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I've tried to search, but can't find my answer.

For those who were not required to follow a preop diet before the sleeve surgery, did your doctor explain why?

I'm just curious and forgot to ask my dr why they don't require any preop diet for their patients.

Anybody know why some doctors feel it's not necessary?

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Some readings state it is not necessary. But, my doctor prefers to do 14 day liquid. He states not only to shrink liver to allow easier maneuvers of organs, but also assist in reduction of gi upset since no solid food in stomach. But again, this is all personal/ professional opionion of surgeon. many people have had successful post op with no preop diet.

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@@teacherjen My surgeons told me that they quit doing pre-op diets because both their experience and research has shown that it does virtually nothing to improve surgical times, complications and/or outcomes.

Here's a study from from the American Society for Metabolic and Bariatric Surgery that agrees with their practice:

https://asmbs.org/resources/preoperative-supervised-weight-loss-requirements

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@@teacherjen My surgeons told me that they quit doing pre-op diets because both their experience and research has shown that it does virtually nothing to improve surgical times, complications and/or outcomes.

Here's a study from from the American Society for Metabolic and Bariatric Surgery that agrees with their practice:

https://asmbs.org/resources/preoperative-supervised-weight-loss-requirements

Thanks, that's what I was looking for. My surgeon is a member of that, so it must be why he follows that guideline. Thanks!

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My surgeon told me he had gone to a seminar that showed the liver shrinking from the diet is so minimal, it doesn't really matter. Similar to what @@ShelterDog64 posted.

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I have to do a month long pre-op diet! It sucks already and I haven't even started it!

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Hang in there. It will help you mentally after the surgery when you can't eat solid foods. The first month of post op is the hardest I've found and training your brain to be on liquids is a wonderful tool that will help you. Good luck

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My dr doesn't require the preop diet even though I have a bmi of 57 and signs of a fatty liver.

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I wasn't supposed to have one and was glad but my Dr requires it for 2 weeks. I'm not sure what it did for my liver but it definitely prepared me for post-op. Get the head hunger and cravings under control pre-op if you can. Post-op eating will be easier.

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From what I've read, if you don't have fatty liver disease, you won't have to have a pre-op diet.

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My surgeon only does a 3 day pre-op diet, and I can have yogurt, low fat Soup, and cottage cheese as well as Protein shakes, etc.

He does a liver biopsy during surgery because most obese people have a fatty liver. I don't know if I have one now, I wonder how many people even know before surgery? Is there any other way to diagnose it??

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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.
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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.
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