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BMI 40-41 and pre-op diet



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My surgery is in 2 weeks and 1 day!!! I was told I don't have to do a pre-op diet because my BMI is < 48. Has that been others experience as well?

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My insurance didn't require a pre op diet at all.

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My surgeon only required preop diet for bmi over 50. I was 42, so it wasn't required.

I followed a modified one, completely voluntarily, though.

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Only preop I had was 6 days of lean cuisine (1 LC/day-yuck) and Protein drinks (3/day). Day before was bowel prep and Clear liquids. This was a liver shrink diet a lot of doctors want and of course the bowel prep and Clear Liquids was to make sure my system was pretty cleaned out.

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My surgeon requires a two week Protein liquid diet, her explanation was that it reduces the size of the stomach and liver making it easier for surgery. I am halfway (week 1) into my two week preop diet and from my experience I think that it helps your mindset, kind of like practicing before you have no choice. For me, the right thing to do is the high protein liquid diet. The first two days are the most difficult, but if you drink lots of Water and eat the recommended protein amount you quickly learn that your not hungry, you just crave certain foods. I bought my protein from Unjury online and bought the sample pack (variety) and a PB2 ( which is Peanut Butter flavored protein) so good! Good luck!

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Citygirl. I am fortunate enough to live near the hospital where Dr. Michelle Toder who pioneered the robot for laparoscopic surgery is. She is my surgeon, based on her accreditation I plan to follow her instructions to a T for the safest outcome.

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My BMI was 41 and I still was required to do a preop diet. Lost 16 lbs in that two weeks. On day of surgery my BMI was 38.2.

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My bmi was 47, my pre op diet was a 3 day clear liquid diet.

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My original surgery was cleanse night before.noe next wks revision i havent heard anything yet.

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I have met with two different surgical practices (settling on the second I met with - they were far superior), and neither of them would have required a pre-op diet. One did like to see low-carb for the week prior, and the other said it's not necessary. My BMI is 43 right now and will likely be right at 40-41 at surgery time.

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

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