Very interesting topic. Bill had lap band surgery four years ago. Still losing weight, no complications from the band. However (there's always an however) this summer he started having some internal bleeding. It turned out that the pain pills he was taking for his knees (thanks to all those years of carrying around all that extra weight) had carved a good sized ulcer in what was left of his stomach. (A CAT scan of the ulcer revealed a broken hip, but that's not actually relevant to this story except to point out that those were some pretty remarkable pain pills that blocked both the pain of a bleeding ulcer and of a broken hip).
Anyway, to get back to the story, even after he got off the pain pill and on to meds for the ulcer it wasn't healing. They were worried enough about cancer that he had two or three endoscopies, plus a couple that included an internal ultrasound. Lots of biopsies, etc.
Finally, three or four months later, it hit me. Protein. He was mostly eating things like cheddar flavored rice cakes and wheat thins-foods he could take over to his one comfortable chair and then snack on all day. That not only explained why his ulcer wasn't healing, it explained his flaky skin. I mentioned it to his doctor, who tended to agree.
So now he's using
http://www.myfitnesspal.com/ on his iPad to track his protein. The program lets you set up specific goals--his is 85 grams of protein per day.
We've discovered all sorts of interesting and useful things. No-fat Greek yogurt--12-14 grams per serving. Reduced fat string cheese-- 8 grams of protein for 70 calories. When he's out and looking for fast food, McDonalds breast strips--380 calories, but 23 grams of protein. Pan fry a hamburger at home or put it on the grill. 3 ounces cooked is 308 calories and 31 grams of protein. Homemade pulled chicken (braise chicken breasts in wine till very well done, shred, stir in some decent BBQ sauce and add some hot sauce) 140 calories, 19 grams of protein. But the best surprise of all was Italian beef. I'd picked up some at Caputo's and went looking for calorie info. The myfitnesspal database had info for Portillo's Italian Beef, which I figured was close enough. 9 grams of protein for only about 75 calories in a 3 ounce serving. I picked up some Papa Charlie's Italian Beef from the freezer case at Aldi's this week. Haven't tried it, but it says for 2/3rds of a cup it's got 14 grams of protein for only 80 calories.
Like most people with bariatric surgery, Bill isn't eating a lot of bread. Most of these he'll eat on half a hamburger bun and still end up giving part of the bun to the dog.
Unlike me, he does like some of the commercial protein products well enough to include them. There's a Protein Plus chocolate brownie bar that has 30 grams of protein and he makes pudding from a Medifast chocolate pudding mix that gives him 14 grams of protein for 110 calories.
We made this discovery about a month ago. The ulcer is now healed. The skin is clearing up. He's got an appointment with an orthopedic surgeon to discuss options for the hip (which were on hold until the ulcer healed) next week. Protein,
like oxygen, turns out to be pretty important. Who knew?