LOVE THIS!

From http://susansurface.tumblr.com/.

Long time no see!

Well hello there! Yes, I’ve been gone for a while. No, you probably don’t care. Yes, that means I’m going to do a bulleted list of updates. Weee!

  • I’m currently typing on my new Macbook Pro, which I looooove. My Dell crashed a few weeks back, and with it went ALL of my pictures of our honeymoon, house being built, old house, family vacations, etc. And then there was also the documents from the first year of PhD coursework. But hey, you live and learn. Yes, I got an external hard drive this time. And an iphone. I’m wired, baby!
  • I went to the Emergency Room last week. Something got stuck during lunch Tuesday, hurt like a mutha, and I finally went in Wednesday late morning. I threw up over and over again (apparently, my pouch is HUGE!) and it eventually went away. God, it was horrid.
  • I’m working VBS  this week. I have NINE two year-olds in my class, and they’re adorable and exhausting!
  • My weight is a mess. My scale needs batteries and I’m too scared to get on it anyway. I’m way past the danger zone, and I need need need to get my ass in gear. Seriously, my behavior scares me. I’ve been on two bikes rides in the past two weeks (25 miles and 40 miles), but that’s it. No gym time. I feel like  my belly is distended from here to China. I feel massive and lethargic and crappy. I know how to fix it: back to basics.
  • My healing has progressed a ton in the last week. The last hole in my arm incisions closed up. Now it’s just a matter of treating the scars so they fade! I’m so thankful the surgery was uneventful even if recovery was rough.

That’s about it without getting into super-ridiculous minutia. Life is good and getting better!

Vitamin Update

It was time to re-stock on vitamins anyway, and with all the focus on vitamins yesterday I did some price comparisons again. I’ll be trying some capsules for the first time since surgery, so we’ll see how that goes! Here are the products I decided on.

From www.bariatriceating.com:

  • Celebrate brand Iron + C tablets. I was using the Bariatric Advantage brand chewable iron, but the Celebrate product has the same nutrition for less money. Plus the chewables were super-sweet and had a tendency to go mushy before I could finish the bottle. That’s partially my fault since I’m sure you’re not supposed to store them in a steamy bathroom medicine cabinet, but hey–I take them at night before I brush my teeth! I’m hoping the tablets hold up better.
  • Celebrate brand Dry Vitamin D capsules. They’re only 1000 IU of D3, but I’m getting D in all my calcium citrate supplements as well. Kim had recommended this sublingual D3 which looks awesome, but it’s $7.80 for 60 1000 IU tablets whereas Celebrate is $7.99 for 90 1000 IU tablets, so I’ll try Celebrate first.
  • Solgar B-50 Complex. I’m sure I could pick up a comparable B-complex at the grocery store, but every time I look at them the capsules look ginormous! I don’t know if these are any smaller, but I figured that if they’re marketed directly to RNY post-ops, it’s probably doable!

As for my other vitamins, I’ll be switching to store-brands since there doesn’t seem to be any difference between bariatric formulas and others.

  • I’ll finish this chewable multi-vitamin with extra E, D, A, and K and then switch to something like Centrum Silver complete, Flintstone’s complete, or whatever.
  • I love these Bariatric Advantage calcium citrate lozenges. I’ll probably keep buying these even though they’re expensive because they’re just yummy! I’m going to keep taking two of these every day as I have been, and I’m adding 2-3 citrical petites since I’ve been unknowingly skimping on calcium.

So that’s it for now. I’ll probably need to re-order in August so I’m stocked for the fall semester, and I’ll re-evaluate then.

Vitamin Craziness

Ask 20 bariatric patients about their supplementation, and you’ll get 20 different answers. For some people, Flintstones vitamins are all it takes. For others, it’s a $40 pill every 5 minutes all day long. Everyone swears their labs are great, everyone is alive and kickin’, so who knows.

My inclination is to follow what some of my favorite post-ops from the boards are doing. People like MelissaF and PamT seem to have their stuff together. They sound like they’ve done the research, compared costs, figured it out. Even still, their regiments are different, so who’s to say?

I took a survey of vitamin schedules on the OH boards. I asked on both the RNY board and the WLS graduates board. Because the answers varied so much, I went back to the ASBS for their recommendations. I’ve read this report before, but it’s nice to get a refresher every now and then.

The report reminds me of things I know, but often forget. Like the fact that vitamin and mineral levels affect “appretite, hunger, nutrient absorption, metabolic rate, fat and sugar metabolism, thyroid and adrenal function, energy storage, glucose homeostasis, neural activities” and so on. Thus, one reason to avoid junk food is calories and weight gain. The more important reason to avoid junk food, though, is because it keeps me from eating something else, something nutritious, something that helps maintain countless bodily functions. I need to re-learn that every now and then!

Table 5 of the report shows all of the vitamins and the names of the specific blood tests that can help determine whether levels are okay. I plan on taking this with me next time I see my primary doctor!

So based on the ASBS research, post-op proximal RNYs need the following supplementation:

  • A high-potency vitamin containing 100% of daily value for at least 2/3 of nutrients. And we’re to take TWO of these to get 200% recommended daily value. Should have 18mg iron, 400 units folic acid, and should contain selenium and zinc. Complete children’s formulas should be okay. Take with food. Each brand should be evaluated for absorption and bioavailability. Progress to whole tablet/capsule as tolerated.
  • 1000 units of sublingual B12 daily
  • 1500-2000 units of calcium citrate plus D3 daily split into 500-600 mg doses. Also eat calcium-rich food, for a total of 1700 or more units of calcium daily.
  • Additional iron (18-27mg) for a total of 50-100mg elemental iron daily. C may enhance absorbtion.
  • B-complex is optional, but 1 serving per day is recommended.

Here’s what I’m currently taking:

  • Two bariatric advantage multi’s per day. It meets the above requirements except for iron.
  • Two bariatric advantage calcium citrate lozenges per day. This equals 200 IU of D3, 20mcg of K, 800 mg calcium citrate, and 20mg magnesium.
  • One bariatric advangtage chewable iron per day. 29mg with 60mg C.
  • One sublingual B12 per day.   Mine is 500 units daily.

And here’s how it’s going to change:

  • I’m going to add 3 citrical petites every day. That will give me a grand total of 1745 mg calcium citrate. I may do 4 citrical petites for a while to make up for lost time! I’ll finish the bariatric advantage calcium citrate that I have and then probably begin using citrical petite exclusively… the bariatric advantage come out to 15 cents each whereas citrical is about 7 cents each for the same nutrition. But the bariatric advantage ones are so yummy!
  • Keep the bariatric advantage chewable iron before bed… I haven’t been able to find another substitute for the type of iron we need, so I’m going to stick with the bariatric brand for now.
  • Double sublingual B12. I use the store brand.
  • Add B-complex. I’ll grab a store brand as long as I can find a small enough tablet.
  • For the multivitamin, I’m going to finish up what I have and then switch to a cheaper “complete” formula like centrum silver, flintstone’s complete, etc. There’s nothing special about the bariatric formula, it just costs more.
  • Add dry D3 from vitalady. Better safe than sorry I say.

As for timing, this will take some adjusting. It’s a lot more pills!

  • breakfast: first multi, dry D3, citrical, B12
  • snack: calcium citrate
  • Lunch: second multi, citrical, B12
  • snack: calcium citrate
  • Dinner: citrical, b-complex
  • Bedtime: iron/c

Am I missing anything?? How is this similar or different to your routine?

Mrs. Fakey Fakerson

I have a confession. To go with my fake boobs, I also got a fake wedding set. Let me explain.

When Lee and I got married almost five years ago, I thought the whole “white gold” thing was just a trend. I liked it better, but I was certain it would be out of style in no time. I picked yellow gold in a three-stone ring configuration for our engagement, and a channel set band to match. Here’s a picture of the engagement ring:

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Since losing 200 pounds, my rings are sliding off. It’s time to either get them resized or get them replaced. Lee & I have been shopping for a new white gold set to coincide with our 5-year anniversary, but honestly… the prices make me choke. Especially when I already have perfectly good gold rings I can just  have sized down.

Anyway, what we ended up with is a temporary fix. It’s a white gold “synthetic diamond” (read: CZ) set we got a great deal on yesterday. It’s not huge fakey-fake looking, but it fits and it’s giving me a chance to decide if white gold is what I really want.

286917I’m not trying to pass it off as real, and I’ll tell this same scenario to anyone who asks. Although my dad said my grandparents would be so horrified by fake jewelry that it would be better to lie to them (which I will not do). Anyway, I know to some of you this will be absolutely no big deal. To others, CZ’s may be the utmost in tackyness.

So I have fake boobs and fake diamonds.

And here we are, 5 years later, neither Lee nor I wearing our original wedding bands. His was replaced by a stronger titanium band a few years back, and I’ve got my temporary white gold stand-in for now.

Still, I feel like an imposter! (A very sparkly, well-endowed imposter!)

One good reason

Here’s one good reason to NOT weigh 364 pounds:

Sea World

That’s me and my dad yesterday at the opening of the new Manta coaster at Sea World. It was after an awesome bike ride and before a delicious and nutritious dinner. I love my life! 🙂

Woop woop!

Last exam submitted. DONE! It was half-assed and crappy, but it is done!

Tonight: an adult beverage, dog-sitting, and mindless television!

Saturday: nephew’s flag football game, a movie, and dinner with my hubby

Sunday: a long bike ride followed by a trip to Sea World

See? See how much fun I can have when I’m not mired in homework? 🙂

Let’s keep going.

Monday: work, last-minute preparation for…

Tuesday: BOOBIES!

See? FUN!