Dietician says NO protein shakes?!?!
Apparently they have TOO much protein in them? What's that about.?
I know from all my research that every surgeons plan is different and mine has you straight on purees two or three days post op (thank god there's no liquid stage!) but when I went to see the dietician yesterday I was really shocked
They want you to have:
6 portions of protein a day e.g.
200ml milk
1oz pureed chicken
50g cheese triangle
2oz grated cheese
1 probiotic drink
1 yoghurt
(all 1 portion)
2 portions of fruit e.g. tbsp of pureed banana/strawberries/raspberries (1 portion per tbsp)
2 portions of veg e.g tbsp of pureed carrott/cauliflower/beans (1 portion per tbsp)
and 2 portions of carbs e.g. 1 tbsp pureed potato/1 tbsp of pureed sweetcorn (1 portion per tbsp)
When I asked the dietician how the 6 portions of protein per day could possibly fulfill my protein needs (i was under the impression you need 60-80 grams a day) she said not worry, i'll get it all in
Now forgive me if I am wrong but if 200ml of milk is approx 6g of protein and 1oz pureed chicken is 6g even if i had 3 of each that's only 36g!
I asked if I could supplement the protein by adding protein powder to my milk (20g per scoop x 2 a day) and she said no, it's too much protein
I'm seriously worried if I stick with their recommendations then for the first 6 weeks of the pureed diet i'm going to be seriously lacking in protein which won't help my recovery?
I know we should follow our surgeons guidelines as best we can but can anyone see a problem with me adding two scoops of protein powder to my two portions of milk per day?
I know from all my research that every surgeons plan is different and mine has you straight on purees two or three days post op (thank god there's no liquid stage!) but when I went to see the dietician yesterday I was really shocked
They want you to have:
6 portions of protein a day e.g.
200ml milk
1oz pureed chicken
50g cheese triangle
2oz grated cheese
1 probiotic drink
1 yoghurt
(all 1 portion)
2 portions of fruit e.g. tbsp of pureed banana/strawberries/raspberries (1 portion per tbsp)
2 portions of veg e.g tbsp of pureed carrott/cauliflower/beans (1 portion per tbsp)
and 2 portions of carbs e.g. 1 tbsp pureed potato/1 tbsp of pureed sweetcorn (1 portion per tbsp)
When I asked the dietician how the 6 portions of protein per day could possibly fulfill my protein needs (i was under the impression you need 60-80 grams a day) she said not worry, i'll get it all in
Now forgive me if I am wrong but if 200ml of milk is approx 6g of protein and 1oz pureed chicken is 6g even if i had 3 of each that's only 36g!
I asked if I could supplement the protein by adding protein powder to my milk (20g per scoop x 2 a day) and she said no, it's too much protein
I'm seriously worried if I stick with their recommendations then for the first 6 weeks of the pureed diet i'm going to be seriously lacking in protein which won't help my recovery?
I know we should follow our surgeons guidelines as best we can but can anyone see a problem with me adding two scoops of protein powder to my two portions of milk per day?
I don't know what she means by too much protein. 60-80 grams is not too much.
I do not see harm in using protein powder, personally. It's a decision you'll have to make for yourself, though.
I do not see harm in using protein powder, personally. It's a decision you'll have to make for yourself, though.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
My doctor's plan does not use any protein supplements. From the early stages, he wanted all protein to come from food sources.
I've never had any protein supplements.....it can be done. I'm with Kelly though, I certainly don't think they "hurt" you in any way, and I've never heard of anyone getting too much protein.
I've never had any protein supplements.....it can be done. I'm with Kelly though, I certainly don't think they "hurt" you in any way, and I've never heard of anyone getting too much protein.
You can either follow the protocol according to your surgeon, which has proved very successful for many of us in both the UK and the US, or you can get your nutritional advice from people on the internet with no nutritional or medical training and who have no idea of your medical history.
If you have had your surgery in the UK (wild guess from the avatar), you will probably have a bigger pouch than those of us that had surgery in the US - hence another reason for the different protocol - you might like to check that out - this is certainly the case for the NHS surgeon my sister had - she has been very successful BTW.
If you have had your surgery in the UK (wild guess from the avatar), you will probably have a bigger pouch than those of us that had surgery in the US - hence another reason for the different protocol - you might like to check that out - this is certainly the case for the NHS surgeon my sister had - she has been very successful BTW.
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I haven't heard this before, but I think maybe their point is that it is too much at a time. Maybe? I think as long as you drink it slow, it's not too much. I don't think there is anything you can hurt. The majority of us do the protein shakes after surgery. I usually do one 16 oz a day for 50 g of protein, but I sip half of it in the morning between my water and half in the afternoon between water to make sure it is spaced out. My surgery did say that fluids is most important. He said get 60 oz of fluid in and if I could only get 20-30 grams of protein to start with, that was fine.
HW: 292 lbs. GW:160 lbs. Dream Weight: 140 lbs.
Thank you all for your comments and advice. I want to be successful with this so will follow my surgeons advice the best I can but since we need the 60-80 grams of protein per day I don't see how else to get it in of you can't get it from food alone? I'll mention it again at my pre-op assessment for further clarification
My surgeon's plan included protein shakes during the full liquids and pureed stages. At my 4-week checked I was moved to soft foods and the nurse said no more shakes after that. They want me to get my protein from food.
Your surgeon's plan is based on how he or she did the actual surgery (size of the pouch, length of small intestine bypassed, etc.) and results observed in their other patients, so you should follow it.
Your surgeon's plan is based on how he or she did the actual surgery (size of the pouch, length of small intestine bypassed, etc.) and results observed in their other patients, so you should follow it.
HW 270 / SW 256 / CW 212
there are many NUTs that do say that and unfortunatly many NUTs aren't registered dieticians even more arent' bariatric dieticians arent trained in what we really need post op. With what you listed, is fine as you go further out - but you need to supplement with a shake especially early unless you have kidney problems where high protein is a problem for you.
Some nuts tell patients to have 3 meals per day and then try to figure out how to get the protein in - atleast you were told the 6 meals which is good. You start out at 1 ounces which makes it tough, as times goes on and the meals get larger, it will get easier. By 4 weeks, you can probably increase to 2 ounces but see what she says and should help with the protein count.
You can also try using lactaid milk which has a higher protein count and lactose free milk by smart balance - it has more protein, I believe it has 11 grams instead of 6grams. For yogurt, you can get greek yogurt which has a higher protein count. get some ricotta cheese instead of the grated cheese - it is already mushy - take 1 tablespoon and add some tomato sauce put it in the microwave and it is delicious.
the yogurt you haveyou to eat in small portions - 1 tablespoons at a time - wait 10 minutes and eat another tablespoons - you can take up 45 minutes to eat the yogurt. I bought a baby spoon so I would remember to take baby small bites of everything.
Being you missed the liquid stage - you have to be even more careful to make sure you get in your fluids - you didnt' have the practice like the rest of us. THis is the typical fluid stage:
week 1 - 1 ounce every 10 minutes
week 2 = 2 ounces every 10 minutes
week 3 - 3 ounces every 15 minutes
week 4 = 4 ounces every 20 minutes
week 6 - 6 ounces every 30 minutes
It is vital to get in 60 ounces of fluids and as close to 60 grams of protein per day to avoid malnutrition and dehydration. If you can all of this in early out, it helps down the road.
In my program, we were supposed to have either milk or yogurt, and were required to have a protein shake with atleast 25 grams of protein per day because she knew with the 6-8 small 1 ounce meals per day at the beginning, there was no way to get in 60 grams of protein -it was mathematically impossible. With 6-7 grams of protein per ounce and 6 meals per day, that is 36 grams per day and if you make it 7 grams that is 42. If you alot for a few extras like the milk or the yogurt that are 10 or 11, that adds 4 extra, that still only brings it up to 46. No where near 60. You need atleast one protein drink per day to start off. Yes, once you can eat 2 ounces of protein per day and if you eat 6 times per day, it is possible but if you want to prevent hair loss and all the other things that go along with malnutrition, you really need higher amounts that are supplemented and it depends on how much you malabsorb
Some nuts tell patients to have 3 meals per day and then try to figure out how to get the protein in - atleast you were told the 6 meals which is good. You start out at 1 ounces which makes it tough, as times goes on and the meals get larger, it will get easier. By 4 weeks, you can probably increase to 2 ounces but see what she says and should help with the protein count.
You can also try using lactaid milk which has a higher protein count and lactose free milk by smart balance - it has more protein, I believe it has 11 grams instead of 6grams. For yogurt, you can get greek yogurt which has a higher protein count. get some ricotta cheese instead of the grated cheese - it is already mushy - take 1 tablespoon and add some tomato sauce put it in the microwave and it is delicious.
the yogurt you haveyou to eat in small portions - 1 tablespoons at a time - wait 10 minutes and eat another tablespoons - you can take up 45 minutes to eat the yogurt. I bought a baby spoon so I would remember to take baby small bites of everything.
Being you missed the liquid stage - you have to be even more careful to make sure you get in your fluids - you didnt' have the practice like the rest of us. THis is the typical fluid stage:
week 1 - 1 ounce every 10 minutes
week 2 = 2 ounces every 10 minutes
week 3 - 3 ounces every 15 minutes
week 4 = 4 ounces every 20 minutes
week 6 - 6 ounces every 30 minutes
It is vital to get in 60 ounces of fluids and as close to 60 grams of protein per day to avoid malnutrition and dehydration. If you can all of this in early out, it helps down the road.
In my program, we were supposed to have either milk or yogurt, and were required to have a protein shake with atleast 25 grams of protein per day because she knew with the 6-8 small 1 ounce meals per day at the beginning, there was no way to get in 60 grams of protein -it was mathematically impossible. With 6-7 grams of protein per ounce and 6 meals per day, that is 36 grams per day and if you make it 7 grams that is 42. If you alot for a few extras like the milk or the yogurt that are 10 or 11, that adds 4 extra, that still only brings it up to 46. No where near 60. You need atleast one protein drink per day to start off. Yes, once you can eat 2 ounces of protein per day and if you eat 6 times per day, it is possible but if you want to prevent hair loss and all the other things that go along with malnutrition, you really need higher amounts that are supplemented and it depends on how much you malabsorb
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