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Strict/Easy Pre-Op Instructions/Diet



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I need some feedback from anyone who has done their pre-op diet, followed instructions and completed their surgery. We received instructions from one potential surgeon and while the instructions were sound and solid, they were not scary and regimented. The other surgeon basically sent over a book of "NO's" and a very strict regiment for the two weeks prior to surgery. As a matter of fact, they are so different, you would think they were performing different surgeries. :)

Can anyone tell me what they did or didn't do the two weeks prior to surgery and if it did/did not possibly make the surgery smoother or recovery quicker?

Thanks a bunch!

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all surgeons are different in what they require preop.. some are much more strict then others. I personally think my doctor has a nice in even line... My pre op consist of giving up any drinks with carbonation and to drink a Protein Shake for Breakfast and lunch and have a no carb meal for dinner. this is to help shrink the liver. the smaller the liver the lower the risk for complications during surgery. my sisters surgeon had her on an all liquid diet for the two weeks prior and that was all she could have.. so basically that is .. I go to my pre op tomorrow so I will update you on anything i might have missed. i only know the stuff i know because my husband had his pre op last week, but i was not at the whole thing so i cant be sure he told me EVERYTHING ha ha good luck

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You need to do whatever the surgeon you pick tells you. I assumed my preop diet was just a "suggestion" or a "guideline" and modified it to suit me. I lost 15 pounds in 3 weeks and was ecstatic! HOWEVER I didn't realize my liver was fatty and my surgeon's diet was formulated to help shrink it so that surgery could be performed. Imagine my horror when I came to in recovery and was told I didn't get the band because my liver was "too thick". You may bet I did exactly what my surgeon told me for the next 2 1/2 weeks and WAS banded on 8/29, with a total of 32 pounds down.

So whichever surgeon you pick, do precisely what s/he says. They know their styles and their patients best; they know what you need to do. You (or your insurance) are paying a large sum for that knowledge and expertise; use it!

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I had my surgery on 08/27/08. The pre op diet that my surgeon had me follow was pretty strict. All low-no fat and sugar free liquids. I ate alot of cream of chicken Soup and Tomato Soup. I also never want to eat sugar free Jello again. But it was pretty easy compared to the post op diet I had to go through. With the pre op diet, you know that you are working towards a goal. You want to have the surgery, so you are doing everything you can to achieve this. The post op diet is harder, because you can have more foods, but you should not start introducing hard solid foods for a month. Just do what your doctor says and everything will be great.:)

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I have found every facility I've dealt with to have a different policy on the pre-op diet. All have had the same post-op. One place was going to have me do 1 wk. Atkins style diet to shrink my liver; another told me I'd do a full two week liquids w/2 slim fast or other Protein drinks; the next says depending on your BMI, you'd do 1 or 2 wks liquids.

I too would do exactly as told by the individual center.

Good Luck

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Honestly - my surgeon/nutritionist gave me a two week diet of low fat, Protein Shake, etc. stuff BUT I was told that it honestly didn't matter. As long as I wasn't eating french fries every day, I would be OK. The point is (especially for very heavy people) to reduce the amount of fat in your liver (at least that's what they told me) which reduces the risk of problems for your surgery. I didnt do the diet and I'm one year post-op. I had no medical problems after the surgery from not dieting.

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Raitsky, apparently, you lucky person, your preop diet wasn't as necessary as mine was for my success. I did reduce fat etc....but didn't do what the surgeon said. I didn't (and don't) have liver disease, but it's possible I weighed more, or was heavier for longer, or was just unlucky that way, but my liver WAS too big and it did shrink after I did what my surgeon said. So I guess the point is to do what your surgeon tells you. Since yours said it didn't matter, apparently for you it didn't! WTG! For me, it did. I had blood tests, abdominal ultrasound etc and things looked fine but weren't once my (over 1000 surgeries) got "in there"...so do what your doc says and you'll be fine!

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JUSTDOO.. my nutritionist said if we were going to use slim fast then to make sure it is the low carb one.. That is the one I use. I have also tried the adkins advantage and the muscle milk light and they call compare in nutritional facts.. So it basically boils down to taste and cost.. since I have two people doing this prep at the same time. Me and my hubby. I go with the slimfast low card because i can get a case of 15 at sams club for like 18 dollars. by far the cheapest i have found so far and like i said the nutritional values stack up to the others as long as you get the low carb. just good info to have out there... But like everyone is suggesting it is always best to just follow what your doctor tells you.. they say it for a reason. It is not just to torture us ha ha. I have found it helps in multiple ways. 1. to help have a less fatty liver to prep and have and easier surgery and 2 to prepare help prepare us for post op. I could not imagine going from eating normally to having surgery and being on straight liquids. I am glad my doctor has the phase into liquids and then after surgery the all liquid will not be as bad.. It wont be easy, but it will be easier.. and when we reach our ultimate goals no matter how difficult. it will be worth it :)

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As others have said, every surgeon is different. They may even tailor their regimen per person.

In my case, it was Clear Liquids the day of surgery and nothing the day of. Two days before surgery I went out for an epic "last supper".

Pick a Dr. you trust, then trust him.

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I also am with the same Dr as one of the other posters. I am on my 2nd day of my pre-op plan. I get 2 shakes (bkfast and lunch) and then a Protein meal for dinner. If needed then I can have a 3rd shake as necessary if I am starving.

So far so good.

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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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    • 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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      https://alluniqueguide.com/java-burn-coffee-reviews/
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