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February 15, 2008

Why Do I Need a Chewable Multivitamin?

Vitamins and minerals, which are called micro-nutrients, require supplementation after gastric bypass surgery for maintenance of proper health and nutrition.  Micro-nutrient deficiency is the most common side effect from this procedure due to the malabsorptive component of gastric bypass.  This typically occurs in approximately 21% of patients.  Some frequently seen deficiencies include: iron, B12, folic acid, and calcium.  Side affects when lacking in these important micro-nutrients include: easy bruising, loss of hair, lack of energy, and even failure to lose weight appropriately.

 
            Taking a chewable multivitamin is the easiest and most effective way of reducing the risk of micro-nutrient deficiencies in the body after gastric bypass surgery.  A chewable vitamin ensures adequate absorption by beginning the digestive process in the mouth.  Chewing breaks down the multivitamin to its most biologically available form and gives your digestive tract a distinct advantage of absorbing all the vitamins and minerals possible.  Taking a capsule delays the absorption of supplements being taken.  The shell of the capsule must be broken down in the digestive tract before absorption can occur.  When and where this takes place cannot be determined with 100% accuracy. 

 
            You must find a vitamin and mineral formulation that is made specifically for patients who have had gastric bypass surgery.  This formulation should have dramatically higher percentages of vitamins A through E, B12, folic acid, and calcium.  It must also include iron and chelated forms of minerals which increase your chance of absorption. 

 
            Those patients taking anti-coagulants such as warfarin and coumadin must be sure to avoid formulations containing Vitamin K.  Patients who suffer from migraines should consider a product that is sweetened with sucralose (Splenda) rather then aspartame.  Be sure that your surgeon or primary doctor routinely checks your blood work for early detection of any underlying deficiencies.

November 15, 2006

Whole Grains

Whole grains include the bran, germ and endosperm which all contain nutrients.

  • The bran is the outer layer of the seed which is rich in niacin, thiamin, riboflavin, magnesium, phosphorus, iron and zinc. The bran also contains most of the seed's fiber.
  • The germ is the part from which a new plant sprouts. Niacin, thiamin, riboflavin, vitamin E, magnesium, phosphorus, iron and zinc can be found in the germ. The germ also contains protein and some fat.
  • The endosperm or the kernel makes up the most of the seed. It contains mostly protein and carbohydrates and has small amounts of vitamins and minerals.

    Whole grains vs. refined grains

    Whole grains contain the bran, germ, and endosperm. Refined grains have the bran and germ removed by milling. Since whole grains still have the bran and germ they are better sources of fiber and other nutrients (as above). Refined grains have vitamins and minerals added back in after the milling process, but they still do not have as many nutrients or as much fiber as whole grains do.

     

    Whole grains

    Refined grains

    • Amaranth
    • Bulgur (cracked wheat)
    • Barley
    • Brown rice
    • Buckwheat
    • Bulgur (cracked wheat)
    • Millet
    • Oatmeal
    • Popcorn
    • Quinoa
    • Rye
    • Spelt
    • Whole-wheat bread, pasta or crackers
    • Wild rice
    • Corn flakes
    • Couscous
    • Enriched macaroni or spaghetti
    • Grits
    • Pretzels
    • Saltines
    • White bread
    • White rice
     

Continue reading "Whole Grains" »

August 03, 2006

The Difference Between Natural and Added Sugars

What’s the difference between natural sugars and added sugars??Naturally occurring sugars are found in dairy products and fruits. Natural sugars tend to be well tolerated. For example, light strawberry yogurt has naturally occurring sugars from the milk and strawberries with which it is made. Both sugars are natural; therefore light strawberry yogurt would be an appropriate food choice.

Added sugars are found in many foods and not just in the form of sucrose a.k.a. table sugar. Added sugar is often disguised with many different names. These added sugars may include cane sugar and evaporated cane juice, brown sugar, beet sugar or any other ingredient ending in sugar, as well as syrups (or syrup solids) such as maple, corn or cane.

The Nutrition Facts panel tells you the number of grams of sugars in a serving, but because it lumps together all sugars, it does not differentiate between natural and added sugars. Therefore you need to read the ingredients list. If added sugar is one of the first three ingredients, it is recommended that the food item not be consumed.

Below is a list of various added sugars:

Brown sugar Honey
Cane syrup Invert sugar
Corn sweetener Malt
Corn syrup Maltose
Corn syrup solids Malt syrup
Dextrose Maple syrup
Fruit juice concentrate Molasses
Galactose Raw sugar
Glucose Rice syrup
High-fructose corn syrup Sucrose

July 12, 2006

Info About Fiber

Fiber is the part of food that is not digested or absorbed by the body. There are two types of fiber, soluble and insoluble. Soluble fiber dissolves partially in water and insoluble fiber does not dissolve in water. When soluble fiber dissolves in water it forms a gel which slows digestion and absorption. Soluble fiber may also help to reduce the risk of heart disease. Insoluble fiber aids in digestion by keeping things moving through the digestive tract, promoting bowel regularity, and preventing constipation. To get more fiber in your diet increase the amount of fruits, vegetables, whole grains (breads, cereals, crackers), and legumes in your diet. It is more beneficial to get your fiber from food vs. supplements because foods also contain vitamins and minerals which can improve your diet. Daily fiber recommendations* are as follows: Ages 19-50: Females, 25 grams, Males, 38 grams. Over the age of 50: Females, 21 grams, Males, 30 grams.
*This recommendation is for individuals who are 4 or more weeks out from surgery.

**Please refrain from using fiber supplements unless instruted by the office.

June 12, 2006

Sugar Alcohols

Fiber is the part of food that is not digested or absorbed by the body. There are two types of fiber, soluble and insoluble. Soluble fiber dissolves partially in water and insoluble fiber does not dissolve in water. When soluble fiber dissolves in water it forms a gel which slows digestion and absorption. Soluble fiber may also help to reduce the risk of heart disease. Insoluble fiber aids in digestion by keeping things moving through the digestive tract, promoting bowel regularity, and preventing constipation. To get more fiber in your diet increase the amount of fruits, vegetables, whole grains (breads, cereals, crackers), and legumes in your diet. It is more beneficial to get your fiber from food vs. supplements because foods also contain vitamins and minerals which can improve your diet. Daily fiber recommendations* are as follows: Ages 19-50: Females, 25 grams, Males, 38 grams. Over the age of 50: Females, 21 grams, Males, 30 grams.
*This recommendation is for individuals who are 4 or more weeks out from surgery.

**Please refrain from using fiber supplements unless instruted by the office.