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Fruit should be limited. All carb sources should be limited. .
If you have a BMI over 35kg/m2, your liver is likely to be particularly large due to additional stores of carbohydrates, water, and fatty deposits. The pre-op diet will reduce the amount of these stores in the liver, thus reducing its overall size. This will facilitate the surgical procedure. Fruits should be avoided due to their high sugar content. Patients with diabetes may need to adjust their medication to prevent hypoglycemia. Check with your doctor before starting any new diet and/or exercise program.
Yes. We recommend adding at least two ice cubes as it makes a difference in texture and flavor.
Most people prefer their protein shakes cold. Add as much ice as you want until you get the texture you enjoy the most.
To start weight loss, improve tissue condition, reduce liver size and reduce the risk of complications.
Before surgery, it is essential to follow a strict low-calorie diet to reduce the size of your liver and also help reduce the risk of complications. If your BMI is over 35kg/m2, your liver is likely to be large due to additional stores of carbohydrates, water, and fatty deposits. This can complicate surgery. By losing 5 to 10% of your weight immediately prior to bariatric surgery, you can decrease the size of your liver and reduce visceral adipose tissue. This rapid preoperative weight loss facilitates the laparoscopic procedure, and may shorten operative time.
OTC supplements don´t meet bariatric nutritional guidelines and sadly, there are quality, quantity, and ingredient concerns.
After surgery, the resulting restriction and/or malabsorption from the surgical procedure limits nutrient intake. Bariatric supplements fill the nutritional gap left from low-calorie diets, limited tolerance to certain food, and reduced absorption. Doubling an OTC dose is not wise; more is not always better. Bariatric supplements have the right nutrient balance for best absoption.
Vitamins and minerals that meet the bariatric nutritional guidelines in order to prevent deficiencies.
The ASMBS recommends 200% DRI of most vitamins and minerals. 18 mg of iron, 1500mg of calcium citrate (362 mg elemental calcium) with minimum of 400 IU of D3, and 350-500 mcg of vitamin B12 daily or 1,000 mcg as a monthly shot. Bariatric patients need continous follow-up and individualized supplement and dietary counselling.
VITALEPH´s multivitamin contains iron, this competes with calcium for absorption at the gut.
When calcium and iron are taken together, the absorption of iron can be decreased. We recommend taking Ca+D3 two hours apart from your multivitamin.
You may begin one day after surgery although it is generally recommended to start one week after surgery. Open the capsules or crush the tablets and pour the content into the protein shakes, liquids or food for the first 30 days; or as recommended by your doctor.
The general recommendation is to begin taking all supplements one week after surgery. Proper supplementation is most critical during the first months after surgery when diet is greatly restricted.
350-500 mcg as a daily dose or 1,000 mcg as a monthly shot
The bariatric recommendation is to meet 350-500 mcg per day intranasally or orally. Another option is to get a monthly shot of 1,000 mcg.
To prevent nutrient deficiencies common after bariatric surgery due to restriction of food or malasborption of nutrients.
Vitamin and mineral deficiencies have been observed in patients after weight loss surgery due to limited food intake, limited tolerance to certain foods or decreased nutrient absorption.
According to OAC (Obesity Action Coalition), "if you don’t take your vitamins, they won’t work. Many people become overly concerned about what they should take, but don’t necessarily do a great job at taking the nutrients they need on a daily basis. It’s also not uncommon for people to do a great job taking their vitamins for a year or two after surgery, but they may stop taking them over time. Most nutritional deficiencies are easier to prevent than to treat, and once you have had surgery, your risk for developing a problem never goes away. Sticking with your basic nutritional program will help assure both your health and your success." http://www.obesityaction.org/educationalresources/resource-articles-2/weight-loss-surgery/which-vitamins-do-i-really-need
Intestinal calcium absorption is best when dosified.
The percentage of calcium absorbed depends on the total amount of elemental calcium absorbed at once. As the amount increases, the percentage absorption decreases. Absorption is highest in doses of ≤500 mg of elemental calcium, therefore it is best to split higher doses into two separate times during the day.
Just one! The Bariatric* Multi is an easy to swallow table that has been designed to complement Ca+D3 to meet bariatric guidelines.
They have the highest protein bioavailability, and are designed to protect digestive functions as a strategy to reduce toxic load.
Most protein shakes are loaded with artificial sweeteners, flavors, and colors or are high in sugars and carbs. At VITALEPH we avoid all these as well as allergenic ingredients such as gluten, as a strategy to reduce toxic load on an every day basis. Our whey is sourced from milk produced in the United States, from cows not treated with rBGH. Its process uses only natural enzymes and high quality filters to preserve essential nutrients.
Bovine somatotropin (BST) is a protein hormone naturally produced in the pituitary glands of cattle. Like other hormones, it is produced in small quantities, and is used in regulating metabolic processes! The synthetic, laboratory produced recombinant version, rBST, is genetically engineered to boost milk output in the short term. This practice is coming under increasing scrutiny. rBST is also known as rBGH (recombinant Bovine Growth Hormone).
rBGH increases the rate of 16 different harmful medical conditions in cows and there is substantial scientific evidence that it may increase antibiotic resistance and cancer rates in humans. rBST has not been allowed on the market in Canada, Australia, New Zealand, Japan, Israel and the European Union since 2000. Argentina also banned the use of rBST and the Codex Alimentarius. The U.N.’s main food safety body, concluded that it’s not safe for human health.
It contains more ingredients per serving. In addition to whey protein, CARAL has vitamins and minerals, probiotics, enzymes, and fiber.
The amount of servings is directly proportional to the ingredients contained. CARAL´s protein shake has more ingredients for nutritional and taste purposes.
CARAL´s protein shake includes many nutritional ingredients meant for digestive health that meet the bariatric patient's specific vitamin and mineral needs; these ingredients add up volume and can produce a "medicine-like" aftertaste. It is a challenge to provide a tasty, nutritious shake without adding unwanted ingredients like sugars or artificial flavorings. The final serving size increased from one scoop to two to get the best taste possible through natural flavorings.
Yes, it is recommended that all bariatric patients supplement as needed to meet nutritional needs, specially protein needs.
If you currently control your diabetes with medication, this will need to be considered during the pre-operative diet.
As you reduce your food intake (before or after surgery) you may need to reduce your medication to prevent hypoglycemia. Make sure to follow medical advice.