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07-03-2008, 07:02 AM
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#91 (permalink)
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Senior Member
Join Date: Jan 2006 |
Location: Grand Rapids, Michigan |
Surgeon: Dr Randal Baker; Dr Ronald Ford (TT/BL) |
Age: 52 |
Posts: 6,159 |
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Nicole, if I were you I would print the information from a link that Corrine posted a few posts back. This is a review put out for Bariatric Centers and it discusses specifically Bariatric Nutrition; the vitamins, amounts, malabsorption, the amino acid scores plus even those "modular" proteins like the bullets.
This report agreed 100% with what my nutritionist and Dr Paauw had to say to me in regards to the bullets. Dr Paauw is a physician who deals with nutritional deficiences.
Here is what that report said. I know its pretty techincical but I think you can get the main idea.
Quote:
Modular protein supplements
It is commonly known that adequate dietary intake is
required to supply the 9 indispensable (essential) amino
acids (IAAs) and adequate substrate for the production of
the 11 dispensable (nonessential) amino acids that compose
body protein. This is referred to as the nonspecific nitrogen
requirement. In the presence of physiologic stress or certain
disease states, the body cannot produce enough of certain
dispensable amino acids to satisfy one’s need. To this end,
a third category of conditionally indispensable amino acids
exists, potentially increasing the body’s protein requirement
beyond the RDA. The Institutes of Medicine has established
an RDA for the essential amino acids that should be used as
a reference value when assessing dietary intake and protein
supplements (Table 6) [169].
Commercially produced modular protein supplements
are widely available that can be used to complement a
patient’s dietary intake after surgery. Clinicians are often
challenged when choosing the best product to meet the
patient’s nutritional needs. Although convenience, taste,
texture, ease in mixing, and price are important considerations
that can improve intake compliance, the product’s
amino acid profile should be the first priority. A protein
supplement that provides all the indispensable amino acids
or a combination of products must be used when protein
supplements are the sole source of dietary protein intake
during rapid weight loss. Reputable manufacturers should
be able to provide accurate information substantiating
claims made about the amino acid profile of their products.
In a comprehensive review completed by Castellanos et
al. [170], modular protein supplements were classified into
4 categories (Table 7). They noted that the amino acid
content of various protein supplements differs dramatically
in that a given quantity of a supplement from 1 category is
not nutritionally equivalent to the same quantity of protein
from a different category. Although peer-reviewed data do
not exist to determine the quality of the various commercial
products through traditional methods such as net protein
use, biologic value, and protein efficiency ratio, these assessments
have been conducted on the common protein
sources used in commercial products (i.e., whey, casein,
egg, soy). In 1991, the “protein digestibility corrected
amino acid” (PDCAA) score was established as a superior
method for the evaluation of protein quality. The PDCAA
score indicates the overall quality of a protein, because it
represents the relative adequacy of its most limiting amino
acid [170]. The PDCAA score indicates the body’s ability to
use that product for protein synthesis. The PDCAA score is
equal to 100 for milk, casein, whey, egg white, and soy.
Caution should be used when recommending any type of
collagen-based protein supplement. Although some commercial
collagen products can be combined with casein or
other complete proteins, the resulting combination might
still provide insufficient amounts of several essential amino
acids. These types of products are typically not considered
“complete.” However, because collagen contains a high
level of nitrogen within a small volume, it might be useful
for the patient who is able to consume enough good-quality
dietary protein to supply the needed IAAs, yet not be consuming
enough total nitrogen to meet the nonspecific nitrogen
requirement and achieve balance [171]. In this case, the
patient would also have to be consuming enough calories to
spare the IAAs for protein synthesis. It is very important for
the practitioner to review the amino acid composition of the
patient’s selected commercial protein products to ensure
they include adequate amounts of all the IAAs. The loss of
lean body mass can occur despite meeting a daily oral intake
protein goal, in the presence of IAA deficiency.
The highest quality protein products are made of whey
protein, which provides high levels of branched-chain
amino acids (important to prevent lean tissue breakdown),
remain soluble in the stomach, and are rapidly digested.
Whey concentrates can contain varying amounts of lactose,
while whey protein isolates are lactose free. This can be a
consideration for those individuals with a severe intolerance.
Meal replacement supplements and protein bars typically
contain a blend of whey, casein, and soy proteins (to
improve texture and palatability), varying amounts of carbohydrate
and fiber, as well as greater levels of vitamins and
minerals than simple protein supplements. Many commercial
protein drinks and bars are designed to supplement a
mixed diet, including animal and plant sources of protein.
They are not intended to provide the sole source of protein
and calories for long periods.
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Here is the link to the report:
http://download.journals.elsevierhea...8908001639.pdf
I know it is 37 pages but if you can, personally I would print it off and hand it to your nutritionist. It pretty much has everything in there, to some extent, of what he/she needs to know in regards to protein, vitamins, diet progression, etc.
__________________
Beth
Little Victories; Grand Rapids, MI
Bariatric Support Group
CherishedTeddyBear-(TT Bear Lover)
The Poetry of Milady
New Beginnings: My Journey to LIFE
359(BMI: 58.8)/ 148(BMI: 24.3)
Highest/Current
Diabetes, high blood pressure, sleep apnea, high cholesterol,
peripheral vein disease, joint pain and 211 lbs GONE!!
Century Club: July 3, 2006
ONE-derland: Dec. 22, 2006
Double Century: May 29, 2007
Goal: June 15, 2008
Lap RNY: 1/30/06-Dr Randal Baker
TT/BL: 09/21/07-Dr Ronald Ford
PS Revisions: 04/29/08-Dr Ronald Ford
Gallbadder removal: 06/09/08-Dr Randal Baker
"...if we pay attention to the fact that we can move,
breathe, feel, laugh, cry and notice sunsets,
there is cause for joy."
-Geneen Roth
Last edited by MiladyB; 07-03-2008 at 08:44 AM.
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07-03-2008, 08:11 AM
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#92 (permalink)
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Senior Member
Join Date: Apr 2008 |
Location: New Jersey |
Surgeon: Dr. Bertha |
Age: 31 |
Posts: 1,450 |
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Quote:
Originally Posted by MiladyB
Nicole, if I were you I would print the information from a link that Corrine posted a few posts back. This is a review put out for Bariatric Centers and it discusses specifically Bariatric Nutrition; the vitamins, amounts, malabsorption, the amino acid scores plus even those "modular" proteins like the bullets.
This report agreed 100% with what my nutritionist and Dr Paauw had to say to me in regards to the bullets. Dr Paauw is a physician who deals with nutritional deficiences.
Here is what that report said. I know its pretty techincical but I think you can get the main idea.
Here is the link to the report:
http://download.journals.elsevierhea...8908001639.pdf
I know it is 37 pages but if you can, personally I would print it off and hand it to your nutritionist. It pretty much has everything in there, to some extent, of what he/she needs to know in regards to protein, vitamins, diet progression, etc.
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I have that bookmarked right on my computer!  I will def. let her know about it. Thanks!
And Mums, you are correct, she needs a refresher course. Sh*t, she needs to talk to the surgeons down the hall for goodness sake! 
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07-05-2008, 08:59 AM
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#93 (permalink)
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Senior Member
Join Date: Apr 2008 |
Location: So California |
Surgeon: Eugene Rumsey |
Age: 54 |
Posts: 403 |
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WOW, probably the most informative 10 pages Ive ever read! I was concerned from the get go when the surgeon casually walked by and said "just take a Flintstones everyday", and laughed.
My blood work did come back fine except for a low iron count, but I am only 2 1/2 months out, so I think now may be the time to be pro-active....
Looks like it's off to Costco today.
Probably take a little boost of iron, but don't want to risk the after effects of taking iron, being a guy we take pride in our "poo ability", and after discussing the subject on another thread I'm gonna need a little help for that also!!
Damn Costco, I call it the 100 dollar club, if you spend less than a hundie there they collect the difference at the door!!   
__________________
Highest before options- 455
Surgery-409
Goal- 199
Surgery date: April 22, 08
As of: 8/25/08-298
Down over a hundie from surgery (111)  !!
MONEY IN THE BANK TO DATE......$2240
This is the running amount of money saved by not having to spend so much eating out. Number based on spending $20 a day on food. And that very conservative!!!
Last edited by Baja Big Dog; 07-05-2008 at 02:15 PM.
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07-05-2008, 01:50 PM
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#94 (permalink)
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Senior Member
Join Date: Jul 2007 |
Surgeon: Alan Newhoff, Phoenix, AZ |
Posts: 462 |
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Quote:
Originally Posted by Baja Big Dog
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Yep, I call it COSTMO' as in mo' money, mo' money, mo' money.
BUT you get a boatload of stuff, and go with a list and you won't get distracted by too many shiny objects. That's another man thing, like the Poo, isn't it?
Costco has GREAT deal on vitamins though, it's where I got mine, and it's worth it. Find that little plastic wheel and use it, in case what you wrote here doesn't work. Great tool that little wheel. Get the Kirkland store brand, they're huge buckets of pills, but the Nature's Made B complex is the only option (at my costmo at least).
__________________
October, 2002 - Dr. Alan Newhoff, Arizona - My Hero!
5'8" - 300/129.5/140/145 - Working to regain to my FEEL GOOD weight!
(Highest/Current/My Goal/Dr. Goal)
Highest Size: 26/28
Current Size: 6/8
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07-05-2008, 02:20 PM
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#95 (permalink)
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Senior Member
Join Date: Apr 2008 |
Location: So California |
Surgeon: Eugene Rumsey |
Age: 54 |
Posts: 403 |
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Quote:
Originally Posted by Phoenixfire
Yep, I call it COSTMO' as in mo' money, mo' money, mo' money.
BUT you get a boatload of stuff, and go with a list and you won't get distracted by too many shiny objects. That's another man thing, like the Poo, isn't it?
Costco has GREAT deal on vitamins though, it's where I got mine, and it's worth it. Find that little plastic wheel and use it, in case what you wrote here doesn't work. Great tool that little wheel. Get the Kirkland store brand, they're huge buckets of pills, but the Nature's Made B complex is the only option (at my costmo at least).
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OK...just got back from Costco, its next door to Lowes, and after the testosterone boost of being at Lowes, I went shopping, and yep, like I said, $128 fricken dollars!!! I knew it, and no, I missed the shiney things, picked up some more protein shake mix, nice bag of frozen strawberries, the vits (about 25 bucks total!!) etc., and Im out the door! No big screens, not new watches, and throw in another 60 bucks for gas on the way out...
Oh and I think I broke a tooth trying to break one of those Calcium pills in half!!! 
__________________
Highest before options- 455
Surgery-409
Goal- 199
Surgery date: April 22, 08
As of: 8/25/08-298
Down over a hundie from surgery (111)  !!
MONEY IN THE BANK TO DATE......$2240
This is the running amount of money saved by not having to spend so much eating out. Number based on spending $20 a day on food. And that very conservative!!!
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07-07-2008, 07:41 AM
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#96 (permalink)
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Senior Member
Join Date: Jun 2007 |
Location: Wichita KS |
Surgeon: Dr. Dort |
Age: 31 |
Posts: 422 |
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You need to get a pill splitter! They sell them everywhere and they are GREAT! I would definitely suggest getting one. They are like $6 and WAY cheaper then getting a broken tooth fixed 
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07-07-2008, 08:48 AM
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#97 (permalink)
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Senior Member
Join Date: Jun 2007 |
Location: Foothills of Mt.Rainier, WA |
Age: 53 |
Posts: 2,012 |
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Early out I just dropped a couple of calcium citrate tabs in a bit of water. They don't totally dissolve - it's a bit gritty but nothing that mouthful of water doesn't wash away.
__________________
- - 24 September 2007 - Lap RNY
Dr. Sebesta. Madigan Medical Army Center (MAMC)
259.5/224.7/132.5
highest/day of surgery/current
5'5"
127lb gone as of 8/30/2008 ~~~ BMI 22 ~~~
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07-24-2008, 11:18 AM
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#98 (permalink)
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Junior Member
Join Date: Jul 2008 |
Location: hartford,CT |
Surgeon: carlos barba |
Age: 18 |
Posts: 6 |
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which vitamins ???
well i got surgery on june 30th and i took my vitamins once.they taste soo bad that i gaged and don't get me started on the protein shake ..my pouch could not tolerate it ...what to do????
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07-24-2008, 12:36 PM
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#99 (permalink)
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Senior Member
Join Date: Jul 2007 |
Location: PQ, San Diego, CA |
Surgeon: Drs. Gallus & Bertucci, NMCSD |
Age: 41 |
Posts: 698 |
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Quote:
Originally Posted by kaycie882000
well i got surgery on june 30th and i took my vitamins once.they taste soo bad that i gaged and don't get me started on the protein shake ..my pouch could not tolerate it ...what to do????
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Kaycie, what kind are you taking?
__________________
Karen 273/257/213/160/154
beginning/surg/current/my goal/doc's goal
No longer Obese - I'm only Overweight!
60 pounds gone forever!
Lap RNY 05/12/08
Official Scale Whore #8
MySpace
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07-24-2008, 01:11 PM
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#100 (permalink)
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Junior Member
Join Date: Jul 2008 |
Location: hartford,CT |
Surgeon: carlos barba |
Age: 18 |
Posts: 6 |
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i take centrum chewable multi vitamin..orange flavored .. it is huge and taste horrible
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