythm back to a normal

beat,

eat 4-7 times a day setting a timer to remember, drinking 5-7 protein

shakes

a day, and although the first four months, I was getting iron IV three

times

a week, now I am down to every other week, and this has been since

February.....

I'm not trying to imply that this WILL happen to you, but your chances of

it

happening are very good. The place in our body that supplies the enzyme

to

break the proteins from food into absorbable protein to be absorbed into

our

muscles and tissues (and that includes the heart muscle) is lacking, or

byp

assed, thus we MUST do protein supplements in order to live.

You made this very important choice to have surgery, please don't shut

those

of us out, who understand our bodies' needs (at least NOW I do!), those

who

have walked the walk and have been there, and lived with this surgery for

years (almost 7 for me now), and those of us who have also almost died

because of turning a deaf ear, and thinking we were " fine " .... truly we

only

care about you, and support you, and really believe in the protein

supplements as a necessity for life. Doctors do the surgery, we do the

living. the choice is yours.

B

Distal RNY 12/95

275/155

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OK,I think I fixed the numbers.....the first three sets are PRE Op - Last is 6

weeks post op....B12 now 396 - Will supply Ferritin level, forgot paperwork,

tomorrow....Thanks for looking and advising!

~Debra

Lap RNY 8/28/02

-30 Lbs!!!

Re: doc/nutritionists

In a message dated 10/13/2002 8:54:25 AM Pacific Daylight Time,

Aprilfool@... writes:

> Alright, I'm going to check the labs.....am I looking for anything other

> than the protein level?

>

You want to look at the protein and albumin levels. Also, the hemaglobin

level (your iron). Also, you want to compare your present labs with your

preop labs and see if you see any of the levels dropping, even slightly.

That will tell you that you are headed slowly down the wrong path.

Hugs to you.

B

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Yes, last November

Re: doc/nutritionists

Debra,

That's great you are feeling so well NOW just a short time period out

from

surgery, and also your sister, just 9 months out, without doing protein

supplements.

I felt really good too, for several years, and my labs kept dropping,

although still in the normal range, so didn't think I was doing badly.

However, within a matter of a month, they went from the " within normal

range "

to crashing. I was off work for more than 3 months, am getting iron and

vitamins IV and learning really what it feels like to feel good again.

My

doc said it was like someone with chronic pain syndrome. You just

gradually

start to go down hill, and get used to the way you feel, and accept it

as

" great " or " normal " .

I was 6 years out before I crashed, 99% of the time " getting my protein

from

food " , but now I see a cardiologist to see if we can repair the heart

damage

with medications, or at least try and get the rhythm back to a normal

beat,

eat 4-7 times a day setting a timer to remember, drinking 5-7 protein

shakes

a day, and although the first four months, I was getting iron IV three

times

a week, now I am down to every other week, and this has been since

February.....

I'm not trying to imply that this WILL happen to you, but your chances

of it

happening are very good. The place in our body that supplies the enzyme

to

break the proteins from food into absorbable protein to be absorbed into

our

muscles and tissues (and that includes the heart muscle) is lacking, or

byp

assed, thus we MUST do protein supplements in order to live.

You made this very important choice to have surgery, please don't shut

those

of us out, who understand our bodies' needs (at least NOW I do!), those

who

have walked the walk and have been there, and lived with this surgery

for

years (almost 7 for me now), and those of us who have also almost died

because of turning a deaf ear, and thinking we were " fine " .... truly we

only

care about you, and support you, and really believe in the protein

supplements as a necessity for life. Doctors do the surgery, we do the

living. the choice is yours.

B

Distal RNY 12/95

275/155

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Hi Dolly:

Thanks for your kind words. GNC sells Isopure. It's made from whey

and comes in various fruit flavors. My personal fav is apple mellon.

Hope you find it.

Roe

> HI ROE WHERE DO YOU GET YOUR PROTEIN DRINK FROM? AND BY THE WAY IM

PRAYING

> FOR YOU GOOD LUCK I HOPE YOUR TEST COME BACK OK GOD BLESS YOU

ALWAYS DOLLY

>

>

>

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Hi :

Now I'm totally confused. If I understand correctly, you're saying

that 60 grams of protein (what all of the nutritionists are preaching)

is not enough. Great!!!! and here I thought I was doing so well.

In answer to your question about flab. Yes I'm so flabby my bones

actually are killing me! I have a hard time sitting and sleeping

because my bones protrude and have no more protection.

I'm 6 months out and down 90 pounds. What is a normal protein level?

I'm going to my Doctor in November and I'll have her do all of the

tests and also have her compare them with previous tests.

I'm so glad I started coming to this site. It could save your life.

I had never heard of crashing before now.

Thanks for caring and sharing.

Roe

> Hey, Roe.

>

> That's great for " normies " , however, bypassed patients are just

that

> " bypassed " . Part of the intenstine that provides much of the

breaking up of

> the food proteins has been bypassed, therefore, you don't have the

acids to

> break down with the proteins from food in order for the food

proteins to be

> absorbed. Thus, eventually your body will know it. However, it

may be a

> gradual process, and our minds are so strong, that we just feel

bad, but not

> bad enough to see the doc, and we just keep thinking we're fine.

Then one

> day (and it may be years down the line) we crash. Crashing is no

fun. It is

> a huge loss of income when your doc says " no work for 3 plus

months " because

> you're really too weak to work, but you don't realize it, cuz your

mind says

> this is how you are supposed to feel. How are your muscles? How

far out are

> you from surgery? Are you flabby? That's called " muscle

wasting " . I kept

> saying for about 2 years " I need to tone " ...........can't tone

damaged

> muscles, you got to FEED them with protein - predigested is more

readily

> absorbed, however, it has still taken me since February of 150

grams of

> protein supplements (not including the food proteins) to get to a

7.0 (still

> not even at preop stage yet).

>

> Good luck, and hugs to you.

>

> B

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I also went to a nutritionist who didn't know " squat " . 60 grams of protein

is for " normies " . If you are doing 60 grams of protein from food a day, and

you are bypassed (proximal, medial, distal RNY), then you MAY be absorbing

1-20 grams of that. However, if you were taking 60 g of protein SUPPLEMENTS

in the form of shakes, then the chances of you absorbing more is very great.

60 grams of protein in supplement shakes is a good start, depending on how

much you are bypassed, however, I need (and my doc requires) 120-150 grams a

day, 120 g even for proximals.

I would go to www.vitalady.com. She has also had surgery, 8 years out, and

knows her proteins. Of course, if she had her way, everything would be

chocolate! LOL

B

Distal RNY 12/95

275/155

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Don't have her compare them to earlier tests. YOU compare them to

earlier tests. As long as they fall within the normal range, she'll say

they're fine.

Pam in Niceville

preop

Lap RNY 11/20/02

Re: doc/nutritionists

Hi :

Now I'm totally confused. If I understand correctly, you're saying

that 60 grams of protein (what all of the nutritionists are preaching)

is not enough. Great!!!! and here I thought I was doing so well.

In answer to your question about flab. Yes I'm so flabby my bones

actually are killing me! I have a hard time sitting and sleeping

because my bones protrude and have no more protection.

I'm 6 months out and down 90 pounds. What is a normal protein level?

I'm going to my Doctor in November and I'll have her do all of the

tests and also have her compare them with previous tests.

I'm so glad I started coming to this site. It could save your life.

I had never heard of crashing before now.

Thanks for caring and sharing.

Roe

> Hey, Roe.

>

> That's great for " normies " , however, bypassed patients are just

that

> " bypassed " . Part of the intenstine that provides much of the

breaking up of

> the food proteins has been bypassed, therefore, you don't have the

acids to

> break down with the proteins from food in order for the food

proteins to be

> absorbed. Thus, eventually your body will know it. However, it

may be a

> gradual process, and our minds are so strong, that we just feel

bad, but not

> bad enough to see the doc, and we just keep thinking we're fine.

Then one

> day (and it may be years down the line) we crash. Crashing is no

fun. It is

> a huge loss of income when your doc says " no work for 3 plus

months " because

> you're really too weak to work, but you don't realize it, cuz your

mind says

> this is how you are supposed to feel. How are your muscles? How

far out are

> you from surgery? Are you flabby? That's called " muscle

wasting " . I kept

> saying for about 2 years " I need to tone " ...........can't tone

damaged

> muscles, you got to FEED them with protein - predigested is more

readily

> absorbed, however, it has still taken me since February of 150

grams of

> protein supplements (not including the food proteins) to get to a

7.0 (still

> not even at preop stage yet).

>

> Good luck, and hugs to you.

>

> B

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Roe - Where do you buy your protein cakes?

Jeanne in WI

Age 39

Open RNY 05/21/2002

314/ 248.5/150-175

5' 8 "

djgraves@...

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Hi Jeanne:

I get the protein cakes at a store called Champ Nutrition in

Northeast Philadelphia. I don't know where you live, so I'll give

you the number that's on the cake itself. Maybe you can order

directly through them. The number is .

Good luck and let me know how you make out.

Roe

> Roe - Where do you buy your protein cakes?

>

> Jeanne in WI

> Age 39

> Open RNY 05/21/2002

> 314/ 248.5/150-175

> 5' 8 "

> djgraves@c...

>

>

>

>

>

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HI ROE HOPE YOUR FEELING FINE THANKS FOR THE NAME OF THE PROTEIN I REALLY

APPRICATE IT VERY MUCH WELL TAKE CARE AND GOD BLESS YOU ALWAYS DOLLY

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Dr. Fox's patients know better than to go without protein shakes. I was just

revised to a distal by Dr. Oh, who has worked with Dr. Fox (they assist in each

other's surgeries I guess) for a long time. If your sister is a Dr. Fox distal

and not using protein shakes, that's just plain dangerous and goes completely

against what she was taught by him. From what I understand, Dr. Fox has his

patients sign a form agreeing to use protein shakes FOR LIFE before he will

agree to operate on them. Dr. Oh had me sign this, as well as a statement

saying that I understand the risks and possible malnutrition problems of a

distal bypass and how to make sure I don't go there.

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

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5DollarHosting.comT

http://www.5dollarhosting.com

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.... because it shouldn't cost a fortune to make a fortune! ®

Re: doc/nutritionists

Debra,

That's great you are feeling so well NOW just a short time period out

from

surgery, and also your sister, just 9 months out, without doing

protein

supplements.

I felt really good too, for several years, and my labs kept dropping,

although still in the normal range, so didn't think I was doing badly.

However, within a matter of a month, they went from the " within normal

range "

to crashing. I was off work for more than 3 months, am getting iron

and

vitamins IV and learning really what it feels like to feel good again.

My

doc said it was like someone with chronic pain syndrome. You just

gradually

start to go down hill, and get used to the way you feel, and accept it

as

" great " or " normal " .

I was 6 years out before I crashed, 99% of the time " getting my

protein from

food " , but now I see a cardiologist to see if we can repair the heart

damage

with medications, or at least try and get the rhythm back to a normal

beat,

eat 4-7 times a day setting a timer to remember, drinking 5-7 protein

shakes

a day, and although the first four months, I was getting iron IV three

times

a week, now I am down to every other week, and this has been since

February.....

I'm not trying to imply that this WILL happen to you, but your chances

of it

happening are very good. The place in our body that supplies the

enzyme to

break the proteins from food into absorbable protein to be absorbed

into our

muscles and tissues (and that includes the heart muscle) is lacking,

or byp

assed, thus we MUST do protein supplements in order to live.

You made this very important choice to have surgery, please don't shut

those

of us out, who understand our bodies' needs (at least NOW I do!),

those who

have walked the walk and have been there, and lived with this surgery

for

years (almost 7 for me now), and those of us who have also almost died

because of turning a deaf ear, and thinking we were " fine " .... truly

we only

care about you, and support you, and really believe in the protein

supplements as a necessity for life. Doctors do the surgery, we do

the

living. the choice is yours.

B

Distal RNY 12/95

275/155

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Dr. Fox transferred her to Dr. Fisher, who doesn't believe in supplements.

~Debra

Lap RNY 8/28/02

Dr. Barry Fisher, Las Vegas

-34 Lbs!!!

Re: doc/nutritionists

Debra,

That's great you are feeling so well NOW just a short time period

out from

surgery, and also your sister, just 9 months out, without doing

protein

supplements.

I felt really good too, for several years, and my labs kept

dropping,

although still in the normal range, so didn't think I was doing

badly.

However, within a matter of a month, they went from the " within

normal range "

to crashing. I was off work for more than 3 months, am getting iron

and

vitamins IV and learning really what it feels like to feel good

again. My

doc said it was like someone with chronic pain syndrome. You just

gradually

start to go down hill, and get used to the way you feel, and accept

it as

" great " or " normal " .

I was 6 years out before I crashed, 99% of the time " getting my

protein from

food " , but now I see a cardiologist to see if we can repair the

heart damage

with medications, or at least try and get the rhythm back to a

normal beat,

eat 4-7 times a day setting a timer to remember, drinking 5-7

protein shakes

a day, and although the first four months, I was getting iron IV

three times

a week, now I am down to every other week, and this has been since

February.....

I'm not trying to imply that this WILL happen to you, but your

chances of it

happening are very good. The place in our body that supplies the

enzyme to

break the proteins from food into absorbable protein to be absorbed

into our

muscles and tissues (and that includes the heart muscle) is lacking,

or byp

assed, thus we MUST do protein supplements in order to live.

You made this very important choice to have surgery, please don't

shut those

of us out, who understand our bodies' needs (at least NOW I do!),

those who

have walked the walk and have been there, and lived with this

surgery for

years (almost 7 for me now), and those of us who have also almost

died

because of turning a deaf ear, and thinking we were " fine " .... truly

we only

care about you, and support you, and really believe in the protein

supplements as a necessity for life. Doctors do the surgery, we do

the

living. the choice is yours.

B

Distal RNY 12/95

275/155

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