Author: CF Clinical Nutrition

Optimizing Nutrition Before Surgery

Post author By CF Clinical Nutrition
Post date November 1, 2023
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Nutritional status is a major factor in determining the outcomes of surgery. In order to enhance surgical outcomes, preoperative nutrition must be a focus. Today, we break down how to improve nutritional status leading up to surgery to help enhance surgical outcomes.

What is preoperative nutrition?

Preoperative nutrition covers a wide variety of things, from assessing and correcting nutritional status before surgery, providing immunonutrition, and carbohydrate loading up to two hours before your surgery. There is a lot involved in preoperative nutrition, and understanding each component can significantly enhance your recovery.

Should I perform a preoperative nutrition assessment?

YES! One of the main ERAS® preoperative principles is pre-admission counseling. This helps you, as the medical professional, ensure your patients are strong and well nourished before their procedure. There is a strong association between poor nutritional status and surgical outcomes. Several studies report that preoperative nutrition to correct poor nutritional status improves outcomes postoperatively.

How can I correct malnutrition?

Appropriate preoperative nutrition can reduce complications and short hospital stays. CF(Protein)® is a plant-based protein drink you can consume in the days and weeks leading up to your surgery to optimize your nutrition. It contains high-quality plant protein, omega three fatty acids, and anti-inflammatory ingredients that will enhance your immune system and optimize your overall health. It is a complete nutrition product to help build muscle and strength for a speedy recovery. Other ways to improve nutritional status can include enteral or parenteral nutrition.

How does preoperative carbohydrate loading enhance my patient’s recovery?

Surgery induces a catabolic effect on the body. Reducing the fasting period can help reduce this catabolic effect and enhance recovery. Preoperative carbohydrate loading with CF(Preop)® is also an essential component of preoperative nutrition. Prolonged before surgery fasting may cause detrimental effects. Prolonged fasting worsens the catabolic state, increases metabolic stress, hyperglycemia, and insulin resistance.

Furthermore, when the body fasts for a prolonged time, glycogen stores are depleted, leading to protein and muscle breakdown. Postoperative insulin resistance (PIR), a result of the stress response from surgery and further exaggerated with prolonged fasting, is directly related to delayed wound healing, increased morbidity/mortality, and length of stay (LOS). Decreased PIR sets you up for a smoother recovery. Preoperative carbohydrate loading maximizes glycogen stores in the body as an energy source to minimize body tissues’ degeneration and reduce insulin resistance. Changing the metabolic state by shortening preoperative fasting (aka providing CF(Preop)® 2-3 hours before surgery), PIR decreases, protein loss drops, and muscle function will improve. Additionally, preoperative carbohydrate loading increases patients’ comfort and reduces hunger, thirst, and anxiety, leading to surgery, all decreasing stress entering surgery.

How does preoperative nutrition benefit the medical professional?

Screening patients’ nutritional status, correcting malnutrition and providing preoperative nutrition benefit patients and medical professionals alike. The patient will benefit from a smoother recovery, and the medical professional will help with cost savings, reduced length of stay and postoperative complications, and less readmission. Braga et al. conducted a cost-benefit analysis in 2020 in patients having GI surgery for cancer. They found cost savings secondary to avoidance of complications postoperatively. The study included 305 patients. The groups who received preoperative immunonutrition five days before surgery and the group who received immunonutrition with jejunal feeds consumed 78% of their diagnosis-related group reimbursement rate. In contrast, the group with no supplementation preoperatively consumed over 93% of their diagnosis-related group reimbursement rate. This illustrates the cost savings of providing preoperative nutrition.

Use CF Nutrition products to optimize your patients’ nutrition before surgery. Explore our website for more information on preoperative nutrition!

3 Delicious Fall Recipes To Keep You Hydrated and Healthy

Post author By CF Clinical Nutrition
Post date October 26, 2023
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It is officially that time of year again. The weather is cooling down, and the holidays are fast approaching. The holiday season is a time to spend with family and friends enjoying delicious food and company. But, we cannot forget to stay healthy and hydrated. Today, we share 3 delicious Fall recipes using CF Nutrition products to enjoy as we prepare for the holidays to arrive. These drinks will have you feeling your very best this holiday season.

Delicious and Hydrating Fall Smoothie With CF(Rehydrate)®

Ingredients:

2 handfuls kale
1 1/2 Tbsp. fresh lemon juice
1/2 can pumpkin puree (not pumpkin pie mix)
1 Granny Smith apple (large, cut into chunks, discard the stem and seeds)
1 banana
2 Tbsp. chia seeds
12 Oz CF(Rehydrate)® (Any flavor)

Directions:

Blend all ingredients together and Enjoy!

This smoothie is a great way to fill up on some fall favorites like pumpkin and apples. By adding CF(Rehydrate)® you also get an excellent dose of electrolytes to keep you hydrated. This is a great smoothie to have after a workout or a long walk in the crisp fall air.

Anti-inflammatory Smoothie With CF(Protein)®

1 Bottle of CF(Protein)®
1 Cup Frozen Mango
1 Cup Spinach

Directions:

Blend all ingredients together and Enjoy!

When you make this delicious smoothie, you may notice the bright color of CF(Protein)®. CF (Protein)® gets its vibrant yellow color from the naturally vibrant herb, turmeric. Rather than use artificial colors or additives, we use turmeric because of its powerful antioxidant and anti-inflammatory properties that promote healing and restoration for our customers. Due to the anti-inflammatory properties in CF(Protein)®, this smoothie will help support your immune system and keep you healthy all season long.

Berry Blast Mocktail With CF(Rehydrate)® Immunity+

Ingredients:

8 Oz CF(Rehydrate)® Immunity+ Kiwi Strawberry
2 Oz Berry Flavored Sparkling Water
2 Oz Cranberry Juice
A Squeeze of Lemon

Directions:

Mix all ingredients together and Enjoy!

Another excellent way to support our immune system and stay healthy is to switch some of those cocktails out for a mocktail, especially when CF(Rehydrate)® Immunity+ is the main ingredient. While enjoying some drinks with family and friends maybe mix in this delicious mocktail using CF(Rehydrate)® to stay hydrated! The best part is, it tastes delicious!
Now you have all the information you need to create the perfect blend of hydration and immunity this Fall! Visit our website to purchase our delicious products!

Tags halloween, hydrate

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Support Your Patient’s Surgical Journey with CF Nutrition

Post author By CF Clinical Nutrition
Post date October 4, 2023
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At CF Nutrition, our goal is to create products that you can feel confident giving your patients. Our flagship product, CF(Preop)® was the first beverage we created but since then, we have expanded our product suite. Now, you can use CF Nutrition products to support your patient through their entire surgical experience including the weeks before and after their surgery.

Optimize Nutrition Status With CF(Protein)®

Preoperative nutrition is extremely important in overall surgical outcomes.

There is a strong association between poor nutritional status and surgical outcomes. Several studies report that preoperative nutrition to correct poor nutritional status improves outcomes postoperatively. That is why at CF Nutrition, we strive to educate our clients on the importance of perioperative nutrition.

Appropriate preoperative nutrition can reduce complications and shorten hospital stays. CF(Protein)® is a plant-based protein drink your patient can consume in the days and weeks leading up to their surgery to optimize your nutrition. It contains high-quality plant protein, omega-3 fatty acids, and anti-inflammatory ingredients that will enhance your immune system and optimize your overall health. It is a complete nutrition product to help build muscle and strength for a speedy recovery.

Instruct Patients to Drink CF(Preop)® Before Surgery

In the 1990s, evidence-based research suggested that an NPO fast before surgery was not necessary. Furthermore, there are detrimental effects caused by this period of prolonged fasting. Prolonged fasting worsens the catabolic state, increases metabolic stress, hyperglycemia, and insulin resistance. When the body fasts for a prolonged period of time, glycogen stores are depleted, leading to protein and muscle breakdown. Postoperative insulin resistance (PIR), a result of the stress response from surgery and further exaggerated with prolonged fasting, is directly related to delayed wound healing, increased morbidity/mortality, and length of stay (LOS). It is essential to decrease PIR. Preoperative carbohydrate loading maximizes glycogen stores in the body as an energy source to minimize body tissues’ degeneration and reduce insulin resistance.

By providing CF(Preop)® before surgery you may:

Decrease PIR
Decrease LOS
Reduce Post Op Nausea and Vomiting
Reduce protein loss
Improve Muscle Function
Improve psychological factors for patient including reducing hunger, thirst, sleepiness, exhaustion, nausea, pain, and anxiety

Rehydrate Post Op With CF(Rehydrate)®

Lastly, CF(Rehydrate)® is the perfect beverage to provide to your patient in the days and weeks after surgery. The intentional formulation behind CF(Rehydrate)® replenishes lost fluids and essential electrolytes. There are no artificial colors or flavors, so you don’t have to worry about mysterious additives and harmful ingredients. CF(Rehydrate)® also has an ideal combination of carbohydrates and sodium with less added sugar than traditional sports drinks, allowing your body to be gently nourished and intentionally refreshed by the convenience of a delicious drink. CF(Rehydrate)® will help your patient recover faster than ever.

Now you know how CF Nutrition can support your patient through their surgical journey – reach out today to try samples! Visit our website for more information!

Healthy Lifestyle Nutrition

Why is Protein Important in my Diet?

Post author By CF Clinical Nutrition
Post date September 26, 2023
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Protein is one of the three macronutrients that is necessary to include in your daily diet. Despite recommendations from different FAD diets, you need all three macronutrients in order to maintain your health, energy, and fitness goals. Eliminating any of the three macronutrients puts you at risk for nutrient deficiencies and illnesses.

What is the purpose of protein in my diet?

Protein has several important roles in our body. It helps you build muscle and helps you recover. It also helps repair your muscles and keeps you well nourished.

How do I incorporate protein in my diet?

Not all protein is created equal. One easy tip when choosing a protein is to choose lean protein over breaded or fried. It is also best to limit red meat to once or twice a week. Although red meat serves as an excellent source of protein and iron, it is also high in saturated fat which can lead to high cholesterol. Another tip is to incorporate fish 2-3 times per week. Fish is a great source of lean protein and certain fish like salmon and tuna can provide omega-3. Omega-3 helps to raise the good cholesterol, HDL.

It is also important to incorporate plant based meals when possible. One way to add plant based protein into your diet is with CF(Protein)®. CF(Protein)® has 13 grams of protein from pea protein. Pea protein contains all nine essential amino acids. It is easily digestible and has a pleasant taste and texture. Additionally, it is a good source of iron and other nutrients. Unlike other protein powders like whey, pea protein is not a derivative of milk so it can be consumed by those with allergies or following a specialty diet (vegan, vegetarian, paleo, etc.).

How much protein should I be eating?

The amount of protein you need is different based on many factors including, age, weight, height, activity level, among other things. To find out how much protein you need, we recommend speaking to your doctor or a trained professional.

What are the recommended uses for CF(Protein)®?

CF(Protein)® is an excellent product to consume regardless of whether or not you have a surgery on the calendar. A rich source of plant-based protein, antioxidants, and anti-inflammatory compounds, this nutrient-dense drink provides a concentrated dose of healthy ingredients to fuel your day.

Some ingredient highlights include:

Plant Protein: Our plant-based protein is easily digested, with yellow-pea protein contributing a significant dose of amino acids that promote muscle recovery and repair.
Complex Carbohydrates: Complex carbohydrates derived from fruits allow CF(Protein)® to deliver a rich energy source without the use of cheap, low-quality additives and simple sugars found in most protein drinks.
Healthy Fats: Functional fats from chia seed oil provides a healthy dose of essential omega-3 and omega-6 fatty acids to help minimize inflammation and saturate the body with healthy fats.
Electrolytes: Coconut water is an excellent source of essential hydration, supplying minerals and electrolytes to recover and revitalize from surgery, sports, or summer heat.

While CF(Protein)® is a great on-the-go snack or mealtime supplement for anyone, it may be particularly useful in supporting the nutritional status of certain people.

At CF Nutrition, we recommend consuming 1-2 bottles of CF(Protein)® daily if you are:

An athlete (or particularly active individual)
Underweight or malnourished
Elderly
Recovering from illness or injury
Preparing for or recovering from surgery
Following a liquid diet
Traveling

For more information on CF(Protein)® and a complete list of ingredients and nutrition, please click here.

So what are you waiting for, get the best on the go protein now. Visit our website to purchase.

Tags protein, protein needs

For Med Pros

CF(Rehydrate)® Immunity+ and Immune Support This Fall

Post author By CF Clinical Nutrition
Post date September 12, 2023
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As we enter fall, it’s time to start thinking about how to keep our immune systems strong and healthy. CF(Rehydrate)® Immunity+ has the perfect plant-based formula to support your immune health this season! Packed with powerful ingredients like Vitamin C, Magnesium, Zinc and Vitamin D, CF(Rehydrate)® Immunity+ helps you feel the effects of better health and immune protection the natural way. In today’s blog we break down how each of the vitamins and minerals in CF(Rehydrate)® Immunity+ help support the immune system.

What is the Immune System?

The immune system is an intricate and sophisticated biological system that defends the body from foreign, invading organisms. Maintaining our immune defense systems can help lower the incidence of infection, lessen the severity of symptoms, and decrease the length of illness from the common cold and other illnesses.

How Does CF(Rehydrate)® Immunity+ Support the Immune System?

CF(Rehydrate)® Immunity+ is a natural electrolyte replacement drink that may help support healthy immune function, especially when the risk of contracting illness is high. CF(Rehydrate)® Immunity+ has immune-supporting ingredients like Vitamin D and Zinc that may support optimal health and nourishment.

In one 12 oz serving of CF(Rehydrate)® Immunity+, there are 40 calories and no added sugar. Additionally, it contains 25% of the recommended daily values (DV) of Vitamin D and Zinc, 100% of the DV of Vitamin C, 20% of the DV of Selenium, 15% of the DV of Phosphorus, 4% of the DV of Potassium, and 10% of the DV of Magnesium.

Each vitamin and mineral are crucial to support a healthy, fully functioning immune system. Drinking CF(Rehydrate)® Immunity+ can help meet the recommended daily amounts (RDA) of specific vitamins and minerals that support immunity. Eating a wide variety of fruits and vegetables and a well-balanced diet is crucial, but CF(Rehydrate)® Immunity+ is an excellent addition to any healthy diet.

What is Each Vitamin and Mineral’s Role in the Immune System?

Vitamin D plays an essential role in immune health. Its function is to regulate adaptive immune responses. Recent data has shown that Vitamin D deficiency appears to increase susceptibility to certain illnesses. Additionally, cross-sectional studies associate lower levels of Vitamin D with increased infection. One study showed that individuals with lower Vitamin D levels were more likely to have recent upper respiratory tract infections than those with sufficient Vitamin D levels.. Consuming just one serving of CF(Rehydrate)® Immunity+ meets 25% of the DV of Vitamin D.

Vitamin C is an antioxidant that helps the formation of collagen. As an antioxidant, Vitamin C protects against environmental oxidative stress. Vitamin C deficiency leads to impaired immunity and increased infection. Vitamin C can readily donate electrons and, in turn, protect from damage by oxidants. Vitamin C also plays a crucial role in promoting wound healing. Consuming one serving of CF(Rehydrate)® Immunity+ provides 100% of the DV of Vitamin C.

Selenium is a mineral that is not as commonly discussed as Zinc, Vitamin C, or Vitamin D as it relates to immune health. Selenium is also an antioxidant that helps support the immune system. It plays an essential role in our body, and adequate amounts promote optimal health. Sufficient quantities of Selenium are needed to initiate immunity and regulate excessive immune response and chronic inflammation.. Research has shown that selenium deficiency negatively affects the immune cells and leads to increased oxidative stress. One serving of CF(Rehydrate)® Immunity+ has 20% of the DV of Selenium.

Magnesium is necessary for healthy muscle function. Magnesium supports glucose metabolism and plays a vital role in the use of energy-rich compounds. Exercise may deplete Magnesium, and the ability to perform physical work is sometimes compromised. The immune function may also temporarily suffer during bouts of prolonged exercise or excessive training. Sometimes, this can lead to infection. Replacing Magnesium is crucial, so consuming CF(Rehydrate)® Immunity+ after a workout is ideal. Magnesium also has a strong relationship with the immune system. Magnesium deficiency may pose a risk to the immune system and lead to an inflammatory response. There is 10% of the DV of Magnesium in one serving of CF(Rehydrate)® Immunity+.

Zinc strengthens the immune system and promotes healthy cell function. Plasma Zinc levels decline during bacterial infections, and dietary Zinc deficiency predisposes individuals to certain infectious diseases. Zinc may also strengthen immunity by defending against harmful internal macrophages and decreasing oxidative stress. There is 25% of the DV of Zinc in one serving of CF(Rehydrate)® Immunity+.

Phosphorus is vital for cellular function, acid-base balance, and cellular structure. If phosphorus becomes low, it can be life-threatening. CF(Rehydrate)® Immunity+ contains 15% of the DV of Phosphorus.

Get your immune support this fall and order your CF(Rehydrate)® Immunity+ today!

The Kids Are Back To School- Stay Healthy With CF Nutrition

Post author By CF Clinical Nutrition
Post date August 30, 2023
No Comments on The Kids Are Back To School- Stay Healthy With CF Nutrition

Summer is coming to a close and most of our kids are already heading back to school! This means we need to take extra measures to keep our families healthy and hydrated! Today we share our top tips to stay healthy and highlight what products can help support wellness for your entire family and take a little of the hard work for you!

Stock Up on CF(Rehydrate)® Immunity+

CF(Rehydrate)® Immunity+ is the perfect on-the-go immune support beverage to pack in your child’s lunch box. It does not have excess amounts of sugar, unethically sourced ingredients, harmful additives, or anything else that can compromise your health and wellness. As the busy back-to-school season begins, CF(Rehydrate)® Immunity+ can help you and your family get the vitamins and minerals you need but may not otherwise consume on a regular basis.

Immunity drinks, then, are a great supplemental solution and help you ensure your child consumes the daily intake of vitamins and minerals a properly functioning immune system requires, without having to force them to shovel down steamed broccoli in the coveted few minutes they have in between the end of the school day and the start of baseball practice.

The great thing about CF(Rehydrate)® Immunity+ is it actually tastes good! We know that kids are not going to drink something that doesn’t taste good. CF(Rehydrate)® Immunity+ has medical grade ingredients without the medicinal taste or chalky texture. It comes in three highly reviewed flavors- Orange, Aloha Blend, and Kiwi Strawberry.

Get Your Healthy Fats in With CF(Protein)®

CF(Rehydrate)® Immunity+ isn’t the only CF Nutrition product that is a great addition to your child’s lunch box. CF(Protein)® is another kid friendly beverage that can be consumed as an on-the-go snack. Our plant based protein drink comes in an 8 ounce bottle and is an excellent addition to ensure a well-rounded, nutrient-dense meal. It contains an abundance of vitamins and minerals derived from fruits and vegetables, along with other healthful antioxidants and anti-inflammatory ingredients.

CF(Protein)® uses plant protein that is easily digested with yellow pea protein, contributing a significant amino acid dose that promotes muscle recovery and repair. CF(Protein)® has complex carbohydrates derived from fruit. This makes CF(Protein)® a rich energy source without any added sugar. There are no cheap, low-quality additives or simple sugars seen in other protein drinks. CF(Protein)® also contains healthy fats, mono and polyunsaturated fats. The use of chia seed oil provides consumers with essential omega-three and omega-six fatty acids to minimize inflammation and help prevent cardiovascular disease. CF(Protein)® also contains turmeric, which may help support your immune system.

Back-to-school season can be tough, but with CF Nutrition on your side—you and your family can easily reap the benefits of essential vitamins, minerals, and medical-grade hydration and clean protein!

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Is CF(Preop)® Safe for Children?

Post author By CF Clinical Nutrition
Post date August 10, 2023
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ERAS® principles are well established and preoperative carbohydrate loading has been adopted in several hospitals across the United States. What you may be wondering is CF(Preop)® safe for children and how much should they consume? The short answer YES, CF(Preop)® is not only safe but encouraged for children to consume before surgery. Today, we break down all the details regarding the consumption of CF(Preop)® by children.

CF(Preop)® & Enhanced Recovery

In both adults and children, studies have shown that doctors who implement and patients who follow ERAS® protocol, including a recommended perioperative nutrition plan, can:

Shorten length of stay (LOS)
Reduce cost through early mobilization
Improve outcomes in patient satisfaction
Improve outcomes in caregiver satisfaction

Why Children Should Drink CF(Preop)®

Preoperative carbohydrate loading has several benefits in the pediatric population. Research has shown that the most notable postoperative complication in pediatric surgery is postoperative nausea and vomiting (PONV). Anesthesia complications are more severe and common in children than adults, so preoperative carbohydrate loading is crucial for pediatric patients undergoing surgery.

Current research suggests:

Postoperative nausea and vomiting (PONV) is a common complication in pediatric anesthesia and is a source of significant morbidity.
The incidence of PONV in children is alarmingly high, as it is estimated to be between 33.2% to 82% depending on patient risk factors.
Post-discharge nausea and vomiting include symptoms that persist for up to 7 days after anesthesia.
PONV occurs twice as often in children than in adults and can lead to longer PACU stays, delays in hospital discharge, and subsequent unplanned readmissions, which ultimately lead to a significant financial burden on the patients.
The syndrome of nausea, vomiting, and dehydration is one of the leading causes of pediatric readmissions, accounting for 51.2% of such cases. Moreover, pediatric readmission, within one week of discharge, is estimated to contribute to $1 billion in healthcare costs annually.

In 2018 a randomized control trial was conducted on 120 children in Germany undergoing a gastroscopy. The control group did a standard NPO fast and the intervention group used a preoperative carbohydrate drink. The results from this study showed that the intervention group had a reduction in nausea and gastric content. This study was published in the British Journal of Anesthesiology in 2018

Research has shown that the most notable postoperative complication in pediatric surgery is PONV. Anesthesia complications are more severe and common than in adults so preoperative carbohydrate loading is crucial in children undergoing surgery. The incidence of PONV varies from 13 to 42% in children and adults without prophylaxis. Incidence of PONV varies with different anesthetic options, from patient to patient, and operating procedure.

CF(Preop)® Pediatric Drinking Instructions

CF(Preop)® is safe for little ones to consume up to two hours before surgery, and ensures children are getting the clean, clinical nourishment they need to enter surgery stronger and recover faster.

UNDER 3 YEARS OF AGE, 10-15 KG:

Drink 4 oz (1/3 bottle) 2 hours prior to surgery

4-8 YEARS OF AGE, 16-28 KG

Drink 6 oz (1/2 bottle) 2 hours prior to surgery

9-13 YEARS OF AGE, 30-47 KG

Drink 8 oz (2/3 bottle) 2 hours prior to surgery

14-17 YEARS OF AGE, 52-65 KG

Drink 12 oz (1 bottle) 2 hours prior to surgery

*Click here for Printable version

CF Nutrition products are safe and healthy for children. Providing CF(Preop)® to children before surgery can help them recover faster!

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4 Healthy Summer Additions to Your Daily Routine

Post author By CF Clinical Nutrition
Post date July 25, 2023
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Summertime is officially upon us. That means more barbecues, more time with the family, outdoor eating and gatherings with friends and more! To make the most out of the summer season and all the events that go with it, it is important to make healthy lifestyle choices. Today we share our top 4 healthy summer swaps to have you feeling your very best.

Add a 15 Minute Walk to Your Daily Routine

Adding in a 15 minute walk to your daily routine is a great way to increase your step count and get moving with the whole family. Engaging in extra physical activity, like a 15 minute walk, 1 or 2 times a day can help increase your overall well being.

Other forms of unstructured exercise that can benefit you are taking the stairs instead of the elevator or parking your car a few blocks away from where you are going. Small changes like these are a great way to rev up your metabolism and boost lean body mass.

Drink CF(Rehydrate)® Instead of Traditional Sports Drink

CF(Rehydrate)® is a great alternative to other traditional sports drinks that are filled with not so clean ingredients. Did you know that most other sports drinks are filled with >20 grams of added sugars which is close to the recommended daily intake of added sugar. Even the zero calorie options of traditional sports drinks are filled with artificial ingredients that may do more harm than good.

During the summer months, hydration becomes even more important as we are more prone to dehydration with the heat and increased sweat. Replacing electrolytes is essential to recover and stay hydrated. CF(Rehydrate)® is the best way to replenish electrolytes. It contains everything your body needs and nothing it doesn’t. The formulation is backed by science and free from artificial ingredients and added sugars. So do yourself a favor and stock up now for the rest of summer.

Add Protein To Your Breakfast

Did you know that adding protein to your breakfast can change the entire trajectory of your day. When you add protein to your breakfast, you increase your satiety. This means that you will stay fuller for longer. Additionally, research shows that adding 20 grams of protein to your breakfast can help curb your appetite for the entire day. Evenly distributing your protein throughout the day also helps stabilize your weight. Some great ways to add protein to your breakfast is incorporating eggs, greek yogurt, protein powder, or CF(Protein)®.

Add Omega 3’s To Your Diet

Omega 3 fatty acids are essential to consume for your diet because the body cannot make them. This is why Omega 3 are called essential fatty acids. Omega 3 consumption is essential to a healthy diet and poses many benefits to your health. Omega 3 helps prevent/lower your risk for cardiovascular disease. Omega 3’s are not only good for your heart but also your brain, immune system, skin, and joints.

Adding Omega 3’s into your diet can help you feel better, stay healthy, reduce cholesterol, and have better skin. Some ways to add Omega 3’s into your diet is swapping steak for salmon, snacking on nuts instead of chips, topping your oatmeal with chia seeds, or drinking CF(Protein)®.

Now you have 4 amazing additions to your daily routine to make you feel your best this summer! Visit our website for more nutrition tips.

For Med Pros Nutrition Preparing for Surgery

Is CF(Preop)® Safe For Patients with Diabetes?

Post author By CF Clinical Nutrition
Post date July 13, 2023
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One of the most asked questions when it comes to CF(Preop)® is whether or not patients with diabetes may consume it before surgery. Today, we break down the research surrounding preoperative carbohydrate loading for patients with diabetes. We also discuss CF Nutrition’s protocol for carbohydrate loading in patients with diabetes.

Why is preoperative carb loading necessary?

Before ERAS® protocols were discovered, the traditional approach to surgery was to fast after midnight prior to surgery to decrease the risk for aspiration. In the 1990’s, evidence-based research suggested that this was not necessary. There are detrimental effects caused by this period of prolonged fasting. Prolonged fasting worsens the catabolic state, increases metabolic stress, hyperglycemia and insulin resistance. Furthermore, when the body is fasted for a prolonged time, glycogen stores are depleted which can lead to protein and muscle breakdown. Postoperative insulin resistance (PIR), a result of the stress response from surgery and further exaggerated with prolonged fasting, is directly related to delayed wound healing, increased morbidity/mortality and LOS . To enhance recovery after surgery, it is important to decrease PIR. Preoperative carbohydrate loading maximizes glycogen stores in the body as an energy source in order to minimize degeneration of body tissues and reduce insulin resistance. By changing the metabolic state, and shortening preoperative fasting (aka providing a complex carbohydrate 2-3 hours prior to surgery), PIR will be decreased, protein loss will be reduced, and muscle function will improve.

What has CF Nutrition done to research the use of CF(Preop)® for patients with diabetes?

The founder of CF Nutrition, Dr. Lou Marsh, researched CF(Preop)® and blood glucose levels extensively. She found that after ingestion of 50 grams of carbohydrate, the blood glucose levels will spike in any individual. What becomes important is the time the patient drinks CF(Preop)® and the time the blood glucose levels are checked. This will help to see where each specific patient’s blood glucose levels are at two hours after consuming CF(Preop)® and eliminate any excess intervention which leads to hypoglycemia intra-operatively. If blood sugars are checked prior to the two hour mark, excess insulin may be prescribed which leads to hypoglycemia intra-operatively. CF Nutrition provides a questionnaire to help create a standardization of care for checking blood glucose before, during and after surgery.

What research studies support preoperative carb loading in patients with diabetes?

Administering a carbohydrate drink prior to surgery leaves some surgeons skeptical on the effects it may have on blood glucose levels. Unfortunately, several studies exclude diabetic patients. However, there are some studies that have been done to evaluate the safety of administering dextrose to diabetic patients undergoing surgery. Gustafsson et al conducted a study to evaluate the safety of preoperative carbohydrate loading on patients with diabetes. Twenty-five patients were included with type 2 diabetes (mean HbAlc 6.2± 0.2%) and 10 healthy control subjects. A carbohydrate drink (400mL, 12.5%) was given with the determination of gastric emptying.

As expected, peak glucose was significantly higher in the diabetic patients compared to the control (p<0.01) and occurred later after intake of the carbohydrate drink (p<0.01). Glucose returned to baseline in 180 minutes in diabetic patients and 120 minutes in the control group (p<0.01). In terms of gastric emptying, at 120 minutes, 10.9 ± 0.7% and 13.3 ± 1.2% of paracetamol remained in the stomach in diabetic and healthy subjects respectively. Gastric half-emptying time occurred at 49.8 ± 2.2 minutes in diabetics and 58.6± 3.7 minute in healthy subjects (p<0.05). These results illustrate that there are no signs of delayed gastric emptying. Therefore, a carbohydrate drink can safely be administered 180 minutes before anesthesia without risk of hyperglycemia or aspiration risk preoperatively according to the results from this study.

Furthermore, Li Na Ge et al conducted a systematic review to examine the effectiveness and safety of oral carbohydrates in those with diabetes. The review included 5 randomized control trials. Because there are no widely accepted indicators of the effects of preoperative carbohydrate in surgical patients with diabetes, this systematic review intended to offer a basis for the progress of ERAS® pathways for diabetic patients. This systematic review concludes that preoperative oral carbohydrate is effective, safe, and feasible for patients with diabetes. When a diabetic patient is fasted, the lack of glycogen reserve can lead to an insufficient energy supply, strong fluctuation of blood glucose, increased risk of hypoglycemia, nerve and kidney damage, and injury of tissues and organs. Additionally, prolonged fasting increases stress. This increased stress joint with surgical trauma can lead to increased glucocorticoids and glucagon, reduced insulin sensitivity, and reduced utilization of glucose in peripheral tissues. As a result, patients are at risk for postoperative hyperglycemia and increased insulin resistance. Postoperative insulin resistance can increase risk for developing infection and increasing length of stay. By consuming an oral carbohydrate 2-3 hours before surgery, the energy supply is enhanced consequently reducing perioperative hypoglycemia and insulin resistance.

Providing a carbohydrate drink prior to surgery may help to reduce the stress response of surgery and put the body into a FED state entering surgery. Putting the body into a more normal physiological state entering surgery may be advantageous in overall recovery.

What are CF Nutrition’s recommendations for CF(Preop)® and patients with diabetes?

With all this being said, here are important things to consider when providing CF(Preop)® to a diabetic patient:

1. Do they have a known risk for delayed gastric emptying? If so, consider adjusting the window for consuming CF(Preop)® per MD recommendations

2. A pt’s blood glucose will spike after the consumption CF(Preop)® however, it should return to baseline

3. Blood glucose should be checked regularly

CF Nutrition Recommendations:

Type 1 Diabetic

With appropriate insulin administration, yields euglycemia.

• 1st Bottle: Drink the night before surgery once in the fasting window

• 2nd Bottle: Complete 2 hours before surgery Patients simply “match their short-acting insulin injections” to their blood glucose level and to the carb load that is listed on the drink label.

Type 2 Diabetic

With preservation of their oral antihyperglycemic agent schedule at bedtime.

• 1st Bottle: Drink the night before surgery once in the fasting window

• 2nd Bottle: Complete 2 hours before surgery Morning dose of oral agent may be held based on the actual surgical time, e.g., as when surgery is scheduled as one of the first cases of the morning.

Now that you know CF(Preop)® may be used in patients with diabetes, visit our website to purchase today!

Nutrition

5 Tips To Stay On Track This Summer

Post author By CF Clinical Nutrition
Post date June 28, 2023
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Summer is officially upon us. As the summer progresses, we want to make sure you are able to enjoy yourself while also still staying on track with your health and fitness goals.We know that with the kids out of school, BBQ’s every week, and pool parties galore, it can be quite hard to navigate it all. Today, we break down our top 5 tips to staying on track this summer while still enjoying some fun in the sun.

Tip #1 Pace Yourself at a Barbecue/Events

During summer months, oftentimes we have more events and parties. One of the biggest mistakes you can make is showing up starving. Even though it may seem beneficial to save calories up and forgo eating before the event, this likely will cause more harm than good. Most of the time, if we go into a BBQ or party starving, we tend to eat more than if we would have had a nutritious breakfast beforehand.

If you’re able, you can even come prepared with a dish to share that fits into your goals. At any event, do an initial overview of what’s available and take a minute to decide what you want. Pace yourself throughout the event and listen to your body cues. Remember to prioritize spending time with friends and family over focusing on chowing down. Sometimes it can help to hang out away from the food table to avoid overeating.

Tip #2 Stay Hydrated

Drinking enough water and electrolytes is very important. But during the summer, it’s even MORE important because you are out in the heat, which makes you extremely dehydrated. Both CF(Rehydrate)® and CF(Rehydrate)® Immunity+ replenishes lost fluids and essential electrolytes, including those lost quickly through sweat. CF(Rehydrate)® and CF(Rehydrate)® Immunity+ are great ways to ensure you are properly hydrated this summer.

Staying hydrated can help us with our satiety as well. If we are drinking more than enough water, it can reduce the risk of overeating.

Tip #3 Plan Ahead

Summer can be a busy time of year for most, especially with the kids out of school and vacations on the calendar. With travel and activities frequently planned, it’s easy to rely on fast food restaurants. But it is essential to maintain consistency and accuracy. The best way to accomplish this is to plan ahead. Right after you brush your teeth before bed, take 10-15 minutes to pre-plan your meals for the day to come. Also ensure you take some time to prepare your meals the night before. It doesn’t have to be anything crazy. Something as simple as having a sandwich ready to go, along with an apple, protein shake and a granola bar goes a long way when you have a busy day ahead.

Before heading out, pack some healthier snacks to avoid the drive through for every meal.

Fresh fruits and vegetables
Pre-packaged individual servings of dips like guacamole or hummus
No sugar added dried fruits or squeezable packets
Trail mix, nuts or nut butter packets
Low sodium jerky
Cheese sticks
Roasted chickpeas
Tuna or chicken salad

Tip #4 Make Choices that Will Keep You On Track

It is not an excuse to eat poorly just because it’s summer time. It can be so easy to grab the yummiest, calorie dense options when we are at a summer function. Instead, we encourage you to ensure that you are always making healthy choices FIRST. Load up your plate with a bunch of fruit and veggies. Also be mindful you are consuming as many protein sources as possible. Filling up on these nutrient dense options is not only going to make you feel good, it’s going to help with your satiety so you reduce the risk of overeating at one of these summer functions.

The key is to find balance and control. You can still enjoy your favorite foods. It is just important to be mindful of how much you are consuming. Prior to going to the event, set a limit for yourself. For example, if it’s someone’s birthday, make it a priority that you are only going to have 1 small slice of the cake and no more than 2 glasses of wine. Setting these parameters for yourself prior to the event is the best way to hold yourself accountable. It’s much more efficient to quantify your limits instead of just saying “I am going to have a few drinks.”

Tip #5 Quit The Vacation Mode/ All or Nothing Mindset

For most people the idea of a vacation is a time to relax, let loose, and get off all your normal routines. While this can be great for rest and relaxation, it does not mean you have to completely blow off your goals. Quit this all or nothing mindset and try to find a bit of balance when you head out for your vacation this year. Try to keep a little bit of normalcy on your vacation so you can reduce, if not, completely eliminate the amount of guilt that you will feel coming home.

Now that you have the tools to stay on track this summer, follow us for more health and fitness tips and tricks.

Genesee

Melissa

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