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Bariatric Food Pyramid



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Here is the pyramid I was working on for someone on bandsters yahoo so i figured id post it here also... I don’t have my scanner up so I couldnt scan in what i got in my newsletter from the surgeons office. Instead, I just made a new one based on what was given to me from my surgeon's newsletter. I hope this helps many of you who just aren’t sure and weren’t given very good instructions. This also is great if your trying to get back on track. The article, though long, is very informative and useful for any weight loss surgery.

pyramid.jpg

food Guide Pyramid pictured at the above link was designed to provide you with a visual guide of nutrition recommendations after bariatric surgery. I copied this information from my surgeon's office to share with you. Please talk it over with your surgeon because every surgeon's recommendations are different.

Protein: Protein is on the bottom of the pyramid which means that this should be the foundation of your diet after undergoing weight loss surgery. Protein, especially in the first 3 months after surgery, is the most important macronutrient in the diet. We focus on protein intake because our body’s daily functions depend on the amino acids that make up protein. Proteins carry out the work of the living cell by serving as transporters, hormones and enzymes to build, repair and maintain the body's tissues and immune function. Therefore, we recommend you to aim to eat 8-10 ounces of protein per day which is equivalent to 56-70 grams. For example, a cell phone is approximately a 3-4 ounce piece of chicken, fish or meat (depending on thickness) and a computer mouse is about 5-6 ounces. A good way to ensure you are eating adequate protein is to aim for 3 ounces at every meal. Protein sources include low fat or fat free dairy, legumes, lean fish, poultry meat and soy based products.

VEGETABLES: The next food group you should focus on is vegetables. Two servings of colorful and leafy vegetables are recommended daily. A /2 cup of cooked vegetables is probably easier to tolerate at one time than 1 cup of raw vegetables for some people. The more colorful, the more nutritious. Look for deep green, red and orange vegetables. Vegetables not only provide you with essential Vitamins, minerals, and antioxidants, but also much needed Fiber for bowel health and regularity.

FRUITS: Two servings of fruits are allowed, but remember, fruit skins should be peeled to avoid blocking the gastric outlet or other digestive problems. One serving of fruit would be a small banana, the length of your pinky to your wrist. 15 grapes, or 1/2 cup of sliced fruit (rinsed, not in syrup!) Fruit is also an excellent source of fiber, vitamins and antioxidants.

CARBOHYDRATES: The feared carbohydrates: grains, Beans and starchy vegetables are in one group. (if you recall, legumes (beans) are also a good source of protein). Initially you were told you will not tolerate Gummy breads, rice, or Pasta which still may be true for many of you. However; adding 2-3 ounces of whole grain to your diet after WLS is not going to sabotage your weight loss. In fact, it may help you feel full due to the swelling properties of starch and the filling properties of fiber in the mature pouch. I often recommend 1-2 slices of the light whole wheat bread on the market which has more fiber and half the calories as regular whole wheat breads. The remainder of the carbs in the diet should come from starchy vegetables (like yams) that provide fiber, and other vitamins to complement those found in whole grains.

FATS: Fats should continue to be limited as it imparts more calories per gram (9 calories per gram) than do protein and carbohydrates (4 calories per gram) however, fat is necessary in the diet for Vitamin absorption and for survival. A major source of saturated fat is from fatty meats/protein. Condiments like Salad Dressing, Mayonnaise, cheese dips, creamy sauces, high fat milk and dairy products and fried foods. These you want to avoid. Select healthy fats from olive and canola oil, a couple slices of avocado, or a few tablespoons of slivered almonds on a salad or in a light yogurt. Whenever you are given the choice of low-fat or light dressings, choose those instead of the original full-fat counterparts. You save approximately 120 calories 120 per 2 tablespoon serving! Also use Portion Control when utilizing even the healthy oils. Each tablespoon contains ~130 calories. That's approximately once around an 8" pan if you free pour while cooking.

Although Fluid intake is not shown on the pyramid, adequate hydration is just as important as choosing a healthy, balanced diet. You should aim for at least 64 ounces (8 cups) of caffeine-free fluids each day to prevent dehydration and Constipation. Remember, fluids should be as calorie-free as possible, (I recommend fluids be no more than 45 calories per serving with the exception of some protein supplements and low fat milk) and they should be sipped between meals. Avoid high calorie juices, smoothies and fancy coffee drinks. Save your calories for the enjoyment of whole, nutritious food!

Article by Carol Signore, MAT, LMFT, FAED

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Thanks! This is a good reference article to keep on hand!

My GP said to me, years ago, that whatever Government official gave his/her seal of approval to the OLD food Pyramid (the one we all grew up with!) should be shot at sunrise for KILLING tens of thousands of people and causing hundreds of thousands more to develop Type II diabetes!!!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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