Macro partitioning
Post-bariatric surgery patients must consume 60-120g of protein daily to maintain lean body mass and prevent protein malnutrition, particularly after malabsorptive procedures.
After bariatric surgery, you must prioritize protein. Aim for 60 to 120 grams of protein every day. This is not optional; it is the primary way to protect your muscles and prevent serious health complications like protein malnutrition. If you had a malabsorptive procedure (like bypass), this is even more critical. Start each meal with protein.
We recommend that nutritional management should include: an average of 60 –120 g of protein daily in all patients to maintain lean body mass during weight loss and for the long term. This is especially important in those treated with malabsorptive procedures to prevent protein malnutrition and its effects (1•QQQE).
Why this rating
Strong recommendation (1) supported by moderate quality evidence (QQQE).
Source
Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient: An Endocrine Society Clinical Practice Guideline
David Heber et al. · The Journal of Clinical Endocrinology & Metabolism · 2010
DOI 10.1210/jc.2009-2128
More from this paper
- All patients undergoing bariatric surgery require long-term vitamin and mineral supplementation, with malabsorptive procedures requiring more extensive replacement to prevent deficiencies.Good
- Purely restrictive bariatric procedures (e.g., adjustable gastric banding) are more commonly associated with weight regain and weight loss failure compared to malabsorptive procedures (e.g., Roux-en-Y bypass).Good
Related findings · Macro partitioning
- Total daily protein intake of 1.6 g/kg/day is sufficient for maximizing resistance training-induced muscle gains, with an upper confidence interval of 2.2 g/kg/day.Strong
- Resistance exercise training combined with sufficient dietary protein intake acts synergistically to maximize skeletal muscle hypertrophy, with protein intake saturating around 1.6 g/kg/day for general populations and potentially requiring 2.0-2.2 g/kg/day for resistance-trained individuals.Strong
- Trans fats should be completely eliminated from the diet, as they increase LDL cholesterol, decrease HDL cholesterol, and are directly associated with increased coronary risk.Strong
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