Guest guest Posted December 19, 2007 Report Share Posted December 19, 2007 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 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...
Guest guest Posted March 28, 2008 Report Share Posted March 28, 2008 With the intent to prevent protein malnutrition from ever becoming a concern, we advise goal protein intake right after surgery (80-100g/day or about 1.2-1.5g/kg adjusted BW), accomplished with supplements. While solid foods are important, it is not likely that protein goals will ever be reached with food intake alone, and supplements will always be necessary to some extent. Amy Long Carrera MS, RD Clinical Dietitian Northridge Hospital Medical Center & Center for Weight Loss Surgery Northridge, CA Amy.Long@... 818-885-8500 x4034 From: [mailto: ] On Behalf Of angiwill2003Sent: Thursday, March 27, 2008 6:04 PM Subject: protein requirements Hi everyone! I have been noticing a lot of differences b/w surgical clinics with protein requirements. In my position, I actually do weight loss surgery counseling for clients that work with many different clinics. There seems to be quite a few surgeons that dont' worry about protein intake for several weeks after surgery, while others emphasize 50-60 grams as soon as possible after starting the full liquid diet. Does anyone have any information on when it is essential that they have reached their protein goals? I know there are a variety of ways clinics figure out the patient's goals, I guess I am hoping to get some feedback from all of you on when to make sure they are ACTUALLY consuming the goal. In other words, when does protein malnutrition become a concern, is there a timeline? I have been stressing it hard at the two week follow-up appointment, i.e. doing a diet recall and finding strategies to get more protein in, but some of my coworkers believe it is impossible to achieve goal at this point and just emphasize working towards goal until their food intake at meals is up to 1/2 cup. Any feedback/thoughts on this matter would be appreciated! Angie Humble, RD,LDHealthPartners, Health Behavior Group Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2008 Report Share Posted March 29, 2008 Based on the information I received at the Bariatric Nutrition Course through BariMD and Jeanne Blankenship, I calculate protein reqs from IBW for ht at 1.2 to 1.5g/kg IBW. I find that after about 6 months or so, they are able to meet these requirements with solid food intake if they focus on choosing balanced meals with high quality protein eaten first. Eventually hunger returns, and I want patients to use solid food for protein to gain increased satiety and satiation to prevent weight regain later on. > > With the intent to prevent protein malnutrition from ever becoming a > concern, we advise goal protein intake right after surgery (80- 100g/day > or about 1.2-1.5g/kg adjusted BW), accomplished with supplements. While > solid foods are important, it is not likely that protein goals will ever > be reached with food intake alone, and supplements will always be > necessary to some extent. > > Amy Long Carrera MS, RD > Clinical Dietitian > Northridge Hospital Medical Center & > Center for Weight Loss Surgery > Northridge, CA > Amy.Long@... > 818-885-8500 x4034 > > > ________________________________ > > From: > [mailto: ] On Behalf Of > angiwill2003 > Sent: Thursday, March 27, 2008 6:04 PM > > Subject: protein requirements > > > > Hi everyone! I have been noticing a lot of differences b/w surgical > clinics with protein requirements. In my position, I actually do > weight loss surgery counseling for clients that work with many > different clinics. There seems to be quite a few surgeons that dont' > worry about protein intake for several weeks after surgery, while > others emphasize 50-60 grams as soon as possible after starting the > full liquid diet. > > Does anyone have any information on when it is essential that they > have reached their protein goals? I know there are a variety of ways > clinics figure out the patient's goals, I guess I am hoping to get > some feedback from all of you on when to make sure they are ACTUALLY > consuming the goal. In other words, when does protein malnutrition > become a concern, is there a timeline? I have been stressing it hard > at the two week follow-up appointment, i.e. doing a diet recall and > finding strategies to get more protein in, but some of my coworkers > believe it is impossible to achieve goal at this point and just > emphasize working towards goal until their food intake at meals is up > to 1/2 cup. > > Any feedback/thoughts on this matter would be appreciated! > Angie Humble, RD,LD > HealthPartners, Health Behavior Group > Quote Link to comment Share on other sites More sharing options...
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