Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 What I have found (and you'll see in the files section - numerous samples of diet progressions, protein recommendations) that most of us recommend 60 gms a day for women and 75 gms for men. Fact of the matter is you have to realize that most pts have to work real hard to eveven get to these levels. So I just focus on nutrient density, adding protein powder to small serving sizes (beneprotein is great and the rep always sends me samples). It is like baby steps to get to their goals. If you use a " formula " you probably won't get a realistic goal for this popn. As far as extending pureed stage - go for it if pts will comply! It is very hard to get them to do this for a month. I think one month seems sensible and then really emphasize the soft, moist, chewing throughly after that, etc... Good luck! Theresa > > I am new to the Bariatric Center, but have been in weight management a > very long time. I am wanting to make some changes and have learned > ALOT through this list serve and networking. The one area I have not > seen anything on is calculation of Protein needs- what are you all > using to calculate needs? > Also, is there a good argument for extending liquid/pureed past the 4th > week as a general recommendation? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2005 Report Share Posted April 20, 2005 Thanks Theresa. The recommendation here has been 70 -90 grams /day and they only count " high biological protein " . I haven't found patients who can eat a balance and get this much protein in. I also felt that this was high for some of our patients. Our protocol is now 4 weeks of pureed and I truly question compliance. I feel that compliance would be best if the pureed stage was shortened- thereby increasing nutrient intake/protein. > > > > I am new to the Bariatric Center, but have been in weight management > a > > very long time. I am wanting to make some changes and have learned > > ALOT through this list serve and networking. The one area I have > not > > seen anything on is calculation of Protein needs- what are you all > > using to calculate needs? > > Also, is there a good argument for extending liquid/pureed past the > 4th > > week as a general recommendation? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2007 Report Share Posted February 5, 2007 I have noticed that there is a lot of questions about how much protein we need so here is what I came up with... Active Adults 18-55 Should consume 0.4 to 0.8 grams of protein per pound of body weight spread over 5-6 smaller meals a day. Example 200lb x 0.5 to 0.8g protein / lb body weight = 100 to 160 of protein a day. depends on how active you are. Adults 55 and over should consume 0.4 to 0.6 grams of protein per pound of body weight depending on how active they are.. This should give a little better guide line to what your body needs in the way of protein... Food fight? Enjoy some healthy debatein the Answers Food Drink Q&A. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2007 Report Share Posted December 19, 2007 We use 1.0 g/kg IBW for bands and 1.2 g/kg IBW for bypass. > > I am from a new program that is just getting up and running. I was > just wondering what you all are doing to figure out protein > requirements for post-op patients? Does anyone have a g/Kg level that > they are using or are most people just giving a range of grams of > protein? I have seen a suggested range of 60-80g Protein, but didn't > know if that would be adequate across the board. I would love to hear > any suggestions! Thanks! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2007 Report Share Posted December 19, 2007 I use 0.8-1 gram/kg adjusted ideal body weight -----Original Message-----From: [mailto: ]On Behalf Of jacquizimmermanSent: Wednesday, December 19, 2007 9:15 AM Subject: Protein requirements I am from a new program that is just getting up and running. I was just wondering what you all are doing to figure out protein requirements for post-op patients? Does anyone have a g/Kg level that they are using or are most people just giving a range of grams of protein? I have seen a suggested range of 60-80g Protein, but didn't know if that would be adequate across the board. I would love to hear any suggestions! Thanks! IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2007 Report Share Posted December 19, 2007 Not sure where those numbers came from-they were already established when I got here. I'm assuming they just increased it from the typically recommendation of 0.8 g/kg and decided that the bypass patients would need more than the bands b/c of the more invasive surgery. > > > > I am from a new program that is just getting up and running. I was > > just wondering what you all are doing to figure out protein > > requirements for post-op patients? Does anyone have a g/Kg level > that > > they are using or are most people just giving a range of grams of > > protein? I have seen a suggested range of 60-80g Protein, but didn't > > know if that would be adequate across the board. I would love to > hear > > any suggestions! Thanks! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2007 Report Share Posted December 20, 2007 I was at that conference last Sept and that is exactly what they said… 70g/day to preserve lean body mass. Allbritten, RD, LDN Vanderbilt Center for Surgical Weight Loss Certificate of Training in Adult Weight Management jaime.l.allbritten@... From: [mailto: ] On Behalf Of Mandy Foust Sent: Thursday, December 20, 2007 10:27 AM To: Subject: Re:Protein requirements We use 70-80 grams on average. I do believe one of the main reasons is related to most pts typically eat 1000 or less calories post operatively. I BELIEVE I remember at the weight management conference learning that when one consumes less than 1000 kcals daily they need 70 grams typically as a minimum to sustain adequate visceral stores. (I would have to pull my articles for confirmation) Again, this has been a few years back, but is the premise for our program recommending 70 grms as a minimum. If you use 1 gm per kg of IBW for women who are shorter that would be 45-50 grms or less, and I don't think that would cover their needs when they are s/p surgery and consuming about 800 kcal daily. I may be wrong though...........any one else have thoughts? Mandy Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
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