[DocSanae]

Hi everyone.

Do you know how many calories you are supposed to be taking?
Do you know how many calories you can take once you achieve goal?
The first thing is to confirm with your dr/surgeon/dietitian, of course.
Post-op, during your losing period, you probably have been given explicit instructions by your surgeon, so you must stick with that.
However, as you near goal, you may, or many not, be instructed how many caloris you can take.
If your dr/dietitian has given you the numbers how much, and how to distribute the balance among protein, carbs and fat, then follow their instructions.
If no one has indicated how many calories are sufficient, there's a short article, How Many Calories Do I Need, that will tell you how to figure it out. Again, after you've figured it out, confirm with your dr/dietitian if the numbers and balance you come up with, is alright for your dr.

[xsmith95]

Your article is very good, a wealth of knowledge that many of us need. Thank you for taking YOUR time to do this for us.

[DocSanae]

Thank you, Shelly, you are welcome, it was a pleasure working on it.
My thanks also goes to Leslie, Craig's beloved wife, for taking the time to edit and clean up the article, when she is so busy with her own stuff.

[DocSanae]

One note.
In the article mentioned (linked) in lisa's post, "evaluation for weight loss failure, the author of the article states, "The meal needs to be 75% protein." Now, in my article, I have written that the protein distribution should be 10-35%. This difference is going to confuse you all. Please note that I am talking about the distribution of calories of nutrients, while the other article is about the volume of protein as whole food. When translated into calories, the result is in the same range.

The secret to the difference it this. Food that is thought of as "protein"-- beef, pork, chicken, fish--actually contain only around 20% protein. Also some fat, somtimes carb, but in truth, the major content is--water!! So, if you make 75% of your meal protein, only 20% of that, in other words, 15% of your total intake is actually protein. This is also the reason the author of the article insists that you must take protein supplements. If you try to get say 120g protein entirely from whole food, you are going to need 600g(over 20oz!!) of whatever protein food you choose. That's quite a volume, plus, often these food include fat, which you want to stay off. So, choose your food wisely, and what you can't get from food, utilize supplements.

[xsmith95]

Thanks for the clarification. You know your calorie percentage helped me because I use fitday and they go by percentages for calories.

Shelley

[willadeegee]

I just ead this after all this time and boy am i glad you put it here Doc.

I have been unable to see my surgeon because he moved out of state and then my insurance changed and I am no longer able to go to the Barix Center where I had my surgery in the first place. So I have to depend on my primary care physician and she is not up on the requirements of the post-op bariatric requirements. (she is willing to learn tho)

I copied and pasted your article into my notepad program so I can have it handy for reference when I need it.

Thanks for all your help Doc.

[fr1endly2]

THANK you for a very informative article docSanae!
suCH GREAT INFORMATION!
THANKS