Signs & Symptoms for Not Eating Enough Protein After Bariatric Surgery (2024)

The importance of eating protein after bariatric surgery cannot be stressed enough. Proteins are an important macronutrient and form a major part of lean body tissues. You may have heard your surgeon or dietitian emphasize eating your proteins first or increase your daily protein intake. But why?

After surgery, a patient’sneed for proteinincreases. As your stomach capacity is decreased, changes in how macro and micronutrients are digested or absorbed can occur. With limited caloric intake, protein is prioritized due to its many functions in the body such as cell structure and formation, tissue repair, enzyme production, blood cell regulation, hormone, and fluid balance.

Also, our body requires protein building blocks known as amino acids to operate properly. Amino acids are classified as both essential and non-essential forms. Essential amino acids are not produced by the body and must be obtained from food sources such as meat, fish, poultry, eggs, dairy, nuts, seeds, and beans.

Without an adequate amount of proteins in the diet, the body can begin to show signs of a deficit.

Increased Hunger:Cravings and poor food choices can be accelerated with irregular eating patterns and skipping meals. Unlike carbohydrates which provide the body with quick energy, proteins take longer to digest. Proteins can also provide that added fuel and fullness needed tokeep you satisfiedthroughout the day.

Changes in Mood:The brain communicates with cells throughout our body via neurotransmitters. Neurotransmitters that affect mood and emotions, such as dopamine and serotonin, are made up of amino acids. Ever wonder if being “hangry” is a real condition? When we drastically limit our food intake, blood sugar can be low, and we can feel more fatigued or short-tempered. To counteract this and prevent sugar crashes from consuming just high carbohydrate foods, protein intake can help balance things out and stabilize mood.

Muscle Loss:Protein is important in building and maintaining muscles mass. With gastric surgeries, rapid weight loss can occur and result in both fat and muscle losses. If the body does not get enough protein from the diet over time, the body will break down muscle tissues and fibers in order to get its supply of amino acids. Symptoms such as body aches and feeling more fatigued than usual can also occur. A combination of adequate protein intake and strength training can help preserve muscle stores.

Skin, Nail, and Hair Issues:Because protein is a building block of all cells, when you’re deficient, your skin, hair, and nails can take on a different appearance. Keratin is a protein that structurally makes up nails and hair. Naturally, human hair grows and sheds at different phases but without enough protein in the diet, hair can appear dry, start thinning, and eventually shed more because protein is an important part of follicle growth. Nails can also appear dry, brittle, and weak due to lack of keratin and collagen. Collagen also plays a crucial role in skin health. Without it, skin can start to look aged, have a decreased ability to retain moisture, and have reduced elasticity.

Immunity and Healing Wounds:When the body gets injured, proteins are crucial for tissue repair. The protein fibrinogen functions as a clotting factor to prevent blood loss in open wounds. Also, protein and fluid losses are increased in wound healing, therefore collagen is essential for rebuilding connective tissues and cell walls. Proteins are also helpful in making up antibodies that our body needs to fight off infections such as colds or viruses.

Swelling/Edema:Proteins can act as a transport system to deliver nutrients and oxygen throughout the body. Blood proteins also function to maintain fluid balance. The blood protein albumin can be used as a measure of oncotic pressure. When it is severely depleted, it can cause swelling and fluid accumulation in the tissues. Although body swelling can be a side effect from different medical conditions, it is recommended to always seek treatment from your healthcare team.

Signs & Symptoms for Not Eating Enough Protein After Bariatric Surgery (2024)

FAQs

Signs & Symptoms for Not Eating Enough Protein After Bariatric Surgery? ›

Without an adequate amount of proteins in the diet, the body can begin to show signs of a deficit. Increased Hunger: Cravings and poor food choices can be accelerated with irregular eating patterns and skipping meals. Unlike carbohydrates which provide the body with quick energy, proteins take longer to digest.

What happens if you don't get enough protein after bariatric surgery? ›

Without an adequate amount of proteins in the diet, the body can begin to show signs of a deficit. Increased Hunger: Cravings and poor food choices can be accelerated with irregular eating patterns and skipping meals. Unlike carbohydrates which provide the body with quick energy, proteins take longer to digest.

What happens to your stomach when you don t get enough protein? ›

One of the most common signs that you're not getting enough protein is swelling (also called edema), especially in your abdomen, legs, feet, and hands. A possible explanation: The proteins that circulate in your blood -- albumin, in particular -- help keep fluid from building up in your tissues.

What are the signs of malnutrition after bariatric surgery? ›

The earliest indication of deficiency is often hair loss. In severe cases, deficiencies can lead to edema, emaciation, anemia, altered hair texture, and hypoalbuminemia. Thiamine deficiency poses a long-lasting risk for individuals who have undergone bariatric surgery.

What is the minimum protein intake after bariatric surgery? ›

Preserve muscle tissue by eating foods rich in protein. High-protein foods include eggs, meats, fish, seafood, tuna, poultry, soy milk, tofu, cottage cheese, yogurt and other milk products. Your goal should be a minimum of 65 to 75 grams of protein a day.

Is there anything you can never eat again after bariatric surgery? ›

But what can you not eat after gastric bypass? Firstly, avoid foods that are high in sugar or fat. This could include bread, pasta, pizza, and cookies. And avoid carbs or excess sodium while you're still healing, for several weeks.

How does lack of protein make you feel? ›

Signs of a protein deficiency

Feeling weak or hungry, since protein supplies energy and satisfies the appetite. Getting sick often without protein to boost the immune system. Mood changes or trouble thinking due to fluctuating blood sugar and protein's effect on the brain's neurotransmitters (which regulate mood)

What are the symptoms of not digesting protein? ›

Immediate GI hypersensitivity: Patients develop nausea, abdominal pain, and vomiting within 1 to 2 hours of sensitized food protein ingestion, often followed by diarrhea. The affected individuals have intermittent abdominal pain, poor appetite, and poor weight gain.

Does lack of protein affect sleep? ›

Nutrients can act as an external zeitgeber to regulate our body's internal clock and hence affecting our sleep (7). One such nutrient is dietary protein (PRO). A low-PRO [<16% of energy (E%)] diet has been reported to be associated with poor sleep quality (4).

What are the symptoms of a protein deficiency? ›

The symptoms of very low protein levels in the body can include:
  • weakness.
  • hair thinning or breakage.
  • brittle nails.
  • mood changes.
  • stress fractures.

What is the most common cause of low protein? ›

You can become deficient in protein if you don't eat enough food sources. Severe protein deficiency is called kwashiorkor. This condition is more common in low income countries where people don't have enough to eat. Some people do not consume enough protein in their diet, possibly due to dietary choices or aversions.

What happens if you have too little protein or too much? ›

While true deficiency is rare in developed countries, low intake may cause muscle wasting and increase the risk of bone fractures. Some evidence even suggests that getting too little protein may increase appetite and promote overeating and obesity.

What is the most common deficiency after bariatric surgery? ›

Literature data show that patients who have undergone bariatric surgery are at risk for vitamin B12, thiamine, folic acid, and vitamin A, D, and K deficiency[15-19]. These deficiencies in patients can be observed in a wide range together with systematic and neurological findings.

What is the most commonly reported symptom after bariatric surgery? ›

What Are the Most Common Post-Op Risks and Side Effects Associated with Bariatric Surgery?
  • Acid reflux.
  • Anesthesia-related risks.
  • Chronic nausea and vomiting.
  • Dilation of esophagus.
  • Inability to eat certain foods.
  • Infection.
  • Obstruction of stomach.
  • Weight gain or failure to lose weight.

How do you know if your dehydrated after bariatric surgery? ›

The Most Common Symptoms Of Dehydration After Gastric Sleeve

Dry Mouth – Having a dry mouth is another name for feeling thirsty. In most cases, consuming more water will help alleviate this symptom. Dark Urine – Discoloration in your urine, such as dark yellow or brown hues, is a sign of being dehydrated.

Is 100 grams of protein too much after gastric sleeve? ›

It is good to set a goal of consuming 60 to 80 grams of protein every day after a RNY or sleeve procedure and 100 grams of protein every day after a BPD/DS procedure. Following your bariatric procedure the amount of calories you can eat per sitting and per day will be greatly limited.

Can not eating enough protein stall weight loss? ›

Not eating enough protein can stop you from keeping muscle while losing fat. If you don't eat enough protein, you may find it harder to reach your fitness goals. Protein is satiating, so keeps hunger pangs at bay, registered dietitian Alix Turoff said. It also uses more calories being digested than carbs and fat.

What is an alternative to protein shakes after bariatric surgery? ›

Skimmed Milk Powder

Added into milk, this can be a useful tool in helping increase protein intake and be a cheaper alternative to protein shakes. For example: 1 pint skimmed milk + 4 tablespoons of skimmed milk powder = 40g protein. It can also be used in soups and other recipes.

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