Dietary Counseling Has Little Effect After Gastric Bypass

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Before counseling, the researchers found that more than half of patients had inadequate dietary intake of 13 nutrients, while over consuming sodium and obtaining too much energy from saturated and trans-fatty acids.

Eating a Balanced Breakfast

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The days of not eating breakfast before your surgery are long gone. Now with having a smaller pouch you should be following the three regular meals a day.

You may not feel hungry when you get up, but your pouch needs to be fed. Eating breakfast jump starts your metabolism. You also need to keep your body’s blood-sugar level stable to feel your best. Skipping breakfast, or any meal, is likely to make you feel lightheaded and unfocused and may give you a headache.Breakfast needs to be eaten within 90 minutes of getting out of bed so it might take some planning. You might look at recipes where you can prepare your meals at night time before bed to make sure that you have something to easily eat in the morning.

Cooking and Consuming Meat after Weight Loss Surgery

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Foods that contain the highest quality protein are beef, chicken, turkey, lamb, eggs, cheese, pork, seafood, fish, shellfish, veal, and liver. Every ounce of these high-quality protein foods will contain 6 to 8 grams of protein. A 3-ounce piece of chicken breast, for example, contains 21 grams of protein. Processed meats, however, such as hot dogs, bologna, salami, liverwurst, deviled ham, and others, are not high-quality protein foods. A 2-ounce hot dog, for instance, contains only 5 to 7 grams of protein.

In addition, processed meats contain large amounts of fillers such as sugar and starches that may possibly cause the dumping syndrome, and they’re also high in fat and sodium. Some of these foods have a rubbery texture that increases the chances of sticking. You can eat deli meat, but only a little bit because they are high in sodium.

Fiber facts

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Fiber is found in plant-derived foods such as whole grains, vegetables, fruits,
nuts and seeds, and legumes (beans) and cannot be broken down by the body.

Since these can’t break down, the fibers will pass through the body and carry other things off with them. Fiber also helps to protect against heart disease, diabetes, and contributes to gastrointestinal (GI) health by preventing constipation and helping to prevent diseases of the GI tract like diverticular disease and colon cancer.

Supplementing Your Diet

Posted by Jimbo | Posted in | Posted on 8:47 AM

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We’ve mentioned it more than a few times that you just can’t eat as much as you could before your surgery. Because of this, the foods you do eat should be nutrient-rich foods to keep you from developing some nutritional deficiencies.

You can still have nutritional deficiencies even if you eat a healthy diet and this is likely to happen  in patients who had surgeries that affect the absorption of nutrients, such as gastric bypass. However, they can occur in anyone who’s not eating wisely, not eating enough, or not taking supplements.

A a multivitamin is necessary even with a well-balanced diet. Others supplements may be required as well based on your own particular needs. Keeping your follow-up appointments is vital so that your surgeon has a chance to monitor your nutrient levels and determine what your changing needs are.

Deficiencies aren’t obvious until they’re severe enough to be visible physically, so by keeping your appointments and getting your lab work done as ordered, they can be identified early and treated.
Any supplements your surgeon prescribes are a requirement, and not just a recommendation.

Discovering what vitamins and minerals can do for you Vitamins and minerals play a huge role in your health. They regulate the following body functions:

✓ Appetite
✓ Nutrient absorption
✓ Hunger
✓ Metabolic rate
✓ Fat and sugar metabolism
✓ Energy storage

Vitamins and minerals are necessary not only for good health, but also for weight loss as well. You can get your vitamins and minerals must be taken in through diet or supplementation. Getting as many nutrients as you can in your food is preferable, but getting them through supplements is much better than nothing. The nutrients in foods are used more efficiently by your body. Supplements often consist of binders and fillers that your body doesn’t need or use.

Multivitamins

When looking for a multivitamin, it’s essential that you read labels carefully and consider the following points:

✓ Time-release and enteric coated vitamins are not recommended for weight loss surgery patients.
✓ Children’s vitamins are not recommended because they don’t have all the vitamins and minerals you need.
✓ Several specialized bariatric formulas are available, and your surgeon may have a brand preference.

It’s recommended that you take chewable or liquid vitamins for about the first month after surgery.  After the first month, gastric bypass patients may absorb liquid vitamins better than solid or chewable. If you choose to use tablets, a good rule of thumb is they must be no larger than the eraser of a pencil. If they are larger, they may be cut or ground (be certain they’re not time release). For convenience sake, chewables may be better than tablets. Chewing breaks them down, making absorption easier. Saliva has some digestive enzymes that also help you absorb the supplement.
Adjustable band patients should use chewable or liquid supplements. Depending on your band restriction, it can be very easy for a tablet to get stuck which is not something you want to happen. If you are a male or postmenopausal female, your surgeon may recommend a supplement without iron unless you are at risk of anemia. Please remember that these are general requirements. Your surgeon will tell you if you have additional needs.

If you had gastric bypass, take two multivitamin supplements per day. For band patients, take one and  liquid supplements need to be stored in the refrigerator after opening.

Calcium supplements

After surgery you need to take a calcium supplement with 200 to 300 milligrams (mg) vitamin D per pill. Yes, multivitamins have calcium and vitamin D, but that’s not enough. As with the multivitamin, your calcium supplement needs to be liquid or chewable for the first month after surgery. Actually, because calcium pills tend to be large, you’re better off taking chewable, liquid, powder, or lozenge supplements after the first month as well. (Liquid may be better absorbed by gastric bypass patients.)
Look for calcium citrate. Your new pouch produces little acid, and while other forms of calcium require stomach acid for absorption, calcium citrate does not.

After weight loss surgery, men and premenopausal women need 1,200 milligrams of calcium a day. Postmenopausal women need 1,500 milligrams each day. However, you can’t take it all at once because your body can only absorb about 600 milligrams at once, so calcium supplements usually come in 500 to 600 milligram doses. As such, you need to divide your doses — one in the morning and one at night. To maximize absorption, take your calcium supplements a couple of hours before or after your multivitamin supplement.

Your supplement regimen may look something like this:
✓ 8 a.m. calcium supplement
✓ 10 a.m. multivitamin supplement
✓ 8 p.m. calcium supplement
✓ 10 p.m. multivitamin supplement (if you have had bypass surgery)

Avoiding the dreaded dumping syndrome

Posted by Jimbo | Posted in | Posted on 8:45 AM

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Dumping syndrome is a miserable condition that may happen to those of you who have gastric bypass surgery. Symptoms can range from mild to severe and may include:

✓ Nausea
✓ Diarrhea
✓ Light headedness
✓ Cold sweats
✓ Abdominal cramping
✓ Weakness
✓ Fast heartbeat

Dumping syndrome is what occurs after you eat foods that are high in sugar, fat, or sometimes dairy, or consume high-calorie liquids. These kinds of foods travel quickly through your pouch and are “dumped” into your small intestine. Doctors believe that this triggers a series of hormonal responses that cause you to experience symptoms that can sometimes happen right after you eat and sometimes hours later.

Dumping syndrome can last from ten minutes or up to four hours depending on what and how much you have eaten. Unfortunately, time is the only cure and you can’t take anything to get rid of it. The best suggestion is just to go to bed and ride it out. Some people may experience less dumping syndrome as time passes. For others, it may be a chronic condition.

If you had GBP, your surgeon can give you recommendations about how much added sugar (as opposed to natural sugar in fruit and dairy) that you can safely eat at one time. The following additional guidelines may also help you avoid dumping syndrome:

✓ Avoid foods high in sugar.
✓ Avoid foods high in fat.
✓ Have small, frequent meals.
✓ Increase protein intake.
✓ Increase fiber.
✓ Increase complex carbohydrates.

By following these guidelines, most people can find it a good incentive if they experience dumping. If these tips don’t help you, let your surgeon and dietitian know.

Keeping hydrated

Posted by Jimbo | Posted in | Posted on 8:40 AM

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It should have been stressed just how importance it was that you should keep your fluid level high and how important it was.

Fluids are necessary for almost every bodily process as well as fighting off fatigue — not to mention helping your metabolism to encourage weight loss. It’s recommended that you get 48 to 64 ounces of fluid a day and from water if possible. Because you can’t drink very much at one time, this means you need to have something with you at all times so you can be sipping.

A really good way to gauge if you’re getting enough fluids is by the color of your urine. If it’s pale yellow or clear, good job! If it’s gold, drink more. If you drink a soda you’ll know right away!

In addition to dark urine, other signs of dehydration include
✓ Parched mouth
✓ Dry skin
✓ Fatigue

Water is always the best thing to drink. If you don’t like water there are several things you can add but a lemon or lime are the most popular. Try and stay away from fruit juices because it can lead you to a dumping syndrome. Juice also contains a lot of sugar and calories. If you must drink any, try to limit yourself to just four ounces a day and mix it with some water to dilute it to half.

The same goes for coffee, tea, or soda.  The caffeine in coffee, tea, and colas can be dehydrating, and it will be challenging enough to stay hydrated as it is. Go for decaffeinated tea or coffee, and don’t add calorie-laden cream and sugar. A little skim milk and artificial sweetener should be fine.

Carbonated beverages are not recommended because they can distend your pouch and lead to uncomfortable gas and bloating.

For the final blow, alcohol is even further out of the equation. Alcohol is a diuretic and can dehydrate you as well. Always check first before trying to drink any alcohol at all.

If you drink any of these fluids too quickly it can cause nausea and possibly vomiting. Always sip your fluids slowly and avoid using straws since straws can introduce air into your pouch and lead to gas and bloating. (Chewing gum does the same thing.)