Wednesday, April 28, 2010

Sorry MIA Again

Slacker is what you can call me.  At least for blogging lately. 

Everything has been going well, except for the losses.  Up until this morning I had been going up and down the same 2-3 pounds for the last 4 weeks.  I finally broke the stall this morning.  I am now 64 pounds down from surgery and 86 pounds down in all.  I LOVE that I am so close to the century mark. 

Today, I had a really nice moment.  I saw a retired administrator this afternoon, one I have not seen in almost a year.  She didn't speak to me at first and then realized who I am. She looked at me and said, "There is something different about you.  What is it?"  I looked at her and said, "About 86 pounds."  She was astounded!  She actually confessed not recognizing me when she came in the room. 

Water aerobics is going very well.  I absolutely love it! 

Support group was great this month.  We had a guest speaker.  She is a personal trainer.  Her talk was not about things we should be doing or "moves" or what not.  She mainly spoke about fitness myths, why we should do it, motivators, the difference between exercising and being physically active, etc.  It was a very interesting talk. 

I also borrowed a book from my bariatric coordinator, The Emotional First Aid Kit: A practical Guide to Life After Bariatric Surgery.  It has been quite and interesting read.  It was written by a psychologist, so many of the topics and suggestions are things she does with and for her patients.  It has an abundance of self talk guidelines and many individual stories of success and failure. 

During my last appointment with Dr. Macik, he and his nurse both encouraged me to make sure I am drinking 4 cups of milk a day.  Now, take in mind, I am trying to keep my calories around 1,000 a day (here lately I have been exceeding that number).  Milk has 9 grams of protein and 12 grams of sugar.  Now most of us are told to drink our milk for the calcium and vitamin D.  With my new designer gastric system, I am unable to digest calcium from the milk.  So why should I waste 360 calories on milk?  I posted this question on Obesity Help.  One answer actually blew me away today. Here it is, copied directly from the message board:


Not to get into a major science discussion but if you’ve had RNY, milk has nothing to offer except 12 grams of sugar and all of the wasted calories that go along with it. About 80% of the protein in milk is in the form of casein, the remaining 20% is whey. Whey protein is fast absorbing (40 minutes to 1 hour) and casein is slow absorbing (up to 7 hours). Nutritionists encourage people to drink milk because casein provides a full feeling for longer; the protein is slowly released into the system through the filtration process. Unfortunately that process is dependent upon casein forming a gel in the gut when it combines with the acidic environment in the stomach and slowly working its way through the digestive process. Trouble is that we no longer have our pyloric sphincter; it has been bypassed and is no longer available to contain the milk in our stomachs. Combine the loss of sphincter function with the less acidic environment in our resized stomach and you no longer have a welcoming environment for this long acting form of protein. If it can’t form the gel, it defeats the purpose. For me, I consider milk to be more than a waste; it’s counterproductive to what I had surgery for. Truthfully, I don’t personally know any long term post-ops (5+ years) who drink milk that haven’t had a bad regain issue. I do know lots of post-ops that drink milk and get in the revision line. That’s a pretty dangerous thing to do! I know it’s not popular to come out against milk, but the science is there. Just my 2 cents.


Science. I am not sure how accurate it is, but ya gotta love it!

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