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Purpose of Pre-Op diet???



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I'm in the 2 week pre-op 1200 calorie a day pre-op diet phase. Today is day 3. So far, I haven't been able to keep my calories at 1200. I usually end up around 1500-1700. I wear the bodybugg and work out a lot so I always have a deficit of over a 1000 calories. I'm scared because I'm fighting so hard to watch what I eat and write every thing down. If I can't do THIS... am I making the right choice? I've GOT to up my veggie intake for sure. Any diet suggestions on how to get through a very physically active day without feeling dizzy on 1200 calories a day? I'm thinking I may have to go extreme low carb in order to do this.

What is the specific reason for such a low cal diet for 2 weeks right before the surgery? What if I never make it to 1200 a day but I still lose some weight because of my activity level? I'm so nervous about the 2 day liquids only diet right before surgery. Am I strong enough for this? I thought I was. I've been working on me and this and this decision for over 2 years. I'm nervous.

Maybe if I understood the reasoning behind the strict diet prior to surgery it would set it my mind better. I need a logical/scientific answer to repeat in my head throughout the day so that I can make my mind convince my body to do what it needs to do!! (hope that makes a little sense.... I'm a student by nature and do better when I understand the "why's")

Can anyone help?

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I forgot to mention that my Basal Metabolic Rate is 1646....its actually gone up even though my weight has gone down since I'm building muscle. If I'm burning an average of 3200- sometimes 4000 calories a DAY ... doesn't 1200 a day seem a bit extreme? I understand I won't be burning that much for quite a while after surgery due to recovery, etc.... I have been told it will take some time to get my energy levels back up to where I am now and I only plan on continuing to build back the body I once had (athlete). I read somewhere that the strict diet makes your liver shrink?????

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Others will have more specific information, but the short answer for why your surgeon put you on the preop diet is to shrink your liver prior to surgery. When the band is being placed, they need to retract your liver out of the way so they can reach the upper part of your stomach. The more liver there is, the harder that is to do. The preop diet will shrink the liver by as much as 10 to 15%, which makes the surgery easier to perform, and there is less risk of damaging it. So by staying on the diet you're actually helping yourself. (The very low calories seem extreme because they are - this isn't about healthy nutrition for long term living, it's about getting you ready for surgery.)

If you're concerned about your daily regimen, or being unable to do as your surgeon suggests, you should call and ask about it. They may have alternate options for you. I only did one day of preop diet, but I did three weeks of liquids only diet after surgery. Every surgeon has his/her own requirements.

Good luck! And hang in there - it's worth it.

Dave

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My surgeon required a 2 week pre-op diet that consisted of:

Protein shake for Breakfast and lunch.

2 servings of fruit

Lean Cuisine or Smart Ones for dinner

and unlimited sugar free and sodium free Clear Liquids.

I'm consuming around 900 cals/day but I feel great! The Protein shakes really keep me full and Pure Protein Rich chocolate powder with 8oz milk, 1/2 banana and some ice cubes is fab!!!

The benefits are so much better, in my opinion, than just shrinking your liver, although that is it's primary function. The particular diet I'm following can shrink it by as much as 25%. I'm also sleeping better, in a better mood and have lost around 11lbs. I'm due to be banded in 6 days! Can't wait! Good luck on your journey!!!

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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.
      · 0 replies
      1. This update has no replies.
    • 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💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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