You need to be careful of some of the shakes marketed, as they may have ingredients in them that are not good for the pouchies, such as sugar and fat. You need to avoid shakes for muscle builders, for instance. There also can be absorption issues for pouchies with shakes developed for people with normal stomachs.
Look for shakes that are pouch friendly, as in ingredients and absorption. The shakes recommended by surgeons' offices are those developed specifically for bypass patients. Hence the higher cost for one. You could get one or two of them, check out the labels, then look around for those with same or close composition.
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