Hi

I have my sleeve booked in for January 25th 2017. I have been counting down for nearly 6 months (waiting for my insurance wait-period to be over). This last week I have been trying to start on the liquid diet every day (a week earlier than I needed to). I have been eating a lot less than usual and have already lost nearly 3kg but my diet hasn't been all shakes and Soups. My question is do I have to stick to the liquid/shakes 100% over then next 2 weeks (pre-sleeve) or is it more about the weight loss - so if I keep calorie counting and drop a few more kg eating much less than usual, is that ok? Thanks heaps

Jack, WA

I never counted calories. All surgeons have different ideas about the 2 week pre op diet.... I was told to do Optifast or Optislim..... ... So I either had a shake 3 times a day

or 2 shakes and a dessert

Or 1 shake , opti chocolate bar and a dessert..or Soup

Just had variations of these.

I hated it tbh. But I lost a few kilos.

It was all to shrink my liver and nothing to do with weight loss. Although if you are morbidly obese to be lighter on the op table would be most beneficial.

I started at a lower BMI and a weight of 84kgs...

I'm now 70 kgs 5 weeks later ( hit that weight at 3 weeks and have stalled for 2 weeks) ..

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I thought it was about weight loss as the first place you lose fat from is your liver? My BMI is 36. My surgeon just said everyone does it pre-op. Just wasn't exactly sure if it had to be all 100% liquid

Jack, WA

It varies widely by surgeon. Check with yours.

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3 people I know of never had to do a pre op diet.. I had my liver tested and it was. A fatty liver lol.

Not all the diets are liquid

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The point of the pre-op diet is to shrink your liver, making it easier for your surgeon to access your stomach without potentially damaging your liver. It's not about weight loss at all.

The most important part of the pre-op diet is to not eat carbs. If you "need" to "cheat" make sure you do so with protein/fat... not carbs.

In order for your liver to shrink, it needs to be depleted of glycogen. By not eating carbs, your body has to resort to burning glycogen for energy and that glycogen isn't replenished so long as you don't eat carbs. Your body will then enter a state called "ketosis" where it instead must begin burning fat for energy. The second you eat carbs, your body will revert to burning those and storing glycogen again, so don't do it!

my bmi was 38 n mr dr just asked me to reduce carbs..no pre op diet except for 2 days before surgery...every dr is different..Sw 270. Cw 223. 11/9/16 Sd

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Hi

I have my sleeve booked in for January 25th 2017. I have been counting down for nearly 6 months (waiting for my insurance wait-period to be over). This last week I have been trying to start on the liquid diet every day (a week earlier than I needed to). I have been eating a lot less than usual and have already lost nearly 3kg but my diet hasn't been all shakes and Soups. My question is do I have to stick to the liquid/shakes 100% over then next 2 weeks (pre-sleeve) or is it more about the weight loss - so if I keep calorie counting and drop a few more kg eating much less than usual, is that ok? Thanks heaps

Jack, WA

I've read that they will cancel your surgery if you eat while on the pre-op liquid diet because the fluids are what makes your liver less fatty, the liver has to be shrunk so the surgeon can see your stomach easier. Check with your nutritionist.

My surgeon requires 2 week pre-op diet of 800 calories daily. High protein

All good guys. I have been having shakes minimum 2x daily and a healthy snack or something small for dinner with a WL soup but will cancel that out and stick to 3x shakes/soups. I have 2 weeks tomorrow before my surgery. I work in a busy hospital environment and have just been struggling with the sudden decrease calories (probably 25-30% of my usual). I know this whole process isn't going to be easy but I have to stick to it and prove it to myself that I can do it.

Jack, WA