Initial Weight Loss Surgery Nutrition Education Bariatric Specialists

Initial Weight Loss Surgery Nutrition Education

Bariatric Specialists of North Carolina The primary nutrition goals before and after surgery are: Learn proper eating habits that will promote weight loss while maintaining health at a reduced weight. Consume adequate amounts of protein to minimize loss of lean body mass, and facilitate healing. Take adequate amounts of fluid to maintain hydration. Obtain adequate nutrients for optimal health through healthy food choices and vitamin and mineral supplementation. WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina For most individuals Bariatric Surgery meal planning requires a significant change in how and what you eat and drink. We recommend that you begin adapting your current diet pattern and health behaviors now to prepare for this change! WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Band 1 -2 oz. 30 -60 ml. 1/8 -1/4 cup 120 ml. 1/2 -3/4 cup RNY 1 -2 oz. 30 -60 ml. 1/8 -1/4 cup Sleeve 2 -4 oz. 60 -120 ml. ¼-1/2 cup DS 4 -6 oz. 120 - WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina How Your Diet Will Advance: Weeks 1&2: Week Three: Week four: Liquids Only Liquids and Semi-solids Liquids and Soft Foods WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Weeks 1&2: Liquids Only Ability to see light coming through Milky or creamy consistenc y WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Weeks 1&2: Liquids Only Hydrating Fluids Clear Liquid Protein (1 st 48 hrs after surgery) Full Liquid Protein (Start Post-op Day 3) No Bubbles No Sugar No Caffeine WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Choosing a Protein Supplement Choose a liquid protein supplement with at least 15 grams of protein in an 8 -12 oz serving. Choose a liquid protein supplement with 20 gm or less of carbohydrate and 10 gm or less of sugar. WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Understanding The Nutrition Facts Label < 10 g total fat ≥ 15 g protein < 20 g Carbs < 10 g Sugar WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Drink fluids in no more than 2 ounce or ¼ cup portions every 1 -215 minutes oz Protein drink About 1 cup or 8 oz. total each hour. SIP on this fluid over 1015 minutes 1 -2 ounces every 15 minutes 1 -2 oz Fluid for hydration ***Drinking to quickly or drinking too much at one time may cause pain or discomfort*** 1 -2 oz Fluid for hydration WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Liquids Diet GOALS, Weeks 1&2 Preventing dehydration- 12 -14 hours of fluid intake 64 oz fluid per day / 60 -80 grams protein Controlled fluid volume Preventing discomfort • FULLNESS • Pressure • Tightness • Heaviness WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Semi-solids and Liquids, Week 3 WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Semi-solids and Liquids, Week 3 Allowed Semi. Solids Semi-Solids to Avoid WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Semi-solids and Liquids GOALS , Week 3 Begin separating fluids from foods • DO NOT DRINK WITH MEALS Measure out no more than ⅓ cup food Applesauce consistency foods WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Soft Foods, Weeks 4 -8 Group Soft Diet Class, 3 -4 weeks after surgery Fork Tender Foods to avoid on the soft diet: Carbonated drinks (avoid) Sugar sweetened, caffeinated beverages (use diet or sugar free) Simple carbohydrates like chips, crackers, rice, pasta, and noodles Shredded coconut (use coconut extract) Tough dry meats (steak, pork chops) (use moist heat preparation, stew, boil, roast) Rubbery meats like ham and hotdogs Skins, membranes and seeds of fruits and veggies (peel and or section prior to eating) Fibrous veggies (i. e. corn, celery, sweet potatoes) Fresh doughy bread like yeast rolls and biscuits (use toast, or crackers) Fried or high fat foods (bake, broil, grill, use added fats conservatively) Whole milk products (use skim or 1% milk products) WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Meal Planning • Plan to eat ⅓ cup protein every 3 -4 hours • Breakfast will be within 1 hour of waking • Last mini-meal at least 2 hours before sleep WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Soft Foods GOALS, Weeks 4 -8 60 -80 grams protein per day 64 oz fluid Start with ⅓ cup protein **Plan to eat ⅓ protein every 3 -4 hours Thumbnail size bites Chew foods to applesauce consistency 20 -30 minutes to eat No Drinking with Meals. WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Move clockwise Around the plate WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Dumping Syndrome only a side effect of RNY Gastric Bypass Limit FAT and SUGAR Single digits <10 grams/serving Avoid fried greasy and sugary foods. Alcohol? WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Vitamin and Mineral Supplements in Chewable or Liquid ONLY A chewable or liquid B -Complex is the only vitamin needed 1 month after surgery! WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Things to Do Before Surgery • Choose and purchase a chewable or liquid B-Complex Vitamin • Choose and purchase a variety of protein fortified fluids for the first two weeks after surgery • Begin planning a small meal every 3 -4 hours • Practice eating without drinking • Practice sipping on fluid between meals – 64 oz daily. • Practice chewing foods to an applesauce consistency • Practice eating with smaller utensils • Practice eating with your non-dominant hand • Practice mindful eating, try to eliminate distractions during meals, TV, Phone, tablet WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Things to Do Before Surgery • Begin decreasing high fat/fried and high sugar foods. • Begin or continue an exercise program. Try starting with a pedometer and strive for 10 K steps per day. • Attend Gastric Bypass Support Groups, both before and after surgery. • Begin or continue food journaling to increase mindfulness to food/fluid choices and diet pattern • Begin or continue reading and self-education prior to surgery • Maintain weight within 2 -3 pounds of your current weight or initiate weight loss WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Liver Reduction Diet, 2 -4 Weeks Prior to Surgery 2 -4 Weeks Before Surgery Liquids only the week before surgery 5 shakes per day WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina Download our patient app “BSNC” in the app store or google play! WWW. SURGERYNC. COM

Bariatric Specialists of North Carolina NUTRITION FOLLOW UP? Do I need to see the dietitian again before surgery? Case Managers: Barbara Satterfield Michelle Harvey Maggie Pope Kevin Edinger Michael Parker Jamie Sandy WWW. SURGERYNC. COM