Protein and Bariatric Surgery What is protein anyway? Proteins (made up of amino acids) are the building blocks of your body About 75 percent of your weight is protein : Muscle, bone, skin, hair, and virtually every body part or tissue Your body needs protein for building and repairing muscles and organs Why is protein important after bariatric surgery? Protein is necessary for the body to heal following surgery, and helps support immune function Protein delays stomach emptying and helps keep you satisfied for a longer period of time after a meal, aiding in successful weight loss It is difficult to get enough protein through diet alone after surgery because of the small portion sizes you are limited to. Protein supplements can help fill the gap when you can’t meet your protein needs with food alone What are the consequences of not getting enough protein? The body must continue to use protein to build cells even when you don’t consume enough The body takes protein from your muscles and organs – to build and repair elsewhere Eventually muscles and organs weaken Hair loss Impaired immune function- leading to infection and illness How much Protein do I need? 60 to 80 grams of protein a day minimum of high quality protein (whey protein isolate or or soy protein if using a supplement) You can meet these requirements with 3 protein shakes per day Refer to food list on the back of this sheet to determine how you can meet these needs with foods How can I get more protein in my diet? Consume protein with each meal and snack. When eating meals, consume your protein supplement (or protein food) FIRST. Vary your protein sources to avoid monotony. While on the liquid diet, make your own shakes in a blender, and try different flavors for different meals. Once you are able to tolerate solid foods, continue to consume your protein food first. If you are unable to consume enough protein from food sources due to a busy lifestyle, protein supplements can continue to help meet the gap. MEET YOUR PROTEIN NEEDS FIRST. After consuming your protein, move on to nonstarchy vegetables, fruits, and lastly, starchy vegetables (potatoes, corn, peas), and grains (bread, pasta, cereal) If tolerated, mix protein supplements with skim or 1% milk for an additional 8 grams of protein per 8 ounce serving. Choose unsalted nuts or beans as a snack, on salads, or in main dishes Mix unflavored protein powder in soups, oatmeal, or casseroles. What foods contain Protein? Food Item White fish Cottage cheese (nonfat or low fat Milk (skim or 1%) Non fat, sugar free yogurt Soy Milk Nonfat, sugar free greek yogurt Nonfat, sugar free pudding Peanut butter, reduced fat Egg Egg whites Fat free cheese Beef (lean) Poultry Soy nuts Hummus Cooked beans (kidney, black, navy, lentils, etc) Almonds, peanuts, pumpkin, or sunflower seeds Quinoa Special K Protein Plus + Skim Milk String Cheese Oatmeal Spinach Broccoli Brown Rice Black bean burger Serving size 1 oz ½ cup Protein (grams) 7 14 1 cup 8 oz ¾ cup 6 oz 8 oz 1 ½ teaspoon I medium 2 1 oz 1 oz 1 oz 2 tbsp ½ cup ½ cup 8 8 5-7 14 8 7 7 7 7 7 7 7 7 7 ¼ cup 5-7 ½ ¾ cup +1/2 cup 4 14 1 stick (24g) 1/2 cup ½ ½ ½ 1 burger (67g) 6 3 2.5 2 2.5 11 Sample Menu 1: With Protein Shake Sample Menu 2: Without Protein Shake 7:00-8:00- 8 oz decaf coffee or tea 7:00-8:00- 8 oz decaf coffee or tea 8:00-8:30- ½ cup oatmeal 8:00-8:30- ¾ cup Special K Protein Plus; ½ cup skim milk ¼ cup almond slices 4 oz sugar free, fat free yogurt 4 oz sugar free, fat free yogurt 9:00-10:00 8oz of water 10:30-11:00- ½ cup fat free cottage cheese 9:00-10:00 10:30-11:00- 1 ½ Teaspoon peanut butter 6 whole wheat saltine crackers ¼ cup peaches 11:30-12:00- 2 ounces grilled chicken 8oz of water 11:30-12:00- 2 ounces sliced turkey breast ¼ cup cooked carrots 1 slice whole wheat bread; 1 oz fat free cheese ¼ cup cooked broccoli 1 slice tomato; ¼ cup spinach 12:30-1:30- 8oz of water with crystal light 12:30-1:30- 8oz of water with crystal light 1:30-2:00- 4 oz. Nonfat, sugar free chocolate pudding 1:30-2:00- 4 oz. Sugar free Greek yogurt 3:00-4:00- 8 oz Chike Protein shake 3:00-4:00- 8 oz water 4:30-5:30 8 oz water 4:30-5:30 8 oz water 6:00-6:30- 2 ounces grilled white fish 6:00-6:30- 3 ounces lean beef 2-3 tbsp brown rice 2-3 tbsp mashed potatoes ½ cup vegetable medley (broccoli, carrots, cauliflower) ¼ cup green beans 7:30-8:00 4 oz sugar free jello 7:30-8:00 2 tbsp light whipped topping ¼ cup strawberries 4 oz sugar free pudding 8:30-9:30 8 oz water 8:30-9:30 8 oz water TOTALS: Protein: 87g TOTALS: Protein: 90 g Calories: 958 Calories: 1044 Carbohydrate: 93g Carbohydrate: 109 g Fiber: 15g ; Fluids: 48oz Fiber: 15 g; Fluids: 48oz