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Different Pre Op

I have read several post and individuals explain they are not required to be on the pre op diet. Some say they only have to do it for 2 days. Why do some people have to do pre op liquids for two weeks?

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It is up to the surgeon. The reason behind the pre-op liquid/low calorie diet is to shrink the liver, and minimize the solids in your bowels during the surgery (and immediate days after). A liquid/low calorie diet allows the liver to do less "work", which actually shrinks it. The longer on this diet, the more it will shrink.

If you look at an anatomy diagram of the digestive system, you will see that the liver is the large organ that covers the stomach (above and around). During the surgery the surgeon has to move the liver out of the way to work on the stomach (staple and cut for sleeve, cut and seal for bypass). Surgeons are paid (progress in their careers) based off of several factors, a big part is their complication rate. So, to minimize complications surgeons, what the liver as small as possible. Some surgeons are more or less worried about the size of the liver, this is why there is a variation between pre-op diet.

Edited by JT2002TJ

  • Author

When is your surgery?

9 hours ago, Deegil said:

When is your surgery?

If you are asking me. I have my 6th (out of 6) structured diet weigh in Aug 25th. I have been doing this with my surgeon group (not my dietitian/nutritionist). They will submit my packet to my insurance and expect < 2 weeks for the pre-approval. They usually schedule the surgery within a month of approval.

So the short answer is, I do not have an exact date yet, but I expect it to be the ending of September - middle of October.

  • Author

Okay great! Thanks!

I'm not being put on a two week liquid diet but on a two week NO CARBS diet...same objective, different approach. Although, after reading a post that said the liquid diet is to decrease the solids in your stomach I might go liquid for 3 days pre-op.

August 30th...I start my two week ride next Wednesday, although I start the low card diet today to get a feel for the next couple of days and get a head start on shrinking the liver...I'm a cash paying customer, so I want to make sure there are no complications (please God don't let there be any complications)

11 minutes ago, amarquezcpc said:

I'm not being put on a two week liquid diet but on a two week NO CARBS diet...same objective, different approach. Although, after reading a post that said the liquid diet is to decrease the solids in your stomach I might go liquid for 3 days pre-op.

Yeah, I keep reading about issues with constipation, so any way to minimize the volume seems like a good idea to me. I just would make sure you are getting the 80 g of protein (or whatever number you were told by your group) on this liquid diet. Better yet, I would discuss with them your plan to do liquid diet because of the potential constipation issues and ask them for a plan.

1 minute ago, JT2002TJ said:

Yeah, I keep reading about issues with constipation, so any way to minimize the volume seems like a good idea to me. I just would make sure you are getting the 80 g of Protein (or whatever number you were told by your group) on this liquid diet. Better yet, I would discuss with them your plan to do liquid diet because of the potential constipation issues and ask them for a plan.

Excellent idea! I'll reach out to them this afternoon to see what kind of feedback I get...I'll be sure to share it for the sake of sharing information among us.

I have read several post and individuals explain they are not required to be on the pre op diet. Some say they only have to do it for 2 days. Why do some people have to do pre op liquids for two weeks?

I have A 10 day liquid only diet and scheduled Sept. 7th I'm a little worried, thinking this might be the toughest part but reminding myself it's only temporary ;)

Sent from my SM-S765C using BariatricPal mobile app


I have A 10 day liquid only diet and scheduled Sept. 7th I'm a little worried, thinking this might be the toughest part but reminding myself it's only temporary [emoji6]

Sent from my SM-S765C using BariatricPal mobile app


I totally agree I just started my 2 week liquid diet today. I was literally freaking out last night wondering how everything was going to be on these next two weeks. Before this I had never had a protein shake and that's was scary part me.



I totally agree I just started my 2 week liquid diet today. I was literally freaking out last night wondering how everything was going to be on these next two weeks. Before this I had never had a protein shake and that's was scary part me.



I've experiment and love the Premier protein shakes but don't think they are financial fiscal on the pre-op but going to grab some for the post op since it'll take a bit longer to go thru. How are you doing today?

Sent from my SM-S765C using BariatricPal mobile app

6 minutes ago, bannsleeve said:


I've experiment and love the Premier Protein shakes but don't think they are financial fiscal on the pre-op but going to grab some for the post op since it'll take a bit longer to go thru. How are you doing today?

Sent from my SM-S765C using BariatricPal mobile app

Did you see if your insurance will cover the cost? If you haven't already try out www.insurenutrition.com. I get 4 Chocolate Premier Protein boxes (18 shakes in each box) per month at $0 to me through my insurance. I also get vitamins and other things my dr prescribed.

Insureneutrition sends a list of stuff, your doctor will write prescriptions for whatever they feel you should get.

EDIT: I am in my second month Pre-Op getting deliveries, so my insurance covers it even before surgery.

Edited by JT2002TJ


I've experiment and love the Premier protein shakes but don't think they are financial fiscal on the pre-op but going to grab some for the post op since it'll take a bit longer to go thru. How are you doing today?

Sent from my SM-S765C using BariatricPal mobile app


I will look into trying the premier protein shakes. I'm doing ok so far today just in a little pain because I have lupus and fibromyalgia (hopeful I'm not going into flare up)I was really stressing out about starting this that I didn't really go shopping for anything was procrastinating. But I can't put it off any longer. So I'm heading to Walmart today. How are you doing today?


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