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  1. #1
    Registered User LadyBelle85's Avatar
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    Top weight gainer for medically food restricted person

    Id love some help for my brother. After a string of life-saving medical and surgical interventions, hes lost a good portion of his intestines and stomach. To make things worse, the meds he's on wipe away his appetite. He's 21, 6'1 and 130lbs, down from 190-210lbs before he got sick. He eats kid sized meals every hour, but his muscles are evaporating and he's lost a ton of hair, has gray dull skin, and has insanely low energy reserves, so he tries to eat as much carbs as possible, otherwise he sleeps all day.

    I've been researching mass gainers and notice there are tons of high calorie supplements, but theyre all like 300g serving for 1500 calories, vs 160g servings for like 700 calories, lol.

    What gives!?

    Can anyone help me find a calorie protein supplement that will have the highest number of a combination of calories/protein/carb/fat per gram of serving.
    Also, any clues as to what other additives to steer clear of as well as which supplement would be good (creatinine?)
    Bless!
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  2. #2
    Registered User Heisman2's Avatar
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    Anyone who has lost a large amount of their intestines needs to be managed by a GI doctor in conjunction with a registered dietitan who has specialty knowledge. Malabsorption is a huge problem in these patients as is supplementing the correct amount of vitamins/minerals. Based on what portion of the intestine has been lost there will be severe risk of various deficiencies, which could be playing a role in the symptoms he is experiencing. He very well may belong on one of the many specialty medical formulas made for different purposes. This is well beyond the help any of us can provide on this forum.
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  3. #3
    Registered User LadyBelle85's Avatar
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    He is being managed by dietician and gi doctor. He's not in need of any medical formulas and hes not tube fed. They all say he just needs to eat more often, and that the more calories he eats, the better he'll feel and they suggest supplements like carnation or ensure. They also tell him what types of food he should eat, which are all quite obvious. Thats it. Insurance doesnt pay for these either. Not unless he has a more significant genetic or other chronic illness.
    This is why Im helping him look for high calorie/protein weight gainers, figured that this forum would have people well versed on these.
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  4. #4
    Registered User Heisman2's Avatar
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    Originally Posted by LadyBelle85 View Post
    He is being managed by dietician and gi doctor. He's not in need of any medical formulas and hes not tube fed. They all say he just needs to eat more often, and that the more calories he eats, the better he'll feel and they suggest supplements like carnation or ensure. They also tell him what types of food he should eat, which are all quite obvious. Thats it. Insurance doesnt pay for these either. Not unless he has a more significant genetic or other chronic illness.
    This is why Im helping him look for high calorie/protein weight gainers, figured that this forum would have people well versed on these.
    Well in that case he can follow the same advice everyone else here is given regarding this issue; make your own weight gainer that is much cheaper and doesn't have additives you don't want. Whole milk + oats + peanut butter is cheap with a lot of calories.
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  5. #5
    Registered User LadyBelle85's Avatar
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    Originally Posted by Heisman2 View Post
    Well in that case he can follow the same advice everyone else here is given regarding this issue; make your own weight gainer that is much cheaper and doesn't have additives you don't want. Whole milk + oats + peanut butter is cheap with a lot of calories.
    Yea, when I come over, I help him make healthier things. But he's 21 and living in dorms in college. So not having to blend things, given lack of consistent access, low energy, and dealing with classes is higher priority than the additives, as the opposite is lower consumption of any calories.
    This is why im trying to seek help finding a decent gainer with the most calories/protein, regardless of carbs as hell need them for energy anyways. He has been taking regular vanilla protein, full fat milk, almond butter, and sometimes even 1/3 a stick of butter or an egg. Fat absorption is quite reduced, so he needs tons of it. Oats created too much bulk and prevents him from consuming more calories. Figured that a protein with tons of calories would be best.
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  6. #6
    Registered User Heisman2's Avatar
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    He should really speak with his registered dietitian. Also he probably medically qualifies for supplements such as Boost/Ensure/Pediasure/etc if his insurance will cover them.

    You said oats cause too much bulk. What are his other dietary restrictions?

    You mention that he's not tube fed. Has he talked about getting a g-tube with his GI doc to do continuous feeds overnight to gain weight if his appetite is so poor? May be a good idea if he's wasting away.

    I guess I don't understand why you think purchasing some sort of mass gainer will be better than just continuing the protein/full fat milk/almond butter recipe he is already using?

    Is he taking high dose vitamins/minerals?

    Edit: if he has trouble absorbing fats then focusing on medium chain triglycerides may be helpful but he should already know this from speaking with his doctor (how helpful depends on what portions of his intestines he has lost).
    Last edited by Heisman2; 02-09-2020 at 06:34 PM.
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  7. #7
    Registered User Zlesto's Avatar
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    Originally Posted by LadyBelle85 View Post
    Id love some help for my brother. After a string of life-saving medical and surgical interventions, hes lost a good portion of his intestines and stomach. To make things worse, the meds he's on wipe away his appetite. He's 21, 6'1 and 130lbs, down from 190-210lbs before he got sick. He eats kid sized meals every hour, but his muscles are evaporating and he's lost a ton of hair, has gray dull skin, and has insanely low energy reserves, so he tries to eat as much carbs as possible, otherwise he sleeps all day.

    I've been researching mass gainers and notice there are tons of high calorie supplements, but theyre all like 300g serving for 1500 calories, vs 160g servings for like 700 calories, lol.

    What gives!?

    Can anyone help me find a calorie protein supplement that will have the highest number of a combination of calories/protein/carb/fat per gram of serving.
    Also, any clues as to what other additives to steer clear of as well as which supplement would be good (creatinine?)
    Bless!
    - Cook with high calorie condaments like oil (olive, chili), butter any bread or potatoes
    - Peanut butter and wall nuts are great and can go with other high calorie mixers like yogurt and icecream if he really needs the calories
    - Protein powder is also great - you could make a shake with 30-60 grams of preotien powder to sip throughout the day if he can do that, It should help as a protien shake is very easy to digest
    - If he can take multivits, take a one a day daily and also some cod liver oil for omega 3, it will help because he might not be getting many essential vitimins if he cant eat much
    - Fat > Carbs for calories but also make sure there is enough protien in his diet
    - Track calories with fatsecret or myfitnesspal, it will really help you to plan meals

    all the best!
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