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Category: electrolytes

Too Much Protein & Protein Metabolism

December 17, 2024 12:40 pm

We, as humans, can consume three energy sources: carbohydrates (glucose), fat (fatty acids), and protein (amino acids). They are all needed for optimal body function. Protein (amino acids) and protein metabolism are critical to the human body’s structure (muscles) and function (immune system). However, there is a possibility of  “too much protein“. All forms of nutrients are eventually converted to fat for storage. So when patients focus on a protein-rich diet and consume protein supplement drinks without accounting for the calories, they may slow or stop the weight loss and, in some cases, even gain weight after weight loss surgery. Before everyone gets alarmed and stops eating protein, I am only trying to raise awareness to keep an inventory of the protein intake, not only a measure of the protein but also the caloric intake. The images below depict different states of metabolism and protein metabolism. Please note that in the image below (in a feasting state), all consumed protein leads to fat storage if not used as a building block of protein (amino acids). This is why too much protein can cause weight gain if not used to build muscle. The key is to manage the delicate balance of taking adequate protein against what is needed to maintain healthy muscle mass and immune function. The image below shows what happens when patients do not consume sufficient protein over long periods. The body starts breaking down the muscles and converts this all to energy. In this diagram, body proteins are the muscle mass broken down into amino acids to supply the body with needed glucose and ketones to give the body energy for its functions.    

Oral Vitmain D

September 24, 2021 3:42 pm

We have had positive feedback from patients who have had Replesta Vitmain D shewable wafers. There are some cost considerations, when compared to the cheeper alternatives. The follow up labs have also shown improvement for the patients who have tried Replesta, compared to alternatives with better results. Note that this is not a product placement, as there is no financial interest to report.

Fluids and Electrolytes After Weight Loss Surgery

January 29, 2016 7:06 am

Fluids and Electrolytes after weight loss surgery are an important part of recovery and lifestyle after undergoing a weight loss surgical procedure. Potassium is an important electrolyte found in higher concentrations within the fluid of the cells. It is important in muscle contraction, heart rhythm, nerve function and co-enzyme function.

Fluids and Electrolytes

The following webinar (link) discusses the balance of fluids and electrolytes with particular attention to post weight loss surgery concerns. Deficiencies can cause heart arrhythmias, muscle weakness and cramping, intestinal paralysis, and neurological deficits.

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The Daily Recommended Amount for Potassium is  4,700mg

Here is a list of Lower-carb potassium sources: This is not meant to be in inclusive list.  There are many higher carb sources of potassium also.

  • Beet Greens- 1/2C 655 mg
  • Trout 3oz – 375 mg
  • Salmon  719 mg per average filet
  • Halibut or Yellowfin Tuna 3oz – 500mg
  • Clams 3oz- 534 mg
  • Avocados 1 whole- 974 mg
  • Squash 1C- 325mg
  • Broccoli 1 cup 475m
  • Watermelon Radish 3 oz – 233mg
  • Sweet Potatoes- one potato 694mg
  • Yogurt 1C – 579mg
  • Tomato paste 1/4C – 342 mg
  • Whole milk 1C – 366 mg
  • Chicken breast meat 1 cup chopped – 358 mg
  • Cauliflower 1 cup raw– 303 mg
  • Peanut butter 2 T – 208 mg
  • Asparagus spears 6 – 194 m
  • Daikon Radish – 3″ – 280 mg
  • Nuts  100-300 mg per 30g / 1 oz serving, depending on the type
  • Dark leafy greens  160 mg per cup of raw, 840 mg per cooked
  • Kohlrabi 3oz- 98mg
  • Mushrooms 1 C- 273 mg
  • Spinach – 1 cup 167 mg Potassium
  • Walnuts 2 oz-250 mg