Nutrition Services dietitians @gvh.org 215-453-4633 GVH: GRAND VIEW HEALTH Low Fat Diet Why does my doctor want me to follow a Low Fat Diet? Certain conditions or diseases may make it hard for your body to digest or absorb fat in the food that you eat. These conditions include diseases of the stomach (such as gastroparesis), gall blad- der (such as gallstones), liver (such as cirrhosis), pancreas (such as pancreatitis), or intestine (such as chronic diarrhea). Eating too much fat could lead to unpleasant symptoms or pain. General Eating Tips: + Eat 5 or 6 small meals per day instead of 3 large meals. + Limit fat to less than 30% of your total calories. A typical male may need to limit fat intake to 60-75 grams per day, and a typical female may need to limit fat intake to 45 - 60 grams per day. Speak with a dietitian to learn what your personal goal for fat should be + When reading a food label, choose foods that have no more than 3 grams of fat for every 100 calorie portion + Ifyou have abdominal pain, nausea, diarrhea or bloating when you eat a certain food, even if it is on the allowed list, you may need to temporarily eliminate that food from your diet. rk) Breads, Cereals, Grains Cremer ‘Whole grain breads. English muffins, bagels. Hot or cold breakfast cereals. Rice and pasta CNET reas Pasta or rice prepared with cream sauces or gravies; fried rice. Granola cereal. Muffins, biscuits, waffles, pancakes, Danish, donuts, sweet rolls. (Limit meat, poultry and fish to 6 ounces per day; Limit whole eggs to 4 per week.) fish; eggs; beans, peas and lentils. Egg whites or egg beaters (no limit. Soups, stews, or casseroles made with low fat ingredients, Vegetables All fresh, frozen or canned Fried or breaded vegetables. Vegetables with a cream or cheese sauce. Fruits All fresh, frozen, canned. ‘Avocado. All juices, Protein Lean beef, pork, skinless poultry and | Heavily marbled beef, spare ribs, sausage, regular hot dogs, bacon, pork roll, bologna, scrapple or less than 90% lean hamburger. Fried meat, poultry or fish (Limit to less than 8 teaspoons per day) shortening, salad dressing, sour cream, cream cheese, gravy. Milk and Dairy Non-fat or reduced fat (1%) milk. ‘Whole or low-fat (2%) milk. Reduced fat or non-fat cheese. Regular cheese, cream, half & half. Fats and Oils Oil, margarine, butter, mayonnaise, _ | Fried foods.GVH RAND VIEW HEALTH Nutrition Services. dietitians@gvh.org 215-453-4633, Low Fiber Diet “atroduction: Limiting high fiber and gas producing foods in your diet is sometimes needed as. you recover from certain medical conditions or surgery. During bouts of diverticulitis, Crohn's disease or inflammatory bowel disease, eating less fiber is often recommended as a part of your therapy. Also, eating gassy foods during the healing process may give you discomfort Generally, fiber is important in one's diet and helps to keep the digestive system healthier and running smoothly. Ask your doctor or dietitian how long you should follow this diet before including high fiber foods in your meal plan again Major Points: 1, Eat foods listed under Low Fiber Foods. Avoid foods listed under High Fiber and Gassy Foods. 2. Limit fruits and vegetables to two servings per day of each (1 serving = % cup). They can be slowly increased 3. Exclude any foods that seem to cause you discomfort, even if they are included on the Low Fiber list. Food tolerances vary from person to person. Low Fiber Food Choices High Fiber and Gassy Foods Fruits A\ll fruit juices; ripe melon (seeds removed), ripe banana; seedless cooked, canned or pureed fruit, Vegetables Lettuce (iceberg, leaf); tenderly cooked: asparagus tips, beets, carrots, eggplant (without skin & seeds), green or wax beans, mushrooms, white and sweet potatoes (without skins), pumpkin, spinach, squash (without seeds), tomatoes and tomato sauces (without skins and seeds) Breads, cereals, starches White bread and rolls without seeds; saltines or butter crackers; hot or cold cereals made without whole grains such as: Rice Krispies, Cornflakes, Rice or Corn Chex, puffed cereals, cream of wheat lor rice; white rice, pasta Prune juice, raw fruit other than bananas and melons dried fruits and fruit with seeds or skins Raw vegetables except lettuce Broccoli, Brussels sprouts, cabbage, celery, com, lima beans, olives, onions, garlic, potato skins, parsnips, peas, peppers, pickles Crackers containing whole grain or seeds, whole grain pasta, brown rice, whole wheat breads and rolls, white bread with seeds, whole grain crackers such as: Triscuits or Wheat Thins; popcorn; muffins or quick breads made with nuts, berries, seeds, whole grains or bran; shredded wheat, raisin bran, |All Bran, Bran Flakes, granola, oatmeal, Wheatena [Protein — Tenderly cooked poultry, fish beef, pork; eggs, eese, creamy peanut butter /Miscellaneous Herbs, spices and seasonings, milk*, coffee*, tea’, carbonated beverages” "Caffeine Free if you are having diarrhea Dried beans and legumes such as: split peas, baked beans, kidney beans, chunky peanut butter Any foods containing nuts, seeds, coconut, dried fruit; soups and casseroles with high fiber vegetables and legumesis why THESE SIX POPULAR FOODS CAN ADD eee A) Se ne a ‘aim to eat less than 1,500 mg of sodium per day. [wren you see the Heart-checkmackona produc, you knew th fod as been 2’ artaatameet muna senator ear hey ods nuda soda nr COLD CUTS _ URED MEATS PIZZA POULTRY215-453-4633, Warfarin® (Coumadin) and Vitamin K Coumadin® (or warfarin) is an anticoagulant medication prescribed by your doctor to prevent the formation of blood clots. A blood clot could lead to serious health problems. Vitamin K is an important nutrient and is found in some of the food that you eat. Vitamin K helps the blood to clot. The key to managing your diet while taking Coumadin® is to be consistent with your intake of foods rich in Vitamin K. If you already eat Vitamin K-rich foods regularly, continue to do so; just watch how often you eat them and how much you eat. If you do not eat Vitamin K-rich foods, do not start while you are taking Coumadin® . Major Points: Always take Coumadin® as prescribed by your doctor. N Continue to eat your usual diet and maintain a consistent intake of Vitamin K-rich foods. oe If you need to make dramatic changes in your diet due to illness or other reason, call your doctor because your Coumadin® dose may need to be adjusted. . Do not take more than 100% of the RDA for vitamin E. . Do not take supplements with more than 100 micrograms/day of Vitamin K. Do not take fish oil supplements unless cleared by your doctor. SO as Do not take any herbal supplements without talking to your doctor. Many herbal supplements affect the action of Coumadin® 8. Check with your doctor before consuming alcohol. 9. Check with your doctor before consuming large amounts of cranberry products. 10.Limit foods with very high Vitamin K to one serving per day: rr) Kale, fresh, boiled PAC) 660 560 530 520 360 300 260 Spinach, fresh, boiled |_Turnip greens, frozen, boiled |_ Swiss chard, fresh, boiled Parsley, raw Mustard greens, fresh, boiled Revised 8/2010Any food that is liquid at room temperature counts as a fluid, such as Water, juice, milk, coffee, tea, creamer, broth, soda or any other beverage, salad dressings, sauces and syrup. Anything that melts to a liquid consistency counts as a fluid: | 1 cup ice = 120 ml’s (melted) 1 whole popsicle = 90 ml’s Ye cup ice cream, sherbet or gelatin = 120 ml's + Fluid in most fruits and vegetables does not have to be counted as part of your fluid restriction. However, if you eat fruit with a high water content such as watermelon, you may need to adjust your fluid intake accordingly. Plan you fluid intake ahead of time so that you don't run out before the day is cover. Decide how much fluid you need at mealtime. In addition, you may want | to save some of your fluid to use for taking medications and for drinking between | meals. I Using a liquid measuring cup, measure the amount of fluid held by the drinking | cups and bowls hold that you normally use. | Drain all canned fruits and vegetables well so the juice doesn't add extra fluid to your daily allowance Hot cereal, custard, pudding and yogurt are not counted as fluids: Use a fork for foods like cold cereal and soup and do not drink any of the leftover fluid. Helpful hints to reduce thirs' + Chew gum or suck on hard candy (sugar-free if you have diabetes). + Rinse your mouth with mouthwash when you are thirsty (do not swallow) or brush your teeth. +» Freeze juice or other liquid in ice cube tray and eat like a popsicle. Remember to count this toward your fluid allowance. + Freeze fruit such as grapes or strawberries and eat sparingly. + Avoid salty foods.