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Basics of Bariatric Nutrition

Basics of Bariatric Nutrition. Meghann Scholl RD, LD Clinical Nutrition Specialist Tampa General Hospital. Life-long Nutrition Guidelines. 4-6 small meals daily Protein and Fiber at every meal >60 gm protein daily Sugar-free whey protein isolate powder Selection of Fiber-rich grains

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Basics of Bariatric Nutrition

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  1. Basics of Bariatric Nutrition Meghann Scholl RD, LDClinical Nutrition Specialist Tampa General Hospital

  2. Life-long Nutrition Guidelines • 4-6 small meals daily • Protein and Fiber at every meal • >60 gm protein daily • Sugar-free whey protein isolate powder • Selection of Fiber-rich grains • Bread, Rice, Pasta: >3gm fiber per serving • Cereal: >6gm fiber per serving • Practice “Survival Skills” daily

  3. Survival Skills • Eat Protein First • Eat Slowly (20-30 min/meal) • Chew Well (applesauce consistency) • Avoid Fluids w/meals (15-30 min before/after) • Avoid Concentrated Sweets • Omit high fat foods • Choose 1% of Fat Free dairy • Eliminate carbonated beverages • Limit use of a straw

  4. Why do they need supplementation after RYGB and/or Gastric Sleeve? • The body is not able to absorb, use, or take in enough nutrients to maintain good health. • Stomach size is reduced so that very little food can be eaten at once. • Normal “mixing” that occurs in the stomach is reduced decreasing absorption of nutrients. • The small intestine that normally absorbs certain nutrients is no longer being used after the gastric bypass procedure.

  5. Supplementation - RYGB & Gastric Sleeve • MVI (200% DV) – 1 dose twice daily • Calcium Citrate + Vit. D (1500-2000 mg/day) – 500mg three times daily • Vitamin B12 (1000 mcg/mo) – monthly injection • Iron from Ferrous Sulfate (18-27 mg/d) – preferably with MVI • Twice daily during menses • Timing is essential for max. absorption

  6. Supplement Break-down (example) Note: Remember each column should be separated by 2 hours for maximal absorption. *Twice daily for menstruating women

  7. Why do they need supplementation after Lab-Band? • You will only be able to consume food and fluids in small amounts. • It is possible that you will not get all the necessary nutrients from the food you eat, and will need to supplement vitamins and minerals.

  8. Supplementation - AGB • MVI (100% DV) - BID x 3 months; then q1 daily • Calcium Citrate (1500mg/d) - 500 mg TID • Optional B Complex – 1 serving/day

  9. Supplement Break-down (example) Note: Remember each column should be separated by 2 hours for maximal absorption

  10. For more information contact: Meghann Scholl RD, LD/N mscholl@tgh.org

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