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VSG Dietary Guidelines



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Tiffy,

Thank you so much for the link! It was just what I was looking for. You are a wealth of information. Bless you all.......:)

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KeysPirate,

Although my surgeons post op diet plan says not to add salad until 16 (LONG) weeks after surgery, I contacted his office and asked if I could earlier. They emailed me back and said if I'm tolerating most foods and not having any vomiting (I'm 9 weeks out) that I could go ahead and add in salad if I wanted to. However, to still avoid things like carrots, celery and other really hard veggies in their raw state. They also said I could try corn (I've been craving corn chowder) but to take it slow and not eat it again for awhile if it causes me any trouble. With all the vegetables and or fruits, chewing really well is the key at this stage.

Having said all that, I buy the spring mix, (tender lettuces) in the bags and haven't had any trouble with it. I rarely ate carrots before anyway, and I decided to just wait a bit longer to eat raw celery with Peanut Butter or cream cheese. I haven't had the corn chowder yet, I'm saving it for a bit of a reward after I drop another 10#. (Corn is a high carb whole grain and it sets off carbo cravings in me so I have to time it for the right time of the day so I'm not out of control all day. I will probably have it for a late supper one night).

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Hey Tiff,

Thanks for that and so glad you're feeling better. A question for the board; what's this about raw veggies? I mean, I get it, I understand why we should stay away from raw cellulose overall but... really? I wasn't a veggie maniac "before" but I hate to think I'll not be able to have salad and/or most raw vegetables from here on out. Any thoughts?? Thanks guys.

Carol

I just had to wait 3 months to have any raw veggies. I tolerate salad very well, but I steer clear of carrots and corn just out of personal preference.

I do eat celery with cream cheese and Peanut Butter occasionally, but have found it to be very filling even when I chew it really well.

I just avoid corn because the first couple of times I ate it (even cooked), I ended up burping up the shells of the corn hours later. It was a pretty disgusting experience. I found the same thing happens when I eat pickle skin. I have to slice the skin off Kosher dill spears when I add it to my tuna salad.

I'm the type of person that when something happens once, I don't test the waters again. It's been months since I burped up corn shells, or pickle skin, but I'm not willing to go through it again so I just deskin the pickles and avoid corn.

I like really rough, hearty, green leafy, spinachy, rare lettuce salads. I don't eat iceberg or romaine very often.

I eat coleslaw on occasion, and enjoy spring rolls/egg rolls loaded with cabbage.

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ewwwwww, Tiffy, i am sitting here imagining that corn shell and pickle skin come crawling up your throat. . . how gross is that. . . i had that happen with green peas, suddenly i got this sliming episode and what was in there ? Pea skins, really gross. . . like you, i'll never do peas again . . ever. . . .

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Maybe we could get this "Sticky'd" on the forum. I ran across this link and think has some really great information.

It's a long, detailed PDF file chalked full of information for VSG Patients. This covers post-op diet to vitamins/supplements, quick guide to Protein count in certain foods.

http://www.iabsobesitysurgery.com/Media/Forms/SleeveDietGuide.pdf

Thanks for the link. I found the rearranged food pyramid very interesting.

My journey has just begun after my doctor recommended this surgery. The surgery will happen by this summer. I have Kaiser insurance and they cover this procedure providing I take a 12 week pre-op class. I am glad they offer the long class because should be somewhat prepared by then and ready to succeed!

Happy to have found this great website.

Marty

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Tiffy, I am still contemplating the sleeve surgery and the diet guide you posted kind of scared me off a little. Does everyone do everything the writers of the guide insist you do? Ie. 70 mgs protien, super multi-vitamins, Calcium, B12, prilocet, food restrictions, no sugar ever, etc. etc. Although, thanks for posting it.

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Tiffy, I am still contemplating the sleeve surgery and the diet guide you posted kind of scared me off a little. Does everyone do everything the writers of the guide insist you do? Ie. 70 mgs protien, super multi-vitamins, Calcium, B12, prilocet, food restrictions, no sugar ever, etc. etc. Although, thanks for posting it.

Every program is different. There are so many guides out there for sleeve patients, but it seems the standard is:

60-70 grams of Protein ( once you get off the post-op diet, it's extremely easy to get 60-70gr of Protein from food sources)

64ounces of clear fluids a day

keep your carbs low (I did no more than 30grams during my losing stage some do more)

I take 2 multi-vitamins a day, 1 B12 every other day, 3 calcium citrate, 2 Omega 3s. My program said 1 Multi-Vitamin that provides 100% of the DV. I just started taking the Omega3s for other reasons not related to the sleeve.

I eat sugar now, and have for a few months. I started adding more carbs, and higher calorie foods around the 4 month post-op mark. I wanted to lose as much as I could during my "honeymoon phase" and wasn't willing to sabotage my efforts. Everyone's journey is a little different.

In my opinion, the sleeve dietary guidelines are far more lenient than RNY or Band.

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Maybe we could get this "Sticky'd" on the forum. I ran across this link and think has some really great information.

It's a long, detailed PDF file chalked full of information for VSG Patients. This covers post-op diet to vitamins/supplements, quick guide to Protein count in certain foods.

http://www.iabsobesitysurgery.com/Media/Forms/SleeveDietGuide.pdf

Thanks so much for this great post! I decided to print out all 32 pages to keep on the table so I can access it immediately! This does contain great info! :thumbup1:

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I am glad I found this site. It has a lot of interesting information. Thanks to everyone who has posted on this thread, it has provided me with valuable information.

I thought I would added another Sleeve Dietary Guide I found from Weill Cornell Medical College - Cornell University. I hope this will provide another valuable tool to those who are thinking about a VSG procedure or those who are in Post-Op status.

http://www.cornellweightlosssurgery.org/pdf/dietary_guidelines_sleeve_gastrectomy.pdf

weight.png

Maxium Weight: 378 lbs

Sleeve Date: 5/17/2010 - Dr. Sebesta

Surgery Day Weight: 348 lbs

Current Weight: 327 lbs

Goal Weight: 220 lbs

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Thanx for the great resource!! I am always on the lookout for more info about dietary guidelines.

I am about 6 months out now and I can eat almost anything, except potatoes and bread. I was a total carb-a-holic before my sleeve, but I don't really miss them now...I thought that was going to be the hardest part, but it hasn't even been an issue. :thumbup:

I'm so glad to have found this website...I will definately be a regular. :)

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Thanks for this! It will come in handy!

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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