Not eating enough

You didn't challenge the merits my argument, you attacked my "experience."  That's the definition of a personal attack.

The science of nutrition is abundant if one cares to look at it and educate themselves.  For example, our "rerouted insides" have no known impact on protein digestion.  It's been carefully studied.

Like I've said from the beginning, there is individual variation; however, decisions ought to be based on lab work and test results. There is no factual basis for 80-100 grams (or more) of protein per day as a baseline recommendation for gastric bypass patients.

Right... not so much.. just in case you did not get yourself educate don the part -but most RNY initially may malabsorb proteins. For some of us the absorption of proteins may never be 100%. 

"book knowledge " and real life knowledge are a bit different things.   Well.. if you want to se that as personal attack - I will not stop you.   It is your choice.  Have fun with it. 

I'd be happy to improve my understanding if you can provide a citation for you claims.  Something stronger than say-so and biased perceptions that actual scientific studies eliminate.

Personally, I do eat a high protein  (100g per day), low carb, normal fat diet  ...   It's a combination of nutritional knowledge, need and choice and has worked well for me for almost 9 years.    Many of my surgery peers don't adhere to the same or similar lifestyle to me and have experienced significant regain and nutritional deficiencies.   It could be a coincidence and is certainly anecdotal but then most of the information given by surgeons and on here is anecdotal too!

Horses for courses!

I wasn't suggesting that high-protein doesn't work.  We are amazingly versatile machines.  I'm just saying that there comes a point where the extra protein is "just calories," which can, if one chooses, come from other foods.

For example, unless you have specific needs backed up by lab work, you shouldn't add a protein shake to your otherwise balanced and reasonable diet just to hit some 80, 100, 120+ gram of protein goal.

My choice to eat high protein is to maintain the excellent protein levels I have had since surgery (without a protein shake ) and also to  help with satiety - something to be considered once we are able to eat more normally.   I have never heard of someone regaining because they are eating too much protein - it's pretty much exclusively because they are eating more carbs than necessary (particularly processed).   Having protein shakes as meal replacements or supplements really is a choice, and not so much a necessity,  after a month or six ...   and contrary to what is expounded on here - protein is not some weight loss secret - adding a protein shake to your day will NOT make you miraculously lose weight!!!!

There really is a big difference between the honeymoon (weight loss) and long term maintenance (5+ years) in terms of eating choices.   After a couple of years most of our capacity to eat and what we eat is just like anyone (of a normal weight) who has not had surgery.   I would challenge ANYONE to tell that I had WLS if they watched what I eat - I think I look like any other figure conscious, healthy woman at this point.

I do agree that there is too much emphasis on protein post-op. It is one thing if people NEED more than 60g of protein in order to have good labs, but just adding extra protein for the sake of getting in 100g a day seems pointless (and extra calories we may not need).  After finding out that my kidney stones are uric acid stones (where too much animal protein can be a large contributing factor), I am wondering if the higher incidence of kidney stones in RNYers is due to too much animal protein (since many people never have their stones tested and just ASSUME they are calcium stones),  I haven't found any medical studies on it yet, though.

I wouldn't characterize our eati (not mine, at least) as "low fat"..  As with the carbs, I merely moderate my fat intake.  I think that is one of the reasons that I have almost no trouble with constipation and a lot of people ave a terrible time.  I don't eat fried foods, but when I eat cheese it is usually full fat cheese, I eat full fat peanut butter, I use butter not margarine, etc..  I just consider it a balanced, healthy diet.

Lora

60 grams may be reasonable for one person but not necessarily for another. Same with those that are adamant everyone needs 100 grams a day.



If the individual is having labs drawn frequently and monitoring the protein and albumin (sp?) levels and self tracking them they can better know what their body needs. 80 grams a day on average is what I need.



BTW initially out of surgery we do malabsorb protein, fats and calories. The only thing not malabsorbed is simple carbs which are absorbed in the mouth before it even hits the guts.



After the villa regrow to some degree then we begin to absorb fats, calories and protein and complex carbs. We always malabsorb vitamins and minerals.



How much we absorb is individual and unless one does a stool sample testing to see how much is malabsorbed you don't know. That testing would be rather expensive I'm sure and probably not done often.

Our centre requires a minimum of 60-80 of protein per day, at six plus months you should be a minimum of a 1000 cals per day, I agree, you perhaps need to up your proteins and cals.

I went to and saw my surgeon last month and he told me to eat 70-100 grams of protein, and 50-75 grams of good carbs a day. I dont count calories anymore, it eat healthy balanced meals. You body needs protein, carbs, fats, fruits, veggies. By 9 months I was told to be on a normal 1200 calorie diet.