Talk:Gastric bypass diet

message: I believe the creator of this article did so in order to spell their product, I also belive it fails WP:NOT: Wikipedia is not a how-to guide. ViridaeTalk 02:02, 28 June 2006 (UTC)
thread_title: {{tl|Unencyclopedic}}

message: This recently opened page contains numerous factual errors.  If a patient follows them during the early post-operative period, rather than following specific physician instructions, it could potentially result in serious injury.  It is unethical to interfere in the essential physician-patient relationship, and it is unethical to practice medicine without either a medical degree or a license, which one does when giving instructions to patients who are within a day of major surgery.  Although the author avows good intentions, he has a clear commercial stake, even promoting his proprietary products within the article.  Although some of the information is certainly correct, there are numerous errors.  
Examples:  
* “If you tolerate clear liquids, the next day you will be advanced to 2 oz. (60cc) per hour of full liquids.”  This statement is incorrect for a majority of surgeons performing this type of surgery, and for good reasons.
* “Try to consume at least .5 (1/2) gram of protein per pound of bodyweight per day.”  For a 500 lb person, this amounts to 250 grams a day!  Protein intake is properly calibrated to either Ideal Body Weight, or Lean Body Mass.  Following this instruction would result in gross excess of protein intake, and unwarranted expense.
* Recommends “… Carnation Instant Breakfast  …”.  This product contains 24 to 40 grams of sugar per serving, and will cause severe Dumping Syndrome in many patients, particularly when taken on an empty stomach and soon after surgery.
* Utterly fails to acknowledge the specific alterations in nutrient absorption which occur following gastric bypass, which make some supplements completely ineffectual.
Persons undergoing bariatric surgery should seek a surgeon with extensive experience, with a comprehensive follow-up and management program, and then trust and follow the surgeon's advice, ignoring well-meaning and "helpful" suggestions from unqualified sources.  
Incidentally, since I'm now retired from doing surgery, I have no commercial interest, but I live with my own Gastric Bypass every day, and I follow my surgeon's advice, not my own.  Topnife 19:02, 6 July 2006 (UTC)
thread_title:  Misinformative, Unethical, Commercial 

message: I will stand corrected I inadvertently left off sugar free on the carnation actually I meant to take it out altogether as the hospital I did the research from recommended it. Funny I found another Hospital recommending the same protein supplement as in the article, but I will remove to become more unbiased on the article. 
* Here is example one to validate my article as good sound nutrition backed by hospitals, Doctors who as well perform this procedure. 
I feel Dr. Wren is meaning well just his advice on nutrition is outdated as is the food pyramid has changed many times as nutrition information has become available so has the recommend diet for GP patients has changed since he was performing this procedure.
 
* Highland Hospital recommended after GP surgery 5 meals 
http://www.stronghealth.com/services/surgical/bariatric/images/GASTRIC%20BYPASS%20DIET%5B1%5D.pdf 
This paper from the below link is a North Dakota State University article I have pulled some information on protein recommended per pound bodyweight. This article recommends a little under mine .4g per pound of bodyweight. Again there is a misunderstanding of the importance of protein and this is sound proof the article is correct and should stand as is. I will if need adjust it to .4 as this article states as it isn't written in stone .5 just a good target number for protein consumption. 
:Comment:  Whatever the article says, it's still wrong.  Calculate how much protein, in grams, a person with a body weight of 500 lb should eat.  According to this formula it's 200 to 250 grams per day!  Ridiculous!  These recommendations are derived for persons of normal body habitus, and cannot be mindlessly extrapolated to the severely obese. Topnife 21:44, 31 July 2006 (UTC)
replies: text: Comment: If one can absorb a maximum of 30 grams of protein per day, and if (supposedly) one needs 200 grams of protein per day (see above), that's at least seven high-protein meals per 24 hours, or one large meal almost every 2 hours of awake time.  Furthermore, to consume 200 grams of protein daily, one will have to consume roughly 1500 - 1800 calories daily, which will defeat the weight loss purposes of the surgery.  This is irrational and bad advice.  Topnife 21:44, 31 July 2006 (UTC)
thread_title:  Providing fact to back up the article with links and articles