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macros during post op diet



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greetings, currently transitioning from full liquids to purées (woo hoo) and I am starting to track again (instead of just ounces of liquid).

My diet guidelines tell me what and general amounts for purée and beyond but no specifics for macros like calories, carbs and the like (there is a Protein macro of 60-70 g)

those of you tracking, what did you do for purée, soft and beyond ?

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I track, but I only track to ensure I hit my Protein. I had surgery to break the cycle of dieting, and counting calories and carbs and all that just perpetuates the cycle. I would suggest before you start, have a conversation with your team. Its very likely that they didn't give you macros because they don't want you tracking and obsession over them. Protein is really your only hard and fast "goal" and the rest is far less important, especially this early out.

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I track everything I eat: calories, carbs, fat, cholesterol, sodium, anything that is on the label since I manage my weight by daily average calories. I tracked in all the four stages: liquid, pureed foods, soft foods and solid foods.

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Ooh yeah lol, as far as macros, the only macro I pay attention to unless I need to analyze my diet is my Protein. So although I track everything (it is fun for me). The basic goals I was given, and I find it works wonderful for me long-term is the following: Stay hydrated, protein 55g and above, 7 to 13 fruit and veggies servings a day to decrease inflammation & let leptin do it's magic, eat good fat, and good complex carbohydrates (oatmeal, healthy breads especially sourdough, beans... Etc).

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I only care about my Protein and the amount of Water that I'm getting, right now. I've started eating more now - I'm up to 1/2 a cup and I'm really only drinking 1 Protein Shake per day. But, I am tracking, just to make sure that I get enough protein every day. I'm hitting the goal, no problem.

I'm thinking I might do the Portion Fix program, once I'm on solid food and can eat more. I did it before surgery and I really thought it was a great program. It was very clean eating and felt healthy. I couldn't stick with it because I was STARVING all the time - but that was just my hormonal imbalance. Now that I don't have to worry about that anymore, I think it will be a good plan.

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It’s another one of those things where different surgeons & dieticians have different plans & requirements. I wasn’t given macros either apart from Protein. Just portion advice (1/4 - 1/3 of a cup), a list of approved foods & advised to keep my fats, sugar & carbs low. I wasn’t even advised to track my food. I randomly did that for my own interest.

There’s nothing wrong with asking for more guidance like wanting macro goals if you’ll feel more confident & comfortable with having them. You have to do what you need to have the greatest success.

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I did not fully track my macros till I hit my soft foods stage. Before that I just made sure my Protein was 60-70g like you mentioned, didn't worry much about everything else.

Now that I'm in the 'early transition to solids' stage, I track them all completely as I can now include veggies & a few fruits.

This is what my macros usually look like now (ignore the 'goal' percentage those are the default numbers the app placed)

Screenshot_20221119-034101.png

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OH & I noticed you mentioned not knowing the calories for the Puree stage. This is what my Kaiser Permanente handbook says!

If in the future you need more info on calories for each stage let me know & I'll take a pic for u! PXL_20221119_115737528.thumb.jpg.97df65d9a92d539e3de235b00bc46368.jpg

Edited by bbykitty

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On 11/18/2022 at 6:15 AM, Sleeve_Me_Alone said:

I track, but I only track to ensure I hit my Protein. I had surgery to break the cycle of dieting, and counting calories and carbs and all that just perpetuates the cycle. I would suggest before you start, have a conversation with your team. Its very likely that they didn't give you macros because they don't want you tracking and obsession over them. Protein is really your only hard and fast "goal" and the rest is far less important, especially this early out.

I was told by dietician to not worry on calories, protein and Water. But trend to fat tg and carbs 15g when you did select something. Eating 1/3 cup meat and top to 1/2 cup with cooked veggies, once in a while a small piece of baked potato. Have lost 40# in 6 weeks from day of surgery.

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