Bariatric Surgery Patients A Nutritional Guide

Description:

"Approximately 65% of our population is overweight and 12% are morbidly obese. This is despite more than 25 years of attempted medical management. Clearly all current efforts have failed to control this enormous problem. Could it be that we have failed to recognize the cause of the disease and therefore have misdirected our efforts?" — Alfredo Fernandez, MD, FASMBS, Surgeon, Tampa, Florida

Reducing obesity through bariatric surgery provides a sustainable weight loss regimen, because it restricts the size of the stomach and limits food intake. However, the surgery limits the amount of nutrients absorbed by the stomach and small intestine. This book provides a comprehensive, practical guide on pre- and post-nutrition considerations in bariatric patients. It describes surgeries including gastric bypass, lap band, and sleeve; nutrition protocols for surgery patients; pregnancy considerations- pre- and post-surgery; food consumption post-surgery; advancing healthy food intake after surgery; minimizing negative side effects; and recommendations to maintain healthy diet.

This nutritional guide provides health care practitioners descriptions and answers to the many questions bariatric surgery patients need to know and ask in support group meetings and individual counseling sessions. The first chapter focuses on Selling Obesity and Food as a Cheap and Legal Drug, outlining how food advertising, portion size increases, and food frauds have contributed to the obesity crisis. New research into gut hormones, microbiome influence on obesity, firmicutes, and histamine are included, as well as pregnancy after bariatric surgery and lifestyle changes—eating, sleep, hydration, stress management—needed for success after surgery.

Many health care practitioners will use the Post Op Discharge Diet stages of progression to explain how the patient needs to prepare for their liquid diet and overcome numerous issues like dumping syndrome, hypoglycemia, and alcohol and caffeine consumption. Diet plans for Ketogenic, Mediterranean DASH, Glycemic, and Low FODMAP are included within this book.

Table of Contents:

Selling Obesity
Food as a Cheap
Legal Drug

Pathophysiology of Obesity
Role of Ghrelin 
Leptin in Appetite Control

Overview of Bariatric Surgeries
RYGB
VSG
SIPS
AGB

Nutrition Assessment
Diet & Medical History Implications
Drug-Food Interactions

Setting Nutrition Goals for Bariatric Patients Pre and Post Surgery
Carbohydrates, Fats, Fiber and Protein

Dietary Supplements Pre and Post Surgery
Bioavailability and Nutrient Monitoring

Post Op Discharge Diets
Stages of Progression
Dumping Syndrome
GERD
Hypoglycemia
Gluten
Caffeine

Metabolic Concerns & Bariatric Surgery 
Dyslipidemia
Hyperglycemia
PCOS
NAS & NAFLD
Thyroid
MTHFR

Pregnancy After Bariatric Surgery
Nutrient Needs & Complications

Digestive Health
Microbiome
Firmicutes
Histamine
Low Inflammation Diet
Probiotics

Detoxification: Surviving in Toxic World When Adipose Tissue Gives Up Toxins During Weight Loss

Lifestyle Changes
Eating Habits
Sleep
Hydration

Frequently Asked Questions

Appendices:
Ketogenic (Low Carbohydrate) Diet
Mediterranean DASH Diet
Glycemic Index & Glycemic Load
Low FODMAP Diet