The Great Shake Debate!
Protein is initially broken down in the upper small intestine, just outside the lower stomach, using an enzyme manufactured there called trypsin. Once broken down, protein best is best absorbed in that first 12 to 18 inches out of the stomach. If the food doesn’t go by there any more, how will you break down and extract the protein from the tiny bit of food you can eat? While you can absorb some broken down (pre-digested) protein throughout the intestinal tract, the most absorption takes place right at the beginning, where ALL bypass and RNY patients are not going to get it.
Supplemented protein is already pre-digested for almost instant absorption. It’s liquid form makes it easier to get in, even into an irritated pouch, and the pre-digestion means you can count on absorbing at least most of it (unless you are very, very distal).
Each person needs a minimum of 60g of protein per day. It’s hard for any stapled stomach people to get it in their food, as the high protein foods are so dense, we simply can’t get enough IN to ever reach 60g. Also, since many foods must be combined with bread or grains to be complete, what happens if you can’t eat bread yet?
Protein is best absorbed in amounts of no more than 30g at one time. Professional athletes can do a little better, but for weight loss surgery patients, 30g would be a good try. More protein won’t hurt, but is just wasted. Unless you are very distal, two drinks of 30g each is an excellent start toward a healthy protein intake.
Protein is the main foundation of our health. If the supply becomes depleted, malnutrition will result. But before that, we’d experience deficiencies in many other vitamins or minerals that show themselves more vividly, such as calcium.
Another benefit to supplemented protein is that it satisfies cravings. While we are losing, the sugar cravings can drive us nuts. Part of it is sugar’s hold on us. Part of it is low protein, very common for any of us and part of it is lack of general nutrition. By being well nourished, don’t’ ever go into starvation mode. It keeps the body thinking everything is fine and it is relaxed about allowing us to lose. Let it go into starvation mode, and it retaliates by hoarding even more calories than before surgery.
Many of us become lactose intolerant after surgery. Milk is quite high in sugars, and low in protein in comparison. For the pouch space spent, the proteins shakes give much more brain satisfaction and more nutrition than milk or any FOOD type of protein and are more “available” to us for absorption.
No one really can absorb more than 30g (or so) at one time, except professional athletes. Recommend is a 30g “dose” for breakfast and during your mid-afternoon “sleepies” to get the most benefit if you are trying to get 60g per day. If you are a distal, 30g every 2 or 3 hours will get the required amount for you. You can mix up more grams and drink at one time, but you are merely buying the protein, not really getting the benefit of it. It is not advisable to mix it up in advance, as we know it loses its protein integrity (but how much?), and it begins to gather bacteria after as little as 30 minutes. Even refrigerated in a tightly sealed container is no guarantee that you’ll be getting the full safe dose you hope for.
...and when someone breaks our wings, we simply continue to fly...on a broomstick.
We are flexible.
Darlene
Lynn J
Lap RNY 9/29/04
5' 4"
306/146/135