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Showing posts with label protein. Show all posts
Showing posts with label protein. Show all posts

Green Pina Colada Protein Shake Recipe

Now that the weather’s warming up, there’s no reason to miss out on enjoying a little taste of tropical splendor – and with this deliciously healthy pina colada protein shake, you don’t have to!

Fresh and fruity, with added spinach to boost the nutritional value, this drink will make staying on track with your diet feel effortless this summer.

Green Pina Colada Protein Shake

  • 1 scoop of whey or soy vanilla protein powder
  • ½ cup unsweetened coconut milk
  • 1 cup pineapple chunks
  • 1 cup baby spinach leaves
  • 1 cup ice
Blend ingredients together until smooth, adding ice slowly until desired consistency is reached.

Nutritional Information

Amount per serving:
Calories: 237
Fat: 4 g
Protein: 31 g
Carbohydrate: 24 g

Lose Weight at Penn Medicine

Learn about medical weight loss in Philadelphia, and the Penn Bariatric and Metabolic Surgery Program at a free information session about weight-loss surgery in Philadelphia.

There, you will hear about your weight-loss surgery options, and how Penn can help you lose weight and get healthy for good.

Register for a free information session today.
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Are Protein Bars Good For You?

Protein bars, or meal replacement bars, have been a major part of the diet food industry for decades, offering dieters a quick and easy meal option, packed with protein. But how nutritionally balanced are they, really? Are your protein bars helping you lose weight, or are they actually hindering your results?

"Protein is essential for making body tissue, brain tissue, brain chemicals, hormones, and immune cells and helping numerous processes take place," says Cara Stewart, RD, registered dietitian with Penn's bariatric program. "If you do not eat enough protein after surgery, you will not heal as well, your energy levels will be lower, you will lose more muscle and less fat, and you may lose more hair."

Not all bars are created equal

One of the biggest factors in determining the quality of your protein bar lies in the nutritional information on the wrapper. Some bars contain trans fats, hydrogenated vegetable oils, sugar, artificial sweeteners, or high-fructose corn syrup. If your protein bar choice has all of these ingredients, you’re essentially eating a candy bar in well-marketed packaging.

It’s important to read the label before making any food choice, especially when it comes to diet options. Educating yourself on the content of your protein bar is the best way to ensure you’re putting healthy, nutritional food in your body.

Good in a pinch, not a diet staple

Protein bars are easy to toss in a gym bag for an energy boost after an intense cardio workout or to munch on during a long bike ride, but they shouldn’t be an everyday choice for proper nutrition. A handful of nuts, half a peanut butter sandwich, or a cup of yogurt are also great options for protein and are just as portable as a protein bar.

Real food is always a better choice

Why choose a processed food as a source of fiber when you can reap the same nutritional benefits while enjoying a delicious juicy apple? In the long run, a body needs real, nutrient-dense foods. So if you need a protein boost after a long workout, opt for choices like meat, poultry, fish, beans, milk, eggs, or tofu, which are all good sources of protein, instead of a protein bar.

Lose Weight at Penn Medicine

Learn about medical weight loss in Philadelphia, and the Penn Bariatric and Metabolic Surgery Program at a free information session about weight-loss surgery in Philadelphia.

There, you will hear about your weight-loss surgery options, and how Penn can help you lose weight and get healthy for good.

Register for a free information session today.
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Cinnamon Roll Protein Shake

Here’s a delicious protein shake recipe that will get you drooling! If you’ve got a sweet tooth, this shake would be perfect for breakfast on-the-go or conquering late night cravings.

Cinnamon Roll Protein Shake

  • 1 scoops of whey or soy protein powder (unflavored or vanilla)
  • 1 cup unsweetened almond milk
  • 1/2 tsp cinnamon
  • 1 tsp sugar-free, fat-free, instant cheesecake pudding mix
  • Low calorie sweetener of choice
  • Ice

Blend ingredients together, adding ice slowly until desired consistency is reached.

Nutritional Information 

Amount per serving
Calories: 150
Fat: 5 g
Protein: 19 g
Carbohydrate: 8 g

Lose Weight at Penn Medicine

Penn can help you lose weight.

Learn about medical weight loss in Philadelphia, and the Penn Bariatric and Metabolic Surgery Program at a free information session about weight-loss surgery in Philadelphia.

There, you will hear about your weight-loss surgery options, and how Penn can help you lose weight and get healthy for good.

Register for a free information session today.
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Believe it or not: Carbs are an Essential Part of Your Healthy Diet after Weight-Loss Surgery

Cara Stewart, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, explains the importance of carbohydrates for a healthy diet after weight-loss surgery.

Carbohydrates often get vilified in weight-loss circles, with claims of preventing weight loss and even contributing to weight gain. But the truth is that carbohydrates, or carbs for short, are actually your body’s main source of energy and an essential component of a balanced diet.

In fact, your body relies on carbs to power everything from breathing to walking to thinking! So, while it is important to focus on eating adequate protein after weight-loss surgery, it is also essential to incorporate good carbs into your diet. 

The first few months after weight-loss surgery, your diet should primarily consist of protein since your stomach is too small to consume much else. Once your stomach is ready for a more diverse selection of food, aim to get half of your daily calories from carbs. That should amount to approximately 130 grams of carbs per day. Remember, it might take several months or up to a year after surgery to get to this point, so it is important to be patient and set short-term goals along the way.

Consuming adequate carbs from good food sources allows your body to use protein for healing and maintaining muscle mass, instead of being diverted for energy. The best sources of carbs contain fiber, which slows digestion, keeps you full longer and helps regulate your bowel. Examples of healthy carbs include:
  • 1 piece of fruit (i.e. an apple the size of a baseball) = 15 grams of carbohydrate
  • 1 cup of milk = 12 grams of carbohydrate
  • ½ cup of oatmeal = 15 grams of carbohydrate
  • 1 slice of whole-grain bread = 15 grams of carbohydrate
  • ½ cup cooked beans = 15 grams of carbohydrate 
Try to avoid simple carbs like white bread, white rice, white pasta and sweets. They contain minimal nutrients, promote hunger and can cause blood sugar spikes.
Keep in mind that your carbohydrate needs may vary depending on medical issues such as diabetes, so check with your dietitian or health care team to determine your personal dietary goals.   

- Cara Stewart, RD, LDN
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Protein intake after weight loss surgery: Are you getting enough?

Karen Buzby, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, provides step-by-step tips for adding protein into a healthy diet after weight-loss surgery.

Protein is essential for just about every bodily process, including regenerating strength and promoting healing. That is why dietary recommendations after weight-loss surgery emphasize the importance of adequate protein intake.

The recommended protein intake after weight-loss surgery is 60 to 80 grams a day.* To determine the protein content in various food items, read the nutrition fact label. In general, most protein-rich foods contain at least seven grams of protein per ounce.

Examples of protein-rich foods include:
  • Meat
  • Poultry
  • Seafood
  • Eggs
  • Dairy products
  • Beans
  • Peas
  • Nuts
After weight loss surgery, dense, protein-rich foods must be reintroduced slowly, allowing time for the stomach to heal and decreasing the likelihood of obstruction. This timeline provides step-by-step tips for safely and healthfully reintroducing protein into your post-surgical diet:**

Two weeks after weight loss surgery:
For the first two weeks after your surgery, it is critical to stick to a full liquid diet and rely on protein drinks to fulfill your protein needs. Continue drinking protein drinks until you can meet the daily protein recommendations with solid food alone. Read more about finding a protein supplement that meets your dietary needs.

Three weeks after weight loss surgery:
Approximately three weeks after your surgery, you can start eating pureed foods. The best way to incorporate solid protein in your pureed diet is by using a blender. If blended protein sources don’t appeal to you, there are other softer forms of protein to opt for instead, including:
  • Eggs
  • Finely flaked, water-packed tuna
  • Yogurt
  • Cottage cheese
Baby food is discouraged after weight loss surgery because it has low protein content. 

Five to six weeks after weight loss surgery:
Once you progress to the “soft diet,” which usually occurs about five to six weeks after surgery, you can begin introducing soft, but solid foods into your diet. These foods include:
  • Ground or chopped meat and poultry
  • Moist fish
  • Cooked beans
  • Lentils
  • Soft, soy-based meat alternatives
Eight weeks after weight loss surgery:
Two months after your surgery, you can begin adding all forms of low-fat protein into your healthy diet. The best way to prepare protein-rich foods is by moist cooking methods and reheating it in a microwave to prevent dryness and food intolerance.

In general, the best way to make sure you’re getting an adequate amount of protein is by keeping a food diary and tracking your protein intake. See the chart below for a protein content guide.

Food

Serving

Calories

Protein (grams)


MEAT Group



Sirloin Steak, lean
2 oz
95
16
Ground Beef, 95% lean
2 oz
92
14
Pork Loin
2 oz
94
17
Chicken, white meat, no skin
2 oz
93
17
Ground turkey
2 oz
75
11
Light Tuna, canned in water
2 oz
66
14
Salmon
2 oz
116
12
Shrimp
2 oz
70
14
Egg, large
1
80
6
Egg whites
2
35
7
Egg Beaters®
¼ cup
30
6

DAIRY Group



Skim Milk
8 oz
90
8
Yogurt, light
6 oz
80
6
Greek yogurt, nonfat, plain
6 oz
90
15
Mozzarella cheese, part-skim
1 oz
70
7
Cottage cheese, 1% milkfat
2 oz
40
7

NUTS / BEANS Group



Soybeans, aka Edamame
¼ cup
65
6
Tofu, Firm
2 oz
40
5
Soy Milk, Plain
8 oz
100
7
Peanut Butter
2 Tbsp
190
8
Almonds
1 oz
165
6
Chickpeas
¼ cup
70
3
Black Beans
¼ cup
55
4
Lentils
¼ cup
60
4
Boca® Burger, Original
1 oz
30
5
- Karen Buzby, RD, LDN

*Allied Health Sciences Section Ad Hoc Nutrition committee, Aillis L, Blankenship J, Buffington C, Furtado M, P{arrott J. Bariataric Nutrition: Suggestions for the Surgical Weight Loss Patient. Surg OBes RElat Dis 2008; 4(5Suppl):S73-108.

**The timeline reflects the Penn Metabolic and Bariatric Surgery team’s approach to reintroducing protein after weight loss surgery. If you are recovering from weight loss surgery, make sure to consult with your health care team to determine your personal dietary plan.
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No-Cook Recipe: Flavorful Chicken and Strawberry Salad

This no-cook recipe makes a quick weeknight meal that is healthy, flavorful and perfect for a hot summer day or night. Combining sweet seasonal strawberries with blue cheese, tender chicken and crunchy nuts, this salad satisfies your sweet and savory cravings while also providing important nutrients like calcium, fiber and protein. Top it off with a tangy vinaigrette dressing for a final touch of flavor.

So next time you want a tasty meal but you’re running short on time, remember this recipe for chicken-topped strawberry and blue cheese salad.

Nutritional Information:
Amount per serving
  • Calories: 333
  • Fat: 16.4 g
  • Saturated fat: 4.9 g
  • Monounsaturated fat: 8.3 g
  • Polyunsaturated fat: 2.1 g
  • Protein: 32 g
  • Carbohydrate: 14.8 g
  • Fiber: 3.5 g
  • Cholesterol: 83 mg
  • Iron: 2.5 mg
  • Sodium: 347 mg
  • Calcium: 156 mg
Ingredients:
Dressing
  • 1 tablespoon sugar
  • 2 tablespoons red wine vinegar
  • 1 tablespoon water
  • 1/8 teaspoon salt
  • 1/8 teaspoon black pepper, freshly ground
  • 2 tablespoons extra-virgin olive oil
 Salad
  • 4 cups romaine lettuce, torn
  • 4 cups arugula
  • 2 cups strawberries, quartered
  • 1/3 cup red onion, vertically sliced
  • 12 ounces skinless, boneless rotisserie chicken breast, sliced
  • 2 tablespoons unsalted cashews, halved
  • 1/2 cup (2 ounces) blue cheese, crumbled

Preparation:
  1. To prepare dressing, combine first five ingredients in a small bowl. Gradually drizzle in oil, stirring constantly with a whisk.
  2. To prepare salad, combine romaine and the next four ingredients (up to chicken) in a bowl; toss gently. Place about two cups chicken mixture on each of the four plates. Top each serving with one and a half teaspoons of cashews and two tablespoons of cheese. Drizzle about four teaspoons of dressing on each serving.
Total preparation time is 20 minutes.

This recipe is provided Jackie Mills, MS, RD, Cooking Light (May 2009).
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Unhealthy “Health” Food

Rebecca Dilks, RD, LDN, research coordinator at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, and Casey Siegel provide tips for avoiding misleading health claims and being your own healthy food judge.
 

Just because the package or ad claims that a food is “healthy” does not necessarily mean that it is. More and more, food marketers are using healthy as a marketing technique to promote foods that by most people’s definitions do not actually qualify as healthy.

Don’t fall into the food marketing health trap: Next time you are the grocery store, check the nutrition label and ask yourself the following three questions to make sure the food qualifies as healthy health food.  

1. Does it contain too much sugar?
When food manufacturers reduce the fat content in foods, they often sacrifice flavor too. To compensate, many food manufacturers add sugar.
 
Further complicating matters, the sugar listing on nutrition labels groups all sugar together, which can be deceiving. In general, try to stay away from added sugar as much as possible. The American Heart Association recommends women consume no more than 100 calories (6 teaspoons or 24 grams) of added sugar per day and men consume no more than 150 calories (9 teaspoons or 36 grams).

Fruit juices, fruit cups, granola bars and energy drinks all contain added sugar, significantly increasing the calorie content. Try fresh fruit or flavored seltzer to avoid extra sugar without skimping on flavor.

2. Does it contain too much sodium?
Food can be loaded with sodium even if it does not have that traditional salty taste. That is why you must check the sodium content on the nutrition label. Don’t assume a food’s salt content meets the healthy food requirement. Stick to foods that contain less than 140 milligrams of sodium per serving.

For example, fat-free cottage cheese, which does contain healthy nutrients like calcium, also contains 400 milligrams of sodium per four ounce serving.

3. Does it contain healthy nutrients?
Food manufacturers are onto the growing healthy diet trend and have started making snacks in healthier portion sizes than ever before. But while many of these foods have reduced calories and fat, they also fall short on healthy nutrients like fiber or protein.

Instead of reaching for a pre-packaged, manufactured snack, try opting for all natural low-calorie and low-fat snacks that also offer important nutritional benefits, like fruits and veggies.

Check out this “buyers beware” list of foods that are commonly marketed as healthy despite questionable nutritional contents:
  • Bran muffins: Some may be high in fiber, but many are loaded with calories due to excessively large portion sizes.
  • Trail mix and granola: These products tend to come in small portion sizes that are loaded with calories and fat. Get more bang for your buck by snacking on low-calorie, nutrient-rich foods like fresh fruits and vegetables.  
  • Tuna salad: Don’t be fooled by the word “salad.” Tuna fish alone is a great choice for lean protein and omega-3 fatty acids, but by adding mayonnaise to make tuna salad you also add lots of calories and fat.  
  • Dried fruit: Dried fruit contains healthy nutrients such as fiber, but it also contains large amounts of sugar. Stick with fresh fruit for all the same nutrients but with less sugar. 
  • Veggie chips: These chips may have some “veggie” ingredients, but most brands do not contain whole vegetables.  
There are many food claims out there masquerading as healthy despite a lack of nutritional facts to back them up, so you be the judge. Use the nutrition label to determine which foods actually qualify as healthy by your standards, not the food marketers.

Rebecca Dilks RD, LDN
Center for Weight and Eating Disorders
University of Pennsylvania Perelman School of Medicine

Casey Siegel, University Of Pennsylvania, Class of 2012
Biological Basis of Behavior/Nutrition minor
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Getting Enough Protein In Your Diet


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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The Perfect Summer Meal: Arugula, Grape and Sunflower Seed Salad


A refreshing salad can be a perfect meal on hot summer day. To top it off, this recipe combines a variety of healthy ingredients, so the delicious salad also provides the important nutrients your body needs. 

With antioxidants from the grapes, healthy fats and vitamin E from the sunflower seeds and oil, folate and vitamin A from the arugula, it’s hard to beat the nutrition profile on this summer salad.

You can also try topping the salad with a protein like salmon or tuna to make a well-balanced dinner entree.

Nutritional Information:
Amount per serving 

  • Calories: 81 
  • Calories from fat: 34% 
  • Fat: 3.1 g 
  • Saturated fat: 0.3 g 
  • Monounsaturated fat: 0.5 g 
  • Polyunsaturated fat: 2 g 
  • Protein: 1.6 g 
  • Carbohydrate: 13.1 g 
  • Fiber: 1.2 g 
  • Cholesterol: 0.0 mg 
  • Iron: 0.7 mg 
  • Sodium: 124 mg 
  • Calcium: 47 mg 

Ingredients:

  • 3 tablespoons red wine vinegar 
  • 1 teaspoon honey 
  • 1 teaspoon maple syrup 
  • 1/2 teaspoon stone-ground mustard 
  • 2 teaspoons grapeseed or olive oil 
  • 7 cups loosely packed baby arugula 
  • 2 cups red grapes, halved 
  • 2 tablespoons toasted sunflower seed kernels 
  • 1 teaspoon chopped fresh thyme 
  • 1/4 teaspoon salt 
  • 1/4 teaspoon freshly ground black pepper 

Preparation:

  1. Combine vinegar, honey, syrup and mustard in a small bowl. Gradually add oil, stirring with a whisk.
  2. Combine arugula, grapes, seeds and thyme in a large bowl. Drizzle vinegar mixture over arugula; sprinkle with salt and pepper. Toss gently to coat.

The recipe is courtesy of Maureen Callahan, Cooking Light (May 2008). 
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Are you Getting Enough Protein?


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

Get more information about weight-loss surgery at Penn

Learn if bariatric surgery is right for you and attend a free information session about the Penn Metabolic and Bariatric Surgery Program.

At this free session, you will learn more about weight-loss surgery at Penn, and meet physicians and team members from the Penn Metabolic and Bariatric Surgery Program

Register for this free event here.
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Healthy Mexican Cuisine: Black Bean and Cheese Enchiladas with Ranchero Sauce

This recipe for enchiladas combines various traditional Mexican flavors into one exceptionally delicious and healthy dish. Black beans provide protein, fiber, folic acid and magnesium, while the corn tortillas, chiles and cheese add crave-worthy Mexican taste.

So get cooking and thank your South of the Border neighbors for this delicious dish!

Nutritional Information:
Amount per serving
  • Calories: 302
  • Fat: 12.9 g
  • Saturated fat: 5.3 g
  • Monounsaturated fat: 3.9 g
  • Polyunsaturated fat: 1.3 g
  • Protein: 17.3 g
  • Carbohydrate: 36.1 g
  • Fiber: 6.4 g
  • Cholesterol: 32 mg
  • Iron: 1.7 mg
  • Sodium: 574 mg
  • Calcium: 426 mg
Ingredients:
  • 2 dried ancho chiles, stemmed and seeded
  • 2 cups water
  • 2 teaspoons olive oil
  • 1 cup yellow onion, chopped
  • 5 garlic cloves, sliced
  • 1/4 teaspoon kosher salt
  • 2 cups organic vegetable broth
  • 2 tablespoons fresh oregano, chopped
  • 2 tablespoons no-salt-added tomato paste
  • 1/2 teaspoon cumin, ground
  • 1 tablespoon fresh lime juice
  • 1/8 teaspoon red pepper, ground
  • 1 (15-ounce) can black beans, rinsed and drained
  • 2 cups (8 ounces) reduced-fat Mexican-4-cheese-blend, divided and pre-shredded
  • 3 green onions, divided and thinly sliced
  • Cooking spray
  • 12 (6-inch) corn tortillas
  • 6 tablespoons light sour cream
Preparation:
  1. Preheat oven to 400 degrees.
  2. Combine chiles and 2 cups water in a saucepan; bring to a boil, reduce heat and simmer for 5 minutes. Remove from heat; let stand for 5 minutes. Drain chiles in a colander over a bowl, reserving 1 cup cooking liquid.
  3. Heat oil in a medium saucepan over high heat. Add onion; sauté for 1 minute. Reduce heat to medium; add garlic and salt. Cook for 5 minutes or until golden, stirring occasionally. Add broth and next 3 ingredients (through cumin); cook for 8 minutes or until thickened, stirring occasionally.
  4. Pour onion mixture into a blender; add chiles and reserved liquid. Remove center piece of blender lid to allow steam to escape; secure lid on blender. Place a clean towel over opening in lid. Blend until smooth; stir in lime juice and red pepper.
  5. Combine the beans, 1 cup of cheese and half of the green onions in a bowl. Spread 1/2 cup of sauce in the bottom of a 13 x 9-inch glass or ceramic baking dish coated with cooking spray. 
  6. Warm tortillas according to package directions. 
  7. Spoon 3 tablespoons bean mixture down center of each tortilla; roll up. 
  8. Place seam-side down in prepared dish. 
  9. Pour remaining sauce over filled tortillas. Top with the remaining cheese. Bake at 400 degrees for 15 minutes or until lightly browned. Sprinkle with remaining green onions; serve with sour cream.
Total preparation time, one hour and 10 minutes. Hands-on time is 55 minutes. 

This recipe is provided courtesy of David Bonom, Cooking Light (October 2011).
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Ready To Go Nuts? 6 Tips for Adding Nuts to a Healthy Diet

Cara Stewart, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, explains the health benefits of nuts and provides tips for incorporating them in a healthy diet. 

They say good things come in small packages and nuts are no exception. Filled with protein, fiber, phytonutrients and antioxidants, nuts pack lots of good things into a small, convenient and healthy package. They keep you satisfied, help curb unintended grazing and have powerful cancer-fighting properties.

Previously shunned by healthy dieters because of their high fat content, it turns out that nuts actually contain heart-healthy mono- and poly-unsaturated fat, which has been shown to lower LDL or “bad” cholesterol levels.

In addition to being healthy, nuts are inexpensive and have a long shelf-life, which makes them perfect for throwing in your purse or briefcase when you’re on the go.

Before going nuts with nuts, check out the following tips to incorporating them into a healthy diet:

Control portions
Nuts are high in calories, so moderation is key. Limit serving size to one to two ounces per day. 

Use nuts as a substitute
Instead of simply adding nuts to your diet, use them to replace foods that are high in saturated fats like meat, or contain empty calories.

Always read the nutrition label
Look for items with nutrition labels that say “dry-roasted” or “raw” and avoid those that just say “roasted.” Roasted nuts often contain added oils. Also, choose unsalted nut varieties.

Love the nutty flavor? Try nut butters
There are a variety of nut butter options available today including peanut, almond and cashew. Before making your purchase, make sure the nut butter does not include added ingredients like sugar or hydrogenated fat.

Store properly 
If you’re buying a large bag of nuts, store them in the freezer for maximum freshness and to aid in portion control.

Chop or grind nuts as an add-in or topping
Add nuts to yogurt, oatmeal, salad or stir-fry to infuse them with the nutty flavor while keeping portions in check. You can also mix nuts with herbs to use as a crunchy coating for fish or chicken. Sound good? Check out this healthy recipe for almond encrusted tilapia.


- Cara Stewart, RD, LDN
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Protein Shake Recipe: Raspberry Banana Tofu Shake

Tofu isn’t just for salads and Asian food. This tofu-based shake is fruity, creamy, and delicious. If you’ve never tried tofu in a shake, this recipe is for you.

Raspberry Banana Tofu Shake

Servings: 4

Ingredients:
  • 1 (12 ounce) package firm silken tofu
  • 1 cup fat free soy milk
  • 1 banana
  • 1 cup raspberries
  • 1/4 cup frozen orange juice concentrate

Directions:
  1. In a blender, mix tofu, soy milk, banana, raspberries, and orange juice concentrate.
  2. Blend until smooth.

This shake is great after a workout, for breakfast or any time you need an easy source of protein on the go.

Nutritional Information
Per Serving Calories: 149, Total Fat: 2.6g, Cholesterol: 0mg

Source: Allrecipes.com
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Asian-Inspired Sesame-Miso Cucumber Salad

It’s the perfect way to kick off the summer – refreshing, tangy and good for your waistline, too. Made with miso, a thick soybean paste that has a salty, slightly sweet flavor, and sesame seeds, which are high in protein and omega 6 fatty acids, sesame-miso cucumber salad makes the perfect summer side dish. You can find miso in the refrigerated section of your supermarket.

And the best part? This Asian-inspired dish only takes 20 minutes to prepare from start to finish.

Nutritional Information:
Amount per serving
  • Calories: 60
  • Fat: 2.7 g
  • Saturated fat: 0.2 g
  • Monounsaturated fat: 0.6 g
  • Polyunsaturated fat: 0.7 g
  • Protein: 1.9 g
  • Carbohydrate: 7.2 g
  • Fiber: 1.6 g
  • Cholesterol: 0.0 mg
  • Iron: 3.8 mg
  • Sodium: 182 mg
  • Calcium: 12 mg
Ingredients:
  • 1 1/2 tablespoons sesame seeds, toasted
  • 2 tablespoons white miso (soybean paste) or low-sodium soy sauce
  • 1 tablespoon rice vinegar
  • 1 tablespoon honey
  • 1 tablespoon hot water
  • 1 teaspoon crushed red pepper
  • 2 teaspoons dark sesame oil
  • 4 cups thinly sliced seeded cucumber
Preparation:
  1. Combine first 7 ingredients in a large bowl, stirring with a whisk.
  2. Add cucumber; toss to coat.
Total preparation time is 20 minutes.

This recipe is courtesy of Maureen Callahan, Cooking Light (May 2011).
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Nutrient-Rich Wheat Berry Salad with Raisins and Pistachios

Wheat berries are a health buff’s dream come true. The whole wheat kernels are filled with fiber, protein, iron, vitamin E and magnesium and remain virtually unprocessed, packing a nutrient-rich punch to your diet.

Wheat berries can be ground into whole wheat flour and develop a chewy consistency with a nutty, mild taste when cooked whole. You can add wheat berries to hot cereal, as a healthier alternative to rice or to make a creative salad.

In addition to its delicious taste, you can prepare all of the ingredients for this salad while the wheat berries cook.

Nutritional Information:
Amount per serving
  • Calories: 240
  • Fat: 8.9 g
  • Saturated fat: 2.3 g
  • Monounsaturated fat: 4.8 g
  • Polyunsaturated fat: 1.3 g
  • Protein: 7.2 g
  • Carbohydrate: 36.8 g
  • Fiber: 5 g
  • Cholesterol: 4 mg
  • Iron: 0.7 mg
  • Sodium: 284 mg
  • Calcium: 28 mg
Ingredients:
  • 1 cup uncooked wheat berries (hard winter wheat)
  • 3/4 teaspoon salt, divided
  • 3 tablespoons pistachios, shelled
  • 2 tablespoons olive oil
  • 2 tablespoons fresh lemon juice
  • 2 teaspoons honey
  • 1/2 teaspoon ground coriander
  • 1/2 teaspoon fresh ginger, grated and peeled
  • 1/2 cup golden raisins
  • 1/4 cup thinly sliced green onions
  • 2 tablespoons fresh cilantro, chopped
  • 1/2 cup (2 ounces) crumbled goat cheese
Preparation:
  1. Preheat oven to 350 degrees.
  2. Place wheat berries and 1/2 teaspoon salt into a medium saucepan. Cover with water to 2 inches above wheat berries and bring to a boil. Cover, reduce heat to medium-low and simmer for 1 hour or until tender. Drain.
  3. Place pistachios on a baking sheet. Bake at 350 degrees Fahrenheit for 8 minutes, stirring once. Cool slightly and chop.
  4. Combine oil, juice, honey, coriander, ginger and remaining 1/4 teaspoon salt in a large bowl, stirring with a whisk. Add hot wheat berries and raisins; stir well to combine. Let stand for 20 minutes or until cooled to room temperature.
  5. Add nuts, 1/4 cup green onions and cilantro to wheat berry mixture. Transfer to a serving bowl and sprinkle with goat cheese.
This recipe is courtesy of Jackie Mills, MS, RD, Cooking Light (April 2010).
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Does milk give you problems? A guide for choosing milk alternatives

Cara Stewart, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, provides a list of healthy milk alternatives.  

Milk is not the beverage of choice for everyone. Despite its nutritional benefits and popularity as a complement for everyday foods like coffee and cereal, cow’s milk is actually problematic for many people, especially those suffering from lactose intolerance or milk allergies and those who are vegans.

In fact, some patients become lactose intolerant after gastric bypass or sleeve gastrectomy surgery.

But the good news is that there are more lactose-free milk options available today than ever before. Follow this guide to choose the best milk alternative for you.

Lactose-free Milk - Lactase enzyme is added to regular cow’s milk to break the lactose down into a simpler sugar.
  • Protein per cup: 8 grams
  • Flavor: Slightly sweeter than regular milk.
  • Where to purchase: Grocery store refrigerated section; available in low-fat, conventional and organic varieties; refrigerated cartons.
Goat and Sheep Milks - Milk from other animals contains lactose with a high degree of cross-reactivity, meaning that people with an allergy to cow’s milk have a high chance of reacting to these milk varieties as well.
  • Protein per cup: Goat milk - 9 grams; Sheep milk - 14 grams
  • Flavor: Sweeter than cow’s milk; grassy undertones.
  • Where to purchase: Whole Foods or local farm market; refrigerated cartons.
Soy Milk - Made from cooking and pressing soybeans.
  • Protein per cup: 7 grams
  • Flavor: Nutty, beany flavor with thick consistency.
  • Where to purchase: Grocery store; shelf stable and refrigerated cartons in variety of flavors.
Nut Milk - Made by soaking and grinding nuts into pulp, then straining the creamy liquid. Almond milk is the most readily available, but there are other nut milks including hazelnut and cashew as well.
  • Protein per cup: 1 gram
  • Flavor: Nutty with thin consistency.
  • Where to purchase: Grocery store; shelf stable and refrigerated cartons in a variety of flavors.
Hemp Milk - Made from the seeds of cannabis plants, hemp milk does not contain psychoactive substances. It is a good source of omega-3 and -6 fatty acids.
  • Protein per cup: 2 grams
  • Flavor: Nutty, earthy flavor with thick texture.
  • Where to purchase: Natural foods store, Whole Foods; shelf stable cartons.
Grain Milks - Made from cooked grains such as oats or barley.
  • Protein per cup: 4 grams
  • Flavor: Mild, grainy and nutty.
  • Where to purchase: Whole Foods or natural foods store; shelf stable cartons.
Rice Milk - Made from cooked rice.
  • Protein per cup: 1 gram
  • Flavor: Sweet with watery consistency.
  • Where to purchase: Grocery store; shelf stable cartons.
Coconut Milk - Made from coconut meat and the water inside the coconut.
  • Protein per cup: 4 grams
  • Flavor: Slight coconut flavor; creamy texture.
  • Where to purchase: Grocery store; refrigerated cartons.

- Cara Stewart, RD, LDN
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Eat Right When Eating Out

Karen Buzby, RD, LDN, and Cara Stewart, RD, LDN, members of the Penn Metabolic and Bariatric Surgery team, offer these tips for eating healthy when dining out.

Dining out can be a challenge for anyone trying to follow a healthy eating plan, but it is especially difficult if you have had weight loss surgery. Restaurant portions are notoriously large and the meals are often packed with sodium and hidden calories from fats, sugars and sauces. Before weight loss surgery, larger portions may have tempted you to eat more than you wanted or needed. After weight loss surgery, the food may go to waste or cause discomfort. 

The following tips can help you enjoy your meal out while sticking to your diet plan.

Limit calories:
  • Be conservative with food selection, especially during the first few months after surgery. Stick with simple prepared foods.
  • Before ordering, ask yourself: “Is this food pouch worthy?” Make sure you order foods that are a good source of protein and fiber.
  • Look for heart-healthy, low-fat or light options. U.S. Food and Drug Administration (FDA) regulations require restaurants to back up their health claims. Feel free to ask for nutrition information if it is not already provided.
  • Stay away from the bread and chip baskets as well as dessert and alcohol menus. Ask the server not bring out the dessert cart. If you choose to eat bread, opt for a small, plain yeast roll and avoid items with added fat like garlic bread, cornbread, croissants and muffins.  
  • Salad dressings are often high in calories and fat. Always order dressing on the side and ask for low-fat dressing, a lemon wedge or flavored vinegar instead of the full fat and calorie version. 
  • Don’t drink your calories. Quench your thirst with calorie-free drinks like water or unsweetened iced tea. Limit or avoid alcoholic beverages.
  • If your job requires socializing or doing business over meals, call ahead or go online to learn about your options in advance. Inform the restaurant manager of your dietary restrictions and make special requests ahead of time if necessary.
  • Savor each bite of food, enjoy the company and take your time. Allow at least 20 to 30 minutes for each meal. Remember, conversation is calorie-free!
Control portion sizes:
  • Watch your portion size. People who have had bariatric surgery receive a “restaurant card” to request smaller portions when dining out. Use it to make sure your meals are an appropriate size.
  • Share a meal or order a smaller portion. This reduces portion size and the expense as well.  
  • Order from the lunch menu if it is available. Often the lunch menu offers smaller and less expensive entrees.
  • Order from the children’s menu if there are healthy selections available.
  • Order an appetizer as a main entrée. The portions of appetizers are usually two to four ounces, which is the ideal meal size after weight loss surgery. 
  • Ask the waiter to split the main dish and box half before serving it. You can also request a “doggie bag” as soon as you feel satisfied to avoid the temptation of overeating. 
  • Try a tapas restaurant, which serves snack-sized appetizers and entrées.  
Manage leftovers:
  • When you take home leftovers, remember to refrigerate the food promptly to avoid food-borne illness. Food left out for more than two hours may not be safe to eat.
  • Write the date of purchase or preparation on leftovers and remember to discard the food after three to five days. Always follow the mantra: “When in doubt, throw it out.” Plus, you don’t want your refrigerator to turn into a jungle of leftover containers. 
  • Reheat food thoroughly.
- Karen Buzby, RD, LDN and Cara Stewart, RD, LDN
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Warm Up This Fall with Peasant Stew

As the temperature drops and winter draws near, there is nothing cozier than a bowl of warm, delicious stew. Dust off the crock pot and serve up a satisfying meal that takes little effort but offers plenty of healthy nutrients.

Ingredients:
  • 1 teaspoon ground cumin
  • 1/4 teaspoon salt
  • 1/4 teaspoon black pepper
  • 6 chicken thighs (about 1-1/2 pounds), skinned
  • 1 cup chopped onion
  • 1 (14.5-ounce) can Mexican-style stewed tomatoes with jalapeño peppers and spices, undrained
  • 1 (4.5-ounce) can chopped green chile peppers, undrained
  • 1 (15-ounce) can pinto beans, rinsed and drained 1 (15-ounce) can kidney beans, rinsed and drained
  • 1/4 cup fresh cilantro, minced
  • 1/4 cup reduced-fat sour cream 
Preparation:
  1. Combine cumin, salt and pepper; sprinkle over chicken.
  2. Place chicken in an electric slow cooker; stir in onion, tomatoes and chiles. Cover and cook on high-heat setting for three hours. Stir in beans, cover. Cook on high-heat setting one hour. 
  3. Place one chicken thigh in each of six soup bowls. Ladle 1-1/4 cups stew into each bowl. Top each serving with two teaspoons cilantro and two teaspoons sour cream.
Nutritional Information:Amount per serving
  • Calories: 214
  • Calories from fat: 16 percent
  • Fat: 3.9 g
  • Saturated fat: 1.4 g
  • Monounsaturated fat: 0.9 g
  • Polyunsaturated fat: 0.9 g
  • Protein: 21.5 g
  • Carbohydrate: 23.7 g
  • Fiber: 6 g
  • Cholesterol: 61 mg
  • Iron: 3 mg
  • Sodium: 773 mg
  • Calcium: 85 mg
The recipe yields six servings.

This recipe is adapted from Cooking Light (August 2002).
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Savor the Tastes of Fall: Roasted Pumpkin and Sweet Potato Pilaf

Roasted pumpkin and sweet potato pilaf presents the perfect opportunity to mix warm, cozy and delicious fall flavors with healthy ingredients. Pilaf is a form of grain that gets its flavorful taste from cooking in broth. With fiber-rich brown rice and vitamin-packed vegetables like pumpkin and sweet potato, this tasty side dish adds important nutrients to your meal.

Ingredients:
  • 2 cups (1/2-inch) cubed, peeled fresh pumpkin (about 12 ounces)
  • 1 1/2 cups (1/2-inch) cubed, peeled sweet potato (about 1 medium)
  • Cooking spray
  • 2 teaspoons olive oil
  • 1 cup diced onion (1 small)
  • 1/3 cup diced celery (about 1 rib)
  • 2 teaspoons minced garlic
  • 4 cups fat-free, less-sodium chicken broth
  • 1 cup brown rice (not instant)
  • 2 teaspoons chopped fresh sage
  • 1/2 teaspoon freshly ground black pepper
  • 1/4 teaspoon salt
  • 1 bay leaf
Preparation:
  1. Preheat oven to 400 degrees.
  2. Arrange pumpkin and sweet potato in an even layer on a jelly-roll pan coated with cooking spray. Bake at 400 degrees for 18 minutes, stir and return to oven for another 17 minutes or until the vegetables are tender and begin to brown.
  3. Heat oil in a large saucepan over medium-high heat. Add onion, celery and garlic to pan; sauté 3 minutes or until onion is tender. Add broth and remaining ingredients to onion mixture, stirring to combine; bring to a boil. Cover, reduce heat and simmer for 50 minutes or until rice is done and liquid is mostly absorbed. Remove from heat; discard bay leaf. Add pumpkin mixture; stir gently to combine.
Nutritional Information:
Amount per serving
  • Calories: 200
  • Calories from fat: 11 percent
  • Fat: 2.5g
  • Saturated fat: 0.4g
  • Monounsaturated fat: 1.4g
  • Polyunsaturated fat: 0.5g
  • Protein: 5.9g
  • Carbohydrate: 38.8g
  • Fiber: 3g
  • Cholesterol: 0.0mg
  • Iron: 1.3mg
  • Sodium: 428mg
  • Calcium: 45mg
The recipe makes 6 servings. Serving size is about ¾ cup.

This recipe is courtesy of Jaime Harder, MA, RD, Cooking Light (October 2007).
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Convenient and Healthy, Too! Finding Diet-Friendly Frozen Food

Cara Stewart, RD, LDN, member of the Penn Metabolic and Bariatric Surgery team, provides tips for finding healthy frozen food.

Although it gets a bad rap, the supermarket’s freezer section is actually brimming with time-saving, nutritious food choices: as long as you know what to look for on the label.  By learning about healthy frozen foods, you can stock up on diet-friendly options to have on hand when you do not have time to cook.

Produce – Frozen fruits and vegetables are often more nutritious than fresh produce because they are frozen shortly after harvesting, preserving nutrients.
  • Vegetables: Look for plain frozen vegetables without added butter, cheese or sauce.  Heat them in the microwave for a quick side dish or tasty addition to your favorite soup or casserole.
  • Fruits: Look for products without added syrup or sugar.  Add frozen fruit to yogurt, smoothies and cereal or eat them straight from the freezer as a snack.
Frozen meals – Although they typically do not taste like a fresh, homemade dish, frozen meals can be helpful for those times when you do not have the time or energy to cook.  Choose products with no more than 3.5 grams of fat per 100 calories and 600 mg of sodium or less.  Make sure the frozen entrée has at least 4 grams of fiber and 15 grams of protein to keep you satisfied.  Reliable brand options include Kashi, Lean Cuisine, Healthy Choice and Smart Ones. 

Waffles – Choose 100 percent whole grain varieties.  The first ingredient listed on the label should be whole wheat flour.

Pizza – Choose a pizza product with a thin, whole wheat crust if possible.  Avoid high-fat toppings like pepperoni and sausage. Opt for vegetable toppings or get a plain pizza and top it with your own favorite vegetables at home. 

Desserts –Choose pre-portioned novelty ice creams with 150 calories or less, like Skinny Cow or Weight Watchers varieties. Sugar-free or 100 percent fruit popsicles are also good options.

Vegetarian – There are several options for vegetarian burgers, patties and sausages.  Choose varieties with 300 mg of sodium or less per serving.

- Cara Stewart, RD, LDN
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