Healthy, Tasty Snack Recipe

Cara Stewart, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, provides an easy recipe for a healthy snack.

Dry-roasted chickpeas make a tasty and nutritious snack! You can have them as a crunchy pick-me-up or as a salad topping. They are low fat, low calorie and a good source of protein, fiber and folate. The recipe below makes four servings. Each serving has 100 calories, four grams of protein and five grams of fiber.

Ingredients:

• One can of chickpeas or garbanzo beans
• Spice blend of choice: garlic powder, chili powder, cumin, black pepper, rosemary, and so on
• Cooking spray

Directions:

1. Position oven rack in the top third of the oven.
2. Preheat the oven to 450 degrees Fahrenheit.
3. Pour the chickpeas into a colander, rinse and thoroughly pat dry.
4. Coat a large baking sheet with cooking spray and spread the chickpeas on the sheet.
5. Sprinkle the chickpeas with the spice blend of your choice.
6. Bake for 30 to 40 minutes until the chickpeas are browned and crunchy, stirring every 10 minutes to prevent burning.
7. Allow to cool on a baking sheet. Store in an air-tight container for up to two days.

Enjoy!

- Cara Stewart, RD, LDN

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Finding the right protein supplement to meet your nutritional needs

Karen Buzby, RD, LDN, member of the Penn Metabolic & Bariatric Surgery team, explains how to find the right protein supplement.

Protein is an essential dietary nutrient. It builds tissue and regulates various bodily processes necessary for good health. After weight-loss surgery, all patients follow a liquid diet for two weeks. It is important to include adequate protein intake in the post-surgical diet to facilitate recovery. That is why patients are encouraged to find a preferred protein drink before surgery to ensure optimal nutrition and safe weight loss in the recovery stage.

You can find protein supplements at local supermarkets, pharmacies or specialty nutrition stores. There are a variety of choices and these tips can help you find your favorite, nutritious protein supplement:

• Read the ingredients. Complete protein products containing whey, casein or soy provide more benefit than products that are mixed with less nutritious ingredients, such as collagen.


• Determine if you prefer a powder or liquid protein supplement. There are pros and cons to each type of supplement. Powder products are mixed with eight ounces of water, low-fat milk or another low-calorie liquid to produce a beverage with the recommended concentration of protein. Liquid products come premixed and some have screw tops for easy storage after opening.


• Sample a small quantity of the protein supplement. Purchase a single-serving to taste test before committing to a full container or case of the product.


• Make sure the products are low in fat and sugar. The concentration of protein, fat and carbohydrates varies from product to product. It is important to select a product that is low in fat, calories and carbohydrates. Make sure the product contains 15 grams or less of sugar per serving. Keep in mind that a typical protein drink contains 150 to 200 calories per 8 ounce serving.


• Check the expiration date. Like all food, protein drinks have a limited shelf life. Do not use products that have expired.

Please refer to the “Step-by-Step Diet Guidelines following Weight Loss Surgery” in your diet instruction booklet for a detailed list of recommended protein supplements.

- Karen Buzby, RD, LDN

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Healthy Recipes for the Holiday Season

Cara Stewart, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, provides tips for making holiday recipes healthy.

Holiday recipes are time tested and family approved, but they also frequently contain many calories and unhealthy ingredients. With just a few minor changes, you can transform most of your family’s beloved holiday dishes and desserts into healthier and more nutritious alternatives.

Try these tips to make your family’s favorite foods healthy without losing the taste they love:

• Use two egg whites instead of one whole egg.
• Use evaporated skim milk or buttermilk instead of heavy cream.
• Thicken gravy, soup or sauce with pureed vegetables, mashed potatoes or cornstarch and cold water.
• Replace half the oil in a recipe with an equal amount of applesauce.
• Replace refined grains with whole grains, such as whole wheat bread, brown rice, bulgur, barley or quinoa.
• Use leaner cuts of meat including skinless poultry, ground turkey breast, pork loin, beef round or flank steak.
• Replace some of the meat in a recipe with beans, tofu or soy-based proteins.
• Use creative toppings for casseroles, such as almonds instead of fried onions.

- Cara Stewart, RD, LDN

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Hydrate for a Quicker Recovery

Karen Buzby, RD, LDN, a member of the Penn Metabolic & Bariatric Surgery team, provides tips for staying hydrated after bariatric surgery.

After weight loss surgery, staying hydrated is critical to recovery. Drinking enough fluid helps patients recover from surgery safely and as quickly as possible. So, pour a four-ounce glass of any low calorie beverage or protein drink, get comfortable and sip, sip, sip.

Most patients have to re-learn how to drink following weight-loss surgery. It is best to start slowly and gradually increase fluid consumption to the goal of 48 to 64 ounces daily.

Here are some tips to help reach the liquid consumption goal:

• Calculate how much to drink every hour to reach your goal. Watch the clock, drink at the pre-set time and record your intake. It may be helpful to set a timer as an hourly reminder to drink.
• Carry a water bottle around the house or on walks outside.
• Measure fluid intake instead of estimating.
• Drink from a six- or seven-ounce container instead of the one-ounce medicine cups from the hospital.
• Find your preferred low-calorie or protein drink. It does not matter if it is hot, cold or room temperature. Also, remember to factor melted ice into beverage totals. One standard-sized ice cube equals one ounce of fluid.

Please refer to the “Step-by-Step Diet Guidelines following Weight Loss Surgery” for more information.

- Karen Buzby, RD, LDN

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Weight-Loss Surgery Can Help Control Diabetes

Cara Stewart, RD, LDN, a member of the Penn Metabolic & Bariatric Surgery team, explains the importance of diabetes management and the impact of bariatric surgery on blood sugar control.

November is American Diabetes Month as designated by the American Diabetes Association. It is a time to raise awareness about diabetes, its potentially serious complications and effective management strategies.

For people with diabetes, it is important to keep blood sugar levels within a healthy range to prevent damage to blood vessels and nerves. Properly managing blood sugar levels involves making healthful food choices, being physically active, and using medications as prescribed. For people with diabetes and obesity, bariatric surgery may be an option to improve and potentially cure diabetes.

A recent meta-analysis of data published in The American Journal of Medicine reveals the significant impact of bariatric surgery on type 2 diabetes. According to the data, type 2 diabetes was resolved in 84 percent of patients who underwent gastric bypass surgery. For these patients, blood sugar often normalized within days or weeks after surgery, even before they lost significant amounts of weight. Type 2 diabetes was resolved in 48 percent of patients who underwent adjustable gastric banding surgery. For these patients, their type 2 diabetes resolved following post-operative weight loss.

A team of researchers at Penn Medicine is currently conducting a National Institutes of Health funded-study to determine if bariatric surgery, either gastric bypass or adjustable gastric banding surgery, is more effective than lifestyle modification at reducing weight and ultimately treating type 2 diabetes.

To learn more about the Penn Metabolic & Bariatric Surgery Program, please visit www.PennMedicine.org/bariatrics.

- Cara Stewart, RD, LDN

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Welcome!

Welcome to Penn Metabolic & Bariatric Surgery News. Designed to provide information and inspiration along the journey to better health, Penn Metabolic & Bariatric News is for those trying to lose weight, considering weight loss surgery or recovering from weight loss surgery.

The journey to weight loss or bariatric surgery can be physically and emotionally difficult. That is why the Penn Metabolic & Bariatric Surgery Program wants to equip all prospective and current patients with the information they need to make informed choices for reaching and maintaining their weight loss goals. To learn more about the pre- and post-surgical process at Penn, please click here.

Stay tuned for frequent posts on program updates, news, research studies, tips and helpful resources from the Penn Metabolic & Bariatric Surgery team. Future topics include:

• Keeping your diabetes under control
• Staying hydrated and healthy after weight-loss surgery
• Finding the right protein supplement to meet your nutritional needs

To subscribe to Penn Metabolic & Bariatric Surgery News, please enter your email address in the "Subscribe via Email" section on the lower right side of the webpage.

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