Gastric Sleeve Surgery is one quick way to lose weight. 85% of the stomach is removed during the operation. That’s why patients are put on a very strict gastric sleeve diet to assure they are eating right and consuming the best food to keep them healthy.
Have you ever talked to your doctor about this option?
If yes and you are considering it, then you should read this gastric sleeve diet guide.
We will help you know what you must prepare for. What should be your expectations before and after the operation? You’ll discover the what, how, why and when of implementing a gastric sleeve diet.
What you will learn:
1. THE TIMELINE OF YOUR DIET
- Stage 1: Full Liquid with Protein
- Stage 2: Blenderized and Pureed Food
- Stage 3: Introduce Soft Foods
- Stage 4: Low Fat, Low Sugar, High Protein Food
2. NINE STEPS TO SUCCESS!
– How to lose and maintain the weight successfully.
PHASE 1: Pre-op Diet
Your gastric sleeve diet plan will change depending on your overall status. Food will be re-introduced into the stomach SLOWLY. This is done to avoid sudden expansion of the stomach and avoid any other complications. Normally, your doctor and nutritionist will provide you the diet plan. This includes what food to eat, not to eat, the time, fluid requirements, protein requirements and so on.
By following the prescribed diet, your liver and body fat will lessen. Reducing the size of the liver means a safer, faster operation, and less bleeding during the surgery. Having smaller body fat will help your body prepare for the post-operation diet.
Here are important diet guidelines that you can take to prepare you for the big day:
- Avoid sugary foods including pastries, cakes, high carbohydrate foods- pasta and bread, candies, and chocolates.
- Avoid fatty and fried foods including red meats, butter, and margarine, deep-fried dishes
- Avoid milk products- cheese, ice cream
- Avoid carbonated beverages and alcoholic beverages
Nutrition Goals to help you prepare for surgery:
- Eat three meals at regular times each day
- Reduce non-hunger snacking
- Eliminate sweetened beverages
- Lose at least 10-15 pounds before surgery. Patients with a BMI over 55, should lose 10% of their body weight
NON-ADHERENCE TO THE ABOVE MAY RESULT IN CANCELLATION OF YOUR SURGERY.
After surgery, it is important to follow the diet guidelines given by the doctors. Your stomach can only accommodate nearly four ounces of food. It is vital not to overload or under load it to avoid further complications.
Sticking to your diet and exercise are essential for a successful weight loss. Make few changes in your lifestyle and eating habits to ensure that you follow the guidelines.
Possible complications may include: hair loss, vomiting, dehydration, nausea, constipation, diarrhea, excessive gas, lactose intolerance, protein, and calorie malnutrition, gallstones, and mineral and vitamin deficiency.
In the next four weeks, NO SOLID FOOD IS ALLOWED
Stage 1: FULL LIQUID WITH PROTEIN
Starts on the 1st Day of Your Gastric Sleeve Diet
Hours after the surgery, you are only allowed to drink water.
Carefully observe your reaction to water. Sip small amounts every hour and be aware of signs of fullness. A recording sheet will be provided by a nurse or doctor. You will need to outline what time you drank water and how many ounces.
If your Physician sees you can tolerate water, you can start drinking water, apple juice, decaf tea, decaf coffee, sugar-free Popsicle, orange juice, sugar-free jello, flat diet sodas, and clear fat-free broth.
You do this slowly. Drink water and other clear liquids until your new stomach can adapt to the new food it intakes. You’ll feel full faster so be aware of that.
Avoid caffeine, sugar, carbonated beverages and other flavored beverages.
And again, Take small sips and be aware of feelings of fullness.
THE ONLY FOOD ALLOWED ARE
|Only food allowed for Week 1|
Protein powder mixed with a sugar free non-carbonated clear liquid
Soup with soft noodles
Carnation instant breakfast (sugar-free)
Very thin creamed soups
Diluted no-sugar added juice
Sugar-free, non-fat ice cream
Reminder: Stop sipping as soon as you feel full. Never force yourself to finish. Make sure your food is sugar-free. Carbonated beverages may cause stomach discomfort.
Stage 2: SLOWLY INTRODUCE
BLENDERIZED AND PUREED FOOD
Starts on the 2nd Week of Your Gastric Sleeve Diet
After drinking clear liquids for seven days, you can now start eating food in liquid or blenderized form.
Foods are blenderized for easy digestion. Make sure that all food are thinned and fine in consistency. Stage 3 can last for nearly two weeks.
From liquids, you transition to pureed food. Remember to do this slowly. Introduce new food to your stomach every day. Observe your reaction and be alert for any sign of fullness.
You will start with small amounts of these liquids and pureed foods because you will feel full quickly. At first, you will have to eat small amounts frequently.
GUIDELINES FOR EATING PUREED FOOD….
From 2-4 ounces at a time, aim to get six meals a day. Again, protein intake must be at least 60 to 80 grams daily
The aim is to eat four to six meals of four ounces each day. Eat slowly and it should take 30 minutes to eat four ounces (1/2 cup).
EXAMPLES OF PUREED FOOD:
- Skim milk
- blenderized soups (with skim milk not with water)
- blenderized casseroles
- blenderized fruits in shakes (with skim milk or non-fat yogurt)
- blenderized mashed potatoes
- blenderized meat in cream soups
- cooked cereal thinned with skimmed milk
- blenderized beans including (lima, northern, pintos, kidney, black, butter, lentils)
- cottage cheese
- unsweetened applesauce with non-fat milk
- add non-fat dry milk to all foods.
|Allowed Food||Foods To Avoid|
PUREED PROTEIN SOURCE:
non-fat cottage cheese
Sugar free or zero calorie flavored water
Diet fruit drinks (less than 10 calories per serving)
Decaffeinated tea (limit to 8 ounces per day)
Decaffeienated coffee (limit to 8 ounces per day)
Sugar free flavored drink mix
Candy (including chocolate)
Alcohol (including beer)
Flavored drink mix
INSTRUCTIONS ON EATING PUREED FOOD:
- Pureed protein sources must be blenderized with fat-free broth/ fat-free milk or with water.
- Patient must not drink any clear liquid 30 minutes prior to meal and 60 minutes after.
- Do not consume clear liquids at the same time as pureed foods.
- Take chewable or liquid multivitamins with iron to avoid nutrient deficiencies.
INSTRUCTIONS ON DRINKING LIQUIDS:
- Have at least eight cups of caffeine-free, low-calorie liquids consumed gradually throughout the day to prevent dehydration.
- Liquids should be sipped in between meals
- Do not drink with meals. Wait 45-60 minutes after a meal to begin drinking fluids again.
- Sip clear liquids very slowly. Do not use a straw to prevent gas formation.
Reminder: Different people have foods they can and cannot tolerate. Don’t be disturbed if you find some foods disagree with you at first. You may tolerate the foods later.
If you are having trouble at this stage:
- Try slowing the speed of your eating
- Decrease your portion size
IMPORTANT THINGS TO REMEMBER ON
THE FIRST 2 WEEKS OF GASTRIC SLEEVE DIET
- Eat three meals a day to ensure you are well nourished
- Do not skip meals and eat “on the run” as this tends to result in food being eaten too quickly with inadequate chewing. Also, the types of foods that are easy to eat “on the run” tend to be higher in fat and calories
- Continue to take your liquid or crushed multivitamin and mineral tablets unless advised differently by your dietitian or doctor
- Keep a food diary. It will help know what food disagrees with you and find what causes discomfort if you feel it
- Pay attention to your body’s signals of fullness
- If you feel nauseous, stop eating immediately. One extra mouthful of food after signals of fullness could lead to pain, discomfort, and vomiting.
- Use ice cube trays. Each cube holds about two ounces. This will help portion sizes. Try preparing reduced-fat cream soups or pureed meats and vegetable and store them in trays
- Protein comes first. Limit them to two to four ounces per meal
- Aim for four to six meals per day
- Drink at least eight cups of fluids per day
Stage 3: INTRODUCING SOFT FOODS
Starts on the 3rd or 4th Week of Your Gastric Sleeve Diet
With the approval of your physician, the dietitian will introduce soft foods in your diet.
He or she will review guidelines on how to successfully introduce semi-solid consistency foods without nausea and vomiting. At this point, you will advance to soft and easily tolerated foods.
A soft diet is recommended to provide an allowance for the stomach to recover from the surgery. Also called the transition diet, the soft diet is given between liquid and regular diet. This phase can be given to the patient for 3 to 8 weeks, depending on how their new stomach tolerates food.
FOODS TO AVOID ARE….
In soft diet, gas-forming foods, coarse bread and cereals, seeds, some vegetables and fruits are not allowed.
Protein requirement ranges from 60 to 70 grams and 64 ounces of liquid. The patient may take up to three servings of soft vegetables and a small portion of fat.
Protein sources include: Egg whites, fish, lean chicken, lean turkey, tofu, non-fat cheese, non-fat cottage cheese
Vegetable sources include: Avocado, banana, potato, carrots, green beans, squash, tomato and cucumber
|Allowed Food||Foods To Avoid|
Cooked eggs, any type except fried
Canned fruits (in their own juices or water)
Unsweetened instant breakfast
Sugar-free low-fat yogurt
Shredded or soft low-fat cheeses
Hot cereals made with skim milk
Softened cold cereal (non-sugar coated)
Beans and legumes
Cooked vegetable (peeled)
Low-fat cottage cheese
Chopped lean meat (except red meat)
Casseroles, such as macaroni & cheese or tuna with light mayo (limited)
Avoid red meats
Avoid raw vegetable and raw fruits with skins
Avoid nuts and popcorn
Avoid all fibrous foods (may cause blockage)
Avoid all high calorie beverages, such as colas, juices, milkshakes and protein drinks
INSTRUCTION ON EATING AND DRINKING AT STAGE 3
- Eat three meals and two snacks per day
- Each meal should not exceed the volume of six ounces
- Eat and drink slowly. Take at least 30 minutes to eat a meal
- Take small bites, chew very well.
- Sip on liquids during meals only if needed, but don’t drink large amounts during meals. Limit to one ounce of fluid per meal
- Continue to drink low-calorie liquids between meals – at least 8 cups per day
- Continue to take a vitamin and mineral supplement every day and introduce a calcium and B12 supplement
Reminder: Keep in mind that you are “re-educating” your stomach. When you eat too fast, too much, or don’t chew enough, you will feel discomfort and vomit.
Stage 4: LOW FAT, LOW SUGAR, HIGH PROTEIN DIET
Starts on the 4th or 5th Week of Your Gastric Sleeve Diet
Begin at this stage upon the approval of your physician and dietitian.
This is a gradual process. Slowly, you will learn how to incorporate protein sources in your diet other than supplements.
Advancing to this stage may take 2-6 weeks. Slowly add regular foods to your diet. From eating 3 meals a day, your goal is to eat 5 small meals a day.
Drink all your liquids slowly and NEVER drink while eating. You can only do that 30-60 minutes before and after eating. Otherwise, you will feel full easily and not get the proper nutrition your body needs. Other complications from doing this are nausea, vomiting, and feeling of discomfort.
A WELL BALANCED MEAL PLAN IS VERY IMPORTANT…..
Eat your protein meals first since they satisfy hunger longer. When you can eat more protein, decrease the amount of protein supplements you consume. If you were unable to take your needed amount of daily protein, which is 70 grams per day, you can supplement it with the necessary amount of protein shake.
ALWAYS AVOID BAD CALORIES. Don’t associate yourself with sweets, ice creams, junk foods, cookies, high-calorie liquids and similar food.
Select a balanced meal plan, choosing foods from all groups in MyPlate, which replaced the Food Guide Pyramid. Develop your lifelong meal plan and exercise regime.
A well-balanced meal plan is very important. Eat foods from all groups
- Dairy products (low-fat milk and light yogurt)
- Beans and legumes
- Fruits and vegetables
- Lean meat and eggs
- Whole heat bread and whole grain products, such as cereals, brown rice, oatmeal.
|Allowed Food||Foods To Avoid|
Skim or 1 percent milk
Low-fat cottage cheese
Chicken and turkey (poultry)
Other lean meats (pork tenderloin, extra lean ground beef)
Legumes (dried beans)
Low-fat or nonfat yogurt with artificial sweeteners
FOODS ALLOWED (BUT ONLY IN MODERATION):
Olive oil or canola oil
Whole milk cheese
Potato salad, pasta salads
Regular salad dressings
Bacon, sausage, bologna
All other oils except olive or canola oil
Regular sodas, high sugar drink
NINE STEPS TO SUCCESS
- Eat three well-balanced meals and two snacks every day
- Water is your new best friend. Drink water rather than juice, carbonated, sweetened, caffeinated and alcoholic beverages
- Take daily multivitamins – calcium + vitamin D, vitamin B12 and if directed, additional vitamin D, iron, zinc, and biotin
- Sleep an average of at least 7 hours each night
- Exercise at least four times a week for 40 minutes or more
- Take responsibility for staying in control. Monitor weight and intake weekly.
- Have a support group and be involved. Find a partner to check in with you and be accountable to one another.
- Plan your meals ahead. Ask for portion size at restaurants whenever going out.
- Control your emotions. Expect an emotional roller coaster. Once you do, don’t let food be your comfort