Gaining Ground Slowly

Hi Everyone,

Well it has been eight days since I had my surgery, and I gaining ground slowly. I am getting in my 60grams of protein each day by drinking 2 glasses of  Bariatric Advantage Unflavored Drink with one envelope of Carnation Sugar-free  Instant Breakfast in each glass..I am using the Bariatric Advantage Powdered Vitamin drink 2 times a day to get my vitamins. I am up to 25 cc of liquids every 15 minutes, and I do this for a total of 16 hours each day.

I went to see Dr. Gluck this pass Monday, November 15th and I weight 296lbs now. When I first seen him in August, I weighed 317lb, then when I seen him on October 21, three weeks before my surgery I weighted 213lbs.

I am still moving around pretty slow yet, because my left lower side still hurts very much. I did manage to unload the top rack of the dishwasher, but it hurt to much to bend over to take the dishes out that were on the bottom rack.

Can someone tell me how to put weight tracking function that I see on most of the pages that I viewed from other forum members that is at the bottom of the page. I would like to be able to track my weight lost also.

God Bless You,

Mary

Congrats on getting your drinking in, sounds like you doing pretty good.  I would however advise against Carnation Instant Breakfast, it actually has a nickname on the Yahoo groups of CRAP in a box.  The type of protein in it is not easily digestible by your new system, perfectly fine for normal people, just not us anymore.  Just like the vitamins we take we need easily absorbed nutrients, the protein powder you should be looking for should be pre-digested whey, 100% whey.

As far as the ticker on the bottom I honestly don't remember how to do that, sorry. 

Edie

Thanks Edie, I did not know that Carnation Instant Breakfast was not good for me. So now I am drinking my two protein shakes, which total 54grams and added one and a half cups of chicken stock, which is 6grams to make my 60grams that I need. I only have two more weeks on Phase ll and then I move to Phase lll.


Take Care,
Mary

Your welcome, that's what we're here for. I've actually read where people who drink CIB for most of their protein intake turn gray'ish. They call them the walking dead, now mind you it takes years to get this bad, but the group I read from the most are LONG timers. Also, remember your body cannot absorb more than 30 or 35 (can't remember which) grams of protein at a time.

Keep up the good work, sounds like your doing great getting in your water and protein.

Edie

truth is there is no actual study saying that you an olny absorb that much protein at  a tim.

The bigger concern is that too much protein can cause kidney stone.

The final thing to consider is this notion that the body can only use 30 grams of protein at one time. So far there have not been any studies to confirm this fact and when you do go over the 30 gram protein intake, all that usually happens is your body then takes longer to digest the protein. Obviously eating 100 grams per sitting isn't the wisest of ideas and if you do have fairly large requirements it will be easier from an eating perspective to spread it out over 3-6 meals, however if necessity calls for it to be centred around 2, that is really fine. The only one consideration to factor in is the pre and post workout period when getting in protein is critical in terms of promoting muscular growth and development.

click on the blue to read the article!

Mary, I've yet to find any report on us GBS'ers regarding protein absorption, have you?  If you find one for us, I'd be happy to investigate it.  However, your report and any report I've seen is not for us, so I'd rather be safe than sorry, and listen to those who came before me, like Vitalady aka Michelle, this is what she has said about protein absorbtion  http://www.vitalady.com/why_protein.htm

Edie

Bariatric Times | Clinical Developments and Metabolic Insights in Total Bariatric Patient Care

How Much Can We Absorb?
One popular myth is that only 30g of protein can be absorbed and utilized at one time.15 While this is commonly found in both lay and some professional literature, no scientific studies to date have tested this claim, especially in the bariatric community. Arnal et al16 studied the effect of protein-pulse feeding (7% [~5g] dietary protein given at 800, 79% [~55g] given at 1200, and 14% [~10g] given at 2000) versus protein spread-feeding (25% [~17.5g] dietary protein at each meal given at 800, 1200, 1600, and 2000) on protein retention in elderly patients (mean age 68±1 year). Nitrogen balance was more positive with the pulse versus spread diet. Protein turnover rates were also higher with the pulse versus spread diet, due to higher protein synthesis. These authors concluded that a protein pulse-feeding pattern was more efficient than a protein-spread pattern in whole-body nitrogen retention. However, in young women (mean age 26±1 year), these protein feeding patterns did not have significantly different effects on protein retention.17 These data refute the “30g myth." These authors conclude that protein source, time of consumption, quantity, and composition are factors determining the effect of protein on short-term satiety and food intake in young men. However, more studies are needed to determine how ingested protein load predicts nitrogen balance outcomes, especially among those with varying types of weight loss surgery.
also read this
bariatrictimes.com/2008/11/10/protein-and-the-bariatric-pati ent-supplemental-protein-or-amino-acids/

 

Protein Prescription for the Bariatric Patient
Usual protein recommendations for the post-bariatric surgery patient are anywhere from 1 to 2g protein per kg of adjusted body weight—calculated as current body weight (CBW) minus ideal body weight (IBW) multiplied by 25 percent plus IBW [CBW-IBW x 25% + IBW]).25 A minimum of 60 to 70g of protein per day should be ingested.13 Many programs recommend a range of 60 to 80 grams total protein intake per day or 1.0 to 1.5g/kg IBW, although exact needs have yet to be defined. The use of 1.5g/kg IBW/day beyond the early post-surgical phase is probably above metabolic requirements for non-complicated patients and may prevent the consumption of other macronutrients in the context of volume restrictions. An analysis of the RYGB patient’s typical nutrient intake at one year postoperative found no significant changes in albumin with daily protein consumption at 1.1g/kg IBW.12 Following BPD/DS procedures, the amount of protein should be increased by approximately 30 percent to accommodate for malabsorption, making the average protein requirement for these patients approximately 90g/day.30

2008 October, Nutrition Perspective

Protein Prescription for the Bariatric Patient
Usual protein recommendations for the post-bariatric surgery patient are anywhere from 1 to 2g protein per kg of adjusted body weight—calculated as current body weight (CBW) minus ideal body weight (IBW) multiplied by 25 percent plus IBW [CBW-IBW x 25% + IBW]).25 A minimum of 60 to 70g of protein per day should be ingested.13 Many programs recommend a range of 60 to 80 grams total protein intake per day or 1.0 to 1.5g/kg IBW, although exact needs have yet to be defined. The use of 1.5g/kg IBW/day beyond the early post-surgical phase is probably above metabolic requirements for non-complicated patients and may prevent the consumption of other macronutrients in the context of volume restrictions. An analysis of the RYGB patient’s typical nutrient intake at one year postoperative found no significant changes in albumin with daily protein consumption at 1.1g/kg IBW.12 Following BPD/DS procedures, the amount of protein should be increased by approximately 30 percent to accommodate for malabsorption, making the average protein requirement for these patients approximately 90g/day.30

"One popular myth is that only 30g of protein can be absorbed and utilized at one time.15 While this is commonly found in both lay and some professional literature, no scientific studies to date have tested this claim, especially in the bariatric community"

As I said before there is no study showing that it is not true (in anyone), even the most recent studies show that after a certain amount of time the only thing that we don't absorb as we did pre op is fat, and personally, I'd rather err on the side of common sense, and listen to the old timers and body builders that all believe and follow the mantra "spread all your nutrients throughout the day" rule.

The articles I sited have links attached to each in blue in my last post.
There are 3 different articles from the Bariatric times. A publication for bariatric professional.
They all say about the same thing.  None say that that there is no data to confirm the amount absorbed in one feeding. however they do that that excess will either be stored or excreted.
The official recommendation from the bariatric times. Loaded with research papers by bariatric professional is
what this means. if your IBD (ideal body weight) is 125 then a normal person needs .8 grams per lbs. for 1 day = 100 grams to maintain protein levels Usual protein recommendations for the post-bariatric surgery patient are anywhere from 1 to 2g protein per kg of adjusted body weight—calculated as current body weight (CBW) minus ideal body weight (IBW) multiplied by 25 percent plus IBW [CBW-IBW x 25% + IBW]).25 A minimum of 60 to 70g of protein per day should be ingested.

This article is the closes I have seen related to an actual study of how much can be absorbed in a sitting
Read the article attached to the how much do we absorb.
with the pulse versus spread diet. Protein turnover rates were also higher with the pulse versus spread diet, due to higher protein synthesis. These authors concluded that a protein pulse-feeding pattern was more efficient than a protein-spread pattern in whole-body nitrogen retention. However, in young women (mean age 26±1 year), these protein feeding patterns did not have significantly different effects on protein retention.

Pules feeding is taking mass amounts of protein in one feeding verses Spread diet 30 g per feeding.

I am not trying to change your view just giving you the information I have read That is related.

Hi Mary,

If I understand this article right, I should be spacing my protein drink by drinking it though tout the day in stead of getting it all within two hours.

I am at 25cc every 15 minutes for 16 hours a day and my protein drink has 27 grams of protein per 8oz and I need to drink two of these a day. Also I drink one and a half cup of chicken stock which is 6 oz.


Thanks for the article. It was very educational.

Mary