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Low Bmi Still Have To Do Pre Op Diet?



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Has anybody's doctor told them that because they have a bmi of 34 they didn't have to do pre op diet??

Just wondering

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Like Benjamin said it's usually has to do with your liver. Also the preop diet prepares you for the first few weeks post op. Getting your used to doing liquids and such.

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My nutritionist said everyone has to do the pre-op diet but the length of time you have to be on it is determined by your BMI. So if I can get my BMI lower i won't have to be on the preop diet as long , which in my case is alternating between 800 and 1200 calories a day.

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My doctor requires a 10% loss before surgery (except in low BMI cases). I was required to stay the same until insurance approval. Now she would like me to lose a little if I can to help with the liver shrinkage. She explained that a fatty liver is easily damaged during surgery because it's so much softer. The retractors can slice right thru a really fatty liver. During weight loss the liver shrinks and is harder to damage during surgery. No pre-op diet for me, just Clear Liquids the last day and nothing after midnight the night before and the day of.

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Surgeons' policies on pre-op diets vary widely in length, composition and intent of the diet as well as whether or not one is needed at all. Diets for the sake of weight loss or post-op practice are of dubious merit while those for "liver shrinkage" do have some value for those docs who need that extra help. My doc doesn't do pre-op diets, other than the typical day-before surgery diet, no matter what the patient's BMI is. The best thing is to check with the surgeon or his office to see what his practice is.

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I had a low bmi and didn't need a pre-op. However I used the week before surgery to wean myself off caffeine and sugar,. Lost 5 pounds that week LOL

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I lost weight on the program the NUT gave me during my 3 month insurance directed visits. At my pre-surgery visit, the doctor said I wouldn't have to do the Protein Shake diet for a week before surgery. I do have to do the clear liquid the day before surgery.

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    • LeighaTR

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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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