supervised diet plans and pre-op diets
Meats-
Chicken, Beef, Pork, Turkey, Fish, EGGS
Vegetables-
Celery, Cucumber, Jicama, Lettuce, Mushrooms, Peppers, Radishes, Asparagus, Avocados, bamboo shoots, Broccoli, Brussels sprouts, Cabbage, Caulitlower, Okra, Olives, Onions, Sauerkraut, Peas, Spinach, Summer squash, tomato, Turnips, Water chestnuts, and Zucchini.
Fruits-
Lemons, Limes, watermelon, pineapple, cherries, apples, cantaloupe (amount depends on carb count)
Drinks-
Coffee, Tea, Water, Fuze
I am also having one Atkins protein shake a day. I like the Advantage Dark Chocolate Royale and the Daybreak Strawberry & Banana.
My nutritionist says my 30 grams of carbs can come from any source I would like. I have stayed away from all simple carbs and only consumed complex carbs.
ASMBS Position Statement on Preoperative Supervised Weight Loss Requirements 1. There are no Class I studies or evidence-based reports that document the benefits of, or the need for, a 6 to 12 month pre-operative dietary weight loss program before bariatric surgery. The current evidence supporting preoperative weight loss involves physician-mandated weight loss to improve surgical risk or to evaluate patient adherence. Although many believe there may be benefits to acute preoperative weight loss in the weeks before bariatric surgery, the available Class II-IV data regarding acute weight loss prior to bariatric surgery are indeterminate and provide conflicting results leading to no clear consensus at this time. Preoperative weight loss that is recommended by the surgeon and/or the multi-disciplinary bariatric treatment team due to an individual patient’s needs may have value for the purposes of improving surgical risk or evaluating patient adherence , but is supported only by low-level evidence in the literature at the present time. 2. One effect of mandated preoperative weight management prior to bariatric surgery is attrition of patients from bariatric surgery programs. This barrier to care is likely related to patient inconvenience, frustration, healthcare costs and lost income due to the requirement for repeated physician visits that are not covered by health insurance. It is the position of the ASMBS that the requirement for documentation of prolonged preoperative diet efforts before health insurance carrier approval of bariatric surgery services is inappropriate, capricious, and counter-productive given the complete absence of a reasonable level of medical evidence to support this practice. Policies such as these that delay, impede or otherwise interfere with life-saving and cost-effective treatment, as have been proven to be true for bariatric surgery to treat morbid obesity, are unacceptable without supporting evidence. Individual surgeons and programs should be free to recommend preoperative weight loss based on the specific needs and cir****tances of the patient.
March 23rd, 2011
There is NO medical evidence justifying pre-op diet or weight loss requirements.
And the CA DMHC will make Kaiser waive the requirement. But please, if you feel like you need to pay penance for your sin of gluttony in order to "earn" the right to have WLS, knock yourself out.
Summary and Recommendations
Please feel free to block me if you don't like what I post. But you will be denying me the entertainment of continually getting your goat.
Not jumping on anyone’s soapbox but it might be worth looking into DianaCox response.
It's a no harm no foul situation.
While I do have to do 6 months supervised weigh-ins (not insurance required, state required wi**** was different but hey it is what it is), I’m not on a supervised diet per se and not required to lose weight during this time, but I’ve increased my protein, veggies and fruits and decreased my carbs and stopped all high caloric drinks. I eat 4-5 smaller portions and I drink water as if I had the surgery already and I take my vitamins (Centrum silver is good enough for me at this time).
I’ve managed to lose some weight not much ~8lbs but I’m not trying either.
I’m sure if you replace 2-3 meals with a protein shake or meal replacement bar you would do a lot better than me.