Alternate Sources of Protein for pt with allergies

[Guest guest]

Hi There,

I have a pre-op patient who was assessed today and she is allergic to milk, eggs

and soy. She also dislikes fish, beef and pork.

We use Optifast as a pre-op diet in our program which contains milk proteins and

soybean oil. In the past we have given people who cannot tolerate Optifast due

to milk allergy a 900kcal protein-sparing diet but this will be difficult with

this patient due to her allergies and food preferences. We will face similar

challenges meeting protein needs after surgery as all the protein supplements we

recommend contain milk or soy protein and she only eats a few dietary sources of

protein (chicken and nuts).

Does anyone know of any protein supplements that would be appropriate for

someone with these allergies?

Thanks

Teene, RD

St. ph's Healthcare Hamilton

Hamilton, ON Canada

[Guest guest]

The Pea based products like Figure 8 are made from field peas. She may or may not be sensitive to field peas since she is allergic to soy. Hemp based products are not complete proteins, but have a PDCAAS of around 60%. There are some complete collagen based products too. The Healthy Shots and ProStat Profile have PDCAAS= 100%. These are made from animal skin. Cordially, Litchford PhD, RD, LDNwww.casesoftware.commdlphd@...Check out the 2010 edition of Laboratory

Assessment of Nutritional Status.From: sarahpearson_00 <sarah.teene@...> Sent: Wednesday, June 29, 2011 11:38 AMSubject:

Alternate Sources of Protein for pt with allergies

Hi There,

I have a pre-op patient who was assessed today and she is allergic to milk, eggs and soy. She also dislikes fish, beef and pork.

We use Optifast as a pre-op diet in our program which contains milk proteins and soybean oil. In the past we have given people who cannot tolerate Optifast due to milk allergy a 900kcal protein-sparing diet but this will be difficult with this patient due to her allergies and food preferences. We will face similar challenges meeting protein needs after surgery as all the protein supplements we recommend contain milk or soy protein and she only eats a few dietary sources of protein (chicken and nuts).

Does anyone know of any protein supplements that would be appropriate for someone with these allergies?

Thanks

Teene, RD

St. ph's Healthcare Hamilton

Hamilton, ON Canada

[Guest guest]

Sorry I can not tell you the name of it but there is a hemp based protein shake that I see at one of our local natural food stores. She could mix that with almond or rice milk for additional protein post-op. There are also coconut yogurts she may be able to take in (not sure on residual milk/soy/egg proteins in any of these). Hope she realizes she will be eating a lot of chicken and nuts!

best of luck

Laschkewitsch RD LDDietitianGood Samaritan Weight Management InstitutePortland, OR(503) 413-8135

-----Original Message-----From: [mailto: ]On Behalf Of sarahpearson_00Sent: Wednesday, June 29, 2011 8:39 AM Subject: Alternate Sources of Protein for pt with allergies

Hi There, I have a pre-op patient who was assessed today and she is allergic to milk, eggs and soy. She also dislikes fish, beef and pork. We use Optifast as a pre-op diet in our program which contains milk proteins and soybean oil. In the past we have given people who cannot tolerate Optifast due to milk allergy a 900kcal protein-sparing diet but this will be difficult with this patient due to her allergies and food preferences. We will face similar challenges meeting protein needs after surgery as all the protein supplements we recommend contain milk or soy protein and she only eats a few dietary sources of protein (chicken and nuts). Does anyone know of any protein supplements that would be appropriate for someone with these allergies?Thanks Teene, RDSt. ph's Healthcare HamiltonHamilton, ON Canada

[Guest guest]

Check out Vegan Proteins+ by Genuine Health. A serving contains 20g of pro from

pea, cranberry, brown rice, alfalfa, and hemp:

http://shop.genuinehealth.com/vegan-proteins-7.html.

>

> Sorry I can not tell you the name of it but there is a hemp based protein

shake that I see at one of our local natural food stores. She could mix that

with almond or rice milk for additional protein post-op. There are also

coconut yogurts she may be able to take in (not sure on residual milk/soy/egg

proteins in any of these). Hope she realizes she will be eating a lot of

chicken and nuts!

>

> best of luck

>

>

> Laschkewitsch RD LD

> Dietitian

> Good Samaritan Weight Management Institute

> Portland, OR

> (503) 413-8135

>

> Alternate Sources of Protein for pt

with allergies

>

>

>

>

> Hi There,

>

> I have a pre-op patient who was assessed today and she is allergic to milk,

eggs and soy. She also dislikes fish, beef and pork.

>

> We use Optifast as a pre-op diet in our program which contains milk proteins

and soybean oil. In the past we have given people who cannot tolerate Optifast

due to milk allergy a 900kcal protein-sparing diet but this will be difficult

with this patient due to her allergies and food preferences. We will face

similar challenges meeting protein needs after surgery as all the protein

supplements we recommend contain milk or soy protein and she only eats a few

dietary sources of protein (chicken and nuts).

>

> Does anyone know of any protein supplements that would be appropriate for

someone with these allergies?

>

> Thanks

>

> Teene, RD

> St. ph's Healthcare Hamilton

> Hamilton, ON Canada

>

[Guest guest]

,

So the product doesn't have a PDCAAS of 100?

And ProStat's score is actually 100% though from collagen?

Sanam Shahrokhinia MS RD

Cedar-Sinai Medical Center

From: Litchford <mdlphd@...>" " < >Sent: Wed, June 29, 2011 9:02:50 AMSubject: Re: Alternate Sources of Protein for pt with allergies

The Pea based products like Figure 8 are made from field peas. She may or may not be sensitive to field peas since she is allergic to soy. Hemp based products are not complete proteins, but have a PDCAAS of around 60%. There are some complete collagen based products too. The Healthy Shots and ProStat Profile have PDCAAS= 100%. These are made from animal skin.

Cordially, Litchford PhD, RD, LDNwww.casesoftware.commdlphd@...Check out the 2010 edition of Laboratory Assessment of Nutritional Status.

From: sarahpearson_00 <sarah.teene@...> Sent: Wednesday, June 29, 2011 11:38 AMSubject: Alternate Sources of Protein for pt with allergies

Hi There, I have a pre-op patient who was assessed today and she is allergic to milk, eggs and soy. She also dislikes fish, beef and pork. We use Optifast as a pre-op diet in our program which contains milk proteins and soybean oil. In the past we have given people who cannot tolerate Optifast due to milk allergy a 900kcal protein-sparing diet but this will be difficult with this patient due to her allergies and food preferences. We will face similar challenges meeting protein needs after surgery as all the protein supplements we recommend contain milk or soy protein and she only eats a few dietary sources of protein (chicken and nuts). Does anyone know of any protein supplements that would be appropriate for someone with these

allergies?Thanks Teene, RDSt. ph's Healthcare HamiltonHamilton, ON Canada

[Guest guest]



,

What about Rice Bran Protein? Does it have a better PDA score than Hemp Protein? I have a client who is a Vegan getting the Lap Band soon.

Thanks,

Debra Brown-Grossman, M.P.H.,R.D.,C.D.E.62 So Fullerton Ave.Montclair, N.J. 07042973-655-1335/973-655-1336(fax)

Alternate Sources of Protein for pt with allergies

Hi There, I have a pre-op patient who was assessed today and she is allergic to milk, eggs and soy. She also dislikes fish, beef and pork. We use Optifast as a pre-op diet in our program which contains milk proteins and soybean oil. In the past we have given people who cannot tolerate Optifast due to milk allergy a 900kcal protein-sparing diet but this will be difficult with this patient due to her allergies and food preferences. We will face similar challenges meeting protein needs after surgery as all the protein supplements we recommend contain milk or soy protein and she only eats a few dietary sources of protein (chicken and nuts). Does anyone know of any protein supplements that would be appropriate for someone with these allergies?Thanks Teene, RDSt. ph's Healthcare HamiltonHamilton, ON Canada

[Guest guest]

I have yet to look into this personally, but have heard a few positive things with respect to the supplement product line entitled “Vega.â€Â  It might be worth an investigation!  I hope I haven’t sent you on a wild goose chase!!!I look forward to hearing what you decide on being the optimal management for this individual. Good luck and take care, Margeaux Maniatis, BASc, RD | Registered Clinical Dietitian Information contained in this email, and any attachments, is not intended to represent and is not to be relied upon as medical advice, which may only be provided by a physician. Further, this email, and none of its contents or attachments, in any way creates a physician/patient relationship between the sender and the recipient. This email, and any attachments, are confidential and intended only for the addressee. If you received this message in error, or are not the intended recipient, do not use any information in the email, or any of the attachments. Please inform us immediately of the erroneous delivery by return mail or email. Thank you for your cooperation. From: [mailto: ] On Behalf Of deblengrossmanSent: Monday July 18, 2011 11:43 AM Subject: Re: Alternate Sources of Protein for pt with allergies  , What about Rice Bran Protein? Does it have a better PDA score than Hemp Protein? I have a client who is a Vegan getting the Lap Band soon. Thanks, Debra Brown-Grossman, M.P.H.,R.D.,C.D.E.62 So Fullerton Ave.Montclair, N.J. 07042973-655-1335/973-655-1336(fax) Alternate Sources of Protein for pt with allergies Hi There, I have a pre-op patient who was assessed today and she is allergic to milk, eggs and soy. She also dislikes fish, beef and pork. We use Optifast as a pre-op diet in our program which contains milk proteins and soybean oil. In the past we have given people who cannot tolerate Optifast due to milk allergy a 900kcal protein-sparing diet but this will be difficult with this patient due to her allergies and food preferences. We will face similar challenges meeting protein needs after surgery as all the protein supplements we recommend contain milk or soy protein and she only eats a few dietary sources of protein (chicken and nuts). Does anyone know of any protein supplements that would be appropriate for someone with these allergies?Thanks Teene, RDSt. ph's Healthcare HamiltonHamilton, ON Canada