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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Nutrition

Medical Nutrition Therapy: 100 Gram Fat Diet for 72 hour Fecal Fat Collection (395)

Medical Nutrition Therapy: 100 Gram Fat Diet for 72 hour Fecal Fat Collection (395) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Nutrition

395

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100 Gram Fat Diet for 72 hour Fecal Fat Collection

The fecal fat test will help find out if you have steatorrhea (that is, excess fat in bowel
movements due to the body not being able to absorb fat). To test the amount of fat in your
bowel movements, you need to eat as close to 100 grams of fat each day as possible, and will
need to record everything that you eat and drink for a few days.

Instructions:
1. Start 100 gram fat diet and follow for 4 days.
2. On the second morning of the 100 gram fat diet, start stool collection and
collect all stool for the remaining 3 days. (See stool collection instructions)
3. Write down everything you eat and drink immediately on the sheets
provided.
4. Record each food on a separate line.

1. Start each day on a new page.

2. If more space is needed for the same day, continue onto the next page and note clearly
that it is a continuation.

3. Record brand names, if known. Read labels for fat content.

4. Always specify method of preparation. Examples include: baked, broiled, fried,
breaded, sautéed.

5. If eating out, record foods eaten as accurately as possible, and note name of restaurant.

6. Describe all foods as fully as possible. For example: 3 oz. baked chicken, thigh, skin
not eaten.

7. List all ingredients for sandwiches, casseroles and other mixed dishes.

8. Record exact amounts. Specify weight (e.g. 1 oz cheddar cheese), or volume (e.g. 4 oz
or half-cup orange juice) or dimensions in inches (e.g. 1 piece of banana bread, 3”L x
4”W x 1/2”thick).

9. Include all additions to food at the table. For example, gravy, sauces, butter, sugar.

10. Aim for as close to 100 grams fat each day as possible.




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Example of 100 Gram Fat Diet

Sample Menu

Breakfast
fresh fruit
1 cooked egg
2 slices toast with 1 tbsp butter or margarine
1 cup whole milk
Coffee or tea (optional)

Lunch
2 oz sliced ham, 1 oz cheddar cheese on 2 slices bread with 1 tbsp. mayonnaise
Raw vegetables
1 oz potato chips
1/2 cup fruit juice

Afternoon Snack
1/2 bagel with 1 tbsp cream cheese

Dinner
4 oz baked chicken breast, no skin
1/2 cup mashed potato with 1 tsp. butter or margarine
1/2 cup cooked vegetable with 1 tsp. butter or margarine
1 dinner roll with 1 tsp. butter or margarine
1 cup whole milk

Evening snack
1/2 cup vanilla ice cream




Meats: Each of these = 5 grams fat:
Beef, pork, veal, poultry, fish, wild game, cheese - 1 oz
(Note: typical serving = 3 ounces, which is about the size of a deck of cards)
Egg - 1
Bacon - 1 slice
Hot dog, beef/pork - 13-16 grams
Hot dog, chicken/turkey - 8 grams



Dairy: Each of these = 5 grams fat:
Whole Milk – half cup
2% Milk – 1 cup
Cheese - 1 oz (about the size of a Kraft© single)

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Cottage cheese, 2% fat - 1 cup
Cream cheese - 1 tbsp
Half and half - 3 tbsp.
Cream, heavy, whipping - 1 tbsp
Sour cream - 2 tbsp
Margarine, butter - 1 tsp.
Margarine, diet - 1 tbsp.

Nuts and Seeds. Each of these items = 5 gramsL
Peanut butter - 2 tsp
Peanuts - 20
Almonds, dry roasted - 6 whole
Cashews, dry roasted - 1 tbsp.
Sunflower seeds, without shell - 1 tbsp.
Coconut, shredded - 2 tbsp

Other. Each of these items = 5 grams fat:
Mayonnaise - 1 tsp.
Mayonnaise, reduced calorie - 1 tbsp.
Salad dressing, mayonnaise type - 2 tsp.
Salad dressing, mayonnaise type,
reduced calorie - 1 tbsp.
Salad dressing - 1 tbsp.
Salad dressing, reduced calorie - 2 tbsp.
Oil - 1 tsp.
Avocado - 1/8 medium
Coffee whitener, powder - 4 tsp.
Coffee whitener, liquid - 2 tbsp.

Miscellaneous
Potato chips, 1 oz - 8-11 grams
Tortilla chips, 1 oz - 7 grams
Doughnut, glazed - 11 grams
Pie, apple, 1/8 - 12 grams
McDonald’s, quarter pounder, - 20 grams
McDonald’s, 6 chicken nuggets - 16 grams
McDonald’s French fries, regular - 12 grams
Pizza Hut, cheese, pan, medium, 2 slices - 18 grams
Pizza Hut, pepperoni, regular crust ,medium, 2 slices - 23 grams
Taco Bell, soft taco - 12 grams
Taco Bell, nachos - 18 grams
Taco Bell, burrito, beef - 21 grams
Taco Bell, tostada - 11 grams
Vanilla ice cream, 1/2 cup - 7 grams





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If you eat a food that is not on the list, consult the food label to determine the amount of fat
grams. Be sure to note the serving size and the amount of fat per serving.

Teach Back:

What is the most important thing you learned from this handout?


What changes will you make in your diet/lifestyle, based on what you learned today?


If you are a UW Health patient and have more questions please contact UW Health at one of the
phone numbers listed below. You can also visit our website at www.uwhealth.org/nutrition


Nutrition clinics for UW Hospital and Clinics (UWHC) and American Family Children’s
Hospital (AFCH) can be reached at: (608) 890-5500.

Nutrition clinics for UW Medical Foundation (UWMF) can be reached at:
(608) 287-2770















Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 2/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Clinical Nutrition Services Department and the
Department of Nursing. HF##395

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NAME: _______________________________________________________________________
PHYSICIAN: __________________________________________________________________
DATE: _______________________________________________________________________

Three Day Food Record
Day 1

Time Foods and Beverages Preparation Amount
Eaten
Estimated Fat
Grams





















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Three Day Food Record
Day 2

Time Foods and Beverages Preparation Amount
Eaten
Estimated Fat
Grams























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Three Day Food Record
Day 3

Time Foods and Beverages Preparation Amount
Eaten
Estimated Fat
Grams























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Three Day Food Record
Day 4

Time Foods and Beverages Preparation Amount
Eaten
Estimated Fat
Grams
























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Home Instructions – 24 hour Fecal Fat Collection

Description: The fecal fat collection is designed to aid in the diagnosis of steatorrhea and fat
malabsorption syndromes. The diagnosis of steatorrhea is determined by the loss
of fat in a 24 hour stool collection. You need to eat 100 grams of fat each day and
record everything that you eat and drink for 48 hours.

Supplies: Preweighed metal paint can (obtain from the clinical laboratory)
Several patient labels
“Specihat”
Tongue depressors
Latex gloves
Three day food record

Special Instructions:
1. Stool can be collected directly in the paint can, or it can be collected in the Specihat and then
transferred to the paint can.
2. Only stool should be placed in the paint can. Do not mix urine with the stool specimen.
3. Keep the paint can in a cool place (refrigerator or cooler with ice packs).
4. Return the completed stool collection to the clinical lab. Record dates and duration of the
stool collection on the paint can.
5. Record all food and beverages taken in during the 24 hour stool collection on the forms
provided. Bring the food record back to the GI clinic and give to the dietitian.

Procedure:
Date:_____ Day 1: Begin 100 gram fat diet.
Date:_____ Day 2: Collect all stools for the rest of the day.
Continue 100 gram fat diet and record food/beverage intake on the
food record.


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Home Instructions – 72 hour Fecal Fat Collection

Description: The fecal fat collection is designed to aid in the diagnosis of steatorrhea and fat
malabsorption syndromes. The diagnosis of steatorrhea is determined by the loss
of fat in a 72 hour stool collection. During the time that you collect your stool,
you will need to eat 100 grams of fat each day and will need to record everything
that you eat and drink during the 72 hour period.

Supplies: Preweighed metal paint can (obtain from the clinical laboratory)
Several patient labels
“Specihat”
Tongue depressors
Latex gloves
Three day food record

Special Instructions:
1. Stool can be collected directly in the paint can, or it can be collected in the Specihat and
then transferred to the paint can.
2. Only stool should be placed in the paint can. Do not mix urine with the stool specimen.
3. Keep the paint can in a cool place (refrigerator or cooler with ice packs).
4. Return the completed stool collection to the clinical lab. Record dates and duration of the
stool collection on the paint can.
5. Record all food and beverages taken in during the 4 days on the forms provided. Bring
the food record back to the GI clinic and give to the dietitian.

Procedure:
Date:_____ Day 1: Begin 100 gram fat diet.
Date:_____ Day 2: Collect all stools for the rest of the day. Continue 100 gram fat
diet and record food/beverage intake on the food record.
Date:_____ Day 3: Collect stool all day. Complete food record.
Date:_____ Day 4: Collect stool all day. Complete food record.