Gastric Bypass Surgery Support Group

Gastric bypass (GBP) is any of a group of similar operative procedures used to treat morbid obesity, a condition which arises from severe accumulation of excess weight in the form of fatty tissue, and the health problems ("co-morbidities") which result. If you are considering gastric bypass or have had it, join the community where we share our experiences and find support.

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mrschizzy 10/05/2011

So, I have a dilemma...my nutritionist and surgeon's office are not on the same page when it comes to the program and I am confused sometimes. I do watch my sugar and carb intake for sure, but beyond that, it is a guessing game on who I need to be listening to. I am more inclined to listen to the surgeon or the staff at his office because this is what they do for their living day in and day out and my surgeon is one of the most reputable in the area. But when I email my nutritionist with updates, I sometimes feel as if I'm being scolded because what she would recommend is not what the surgeon's office recommends. Case in point - at my 4 week post-op follow up, the nurse practitioner told me I could start eating protein bars if I wanted to instead of drinking shakes. I had told her that I was getting a little nauseated with the shakes. I followed it up with an email to their office to ask for recommendations on protein bars and was given a couple of suggestions. Both exceed my nutritionists recommendations of no more than 10g of fat, 20g carbs, 10g of sugar per meal. The sugar content is low on these bars, but the carbs and fat usually exceed the rule. This is just one example of differing recommendations. My surgeon's office seems to go by the bariatriceating.com website, and they sell bars from there. So I don't get it....? I am doing a follow up with my nutritionist tomorrow, but I'm thinking about switching because I don't particularly care for her bedside manner anyway.... Any suggestions?

deleted_user 10/05/2011

I'd check with your surgeons office to see if they have a nut they work with. Mine has a team and they work really well together!

Good luck!

farmgirl392 10/05/2011

Well, this isn't uncommon, unfortunately. If the surgeon's office makes money by referring patients to certain products, it can be a conflict of interest. I would tend to go with the nutritionist on this one, because it is unlikely that there is any conflict there, and also because the more conservative approach to carbs and sugar is better. BTW, try the Pure High Protein Bar. I get them at the Vitamin Shoppe. Very low carb, lots of high quality protein. They come in two sizes.

mrschizzy 10/05/2011

The nutritionist I see is on the list of nutritionists that the recommend and she is the one that did my pre-op assessment. But they are still not on the same page, obviously. But there have been other things other than just this one example.

What the surgeon's office is recommending isn't anything they would make money off of, they are just regular bars you would find in GNC, one even can be bought at Trader Joe's. One was the Oh Yeah! brand and I don't remember the other one. I will look into the Pure bars. I don't have to have a protein bar, but would be nice to have in my purse if I need to eat something and I don't have any good choices around.

olandia64 10/05/2011

I got quest protein bars-only 2 g sugar, 20 g protein and 17 g fiber. I didn't care for the wild berry, but chocolate was good and I really like the apple pie bar.

mrschizzy 10/05/2011

@Olandia - how many total carbs are in it?

deleted_user 10/05/2011

Check "WLS Reference Info" and compare the meal plans from other programs:

http://www.dailystrength.org/groups/wls-reference-information

I will say that I came to believe that nutrition bars are not a good alternative, as many contain sugar and fat, and certainly reinforce the "sweet tooth..."

I also do not find them satisfying, and always want another one when that one is finished! {:>} RickyDee/ Sleeve/ 07-28-10/-138#

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