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,

Congratulations on your weight loss thus far. I can certainly relate to

being shocked at my starting weight. I was 399 when I went to my preop visit

before surgery. I too have a ways to go so although I have 162 lbs I still

have a ways to go. I too am a proximal RNY.

As for your questions, I too have had cramping in my legs at night. I am not

sure exactly what causes them but waaaayyy back when I was pregnant I

remember having the same type of pain and my doctor told me it was a sign of

calcium deficiency. Unfortunately, although I take my multi vitamin and B-12

daily, I have not been as good at taking my calcium citrate daily like I

should. I have found though that the cramping subsides when I take my

calcium supplement so maybe there is a connection.

I too have have salt cravings in the form of wanting crunchy salty stuff

mostly at night. My labs have been great so I don't think it is a

deficiency. I satisfy the cravings with protein loaded pumpkins seeds or

almonds (rather than the carb loaded junk I used to eat pre-op).

As for your protein intake, I supplement my protein need with whey protein

shakes. Whey protein is much more absorbable for our new " plumbing " than soy

protein is. Some may disagree, but I believe that every grm of protein,

carb, fat and calorie counts so I don't disregard any of them as zero.

Other than your hectic schedule working two jobs (who wouldn't be tired), you

might find that following a regular, daily vitamin and supplement regime

(incl. B-12, multi and calcium) may help to improve your stamina and energy

level At 46, I have more energy now than I did ten years ago. JMHO

Lap/RNY 1/17/02

Dr. Wayne English

399/237

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