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Lifestyle
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• Life After Surgery |
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Bariatric
surgery has put you on the right track to improving
your health and your quality of life. However,
you must also do your part and make some important
lifestyle changes, such as developing new eating habits
and exercising regularly. These important lifestyle
changes are crucial to your success. Refusing
to make these changes and returning to your old habits
can sabotage your investment for a healthy life. |
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• Four to six weeks post-op
instructions: |
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Do's and Don'ts |
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Eat
every 2-1⁄2 to 3 hours |
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Have
approximately 45 grams of protein a day |
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Take
vitamins and minerals with iron and calcium |
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Call
if you experience nausea or vomiting |
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Skip
meals |
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Drink
carbonated beverages |
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Swallow
big pieces of food |
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Eat
too fast |
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Drink
30 minutes before or after a meal |
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New Habits |
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This
surgery limits the amount of food that you can eat.
During the first few months after surgery, you will
be limited to 2 ounces, or 4 tablespoons of food per
meal. Thus, it is important that you eat every
2-1⁄2 to 3 hours. The amount of food you
are able to eat will gradually increase but should
never exceed a child-size portion. |
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As you gradually begin to introduce soft solid foods into
your diet, you will need to decrease the amount of juices
and nutritional supplements. There are 2 reasons
for this: the first is that these liquids are high in
calories. The second is simply that it is healthier
to eat solid foods. Be sure to eat slowly to give
your small pouch enough time to digest food. Chew
slowly and pause between bites and never swallow big pieces
of food. Rushing your food can cause cramps or nausea.
Your primary goal is to eat foods with the highest
possible nutritional value. Thus, it is important
that you always eat protein first. You must have
approximately 45 grams of protein a day.
Proteins come from foods such as chicken, eggs, fish,
cheese, and yogurt. Avoid eating foods that are
high in fat or sugars because they are hard to digest
and may cause "dumping syndrome" which is characterized
by cramps, flushing, increased pulse rate, weakness and
diarrhea.
You must also take a multi-vitamin with calcium and iron
everyday. You may take a chewable multi-vitamin,
but if you choose to take a pill, you must crush pills
or dissolve them in water or juice. In the first
few months after surgery, taking a multi-vitamin will
help you get the proper nutrients needed to maintain muscle
tone, skin elasticity and to minimize hair loss.
However, you will need to take one a day for the rest
of your life to ensure that you get the proper nutrients
needed to maintain good health.
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Frequently Vomiting is Not Common Nor Normal |
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If
you experience nausea or vomiting, have NOT eaten a large
amount of food, and the conditions persist, please call
my office. We will order studies to determine the
cause of the condition. Also, call my office if
you feel weak, lack energy, or lose hair.
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Think Before You Drink |
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Apart
from developing new eating habits, you also need to
develop new drinking habits. You need to drink
64 ounces of fluid per day to maintain hydrated, ensure
proper weight loss and good health. Because
your stomach size is so small, you have to take small
sips frequently throughout the day.
Never drink water or any beverage during or within
30 minutes before or after meals.
Never drink carbonated beverages. The carbonation
causes the new stomach pouch to stretch and become
larger.
Avoid alcoholic beverages. They are often high
in calories and are hard on your stomach. |
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Soft Solid Food List |
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The
following list is a guideline. Most foods that
have a soft consistency will more than likely be tolerated.
Gradually begin to introduce soft solid foods into
your diet. Try new foods, but only one per meal.
Begin with one tablespoon and wait to see how you
react to it. Different people react to different
foods. If you have a bad reaction to a food,
try it again next month. A food that may have
been intolerable one month may be okay to eat at a
later time.
At this point, you will still be losing weight at
a rapid rate. So, your primary objective is
to eat foods with the highest possible nutritional
value. Remember, this surgery is only part of
the treatment for obesity. Your success depends
on following the guidelines and developing new eating
habits. Yes, YOU CAN DO IT! |
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In
addition to the foods on the LIQUID DIET
LIST, you may now eat the following foods: |
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applesauce |
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canned
fruit, packed in its own juice (except pineapples) |
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fruit,
ripe and peeled |
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melon
(watermelon, cantaloupe, honeydew) |
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canned
vegetables (except corn, lima beans, English peas, and
spinach) |
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cooked
vegetables (except broccoli, cauliflower, cabbage and
those listed above) |
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cooked
beans (pinto, kidney, navy, and black). However,
most patients do not tolerate beans. |
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cereal
after softening them in skim milk (1⁄2% or 1%) |
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cream
of rice |
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oatmeal |
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cottage
cheese |
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free or low fat yogurt |
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low
fat cheese, NOT MELTED |
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sliced
low fat luncheon meat like chicken, turkey, or ham |
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canned
tuna or salmon which may be mixed with low fat mayonnaise |
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eggs
or egg-beaters. Scrambled or soft boiled but NO
HARD BOILED EGGS |
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low
fat or fat free crackers |
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low
fat or fat free soups |
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flaky
baked fish, NOT FRIED |
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mashed
or baked potatoes, NO SKIN |
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Liquid Food List / Liquid Diet |
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protein
shakes, soups, or protein supplements such as Optims,
Boost, Ensure Light, Slimfast, Nestle's SweetSuccess,
Carnation's Instant Breakfast, etc. Healthwise
products are available in creamy soups and gelatin
and are available at my office - just ask for some. |
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yogurt
- low in sugar and low fat / fat free. Be sure
to remove all pieces of fruit. |
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skim
milk |
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broth
- chicken, beef or vegetable. |
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cream
soups - low fat / fat free. Remove, strain or
blend any CHUNKS of solid food. |
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cream
cereals - prepared very thin into an almost liquid consistency. |
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grits
- prepared to a very liquid consistency. |
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baby
food - remove any chunks of food. |
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fruit
juices - avoid those high in acidity. Apple and
grape juice are the best choices. |
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Gatorade
or other nutritional drinks. Watch for sugar content. |
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caffeine
free tea or coffee |
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JELL-O
brand gelatin and puddings have little or no nutritional
value, so use them sparingly. |
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sugar
free popsicles, low fat / low sugar ice cream or low
fat / low sugar frozen yogurt. |
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Foods to Avoid |
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foods
high in fat or sugar |
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bread,
rice, or pasta. Most patients have difficulties
digesting these foods in the first 6 weeks. |
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foods
that are in a casing: hot dogs, sausages, etc.
The casing is hard to digest. |
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spicy
or hot flavored foods |
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shell
fish or shrimp |
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apples,
oranges, grapefruit, pineapple, and grapes. Apples
are not a soft solid food unless they are cooked in
juice or water. The membranes in oranges and grapefruits
make them difficult to digest. Eat only fruits
which are ripe and remove the peels. |
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