I can't find anything on Google that says are you allowed to have an extra meal replacement optifast shake.

I'm still hungry and I just wandering if i must stick to the 3.

How many days left until your surgery and how many days into the pre-op stage?

Are you doing three shakes a day or two shakes plus a protein and veg meal? If having a meal, it may be useful to top up on low starchy veges the next few days.

Right now, better to have something protein..so I'd be having another shake or perhaps some protein (high protein yoghurt, cottage cheese or an egg - even a small piece of chicken)

Make sure the hunger isn't thirst...you can do this by having a glass of water if you are still feeling hungry after 15 minutes have something to eat

you're not finding it on Google because all surgeons have different requirements. I was allowed to have 4-5 shakes a day, plus all the ultra-low or no-calorie fluids I wanted (Crystal Light, water, etc). No food or higher-calorie beverages. Some people are allowed to have one small meal a day. Some people are on the pre-op diet for a week, some two, some three, some aren't required to do a pre-op diet at all.

I'd ask your clinic that question since it's their requirement...

Make a base or broth to sip that will kill the hunger - Saved my ass during that week

As previous poster stated, all doctors are different. Mine wanted me to do lower protein shakes (15-20g) so i could have 5 or 6 a day. His only rule was dont go over 120g protein a day on the shakes.

there is also the protein waters that might help make you feel less hungry

Each doctor has a different requirement. Mine was < 1500 calories/day, so the # of shakes could add up to that total.

Thanks everyone I'll call my surgeon and check.

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