? for the Vets
A. C
on 9/28/12 12:27 pm
on 9/28/12 12:27 pm
Today was a crazy day for me. I even called the surgeon's office but the Dietician wasn't in today.
I didn't feel well, got up... Had an egg for breakfast went back to bed. Then my GF called me, her husband had been in an accident (they were at the hospital) so she needed me to pick up her Teenage Daughters and take them for dinner. So, I went running around. I realized once I was rushing to pick up the oldest one (two different schools), I forgot a protein shake.
We decided on Red Lobster (because I know that I can eat shrimp). The waitress was so sweet, I showed her my bariatric card. She said, You are welcome to take anything home (I did). I ate quite a bit of shrimp - scampi, parmeson crusted shrimp, a little bit of grilled shrimp. I think it was probably close to 80 grams of protein at one time. I took my time, I told the girls, I cannot eat fast, we are not in a rush, so we had a good time over nearly two hours. I called the surgeon's ofc to speak with the dietician regarding going so long without any protein, then having so much protein at once. The med asst (who is really nice) said she wasn't sure if I would absorb 20% or more. She said that is a good question but no one was there to help me. I was trying to figure out how much more protein for the day I needed.
Then this question came to mind.
We only absorb 20% of protein & fats. Does that mean that with the protein shakes that are 25 grams of protein, we need to double it to get in what we need? The NP (who also wasn't in today), told me last week to bump up my protein to a 100 grams. So, does that mean I need to really take in more?
Crazy days are going to happen. Is it ok to ingest all of our protein for the day at once (like in an ER situation like this) or not?
Right now, a protein shake does not sound good at all, I'm just debating if I should have one.
BTW, my GF's hubby is ok, he got to come home tonight.
Thanks as always for your help! I wish I would have known about this place earlier!
I didn't feel well, got up... Had an egg for breakfast went back to bed. Then my GF called me, her husband had been in an accident (they were at the hospital) so she needed me to pick up her Teenage Daughters and take them for dinner. So, I went running around. I realized once I was rushing to pick up the oldest one (two different schools), I forgot a protein shake.
We decided on Red Lobster (because I know that I can eat shrimp). The waitress was so sweet, I showed her my bariatric card. She said, You are welcome to take anything home (I did). I ate quite a bit of shrimp - scampi, parmeson crusted shrimp, a little bit of grilled shrimp. I think it was probably close to 80 grams of protein at one time. I took my time, I told the girls, I cannot eat fast, we are not in a rush, so we had a good time over nearly two hours. I called the surgeon's ofc to speak with the dietician regarding going so long without any protein, then having so much protein at once. The med asst (who is really nice) said she wasn't sure if I would absorb 20% or more. She said that is a good question but no one was there to help me. I was trying to figure out how much more protein for the day I needed.
Then this question came to mind.
We only absorb 20% of protein & fats. Does that mean that with the protein shakes that are 25 grams of protein, we need to double it to get in what we need? The NP (who also wasn't in today), told me last week to bump up my protein to a 100 grams. So, does that mean I need to really take in more?
Crazy days are going to happen. Is it ok to ingest all of our protein for the day at once (like in an ER situation like this) or not?
Right now, a protein shake does not sound good at all, I'm just debating if I should have one.
BTW, my GF's hubby is ok, he got to come home tonight.
Thanks as always for your help! I wish I would have known about this place earlier!
DS on 06/14/12
I did some reading on snow crab meat (not sure about other sea foods) The protein that is in crab meat is one of the easiest to absorb. I eat crab legs all the time, sometimes shrimp too. I use Beneprotein in my coffee, usually 2 scoops per cup. Beneprotein has a small 7 gram scoop and it has 6 grams of protein per scoop. (almost 100%). Beneprotein is unflavored and can be added to soups or whatever. Let hot liquids cool a little before you mix it in, or it lumps together. I hate protein shakes and these are my best ways of keeping my protein up. My labs show my protein levels are good. I think as long as you are not passing your meals right after you eat them like dumping syndrome, you should be fine eating protein in large quantities.
Great question. I will be watching foe responses too! All I can add is that with my sleeve I was told by my surgeon to get in 60 grams of protein each day. But during my revision consultation (to a DS) I was told to get in 100 grams. Although I didn't specifically ask, I have to think it's related to malabsorbtion with the DS vs. none with the sleeve. Just my opinion though.
puppysweets1
on 9/28/12 5:13 pm - CA
on 9/28/12 5:13 pm - CA
Not sure about those numbers you discussed with the MS at your surgeon's office. Thought the DS numbers were more like absorb 50 to 60% of your protein and absorb 30% of your fat and absorb almost all carbs.
Have also heard that it is generally accepted that a body can only absorb about 30g protein at a time...but don't think there is hard evidence behind this or enough information to really define it - after all if someone sits for 2 hours eating slowly as you did how can the body tell the difference between that or having a protein drink and then having another one an hour later and another one and hour later?
Have also heard that it is generally accepted that a body can only absorb about 30g protein at a time...but don't think there is hard evidence behind this or enough information to really define it - after all if someone sits for 2 hours eating slowly as you did how can the body tell the difference between that or having a protein drink and then having another one an hour later and another one and hour later?
RNY to DS 210 lbs gone for 5 years.
Here is a link to the generally accepted "DS Math"
http://www.dsfacts.com/ds-math.html (which isn't loading for me right now)
But the commonly accepted thing is that we absorb 20% of fat, 50-60% of protein and 100% of carbs.
There have also been so studies, to my knowledge, that indicate you cannot take all your daily protein in one sitting. Some WLS patients will do a large protein shake once or twice a day to augment their food intake and have generally good results with doing that. Some Drs. will even say there is no ill effect to taking 100 grams at once.
That said, most of us just can't get that much down at once so we tend to spread it out. ;)
I generally do 50 gram shakes and don't worry about it at all. My protein levels could be higher but like all things it's a constant goal for me.
(edited my protein absorption #)
http://www.dsfacts.com/ds-math.html (which isn't loading for me right now)
But the commonly accepted thing is that we absorb 20% of fat, 50-60% of protein and 100% of carbs.
There have also been so studies, to my knowledge, that indicate you cannot take all your daily protein in one sitting. Some WLS patients will do a large protein shake once or twice a day to augment their food intake and have generally good results with doing that. Some Drs. will even say there is no ill effect to taking 100 grams at once.
That said, most of us just can't get that much down at once so we tend to spread it out. ;)
I generally do 50 gram shakes and don't worry about it at all. My protein levels could be higher but like all things it's a constant goal for me.
(edited my protein absorption #)
HW ~ SW ~ CW
310 - 291 - 150
People, people, people!
Let's get some things straight re the DS and malabsorption. We ABSORB roughly 20% of FAT, 50% of PROTEIN, and 60% of COMPLEX carbs---and nearly 100% of SIMPLE CARBS, like sugar and white flour.
No one knows how much protein we, or anyone, can absorb from a single meal. Odds are good that it varies from person to person. It's certainly a good idea to spread out ALL your foods over the course of the day. Same thing with calcium and vitamins.
Also, no one is going to DIE from not getting the minimum amount of protein in during a day. Our bodies store protein---the idea is to AVERAGE a minimum of 100 grams a day for the AVERAGE DSer. (We need to adjust that protein goal according to what our individual labwork shows.)
And most importantly of all---living with the DS needs to be a life-long LEARNING EXPERIENCE. Never stop researching. New things are discovered all the time, and we need to stay on top of them in order to best care for ourselves.
Let's get some things straight re the DS and malabsorption. We ABSORB roughly 20% of FAT, 50% of PROTEIN, and 60% of COMPLEX carbs---and nearly 100% of SIMPLE CARBS, like sugar and white flour.
No one knows how much protein we, or anyone, can absorb from a single meal. Odds are good that it varies from person to person. It's certainly a good idea to spread out ALL your foods over the course of the day. Same thing with calcium and vitamins.
Also, no one is going to DIE from not getting the minimum amount of protein in during a day. Our bodies store protein---the idea is to AVERAGE a minimum of 100 grams a day for the AVERAGE DSer. (We need to adjust that protein goal according to what our individual labwork shows.)
And most importantly of all---living with the DS needs to be a life-long LEARNING EXPERIENCE. Never stop researching. New things are discovered all the time, and we need to stay on top of them in order to best care for ourselves.
The number one piece of advice? NEVER STOP LEARNING.
No one, no matter how well-prepared they think they are, really knows what living with the DS is actually like until you've done it for a while. And science is wonderful---we're constantly learning new things about the human body, and about how it functions after WLS.
But beware---not everything you read on the Web is created equal. Weigh everything you read---science-based, peer-reviewed studies are far more credible than something your read in the popular press.
No one, no matter how well-prepared they think they are, really knows what living with the DS is actually like until you've done it for a while. And science is wonderful---we're constantly learning new things about the human body, and about how it functions after WLS.
But beware---not everything you read on the Web is created equal. Weigh everything you read---science-based, peer-reviewed studies are far more credible than something your read in the popular press.