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Bariatric Advantage Blog/RSS Feed
Frequently asked questions, product information, and up-to-date news releated to bariatric (weight loss surgery) nutrition ...
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Thursday, February, 4th at 2:14 PM
Study Looks at Issues of Compliance
A new study released online January 27, 2010 demonstrates that compliance with nutrition is a challenge for many bariatric surgery patients. The study, titled Nutritional and Pharmacologic Challenges in the Bariatric Surgery Patient, looked at bariatric patients admitted to a single hospital years after their bariatric procedures (admissions for other causes). Researchers evaluated what they were doing for supplementation at the time of admission and compared this to current ASMBS guidelines (available here: http://www.asmbs.org/Newsite07/resources/asmbs_items.htm). Most of the patients were 3-7 years post-op, 87% were roux-en-Y gastric bypass. On admission only 33% were taking a multivitamin and only 5% were taking B12 . Problems were also noted with iron, calcium, folic acid and vitamin D supplementation. In addition, researchers found numerous medication errors, the primary problem being the use of slow releasing medication forms in patients with malabsorptive procedures. Overall, this study points to the continued need for both bariatric surgery patients and healthcare professionals to be better educated on appropriate nutrition and medication protocols.
Reference:
Lizer MH, Papageorgeon H, Glembot TM. Nutritional and Pharmacologic Challenges in the Bariatric Surgery Patient.
Obes Surg. 2010 Jan 27. [Epub ahead of print]
Link to abstract: Click Here
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Thursday, January, 28th at 9:48 AM
What are the ingredients in ProJoe?
What are the ingredients in ProJoe?
Mocha: INGREDIENTS: Brewed Arabica
coffee (coffee and water), EasyGest
protein blend (milk protein
concentrate and whole grain
brown rice protein), carageenan,
dipotassium phosphate, natural and
artificial flavors, calcium hydroxide,
caffeine, Ace-K, sucralose, niacin,
pantothenic acid, cyanocobalamin,
pyridoxine HCL.
Chai: INGREDIENTS: Brewed tea (tea
and water), EasyGest protein
blend (milk protein concentrate
and whole grain brown rice
protein), carageenan, natural
flavors, dipotassium phosphate,
calcium hydroxide, caffeine, Ace-K,
sucralose, niacin, pantothenic acid,
cyanocobalamin, pyroxide HCL.
Nillaccino: INGREDIENTS: Brewed Arabica
coffee (coffee and water), EasyGest
protein blend (milk protein
concentrate and whole grain
brown rice protein), carageenan,
dipotassium phosphate, natural and
artificial flavors, calcium hydroxide,
caffeine, Ace-K, sucralose, niacin,
pantothenic acid, cyanocobalamin,
pyroxide HCL. |
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Monday, January, 25th at 3:32 PM
I have had past reactions to Niacin, can I still take your vitamins?
I have had past reactions to Niacin, can I still take your vitamins?
The most common type of reaction to niacin is called a "niacin flush", which is not caused by all forms of niacin. Crystalline niacin (the acid form) is found in some vitamin formulas and prescription drugs and is used to lower cholesterol. In some people it causes a very uncomfortable reaction called a niacin flush. This is not usually harmful, but it can be scary and very uncomfortable. People who have had niacin flushing may think they have an allergy.
The kind of niacin most commonly found in multivitamins is the amide form, also called niacin, but technically it is niacinamide (or nicotinamide). The amide form does not lower cholesterol and cannot cause flushing. This is the only form Bariatric Advantage uses in any of our products.
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Monday, January, 25th at 2:31 PM
Study Shows More Benefits of Preoperative Weight Loss
Study Shows More Benefits of Preoperative Weight Loss
A study published in the December 2009 in the Archives of Surgery shows that the weight loss prior to gastric bypass surgery is significantly associated with a reduction in post-operative complications.
The study, conducted at the Geisinger Medical Center in Danville, Pennsylvania, examined the detailed records from 881 patients who had bariatric surgery at the facility between 2002 and 2006. All patients in the study had either open or laparoscopic gastric bypass surgery and all participated in a 6-month standardized pre-operative program. As part of this program, patients are advised (but not required) to lose 10% of their excess body weight (EBW). Of the 881 patients included in the study, some gained weight and some lost weight. The authors of the study categorized patients by the amount of weight gained or lost in the preoperative period and compared this to postoperative complications in the same groups.
A loss of 6-10% EBW was associated with the lowest incidence of 30-day postoperative complications for both open and laparoscopic procedures. Those losing greater than 10% EBW also had significantly lower complication rates as compared to those who gained weight or only lost 0-5% excess weight.
This data supports prior data from the Geisinger Center which showed that patients with 10% (or higher) preoperative EWL had shorter postoperative hospital stays, indicating that the likely reason is the reduced rate of complications found in the current analysis.
While the authors stop short of suggesting that all patients undergoing bariatric surgery should be required to undergo preoperative weight loss, the do call for prospective, controlled trials to support their findings.
Reference: Arch Surg. 2009;144:1150-1155, 1155-1156.
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Monday, January, 25th at 2:26 PM
New study - Benefits of calcium and vitamin D for fracture prevention
New study shows benefits of calcium and vitamin D for fracture prevention
A new review the looked at data from 70,000 adults in the US and Europe has found that the combination of calcium and vitamin D lowers fracture risk. The findings that pooled results from several studies found that an average of 1000mg calcium and 800 IU reduced overall fracture risk by 8 per cent, and hip fractures specifically by 16 per cent. Vitamin D alone did not show protective effects for fracture.
Reference: Abrahamsen B, et al "Patient level pooled analysis of 68,500 patients from seven major vitamin D fracture trials in U.S. and Europe" BMJ 2010; DOI: 10.1136/bmj.b5463. <http://www.bmj.com/cgi/doi/10.1136/bmj.b5463>
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Tuesday, January, 12th at 12:26 PM
Study Shows More Benefits of Preoperative Weight Loss
Study Shows More Benefits of Preoperative Weight Loss
A study published in the December 2009 in the Archives of Surgery shows that weight loss prior to gastric bypass surgery is significantly associated with a reduction in post-operative complications.
The study, conducted at the Geisinger Medical Center in Danville, Pennsylvania, examined the detailed records from 881 patients who had bariatric surgery at the facility between 2002 and 2006. All patients in the study had either open or laparoscopic gastric bypass surgery and all participated in a 6-month standardized pre-operative program. As part of this program, patients are advised (but not required) to lose 10% of their excess body weight (EBW). Of the 881 patients included in the study, some gained weight and some lost weight. The authors of the study categorized patients by the amount of weight gained or lost in the preoperative period and compared this to postoperative complications in the same groups.
A loss of 6-10% EBW was associated with the lowest incidence of 30-day postoperative complications for both open and laparoscopic procedures. Those losing greater than 10% EBW also had significantly lower complication rates as compared to those who gained weight or only lost 0-5% excess weight.
This data supports prior data from the Geisinger Center which showed that patients with 10% (or higher) preoperative EWL had shorter postoperative hospital stays, indicating that the likely reason is the reduced rate of complications found in the current analysis.
While the authors stop short of suggesting that all patients undergoing bariatric surgery should be required to undergo preoperative weight loss, the do call for prospective, controlled trials to support their findings.
Reference: Arch Surg. 2009;144:1150-1155, 1155-1156.
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Thursday, November, 12th at 12:22 PM
What is the difference in formulation between the old unflavored Calcium Crystals and the new unflavored Calcium Crystals?
We revised the calcium crystal formula to fix a problem with clumping in cold water. We also removed the sucralose, so this is now an unsweetened product.
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Thursday, November, 12th at 12:19 PM
Is the liquid Vitamin D designed to only be taken straight from the dropper or can it be mixed into other foods as an option?
The Liquid Vitamin D can be taken straight or mixed into a soft food or liquid.
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
Thursday, November, 12th at 12:17 PM
What is the difference between a Prebiotic and a Probiotic?
A prebioitc is a non-digestible food, such as a fiber, that stimulates the growth and/or activity of bacteria in the digestive system which are beneficial to the health of the body. In essence, prebiotics are food for probiotics.
Reviewed and Prepared by:
Jacqueline Jacques, ND
Chief of Scientific Affairs
Bariatric Advantage
Have a question for Dr. Jacques!?
Submit it here.
These statements have not been evaluated by the Food and Drug Administration.
These products are not intended to diagnose, treat, cure, or prevent any disease.
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