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I had my first nutritionist meeting today and though it was a little overwhelming, I'm still excited. The info I received was mostly about the post-op diet and the 3 day liquid pre-op diet, but I didn't get much info about what I should be doing in the mean time, diet-wise. Of course, making healthier food choices is a given, but did your nutritionist give you any additional info at your first meeting? She did make the comment that if I lose weight pre-op, that's great and it'll be healthier for surgery but I can't gain weight which makes sense. Any tips for these next 4 months? Thanks in advance!

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1 hour ago, Nic C said:

I had my first nutritionist meeting today and though it was a little overwhelming, I'm still excited. The info I received was mostly about the post-op diet and the 3 day liquid pre-op diet, but I didn't get much info about what I should be doing in the mean time, diet-wise. Of course, making healthier food choices is a given, but did your nutritionist give you any additional info at your first meeting? She did make the comment that if I lose weight pre-op, that's great and it'll be healthier for surgery but I can't gain weight which makes sense. Any tips for these next 4 months? Thanks in advance!

Sent from my SM-G955U using BariatricPal mobile app

You can start by meticulously tracking your food/water intake (if not already) this will help you to: not gain any weight, maybe lose some weight and set you up for great habits after surgery!

You're on your way!!!

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My nutritionists wanted me to do several things:

1) Focus on getting a Protein as part of every meal. Ideally a lean protein, but they never balked at Peanut Butter on an apple as a snack. Low-sugar yogurts are good. Light string cheese is good. eggs are good.

2) Get a fruit (up to 1/2 cup or 1 fruit) or a vegetable with each meal.

3) Switch from simple to complex carbohydrates. If you're going to have bread, make it whole grain--and after your protein. They weren't like "take away potatoes" (though they did encourage me not to count those as a vegetable :)), but they were like "switch from white rice to brown rice."

4) Take small bites, chew a lot, eat mindfully, put the fork/spoon down between every bite. No wolfing down food in the car, no open bags of chips in front of the TV.

5) Get 8 cups or more of Water per day. If it has Mio in it, or it's an herbal tea or a Decaf coffee, that's totally fine. Sugary beverages are a big no, and caffeinated beverages don't count.

6) Stop having carbonated drinks. (This is the one that I balked at the most, honestly. I knew I'd need to give them up post-op, but I had really planned to keep enjoying them until I had to stop.) If you really must have that diet soda, let it go flat first.

And I mostly followed that -- I won't lie: at least two croissants, no small amount of Chicago style popcorn, and several servings of pizza crossed my lips over the course of the two months I mostly-followed these guidelines -- and lost 6 pounds each month.

I need to lose a bit more quickly, so I've changed things around a bit -- doing a low-fat ketogenic diet which has me down near 1000 calories a day -- in order to meet my doctor's arbitrary weight goal in time to get my surgery this fall. But the rules above were pretty good, and the flexibility to break them--just a little, and only very rarely--was nice. (I hate Keto. I hate that a single piece of fruit will wreck up my system for over a day. But it is a very efficient way to lose weight with mostly manageable hunger. And those refried Beans in the mushy food stage will taste SO GOOD to me. I miss beans.)

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Mine had me give up caffeine, alcohol and carbonation. Told me to practice "eating in order" Protein first, then veggies and then carbs if still hungry. Make sure and include a fruit or veggie at every meal. Oh, and not to drink my calories and aim for a minimum of 64 oz of Water a day. Also to practice not drinking with my meals.

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My WLC gives every patient a specific diet to follow starting the first appointment. It is the diet we will be following when we start eating solid foods again. I am in the 5th month of my WLC 6 month required program. No matter what our insurance requires everyone they do WLS on has to go through this program, along with the required medical testing that can take awhile to complete.

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Thank you all for your tips! I'm going to follow the post-op bariatric diet that they gave us and buy smaller plates. I gave up soda already and I'm going to do my best to decrease my carb intake as well. Hopefully I won't crave them as much.

Sent from my SM-G955U using BariatricPal mobile app

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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.
      · 0 replies
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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. 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.

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