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“We always encourage patients to eat plenty of protein and high-fiber foods, because they make you feel fuller for longer,” says Mir Ali, MD, a bariatric surgeon and medical director of ...
With a reduced ability to eat a large volume of food, gastric bypass patients must focus on eating their protein requirements first, and with each meal. In some cases, surgeons may recommend the use of a liquid protein supplement. Powdered protein supplements added to smoothies or any food can be an important part of the post-op diet.
Cyanocobalamin injections are often prescribed to gastric bypass patients who have had part of their small intestine bypassed, making it difficult for B 12 to be acquired via food or vitamins. Cyanocobalamin is also used to perform the Schilling test to check ability to absorb vitamin B 12. [16]
The concept of "protein-sparing modified fast" (PSMF) was described by George Blackburn in the early 1970s as an intensive weight-loss diet designed to mitigate the harms associated with protein-calorie malnutrition [8] and nitrogen losses induced by either acute illness or hypocaloric diets in patients with obesity, in order to adapt the patient's metabolism sufficiently to use endogenous fat ...
“A higher-protein diet is preferred, especially if patients are on these medications long-term,” Dr. Shah says. (These medications are generally considered to be long-term use drugs.)
Other patients may have had bariatric surgery or surgical removal of the small intestine. Many of these patients also have deficiencies of other fat-soluble vitamins, and an isolated deficiency of vitamin E is rare. As a result, it may be difficult to definitively identify vitamin E as the cause of any of these symptoms until they are well ...
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