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?

[CoWriter]

"Actually I disagree, my RN who works for the Drug company and GI both recomend fat for nausea"


Imagine that.  I'm one of those RN's too.  And I can tell you that no speaker program for any drug company says to use fat for nausea.  Protein helps nausea.  

For somebody like you who has lost so much weight and can't afford to loose any more, the recommendation is certainly to eat whatever you can tolerate, and that includes fat.... to prevent further weight loss and hopefully increase your energy level.....but not as a way of treating nausea.  


From the last Schering's Speaker's program meeting....I quote....


"Nausea/Vomiting Non-Pharmacological Management

Take Ribavirin with food
AVOID GREASY HIGH FAT or highly seasoned foods.
Frequent small meals
Encourage oral hygiene
Flat soda, ginger products, folic acid, and B12.
Light exercise.  "

[jmjm530]

Fat aggravates GERD...it doesn't make it better like some people think.
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Not sure if having GERD for 52 weeks straight makes me an expert, but I do know a bit about it.

The most common GERD triggers are cigarettes, chocolate, tomato sauce and citric fruits. Too much fiber also can aggravate GERD, as can exercise, stress and a bunch of other stuff like having your belt too tight.

GERD is very individual and one person's trigger may not be another's. For me, fat was not a trigger unless I ate high-premium ice cream. Not sure if it was the fat content or the cream that did it.

I have read that more frequent, lower fat meals are good for GERD. That simply didn't work for me on treatment. Again, it's a very individual thing and the patient will know a lot more about their triggers than a book.

-- Jim

[jmjm530]

CO: I was just making a point.  A high-fat meal DECREASES Riba absorption.  I think I've got it straight.
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I read your "point" quite different in the context of your discussion and anyone interested can re-read your post and come to their own conclusion. Yes, the riba absorption is decreased BUT the bioavailability is INCREASED which is the point I was making. In the future I will be more careful using "absorption" in the lay sense without inversely tying it in with bioavailability.

CO: 1 egg has 5 grams of fat.  I doubt that you ate 10-11 eggs to consumme the amount of fat per meal suggested by the study.  
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My treatment breakfast was ham and cheese omelet (cooked in oil or butter), home fries, a couple of orders of buttered toast and jelly. Do the math and I'm but pretty sure you'll find 53 grams of fat.

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Just want to reinterate that I'm not suggesting my breakfast to anyone, because as mentioned previously there were reasons other than riba absorption why I ate like this.
Gastric and weight loss issues for one. Taste alteration for another where I couldn't hardlylook at most "healthy" foods.

Of interest is that while on this diet I had the best lipid scores ever, because of the way the interferon reacted with my system.

So, you just can't say something that isn't healthy off treatment will have similar effects on treatment. Cholesterol off treatment on a much better diet would be around 200 without statins. On treatment around 140.

Had my blood work or other signs gone out of whack. And should my doctor have suggested altering my diet, then I would have tried. But to the contrary. I was urged to eat anything I could get down in order to keep the weight up. And my doc -- no pun intended -- was not a light weight :)

-- Jim

[Deb_c430]

Actually I disagree, my RN who works for the Drug company and GI both recomend fat for nausea,  We are again not talking crisco by the spoon fulls,  We are talking healthy levels.

My RN only treats HCV patients, stays very current with  all studies,  I do not have heart burn, nor gerd,  

[CoWriter]

"Even with out the riba question you need some fat in your diet"

I know.  Fat is a source of energy.  But only 30% of a person's total calories each day should come from fat.....not 50% as suggested in the Riba study.  



"it does help with nasuea"

"If for no other reason, you need fat for naseaua."


Actually, fat causes nausea.

Too much fat delays emptying of the stomach, stimulates extra acid secretion and may cause reflux, a back-up of stomach acid and food into the esophagus that causes heartburn. Fat may also cause diarrhea, nausea, or stomach discomfort.

Fat aggravates GERD...it doesn't make it better like some people think.

[Deb_c430]

I will say this in simple terms, food is not my favorite right now, I am easily made nauseous, I have went from 122 lbs, to 98 during this txt, fat or no, i will get down what ever I can, when I can.