Progressive Post Bariatric Surgery Diet Guide:

There are so many people asking questions about what to eat so I thought that I would share this with everyone....

Progressive Post Bariatric Surgery Diet Guide:

LIMIT INTAKE TO 4 - 6 OUNCES OVER 60 MINUTES TO AVOID STRETCHING OUT STOMACH POUCH

Stage1… CLEAR-LIQUIDY Puree/Blenderized Foods (thinned, easily pours out of a glass, no chunks,Cream of Wheat consistency) 500 - 700 calories

60 - 75 grams of Protein DAILY

Weeks 1-3 Cream of wheat, cottage cheese, applesauce ,yogurt,

sugar free pudding, light yogurt, blenderized Soup

Stage 2… PUREE /Blenderized 700 - 900 calories

4 - 6 weeks pureed foods: Mashed potatoes, pureed meat, pouched

egg, etc

Stage 3……… GRADUAL Reintroduction of SOFT Foods 1000 - 1200 calories

After 6 weeks Eat small 5 - 8 meals (up to 6-9 month)

E.g.: cooked vegetables, soft meat, fish,

Stage 4……….3 -6 Small Balanced Meals 1000 - 1500 calories discussed with post- op care manager or Dietician for calories recommended.

9 months - on Encourage high protein, 100 calorie Snacks.

For Lifetime

Remember Your Priority DAILY:

1. Hydration: Goal: 8 cups (64 oz) or more

Herbal Tea: Chamomile, Mint

Clear Broth: chicken, Beef, Vegetable

Water, sugar free beverage (use sparingly) No sodas, no juices!

Stop water intake 30 minutes before and resume 45-60 minutes after meals

2. Adequate Protein: Goal: 70-100 gram

Protein powder, Optifast HP, Isopure, etc

3. Balanced Meals: Eat Protein-Vegetable-Fruit-Starch-Dairy products

each meal

Recommended supplements after Gastric Sleeve

Need to be liquid or chewable for first 3 weeks after surgery.

Multivitamin

Choose with minerals; must have zinc, folic acid, selenium & copper

One serving size per day. See label may be 3 pills

Suggested brands: Natures Blend, Theratrum Complete, Kaiser Multiple

Daily with Minerals, Centrum, costco Kirkland, Walmart Equate, One A

Day Maximum

If there is less than 18 mg Iron in the multiple Vitamin w minerals,

add 18 mg iron daily

Avoid senior or mature Vitamins as they lack minerals. Avoid weight

smart or metabolism boost vitamins as they contain caffeine. Avoid

children's vitamins which are incomplete for adults

Calcium 1000 mg per day, includes what you get in your diet

Suggested Brands: Citracal, Nature's Blend, Walmart Equate,

Bariatric Advantage crystals or chews, Liquid: Wellesse

You can only absorb 500-600 mg at a time. Take in divided doses

Vitamin D 2000 International Unit daily, usually adequate amounts in multivitamin, calcium & diet

B1 (Thiamine) 50 mg 3 times a week

Important If you have frequent vomiting; start as soon as tolerated

Sleeve can stop after first 6 months

B-12 (Cyanocobalamin) 1000 micrograms 3 times per week

Take under the tongue or by mouth

Continue to advance your activity as tolerated from 10 minutes twice daily to 40-60 minutes daily of physical activity to ensure achievement of your weight loss goal.

SUPPORT GROUP

Our bariatric support groups meet as follows:

1st & 3rd Mondays of the month 6:00 to 7:30 pm

2nd & 4th Thursdays of the month 6:00 to 7:30 pm

2nd Saturday 9:30- 11:15 am.

No appointment is necessary and there is no co-pay.

I encourage you to attend. Support groups are very helpful to patients who have had bariatric surgery because these groups:

-Give you a place to share your experiences and concerns

-Can be source of information to help out with the recovery process

-Help to you remember that you are not alone on this journey to health

-Give you an opportunity to talk to other patients

-Help you to develop new and healthy habits in a supportive and positive environment.

Research has found that people who attend support groups after surgery actually lose more weight than those who do not go to the groups. So please take some time in your schedule to attend!

RESOURCES

www.kp.org/MISG for information related to bariatric surgery, including shopping list, food recommendations, etc.

Report any abdominal pain, nausea/vomiting/diarrhea, weakness to surgeon or Primary care physician (M.D.) . Shortness of breat, chest pain/pressure call advise nurse for screening for UCC or ER appointment.