Diet Tips To Prepare For Bariatric Surgery
Reversing poor eating habits that lead to weight gain takes time, and the months leading up to bariatric surgery are an ideal time to implement dietary changes that will ensure long-term maintenance of healthy weight.
Research has found that patients who lose weight during this preparation period tend to lose more weight after the surgery and are more successful in long-term weight maintenance.
After surgery, your stomach will be considerably smaller, so pre-operation is the time to decrease the amount you eat to prepare for this. At the same time, it is vital that your diet is low in calories for weight loss, but high in nutrients that will ensure successful healing and recovery. So here’s five tips for successfully preparing your diet before surgery.
1. Choose nutrient-dense foods
Make sure you include fruits, vegetables and salads, as these contain fibre to help you feel fuller for longer, as well as nutrients vital for the healing process such as vitamin C.
2. Eat proteinIncluding protein with every meal not only slows down digestion but helps to preserve muscle during periods of rapid weight loss.
3. Include omega-3 fatty acids
This is important as omega-3 helps to reduce inflammation both pre- and post-operation, so eat small portions of oily fish and flaxseed.
4. Avoid nutrient-poor foods and drinks
5. Be aware of portion sizes
What Protein Supplement Should I Use
Protein supplements are used in the pre-bariatric surgery diet to help preserve your muscle mass. But when youre looking for a protein supplement the options can be overwhelming. It seems like there’s a new protein supplement coming out all the time. My suggestion is to begin using a protein supplement that you will be drinking after bariatric surgery.
The American Society for Metabolic and Bariatric Surgery recommends using a protein drink that contains whey protein isolate. Your body will absorb this type of protein source the best. However egg white, casein, milk and soy are also highly absorbable sources of protein. Look at the ingredient list of your protein supplement and make sure one of these sources of protein are listed. I suggest your protein supplement has at least 20 g protein per 8 oz.
Its also important to minimize the fat and sugars in your protein meal replacement as well. My suggestion is to choose a protein supplement that has less than 5 g of sugar and less than 3 g of fat.
Options for good choices of bariatric protein drinks include:
Whats The Recovery Period
Recovery time varies depending on the type of surgery. Recovery from restrictive weight loss surgery like the intragastric balloon usually takes at least 1 week, and with a gastric bypass, it is often up to 4 weeks
Because of new techniques, weight loss surgery can often be performed with minimum invasion, via small incisions. In a few centers around the country, weight loss surgery is even done on an outpatient basis.
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Carrots : Nutrition Facts And Health Benefits
The carrot is a root vegetable often claimed to be the perfect health food.
It is crunchy, tasty, and highly nutritious. Carrots are a particularly good source of beta carotene, fiber, vitamin K1, potassium, and antioxidants .
They also have a number of health benefits. Theyre a weight-loss-friendly food and have been linked to lower cholesterol levels and improved eye health.
Whats more, their carotene antioxidants have been linked to a reduced risk of cancer.
Carrots are found in many colors, including yellow, white, orange, red, and purple.
Orange carrots get their bright color from beta carotene, an antioxidant that your body converts into vitamin A.
This article tells you everything you need to know about carrots.
The nutrition facts for two small-to-medium raw carrots are:
- Calories: 41
Carrots are mainly composed of water and .
The carbs consist of starch and sugars, such as sucrose and glucose .
They are also a relatively good source of fiber, with one medium-sized carrot providing 2 grams.
Carrots often rank low on the glycemic index , which is a measure of how quickly foods raise blood sugar after a meal.
Their GI ranges from 1660 lowest for raw carrots, a little higher for cooked ones, and highest for puréed .
Eating is linked to numerous health benefits and considered particularly beneficial for people with diabetes (
What You’ll Get From The Bariatric Surgery Presurgical Lifestyle Program
- Six, monthly bariatric presurgical lifestyle classes to fulfill insurance requirements
- Personalized lifestyle preparationand diet to prepare for bariatric surgery and long-term maintenance
- Solutions to problematic eating behaviors and nutritional issues
- Help identifying and managing eating sabotages
- A realistic exercise program for life
- Private bariatric nutrition consultations
- Support from the program’s multidisciplinary team of:
- Bariatric surgeons
- Exercise specialists
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Can I Eat Any Solid Food
While pre-op diets consist mostly of liquids during the week or two prior to surgery, youll be able to eat solids up until that point. In some cases, you may also be allowed some solids or semi-solids before your operation, but liquid intake will be more of a priority the closer to surgery you get. It will also continue for a while post-op, after which youll start to slowly phase in solids.
Some of the solid foods you might be allowed to consume are:
- Watered down hot cereal, such as cream of wheat, grits, or oatmeal
- Light yogurt
What If I Cant Follow The Pre
Pre-op diets begin preparing the patient both physically and mentally for the major dietary changes that are necessary for weight loss surgery to be successful. Even though the focus of the pre-op diet is to mitigate surgical risks, it is also the beginning of the dietary commitment you are making when you decide to have any type of bariatric surgery.
A major change to your diet before and after gastric sleeve surgery is not something you can eliminate from the equation. Dedication and a firm commitment must be made by the patient for any type of bariatric surgery to result in health-altering results. If you feel that you will not be able to follow a short diet to prepare yourself for a safe surgical procedure, you need to consider if you will be able to maintain the dietary restrictions required after the surgery. It is not going to be easy but it is possible. Others have successfully done it, and you can too!
If you are looking for answers related to bariatric surgery, you are in the right place! We are here to help you with your weight loss questions and would value the opportunity to help you on your journey to wellness. Contact IBI Healthcare Institute for a consultation today to find out more. The day you have your consultation is one day closer to a healthier you.
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Reason #: Clean Stomach
I have a story that will explain reason #6 very well.
Back in 2009 when I was a chief resident I did a laparoscopic sleeve gastrectomy with one of my mentors. We did the case normally and the patient had absolutely no issues but a lot of things could have gone wrong for the patient just because he didnt follow the diet.
During his surgery, we notice that the patients stomach was larger and heavier than normal but we divided the stomach without issues. At the end of the procedure, we did a routine endoscopy to evaluate the sleeve and to check for leaks. An endoscopy is basically putting a camera through your mouth down to the stomach so we can see the stomach from the inside.
To our surprise, we found pieces of chicken between the staple lines.
Are you kidding me? The patient put his own life at risk for a piece of chicken right before surgery. Again nothing happened to the patient but the learning point here is dont do it.
Its not worth it.
Apparently this patient was a sleepwalker and the night before the surgery he went to the fridge and eat some leftover Chinese food with chicken broccoli.
We need your stomach clean. Old pieces of food inside the stomach will increase the chances of complications. It also increases the number of bacteria inside your stomach, again increasing the chance of infection.
Also, it will feel very good to you knowing that you put your best foot forward. Yes, You did it.
Find A Support And Accountability System
We recommend that bariatric patients find a support system it can be friends, family, or a group of current/past patients at your bariatric clinic. By enlisting support, you are not only holding yourself accountable, but others are holding you accountable. We have seen it first hand patients who decide to do it all on their own are not as successful with their weight loss as those are who find support.
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What Is The Liquid Diet Before Bariatric Surgery
The liquid diet before bariatric surgery is a liquid-only diet prescribed to patients two weeks before their scheduled surgery date. This diet involves 4 to 5 vitamin-fortified protein shakes every day without any food or additional calories. This diet is essential to maximize your surgical safety and healing following surgery. It also helps kick start weight loss, helps ensure success of the bariatric procedure, and can help patients develop an idea of what their weight loss journey will be like post-surgery.
National best practice guidelines have identified this liquid diet as a clear way to reduce the operative risk associated with large fatty livers. Many patients suffering from obesity develop fatty livers, meaning their liver enlarges due to fatty infiltration as theyve gained weight. Because the liver sits on top of the stomach, a large fatty infiltrated liver can make it much more difficult to access the stomach and introduce unnecessary risk.
The liquid diet is proven to help reduce the size of fatty livers before surgery, producing a much safer operative environment.
Gastric Sleeve Diet: Pre
Gastric sleeve surgery is a safe and clinically proven method for reducing body weight. The procedure involves decreasing stomach size by separating the upper part of the stomach, called the fundus, from the rest of the organ. A smaller stomach means a smaller appetite. You get full quicker and are therefore less likely to overeat.
The effectiveness of gastric sleeve surgery depends a great deal on your pre-op and post-op diet. Below are some guidelines on maximizing the gains from a leading weight-loss procedure.
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Losing Weight Before Gastric Sleeve Surgery
It has been documented that the higher a patients BMI the more likely they are to experience complications.
BMI Stands for Body Mass Index and its a quick and effective way for medical professionals to determine a patients level of obesity.
In fact, this study found that the odds of postoperative complications increased by 2% with every point increase in BMI. So for every single BMI point decrease, you can accomplish before surgery you significantly decrease the chance of post-op complications.
The proper diet leading up to your sleeve gastrectomy surgery is particularly effective at producing rapid weight loss as quickly as possible, while still being safe.
Lean On Your Loved Ones And Share Your Decision The Procedure And Its Implications Too
Due to the nature of weight loss surgery and subsequently, little information relative to it, you may feel reluctant to share the decision of having one with your loved ones, family or friends. It is a personal decision, and if you are an adult, you have the right to keep it private. However, it is not recommended. It would be ideal if, at least one person. The one you can count on in your life knows about your decision to undertake a weight loss surgery.It is necessary that you have someone to lean on during this process, both the pre-operative and post-operative periods. The process will be more straightforward if the load is shared. Furthermore, he/she can act as your caregiver and remind you to follow the doctors orders, plus it will be great knowing you have someone you can count on.
Having someone informed of your decision also helps in making a solid choice, as they will advise you here and there.
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What Can I Have During The Pre Bariatric Surgery Diet
Most surgery centers require patients to only drink low calorie, sugar and caffeine free beverages in conjunction with an approved protein supplement.
This usually includes the following:
- Flavored waters like Crystal Light or Propel
- Miso broth
- Approved protein supplement
During this pre-op liquid diet period I typically suggest to aim for 64 oz fluid in addition to the protein supplements. Make sure at least half of your fluids are coming from pure water. I encourage my clients to focus on water, broth, fruit infused waters and herbal teas during this stage and less on products that include artificial sweeteners.
How Many Protein Supplements Should I Drink
The amount of protein drinks you consume each day will depend on two things:
The type of protein supplement
Your personal protein goals
Each protein drink contains different levels of protein. As stated before, I suggest choosing a protein drink with at least 20 g of protein per 8 oz. If you choose a protein drink that contains less protein then you will have to drink more protein supplements to meet your protein goals.
Your individual protein goals will be determined by your dietitian. Most surgery centers recommend consuming 60-100 g protein a day. The exact amount varies based on your current weight, height, gender and how active you are. Your dietitian will help you figure this out. But aiming for 70-90 g protein a day tends to be a good bet.
Physical Activity And Exercise
Its time to start exercising. Actually, you should have started on stage 2. Walking, running, biking, weight lifting, aerobics, canoeing, badminton, hiking, and dancing in your bedroom like a crazy person can all be added to your weekly routine. Ensure that you are getting at least 30 minutes of exercise 5 to 7 days a week. It doesnt matter how you do it, just do it.
Note: Do not lift more than 10 pounds for at least 6 weeks after surgery. This can put undue pressure on your internal stitches and result in a hernia.
Question : What Can I Eat Before Bariatric Surgery
In the weeks and months prior to surgery, your relationship with food will start to change. Youll begin to consider how you eat, when you eat, what you eat and most importantly why you eat.
Under the guidance of a Temple dietitian and bariatric surgeon, youll also start to lose weight. As this transformation takes place, you may begin to notice a different way of thinking when it comes to food. This will help prepare you for the weeks and months after weight-loss surgery, when your eating schedule will change.
Pro tip:Register for a free introductory seminar with the Temple Bariatric Program team. Youll learn about bariatric procedures such as Roux-en-Y gastric bypass and gastric sleeve, and talk with members of our bariatric team to learn all you can.
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What About My Medications
Certain medications must also be discontinued prior to surgery. Included are:
- Arthritis medications
- NSAIDs, including aspirin and aspirin alternatives, such as Tylenol, Advil, Motrin, and Aleve
- Herbal supplements
- Anticoagulant medications
Be sure to ask your doctor for more details and if you have concerns about medication restrictions prior to surgery.
Reason #: Lean Muscle Preservation
During rapid weight loss, its almost impossible not to lose muscle mass. That is particularly true after bariatric surgery.
Malabsorption procedures like the Roux en Y Gastric Bypass and Duodenal Switch are notorious for this.
One of the main ways that bariatric surgeons try to minimize the issue is by increasing protein intake on the diet.
It starts with a liquid diet.
Remember that I said the Pre Bariatric Surgery Liquid Diet is a HIGH PROTEIN DIET. Most bariatric surgeons will recommend at least 60-80 grams of protein per day. That number is related to your weight and activity level.
If you work out a lot, you will need a higher concentration of protein in your diet. Consult with your doctor and/or dietitian to see how many grams of protein you should be getting on a daily basis.
Patients with kidney and/or liver disease should be careful how much protein they intake as this can be detrimental to their condition. If you are on dialysis or have liver cirrhosis please consult with your provider before starting the Pre Bariatric Surgery Liquid Diet.
Many patients, especially female patients think that in order to lose weight the need to spend countless hours on a treadmill. Cardio is definitely important but remember to alternate your workout. Lift weights several times a week to preserve and to gain muscle mass.
Work out the big muscle groups like the hamstrings and the back muscles. Use muscle confusion to your advantage by alternating between cardio and weight training.
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Recognize A Food Addiction And The Importance Of Physical Activity
If you have a food addiction, youll need to address that before surgery. A mental health care provider is often helpful to help you identify what role food is playing in your life and help you develop health alternatives. Having a smaller stomach through bariatric surgery is not going to fill the emotional needs that eating meets.
Many people use food to deal with daily stress. However, this is a short-term way to manage your problems and creates further issues down the road. Knowing this and broadening your perspective may help you to realize the value of limiting your consumption and making healthier food choices.
You have to be at the point where you want to change, feel better and have other activities take the place of eating, Schulz says.
Learning to manage food is imperative after surgery to maintain weight loss because:
- Your food intake will be sharply restricted, particularly for the first few months.
- You have to eat slowly a small meal should take at least 20 minutes to consume.
- A healthy diet is important grazing on junk food will sabotage your ability to lose pounds.
Sometimes were discouraged by how much exercise it takes to burn calories.