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Help I cheated on preop diet.



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Yeah I feel like I can get thru the final week fine of liquids it's just this 1st week is never ending and I had the thought if I was gonna cheat it was either gonna be lean Protein or veggies and only the first week just to get me thru the hunger pains.

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Well my program was 20 ounces of skim milk or milk replacement 3x a day, 1 cup of broth, and Water with low-cal or sugar-free flavorings a day for 2 weeks. It was brutal but I managed. Creating a habit of broth as dinner when the family was eating, freezing some of the flavored water as a popsicle to have something to 'chew', etc... helped me get through it. Cutting fat, carbs, sugar to help the liver, losing overall weight to make surgery safer, and breaking bad habits seem to be the biggest motivations for the pre-surgery diet.

I do know a lot of other people have surgery within 12 to 24 hours of eating and have an "empty" stomach (to avoid risk of aspiration) so that isn't the big risk.

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The preop diets (or lack thereof) appear to be all over the map.

My Dr. explained that the point of my 2-week preop diet was shrinking the liver, not weight loss, so it was no fats and low to no carbs. As such, I was allowed unlimited steamed or raw non-starchy vegetables (no corn, peas, or lima beans). So my go-to was steamable packages of frozen vegetables, either cauliflower or broccoli + cauliflower, with salt, garlic, and pepper for flavor.

The day before surgery was Clear Liquids only.

If you cheat, just get back on the horse and don't beat yourself up over it... we're all human. :)

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Yeah I thought it would be okay for the steamed vegetables because I love them but then the nutritionist is like no absolutely nothing so I feel like they don’t really understand the reactive hypoglycemia and the terrible nausea.

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Don’t worry. Day 4 I had a small lapse also. I still lost 22 pounds in the fast phase irregardless. After the surgery I asked the surgeon if my once fatty liver was a suitable size for surgery, if I had done a good job on the pre-op, he just said! “It was perfect”. I had re-purposed after that event to not do it again though and I did not.

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Different surgeons want you to follow different diets. Some all shakes, some advocate two shakes plus 1 reduced calorie meal, while others will want you on other diets. Mine had me on Keto but put my friend on all liquids. Her BMI was a lot higher than mine & I wonder if that might influence the plan they want you to follow.

First week of the all shake diet is often called hell week. Your body struggles to get used to fewer calories, your head plays tricks making your cravings worse and you suffer withdrawals from sugar, carbs & caffeine. It will pass.

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If you are going to cheat, you are going about it the right way - green veg, eggs or lean meats. The main issue for the "liver shrinking" thing that some docs need is low carbohydrate; I have never seen any real rationale for the liquids only diets (other than the day before to clear out the system) but some docs go overboard on it. Many docs don't bother with these diets at all as they know how to work around the fatty liver (if it is there at all) and find that their patients recover faster on the other side by simply eating healthy ahead of surgery (one doc I know specifically does not want his patients doing any of these fasting diets as he wants them as strong and healthy going into the procedure, and fasting for weeks ahead of time doesn't do it.

The best thing is to follow your programs recommendations as close as you can. There are also some surgeons out there who threaten to close you up and send you home if the liver is in good enough condition (and I have seen a couple actually follow through on that - definitely guys to avoid). so you want to make your surgeon as comfortable as possible when he is rootin' around on your insides.

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Thanks! That’s what I keep telling myself I have cheated with two scrambled eggs and only one veggie Soup. I would love a bite of grilled chicken so bad. I’m so weak 5 days in of my 2 week liquid diet. Lost 6.4 pounds in 5 days. So if I have a melt down and eat a piece of lean meat or soft veggie this weekend I think I will let my self slide as long as it’s carb and sugar free and I keep losing.

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On 7/24/2020 at 11:34 AM, Edee Formell said:

Thanks! That’s what I keep telling myself I have cheated with two scrambled eggs and only one veggie Soup. I would love a bite of grilled chicken so bad. I’m so weak 5 days in of my 2 week liquid diet. Lost 6.4 pounds in 5 days. So if I have a melt down and eat a piece of lean meat or soft veggie this weekend I think I will let my self slide as long as it’s carb and sugar free and I keep losing.

I would stick with the program you were given. After time the liquid fast becomes easier to deal with, however, once you eat the hunger can become harder to manage once again. The last 9 days of my liquid diet were far easier than the first. Also, this is just the start of having to manage cravings, you will have to do that post-op and beyond also to be successful.

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You need to do what your surgeon said to do. It doesn't matter what others here are doing. You don't even know if what others are saying is true, or whether their suggestions are still (or were ever) common practice.

Having your stomach be digestively calm is not only important during surgery on your stomach, but it's important while your stomach is healing after surgery.

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4 minutes ago, ash1984 said:

You need to do what your surgeon said to do. It doesn't matter what others here are doing. You don't even know if what others are saying is true, or whether their suggestions are still (or were ever) common practice.

Having your stomach be digestively calm is not only important during surgery on your stomach, but it's important while your stomach is healing after surgery.

^^^^ YES!

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15 hours ago, copado said:

I would stick with the program you were given. After time the liquid fast becomes easier to deal with, however, once you eat the hunger can become harder to manage once again. The last 9 days of my liquid diet were far easier than the first. Also, this is just the start of having to manage cravings, you will have to do that post-op and beyond also to be successful.

I agree. It got a lot easier by about day 4. If people continue to "cheat", they'll never get to that point. I also wonder about long-term commitment if people cheat this early on. Getting the weight off and keeping it off takes A LOT of work and commitment. For life.

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I'm so torn...after 1 week of liquid diet (protein shakes and broth) my surgery was cancelled due to covid. Now, they are trying to work out an out patient option, and I didn't think to ask "Do I continue to try and do the liquid? Just do low carb? Eat whatever I want?" I'm going to email them tomorrow to find out what they recommend. In the meantime, I'm split between options 2 and 3 depending on my mood!

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On 07/26/2020 at 08:07, kellym1220 said:



I'm so torn...after 1 week of liquid diet (protein shakes and broth) my surgery was cancelled due to covid. Now, they are trying to work out an out patient option, and I didn't think to ask "Do I continue to try and do the liquid? Just do low carb? Eat whatever I want?" I'm going to email them tomorrow to find out what they recommend. In the meantime, I'm split between options 2 and 3 depending on my mood!


If you think your surgery will be scheduled soon, it might make for an easy transition into the liquid diet (and into the first few weeks/months post op) to start by having 1 Protein Shake a day to replace a meal. This is what I did and it made my 3 week pre-op liquid diet (I was allowed 1-2 cups of certain veggies a day as well) much more manageable. And it helped me narrow down which Protein Drinks I liked and disliked. However, I will say that after surgery, a couple of the drinks started to taste much too sweet, so your tastes may change along the way.

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