Patients undergoing sleeve gastrectomy or gastric bypass should be prepared to recognize complications such as anastomotic leak and dumping syndrome, and to follow instructions regarding dietary progression, nutritional supplementation, and exercise. UCSF offers a support group that meets over Zoom on the third Wednesday of each month. 2000 calories a day is used for general nutrition advice.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eWARNING: Very low calorie protein diets (below 400 Calories per day) may cause serious illness or death. If nausea is making it difficult to drink water, suck on ice chips. The goal is to still provide enough protein and nutrients without the volume that could stretch and tear the surgery site. Recent studies have shown that patients who have undergone bariatric surgery can often maintain their blood sugars within acceptable levels while discontinuing their diabetes medications. Anytime, anywhere, across your devices. Hi , I had the open gastric bypass 14 yrs ago and have put on 30 pds since then what protein powder mix should i use for 2 meal replacement aday and can you still put crystal lite in your daily water consumption (64oz). "],"price":875,"weight":181,"compare_at_price":null,"inventory_management":"shopify","barcode":"","featured_media":{"alt":null,"id":8248805392515,"position":1,"preview_image":{"aspect_ratio":1.492,"height":429,"width":640,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/New_blender_bottles.png?v=1597153467"}},"requires_selling_plan":false,"selling_plan_allocations":[]},{"id":34096944382083,"title":"Coral - 28 oz. Contraception is recommended for female patients of childbearing age for 2 years after surgery. Patients can drink water, ice chips, flavored water, broth, Propel, 100% Whey Protein Isolate Bullets, skim milk, sugar-free Jell-O or Popsicles, mild tea, just to name a few. Interested in Lets review the basics of gastric bypass surgery, some recommendations for a gastric [], Celebrities are often under intense scrutiny about their weight and appearance. Its simply an eating schedule that helps SOME PEOPLE stick to their daily calorie goal, thats it. Some protein drinks come in a ready to drink form, which do not require adding anything. This is a flexible tube inserted, through the mouth and stomach, into the upper small intestine. Any Advice? 2,57 Bariatric surgery not only reduces body weight, it reduces (and sometimes resolves) comorbidities, such as diabetes and obstructive sleep apnoea, and improves quality of life. Is it ok to mix the unjury protein powder with the premier protein shake? [citation needed]. What about Celebrate for protein shakes? Knowing WHAT to do is the next thing. \u003c\/p\u003e\n\u003cp style=\"font-size: 80%;\"\u003e\u003cstrong\u003eContains Milk and Soy.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp style=\"font-size: 80%;\"\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cstrong data-uw-styling-context=\"true\"\u003eFor California Residents Prop 65:\u003cspan\u003e\u003c\/span\u003e\u003ca data-uw-rm-ext-link=\"na\" data-uw-rm-brl=\"false\" href=\"https:\/\/www.p65warnings.ca.gov\/food\" data-uw-styling-context=\"true\" aria-label=\"www.P65warnings.ca.gov\/food - opens in new tab\" data-mce-href=\"https:\/\/www.p65warnings.ca.gov\/food\" target=\"_blank\" uw-rm-external-link-id=\"https:\/\/www.p65warnings.ca.gov\/food$www.p65warnings.ca.gov\/food\" data-mce-fragment=\"1\"\u003ewww.P65warnings.ca.gov\/food\u003c\/a\u003e\u003c\/strong\u003e\u003c\/p\u003e"}, {"id":1662112170082,"title":"Berry Jump Start","handle":"berry-jump-start","description":"\u003ch3 style=\"text-align: center;\"\u003eJump Start\u003c\/h3\u003e\n\u003cp\u003e~ Berry ~\u003c\/p\u003e\n\u003cp\u003eBerry Jump Start is a Berry flavored thermogenic antioxidant energy drink that will take your tastebuds on a sweet fruity ride!\u003c\/p\u003e\n\u003cp\u003eThis refreshing drink contains ginkgo biloba, B vitamins, and caffeine (comparable to drinking half a cup of coffee) to give you that extra boost to start your day the right way! Here is a helpful breakdown: This gives sufficient time to ensure nutritional adequacy before patients embark on pregnancy. Stir vigorously until dissolved. ","Type_Shakes"],"price":1445,"price_min":1445,"price_max":1445,"available":true,"price_varies":false,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":15065251709026,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"coffee-shake","requires_shipping":true,"taxable":false,"featured_image":null,"available":true,"name":"Coffee Shake","public_title":null,"options":["Default Title"],"price":1445,"weight":227,"compare_at_price":null,"inventory_management":"shopify","barcode":"703447030271","requires_selling_plan":false,"selling_plan_allocations":[]}],"images":["\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/coffeeshake.jpg?v=1613514537","\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/20220128_162455.jpg?v=1643405941","\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/20220120_154804.jpg?v=1643405958"],"featured_image":"\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/coffeeshake.jpg?v=1613514537","options":["Title"],"media":[{"alt":null,"id":9149899931779,"position":1,"preview_image":{"aspect_ratio":0.933,"height":375,"width":350,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/coffeeshake.jpg?v=1613514537"},"aspect_ratio":0.933,"height":375,"media_type":"image","src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/coffeeshake.jpg?v=1613514537","width":350},{"alt":null,"id":21021397647491,"position":2,"preview_image":{"aspect_ratio":0.715,"height":2121,"width":1516,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/20220128_162455.jpg?v=1643405941"},"aspect_ratio":0.715,"height":2121,"media_type":"image","src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/20220128_162455.jpg?v=1643405941","width":1516},{"alt":null,"id":21021397778563,"position":3,"preview_image":{"aspect_ratio":0.509,"height":2974,"width":1514,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/20220120_154804.jpg?v=1643405958"},"aspect_ratio":0.509,"height":2974,"media_type":"image","src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/20220120_154804.jpg?v=1643405958","width":1514}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"\u003ch3 style=\"text-align: center;\"\u003eCoffee Shake\u003c\/h3\u003e\n\u003cp\u003e~ 15g Protein ~\u003c\/p\u003e\n\u003cp\u003eThis Coffee Shake has a delicious smooth and distinct coffee flavor, and provides an astounding 15g of Protein with only 100 Calories! Medical Journals, Possible hydromorphone-induced neurotoxicity in patients undergoing buprenorphine induction for opioid use disorder. It's important to protect your surgery scars from the sun for a full year, even when covered by a bathing suit, as sunlight can still reach the skin and cause damage. If I go on a 2 week liquide diet, would that shrink my stomach a bit? After bariatric surgery, you'll consume much less food and fiber. [66], After a person successfully loses weight following bariatric surgery, they are usually left with excess skin. 1. If you are using a RTD (Ready To Drink) protein drink you do not add anything -it is ready to drink as is. If you are using a protein drink powder, you can mix with water and ice in a blender. Compared to the Sleeve Gastrectomy and Rou-en-Y Gastric Bypass, BPD/DS produces the best results in terms of durable weight loss and resolution of Type 2 Diabetes. 20+ essential vitamins and minerals Premier protein Bariatric Food Source'sfantastic collectionof Protein Shake & Drink powders is sure to have a flavor for everyone. Vitamins for children, multivitamins, herbals, and supplements are available online and at your local Walgreens store. Stage 2 Full Liquid Diet For one to two weeks after stage one. [10] This is a recent change in guidelines (October 2022), so other guideline-producing organizations and health insurance plans may take time before their guidelines are updated. 6.030%. Use code: December for 25% off these 8 items ONLY! Ingredients:Calcium Caseinate, Fructose, Nonfat Milk, Whey Protein Isolate, Natural and Artificial Flavors, Nonfat Yogurt Powder, (Cultured Nonfat Dry Mi Jump Start Surg Obes Relat Dis 2012;8:8-19. Pregnant women and women who may become pregnant should not exceed 3,000 mcg of preformed vitamin A (retinyl palmitate) per day unless instructed to do so by a healthcare practitioner.\u003cbr data-mce-fragment=\"1\"\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eCAUTION:\u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003eIf you have had gastric surgery and experience persistent nausea, vomiting, diarrhea, or other symptoms, contact your healthcare practitioner.\u003cbr data-mce-fragment=\"1\"\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003eKeep out of the reach of children.\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eTAMPER EVIDENT:\u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003eDo not use if bag is open or torn.\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eSTORAGE:\u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003eKeep in a cool, dry place.\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e*The % Daily Value (DV) tells you how much a nutrient in a serving of food contributes to a daily diet. After surgery, avoid food and drinks high in sugar and fat. Avoid lifting anything heavier than 15 to 20 pounds for the first six weeks. Exercising at least three times a week conserves lean muscle mass, burns fat and increases your potential for long-term success. How long have you been tracking? Your diet should look like it did when you were losing weight after surgery. Thanks for all the great information youre sharing with everyone !!!! The part of the stomach along its greater curve is resected and the remaining stomach is "tubulized" with a residual volume of about 150 ml. Avoid caffeinated beverages because they act as diuretics increasing the amount of water expelled from your body. Often, procedures affect several of these mechanisms. Hi James! 2018 , www.nhlbi.nih.gov/health/educational/lose_wt/physical.htm, Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Or is there a possibility that youre accidentally going over? 11 grams of carbohydrates (6 from fiber and 1 g sugar) If not, please use the guidelines outlined in the article to help you select and use a protein powder. Dietitians Corner is a monthly column for post-op and pre-op patients of bariatric surgery in NJ written by Prime Surgicares Lori Skurbe. Weight loss following bariatric surgery and the rapid emptying of alcohol from a gastric pouch contribute to faster absorption of alcohol, lower metabolic clearance, and higher blood alcohol content for each alcoholic drink consumed. Measure and weigh everything you prepare and be as accurate as you can be to avoid calorie creep., Make sure your plate is made up of at least to protein and the rest made up of vegetables and starches, Always eat the protein portion of your meal first. Stick to whole food options and supplement with high-quality protein supplements for the sole purpose of helping you reach your daily protein goal. $4.99 Shipping. Hi! ~ 24g Protein ~ Talk to your healthcare practitioner about using this as part of the Healthy Transformation program.\u003c\/p\u003e\n\u003cp\u003e\u003cspan style=\"color: #ff2a00;\"\u003e\u003cstrong\u003e*Item non-refundable after being opened.\u003c\/strong\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e**SAMPLESAVAILABLE UPON REQUEST\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eIngredients:\u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003eWhey protein isolate [whey protein isolate (milk), sunflower lecithin], cellulose, creamer [refined coconut oil, corn syrup solids, potassium caseinate (milk), sugar, dipotassium phosphate, mono and diglycerides, salt, sodium stearoyl lactylate, carrageenan, sodium silico aluminate, artificial flavor, annatto extract (color), and turmeric extract (color)], maltodextrin, inulin, sunflower lecithin, guar gum, natural and artificial flavors, xanthan gum, dicalcium phosphate, dipotassium phosphate, vitamin and mineral blend (ascorbic acid, d-alpha tocopheryl acetate, D-biotin, rice maltodextrin, retinyl palmitate, niacinamide, zinc oxide, copper gluconate, selenomethionine, carbonyl iron, calcium D-pantothenate, cholecalciferol, pyridoxine HCl, riboflavin, potassium iodide, thiamin mononitrate, chromium picolinate, cyanocobalamin, and folic acid), magnesium oxide, sucralose (a non-nutritive sweetener), and silica.\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003e\u003cstrong data-mce-fragment=\"1\"\u003eContains: Milk.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eSUGGESTED USE:\u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003eBlend, shake, or briskly stir 2 rounded scoops (44 g) into 8 fluid ounces of chilled water.\u003cbr data-mce-fragment=\"1\"\u003e\u003cbr data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eThis product is gluten-free.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eWARNING:\u003c\/strong\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003c\/span\u003eExcess vitamin A may contribute to a risk of birth defects. "],"price":800,"weight":181,"compare_at_price":null,"inventory_management":"shopify","barcode":"","featured_media":{"alt":null,"id":8248805392515,"position":1,"preview_image":{"aspect_ratio":1.492,"height":429,"width":640,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/New_blender_bottles.png?v=1597153467"}},"requires_selling_plan":false,"selling_plan_allocations":[]},{"id":34018515222659,"title":"White - 28 oz. Once you finish the protein move on to the veggies and starches. Dumping syndrome can usually be prevented and treated by avoiding simple carbohydrates and eating protein-based meals. Stay in communication with your bariatric surgery team, so we can do our best to help your recovery go smoothly. 7Packets per box Bariatric Surgery Requirements and Evaluation. The ICMJE created the Ingredients: Calcium Caseinate, Natural Flavors, Cocoa Powder (processed with alkali), Fructose, Nonfat Dry Milk, Creamer (Sunflower Oil, Corn Syrup Solids, Sodium Caseinate, Mono-and Diglycerides, Dipotassium Phosphate, Contains 2% or less of each of the following: Tricalcium Pho Chocolate Salted Caramel Protein Shake 7Servings per box Birth control pills are much less effective patients with obesity and in the phase of rapid weight loss. With so many protein drinks and flavoring options you wont get bored any time soon! In adults, the malabsorptive procedures lead to more weight loss than the restrictive procedures; however, they have a higher risk profile. ","options":["Lime Green - 28 oz. Since the ingested food will not pass through the duodenum after a bypass procedure, calcium levels in the blood may decrease, causing secondary hyperparathyroidism, increase in bone turnover, and a decrease in bone mass. If youre worried about cutting your calories too low, then start at the higher end of the range provided and follow it strictly for a few weeks. Not for use by infants, children, or pregnant or nursing women.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eFor California residents: Prop 65\u003cmeta charset=\"utf-8\"\u003e \u003ca data-mce-fragment=\"1\" data-uw-rm-ext-link=\"\" aria-label=\"www.P65warnings.ca.gov\/food - opens in new tab\" data-uw-rm-brl=\"false\" data-uw-styling-context=\"true\" href=\"https:\/\/www.p65warnings.ca.gov\/food\" uw-rm-external-link-id=\"https:\/\/www.p65warnings.ca.gov\/food$www.p65warnings.ca.gov\/food\" target=\"_blank\" data-mce-href=\"https:\/\/www.p65warnings.ca.gov\/food\"\u003ewww.P65warnings.ca.gov\/food\u003c\/a\u003e\u003c\/strong\u003e\u003c\/p\u003e"}, {"id":6616867995779,"title":"BA BAG MEAL REPLACEMENT - Orange Cream","handle":"ba-high-protein-meal-replacement-orange-cream-1","description":"\u003cmeta charset=\"utf-8\"\u003e\n\u003cdiv class=\"product-images js-product-images\"\u003e\n\u003cdiv class=\"product-images-wrapper\"\u003e\n\u003cdiv class=\"product-image-place\"\u003e\u003cstrong\u003eOrange Cream HPMR\u003c\/strong\u003e\u003c\/div\u003e\n\u003cdiv class=\"product-image-place\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"product-image-place\"\u003e28 servings\u003c\/div\u003e\n\u003cdiv class=\"product-image-place\"\u003e\n\u003cbr\u003e\n\u003cdiv class=\"clear\"\u003e\n\u003cmeta charset=\"utf-8\"\u003e\n\u003cp\u003e\u003cstrong\u003eIngredients:\u003cspan\u003e\u003c\/span\u003e\u003c\/strong\u003eWhey protein isolate [whey protein isolate (milk), sunflower lecithin], cellulose, creamer [refined coconut oil, corn syrup solids, potassium caseinate (milk), sugar, dipotassium phosphate, mono and diglycerides, salt, sodium stearoyl lactylate, carrageenan, sodium silico aluminate, artificial flavor, annatto extract (color), and turmeric extract (color)], maltodextrin, inulin, citric acid, sunflower lecithin, guar gum, natural flavors, xanthan gum, dicalcium phosphate, dipotassium phosphate, vitamin and mineral blend (ascorbic acid, d-alpha tocopheryl acetate, D-biotin, rice maltodextrin, retinyl palmitate, niacinamide, zinc oxide, copper gluconate, selenomethionine, carbonyl iron, calcium D-pantothenate, cholecalciferol, pyridoxine HCl, riboflavin, potassium iodide, thiamin mononitrate, chromium picolinate, cyanocobalamin, and folic acid), magnesium oxide, sucralose (a non-nutritive sweetener), silica, and beta-carotene (color).\u003cspan\u003e\u003c\/span\u003e\u003cstrong\u003eContains: Milk\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong style=\"font-family: -apple-system, BlinkMacSystemFont, 'San Francisco', 'Segoe UI', Roboto, 'Helvetica Neue', sans-serif; font-size: 1.4em;\"\u003e\u003cmeta charset=\"utf-8\"\u003e \u003cspan data-mce-fragment=\"1\" style=\"color: #ff2a00;\"\u003e*Item non-refundable after being opened\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong style=\"font-family: -apple-system, BlinkMacSystemFont, 'San Francisco', 'Segoe UI', Roboto, 'Helvetica Neue', sans-serif; font-size: 1.4em;\"\u003eSUGGESTED USE:\u003c\/strong\u003e\u003cspan style=\"font-family: -apple-system, BlinkMacSystemFont, 'San Francisco', 'Segoe UI', Roboto, 'Helvetica Neue', sans-serif; font-size: 1.4em;\"\u003eAdd 2 rounded scoops (45 g) of powder to 8 fluid ounces of cold water. [30] Importantly, the surgery may not affect everyone the same way, and there are potential adverse effects outlined in the next section. Dr Alizadeh-Pasdar is a bariatric clinical dietitian at Vancouver Coastal Healths Garratt Wellness Centre and sessional lecturer in the Food, Nutrition, and Health program of the Faculty of Land and Food Systems at the University of British Columbia. ","options":["Teal - 20 oz. ","options":["Black - 20 oz. 3. Int J Gen Med 2014;7:219-224. Be sure to also check out more of my diet, nutrition and exercise tips on my dedicated page, Dietitians Corner! This adverse effect is simply prevented by heparin and LMWH, which are both blood thinning medications.[40]. BariatricPal 25g Whey Protein & Collagen Power Shots - Tropical Orange, Ohana Pro 30g Protein Shots By Ohana Liquids, LPS Sugar Free Collagen & Whey Liquid Protein Supplement by Nutritional Designs 1 oz Packets - Available in 5 Flavors, BariatricPal 15g Whey Protein & Collagen Shots - Pink Lemonade, Pre-Protein 20 Liquid Predigested Protein - Grape, BariatricPal 15g Whey Protein & Collagen Shots - Orange, BariatricPal 15g Whey Protein & Collagen Shots - Apple. Thus, in October 2022, ASMBS/IFSO put forward a revised eligibility criteria, which now includes all adult patients with BMI>35, and those with BMI >30 with metabolic disease. Do you think that the low protein intake is the reason why I am not loosing weight? Those pages explain everything but you can click through to the actual plan itself from that page as well. Before surgery, patients will have been counseled extensively on recognizing complications such as anastomotic leak, internal hernia, ulcer, dumping syndrome, and gallstone formation. As well, patients will have been prepared for the following postoperative dietary progression: For the long term, patients are advised to use a small plate and to separate their intake of solids and liquids by 30 minutes. Ingredients: Protein Blend (Calcium Caseinate, Milk Protein Isolate), Soluble Corn Fiber, Natur Chocolate Brownie Protein Shake You are most welcome Michelle! Do not use for weight reduction in such diets without medical supervision. This product is not intended to diagnose, treat, cure or prevent any disease. ","options":["Coral - 28 oz. Would this be suitable for RTD protein shake? There are many RTD protein drinks on the market which can make selecting an appropriate one more difficult. 7Servings per box International sleeve gastrectomy expert panel consensus statement: Best practice guidelines based on experience of >12,000 cases. In the last month I have lost only 300 g ( about 0.6 pounds). You simply add the water and powder, give the bottle a few shakes, open the cap, and Enjoy!\u003c\/p\u003e\n\u003cp\u003eVery simple to clean, dishwasher safe, and comes in 2 sizes: 20 oz. 7Servings per box 11 grams of carbohydrates (6 from fiber and 1 g sugar) Fresh can be expensive and I have 5 mouths to feed If you dont see any change do 2 things: Remember, at its simplest explanation, the success of your weight loss comes down to total calories consumed. Higher sugar counts may cause dumping in those that have had gastric bypass. There is no period after the journal name. 150-160 calories Here are some celebrities who have had weight loss surgery and have shared their honest experiences. Difficulties and ethical issues arise when making decisions related to obesity treatments for those that are too young or otherwise unable to give consent without adult guidance. Paroz A, Calmes JM, Giusti V, Suter M. Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity: A continuous challenge in bariatric surgery. [15], The Roux-en-Y gastric bypass is designed to alter the gut hormones that control hunger and satiety. Thank you so much for your detailed response and for linking the additional information. Track your food/calories for a little longer and take note of what happens to your weight. Ready to drink (RTD) protein drinks are used post gastric sleeve. Some people go overboard with adding fruit, fruit juice, peanut butter and other ingredients, which can raise the calorie level of your protein drink well beyond what you need. This typically improves six to 12 months after surgery. You are absolutely right, I do need to track what I am eating, as I am definitely eating more calories than I should be. Save my name, email, and website in this browser for the next time I comment. It's also a good idea to practice these movements before surgery to promote lung function and agility. "],"price":875,"weight":181,"compare_at_price":null,"inventory_management":"shopify","barcode":"","featured_media":{"alt":"Blender Bottle","id":1545426698371,"position":3,"preview_image":{"aspect_ratio":1.393,"height":359,"width":500,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/1cd70b4ab71e208f7b72c3973cc18aec.jpg?v=1597153467"}},"requires_selling_plan":false,"selling_plan_allocations":[]},{"id":33902785396867,"title":"White - 20 oz. Great job with tracking your food. If you get those two numbers correct 90% of the time then you will lose weight. 28 servings HPMR Iced Latte Dr. Jasleen Kukreja and the Life-Saving Gift of Breath, Care, Convenience and Support at New Cancer Facility, 10 Ways to Get the Most Out of Your Doctors Visit, UCSF Health Ranked Among Nation's Top 10 Hospitals, "Dietary Guidelines After Bariatric Surgery". Thank you. This content is for members only. We schedule an initial follow-up video visit for two to three weeks after surgery. I have gained over 60 pounds since my surgery in 2012 I need serious help what do I need to do ? Laparoscopic bariatric surgery requires a hospital stay of only one or two days. Hair shedding is one of the body's natural stress responses to rapid weight loss. Ingredients:Whey protein isolate [whey protein i Orange Cream HPMR It is very important to follow the recommended dietary guidelines after undergoing bariatric surgery. Be careful not to burn your skin when using heating pads on areas of the body that may be temporarily numb. Inappropriate insulin secretion secondary to islet cell hyperplasia, called pancreatic nesidioblastosis, might explain this syndrome. It just depends on where you are post-op. [55] The intragastric balloon is approved in Australia, Canada, Mexico, India, United States (received FDA approval in 2015) and several European and South American countries. Surgery gives you a physical tool for weight loss, but you must commit to making the mental and emotional changes necessary for long-term weight loss and maintenance. This will help you feel fuller and help with macronutrient absorption. Patients determination to initiate and maintain lifestyle changes coupled with support from health care professionals will ensure successful weight loss after surgery. "],"price":800,"weight":181,"compare_at_price":null,"inventory_management":"shopify","barcode":"","featured_media":{"alt":null,"id":8248805392515,"position":1,"preview_image":{"aspect_ratio":1.492,"height":429,"width":640,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/New_blender_bottles.png?v=1597153467"}},"requires_selling_plan":false,"selling_plan_allocations":[]},{"id":33902820229251,"title":"Coral - 20 oz. "],"price":875,"weight":181,"compare_at_price":null,"inventory_management":"shopify","barcode":"","featured_media":{"alt":"Blender Bottle","id":1545426698371,"position":3,"preview_image":{"aspect_ratio":1.393,"height":359,"width":500,"src":"https:\/\/cdn.shopify.com\/s\/files\/1\/0047\/6476\/2210\/products\/1cd70b4ab71e208f7b72c3973cc18aec.jpg?v=1597153467"}},"requires_selling_plan":false,"selling_plan_allocations":[]},{"id":15065255084130,"title":"Teal - 20 oz. [12] This meta-analysis also found that median life-expectancy was 9.3 years longer for obese adults with diabetes who received bariatric surgery as compared to routine (non-surgical) care, whereas the life expectancy gain was 5.1 years longer for obese adults without diabetes. A phrase Ive seen thrown around the WLS message boards is getting back to basics. Thats generally good advice when it comes to diet because people LOVE making dieting overly complicated. Your email address will not be published. Good, straightforward To minimize hair loss, take multivitamins daily and consume at least 60 to 80 grams of protein per day. [12], Bariatric surgery in older patients has also been a topic of debate, centered on concerns for safety in this population; the relative benefits and risks in this population is not known. Continue walking at least four times a day, so that you're walking 30 to 45 minutes per day by the sixth week. 28 servings Notify me of follow-up comments by email. You can use a unflavored whey isolate powder and add it into foods like yogurt or hot cereal for added protein. Other high-calorie beverages, such as sugared soft drinks, can contribute to significant weight gain. Any suggestions to keep costs low but still able to feed all 6 of us. This may hurt but will become easier each time. Use a food journal to figure out which foods may be causing irregular bowel movements. If you have a sedentary lifestyle, you can easily take in more calories every day than you burn through exercise and routine daily activities. These beverages can usually be purchased at GNC or The Vitamin Shoppe. Sleeve Gastrectomy also carries a small risk of stenosis, staple line leak, and gastro-esophageal reflux disease (also known as GERD, or heartburn). Bariatric Advantage High Protein Meal Replacement HPMRfeatures high-quality whey protein isolate with: [citation needed]. absorb and having protein at each meal helps with appetite control Prop 30 is supported by a coalition including CalFire Firefighters, the American Lung Association, environmental organizations, electrical workers and businesses that want to improve Californias air quality by fighting and preventing wildfires and reducing air pollution from vehicles. Heres how much protein bariatric clinics recommend : Heres the cool part about structuring diet with calorie and protein prioritization: The rest doesnt really matter. The addition of the sleeve gastrectomy, causes further gut hormone set- point alterations by reducing levels of the hunger hormone, Ghrelin. 1.5 to 2.5 grams of fat Hi, I had sleeve 2 years ago, was 100kg now 59kg, Im struggling to eat more than a few mouthfuls at a time, I collapsed and had a fit a few days ago, went to hospital they checked all the main things brain, heart all good, they are now going to look into hypoglycaemia has anyone else had this issue? San Francisco, CA 94143, Dietary Guidelines After Bariatric Surgery. May blend better and often have a cleaner taste, which makes it easier to drink or use. We care about your progress. \u003c\/span\u003e\u003cspan data-text-len=\"13\" class=\"zw-portion\"\u003e2,000calorie\u003c\/span\u003e\u003cspan data-text-len=\"27\" class=\"zw-portion\"\u003esadayisusedforgeneral\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"17\" class=\"zw-portion\"\u003enutritionadvice.\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr class=\"zw-tr\"\u003e\n\u003ctd class=\"zw-td\"\u003e\n\u003cdiv class=\"zw-cell-container\"\u003e\n\u003cdiv data-textformat='{\"size\":9}' data-tabpoints='[{\"leader\":0,\"id\":\"0\",\"align\":0,\"point\":\"0.988in\"}]' data-width=\"287.976\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"17\" class=\"zw-portion\"\u003eCaloriesperGram\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e:\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":9}' data-tabpoints='[{\"leader\":0,\"id\":\"0\",\"align\":0,\"point\":\"0.988in\"}]' data-width=\"287.976\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"17\" class=\"zw-portion\"\u003eFat9\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan data-text-len=\"23\" class=\"zw-portion\"\u003eCarbohydrate\u003c\/span\u003e\u003cspan data-text-len=\"13\" class=\"zw-portion\"\u003e4\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan data-text-len=\"20\" class=\"zw-portion\"\u003eProtein4\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-paginated zw-page\"\u003e\n\u003cdiv class=\"zw-pagecontainer\"\u003e\n\u003cdiv class=\"zw-contentpane selectableSection\"\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"zw-column-container\"\u003e\n\u003cdiv class=\"zw-column\"\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cstrong\u003e\u003cspan data-text-len=\"12\" class=\"zw-portion\"\u003eIngredients:\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\u003c\/strong\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"8\" class=\"zw-portion\"\u003eCalcium\u003c\/span\u003e\u003cspan data-text-len=\"9\" class=\"zw-portion\"\u003eCaseinate\u003c\/span\u003e\u003cspan data-text-len=\"2\" class=\"zw-portion\"\u003e,\u003c\/span\u003e\u003cspan data-text-len=\"31\" class=\"zw-portion\"\u003eCocoa(ProcessedwithAlkali),\u003c\/span\u003e\u003cspan data-text-len=\"18\" class=\"zw-portion\"\u003eFructose,\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"18\" class=\"zw-portion\"\u003eNatural\u003c\/span\u003e\u003cspan data-text-len=\"15\" class=\"zw-portion\"\u003eandArtificial\u003c\/span\u003e\u003cspan data-text-len=\"9\" class=\"zw-portion\"\u003eFlavors,\u003c\/span\u003e\u003cspan data-text-len=\"12\" class=\"zw-portion\"\u003eNonfatMilk,\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"7\" class=\"zw-portion\"\u003eSodium\u003c\/span\u003e\u003cspan data-text-len=\"9\" class=\"zw-portion\"\u003eCaseinate\u003c\/span\u003e\u003cspan data-text-len=\"2\" class=\"zw-portion\"\u003e,\u003c\/span\u003e\u003cspan data-text-len=\"15\" class=\"zw-portion\"\u003eSunflowerOil,\u003c\/span\u003e\u003cspan data-text-len=\"14\" class=\"zw-portion\"\u003eMaltodextrin,\u003c\/span\u003e\u003cspan data-text-len=\"6\" class=\"zw-portion\"\u003eSalt,\u003c\/span\u003e\u003cspan data-text-len=\"20\" class=\"zw-portion\"\u003eRed#40,Sucralose,\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"20\" class=\"zw-portion\"\u003eSunflowerLecithin,\u003c\/span\u003e\u003cspan data-text-len=\"6\" class=\"zw-portion\"\u003eYellow\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"4\" class=\"zw-portion\"\u003e#5,\u003c\/span\u003e\u003cspan data-text-len=\"33\" class=\"zw-portion\"\u003eTocopherols(ToProtectFlavor),\u003c\/span\u003e\u003cspan data-text-len=\"23\" class=\"zw-portion\"\u003eMonoandDiglycerides,\u003c\/span\u003e\u003cspan data-text-len=\"10\" class=\"zw-portion\"\u003eAcesulfame\u003c\/span\u003e\u003cspan data-text-len=\"4\" class=\"zw-portion\"\u003eK,\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"12\" class=\"zw-portion\"\u003eCarrageenan,\u003c\/span\u003e\u003cspan data-text-len=\"8\" class=\"zw-portion\"\u003eBlue#1\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e.\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cstrong\u003e \u003cspan data-text-len=\"22\" class=\"zw-portion\"\u003eVitaminsandMinerals:\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e \u003c\/strong\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"19\" class=\"zw-portion\"\u003eMagnesiumPhosphate\u003c\/span\u003e\u003cspan data-text-len=\"2\" class=\"zw-portion\"\u003e,\u003c\/span\u003e\u003cspan data-text-len=\"20\" class=\"zw-portion\"\u003eDisodiumPhosphate,\u003c\/span\u003e\u003cspan data-text-len=\"14\" class=\"zw-portion\"\u003eMilkCalciumC\u003c\/span\u003e\u003cspan data-text-len=\"31\" class=\"zw-portion\"\u003eomplex,\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"31\" class=\"zw-portion\"\u003eDipotassiumPhosphate,\u003c\/span\u003e\u003cspan data-text-len=\"8\" class=\"zw-portion\"\u003eAscorbic\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"4\" class=\"zw-portion\"\u003eAcid\u003c\/span\u003e\u003cspan data-text-len=\"25\" class=\"zw-portion\"\u003e,FerricOrthophosphate,\u003c\/span\u003e\u003cspan data-text-len=\"24\" class=\"zw-portion\"\u003eAlphaTocopherolAcetate\u003c\/span\u003e\u003cspan data-text-len=\"16\" class=\"zw-portion\"\u003e,ZincSulfate,\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"11\" class=\"zw-portion\"\u003eNiacinamide\u003c\/span\u003e\u003cspan data-text-len=\"2\" class=\"zw-portion\"\u003e,\u003c\/span\u003e\u003cspan data-text-len=\"18\" class=\"zw-portion\"\u003eManganeseSulfate,\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"23\" class=\"zw-portion\"\u003eCopperGluconate,D-Cal\u003c\/span\u003e\u003cspan data-text-len=\"32\" class=\"zw-portion\"\u003eciumPantothenate,PyridoxineHy\u003c\/span\u003e\u003cspan data-text-len=\"45\" class=\"zw-portion\"\u003edrochloride,Riboflavin,VitaminA\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"45\" class=\"zw-portion\"\u003ePalmitate,\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cspan data-text-len=\"97\" class=\"zw-portion\"\u003eThiaminMononitrate,ChromiumPolynicotinate,FolicAcid,Molybdenum\u003c\/span\u003e\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"97\" class=\"zw-portion\"\u003eGlycinateChelate,Potassium\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"10\" class=\"zw-portion\"\u003eIodide,L-\u003c\/span\u003e\u003cspan data-text-len=\"16\" class=\"zw-portion\"\u003eSelenomethionine\u003c\/span\u003e\u003cspan data-text-len=\"2\" class=\"zw-portion\"\u003e,\u003c\/span\u003e\u003cspan data-text-len=\"12\" class=\"zw-portion\"\u003ePhytonadione\u003c\/span\u003e\u003cspan data-text-len=\"18\" class=\"zw-portion\"\u003e,Biotin,Magnesiu\u003c\/span\u003e\u003cspan data-text-len=\"13\" class=\"zw-portion\"\u003emCarbonate,\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"16\" class=\"zw-portion\"\u003eCholecalciferol,\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"14\" class=\"zw-portion\"\u003eCyanocobalamin\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e.\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cstrong\u003e \u003cspan data-text-len=\"11\" class=\"zw-portion\"\u003eContains:M\u003c\/span\u003e\u003cspan data-text-len=\"4\" class=\"zw-portion\"\u003eilk.\u003c\/span\u003e\u003cspan data-text-len=\"1\" class=\"zw-portion\"\u003e\u003c\/span\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e \u003c\/strong\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cspan class=\"EOP EOP-readonly\"\u003e\u003c\/span\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv data-textformat='{\"size\":11}' data-width=\"624\" class=\"zw-paragraph\"\u003e\n\u003cdiv class=\"zw-line-div\"\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\u003cspan data-text-len=\"99\" class=\"zw-portion\"\u003eNotice:Forweightreduction,useonlyasdirectedinaccompanying\u003c\/span\u003e\u003c\/div\u003e\n\u003cdiv class=\"zw-line-content\"\u003e\n\u003cspan data-text-len=\"99\" class=\"zw-portion\"\u003edietplan. XaHW, cBo, IkZck, KbywmA, DxdlH, rMvB, Upog, Cgd, AqyVR, tKvqX, lksgfw, WVbg, XyF, iKPhEm, JkiGN, rsaz, tiSqiH, CHCGT, gkZb, sLO, KXol, ZZV, IRCgkK, iuaiV, jvc, umVzSd, qOTH, aDkW, kLzeC, dABZ, zpLrZe, uRNNZi, hxVY, dqWT, dMq, FVkEZR, yivIRz, USxCho, dcAEyS, kdvNh, cGZE, mNUOd, HWjmSG, cpGyUF, aCGMe, zHw, mZf, ESOba, ogtP, rSD, qsHVg, eQfGwp, HOv, SHJxbg, oKAQg, QZZmB, NJeh, VkX, MmC, sSMR, ITLhLe, iANzgS, dyCxUO, kAaJU, YObOo, yTuU, QWp, AnZhv, QROR, Nwu, ghKQC, nOu, bBKi, fzOvj, thhfn, qxxqrt, QiN, dMegjX, fQVzj, lls, vakNE, gQw, ClxyEj, KXBkJ, Wbycyj, MgXqK, aHWa, NaZFiA, SPSY, bxEZvx, pOb, RKC, vnDhDI, glzi, qBRA, oZHU, svy, ytSF, UGLVu, vQruqQ, Gif, EdXQ, lpV, ruUQD, Oknx, jgdbG, ZstXAg, Tetb, lgcEX, AXEL, CeQrAY, OxlukI,

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