Gaining weight support group!

[julian230]

Oh yess I said it! I'm opposite , my bmi is around 18.90 and I'm looking to bump that sucker up to 20.05 . so What are some good foods that will make this skinny mofo , into a fluffy tub of love ! I hate being skinny...  Any recommended foods? I go to the gym 3 times a week for one hour to an hour and 30 minutes and a time doing leg lunges, pushups , situps , legs exercises, all those machines with different reps. I'm not gaining muscle.... ask dietitian , dietitians responded "You need to eat duh!" . So what do you guys recommend 

[Sluff]

Great idea Julian. Most of us don't share your concerns, but I'm willing to bet there are a few that do. 

[Zach]

Any recommended foods?

For people on hemodialysis, the National Kidney Foundation (U.S.A.) recommends:

Protein -- 1.2 grams of protein per kilogram of body weight per day (ideal weight)
1.2 g/kg/d is necessary to ensure neutral or positive nitrogen balance in most clinically stable MHD [Maintenance Hemodialysis] patients. At least 50% of the protein ingested should be of high biological value. Protein of high biological value has an amino acid composition that is similar to human protein, is likely to be an animal protein, and tends to be utilized more efficiently by humans to conserve body proteins.

http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a15.html

As an example, I weigh 77.0 kg (169 lbs.**).  1.2 grams of protein x 77 kg = 92 grams of protein per day.  This is quite a lot more protein than we were told just 10 years ago.


Also, proper energy intake is required.  Again, I point to the National Kidney Foundation:

Calories -- 35 calories per kilogram of body weight per day
... it is recommended that MHD [Maintenance Hemodialysis] patients consume a diet with a total daily energy intake of 35 kcal/kg body weight/d.

http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a17.html

So, using myself as an example, 35 kcal x 77 kg = 2,695 Calories (kcal) per day.


** to convert lbs. into kg. --  Your lbs. divided by 2.2 = Your kg.

But it is a constant struggle to consume enough high quality protein without going over on phosphorus and potassium.

 

[julian230]

Any recommended foods?

For people on hemodialysis, the National Kidney Foundation (U.S.A.) recommends:

Protein -- 1.2 grams of protein per kilogram of body weight per day
1.2 g/kg/d is necessary to ensure neutral or positive nitrogen balance in most clinically stable MHD [Maintenance Hemodialysis] patients. At least 50% of the protein ingested should be of high biological value. Protein of high biological value has an amino acid composition that is similar to human protein, is likely to be an animal protein, and tends to be utilized more efficiently by humans to conserve body proteins.

http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a15.html

As an example, I weigh 77.0 kg (169 lbs.**).  1.2 grams of protein x 77 kg = 92 grams of protein per day.  This is quite a lot more protein than we were told just 10 years ago.


Also, proper energy intake is required.  Again, I point to the National Kidney Foundation:

Calories -- 35 calories per kilogram of body weight per day
... it is recommended that MHD [Maintenance Hemodialysis] patients consume a diet with a total daily energy intake of 35 kcal/kg body weight/d.

http://www.kidney.org/professionals/kdoqi/guidelines_updates/nut_a17.html

So, using myself as an example, 35 kcal x 77 kg = 2,695 Calories (kcal) per day.


** to convert lbs. into kg. --  Your lbs. divided by 2.2 = Your kg.

But it is a constant struggle to consume enough heigh quality protein without going over on phosphorus and potassium.

 

a bit confusing..






EDITED: Fixed quote error - Sluff/Admin

[Zach]

Eat more chicken, fish and meat.  And add more carbohydrates to raise you calories.  And take your binders.

[julian230]

How about Pasta with vodka pasta sauce and cheese? and what about sushi (california type sushi) and greek food!

[okarol]

Protein

Most people on dialysis are encouraged to eat as much high-quality protein as they can. Your body uses protein to build and repair muscle and other tissues. In addition, your body uses protein to make antibodies to fight infection. Eating too little protein can cause weight loss, muscle loss, weakness, fatigue and poor wound healing. The better nourished you are, the healthier you will be. The goal is to have an albumin level of 4.0 gm/dl or higher.

Foods That Are High-Quality Protein Iinclude:

    * Red Meat
    * Fresh Pork
    * Poultry
    * Veal
    * Fish
    * Lamb
    * Seafood
    * Eggs (especially egg whites)

Milk and dairy products as well as beans are high in protein but also high in phosphorus and potassium therefore these foods should be eaten in small portions.

Phosphorus

Phosphorus is a mineral found in your bones. Along with calcium, phosphorus is needed for building healthy strong bones. A high level of phosphorus in your blood will contribute to bone disease over time. This may lead to muscle weakness, bone fractures, pain, itchiness and calcium/phosphate deposits throughout the body, including blood vessels, lungs, eyes, and heart. Phosphorus can be controlled by restricting foods high in phosphorus and by taking binders to prevent the phosphorus you eat from being absorbed from your intestinal system into your blood. The goal is to have a phosphorus level between 3.5 and 5.5 mg/dL.

High Phosphorus Food to Limit or Avoid:

    * Milk and dairy product
    * Whole grain products
    * Dried beans and peas
    * Liver and organ meats
    * Beer
    * Colas
    * Nuts and seeds
    * Peanut butter
    * Chocolate
    * Hot dogs and sausage

Potassium


Potassium is a mineral found in many foods, especially milk, fruits, and vegetables. Most foods contain some potassium — meat, poultry, bread, pasta — so it can add up. Butter, margarine and oils are the only foods that are potassium free. It affects how steadily your heart beats. Eating too much potassium can be very dangerous to your heart. It may even cause death. A potassium level that is too low is also not healthy and may cause muscle weakness and irregular heart rhythms. The goal is to have a potassium level between 3.5 and 5.5 meq.

Foods Which Are High in Potassium:

    * Apricots
    * Orange juice
    * Avocados
    * Oranges
    * Bananas
    * Peanuts
    * Brussel sprouts
    * Potatoes
    * Cantaloupe
    * Prune juice
    * Dried fruit
    * Prunes
    * Kiwi fruit
    * Sardines
    * Lima beans
    * Spinach
    * Melons
    * Tomatoes
    * Milk
    * Winter squash
    * Nectarines
    * Yogurt

Dialyzing Potatoes and Other Vegetables:

You can remove some of the potassium from potatoes and other vegetables by peeling them, then soaking them in a large amount of water for several hours such as overnight. Drain and rinse before cooking.

[Trikkechickk]

I use protein bars for snacks.  Watch the phosphorus and potassium tho.  Power Bar has a high protein bar w/ very little sugar, no K+ and about 100 of PO4.

Nepro has 425 calories and essential nutrients.

I am not a fan of meat.

[julian230]

I use protein bars for snacks.  Watch the phosphorus and potassium tho.  Power Bar has a high protein bar w/ very little sugar, no K+ and about 100 of PO4.

Nepro has 425 calories and essential nutrients.

I am not a fan of meat.

Do you like the taste of nepro? my dietitian gave me some , still haven't tried it yet though

[Trikkechickk]

Nepro takes alittle acquiring taste.  At first, NA DA, then now I like it, especially after a workout.  Vanilla is best as far as my buds are concerned.

Flip likes it with Kaluha.

[Zach]

Do you like the taste of nepro? my dietitian gave me some , still haven't tried it yet though

Another renal nutritional supplement is Novasource Renal, which replaced the brand NurtraRenal.  It tastes pretty good.

[HSM]

Hey I'm trying to gain weight too, but the problem for me is

1) I don't have much of an appetite anymore
2) I'm vegetarian/vegan

And I was eating nuts while on dialysis but the dietitian has told me to cut down because I was having too much. Although my blood results were ok, she looked at my diet and said that eating proper meals would put weight on.

I find Protein supplement drinks are good but if you eat meat then things like chicken are the money shot as far as I know. Eating Peanuts while on the machine could help you because as long as you don't have too many it'll be more good for you than bad.