POST-OP (expected) DIET

ilively
on 2/13/09 12:24 am
Here's my 'schedule' for Post-OP.   My surgery is on 2/20


Day 1 - Water
no more than 8 oz in an hour


Stage 1 - Small portions of SF clear liquids
Begin - 2 days after surgery
Instructions: 3 oz of bullion or SF jello per meal plus 3-5 oz of water or flat diet gingerale per hour between meals (still no more than 8 oz water per hour)
NO STRAWS NO CARBONATION
Food List: flat flavored water, crystal light, propel fitness water, decaf coffee, decaf tea, bouillon or broth, flat soft drinks, sf jello, tomato or V8 juice, sf popsicle (limit 2-3 per day)



Stage 2 - High protein liquids
Begin - 34 hours after stage 1
Duration: 4-6 weeks
Instructions: 4-6 oz. high protein liquid supplement approximately 4-6 times per day PLUS 1-2 snacks
Guidelines for High Protein Supplement: 150-250 calories; MINIMUM 12g protein per serving; MAXIMUM sugar 10-15g per serving
Food List: 8 oz Body Fortress/Whey Protein, 8 oz Slimfast Low Carb/High Protein, 8 oz Carb Consious Carnation Instant Breakfast, 8 oz SF yogurt, 8 oz Skim milk, 8 oz tomato or cream soup, 4 oz SF pudding, 1 pkt SF cocoa in 6 oz skim milk


Stage 2B - Wean to 1-2 high protein drinks/day if able to meet protein goal (60 grams) with alternate protein choices
KEEP FOOD RECORDS monitoring food and liquid intake
No more than 8 oz of fluid in 1 hour
Alternate protein choices: 4 oz cottage cheese, 1/2 cup egg substitute



Stage 3 - Pureed and soft protein foods
Begin 4-6 weeks after surgery (not started until after post-op checkup)
Duration 4-6 weeks
Diet: 3 oz pureed or soft foods 3 times per day plus 1-2 snacks per day
Fluid Goal: 48-64 oz
Protein Goal: MINIMUM 60 oz protein
Eat slowly - 10 minutes per oz.
No fluids 30 minutes before or 60 minutes after a meal
Food List: 3 oz fish, 3 oz. salmon (canned or fresh), 3 oz tuna in water, 3 oz chicken (moist), 3 oz imitation seafood, 3 oz. FF or LF cheese, 4 oz ff cottage cheese, 4 oz FF ricotta cheese, 2 lg egg whole, 1/2 c egg substitute, 3 oz chicken or turkey (moistened w/ broth or FF gravy or lofat mayo -- can use ground chicken and turkey), 2 1/2 oz "stage 1" baby meat (all types),

--- 3 oz seafood --- WON'T DO THIS BECAUSE OF ALLERGIES
--- 3 oz liver (braised) --- WON'T DO THIS. I don't do organ meat.

NO FRUITS OR VEGGIES OR STARCHY FOODS AT THIS STAGE




Stage 4 - Low-fat, low-sugar foods
Begin 8-10 weeks after surgery
Duration: LIFELONG
Diet Instructions: 6 oz. of meat or high protein foods; 2 cups milk products, 2-3 servings of grains or starch, 2 servings of vegetables, 2-3 servings of fruit
Fluid Goal: 48-64 oz per day
Protein Goal: minimum of 60g per day
Instructions: KEEP FOOD RECORDS!
Gradually introduce new foods to diet one at a time.
Go slowly with fresh fruits and vegetables.
If foods are not tolerated wait 2-4 weeks before introducing them again.
Eat protein first then starches and vegetables.
A typical meal [salad plate of food] should take at least 30-60 minutes to consume.
misseye
on 2/13/09 2:21 am
wow that is complicated!  I am just on clear liquids for a week then on full liquids for at least a week, see doctor and discuss moving on.  8 ounces sounds funny to me.  Its day 3 and I will be lucky to get 25 ounces for the entire day.  It might just cause I have the sleeve.
Missy




peggy76
on 2/14/09 1:48 am - girardville, PA
 thank u for posting this... im on the same "schedule" post op my surgery is a few days after urs.. ok heres the funny thing.. ive went through a whole 6-8month pre-op program.. witha  groupe of people.. yesterday at last pre-op appt.. ran into one of the women from my group i had classes with.. so i know every thing she was taught cause i was in the same classes.. anyhow she totally urked me.. her surgery is a week after mine so im on my 2week pre surgery liquids.. which she doesnt start till next week an she was tellin me about how a few days after surgery "we" can have lose mashed potatos,creame of wheat, oatmeal etc... an im a stickler if its not on list im not consuming it..  from what i have read an been told by professionals no starches till stage 4.. so where does she get the idea u can have mashed potatoes afew days after surgery? i said to her not as far as i know.. an she got all defensive as if i took away her one happiness.. i said well from what i understand this 2week liquid turns into actually more like 2 months 2weeks before an 4-6 weeks after its not rocket science.... an im at the point where i dont care if i ever eat my fav foods again.. i just want to be healthy...


                
ilively
on 2/14/09 8:28 am
I've read various books where they were eating mashed potatoes w/ the soft foods.  I know you're to get some carbs ... but, the less carbs you eat, the more fat your body breaks down -- as long as you're exercising (when the Doc okays it) so that it doesn't attack your muscle first.

And, before you say 'what muscle' ... you've got to be a very strong person to carry around the extra person that you are carrying on your frame!   Hard facts. ;)
jo b
on 2/15/09 8:55 am
Just wanted to chime in.  I had my RNY on Feb 4th.  I was on liquids day after surgery and pureed the day after that. Pureed consists of mashed potatoes, oatmeal, applesauce and even saltine crackers!!   I am to stay on pureed until my 2 week check up, then he will put me on regular food (small prtions of course).

~Jo~

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