FAQs

 

* Patients should follow the instructions of their bariatric surgeon regarding appropriate supplementation. Proper supplementation should be viewed as an individualised regime based upon each patient’s individual medical history, blood results and current medication use.

 

PROTEIN

 

  • Can people who haven’t had bariatric surgery take Celebrate meal replacements if they wanted to ‘diet’?

 

Any of the AMS Nutrition protein powders (Protein 20 and Meal replacement) can be consumed by anyone at all, not just bariatric surgery patients. They need to be advised that anyone wishing to undertake a weight management program involving meal replacements should seek the advice of a health professional.

 

  • What is the difference between all the protein products that AMS Nutrition sells?

 

Protein 20 is the purest of the protein powders in terms of it being mostly Whey Protein Isolate, and it contains 20 gm protein per serve. The Meal Replacement contains 27 gm whey protein isolate and is fortified with a basic level of vitamins so that it is designed to be a nutritionally complete diet and can be used to substitute meals when on a calorie restrictive diet. The Essential 4 in 1 protein powder has 25 gm whey protein isolate with a full serve of multivitamins, calcium and fibre added, and is designed to be used as a protein source as well as a nutritional supplement source. This can be used instead of taking an extra multivitamin and calcium supplement, however Iron still needs to be taken separately.

 

  • What’s the difference between the Meal Replacement tubs, and the 4 in 1 tubs?

 

The Meal Replacement is a nutritionally complete protein powder, fortified with vitamins designed to fully replace a meal as part of a medically based weight loss program (contains 27 gm protein). The ENS 4-in-1 powder is a whey protein product that also contains a daily serve of multivitamins, calcium and fibre (contains 25 gm protein).

 

  • Who needs the bars, and why? Where do they fit into the diet?

 

The Proti-15 bar is primarily a protein bar that should be used in situations where a protein food is unavailable and for convenience, is readily accessible. They can also be used instead of a meal if they are supplemented with further protein, as the bars only have 15 gm. They are not designed to be used as snacks as they add to the daily caloric intake and oppose the 3 meals/day guidelines that we promote for bariatric patients.

 

  • The hot protein base mix – how does it get used and why?

How different is this to the soups and Cappuccino drink mix?

 

The hot base mix is designed to be added to any hot food or drink. Some proteins can denature when heated aggressively, and can alter the function and cause clumping. These are designed to eliminate this.

The cappuccino drink mix and soups are protein supplements that also have 15 gm of protein in them. The soups are designed to have as part of a supervised diet program (i.e. the pre-op diet) but can be consumed after surgery as well. The cappuccino drink mix also has 15 gm protein and should really be used to supplement a main meal, not as an in-between meal or a snack, as it is still calorie dense and interferes with the three meals a day guidelines if consuming it outside of a meal.

 

  • Are the Celebrate protein powders Gluten Free?

 

All Celebrate Protein powders are gluten free with the exception of the Protein 20 “Cookies and Cream” flavor.

 

  • What is the smoothie base mix?

 

The Smoothie Base mix is an unflavoured meal replacement protein option which can be added to many foods and drinks as part of a weight management program

 

  • What is the All-purpose flavor protein powder and when you would use it?

 

The All-purpose Protein 20 mix is an unflavoured protein option which can be added to many foods and drinks as part of the pre-op diet, a weight management program, or a protein supplement after bariatric surgery

 

  • Who would use the Bodiez Water flavoured drinks …and why?

What is the difference between the Bodiez protein Water and the Proti-15 flavoured drinks?

 

All of the protein waters are designed to help supplement protein intake in patients who have had bariatric surgery, especially in the first 4-6 months when the protein intake requirements are often difficult to manage. Protein Water has had the majority of lactose removed and when mixed with water becomes clear, not milky. One Bodiez scoop has 15 gm protein and 2 scoops has 30 gm, so made up in a water bottle, it is a great boost to protein requirements. Proti-15 protein drinks are similar to Bodiez however one sachet makes up 15 gm protein. It is used the same way in terms of boosting protein intake through adding it to drinking water.

 

 

  • During the preop diet – what sort of meal do patients of WLS have when not having meal replacements?

 

The pre-op diet at WLS Ltd includes two meal replacements a day, with a ‘normal’ meal as the third meal. This meal is generally a palm-sized piece of protein (without sauces or gravies) and 1-2 cups of non-starchy vegetables.

 

  • Are the Celebrate, Bodiez and Bariatrix Nutrition products suitable for people who are lactose intolerant?

 

Most of the protein products we sell are still okay for people who are lactose intolerant because the basis of our products is whey protein isolate, meaning the purest form of protein without much in the way of added components of fillers like lactose, found in alternative protein powders (whey concentrate) and it generally undergoes an ultrafiltration process minimizing the volume of lactose present. If you are allergic or extremely sensitive to dairy, or if you experience side effects, you may need to try a non-dairy protein alternative, such as pea or hemp protein.

 

MULTIVITAMINS

 

  • What are the essential 2 in 1 Vitamins?

 

The Essential Multi 2 in 1 is a multivitamin that contains all of the essential vitamins coupled with calcium citrate. They do not contain iron.

 

  • What is the ADEK multivitamin and how is it different to the standard multi? Why can only Loop patients have these?

 

The Multi ADEK is a multivitamin that has higher levels of the fat soluble vitamins A, D, E and K for those procedures where greater malabsorption can potentially occur (such as BPD, duodenal switch and some Loop gastric bypasses)

 

  • If someone has MC45 or MC60 – can they also take the iron options?

 

The MC45 and MC60 are both multivitamin preparations that contain 45 mg and 60 mg of iron respectively. If a patient is still iron deficient anaemic (low iron) it is an option to take a further oral iron supplement such as the 30 or 60 mg iron.

 

  • What is the 3 in 1 drink mix?

 

The 3 in 1 drink mix is multivitamin drink mix that contains a full complement of vitamins and minerals coupled with calcium citrate and fibre and is designed to be mixed with water. Ideal for early post-op patients where swallowing solids is a struggle, as well as those who find capsules and tablets leave them nauseated.

 

  • Are there samples of the vitamins for people to try?

 

There are individual samples that can be tried in the AMS Nutrition shop in the Hamilton clinic and we provide samples of many of the supplements at our annual Weight Management Workshop. We unfortunately don’t have individual vitamin samples available through the on-line store.

 

  • Why can’t you take multicomplete vitamins with calcium?

 

The Multicomplete vitamin contains iron along with the essential vitamins and minerals, and this interacts with calcium so they should not be taken together. Calcium interferes with the absorption of iron, so these two products need to be taken a minimum of two hours apart

 

  • Are the multi vitamin soft chews the same as the capsules?

 

The multivitamin soft chew has the same levels of vitamins and minerals as the standard multivitamin chewable tablet and capsule.

 

  • What does the R in MCR45 mean? Who needs this and why?

 

R stands for ‘restricted’ and it means that there is a restriction as to the type of surgeries it is appropriate for. The volume/quantity of the nutrients in these once a day supplements is the same as the original multi, however they won’t be absorbed as effectively in a bypass because of the high level of the micronutrients in one capsule/tablet. Therefore, they are designed for Sleeve gastrectomy patients primarily.

 

            THERAPEUTICS

 

  • Why take zinc + copper?

 

Zinc helps to boost the immune system, assists with hair maintenance and promotes healing. It also helps proteins and the genetic material DNA. Copper also helps supports immune function and iron absorption. They are together to help balance absorption of both nutrients.

 

  • Who would need the pro-biotics?

 

Anyone who wishes to restore their gut flora and/or support their immune system and promote digestive health (for example, people with Irritable Bowel Syndrome – IBS, or lactose intolerance can benefit from probiotics). Probiotics have also been shown to assist with weight loss. (please see the dosage and disclaimer advice on the Details page)

 

  • Can anyone take the HSN (Hair, Skin, Nails)? On top of other supplements – is this okay? Does it help with hair loss?

 

Anyone can take Hair, Skin and Nails and it should be taken in conjunction with the standard multivitamin, it is not a replacement. It is designed to focus primarily on those micronutrients that assist with restoring hair, reinforcing strong nails and rejuvenating the skin. It contains iron, so needs to be taken separately from calcium.

It can interact with some medications, so advice should be sought from a healthcare professional prior to use.

 

  • Can anyone take B12, even if they haven’t had surgery and is a script required?

 

B12 can be purchased over the counter in health food and supplement stores. The customer should be advised to only take supplements based on the advice of their health care professional.

 

CALCIUM

 

  • What’s the difference between Calcium citrate and calcium carbonate?

 

Calcium citrate is better absorbed after bariatric surgery and doesn’t require food for it to be absorbed (like calcium carbonate). All calcium is best absorbed in levels of 500 mg or less, and preferably with added Vit D to aid in the absorption of the calcium.

 

  • Is there a difference in absorption between Calci chews and Calci Plus?

 

All forms of Calcium sold through AMS Nutrition are Calcium Citrate in 500 mg doses. This is the recommended form of calcium after weight loss surgery. The different forms accommodate different tastes, textures and flavours and all calcium citrate forms have similar absorption qualities, however the calci plus tablets are specially formulated to break down quickly.

 

MISCELLANEOUS

 

  • Cookbooks –when do you receive them?

 

The original recipe book “Create Savour Enjoy” is provided to all patients of Weight Loss Surgery Ltd at their 8 mth follow-up. Retreat participants will receive Nurture and Nourish, and either or both can be purchased separately.

 

  • Tell me about the portion control plate – how does it work?

 

The portion control plate is designed for teaching portion control after bariatric surgery. It is bread and butter plate size, and the markings indicate the portions of protein, vegetables and carbohydrates. The protein portion includes the outside of the Paua coloured line, the vegetables are the next biggest portion (teal green line), with the carbohydrates fitting within the smallest area (approx. 2 tbspn). It is made from melamine so be careful if using it in the microwave.

 

 

 

  • What are the BioThik products and how do they work?

 

Biothik fibres are tiny keratin strands that electrostatically charge to hair providing instant fuller volume and giving natural-looking hair every time. The Fibre locking mist secures the bond from sweat and wind.