Lactoes Woes Pregnancy after Gastric Reduction
2012
2011
2010
2009
Stontium
Biphosphonates 9/21
Hair loss after weight loss surgery! 5/18
Drug interactions with herbal remedies 5/4
Exercise habit
Pregnancy after duodenal switch 4/27
Calorie calculation 4/13
Cells found in bones 3/11
Calorie predictive relations in energy regulation by rats3/9
2/2
Am I going Bald
Trans Fatty Acids 1/7
2008
Olive oil 12/30
Bariatric surgery before pregnancy 12/5
Antioxidant effects of almonds 10/20
Moderate Exercise Yields Big Benefits 6/1
Lactose intolerance is a set of
symptoms resulting from the body's
inability to digest the milk sugar called
lactose. Lactose is commonly found in
dairy-based foods and is digested in the
intestines by the enzyme lactase. The
production of gas and the presence of
fluid create the cramping and digestive
distress that are the symptoms of lactose
intolerance. Yogurt, although made
from milk, is often well tolerated by
people who have lactose intolerance
because yogurt bacteria produce their
own lactose-digesting enzyme of actase.
If you have a strong reaction to lactose,
you will have to become an avid labelreader.
Look for words, such as whey,
lactose, nonfat milk solids, buttermilk,
malted milk, margarine, and sweet or
sour cream. Some breads, dry cereals,
cookies instant soups, breakfast drinks,
and milk chocolate contain small
amounts of lactose. The good news is if
you are lactose intolerant after surgery it
is because the area in your small bowel
where lactase is secreted has probably
been diverted over to the bile-containing
channel. In time, your intestine may
adapt by producing lactase enzymes
again—if not you can always take
Lactaid, a lactase supplement with your
food. Hard cheeses like cheddar, low fat
cottage cheese and yogurt may be
tolerated better. Milk and ice cream
may be tolerated the least. Remember
that lactose is a milk sugar and we ask
you to stay away from sugar during your
weight loss period.
Leslie Patterson MS.
RD. LD. CNSD.
We can all make small changes that
increase our daily physical activity. By
adopting a more active lifestyle, we reduce
the risk of chronic disease and have an
enhanced quality of life: walking 3 to 4
mph, carrying baby up stairs, swimming
moderate effort, using stairs instead of
elevator, general house cleaning, walk to
lunch, golfing while carrying the clubs, go
shopping (walking, not buying) play on
playground with your kids, dance to the
radio, ride a bike to friends house, crawl
around with your kids, walk your dog,
baby-sit your grandchildren, play sports
(don't watch), mow the lawn, walk at the
beach (don't lay) wash your car (instead of
the car wash), gardening, surf the water not
the web, bag your own groceries and carry
them out to the car, at work, take a walking
break instead of a coffee break, volunteer at
a local daycare community center.
Erin Nelson RN, BA, MS, Exercise
Scientist
As patient who are getting past or
close to their 18 month to 2 years post-op
anniversary they may start thinking of
getting pregnant. What every potential
mother to be should consider is: Has my
weight loss stabilized? Have I had my
vitamin levels checked and have I followed
up with my weight loss surgeon before
attempting to conceive? Is my OB/GYN
aware of my weight loss urgery procedure
and do they have experience with patient
who has had weight loss surgery? Have I
informed my surgeon of who my OB/GYN
is? These are all important questions to
consider and resolve before getting
pregnancy as a post weight loss surgical
patient.
Due to the nutritional imbalances that may follow all weight loss surgical procedures it is imperative to make certain that your weight loss has stabilized and you have made it past your 18-month to 2 years postop anniversary. During the weight loss period a patient is in a negative nutritional balance not getting enough calories are absorbed to support the patient's own weight and therefore would not be able to support the addition of a growing healthy fetus. There is a possibility of birth defects if you become pregnant prior to weight stabilization and your 18-month to 2-year anniversary. The decision absolutely needs to be discussed with your weight loss surgeon prior to any attempts to conceive.
After all the above questions have been dealt with and resolved and you have been cleared by your surgeon to attempt to conceive there are extra steps needed for a post weight loss surgery pregnancy. We will inform you of these steps during the decision process with your surgeon. You always have to keep in mind that you anatomy has been changed and how your body works also has been changed. You should also start your preparation to become pregnant several months prior to attempting to conceive. You will need to be more diligent with follow-up with your OB/GYN and your weight loss surgeon during your pregnancy. Our office will work closely with your OB/GYN in your monitoring your lab work and the progression of your pregnancy