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Liquid phase post op - protein



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I had my gastric sleeve surgery on the 18th and am supposed to be drinking 1 Protein Drink a day but I’m also supposed to get 50-70grams of Protein a day. I have no idea how to get more protein in this phase. Any ideas?

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I assume you are on full liquids only at this stage? I am not sure how you are meant to get your Protein with only one Protein Drink per day...are you sure you have understood your post op guidelines correctly? If you have, I would suggest you contact your surgeon / dietician for additional suggestions.

I too had surgery on 18 March...my guidelines are 6 drinks of about 120ml per day for about 60 to 80 gms of protein, plus non calorie fluids of about one litre.

Is protein Water an option for you or something like ensure plus?

According to my guidelines I can use:

  • VLCD shakes
  • protein rich milk
  • 1 tablespoon skim milk powder into 125ml low fat milk
  • fortified milks surch as up and go energize
  • protein waters
  • protein smoothies (commerically available ones only)
  • commercial protein powders

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I'm surprised you have to get so much Protein in so soon after surgery. My protein schedule was 1-2 weeks post-op: 40g, 3-4 weeks post-op: 50g, after one month: 60g+

If you are on liquids only then I would imagine you have to drink more than one protein drink a day to get to that level, which again I think is really high, and unrealistic. Most programs I know of will encourage you to get your liquids in (first priority) and then protein (second priority), at least in the beginning stages post-op.

A great source of protein, other than shakes, is miso Soup (just the broth, nothing else). If you have access to a Japanese restaurant of any kind, or a supermarket that sells miso paste, it's a great way to add protein. Bone Broth is good too, but I like to mix things up a bit.

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10 hours ago, Ling82 said:

I had my gastric sleeve surgery on the 18th and am supposed to be drinking 1 Protein Drink a day but I’m also supposed to get 50-70grams of Protein a day. I have no idea how to get more Protein in this phase. Any ideas?

Contact the doctor's office and speak to the nutritionist they should have examples for you. My instructions on a full liquid diet immediately after surgery were to work up to 60-80 grams of protein and work up to minimum of 64oz of Fluid.

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I had way more than one Protein drink a day the first few weeks to get my protein requirements in. I had no trouble getting 60+ grams in from the the get-go, but I easily had two or three Protein Shakes a day those first few weeks. I'd double check to make sure they only want you to have one a day. Otherwise, I'm not sure how you're going to get your protein requirements in this early.

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I had my surgery on 3/3 and my first week out I was still on Clear Liquids. Second week I was released to full liquids with requirements to get 60-80 grams of Proteins.
My Protein Shakes consist of 8 ounces of fair life milk which is 13 grams of Protein and 2 scoops of chocolate Premier Protein which is 30 grams of protein. So each shake is 43 grams protein. Sometimes I have two of those or I will substitute one of those shakes with a Ensure Max Protein Shake which is 30 grams of protein. I’ve been meeting my protein levels each day. I still drink these even tho I’m in the soft foods phase and can only really eat eggs or cottage cheese at this point 3 weeks out.

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I agree with the others to double-check with your provider. I'm 12 days out and still in the liquids phase and drink more than 1 Protein Shake a day. My doc recommends getting 2oz of Protein every hour I'm awake and then spend the rest of the hour drinking water/crystal light/etc.

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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
      1. This update has no replies.
    • 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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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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