NTDT450 Study Guide - Quiz Guide: Skeletal Muscle, Binge Eating, Cortisol

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Approximately 1. 1-1. 5 g/kg ideal body weight/day of protein supply is needed for morbidly obese patients postoperatively. Of total energy intake, 10%-35% should be delivered with protein. Post roux en y; 2000mg: malnutrition after surgery develops due to what 2 main factors, poor compliance of the patient to treatment, malabsorption induced by modification in gi tract, describe dumping syndrome. Rapid gastric emptying and delivery to the small intestine of a significant proportion of energy dense food. Abdominal pain, nausea, epigastrial fullness, dizziness, flushing, dyspnea, tachycardia, apathy, weakness, syncope. First step in treatment is reinforcement of nutrition changes (see above) Avoid drinking liquids within 30 min of solid food meal. Expansion of beta cell mass, alterations in beta cell function, non beta cell related factors (decreased levels of appetite stimulating/insulin gi hormone. Subcutaneous; beneath the skin, providing insulation protection from heat and cold. Initially 10% reduction in weight (improves glycemic control, reduces bp and cholesterol)