Riba and fiber question...

[Kathy73]

I start SOC on Thursday and saw in a thread today that fiber may inhibit the absorbsion of riba. I'm on the Atkins style diet and eat alot of fiber. Does the fiber matter when the pills are taken or at all times? Anything else I should know about riba?

[Deb_c430]

Well with all due respect,   I know her, your a name on the forum, I trust her. Though I do respect your knowledge. She is out in the field all the time.  

So what company do you work for? she is integrated care..    She also attends seminars at UCLA, Cedars, a big HCV  seminar in No Calif. and a few others, she has been very forth coming sharing new info.  Very knowledgable concerning  treatment.  

I eat a healthy diet, always have, moderation, I eat out rarely, I am Italian I like real food.  WHo grew up in California, lived in italy, over seas, I eat produce, fruits, So I tend to eat in season, I am not and never will be a vegan, or a vegatarian, THough I love fresh produce more than anything.   so if iI have wrongly assumed you see my diet as fat filled, you are incorrect,  

[CoWriter]

"And for better or worse, most treating physicans treat per drug company protocols which probably still only require a week 12 test, although I haven't checked lately."

Years ago, docs treated without biopsies, viral loads were done at week 24 and 48 and the test measured down to 650.....LOL

I used to work for an HMO that insisted we use that viral load test because the more sensitive one was, of course, more expensive.  But then I did a little "research" and found out that the HMO was capitated for viral loads.....meaning that they paid the lab a lump sum every month for doing whatever viral loads the docs ordered.  Didn't matter how many.  

So I figured.....if the cost would be the same....then why use the crappy test....LOL  And I called the lab and told them to toss out the old test and in the future only do the sensitive one that measured down to <10

When my supervisor found out what I'd done, she called me in her office and yelled at me.  It was worth it, though.....and I was very proud of myself for having thought of it....LOL


"but we will have to agree to disagree if your conclusion is that it doesn't matter how much fat you take with your riba."

That wasn't really the point I was trying to make.  I have no problem with taking Riba with some fat.....it's the high fat intake I have a problem with.  

It sort of encourages people to keep thinking that "the ice cream diet is the best out there for people on treatment".

It is not....and for some people, a high fat diet can really hurt their treatment.    

In other words, it was my daily "insulin resistance lowers SVR" rant....LOL

[Marcia2202]

To get back to the fiber.... I am pretty sure the fiber which was referred to in what you read, was bulk fiber, like psyllium husk and the like. The ones used for cleansing the bowels. They tend to lock in everything in their path and transport it out of the system fast. You can eat your riba with fiber like bread, rice and cereals etc.

I take mine with a tablespoon of virgin coconut oil and some food or fruit.

Marcia

[jmjm530]

CO: but you're letting me off easy..
---------------------------------------------------

Yes because I've got other things to do today and all your captialized letters are starting to hurt my eyes :)

BTW do you know where the original riba ingestion instructions came from, i.e. "Take with or without food". They simply were copied from early study protocols were participants were told to "take with or without food". Nothing scientific, the label was just parroting an arbitrary study protocol. Not sure where the "take with food" came from, maybe because the drug companies finally realized that no sane clinician was telling their patients to take riba on an empty stomach. LOL.

If there is a point here it's that the drug companies are often way behind in what they recommend as opposed to what some clinicians recommend from work in the field. And for better or worse, most treating physicans treat per drug company protocols which probably still only require a week 12 test, although I haven't checked lately.

This isn't to say your patients don't get top care, but we will have to agree to disagree if your conclusion is that it doesn't matter how much fat you take with your riba. And mind you, I'm not 100% convinced due to lack of study data, but I think it's reasonable to conclude (until studies to the contrary) that the higher bioavailability studies may carry over to real world treating.

[nygirl7]

Positive I read a study/article that explainned how the riba bound to the fat in order to get best absorption a long time back but of course didn't save it to show it (since I've been SVR two years now).

it made perfect sense to me and I'm glad I did it.  Of course, I did not nor couldn't have eaten that much on treatment that any meal could have ever been called a "large" meal.

Perhaps as in all things moderation is key.  It seems to really work and I still think taking your riba will your meals 2x a day at breakfast and dinner - with some items that do contain fat.......is the best course of action there could be.

I never did a diet so I don't know what Atkins is exactly (thought it was the no bread diet but how would I really know) but I still think that the ice cream diet is the best out there for people on treatment.

(PS I still do wish I could go back though now to the days of treatment when losing weight was so easy just so I could have one of Jim's breakfasts...I gotta say they always made me so jealous and I'd drool but alas - it was hard enough just getting down a yogurt smoothie some mornings).       ;)






'FUDGICLES RULE!!!!!!!!!!!!!!

[CoWriter]

I expected to totally get beat up for opening my mouth (by everybody, I don't mean just you)....but you're letting me off easy....LOL

I think ; )

Co