Question:
Does anyone have their pre-op and post op diet on hand????

I am trying to get ahold of a pre-op and post op diet plan. I have been approved for surgery and have a tenative sx date of Feb 3rd. After months and months of doctors appointments to get ready and thousands of dollars. My doctors office tells me today that my nutritional evaluation wasn't good enough. I paid $250.00 for an hour. And now i have to go to another dietician, so i just want to make sure i am prepared for the appointment. Thank you in advance.    — Amy McCain (posted on November 13, 2008)


November 13, 2008
I am pre-op so I don't have any post op advice but my pre-op diet consists of 2 protien shakes a day (am and pm) and a reasonable/nutritious lunch. I start tomorrow and am scheduled for surgery on 12-15-08.
   — jemma28

November 13, 2008
Amy, First of all let me congratulate you. You have persisted and at least have a surgery date. The truth is that you still need to be as healthy as you can pre-op. If you aren't the complications that are possible present too great of a risk for surgery. Try to remember to use a healthy diet-veggies, yogurts, no carbonated or cafeinated drinks. Chicken and fish. Fresh fruits, grains. This is more healthy than a diet of fast food, red meat, soda and coffee and tea. Although green tea and white tea are ok. Soups, broths, and rices are good too. I'm a listener. And I've fought this fight. I'm not as skinny as I'd like to be, but I've been working on it for most of my life. Also make sure you are not diabetic, lactose intolerant or anything like that. If you want to communciate further; [email protected].
   — vinnigirl

November 13, 2008
I am pre-op, too... and struggling to "get it right". The dietician who works with my surgeon says that I need to eat 75% protein and 25% carbs, with limited fats (only 2 portions higher than 8 gms per day). AND, I'm supposed to eat 6 small meals per day, basically every 3 hours starting within an hour of rising in the morning, and ending within an hour of going to bed at night. I never was a breakfast person, so that's been a challenge for me. Although it screws up my carb intake for the day, I make a half serving of Coach's Oats in the morning to take to work with me. I use a packet of Equal or Splenda to sweeten it, an ounce of skim milk, and a little bit of I Can't Believe It's Butter Spray. I also microwave 2 Jimmy Dean Turkey Sausage Breakfast Links, and that's what I have for breakfast. I've set my Outlook Calendar at work to remind me to eat every 3 hours. I'm an old Dr. Atkins fan, so I still have his books around and they are very helpful. I find that fish like tilapia and haddock and mahi-mahi can be cooked up in batches and weighed out in 4 oz portions and put in baggies for the week... another good source of protein pre-surgically is turkey burgers with a piece of Lucerne sliced American cheese on it. I feel like you need to get at least SOME vegetables in, so cauliflower is one of the lowest in carbs, followed by brussels sprouts and then by broccoli. But only in half cup amounts. For my mid-morning meal, I buy the Great Value fat free turkey slices from WalMart, and use them for snacks....there are 3 to a serving and I roll them up around a 3rd of a slice of Lucerne American Cheese (from Safeway). Then, fish, lean chicken breast, or turkey burger with cheese for lunch, along with one of the vegetables. At my mid-afternoon meal, about 3:00, I usually eat half of a Weight Watchers yogurt and a Weight Watchers string cheese. Then for dinner, I usually have another serving of fish, chicken or turkey with a slice of cheese melted over it, and another vegetable side, and possibly a boiled egg. For my last meal of the day, I usually eat 1/2 to 2/3 of a cup of cottage cheese. I like it with a quarter cup of 100% juice canned fruits like sliced peaches or crushed pineapple, but I really need to watch those carbs, so I've found that mixing a little ranch dressing in with the cottage cheese is delicious, and they also have cottage cheese seasonings in the spice aisle at your store. I keep a detailed log of what I eat, date, time, hunger level, feelings, food, serving size, calories, fat, sodium, fiber, protien, carbs, cholesterol, and even weight watcher's points. I fill it out every day. But I also get a HUGE amount of help from a site called SparkPeople.com. It's free, it's huge, there's nutrition trackers, recipies, exercises, fitness trackers, you can enter your own recipies and number of servings it makes, and it will give you the nutritional value for each servinge.... it's great.... Oh yeah, they also told me just to "find" a few protein drinks that I could like with for the couple weeks after surgery that I'll be on a liquid diet. I don't have to be drinking them now. They'd rather I NOT get my protien from liquid, but from high quality protien rich foods. Hope this helps.....
   — Erica Alikchihoo

November 13, 2008
I had my surgery on 11/3/08. I used the pre-op time to try the liquid protein drinks. EAS Carb control was the best and actually used that as a meal replacement. Practice sipping and not using a straw. I also used high protein and low sugar bars to fill the snack time. I use the SF carnation instant breakfast. I basically used the pre-op time to find out what I would like before going to the two week full liquid diet before and after surgery. I also used the lean meats and found that v-8 veg low sodium was helpful. I felt it balanced my vegetable needs. I did a lot of web searches. When I was on the full-liquid phase, to add variety, I purchased the natural (unflavored) whey and added it to healthy select soups or homade soups pureed in the blender. That boosted the protein. I feel the biggest thing is to get your protein in.
   — DeniseHolstege

November 13, 2008
My pre op diet is very easy. 1000 calories- Breakfast is one Instant Breakfast, Slimfast, Lunch is Instant Breasfast, Slimfast or a Lean Cusine, and Dinner is a Lean Cusine. I also have 2 100 calorie or less snacks. It is very easy to remember and takes care of the fat, protein, and other needs.
   — ntssmith

November 13, 2008
It would be helpful to get more detailed information from your doctor's office as to why your nutritional evaluation "wasn't good enough." The purpose of that appointment is to give YOU information so you are prepared to embrace changed eating habits so that you are fully prepared. If the evaluation wasn't adequate, you go back to that particular provider so they fix the problem. If they won't/don't/can't fix the problem, then you report them to your state's licensing board, your insurance, and the Better Business Bureau. It may still be in your better interest to go to a second nut but I suspect that you went to the first one as a specific referral. Until you know what the detail problem with the evaluation is, you are in a holding pattern. Good luck and best wishes with your endeavor.
   — [Deactivated Member]

November 14, 2008
I went to a preop nutritionist eval too that my SURGEON did not approve and made me take a 3 month nutrition course with his own Registered dietician/nutritionist that I also had to pay out of pocket for. (ANYONE can call themselves a nutrionist legally, even without a HS diploma!) So make sure you see a registered (as in has a BA and is required by the state to stay updated on diet and nutrition) I loved mine! I learned about vits, supps, proteins, sugar, eating dieting exercise...I made meal plans and had all my post op vits and protein supps approved by my nut. We could not have the surgery until I brought in grocery bags of all these things! My surgeon was THAT concerned about our post op journey as well as just performing the surgery. It was the BEST and most beneficial part of my pre op WLS journey. It prepared me for my life! You can't learn that stuff in an hour for $250.00! That's INSANE! Hopefully you will find a registered dietcian/nut who's specialized in bariatrics. I wouldn't waste anymore money until you are sure! Just a suggestion
   — .Anita R.




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