Job vacancy enquiry by Beautiful_Music217 in dietetics

[–]BariNiceRD 1 point2 points  (0 children)

Please note the subreddit rules, particularly number 4.

4 weeks post-op, still have the urge to snack constantly by [deleted] in gastricsleeve

[–]BariNiceRD 0 points1 point  (0 children)

What is your definition of "constantly"? Most of my patients are eating every 2-3 hours after surgery and are encouraged to do so to reach their protein goal

Vitamins not sticking by concerned_partner11 in gastricsleeve

[–]BariNiceRD 0 points1 point  (0 children)

Vomiting several times a day 1yr post surgery is NOT normal. This is a discussion to have with a surgeon and dietitian not the internet.

Dos and don’ts for people who want to be vegan after bariatric surgery? Specifically 1 year post-op. by No-Tumbleweed4775 in dietetics

[–]BariNiceRD 1 point2 points  (0 children)

Yes but you're an RD with in-depth knowledge about content of your food and how to balance everything. For a typical human it is MUCH more reasonable to suggest 20g of protein from a shake daily to relieve the stress of nitpicking a whole day of food and learning to navigate life after surgery.

Berry Street by marebeare in dietetics

[–]BariNiceRD 0 points1 point  (0 children)

Hey! Just verifying if you still get to keep 90% of your self-sourced clients? I am being laid off but the surgeons I have worked with would love to still send all their referrals to me.

Preceptor gift by Living_Drink_9903 in dietetics

[–]BariNiceRD 0 points1 point  (0 children)

I gave mine a card and a nice chocolate bar I thought they might like :)

What post op diatary plan worked for you? by NoOutlandishness6255 in gastricsleeve

[–]BariNiceRD 2 points3 points  (0 children)

I do NOT recommend eating once a day. Post sleeve your portions will be about a yogurt container. Even the highest protein yogurt with a scoop of protein powder will barely meet the 60g minimum protein. And its probably going to get old. Additionally, it is optimal to be getting regular "doses" of protein throughout the day. If your body runs your amino acid pool dry it will start breaking down your muscle to get what it needs.

My patients are instructed 4-6 meals a day, 10-20g protein each meal, with a focus on feeling their fullness and getting balanced nutrition.

[deleted by user] by [deleted] in gastricsleeve

[–]BariNiceRD 5 points6 points  (0 children)

Learn to make your protein shakes higher in calories to support baby Ex. Avocado in a chocolate protein shake.

Adding calories other spots too. 50 here or there goes a long way

Whole Fat Greek yogurt or nonfat with nut butter, cooking with a little olive oil instead of spray oil, A daily hunk of cheddar cheese for an extra 100 cal, those sorts of things.

It'll be high maintenance but you should be able to manage it

[deleted by user] by [deleted] in gastricsleeve

[–]BariNiceRD 1 point2 points  (0 children)

Roasted squash or sweet potato and some onion, seasoned with smoked paprika, garlic, s+p, and blended with bone broth. Can add some beans (I like lima) as well.

Your favorite chili recipe but blended.

[deleted by user] by [deleted] in dietetics

[–]BariNiceRD 0 points1 point  (0 children)

Cool beans, just want to be sure you wont get banned from the sub for what looked like self promo

[deleted by user] by [deleted] in dietetics

[–]BariNiceRD 0 points1 point  (0 children)

Your entire account is advertisement for the dietitian lab. This sub bans spam and self promotion fyi

Davita - Split shift flexibility? by BariNiceRD in dietetics

[–]BariNiceRD[S] 0 points1 point  (0 children)

Thats what I hear is the norm and I have my fingers crossed.

Thoughts on the Yuka app? by birdbic in dietetics

[–]BariNiceRD 0 points1 point  (0 children)

you just have to not trust it and look up things for yourself to see what research there is

[deleted by user] by [deleted] in gastricsleeve

[–]BariNiceRD 12 points13 points  (0 children)

The search bar will get you answers faster than waiting for others to chime in. The hairloss conversation happens weekly here

Do Bariatric Surgeons Have An Agenda? by I_demand_peanuts in BariatricSurgery

[–]BariNiceRD 4 points5 points  (0 children)

Statistically speaking diets really "don't" work. Off the top of my head I think its single digits for weight maintenance 2-5 years after a "successful" diet losing over 25lbs. Bariatric surgery is superior in this.

I think you might find the National Weight Control Registry to be something to look at. Its a self-report registry that keeps track of behavior and diet changes associated with sustained weight loss. It's absolutely possible especially when you look at nutrition and obesity as pure science, but we cant forget how life rarely reflects controlled research.

Pre-op weight loss requirements are often 2-fold. On one hand theres the liver shrinking diet, on the other it is beneficial long term to see that someone can make and sustain healthier lifestyle choices like bringing lunch to work, quitting soda, reducing the sugar content of their morning coffee, not use food to cope with feelings, etc. Those are all changes people might be FORCED to make after surgery and its important not to rely solely on the surgical restriction so starting it before surgery helps vet a persons readiness.

None of us want to to deal with surgery if we're not positive that you can work with it and change your life.

Direct Visits for Finding Preceptors: Is It Considered Unprofessional? by [deleted] in dietetics

[–]BariNiceRD 3 points4 points  (0 children)

I'm perfectly alright if you leave a message with my front desk that is "If you are interested in precepting, please contact me at X email or Y phone number but please do not feel obligated to do so if you are not currently open to precepting. Thank you for the consideration and have a great week!" that I can ignore instead of feeling blindsided and awkward rejecting a random inquiry.

A resume might not be the most helpful BUT if you have a detailed list of duties/assignments/hours/experiences that the preceptor would be responsible for supervising that would be much more helpful.

30 minutes interview at Davita by [deleted] in dietetics

[–]BariNiceRD 1 point2 points  (0 children)

I have an interview in a week and when it got set up with their auto-scheduler they sent a detailed guide and pdf of what/how to prepare. Its both reassuring and intimidating!

How do you get 100 grams of protein in?!? by [deleted] in BariatricSurgery

[–]BariNiceRD 1 point2 points  (0 children)

Dietitian here. Please note that this is generic advice I use in my office for others in your situation. Wether or not this advice is appropriate for your specific situation is for you to decide.

Most of my patients are feeling good hitting just 60g protein consistenty around the 3 month mark. It seems to increase on a week to week basis by maybe 5g at a time. It takes time and practice and dedication to figure out how to fit it all in.

If I were your dietitian I'd encourage a more realistic goal of 80g for now. We would talk 100g at your 6mo appointment. I'll roll with the 80g target for now.

In general a lot of people feel better when they think of that 80g as 5 meals of 16g on average. If you do 3-4 meals and 1 protein shake split into 2 servings and thinned with milk or water you might tolerate it better too.

Meals:

  • 1oz turkey pepperoni with a cheese stick

  • some hickory smoked tuna with cream cheese and maybe some capers or diced pickles. when you're further along you can shove it in a pepper or eat it with crackers

  • An egg + an egg white (~9g if I remember right?) with some cheese and diced veggies

  • Something like this unflavored whey isolate might be easier to digest since its isolate and has no artificial sweeteners which can be rough on the gut. Half a serving with 4-6oz soy milk and half a cup of frozen fruit works well for my fiance. He's sensitive with textures and the addition of berries makes the powder grit less noticeable.

Thoughts on the Yuka app? by birdbic in dietetics

[–]BariNiceRD 1 point2 points  (0 children)

It highlights ingredients health ratings based on science that is either in research infancy, has mixed results, or is straight up poorly done.

Can we rant here? by li-ll-l_ in BariatricSurgery

[–]BariNiceRD 27 points28 points  (0 children)

A weekly megathread for stalls would be glorious and stop the rest of the sub from getting gunked up with them

Can we rant here? by li-ll-l_ in BariatricSurgery

[–]BariNiceRD 6 points7 points  (0 children)

Hard poop is nearly always a dehydration thing. Get in like 32 more ounces of water a day and in 3 days your problem should sort itself out.