{"id":8991,"date":"2024-06-04T21:51:23","date_gmt":"2024-06-04T21:51:23","guid":{"rendered":"https:\/\/oncoalicia.com\/?page_id=8991"},"modified":"2025-07-04T08:41:52","modified_gmt":"2025-07-04T08:41:52","slug":"anaemia","status":"publish","type":"page","link":"https:\/\/oncoalicia.com\/en\/types-of-cancer\/gastric\/post-surgery-what-to-eat-after-a-gastrectomy\/anaemia\/","title":{"rendered":"Dietary Recommendations for Anaemia After a Gastrectomy"},"content":{"rendered":"<div class=\"row\">\n<div class=\"col-md-12 subtitle-mitos\">\n<p>Anaemia is one of the important long-term after-effects following gastrectomy and may develop gradually over years. Iron-deficiency anaemia and\/or megaloblastic anaemia (vitamin B12 or folic acid (B9) deficiency) is a consequence of low intake or reduced absorption of nutrients due to surgery. It is important to periodically monitor blood concentrations of iron, vitamin B12 and B9. The referring medical team will assess the need to supplement any of these vitamins.<\/p>\n<\/p><\/div>\n<\/div>\n<div class=\"row p-40 w-60\">\n<div class=\"col-md-12 text-center\">\n<h2 class=\"h3 recomanem-efectes-cancer\">WHAT DO WE RECOMMEND?<\/h2>\n<\/p><\/div>\n<div class=\"col-md-12 p-10 text-center\">\n<h3><a class=\"btn-orange recomanacions-tipus-cancer\" role=\"button\" href=\"#collapseExample-1\" data-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"collapseExample\">To ensure a sufficient, varied and balanced diet, adapted to the new situation. <i class=\"fa fa-angle-down\" aria-hidden=\"true\"><\/i><\/a><\/h3>\n<div id=\"collapseExample-1\" class=\"collapse\">\n<div class=\"card-body\">\n<div class=\"row\">\n<div class=\"col-md-12 descrip\">\n<p>See the section on \u2018Dietary and culinary recommendations after a gastrectomy (partial or total)\u2019.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-md-12 p-10 text-center\">\n<h3><a class=\"btn-orange recomanacions-tipus-cancer\" role=\"button\" href=\"#collapseExample-2\" data-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"collapseExample\">Ensure an adequate daily intake of iron-rich foods. <i class=\"fa fa-angle-down\" aria-hidden=\"true\"><\/i><\/a><\/h3>\n<div id=\"collapseExample-2\" class=\"collapse\">\n<div class=\"card-body\">\n<div class=\"row\">\n<div class=\"col-md-12 descrip\">\n<p>The following are the iron-rich animal- or plant-based foods that are most highly recommended:<\/p>\n<\/p><\/div>\n<div class=\"col-md-12 descrip\">\n<table class=\"table\">\n<tr>\n<td class=\"table-txt\">\n<table>\n<tr>\n<td>Iron-rich animal-based foods <\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>White (lean) meat : rabbit, turkey, chicken, etc. <\/li>\n<li>White and oily fish: sardines, sea bass, anchovies, etc. <\/li>\n<li>Seafood: natural mussels, clams and cockles. <\/li>\n<li>Eggs: chicken eggs, quail eggs, etc. <\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>In moderation: lean, non-fibrous parts of red meat (beef, horse, ox, lamb, etc.). At most one serving (125 g) per week.<\/td>\n<\/tr>\n<tr>\n<td>Iron-rich plant-based foods <\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Grains such as wheat germ and wheat bran.<\/li>\n<li>Legumes such as soybeans and soy by-products (tofu and tempeh), lentils, chickpeas and beans (mashed or crushed). <\/li>\n<li>Nuts and seeds, such as sesame, sunflower seeds, pistachios and almonds, ground or in nut butter form: tahini, 100% almond butter, 100% hazelnut butter, etc. <\/li>\n<li>Green leafy vegetables, such as spinach and chard. <\/li>\n<li>Enriched breakfast cereals. <\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/table>\n<\/td>\n<\/tr>\n<\/table><\/div>\n<div class=\"col-md-12 descrip\">\n<p>Preparing dishes that mix iron-rich animal- and plant-based foods will improve their absorption.<br \/>For strict vegetarians or vegans, it is essential to seek advice from a dietitian-nutritionist to ensure sufficient iron intake.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-md-12 p-10 text-center\">\n<h3><a class=\"btn-orange recomanacions-tipus-cancer\" role=\"button\" href=\"#collapseExample-3\" data-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"collapseExample\">Ensure good iron absorption. <i class=\"fa fa-angle-down\" aria-hidden=\"true\"><\/i><\/a><\/h3>\n<div id=\"collapseExample-3\" class=\"collapse\">\n<div class=\"card-body\">\n<div class=\"row\">\n<div class=\"col-md-12 descrip\">\n<p>When eating foods rich in iron, it is advisable not to eat certain foods that lower its absorption at the same time. Instead, iron-rich foods should be eaten with other foods that facilitate its absorption. <\/p>\n<\/p><\/div>\n<div class=\"col-md-12 descrip\">\n<table class=\"table\">\n<tr>\n<td class=\"table-txt\">\n<table>\n<tr>\n<td>Foods that <b>limit <\/b>iron absorption<\/td>\n<td>Foods that <b>facilitate <\/b>iron absorption<\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Whole grain foods<\/li>\n<li>Dairy products (milk, yoghurt, cheese, etc.) <\/li>\n<li>Chocolate and cocoa <\/li>\n<li>Wine <\/li>\n<li>Tea <\/li>\n<li>Coffee <\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Food sources of vitamin A: cabbage, tomatoes*, carrots, peppers, squash, etc.<\/li>\n<li>Food sources of vitamin C*: citrus fruits (orange, tangerine, lemon), strawberries, kiwi, red bell pepper, etc.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Avoid consumption of dairy products as a dessert at main meals, and ensure that they are consumed between meals.<br \/>Avoid consumption of coffee, tea, chocolate or cocoa with main meals.<br \/>If whole grains are consumed, soak them for one hour before cooking and discard the soaking water.<\/td>\n<td>Try to ensure that main meals contain vegetables or fruits that are a source of vitamin A or C either as a starter, main course or side dish.<br \/>Dress vegetables with lemon juice.<br \/>* Assess tolerance to acidic fruits.<\/td>\n<\/tr>\n<\/table>\n<\/td>\n<\/tr>\n<\/table><\/div>\n<div class=\"col-md-12 descrip\">\n<p>Examples of iron-rich recipes that can be incorporated or adapted depending on tolerance and progression: <\/p>\n<\/p><\/div>\n<div class=\"col-md-12 text-center\">\n<div class=\"row\">\n<div class=\"col-md-12 recetas-sug\">\n                                <b>Some suggested recipes:<\/b>\n                            <\/div>\n<\/p><\/div>\n<div class=\"row\">\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/aromatic-mussels-express\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/02\/Mejillones-arom-ticos-expr%E2%80%9As.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Express aromatic mussels<\/p><\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/warm-salmon-and-apple-salad\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/03\/Ensalada-t%E0%B8%81bia-de-salm%E0%B8%82n-y-manzana-1568x2195.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Warm salmon and apple salad<\/p><\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/creamy-mussel-soup\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2024\/05\/Crema-de-mejillones-1568x1960.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Creamy Mussel soup\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<\/p><\/div>\n<div class=\"row\">\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/turkey-and-vegetable-pie\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2021\/10\/Pastel-de-pavo-y-verduras.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Turkey and vegetable savory flans\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/rabbit-with-pineapple-in-syrup-texture-modified\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/10\/Conejo-con-pina-en-almibar-textura-modificada.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                           Rabbit with pineapple in syrup (modified texture)\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/beef-casserole-with-mushrooms-and-puree-modified-texture\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/10\/Cazuelita-de-ternera-con-setas-y-pure-textura-modificada.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Beef casserole with mushrooms and potato puree (modified texture)\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<\/p><\/div>\n<div class=\"row\">\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/braised-lentils-with-ham-modified-texture\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/02\/Lentejas-estofadas-con-jam%E0%B8%82n-textura-modificada.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Lentil and serrano ham stew (texture modified diet)\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/roasted-pork-with-nuts-and-dried-fruit-texture-modified-diet\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2021\/10\/Sin-titulo-1.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Roasted pork with nuts and dried fruit (texture modified diet)\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/quick-chickpea-puree-with-egg\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/02\/Pur%E2%80%9A-r-pido-de-garbanzos-con-huevo.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Quick chickpea pur\u00e9e and hard-boiled egg\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<\/p><\/div>\n<div class=\"row\">\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/meat-rice-noodle-pies\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2021\/10\/empanadillas-carne.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Meat &#038; rice noodle pies\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/turkey-and-vegetable-pie-enriched\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2021\/10\/18.1-Pastel-de-pavo-y-verduras-scaled-1-1568x2107.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Turkey and vegetable savory flans (enriched)\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<div class=\"col-md-4 col-sm-6 text-center recetitas\">\n                                <a href=\"\/en\/recipes\/chickpea-burger\/\"><\/p>\n<div class=\"cuadro-receta-2 text-center\">\n                                        <img decoding=\"async\" src=\"https:\/\/oncoalicia.com\/wp-content\/uploads\/2022\/02\/Hamburguesa-de-garbanzos-1568x2195.jpg\" class=\"w-50\"><\/p>\n<div class=\"txt-mito\">\n                                            Chickpea burger\n                                        <\/div>\n<\/p><\/div>\n<p>                                <\/a>\n                            <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-md-12 p-10 text-center\">\n<h3><a class=\"btn-orange recomanacions-tipus-cancer\" role=\"button\" href=\"#collapseExample-4\" data-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"collapseExample\">Ensure adequate daily intake of foods rich in vitamin B9 (folic acid). <i class=\"fa fa-angle-down\" aria-hidden=\"true\"><\/i><\/a><\/h3>\n<div id=\"collapseExample-4\" class=\"collapse\">\n<div class=\"card-body\">\n<div class=\"row\">\n<div class=\"col-md-12 descrip\">\n<p>The main sources of folic acid are dark green leafy vegetables (spinach, romaine lettuce, asparagus, Brussels sprouts, broccoli, etc.) and legumes (lentils, beans, beans, chickpeas, etc.).<br \/>Folic acid is also found to a lesser extent in fruit, nuts, sunflower seeds, eggs and fortified or enriched foods.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-md-12 p-10 text-center\">\n<h3><a class=\"btn-orange recomanacions-tipus-cancer\" role=\"button\" href=\"#collapseExample-5\" data-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"collapseExample\">Vitamin B12 deficiency anaemia. <i class=\"fa fa-angle-down\" aria-hidden=\"true\"><\/i><\/a><\/h3>\n<div id=\"collapseExample-5\" class=\"collapse\">\n<div class=\"card-body\">\n<div class=\"row\">\n<div class=\"col-md-12 descrip\">\n<p>The absorption of vitamin B12 from food requires it to bind to a protein called intrinsic factor, which is produced in the stomach. If the stomach is removed, this protein can no longer be produced, so the vitamin B12 from food cannot be absorbed. Your medical team or dietitian-nutritionist will assess the need for non-oral supplementation.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anaemia is one of the important long-term after-effects following gastrectomy and may develop gradually over years. Iron-deficiency anaemia and\/or megaloblastic anaemia (vitamin B12 or folic acid (B9) deficiency) is a consequence of low intake or reduced absorption of nutrients due to surgery. It is important to periodically monitor blood concentrations of iron, vitamin B12 and&hellip; <a class=\"more-link\" href=\"https:\/\/oncoalicia.com\/en\/types-of-cancer\/gastric\/post-surgery-what-to-eat-after-a-gastrectomy\/anaemia\/\">Continue reading <span class=\"screen-reader-text\">Dietary Recommendations for Anaemia After a Gastrectomy<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8982,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8991","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nutrition for people with anaemia after gastrectomy - Oncoalicia<\/title>\n<meta name=\"description\" content=\"Find dietary recommendations for people experiencing anaemia after undergoing a gastrectomy.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/oncoalicia.com\/en\/types-of-cancer\/gastric\/post-surgery-what-to-eat-after-a-gastrectomy\/anaemia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nutrition for people with anaemia after gastrectomy - 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