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  1. #1
    Gastric Sleeve Member
    Surgery date
    09/01/2020
    Surgeon
    Dr Pirrello
    Join Date
    Nov 2019
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    03-29-2020 08:06 PM
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    Default confusion about protein, fat and carbs post surgery

    i am coming to mexico for dr almanza
    but i did consult w a dr here in connecticut
    he told me NO CARBS EVER

    my question

    1) i have seen many people reverse diabetes and obesity w plant based diet which is NO meats so limited protein and all carbs
    (even tho the carbs are veg) is this ok?

    2) are oats ok? they are carbs but they are starch resistant/low gi also w cinnamon to mitigate blood sugar spike - is this ok?

    3) some drs say protein lean only...yet protein alone causes insulin response and some say FATTY meat is better FATTY meat causes less insulin response.

    I am asking here because i have had different doctors and different friends tell me different experiences

    so in summary
    can i do veggies and oats and NO animal products?

    if i do pro only can i do fatty proteins is that better than lean?

    egg whites better than egg w yolks etc?

    full fat cottage cheese or yogurt better than low fat / fat free etc?
    thanks



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  3. #2
    Gastric Sleeve Member AnnieG's Avatar
    I have had a gastric sleeve.
    Name
    Annie
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Oct 2017
    Last Activity
    Today 09:09 AM
    Location
    NC
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    Default Re: confusion about protein, fat and carbs post surgery

    I will let one of the long time folks answer this, but basically

    1) after surgery liquids only as your doctor instructs
    2) then pureed or soft foods (for protein lots of folks do fat free refried beans that are thinned out, as an example.

    3) Lifetime rule - lean protein daily, then dense carbs (healthy vegetables) and then other carbs IF you have room. After sleeve you wont.

    At 2 years out, I do have oatmeal, about 1/4 C cooked with soy milk. I do have an occasional low carb tortilla wrap, or corn tortilla. I do not eat an entire "anything" any more. I'm not hungry, don't have room.

    I eat about 1300 calories a day with 40-50 grams of protein. NO fat is not butter than low fat. Fat free often has chemicals or sugar added.

    Try watching Dr. Vuong Weight Loss Surgery You Tube. It will answer a myriad of questions and bust some myths.
    [I]HW: 240 lbs SW: 199 lbs GW: 140 lbs

    1 MO = 167.0 2 MO = 156.4 3 MO = 148.4 4 MO = 140.6
    5 M) = 136.0 6 MO = 130.0
    1 YR = 122.0 2 YR = 140.00 2.5 YR = 139
    Happy with my weight; happy with my size; over-the-moon with my health!

  4. #3
    Gastric Sleeve Member
    Surgery date
    09/01/2020
    Surgeon
    Dr Pirrello
    Join Date
    Nov 2019
    Last Activity
    03-29-2020 08:06 PM
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    Default Re: confusion about protein, fat and carbs post surgery

    Thanks Annie

    are you saying 40-50 gm protein a day?
    that's only 200-250 cals...

    or do you mean 40-50 gm per meal?

    can you tell me what you typically eat in a day?
    i am curious what a day of eating looks like a year out from surgery
    thanks !
    i'll be eating about your amount



  5. #4
    Gastric Sleeve Member sraebaer's Avatar
    I have had a gastric sleeve.
    Surgery date
    10/07/2013
    Join Date
    Sep 2013
    Last Activity
    Today 07:19 AM
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    Default Re: confusion about protein, fat and carbs post surgery

    Quote Originally Posted by woodhouse View Post
    i am coming to mexico for dr almanza
    but i did consult w a dr here in connecticut
    he told me NO CARBS EVER

    my question

    1) i have seen many people reverse diabetes and obesity w plant based diet which is NO meats so limited protein and all carbs
    (even tho the carbs are veg) is this ok?

    2) are oats ok? they are carbs but they are starch resistant/low gi also w cinnamon to mitigate blood sugar spike - is this ok?

    3) some drs say protein lean only...yet protein alone causes insulin response and some say FATTY meat is better FATTY meat causes less insulin response.

    I am asking here because i have had different doctors and different friends tell me different experiences

    so in summary
    can i do veggies and oats and NO animal products?

    if i do pro only can i do fatty proteins is that better than lean?

    egg whites better than egg w yolks etc?

    full fat cottage cheese or yogurt better than low fat / fat free etc?
    thanks

    No carbs ever? That sounds crazy to me. Maybe he's talking about 6 weeks following surgery. But forever? Like you're going to go the rest of your life without ever eating a piece of pizza? Or for the rest of your life without ever having a piece of bread? That sounds like a speedy trip to regain to me, because it's unrealistic, and you'll cave. Especially since whole grains and fruit are so good for you and technically carbs.

    As far as your questions, lean proteins are the best.

    Going plant based is fine, but I would say most people here are not all plant based. I am plant based for breakfast and lunch (get protein from grains, greens, beans, etc) and a lean protein based dinner. I do eat more fish than meat, but I eat meat.

    Oats are good for you but I don't eat them often. I eat eggs, in fact had 2 eggs a day for breakfast for 6 years. Then I found Dr. Yuong on YouTube and have a green smoothie instead for breakfast. Just had my cholesterol checked, so I'm interested to see if this switch made a difference.

    After surgery you'll follow your doctors orders, (like no salads for a while!) but for long term please watch "Real Talk: Busting the PROTEIN Myth after Weight Loss Surgery." It explains a lot.



  6. #5
    Gastric Sleeve Member kenson's Avatar
    I have had a gastric sleeve.
    Surgery date
    01/13/2014
    Surgeon
    Dr. Karl Strom
    Join Date
    Oct 2013
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    Default Re: confusion about protein, fat and carbs post surgery

    Until you are ready to eat solids, you should follow the eating guidelines from your team. I had to start with liquids, puree, soft foods, then regular foods. Regarding eating whole foods plant based. I am starting my third week of eating no meat and no dairy (except for yogurt). You can still gain a lot of protein without eating meat. Can a brand new sleeve handle this so soon? I'm not sure. I'm six years out. I think you should wait and see how you do tolerating grains, lettuce, veggies first before you go plant based.



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  9. #6
    Gastric Sleeve Member AnnieG's Avatar
    I have had a gastric sleeve.
    Name
    Annie
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Oct 2017
    Last Activity
    Today 09:09 AM
    Location
    NC
    Posts
    1,454
    Said "Thanks" 3,382 Times
    Was Thanked 1,099 Times in 724 Posts
    Said "Welcome to Gastric Sleeve" 238 Times
    Blog Entries
    2

    Default Re: confusion about protein, fat and carbs post surgery

    Quote Originally Posted by woodhouse View Post
    Thanks Annie

    are you saying 40-50 gm protein a day?
    that's only 200-250 cals...

    or do you mean 40-50 gm per meal?

    can you tell me what you typically eat in a day?
    i am curious what a day of eating looks like a year out from surgery
    thanks !
    i'll be eating about your amount
    Woodson,
    I am 5'4" tall and weigh 133 (this morning) (so over a hundred pounds from highest weight).

    The protein grams for me are per day. Early on, I did more protein, but maintenance took some figuring out.

    A typical day for me:
    1) Breakfast - either a protein drink in my decaf, or a green smoothie (fruit, 1/2 avocado, spinach or sweet kale, hemp hearts, soy milk & ice) OR 1/2 C oatmeal with almond milk & hemp hearts; or on occassion, 1 piece crispy patted out fat bacon, 1 egg, 12 grain 1 slice bread no butter. Not always a breakfast person.
    2) Lunch: Almost always a big salad with kale, spinach, protein like tuna or chicken (or whatever I have) with feta cheese. I tend to do low fat dressing, but I seldom finish the salad.
    3) Dinner: depends on the previous meals, but always a protein first, then a vegatable (love roasted vegetables). Or sometimes a low fat Greek yogurt. Or 1 slice thin crust pizza, or whatever I feel like.

    Since I'm not as active as some younger people, I stay about 1300 calories a day, but I try to make sure every calorie is a nutritional one. That said, I have had cookies, candy, pie, etc. I don't do alcohol, but just never particularly liked so not because of sleeve.

    I think at this point, I finding logging my nutrition/calories helps me stay at the same or less than goal.

    I don't feel deprived.

    I do eat S L O W L Y and fill up very quickly.
    [I]HW: 240 lbs SW: 199 lbs GW: 140 lbs

    1 MO = 167.0 2 MO = 156.4 3 MO = 148.4 4 MO = 140.6
    5 M) = 136.0 6 MO = 130.0
    1 YR = 122.0 2 YR = 140.00 2.5 YR = 139
    Happy with my weight; happy with my size; over-the-moon with my health!

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