My first patient this morning was a patient who had weight loss surgery about 6 years ago. They had lost about 120 pounds and over the last holiday season they gained about 10 pounds. They came to the office about 2 months ago and in 1 month were able to lose 3 pounds. Then she came back again today for routine followup and her weight was exactly the same and she had not lost nor gained any weight.
She’s trying to lose about 5 to 7 more pounds to get down to the weight where she was and was happy with the fact that her weight remained stable but also was hoping she would go down in weight.
During my visit with her we reviewed her food intake. She was taking advantage of the fresh fruit that is availabe in the summer and having fruit several times per day.
She is having fruit with her cereal in the morning.
She is eating pear slices with cottage cheese for a snack.
On several days she is eating fruit with her tuna and crackers at lunch.
And on many days she is eating a banana a day as a snack.
Here’s how that adds up:
Banana : 105 calories, 27 grams of carbs.
1 pear: 102 calories, 27 grams of carbohydrates.
1 medium peach: 59 calories, 14 grams of carbohydrates.
1/2 cup of raisins: 217 calories, 62 grams of carbohydrates.
It appears that she is adding at least 200 calories per day to her daily food intake with her increased fruit consumption.
I suggested other fruit options that are lower in calories.
1/2 cup of raspberries or blackberries: 32 calories, 7 carbs.
1/2 cup of blueberries or strawberries: 47 calories, 11 carbs.
1 ounce of lime juice: 8 calories.
Be mindful of solid fruits, apples, pears, bananas, figs, grapes. In their place try berries of various kinds or lime juice.