When I was working on the book, I used a number of studies as references to cite from. I thought I would post some of them, along with what I took away as the important points from them for those who aren’t interested in reading the entire study, or just don’t have the time. I’ll post the entire abstract, then my thoughts, and, of course, a link to the entire study at the end for those interested.

Keep in mind there are LOTS of numbers, figures, etc. involved even in my bullet points as I break it down. LOTS. If you want it broken down very, very simply, here you go:

Contacts at 106 med schools in the US (most of which were the nutrition instructors themselves) filled out a 12-question survey about nutrition training in their school in 2004. The average number of hours spent in nutritional instruction is 23.9 hours, most hours are taught in the first two years of medical school, 3/4 of nutritional instruction occurs outside of a dedicated nutrition course, and most instructors feel the instruction in nutrition is inadequate.

If you want the specifics, keep reading.


This first study is a study from The American Journal of Clinical Nutrition published in 2006.


Status of nutrition education in medical schools
Kelly M Adams, Karen C Lindell, Martin Kohlmeier, and Steven H Zeisel

Background: Numerous entreaties have been made over the past 2 decades to improve the nutrition knowledge and skills of medical students and physicians. However, most graduating medical students continue to rate their nutrition preparation as inadequate.
Objective: The objective was to determine the amount and type of nutrition instruction of US medical schools, especially including the instruction that occurs outside designated nutrition courses.
Design: A 12-item survey asked nutrition educators to characterize nutrition instruction at their medical schools (required, optional, or not offered) and to quantify nutrition contact hours occurring both inside and outside designated nutrition courses. During 2004, we surveyed all 126 US medical schools accredited at the time.
Results: A total of 106 surveys were returned for a response rate of 84%. Ninety-nine of the 106 schools responding required some form of nutrition education; however, only 32 schools (30%) required a separate nutrition course. On average, students received 23.9 contact hours of nutrition instruction during medical school (range: 2-70 h). Only 4 schools required the minimum 25 h recommended by the National Academy of Sciences. Most instructors (88%) expressed the need for additional nutrition instruction at their institutions.
Conclusion: With the move to a more integrated curriculum and problem-based learning at many medical schools, a substantial portion of the total nutrition instruction is occurring outside courses specifically dedicated to nutrition. The amount of nutrition education in medical schools remains inadequate.       Am J Clin Nutr

Continue reading »


On January 8, 2011, in Uncategorized, by Andrea

There are few things I tell people they MUST do.

You MUST get your own labs and put your own eyes on them to track trends.

You MUST learn how to stand up for your health.

Now?  You MUST go and print off a copy of the ASMBS Clinical Pearls for Emergency Care of the Bariatric Surgery Patient.

Yes.  I mean it.  Go. Do it now.  And put it with your list of medications and supplements and last labs for any emergencies that might pop up.

You never know when you might need it.

It could even save your life.

Importance of Supplementation

On January 5, 2011, in Uncategorized, by Andrea

This is a guest post I did over at FormerlyFluffy.  I’m posting it here in case there is not any cross over.

‘Tis the season for new resolutions.  In years past, many of us would have made our number one resolution to lose weight.  Perhaps it still is?  Or to exercise more?  Get more fluids each day?  Cut back on the coffee?  Treat ourselves better?  There are thousands upon thousands of post-bariatric resolutions out there – and perhaps a few will actually be followed this year. But perhaps the best, and least made resolution, would be to remember to take our supplements and get thorough labwork - regardless of surgery type.

Continue reading »