Comments on: Should I worry about Juice?

By: Merle Gregoria

Merle Gregoria — Mon, 04 Jul 2005 09:06:51 +0000

The problem with alcohol is not so much that we don’t malabsorb it — we
do.. the problem is the alcohol itself is not broken down because the
portion of the intestine responsible for it has been bypassed. Therefore the
body dumps it — into the bloodstream at full strength rather than at a
processed strength. Someone else has explained this much better than I am
but we do malabsorb it — we don’t absorb it or break it down as normal and
therefore the body compensates — with sugar we dump. With alcohol we get
drunker harder quicker on less.
Denise Rasley
mailto: drasley@…
BTC, Columbus, 10/7/98

By: Eve Kyra

Eve Kyra — Sat, 02 Jul 2005 21:45:30 +0000

I have to comment on this. I’m sure you doctor is very experienced AS A DOCTOR,
as my doctor and surgeon are. I don’t disagree with you one bit on that point.
They are GREAT doctors, HIGHLY SKILLED surgeons.
HOWEVER…none of them are nutritionists. I am a college student who has taken 3
classes on nutrition and I know for a FACT that 99% of doctors take only 1-2
nutrition classes during their schooling, and they are usually in the first 4
years of the college education process. These are statistics quoted to us by my
professor, a PHD. in nutrition, and the AMA (American Medical Association.) I am
not an expert after only taking 3 classes, but the AMA journal statistics speak
for themselves.
Most doctors are not even remotely skilled in nutrition.
Just my .02
Kelly
-90 pounds@ 4 1/2 months post op!
Date: Thu, 16 Jan 2003 00:04:15 EST

From: JPG1747@…
Subject: Re: Should I worry about Juice?
Sorry, I disagree and prefer to follow the advice of my very experienced
doctor.
Judy
Lap RNY 7/23/02
257/186/1??
-44 inches

By: lavern_1200

lavern_1200 — Sat, 02 Jul 2005 00:51:43 +0000

Hello jharper@…,
In reference to your comment:
è Judy, I could tell you stories from now until next week
è about how poorly surgeons are educated about
è nutrition — including bariatric surgeons. If you’re talking
è about simple sugar, what you’re saying is much more
è true than if you’re talking about any other kind of
è carbohydrate. But even sugars require intestine for
è absorption, and how much you absorb depends on
è how much intestine you have left. So to make the
è blanket statement that sugars are “absorbed 100%
è from the moment you put them in your mouth” is just
è not true. I worry when I see physicians making *any*
è nutrient out to be the Devil In Disguise. And people
è who are immediately postop need a LOT more calories

è just to heal than their newly-damaged gut can absorb,
è so maybe a few grams of simple sugar a day aren’t
è outtaline?
Sorry, I disagree and prefer to follow the advice of my very experienced
doctor.
Judy
Lap RNY 7/23/02
257/186/1??
-44 inches

By: Arlie Whitney

Arlie Whitney — Fri, 01 Jul 2005 16:57:14 +0000

“There is absolutely no reason to count calories during the weight loss
phase — you cannot possible eat enough of anything to make a difference”
I must take issue with this statement. Did you forget about grazing, or
drinking with meals? If one grazes or drinks with their meals, then one
could easily consume too many calories to maintain weight loss. Some of us
don’t realize we graze until we count calories and see how much we’re really
getting in. Plus some of us need to consume more calories to keep from
shutting down our metabolism. In fact, what everything boils down to, is
expending more energy than we take in, i.e., calories. How we choose to
supply those calories should be decided on more than what one person, or
surgeon, says. One should research for oneself and weigh all the facts
before deciding for oneself what is the best way to get in the proper amount
of calories. The general consensus is “eat protein first, then complex
carbs (such as vegetables and whole grains), then simpler carbs, such as
fruit (which have many vitamins we need). The fact is, many of us just

don’t have room in our pouches for more than protein and a little vegetable.
Those who do are sure to get a balanced diet.
Just my honest opinion.
Lydia
Apex NC
Lap RNY 8/6/02
5′9″ 366/281/180???

By: Ursula Daniel

Ursula Daniel — Fri, 01 Jul 2005 03:42:31 +0000

Judy, I could tell you stories from now until next week about how poorly
surgeons are educated about nutrition — including bariatric surgeons.
If you’re talking about simple sugar, what you’re saying is much more true
than if you’re talking about any other kind of carbohydrate. But even
sugars require intestine for absorption, and how much you absorb depends on
how much intestine you have left. So to make the blanket statement that
sugars are “absorbed 100% from the moment you put them in your mouth” is
just not true.
I worry when I see physicians making *any* nutrient out to be the Devil In
Disguise.
And people who are immediately postop need a LOT more calories just to heal
than their newly-damaged gut can absorb, so maybe a few grams of simple
sugar a day aren’t outtaline?
Janie
All sanity depends on this: that it should be a delight to feel heat

strike the skin, a delight to stand upright, knowing the bones are moving
easily under the flesh. — Doris Lessing

By: lavern_1200

lavern_1200 — Thu, 30 Jun 2005 12:37:22 +0000

In a message dated 1/15/2003 5:35:05 PM Eastern Standard Time,
drasley@… writes:
I got my information from my surgeon, Dr. Robert Rabkin, who has been performing
weight loss surgeries for over 20 years and I do believe he knows what he is
talking about. You do not malabsorb sugars. They are absorbed 100% from the
moment you put them in your mouth. Everything else is malabsorbed to some
extent. And what you do during the first 12-18 months is different from what
you do once your weight stabilizes. There is absolutely no reason to count
calories during the weight loss phase — you cannot possible eat enough of
anything to make a difference. You can, however, slow down your weight loss by
eating carbs and sugars. The complex carbs you get from vegetables are
sufficient during this time period for the body’s needs. There is no need to
add simple carbs to your diet. I never said you dont know what you’re talking
about — I just disagreed with what was said. As I have said before and will
say again — every doctor is different and this is what my doctor tells his

patients.
Judy
Lap RNY 7/23/02
53/5′3″/257/186/1??
-44 inches

By: Candy Justina

Candy Justina — Thu, 30 Jun 2005 05:38:31 +0000

My immediate (first 6 weeks) post-op diet contains unsweetened juice
(apple), or lite cranberry juice (and luckily I found some sweetened
with Splenda - so no Aspartame which made me happy. We drink 1/2 cup at
a time.
Pam

By: Merle Gregoria

Merle Gregoria — Wed, 29 Jun 2005 17:22:35 +0000

Bull. You are still new out but your body NEEDS fat. Your body NEEDS carbs.
Some at least. YOu can’t deprive them. Yes we need to concentrate on getting
our protein in HOWEVER we do need to have other types of food. I ate carbs
from my first few months out. And at four years I am definitely a success.
And yes it is about counting calories. OUr bodies may not absorb as many
calories but if you take in more and do absorb more than your body can use
then you will gain weight or at least will not lose. You had surgery less
than a year ago and you are trying to tell those of us — like Ray that we
don’t know what we are talking about. Or that we will not be a success. Hate
to tell you but Ray is a success of a very long time. Protein is important.
But if we malabsorb, we malabsorb everything — INCLUDING SUGARS!
Denise Rasley
mailto: drasley@…
BTC, Columbus, 10/7/98

By: Ursula Daniel

Ursula Daniel — Wed, 29 Jun 2005 15:28:10 +0000

Very little is actually known about how — and how much — our systems
differ from the norm, and experience with other surgical patients would
suggest that a lot of it depends on just how much gut is bypassed. A carb
is not a carb is not a carb, digestively speaking, even in a normal
gut. It’s well documented that weight loss slows down after the first six
months.
So it might not be those Devil Carbs after all?
Jane Harper
All sanity depends on this: that it should be a delight to feel heat
strike the skin, a delight to stand upright, knowing the bones are moving
easily under the flesh. — Doris Lessing

By: lavern_1200

lavern_1200 — Tue, 28 Jun 2005 21:21:49 +0000

In a message dated 1/15/2003 2:59:05 PM Eastern Standard Time,
ray@… writes:
I have to disagree with this. That might be true for people who haven’t had WLS
surgery, but for us, we need to concentrate on getting our protein in. Plus,
although we dont absorb all of the protein we eat, we absorb sugars 100%.
Eating, absorbing and storing sugars (and carbs) is what got us fat in the first
place. This isn’t about counting calories anymore. It may come back to that
after you have lost all the weight you’re going to lose, but for the first year
to 18 months, you should be concentrating on proteins and vegetables because of
the limited space we have in our stomachs. The simple fact is that eating
sugars and carbs from the get-go after WLS can slow down your weight loss and
leave you far from your goal weight. However, that’s a choice everyone has to
make for themselves.
Judy
Lap RNY 7/23/02

53/5′3″/257/186/1??
-44 inches