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Received Surgery date...now pre-surgery diet for 6 weeks



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Hello all,

Just saw my surgeon after almost a year of waiting following removal of lap band last April. My Doctor finally set a tentative date for May 6, 2015 for my surgery. I am excited that I now have a date set as I have struggled this past year. Not surprisingly I have gained weight following the removal of the lap band. My doctor has started me on a pre-surgery diet not so much to lose weight but to shrink the liver and give him space to move around inside me to do sleeve and also to take care of a hernia as well. Now its up to me to stay on this diet. I can have a Protein Shake for Breakfast another one for lunch and a sensible portion controlled meal at dinner. He suggested using lean cuisine or healthy choice as examples for meal portions. I hear of people having problems with a 2 week pre-op diet but at almost 8 weeks I hope I can hang in there and not cheat as I really want to have this surgery done and start my journey to my new life. He did say I can have diet Jello and popsicles so I hope its not too bad.

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Wow!! That's a long pre-op diet! I was just given mine ( for two weeks) and I thought that was bad! Well I pray for you, and just hang in there! I'm day two and it already sucks!!

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Unless there is some unknown medical reason, I don't think this is a healthy diet and 6 weeks to shrink the liver is completely unnecessary. Personally, I wouldn't follow it. What I would follow is a HEALTHY diet with lean Protein, fruits, and vegetables.

I also think that regimen is potentially unsafe as you would be severely limiting calories for an extended period of time, then having surgery, after which you will be severely reducing calories.

Perhaps you can call the doctor's office and talk to the nutritionist?

Here is what the American Society of Metabolic and Bariatric Surgery says on their FAQ page:

http://asmbs.org/patients/bariatric-surgery-faqs

Will I have to go on a diet before I have surgery?

Yes. Most bariatric surgeons put their patients on a special pre-operative diet, usually 2 or 3 weeks just before surgery. The reason for the pre-operative diet is to shrink the liver and reduce fat in the abdomen. This helps during the procedure and makes it safer.

Some insurance companies require a physician-monitored diet three to six months prior to surgery as part of their coverage requirement. These diets are very different from the short term diets, and usually are more about food education and showing a willingness to complete appointments and to learn.

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Unless there is some unknown medical reason, I don't think this is a healthy diet and 6 weeks to shrink the liver is completely unnecessary. Personally, I wouldn't follow it. What I would follow is a HEALTHY diet with lean Protein, fruits, and vegetables.

Wow...just...wow.

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Unless there is some unknown medical reason, I don't think this is a healthy diet and 6 weeks to shrink the liver is completely unnecessary.

I don't see anything wrong with it, except the recommendation for packaged meals.

My surgeon has 2, 4 and 6 week pre-op diets and I guess it depends on your current health as to what one you'll need to go on.

Edited by mrs kaje

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In re-reading my post above, I want to clarify that I am not suggesting anyone not follow their surgeon's advice. I did say that I would not follow it.

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Thank you all for all your input. It does seem a long pre-op diet to follow. I will follow up with the nutritionist tomorrow. As for the pre-packaged food, he mentioned to use them as a guide for Portion Control and just a little more convenient for some of his patients but prefers if you make your own sensible meal at home.

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@joego2014 I know the packaged meals are way convenient and I use them once in a while. Do try to keep that to a minimum though as "real" food is much healthier.

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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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