Dr Fisher’s 9 rules

I was asked to post this on the website by another member.
I’ve also included another person’s “10 commandments”
These rules are not from my surgeon, but are very, very similar.
All are useful in helping us be successful!
Hugs
Haze

2 Responses to “Dr Fisher’s 9 rules”

  1. Lou Olson Says:

    Excellent rules! I am pre-op, and what worries me is that it has been hard for
    me to follow those rules now (or I would have already lost weight, right?). Is
    it easier to follow them after the surgery?
    Cris

  2. Tammi Elanor Says:

    I’m sorry, I gotta disagree with some of these. Comments in-line.
    Hypoglycemia is not that uncommon post-op, and I know many posties who
    have SERIOUS problems if they only eat three times a day. It is true
    that eating needs to be mindful and planned, but for some folks, it
    needs to be as many as five meals a day.
    meals before serving.)
    Is this just immediately post-op?
    How does he feel about protein drinks? Of the many successful (meaning
    maintaining both health and healthy weight) long-term post-ops I know,
    who are more than five years out, only ONE is not drinking protein
    drinks. In general I do agree about solids rather than liquids.
    Sorry, I don’t believe it, and I don’t think most long-term posties do
    either.
    This one I DISagree with. If you’re taking that long to eat, you’re
    running the risk of grazing. The food is emptying out of your pouch as

    you’re putting more in. I think in general eat until you are full,
    within fifteen minutes, then STOP.
    all times)
    See, I’m not arguing with everything! This one I definitely agree with.
    than solids, drink first, then eat. Allow 30-45 minutes after solids to
    take more liquids)
    I’ll agree with this one too.
    Unfortunately, most physicians do not have much in the way of
    nutritional training in medical school. Usually a couple of lectures,
    during which many of them catch up on sleep. I also have had a
    nutritionist, WHO WORKS WITH A BARIATRICS PROGRAM tell me I should eat
    three ounces of meat, fish, chicken or three eggs at every meal. Excuse
    me, are you aware of the size of my pouch?!? THREE EGGS? I’d explode!
    Um, have you read the nutritional comparisons in things like sugar
    counts and carbs between a Snickers bar and a banana? Fresh fruit can be
    good, but in limits! There are a lot of us who have to watch fruit,
    because it can trigger a binge at least as well as a Twinkie can!
    Sorry, I disagree. We each need to find, for ourselves, what works for
    ourselves. We are all different, and it is not possible for one set of
    rules to fit everyone, any more than it is possible for one size of
    pants to fit everyone. What I personally believe is that we have to look
    at the “rules” and use them as a starting point, guidelines if you will.

    Eleanor Oster
    eleanor@… (personal address)
    www.smallboxes.com/gastricbypass.htm
    Berkeley, CA
    Open RNY (100 cm bypassed) 07/15/2003
    David P. Fisher, M.D., Kaiser Richmond (CA)
    05/09/2003 319 Orientation
    07/15/2003 ~290 Surgery
    Current <160 Goal until plastics?
    Goal 140-150?

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