July 2013
Dates to
Remember:
July 16 th & Aug 6 th
12:30 – 2:30 PM
Mandatory pre-op nutrition
class for gastric bypass &
sleeve gastrectomy
New Patient Info Session:
MUSC Bariatric Surgery
OPEN HOUSE
Tuesday July 16 th
4:00-5:00 PM
July 16 th
5:30 – 7 PM
Support Group
Open Forum & Supplement
Check - bring in your
vitamins and we'll make
sure you are on track. Pick
up some free samples of
new ones to try!
Post-op Education Class
July 23 rd
12:30 – 1:30 PM
‘the FLIP side’
Topic: Top 10 Ways to
Maintain your Weight Loss
after Surgery
http://tinyurl.com/9or4n5d
Grocery Store Tour:
Trader Joe’s, Mt. Pleasant
July 31 st , 9-10 AM
Reservations Required:
Call (843) 876-4867
Group Therapy
for Post-op Patients
NEW DAY/TIME:
Every Mon from 1-2 PM
(NO group 7/15/13)
@ Behavioral Med Clinic
Register (843) 792-0686
By Appointment Only:
Mandatory pre-op nutrition
education session for
Adjustable Gastric Band.
Call your RD to schedule
Like us on Facebook!
www.facebook.com
/MUSCWeightLoss
Surgery
Role Play: You be the dietitian
You are working with a patient who had weight loss surgery and the patient
makes the following comments. If you were the registered dietitian – or their
helpful friend - how would you respond? (See our suggestions at the end)
1. I just can’t eat that much!
2. I don’t tolerate chicken – it gets stuck after just a couple bites.
3. I have a protein shake because it goes down easy.
4. I can eat a normal portion but it takes me about an hour.
5. I don’t want to lose weight too fast because I don’t want excess skin.
Suggested responses:
1. You paid big money not to be able to eat that much! A bypass patient should be able to eat only a few
bites (immediately post-op) to 2 oz of protein at one sitting and a sleeve patient a little bit more.
2. Protein (from chicken, fish, eggs, beans, low fat dairy) keeps us FULL and SATISFIED throughout the day.
It takes gastric juices longer to break down proteins compared to starchy foods and, after bariatric
surgery, it takes even longer for these foods to be digested because the food doesn’t meet with the
gastric juices until way later in the digestion process. This should leave you feeling fuller faster on small
portions of protein foods.
3. Food textures also play a role in the feeling of fullness. “Slider” foods like soups, yogurt, pudding and
protein shakes trickle through your pouch quickly so you get hungry again quickly. Choose solid protein
foods.
4. Picking on food over a long period of time allows you to get more in your body than if you sat down to eat
until you felt full, then backed away until the next meal time. Essentially, it allows you to eat around your
surgery. Eat within 2 hours of waking, stop when you feel full, and then wait a few hours before your next
mini meal.
5. Hanging skin is a side effect of weight loss and is based on genetics and the amount of weight lost overall
more than anything else. Weight loss after surgery occurs over a finite period of time – rapidly over the
first 6 months and then slowly for the following year or so. So maximize what you can get off in that
period of time!
Why We Are Hungrier At Night
Have you ever noticed that your hunger increases as the day goes on and peaks at night? If
so, new science backs up this "gut feeling," and the body's internal clock (the circadian
system) appears to be highly involved. Harvard researchers conducted a very tightly controlled
laboratory study and found that the participant's hunger and food intakes were regulated by
the internal circadian system-with hunger at its lowest at 8 am and peaking in the evening at
8 pm. A similar pattern of greater hunger at night for specific types of foods, including sweet,
salty, and starchy foods was also noted.
The researchers noted that although this pattern of appetite and subsequent
food consumption may have served our hunter-gatherer ancestors well, it
backfires in today's world of food abundance and sedentary lifestyles. Eating
high calorie foods in the evening is particularly high risk for weight gain
because the calories are less likely to be burned with physical activity and
because the body's metabolic systems are more sluggish in the evening hours.
The researchers concluded that it is likely prudent from a weight control
standpoint to strive to eat larger, higher calorie meals earlier in the day, avoid
high calorie foods in the evening, and go to bed earlier. Past research has also
shown that eating breakfast, especially a high protein breakfast can also help
mitigate nighttime cravings and snacking.
Our support group topics, information on classes and nutrition tips can be found at
www.muschealth.com/weightlosssurgery
Eat This, Nt That
Most folks know that sub sandwiches would NOT get a stamp of approval from your dietitian,
particularly one smothered in Alfredo sauce or cheese sauce, but the stats on this one were too out of
the world not to share. Salads don’t automatically get a gold star either – many of them have added
sugars or are very high in carbs or fat. By looking up a restaurant’s nutrition info BEFORE you go out,
you will know how to Eat This, Not That!
Eat This
Nt That
Harvest Chicken Salad, large with ½ Italian dressing
Chicken Carbonara Sandwich, large
Honey-Dijon chicken, grapes, apples, dried cranberries, cucumbers, tomatoes, pumpkin
seeds with Italian dressing (instead of Acai Vinaigrette)
Carbonara chicken, bacon, all-natural mozzarella, sautéed
mushrooms, parmesan Alfredo sauce on grilled focaccia bread
345 calories
19 g fat (6 g saturated)
17 g pro
27 g carb (5 g fiber, 17 g sugar from fruit)
1370 calories (980 from the bread!)
68 g fat (29 g saturated)
82 g protein
101 g carb (4 g fiber)
Look for other healthy choices or build your own salad at http://www.quiznosnutrition.com/
WOW!
The Healthiest Mexican Food
From Food Network’s Healthy Eats, June 11, 2013
Chipotle Mexican Grill
The most balanced option was a salad with lettuce, 1 serving of steak, black
beans, green tomatillo salsa and fajita veggies.
Nutrition Info: Calories: 355; Total Fat: 8 grams; Saturated Fat: 2 grams; Protein: 40 grams;
Carbohydrates: 34 grams; Sodium: 975 milligrams
Moe’s Southwest Grill
The trick is to order more veggies, which will add volume to your dish. Try
the Burrito Bowl topped with chicken, shredded lettuce, black olives, grilled
onion, mushrooms and peppers, cucumbers and pico de gallo.
Nutrition Info: Calories: 332 calories; Total Fat: 17 grams; Saturated fat: 2 grams; Protein: 27
grams; Carbohydrates: 16 grams; Sodium: 758 milligrams
Crystal
Taco Bell
To keep calories in check, order one Fresco Grilled Steak Soft Taco and one
Fresco Chicken Soft Taco.
15 months post op
Nutrition Info: Calories: 310 calories; Total Fat: 8 grams; Saturated fat: 2.5 grams; Protein: 22
grams; Carbohydrates: 37 grams; Sodium: 890 milligrams
Chili’s
On the Lighter Menu, you can find the Grilled Chicken Salad made with
cheese, tomatoes, black beans, corn relish and honey-lime vinaigrette (order
the dressing on the side and only use half).
Nutrition Info: Calories: 430 calories; Total Fat: 23 grams; Saturated fat: 6 grams; Protein: 38
grams; Carbohydrates: 21 grams; Sodium: 1200 milligrams
Grocery Store Tour: Trader Joe’s
Our next tour will be on Wednesday July 31, 2013 at
the Trader Joe’s in Mt. Pleasant (401 Johnnie Dodds Blvd)
from 9-10 AM. Reserve your spot: Call 843-8764867.www.muschealth.com/weightlosssurgery/classes/grocerytour
Ray
10 months post op
Larry
26 months post op
Need ideas on what to cook? Check out our recipes and cooking demos at www.muschealth.com/weightlosssurgery/nutrition/recipes
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