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What happens if I don't take my vitamins?

This week's #BFHolidayChallenge is to take all your vitamins every day. I often get asked, "What happens if I don't take my vitamins?" Here is my story about why vitamin compliance is a critical habit for weight loss surgery patients to learn.

It was late. Way late. So late, in fact, that I almost wondered why I was bothering with dinner at all. The day had been an absolute disaster and I’d have loved to sink into bed and pray for a better tomorrow, but unfortunately my two young children were hungry – and none too amused that it was 9 p.m. and they had not yet been fed dinner!

I decided to throw together something quick. Chili. The kids love chili, especially spicy chili. I figured this was perfect because it doesn’t take long to make, it produces lots of leftovers, and those leftovers taste better with each passing day.
So as soon as I got home from my class, I set to chopping onions and green peppers, browning ground turkey and draining cans of beans. It only took me about 30 minutes to make the chili and when it was done I called my children down to help set the table. I was determined we’d sit down to eat together.
My oldest daughter was the first downstairs so I set her to work. I pointed to the cabinet to ask her to hand me a…a…
What is that thing called? The thing. That you put soup in. And chili in. The thing???
Forgetting the word for "bowl" scared me and made me get my short-term memory loss checked out!
Yes, people. Standing there in my kitchen, rushed and stressed, I forgot the word for bowl.
Scared Straight
Now if any of you have had a family member with dementia, you can understand why I was freaked out by this incident. But as I thought about it later that night, I realized that my memory had been fairly shoddy lately. I’d walk into a room and not remember why I was there. I’d put my keys down and just a minute later couldn’t find them. And heaven help me if I didn’t immediately put an event on a calendar. I missed quite a few because I failed to jot it down, then forgot it completely.
There are myriad medical conditions that can cause memory loss. When I went to the doctor to inquire about mine, the doctor ordered labs and when they came back I got a stern talking to. My doctor asked one simple question that “outed” me, “Have you been taking your b12 supplement regularly?”
I had not. At that time I took it by injection. I was instructed to do so monthly. One fact I’ve since learned is that the less often I am required to do something, the more likely I am to forget to do it. So I forgot my monthly injection – for many, many, many months.
(NOTE: This was a problem for me because, as a RNY patient, I no longer have the ability to properly absorb B12 in the body's natural way - because that portion of my stomach is missing. So instead we need to take sublingual B12 which allows the B12 to be instantly absorbed into the bloodstream through the skin under your tongue.)
While my doctor was hesitant to deem that the only source of my short-term memory problems (after all I was also a working single mother and that carries a certain amount of stress which can also exacerbate short-term memory problems), the fact that mine was low at the time led us both to believe it was contributing to my problems. Again, my past freaked me out.
B12 is no joke!
My grandfather, before he died, suffered from dementia. At first he was thought to have developed Alzheimer’s Disease – a disorder that can only be 100% confirmed after death. As it turns out, he did not have Alzheimer’s Disease, but a very severe b12 deficiency. So hearing that I was low kind of scared me straight.
So what did I do? Well, several things. First, I asked if I could switch to a more regular regimen of taking b12. My doctor told me that I could switch to a daily sublingual tablet (one that melts under the tongue) instead of doing the monthly shot. (IMPORTANT: When figuring out what’s best for you, ALWAYS talk to your own doctor. My method and your method may not be the same!)
I also took advantage of an app called “My Med Schedule” to remind me to take ALL my vitamins, not just b12. It was easy to set up and I get daily reminders for all my vitamin doses. I still am not perfect about vitamins all the time but at least the reminder is there and persistent.
Lastly, I had to accept the fact that my short term memory problems might not go away, so I had to work with them and not against them. So I put my bottle of b12 tablets next to my toothbrush. I brush my teeth every day. When I brush my teeth, I see the bottle and I take my b12. I am the same way now with most things I want to remember. Put something I don’t want to forget next to something I can’t forget. I put my work ID next to my house keys, and my car keys are attached to my house keys, etc.
The Bottom Line
I share this with you all to encourage you to do whatever YOU need to do to stick to your vitamin regimen. In my case it vitamin B12 was low, but you can have many different kinds of deficiencies and they can cause many different kinds of problems. Here are a few things to think about:
·       Vitamin deficiencies can take a while to show up in lab work. I get a lot of folks who are a year or so post-op who tout their good lab numbers despite not being vitamin compliant. Remember your body usually has a store of vitamins it can draw on when deficient. Unfortunately that means that in some cases when your lab work comes back with a deficiency the stuff has actually hit the fan.
·       Some deficiencies can cause permanent damage. B12 deficiency is one of them. If you have severe memory loss, nerve damage, etc. as a result of this deficiency it can be irreparable and sometimes the best your medical team can do is help you manage.
·       WLS patients have DIED because of vitamin deficiencies. I don’t say that to upset you but to let you know this IS important. Failing to take your vitamins doesn’t have the same immediate negative effects as, say, eating sugar and dumping but it can be so much more harmful!
So I hope sharing my story has inspired you all, not only to take this week’s #BFHolidayChallenge, but to figure out a good, convenient and, most of all, sustainable system for taking your vitamins. Because you have to do it – for the rest of your life.
If you're unsure what vitamins you should take, here are the American Society of Metabolic & Bariatric Surgery guidelines for:
If you've not had a conversation with your surgical practice about vitamins, make sure you talk about it the next time you are seen!
And if you have any questions about my story, leave them in the comments below. I’m happy to answer.

Nik's Pumpkin Chili



You all have the good folks at McCormick Spices to thank for this blog post going up on time.

See, when I went on the tour of the McCormick Spice facilities at Fitbloggin, they outfitted me with a TON of great spices to use to freshen up my own recipes. Like I said, they have an initiative going called Generation Fresh to inspire healthful cooking without excess sodium, sugar or fat.

Their cooking demos inspired me! All through the tour I was thinking of things I could try. But then when they gave me free spices, it was on like popcorn!

So...pumpkin chili. I'd heard of it. I admit I was dubious. But I was willing to take a chance. I'm adventurous that way. I'm very, very, very glad I did!

Nik's Spicy (or not) Pumpkin Chili

Ingredients:
  • 1 medium onion, diced
  • 1 clove garlic, minced (I actually used two but that's because of my intense vampire phobia)
  • 1 lb. whatever lean ground meat you like (I used turkey)
  • 15 oz. black beans, drained and rinsed
  • 15 oz. white beans (I used Great Northern), drained and rinsed
  • 15 oz. red beans (I used dark red kidneys), drained and rinsed
  • 12 oz. can no-sugar added tomato soup
  • 15 oz. can pure pumpkin (not pie filling)
  • 1 tbsp. chili powder
  • 1 tsp. ground cumin
  • 1 tsp. ground coriander
  • 1 tsp. McCormick Cinnamon (I used their Gourmet Collection Saigon Cinnamon, pictured below)
  • Optional: 1/2 tsp ground Chipotle powder (if you like spicy)
  • Salt and pepper to taste

Directions:

In a sprayed pot over medium heat, sautee your onions until softened, then add garlic. Cook another 2-3 minutes.

Add ground meat and cook until done through. Add all beans and stir completely.

Add soup, pumpkin and spices and stir again. Reduce heat and cook an additional 10 minutes or until fully heated through. Then cover and allow it to sit a few moments. It's going to be thick, not liquidy so turn off the heat, cover it and let the flavors do their love thing.

Verdict: La Petite Diva and I loved it. It's thick, rich and...dare I say...creamy? I was skeptical about the cinnamon but it was GOOD! The smell is rather comforting, especially alongside the smoky aroma of the Chipotle powder. The pumpkin gives the whole thing a smoothness that it would not have otherwise. It almost takes on a refried bean-ish texture. Yummy!

La Grande Diva wasn't jazzed about the idea to begin with (this is why I usually don't tell her what's in my dishes until AFTER she's tasted it...I think she would have liked it had she not known there was pumpkin in it). She took a small bite, proclaimed that it wasn't right to eat pumpkin in chili, and resolutely refused to eat any more.

Her loss.

The little diva and I chomped away happily and there's plenty for my lunch!

Anyhoo...for even more ideas on freshening up your recipes, check out McCormick on Facebook, on Twitter @Spices4Health and if you use any of their spices to jazz up your own recipes, be sure to use the hashtag #genfresh.

More pumpkin recipes to come, Foodies! In the meantime, have you checked out the info on the Holiday Survival Kits?

Nik's "Kickarse" Veggie Chili


Before we start, have you entered yet to win yourself a FREE canister of Click Decaf? Yes? Ok, good. Let us proceed!

Look closely at that bowl of chili above. REALLY stare at it.

It doesn't look that out of the ordinary does it? Sure, it has a few more veggies than regular chili but besides that, pretty standard fare, right?

Well what if I told you this bowl of chili has absolutely NO meat products in it. And what if, after that, I told you that even without meat products this bowl of chili has just about as much protein as a bowl of meat chili? Would you believe me???

(I would hope so. Have I ever lied to you?)

This chili recipe came about by accident. Long story short: I've just moved. Haven't bought new microwave. Forgot to thaw meat. Needed dinner. See? I can practice brevity!

The REAL story here is that I sort of...er...neglected to tell La Grande Diva (i.e. the "meat and potatoes" kid) that this had no meat and...she could not tell! Success!

For real, though, if you have trouble with meat, give this recipe a try. You'll be glad you did.

Nik's "Kick Arse" Veggie Chili

Ingredients:

2 c. TVP (if you're going "what is TVP?", click here)
4 c. water, halved
Onion powder, garlic powder, salt and pepper to taste
1 medium onion, diced
1/2 an eggplant, skinned (if desired, I did not) and diced
1 zucchini, diced
1 yellow squash, diced
1 clove garlic, minced
1 can diced tomatoes, drained of canning liquids
1 can black beans, drained of canning liquids
1 can light red kidneys, drained of canning liquids
1 can dark red kidneys, drained of canning liquids
3 tbsp chili powder
1 tbsp unsweetened cocoa powder (yes, I said cocoa powder)
If you, like me, like it spicy: 1/4 tsp. cayenne pepper

Directions:

  1. In a large bowl, combine 2 cups of water with as much onion powder, garlic powder, salt and pepper as you would usually use to season ground meat. Then add your TVP and let it sit for about 20 minutes to completely rehydrate.
  2. Meanwhile, you're chopping your veggies (Unless you, like me, actually prep up veggies on a weekly basis. But not many of you are that neurotic, are you?). 
  3. Spray down a pot well with nonstick cooking spray and let it heat up. Add the onions, squash, eggplant and any other diced veggies you deem worthy! Sautee until softened then add the garlic.
  4. Stir in your beans, your tomatoes and, lastly, your rehydrated TVP and stir very, very well.
  5. Add in your spices and the remaining water as it takes to achieve a slightly soupy texture.
  6. Bring the whole thing to a boil and then drop it down to a simmer for about 20 minutes or so.
This, like many other recipes, tastes SO much better the next day. I am not even kidding.

And although I usually do NOT do this, I am posting stats on this (which you can also view here as a complete nutrition label...although disregard the sodium numbers as there was no way to track beans and tomatoes that have been washed of all the sodium in the canning liquids!) so you can see for yourself that yes, this does actually pack quite a protein punch. For MY version, using MY ingredients, an 8 oz. serving (which is what I can eat) comes out to: 

247 calories
1.5g fat
35g carbs
13g fiber (so 22g carbs)
22.5g protein

And most importantly, it is yummy! I mean look at it...


Mmmmmm! Couldn't that just be YOUR dinner tonight?

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