Guidelines... Please help

[AshWalker 7]

My surgeon is amazing please don't get me wrong. However, I feel like he gave vague instructions on what to do. His guideline, after hospital full liquids, skim milk, Protein, sf Popsicles, strained Soups, Water water water, ect... Then he says 7-12 days post op puréed food, baby food, cottage cheese.... I know low cal, low carb but I'm not sure how many cal a day, how many carbs can I have a day. I don't know I'm so lost. I have a general idea of what I can eat, but I was hoping maybe y'all could help me. I want to be successful I need to lose 150-200 lbs!!! Like what foods are huge no no's, I know the obvious fatty high cal/carb. Also I was told no pills for headaches, so today I had my first follow up and I asked him about the no no's and he said I can take pills, Tylenol, aleve, Advil ect also I can drink through a straw (when I've heard many on here say that their surgeons said no straws) that those no no's are for gastric bypass.... Any and all advice is greatly appreciated!!!!

[Macy6 356]

That is quite difficult. I am allowed pills, have been since day 2. I am not supposed to use straws. I can tell you what my nutritionist says....

Full Liquids: 60g of Protein, portions are around 1/2C and you are taking that in around 6 times a day. Water around 64oz a day. My rules are 5g of sugar or less and high Protein for Protein drinks.

I start Mush/Fork soft foods at 2 weeks: Rules: Meals are 1/4C to start and 1/2C as you get further in. Protein first, 20-30m to eat a meal.

Recommended:

eggs

Light/LF yogurt

Flakey white fish

tuna

Small shrimp

Tender cooked or ground beef, pork or poultry

Beans and Lentils

FF refried Beans

LF deli meats

LF cottage cheese

Shredded or soft skim or 1% milk fat cheese

Tofu

Other Foods:

oatmeal

Cream of wheat

Soggy Cereal

Cooked soft veggies

Soft fruit without skin

Crackers and toast chewed well

Potatoes, soft and mashed

Low fat Soups w/o large chunks of meat or veggies

Avoid:

Fresh bread

sticky rice

Pasta

Mac n cheese

melted stringy cheese

Peanut Butter

Raisins (dried fruit)

all raw veggies, salad, all lettuce

skins of fruit or veggies

nuts, seeds, granola

popcorn

chips

coconut

tough or chewy meats: steak, pork chops, ham, hot dogs

corn/peas (unless pureed)

Butter

Salad Dressing

sour cream

cream cheese

mayo

gravy

fatback/bacon

sausage

whole milk

whole milk cheese

fried foods

processed meats

chips

Desserts: cakes, Cookies, ice cream etc...

I am on that for 10 weeks.

Good Luck!

[VSG AJH 499]

I agree it can be a little confusing. I'm still in the pre-op stage and still learning, but at one class, the NUT went on and on about chewable vitamins. I've been taking food-based, non-GMO Multivitamins for a little over a year now and asked if I could just continue those. She told me no and said chewable was best for the new sleeve. This week, she called me at home after my lab work came in to have me add Vitamin D and Iron. I asked about chewable and/or sublinguals, and she said pills were the best & most reliable bet and just fine on a new sleeve. So confusing!!

[AshWalker 7]

Thank you Macy that helps a lot!!!

[AshWalker 7]

That is confusing, so are you just going to do pills then?

[Arts137 1,811]

KEEP IT SIMPLE right after surgery. Focus on liquids and then Proteins. Ignore anything else for a couple months.

And do what your program says as best you can!

[nervousnelly 24]

I have the same issue! My Nut and surgeon contradict each other all the time! Even the paperwork they hand out does! You can get sample diets online that I have used as a guide.

I am still on liquid and yesterday surgeon said not to worry about fat and carbs for at least 6 weeks!

Good luck

[marfar7 1,528]

I'll letcha know. I have my 1st appt with the RD today at 11am (and I'm almost 8 weeks post op).

One thing that I've noticed that is different from my MD's advice from the others here is mine says not to do low fat versions of anything cept dairy products. Everything else (including mayo) is sposed to be full fat. Keeps u satiated a bit longer. And fat doesn't make u fat, thats the old thinking. Yes, there's more calories in a gram of fat than in Protein or carbs but those all come out in the wash.

And since doing so, I feel so much less deprived. Let me tell how exhilarating it is using regular salad dressing instead of fat free. Or worse - calorie free, fat free=taste free.

So the only low fat product I now use is 1% milk (oh, and light yogurt. I actually don't like regular yogurt). Can't do skim milk, reminds me of breast milk (see thru)

Shows how different our drs and RD's are...

[Macy6 356]

Everything else (including mayo) is sposed to be full fat. Keeps u satiated a bit longer.

I couldn't agree with you more. I honestly kind of worry about the lack of fats by eliminating so much. Everything in moderation. There are some things I just can't stand lower in fat, like cottage cheese for some reason.

[Bufflehead 6,358]

I agree, we need good healthy fats in our diet. For one thing, that's how we can use fat-soluble vitamins! I don't eat artificially reduced fat anything (salad dressing, mayo, etc.). Have you ever read the ingredients in those things? They usually contain sugar, high fructose corn Syrup, and a laundry list of unrecognizable chemicals and frankenfoods. No thank you! I do watch my calories to make sure I am not going overboard and also keep my fats under 30 gm per day but do it without using fake "fat free" stuff.

[SleevedJune62013 167]

Here's what I was given. Hope it helps somewhat.

[smm 26]

I use extra virgin coconut oil to cook with and I don't use butter anymore...I spread coconut oil on toast (Ezekiel bread) and lightly dust with organic garlic salt...my whole family caght on and loves it! Look into "ghee" also. As for omegas 3-6-9 there are many flavored ones at GNC and health food stores, that and Vitamin E I put in my Fage yogurt easy and yummy!

[AshWalker 7]

Thank you all this helps a lot!

[smm 26]

No problem anytime!