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We recommend 2 Tbsp

per day as needed. It provides 60 calories and 4g fiber per serving. It can be mixed with yogurt, beans, cottage cheese, etc.

From:

[mailto: ]

On Behalf Of jsrogers123

Sent: Thursday, February 12, 2009 2:15 PM

Subject: Re: Constipation

>

> Metamucil ½ dose first

> Benefiber ½ dose at first

> Milk of Magnesia

> Smooth Move Tea (distributed by Traditional Medicinals)

> Flaxseed Meal

>

> Minimum of 64 ounces of water/day

How much flaxseed meal per meal do you recommend and what is the amount you

recommend not to exceed?

Notice from St.ph Health System:

Please note that the information contained in this message may be privileged and confidential and protected from disclosure.

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I recommend a product known as Advanced Fiber Powder from nutraMetrix that has also worked well for by-pass patients. Feel free to email me privately for more info but It contains: Fibersol-2® (soluble fiber flucose polymer complex) 5,000 mgFibersol-2 is a soluble fiber having a positive impact on the elimination of wastes and colon cleansing, as well as helping to maintain balanced bowels, helping support normal bowel regularity and fecal volume, and supporting healthy digestive function. Fibersol-2 is a spray-dried powder made by the pyrolysis and stabilized enzymatic hydrolysis of cornstarch. It is a safe (GRAS) maltodextrin, easily mixed in water and carries no flavor. Fibersol-2 has a very low viscosity, high solubility, low hygroscopicity and clarity in solution. Because it is high in naturally occurring chemical bonds that remain undigested even in the digestive tract, it helps to support overall health by helping to maintain normal cholesterol levels, helping to maintain normal blood glucose levels and promoting immune health. A general review article by Kazuhiro Ohkuma and Shigeru Wakabayashi (Advanced Dietary Fibre Technology, 2000) covered the beneficial properties of Fibersol-2. "Its viscosity is lower than that of a conventional maltodextrin, although both have the same DE value," they noted. "A solution of Fibersol-2 is very clear and stable and does not become cloudy or show signs of any precipitation when kept for long periods of time. It also has very good anti-acid properties and can be cooked and sterilized at high temperature in food applications due to its stability in heat processes." Many studies on Fibersol-2 have looked at its health benefits. Physiologically, the ingredient has been shown to promote normal bowel regularity and stool volume. In a study of 14 females and six males with fecal frequency fewer than three times per week, the subjects received 3.75 g of Fibersol-2 per day for five days. One researcher found that weekly fecal frequency increased from 2.6 to 4.0 times. In addition, fecal volume (expressed in terms of the volume of an egg) was increased from 6.0 to 11.3. The subjects also had significantly increased proportions of bifidobacteria in intestinal microflora. This finding was supported in another study in which healthy adults were given 10 g of Fibersol-2 three times per day over a one-month period. Researchers found that bifidobacterium increased in all subjects, with some experiencing increases of more than 10 percent. Fibersol-2 is capable of increasing the amount of good bacteria, probiotics, within the large intestine due to the fact that most of this fiber is transported to that specific area of the colon. In a normal absorption pattern of a sugar and starch mixture, the majority is absorbed in the stomach and in the beginning of the small intestine. Ohkuma and Wakabayashi hypothesized that most of Fibersol-2 escapes digestion in the upper gastrointestinal tract. "It is estimated that approximately 90 percent of the administered Fibersol-2 reaches the large intestine and half of that is metabolized by intestinal bacteria," they noted. Fibersol-2’s slow digestion helps maintain blood glucose levels. In one study, changes in postprandial blood glucose levels were monitored in 40 healthy humans. The subjects were given a fixed menu of Japanese udon noodles with fried bean curd and rice, with either green tea or a beverage containing 5.0 g of Fibersol-2. Postprandial blood glucose levels for subjects receiving green tea and Fibersol-2 remained low, compared to subjects ingesting only green tea, despite the subjects eating the same food. (Tokunaga K and Matsuoka A, "Effects of a [FOSHU] which contains indigestible dextrin as an effective ingredient on glucose and lipid metabolism," J Japanese Diabetes Society, 42:61-65, 1999.) Animal models have taken this finding further to determine how it could promote weight loss. Inulin Fiber (fructo-oligosaccharide extract of chicory root) 5,000 mgInulin fiber delivers eight milligrams of prebiotic, which is a subset fiber. These types of prebiotic fibers are food sources that are preferred by friendly bacteria. Inulin, an important prebiotic, exists in foods such as asparagus, chicory, garlic, Jerusalem artichoke and onion. Inulin or fructo-oligosaccharides (FOS) are fibers in the form of starches that the human body cannot fully digest. When a person consumes prebiotics, the undigested portions provide nourishment for beneficial bacteria in the digestive tract. Inulins may promote the growth of favorable bacterial populations, such as bifidobacteria in the colon. Bifidobacteria may inhibit the growth of pathogenic bacteria, such as Clostridium perfringens and diarrheogenic strains of Escherichia coli. Probiotic Blend (Lactobacillus acidophilus, Lactobacillus plantarum, Bifodobacterium bifidum, Lactobacillus casei)Probiotics such as acidophilus, or lactobacillus acidophilus, are strains of "beneficial" or "good" bacteria, known to help to maintain a healthy digestive tract. The digestive system naturally houses trillions of these good bacteria that directly help the body digest, modify and convert the foods we eat. Disruptions to these populations of probiotics (good bacteria) are common and must be kept at adequate levels in order to overwhelm other bacteria, which may begin to run rampant in the event the good bacteria levels decrease. In displacing other bacteria and yeast, acidophilus (and other beneficial bacteria like plantarun, bifidum and casei) may also play a significant role in maintaining a healthy immune system, and promoting a healthy colon. Such beneficial bacteria can be found naturally in foods such as cultured yogurts and kefir. Both human and animal studies have demonstrated direct benefits of consistent ingestion of acidophilus and other beneficial bacteria on immune system function. Overall, the probiotic bacteria support the ability of the immune system to recognize and destroy invading organisms. Several key fighters of the immune system, including macrophages, immunoglobulins cytokines, are benefit by regular intake of beneficial bacteria. Consuming beneficial bacteria helps maintain healthy white blood cell counts. L-glutamine 1,000 mgHigh-protein foods including meat, fish, beans and dairy products are excellent sources of glutamine. L-glutamine is an amino acid derived from another amino acid, glutamic acid. Glutamine is a restorative amino acid that is used by the GI tract as its source of fuel. Glutamine helps to support overall health by helping to maintain normal cholesterol levels, helping to maintain normal blood glucose levels and promoting immune health. Heavy exercise, infection, surgery and trauma can all deplete the body's glutamine reserves, particularly in muscle cells. Because the cells of the intestine use glutamine for fuel, supplemental L-glutamine has been used to promote digestive health. B. , M.S.,R.D., LD/N, CLTACSM Certified Exercise SpecialistCertified LEAP Therapist for Food Sensitivities and Intolerancesangela@...FitLife of Coloradowww.fitlifeofcolorado.com720-201-1128 (Denver)970-726-2877 (Winter Park/ Fraser) On Jul 22, 2009, at 7:49 AM, ashleybrowningkadlubar wrote: Hi everyone! Looking for some suggestions to help with constipation in addition to benefiber and fluids (which are not working for one of my patients). Does anyone have patients with chronic constipation after a bypass? If so what are you recommending? Thanks! Kadlubar, MS, RD, LD 817-305-5063 ashleybrbaylorhealth (DOT) edu

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Granted there is more info that helps with

WLS pts – but there is an already completed education handout on the ADA

website to start with.

K. Mackie, MS, RD, LDN

Southeast Bariatrics Nutritionist

2300 Randolph Rd.

Charlotte, NC 28207

704-347-4144 (P)

704-347-4148 (F)

hmackie@...

www.southeastbariatrics.com

From:

[mailto: ] On Behalf Of jafehre

Sent: Wednesday, October 14, 2009

5:39 PM

To:

Subject:

Constipation

Hello! I am trying to create a handout for patients

since this is such a common concern. Do any of you have good tips or resources

you use for this as I get started?

:)

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Thanks, I will check that out.

From: Mackie <hmackie@...>Subject: RE: Constipation Date: Thursday, October 15, 2009, 8:48 AM

Granted there is more info that helps with WLS pts – but there is an already completed education handout on the ADA website to start with.

K. Mackie, MS, RD, LDN

Southeast Bariatrics Nutritionist

2300 Randolph Rd.

Charlotte, NC 28207

704-347-4144 (P)

704-347-4148 (F)

hmackie@southeastba riatrics. com

www.southeastbariat rics.com

From: BariatricNutritionD ietitians [mailto:BariatricNu tritionDietitian sgroups (DOT) com] On Behalf Of jafehreSent: Wednesday, October 14, 2009 5:39 PMBariatricNutritionD ietitiansSubject: [bariatricNutrition Dietitians] Constipation

Hello! I am trying to create a handout for patients since this is such a common concern. Do any of you have good tips or resources you use for this as I get started? :)

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Maybe start with ADA Nutrition Care Manual

Amy

Long Carrera MS, RD, CNSC

Clinical

Dietitian

Northridge Hospital Medical Center &

Center for

Weight Loss Surgery

818-885-8500 x

4034

amy.long@...

From:

[mailto: ] On Behalf Of jafehre

Sent: Wednesday, October 14, 2009

2:39 PM

To:

Subject:

Constipation

Hello! I am trying to create a handout for patients

since this is such a common concern. Do any of you have good tips or resources

you use for this as I get started?

:)

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I would make sure that I'm drinking plenty of water during the day (around 8 glasses). I would stop eating binding foods like cheese, bananas, white rice etc. Eat high fiber foods like plums, prunes. Here is an article I found of foods that cause constipation and foods that help constipation:

http://www.nutritional-supplement-educational-centre.com/foods-that-cause-constipation.html

I hope this helps.

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I would make sure that I'm drinking plenty of water during the day (around 8 glasses). I would stop eating binding foods like cheese, bananas, white rice etc. Eat high fiber foods like plums, prunes. Here is an article I found of foods that cause constipation and foods that help constipation:

http://www.nutritional-supplement-educational-centre.com/foods-that-cause-constipation.html

I hope this helps.

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Dear you-all, especially Marilyn,

Would eating only kefir cause one to be constipated? Is it necessary to eat

veggies or fruit with a meal of just kefir?

, still learning

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,

Speaking of constipation... Welcome back!! :-)

Leo

On Sun, Jul 8, 2012 at 7:57 AM, B <rogerbird2@...> wrote:

> **

>

>

>

> Dear you-all, especially Marilyn,

>

> Would eating only kefir cause one to be constipated? Is it necessary to

> eat veggies or fruit with a meal of just kefir?

>

> , still learning

>

>

>

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I remember you. You are the Colorado man.

Do the letters AMB mean anything to you?

>

> From: leo.girardi@...

> Date: Sun, 8 Jul 2012 12:55:08 -0600

> Subject: Re: constipation

>

> ,

>

> Speaking of constipation... Welcome back!! :-)

>

> Leo

>

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I don't believe the kefir is what's causing the constipation. There may be gut

issues from years of eating a nutritionally deficient diet and/or eating too

many grains and or gut damage from vaccines. I have the same problem with my

gut but it's getting better. My gut was damaged by mercury and vaccines but

it's getting better now that I'm cutting out sugars (mostly) and haven't eaten

any grains. I'm looking forward to getting to the intermediate diet where I can

add my favorite, soaked, sprouted Quinoa, back into my diet.

Al

constipation

Dear you-all, especially Marilyn,

Would eating only kefir cause one to be constipated? Is it necessary to eat

veggies or fruit with a meal of just kefir?

, still learning

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probably should, but not off the top of my head.

On Sun, Jul 8, 2012 at 1:14 PM, B <rogerbird2@...> wrote:

> **

>

>

>

> I remember you. You are the Colorado man.

>

> Do the letters AMB mean anything to you?

>

>

>

> >

> > From: leo.girardi@...

> > Date: Sun, 8 Jul 2012 12:55:08 -0600

> > Subject: Re: constipation

>

> >

> > ,

> >

> > Speaking of constipation... Welcome back!! :-)

> >

> > Leo

> >

>

>

>

>

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, since this is quick & short, will take a minute before I go for now.

Yes, too much kefir milk can be constipating IF you are not balancing with

magnesium type foods. Kefir milk is high in calcium & calcium needs magnesium

to be absorbed SO if there is not enough magnesium for the calcium, excess

calcium can cause constipation. Calcium pulls muscles tight, magnesium relaxes

muscles. You can take a good absorbing magnesium to offset the extra calcium if

you drink lots of kefir milk though.

Alice

Dear you-all, especially Marilyn,

Would eating only kefir cause one to be constipated? Is it necessary to eat

veggies or fruit with a meal of just kefir?

, still learning

[

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Some source of fiber is needed by your digestive tract. On Atkins, eating only

meat and cheese, I used Fibercon and Citrucil tablets, both synthetic fibers.

Synthetic was to prevent gas. Since then I have found glucomannon, which is

natural. Then there's always real food with fiber.

Larry

 

Dear you-all, especially Marilyn,

Would eating only kefir cause one to be constipated? Is it necessary to eat

veggies or fruit with a meal of just kefir?

, still learning

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Consumption of supplemental magnesium is essential for everyone. It is very hard

to get an ideal amount of magnesium from the foods we eat.

Larry

 

, since this is quick & short, will take a minute before I go for

now. Yes, too much kefir milk can be constipating IF you are not balancing with

magnesium type foods. Kefir milk is high in calcium & calcium needs magnesium

to be absorbed SO if there is not enough magnesium for the calcium, excess

calcium can cause constipation. Calcium pulls muscles tight, magnesium relaxes

muscles. You can take a good absorbing magnesium to offset the extra calcium if

you drink lots of kefir milk though.

Alice

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Kefir can cause constipation, depending on how you’re culturing it and if you

are not used to it. Are you culturing to full separation or just until the whey

barely begins separation?

I would add acacia fiber or another type of soluble fiber to help. This fiber is

a good prebiotic that will make the gut environment hospitable for the probiotic

kefir. It’s available at Amazon

http://www.amazon.com/dp/B0009XFYSG/?tag=alabl07-20

Or you can also get it at the www.helpforibs.com site.

Another source of acacia fiber is Organic clear fiber, but I think it’s more

expensive than heather’s.

http://www.amazon.com/dp/B0014UUQX6/?tag=alabl07-20

From: B

Sent: Sunday, July 08, 2012 6:57 AM

Marilyn Kefirlady's Forum

Subject: constipation

Dear you-all, especially Marilyn,

Would eating only kefir cause one to be constipated? Is it necessary to eat

veggies or fruit with a meal of just kefir?

, still learning

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You are sooo right about this Larry!!!

Re: constipation

Consumption of supplemental magnesium is essential for everyone. It is very

hard to get an ideal amount of magnesium from the foods we eat.

Larry

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Magnesium is more easily absorbed through the skin than through the GI tract,

apparently. You can get magnesium inexpensively and easily through Epsom salt

baths. There are also magnesium oil preparations made for applying to the skin

as a way to supplement.

From: Larry Lemer

Sent: Sunday, July 08, 2012 7:51 PM

Subject: Re: constipation

Consumption of supplemental magnesium is essential for everyone. It is very hard

to get an ideal amount of magnesium from the foods we eat.

Larry

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Dietary Magnesium

Optimum magnesium intake might prevent ADD/ADHD, Alzheimer's and mental decline

http://www.naturalnews.com/035047_magnesium_ADHD_Alzheimers.html

Al

Re: constipation

, since this is quick & short, will take a minute before I go for

now. Yes, too much kefir milk can be constipating IF you are not balancing with

magnesium type foods. Kefir milk is high in calcium & calcium needs magnesium

to be absorbed SO if there is not enough magnesium for the calcium, excess

calcium can cause constipation. Calcium pulls muscles tight, magnesium relaxes

muscles. You can take a good absorbing magnesium to offset the extra calcium if

you drink lots of kefir milk though.

Alice

Dear you-all, especially Marilyn,

Would eating only kefir cause one to be constipated? Is it necessary to eat

veggies or fruit with a meal of just kefir?

, still learning

[

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, I have never heard of Mg absorption---I like it. 

From: <jdpro@...>

Subject: Re: constipation

Date: Sunday, July 8, 2012, 11:06 PM

 

Magnesium is more easily absorbed through the skin than through the GI tract,

apparently. You can get magnesium inexpensively and easily through Epsom salt

baths. There are also magnesium oil preparations made for applying to the skin

as a way to supplement.

From: Larry Lemer

Sent: Sunday, July 08, 2012 7:51 PM

Subject: Re: constipation

Consumption of supplemental magnesium is essential for everyone. It is very hard

to get an ideal amount of magnesium from the foods we eat.

Larry

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That's the first I've heard of that! Through the skin? Wouldn't bathing in it

risk diarrhea then?  I know that consuming too much too fast will flush it right

back out along with your last few meals. Epsom salt is a common laxative.

Magnesium can be absorbed well with the right type at the right dose, preferably

in more than one dose. Magnesium citrate, the same Citrate of Magnesium, at 250

or 300 mg twice a day is good.

Larry

 

Magnesium is more easily absorbed through the skin than through the GI

tract, apparently. You can get magnesium inexpensively and easily through Epsom

salt baths. There are also magnesium oil preparations made for applying to the

skin as a way to supplement.

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It can't contain a whole lot more than the milk itself. Not a whole lot, I'm

afraid.

Larry

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Epsom salt baths don’t cause diarrhea because it doesn’t go into the GI

system. If taken orally, it will act as a laxative.

It absorbs directly into the bloodstream through the skin.

http://www.epsomsaltcouncil.org/articles/report_on_absorption_of_magnesium_sulfa\

te.pdf

From: Larry Lemer

Sent: Sunday, July 08, 2012 10:31 PM

Subject: Re: constipation

That's the first I've heard of that! Through the skin? Wouldn't bathing in it

risk diarrhea then? I know that consuming too much too fast will flush it right

back out along with your last few meals. Epsom salt is a common laxative.

Magnesium can be absorbed well with the right type at the right dose, preferably

in more than one dose. Magnesium citrate, the same Citrate of Magnesium, at 250

or 300 mg twice a day is good.

Larry

Magnesium is more easily absorbed through the skin than through the GI tract,

apparently. You can get magnesium inexpensively and easily through Epsom salt

baths. There are also magnesium oil preparations made for applying to the skin

as a way to supplement.

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