My co-worker had gastric RNY in Dec. She says everything is making her sick! What should she be eating at 3 mos out? She says her doc told her to eat cheese crackers and pasta after a few weeks. Can anybody give me some sugg for her?

Ah, yep. Tell your friend that noodles and crackers are her enemy. Three months out is 12 weeks. She should be eating protein first and cooked low glycemic (like green beans) veggies second, using whole grains as a "filler" ONLY if needed. Fruit is a treat and should totally replace sugar. Have her read the numerous articles posted in the library. There is a wealth of info there.

If I could only get her on this site!! I have tried many times. She has internet at home but makes an excuse about the pc being upstairs and her kids down stairs. I gave up! but now she is asking me for advice cus she is tired of throwing up. Mind you she will eat stuff that I tell her not to cus it will mk her sick and 15 mins later low and behond she is nausiated!

You could print some of them for her and give them to her, but I totally get what you're saying. She is busy making excuses and grieving for her lost way of eating. This is very normal at her stage of recovery. There is an excellent article in the library that addresses the 4 stages of wls evolution. You should read it for your own benefit just so you'll know that she is where she's supposed to be right now.

hugs to you Dee. It's really hard to watch someone do this to themselves, isn't it? My heart goes out to YOU as her friend. Your success will speak more loudly to her than anything else.

Dee,

Every group is different, of course, but I'm 15 mos. out and still in the weight loss phase. I'm still not suppose to have any moderate carbs and starches yet. They do let me have 3 lofat Triscuits with my egg of a morning but that's it.

I can't believe her Doctor told her to eat pasta and crackers...really? She should definitely be doing the protein thing. But, if she's throwing up EVERY time she eats something then there could be something wrong...she could have a stricture, an obstruction....something doesn't seem right. There was a woman in my support group in Chicago who was like that for months and finally went to the doctor and they found that her stoma had closed...somehow it sealed itself so every time she ate something it would come right back up.

First and foremost, she needs to see a doctor to make sure everything is ok otherwise it could turn into something very very serious.

Mere

I will sugg she gets with her surgon. I dont think she is throwing up everytime. But she does eat alot of stuff that would make me sick at 5 yrs out! Mabe bk to liquids for a week or 2 would help?

I was just sitting here looking at my doctor's dietary guidelines and saw your post. Here is what they said:

15 g carbs per day
400-600 calories a day
60-80 g AT least of protein daily
64 oz fluid minimum
This is done until a person reaches 75% of excess body weight loss; At 3 mos, a person should have lost 35% of their excess body weight. Has she lost 35% of her excess? If not, time to get back to basics.

I cannot believe she was advised to eat pasta, crackers. Here are some things my doc said:

Stage 4 - Solid diet Begins approximately by week 4. Lasts until you lose 75% of excess body weight. High protein low carb diet
*no snacking
*First 6 mos, avoid red meat (beef), pork, venison, veal and raw vegetables
*No pasta, rice, fruit, potatoes, or bread/bread products (crackers)
*Always eat 3 oz of protein first at every meal; if you have room, add 2 tblsp of a low carb vegetable, and lastly 2 tblsp of a moderate carb food.

The low carb vegs include: soft cooked fresh, frozen or canned such as carrots, beets, mushrooms, spinach, squash, green beans, asparagus, turnip greens. No vegs with tough skin or seeds (such as tomatoes, celery). Cabbage, cauliflower, broccoli, and brussel sprouts may cause gas distress. No acidic vegs.

Moderate carb foods include: green peas, acorn squash, cream style corn. Skim nonfat milk. Low carb high protein yogurt such as carb masters or carb control. NO bread, pasta, rice, potatoes, or fruit until goal weight is rached. When and if pasta and rice introduced in diet, needs to be fully cooked. Coarse bran cereals and beans may cause gas distress. Tough skin on corn. NO sugar coated cereal, potatoes to which sugar has been added. No fruit juiced, fruit canned in syrup, dried fruits. No pineapple until 6 mos or longer. Melons and raw apples may cause gas distress. No yogurt sweetened with sugar, no milk higher than 1 1/2 % fat.

Soups: Broth only. This can always be used as a part of fluid between meals and is a free food. All other soups are discouraged. These are not a good protein source. NO CREAMED SOUPS.

Hope this helps. I only picked out the things I felt were most important.

Oh man, I remember I couldn't eat anything with more than 9g of sugar without getting nauseous or lightheaded for about a year. Unfortunately that feeling subsided..lol. It makes me sad that she doesn't have better guidance from her doctors or the clinic where she got the surgery.

I was on the same plan as the post above at her stage. Maybe print it out and give it to her...maybe she should, like you suggest, go back on liquid for a few days. Shees...no carbs for pete's sake!!!

I printed out the post and let her read it. She was actually mad at me for telling on her. Craziness. What good does it do for me to ask for help with her eating if you dont know what she has been told to eat? And OMG the idea that she need professional help. theres nothing wrong with her! sheesh!

Hey Dee,

Sorry that your friend is mad at you. I hope when she gets past her anger, she realizes what a good friend you are. --Kathy

Dee,

Sorry, she got mad at you, maybe by tomorrow she'll have blown over. I realize she's the one who hurting but it's wrong of her to think you're just going to listen and not try to seek out some help for her.

If she's a good friend she'll bounce back. You did the right thing, sweetie.

Its like that old saying "You can lead a horse to water but you can't make them drink". You have done what you can Dee. Now she has the info and it is up to her to get back on track! Don't let her make you feel bad for telling her the truth, cause she sure need to know. She probably nauseaous cause shes dumping from all the carbs or sugars shes eating. Protein would probably make her actually feel better and fuller. But she has to do it. Shes mad at you cause she doesn't want to change. I know change is hard but it is the only way we evolve. I feel for you girl!

I'm sorry Dee that she got mad at you. But I believe she's really mad at herself. The truth hurts sometimes. I hope she realizes the error of her ways soon, before she can't correct them.

You are a good, nice friend for trying to help her.

Hopefully she will follow these rules found here, and thank you so much when that SCALE STARTS MOVING! Whooo whoooo!!! She'll be tootin your horn soon!

So Dee has your friend gotten over being ANGRY with you??? Inquiring minds want to know. LOL

Dee, you're a saint. The way that I see it is that you've spent a whole lot of energy trying to help someone that does not want it. Time to let go and put your energy into something more productive and rewarding for Dee.

I think what REALLY made her angry was seeing what she's really been eating in black and white. That has to be a shock. You did the "right" thing. I'm with Kim. Let it go. When she cools down, she's realize that you're right.

That's 3 votes for backing away. She obviously doean't want to get healthy.

MAKE THAT 4!

You tried Dee...and out of love because you want her to be successful but with this I add........

IF YOU ALWAYS DO WHAT YOU ALWAYS DID, YOUR ALWAYS GOING TO GET WHAT YOU ALWAYS GOT!!

You yourself work hard to be where your at....give YOU a big hug and move on!!

I have a friend who lost over 300 lbs..she is 5 1/2 years out. She started putting weight back on just over a year ago....then it was 40 or 50 lbs....now i'm sure it is well over 100. I'm scared to death for her. It's a strange feeling because she is one of my closest friends whom I travel alot with...I have tried to talk to her but not in a confronting way. She's a nurse, she knows and unfortunately, I can not help. IT's hard...I feel that I have had to let go of it too! She is very social and food is a big part of that for her as it is for all of us...but not just healthy foods. It's whatever she feels like eating and a good amount of it!

I've even suggested counseling because this IS THE ONLY WAY TO GET TO THE ROOT OF THE PROBLEM that DRIVES the over eating. But to no avail. So, I love her regardless and hope that one of these days she'll take action before she has gained all 300 lbs back!

Sending hugs to you DEE!!

Julie

The thing that stood out in my mind was that you said she ws angry that you posted her "experiments" or that she was doing what she was doing. Now, to me that says she KNEW what she was doing. She didn't want anyone to know. It's not like she was naive or innocent. Just my 2 cents. But hopefully she will want to do right and learn a lesson from her poor eating... and start losing again.

Thanks everybody! I really appreciate your support and hugs!! She didnt seem mad friday at work, but she did say she is depressed. Just so overwhelmed with the whole thing, not being able to eat much always getting sick,. some other physical thing happend. I told her I was sorry she was feeling down and directed her to read the info I printed on the stages we go thru after the surgery. I told her she is mourning food and the loss of normalcy. I will back off as I get way to frustrated with our exchanges. Another co-woker of ours listening to our debate initally on what she should be doing sayed we act like sisters fighting, and it made her nervous. LOL we do act alot like sisters. always have. so this too with her shall pass.