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Told to skip liquid phase and chew soft foods



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Hi. Has anyone else been told to skip the liquid phase and go immediately chewing soft foods?
I’m finding that all I can tolerate is toast crunched into a liquid consistency, puréed ground chicken and puréed potatoes. My Protein Shake gave me dumping syndrome today. It’s only day 5. But I feel like I can’t manage eating. My plan tomorrow is to just do white bland puréed foods. I just don’t think I should be feeling dumping Syndrom when it isn’t necessary. I feel like I’m being asked to skip the first three weeks of healing and my body is saying it needs to go slower.

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I did not skip the liquid phase, but my program does skip purees. They emphasize adequate Protein and nutrient dense, natural foods.

Here is what I ate, according to the directions my doctor and dietician gave me (for comparison, not giving you medical advice, obviously!):

Hospital, 1 day post op (gastric bypass): Water, Jello, chicken broth, sugar free popsicle. These all went well and I was able to finish them at a slow pace.

Home, 2-6 days post op: Protein Shakes, Bone Broth, sugar free yogurt, applesauce, plain kefir, Fairlife skim milk in Decaf tea, herbal teas. Nothing that required chewing during this stage.

Spoke with nurse via phone call, who confirmed I was meeting my 60g protein and 64 oz water goals consistently. She told me to start taking my Vitamins and to incorporate soft Proteins as I was able and to continue to consume 60g protein from shakes in addition to food.

Days 7-13, here is what I added: tuna salad with low-fat mayo, poached eggs, deviled eggs, scrambled eggs, hard boiled eggs, refried Beans with melted cheddar, baked haddock, feta cheese, ground turkey with taco seasoning, cottage cheese, pickled herring. 2-3 shakes per day to hit 60g protein total (in addition to what I got from food).

Met with surgeon in office on day 13. Based on having no issues with water, protein, or any of the foods I had tried so far, and healing nicely, I was told to start incorporating non-protein foods in the following order: non-starchy veg, fruit, starches/grains. I was told I could use protein shakes as needed if the food I consumed did not equal at least 60g protein but could skip the shakes if I hit 60g. Raw veg is fine. I need to wait until 3 months post op to add beef, lamb, and pork.

Starting Day 14, these are the new foods I have tried: spinach, strawberries, edamame, turkey sausage, ricotta, chicken salad, steamed broccoli, kalamata olives, smoked salmon, black beans, cucumbers, matchstick carrots, tomatoes, grapes, sliced almonds.

Today is day 18 post-op, and this is my menu today:

Breakfast: A smoothie made from 1oz power greens, 1 cup frozen berry blend, 8 oz Fairlife skim milk, 2 scoops Syntrax Nectar unflavored protein, 1 Tbsp hemp seeds, 4 small pieces frozen avocado. 16oz total, 36.5g protein

Lunch: 1/2 cup low fat cottage cheese, 4 no sugar added peach slices, 1/2 mini cucumber, 4 grape tomatoes, 1/2 tsp balsamic vinegar. 14g protein. Ended up eating half at noon and half a few hours later because I filled up very fast.

Dinner: 3 oz baked salmon with pesto, 3 pieces steamed broccoli. 18g protein.

I also will have had 64oz water, 28 oz decaf tea, and 4 oz skim milk by the end of the day.

I have not added in any grains at this point because I can just manage to finish a serving of protein and a few bites of veg or fruit right now. Once I get 20-25g protein at lunch and dinner instead of 15g as I'm averaging now, I'll add sweet potatoes, but I'll hold off on white potatoes and breads.

I really hope this helps! I would be very mindful of getting in enough protein and fluids in this first week, with an emphasis on fluids first. But as you can see, in another few days, it's very possible to be able to tolerate a variety of protein rich soft foods.

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Thank you for all of this! Extremely helpful! And much appreciated!

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We always say stick to your plan but sometimes our tummy is just not ready to move forward. It’s not unusual for people to go back a stage for a little longer. I mean we all heal in our own time line. In your case, maybe you do need a liquid stage. Worth giving it a go & seeing if it helps. Just watch your Protein. You may not get to your goal but as long as you’re close you’ll be okay.

I’d probably still contact your team to discuss your situation & struggles. They may suggest some other things you could try. Give yoghurt, thicker Soups, instant oats made on milk (add more milk to get it to a consistency you can tolerate), runny eggs (though some struggle with eggs), etc. a go which will give you protein unlike your potatoes & toast. These were a blessing to me.

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