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What's on the pre-op diet?



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I am not getting banded until Sept so my doctor and I haven't really gotten to the subject of the pre-op diet. Right now we are just doing the preliminary tests and financial stuff. I am curious what the pre-op consists of and when did you have to go on it? You guys are scaring me with this talk of fatty livers. How do you know if your liver is too fatty for surgery?

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It varies from surgeon to surgeon.

Some have NO special pre-op requirements.

Other will keep you at a low calorie range, or insist you eat low-carb.

Many will put you on a liquid diet that focuses on Protein shakes.

My doctor recommended all clear no-calorie liquids. I couldn't even have Protein Shakes. So for me, Water, SF Jello, SF popsicles, diet soda, Chrystal Lite, etc. That was it.

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I had a 3-week long diet that was several of a specific Protein shake and one special meal a day. I didn't really know I had a large liver until I did NOT get the band because I cheated on the preop diet. I thought the point was weight loss and lost 15 pounds doing my own atkins-type thing. BUT I didn't lose the right 15. I did exactly EXACTLY what my doc told me from 8/13 to 8/29 and lost 17 MORE pounds (to my shock and pleasure) and that time I was banded just fine.

It depends on the person and the doc. If you do just what your doc says, DO NOT CHEAT, you'll be fine. I read on here over and over about people who cheated and were fine. I KNOW no one meant to do me harm. But I was that one in a thousand or whatever that did NOT get away with it, so ....

follow your docs orders. Trust him to know what you need to do! If you're worried, talk to him about your concerns about a large liver and see what he has done to make sure you're covered. It's rare; my surgeon said I was his first "failure" due to liver size (how special was THAT?) but it can and does happen. You'll be fine!

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Thanks for the info guys. I WILL follow the instructions my doctor gives me. I am already cutting down on soda (and before surgery quit all together), quit smoking, I am eating smaller portions, chewing tiny bites, taking the skins off of fruits and veggies, drinking at least 64 oz of Water and getting in cardio when I can. I've been pre-paring for this for over a year and I don't want any showstoppers to be something I could have prevented. Thanks again.

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Good luck LindsaySue! And realize a lot of the bandster "rules" become much easier once you have restriction (which may or may not take a while depending on your doc and situation, so keep that in mind) For example I wouldn't drink with a meal now if you paid me; it hurts!

And same with a carbonated beverage; not worth it!

Not everyone has the same ease post op but I can eat anything, small bites are easy, I chew to mush by habit now, and so on. So hang in there; you are doing well and will surely be one of the powerhouse bandsters!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

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