High Protein recommendations for a Gastric Bypass Patient

[Guest guest]

I have a friend who had gastric bypass in 2003 and lost 80 pounds. He got down

to 185 # and looked great. Unfortunately, in 2008 he had 4 hospitalizations for

diverticulitis and about 4 other attacks. And thus, he gained a lot of the

weight back.

After Gastric ByPass he was on high protein diet and would like something

similar. He has tried protein drinks alone but never seems to make it past a

week. He requests a regimented plan with maybe a protein drink added.

Exercise is a challenge because of sleep apnea issues. He is on 10 mgs. of

Ambien (Zolpidem - generic) and ipam 5 mgs every night. He claims he wakes

up " like a Zombie " every morning. He is waiting to see if insurance will cover a

new sleep machine.

I am trying to put together a reasonable plan for him to follow. I realize for

diverticulitis it is a bland diet, low residual, low fat, no seeds/nuts. For

post Gastric Bypass it is high protein; small meals 5-6x times daily; MVI, Fe,

Ca supplements; avoiding carbonated beverages. Is there a high protein drink

that is recommended? Any other suggestions/advice from the experts would be

greatly appreciated.

Thank you!

Healthy regards,

Tsolig " Sunny " Shahinian, MS, RD

sunny.shahinian@...

Linked In: www.linkedin.com/in/sunnytsoligshahinian

Twitter: @SunnyDietitian

Facebook: Simply Sunny Nutrition

[Guest guest]

I like the whey isolate supplements like Unjury.

Cordially, Litchford PhD, RD, LDNwww.casesoftware.commdlphd@...

From: Sunny <sunny.shahinian@...> Sent: Sunday, July 24, 2011 10:21 AMSubject: High Protein recommendations for a Gastric Bypass Patient

I have a friend who had gastric bypass in 2003 and lost 80 pounds. He got down to 185 # and looked great. Unfortunately, in 2008 he had 4 hospitalizations for diverticulitis and about 4 other attacks. And thus, he gained a lot of the weight back.After Gastric ByPass he was on high protein diet and would like something similar. He has tried protein drinks alone but never seems to make it past a week. He requests a regimented plan with maybe a protein drink added.Exercise is a challenge because of sleep apnea issues. He is on 10 mgs. of Ambien (Zolpidem - generic) and ipam 5 mgs every night. He claims he wakes up "like a Zombie" every morning. He is waiting to see if insurance will cover a new sleep machine.I am trying to put together a reasonable plan for him to follow. I realize for diverticulitis it is a bland diet, low residual, low fat, no seeds/nuts. For post Gastric Bypass it is high protein; small meals 5-6x times

daily; MVI, Fe, Ca supplements; avoiding carbonated beverages. Is there a high protein drink that is recommended? Any other suggestions/advice from the experts would be greatly appreciated.Thank you!Healthy regards,Tsolig "Sunny" Shahinian, MS, RDsunny.shahinian@...Linked In: www.linkedin.com/in/sunnytsoligshahinianTwitter: @SunnyDietitianFacebook: Simply Sunny Nutrition

[Guest guest]

Here are some really good protein resources:

Protein Options: I use Proeinex personally. It has 18 grams of protein and you mix it with water. It tastes great and you can get it at http://www.bariatricchoice.com/. Other options are below.

Bettermd.net

– Provides internet support, chat room and weight management tools. Available

at www.bettermd.net or 1.877.578.1067.

Beneprotein

and Optisource premixed drinks- Available by the case exclusively through

Walgreens Home delivery at www.resource.walgreens.com

or 1.800.828.9194

Nectar,

Matrix and more- available at www.bariatriceating.com

or 1.888.777.4202

GNC or

other health food stores, health and fitness clubs and many other

retailers have a variety of protein supplement options to choose from- Isopure, Myoplex, Muscle Milk lite etc.

Grocery

stores have available sugar-free carnation instant breakfast –for blender

recipes go to www.carnation.com

and many others choices including low-carb Slim Fast or Atkins shakes

Try this plan to see if it helps him get back on track:

The following meal plan can be used before surgery up until

your protein only week. It is also a maintenance

calorie amount that can be re-initiated at about 5-6 months post-op. After

surgery eating this volume may be a bit more challenging – but be creative and

work towards meal variety and balance.

1200 kcal

Breakfast

Snack

Lunch

Snack

Dinner

Day one

1Ž2 cup hot cereal +

protein powder added ( 10-15 g) or fortified milk + 1 tsp margarine

1 fruit

3-2 1/2 in square graham crackers with 2 tsp peanut butter

3oz meat/poultry/fish

1 tortilla

1/3 cup fat free refried beans

salsa

1Ž2 cup assorted veggies

1Ž4 cp cottage cheese with

lite pineapple or lite peaches

3 oz meat/poultry etc

1Ž2 cup wheat blend pasta or any starch

1Ž2 cup veggies

Day two

Lite- yogurt with 1/3-1/2 cup high fiber cereal sprinkled

on top.

1/3 cup hummus

1Ž2 loaf pita

1 cup or steamed raw veggies

1Ž2 cup turkey, beef or veggie chili with beans.

1Ž2 -1 cup veggies

whole wheat or grain crackers

1 piece of fruit

1 slice of whole grain bread or rye crisps

1 slice of cheese

3oz meat

1 medium potato

1Ž2-1 cup veggies

1 piece fruit

Day three

1Ž2 cup oatmeal with 1 tsp nut butter + protein (10-15g)

powder added

Lite –yogurt

1 piece fruit

Roll-up sandwich on tortilla- 2- 3oz Thin sliced turkey, ham etc

With low-fat mayo, mustard

Lettuce, tom

String cheese and medium piece of fruit

3oz meat/poultry

1/3 cup beans and rice

1Ž2-1 cup veggies

Day four

1 hard boiled egg

1 toasted whole grain English muffin with no sugar added

fruit spread

1Ž4 cup cottage cheese

1 serving fruit

3 oz chicken or fish on bed of salad greens

1 serving salad dressing

1 serving crackers or bread

Turkey jerky or beef

jerky

1 serving whole grain crackers

1 cupBeef or

chicken stew

With extra veggies

2 servings whole grain bread

1Ž2-1 cup salad veggies

Day five

1 Kashi toasted waffle

smeared with 2 tsp creamy peanut butter

Lite-yogurt

1Ž2 cup Navy bean , lentil or any bean soup

1 serving crackers

1 piece of fruit

1 serving Baked corn chips

with 1oz shredded cheese melted over top +salsa

3oz baked chicken

1Ž2 cup brown rice

1Ž2 -cup veggies

1 piece fruit

Day six

High fiber tortilla

Scrambled egg beaters with onions & peppers

salsa

1 serving sugar free hot cocoa

made with 6 oz skim milk with no-fat dry milk power added

or protein powder

1 piece of fruit

Boca or Morning star farms chick patty or burger

1 high fiber toasted tortilla

sandwich veggies and salsa or condiment

1Ž4 cup cottage cheese

1 serving fruit

3 oz grilled salmon

1 medium red skin potato

1 /2 cup green beans

Day seven

1 poached egg or 1 oz of meat

1Ž4 cup cooked cereal

1Ž4 cup berries

2 tsp peanut butter and

peeled apple slices

3oz tuna over a bed of greens with small to medium cooked

and chilled red skin potato and green beans+ 1 slice provolone cheese up with 1 serving vinegar and oil dressing

1 serving Baked corn chips

1Ž2 cup fat-free refried beans

salsa

1 cup Meat or cheese filled ravioli with marinara sauce

1 cup assorted

salad greens

1 serving of salad dressing

Keep in mind that all foods fit as long as protein andcarbohydrate are in each meal or snack. For a 1200 kcal meal plan choose daily

from the servings below.

2 fruit servings

2 low-fat dairy servings

6oz meat/fish or poultry

2 serving non-meat protein

5 serving starch or grains

3 servings added fat

3-5 servings of veggies

For a 1500 kcal meal plan add the following foods- if it is

difficult to add additional volume to each meal –then add a sixth meal each

day.

2 oz serving of meat, cheese, egg, peanut butter or legumes,

etc.

1 serving of starch, bread, pasta, rice, oat or starchy

veggies.

1 serving added fat

1 serving veggies 1Ž2 cup cooked or 1 cup raw.

From: Sunny <sunny.shahinian@...> Sent: Sunday, July 24, 2011 10:21 AMSubject: High Protein recommendations for a Gastric Bypass Patient I have a friend who had gastric bypass in 2003 and lost 80 pounds. He got down to 185 # and looked great. Unfortunately, in 2008 he had 4 hospitalizations for diverticulitis and about 4 other attacks. And thus, he gained a lot of the weight back.After Gastric ByPass he was on high protein diet and would like something similar. He has tried protein drinks alone but never seems to make it past a week. He requests a regimented plan with maybe a protein drink added.Exercise is a challenge because of sleep apnea issues. He is on 10 mgs. of Ambien (Zolpidem - generic) and ipam 5 mgs every night. He claims he wakes up "like a Zombie" every morning. He is waiting to see if insurance will cover a new sleep machine.I am trying to put together a reasonable plan for him to follow. I realize for diverticulitis it is a bland diet, low residual, low fat, no seeds/nuts. For post Gastric Bypass it is high protein; small meals 5-6x times

daily; MVI, Fe, Ca supplements; avoiding carbonated beverages. Is there a high protein drink that is recommended? Any other suggestions/advice from the experts would be greatly appreciated.Thank you!Healthy regards,Tsolig "Sunny" Shahinian, MS, RDsunny.shahinian@...Linked In: www.linkedin.com/in/sunnytsoligshahinianTwitter: @SunnyDietitianFacebook: Simply Sunny Nutrition