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Post Operative Diet

It is important for you to make healthy food choices after your surgery to help you with weight loss and to maintain your nutritional health. A changed eating pattern is important for weight loss, to avoid stomach pains, and to prevent nutritional deficiencies.



WHY SHOULD YOU FOLLOW THIS POST OPERATIVE DIET?

FOR A SUCCESSFUL WEIGHT LOSS

  • To help you to achieve the maximal amount of weight loss.
  • To help prevent nutritional deficiencies and other complications.

It is important to note that lifestyle and behavioral changes are necessary to be successful with your weight loss journey.

  • Eat three meals a day and limit unnecessary snacking in-between meals. This weight loss surgery is a restrictive procedure, which means that the success of weight loss depends on what you are eating. Unhealthy snacking in-between meals (e.g. pretzels, crackers, cookies, etc.) or eating frequently may prevent successful weight loss or cause weight gain due to excess calorie intake.
  • Eat slowly and chew your food until LIQUID. Failure to do so can cause pain, nausea, vomiting, and irritate your new pouch. It is very important to chew very thorough until it is liquid. Also, remember to cut your food into small pieces before eating it. Try waiting one minute in between bites. Allow at least 30 minutes for a meal
  • Avoid concentrated sugar. Keep sugar out of the first 3 ingredients on the food label. The number of sugar grams on the label includes both added and natural sugars; therefore, it is important to read the ingredients to find out what type of sugar the food contains. Aim to keep the “sugars” down to 15 grams or less per serving to help limit “empty calories” in your diet. Avoid these simple sugars, especially if within the first 3 ingredients on food labels: sugar, dextrose, high fructose corn syrup, corn syrup, glucose, sucrose, molasses, and honey Note: Artificial sweeteners such as NutraSweet/Equal®, saccharine/Sweet & Low®, and sucralose/Splenda® are acceptable to use.
  • Limit high fat foods. Low fat is 3 grams or less per serving on a food label. Examples of high fat foods: potato chips, fried foods, fast food, bacon, sausage, hot dogs, bologna, pepperoni, cream soups, Alfredo sauce, donuts, cakes, cookies, and pastries.
  • Stop eating when you feel comfortably satisfied. Overeating can cause nausea, vomiting, and the size of your stomach to stretch. It can take 6-9 months for your new stomach size to stabilize.
  • Drink adequate fluids to prevent dehydration. Aim for 48-64 fl oz (6-8 cups) of fluid per day.
  • Sip on your beverages, no gulping!
  • Avoid carbonated beverages, beverages containing sugar and alcoholic beverages.
  • Choose sugar-free, non-carbonated drinks such as: Crystal light®, Fruit 2O®, Diet Snapple®, Propel Fitness Water, Light Minute Maid® drinks, Diet Ice Tea, etc.
  • Limit fat free milk to less than 16 ounces per day, limit 100% real fruit juice to less than 8 ounces per day (try diluting with water).

  • TIPS

  • Wean off carbonated and caffeinated beverages before surgery to help prevent withdrawals.
  • Choose beverages with 10 calories or less per serving.
  • If plain water sits heavy and you are having problems tolerating it add a sugar-free flavoring (e.g. True Lemon®, lemon or orange slice, etc.)
  • Increase your fluid intake if any of the following signs are present: dark urine, headache, dizziness, lethargy, a white coating on the tongue.
  • AVOID eating and drinking at the same time. Avoid drinking with your meal, then wait at least 30 minutes after a meal to resume drinking.
  • Choose your food wisely, at each meal protein should be consumed first, then vegetables and fruits, then “whole” grains.
  • Exercise!
  • Aim for at least 30 minutes every day.
  • Exercise helps maintain long-term weight loss.
  • Even 5 minutes at a time, as tolerated, is a start, and increase the time and frequency as tolerated.
  • The first four weeks, the primary exercise used should be walking. After four weeks, try introducing strength exercises.
  • Always speak with your doctor if you have never exercised.
  • Protein. You need to consume at least 60-80 grams of protein per day in the form of food and/or supplements.

Protein Content of Common Foods

Portion Size

  • 1 oz dried
  • 1 oz (2 Tbsp)
  • 1 oz
  • 1 oz 1 slice
  • 1 oz 1 slice
  • 2 Tbsp
  • 1 oz
  • 1 oz (2 Tbsp)
  • 1 oz
  • 1 oz
  • 1 oz (2 Tbsp)
  • 2 oz
  • 1 oz
  • 1 oz

Portion Size

  • 1 oz dried
  • 1 oz
  • ½ cup cooked
  • ½ cup cooked
  • 2 Tbsp
  • ½ cup cooked
  • ½ cup cooked
  • 1 slice
  • ½ cup
  • 1 oz
  • drained ½ cup

Portion Size

  • 8 oz
  • 8 oz
  • 6 oz
  • 5 oz
  • ½ cup

Protein Supplements

There are many brands of supplements available (ready-to-drink or powders). Some examples;

  • Look for drinks made with Whey Protein Isolate (this is absorbed well), vs. whey protein concentrate, which has lactose, or milk sugar Strive for a protein with at least 20 grams of protein per serving Mix with skim or 1% milk for an additional 8 grams of protein per serving Aim for a product with less than 3 grams of sugar per serving. Avoid and/or limit protein collagen-based products (incomplete form of protein that is missing tryptophan, an important building block of protein)
  • Examples: Ready to drink – Atkins®, E.A.S. Myoplex Carb Sense®, Zero Carb Isopure® Powders – Designer®, Unjury®, Nectar®, Premier protein®

Vitamin and mineral supplements

  • You are required to take supplement for the rest of your life to prevent deficiencies.
  • Multivitamin; One chewable or liquid multivitamin with minerals per day. Take with food. Examples: Centrum Chewables®, Flintstone Complete®
  • Calcium; 1500 mg of calcium citrate per day (take one chewable 3 times daily) Maximum of 600 mg at one time for absorption Must contain vitamin D (at least 200 IU) Examples: Twinlab® chewable calcium wafers (2 tab, 3x a day), Citracal® plus D (2 tabs, 3x a day), Solaray Calcium plus D and Mag (2 wafers, 3 times a day)

SAMPLE Table for Taking Your Supplements

Breakfast
Multivitamin (NOT with dairy)
Snack
Lunch 500-600 mgs
Calcium
Snack 500-600 mgs
Calcium
Dinner 500-600 mgs
Calcium
Snack

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