Pre-Op Diets-

Dx E
on 3/8/07 11:18 pm - Northern, MS

I had a thought….. For those of you "Waiting for Insurance approval" And those dropping a quick bit of weight prior to an upcoming surgery, Here are some of the types o diet programs that many folks have used In order to drop some weight. (I’m not advocating any of them, just had the info, and thought I’d share it…) Best Wishes- Dx

----------------------------------------------------------------- Pre-Op Diets- -Many Doctors will prescribe an all liquid diet prior to surgery for their patients. One benefit is shrinking the liver which allows easier laproscopic access to the stomach for such bariatric procedures. The other benefit is emptying the Gastro-intestinal tract of solid material prior to surgery. A "Pre-Op" Diet of less than 3 days is generally intended to empty the digestive system, whereas a 2 week diet is more associated with shrinking the liver due to the body utilizing stored Glycogen, and in some instances to mentally pre-pare the patient for the extreme reduction of food that typically follows bariatric surgery.Some doctors use this prescribed dietary restraint to have their patients utilize liquid/powdered protein supplements and shakes in order to raise Albumin levels which can speed healing and tissue growth following a surgical procedure. There are some doctors who have no policy associate with diet other than "No food or liquid the night before or day of surgery." This is typical for any surgery that requires general anesthesia.

Some Popular Diets and Dietary Approaches: (These are in no way endorsed, but rather are often some of the many Diets that are attempted and failed prior to turning to Bariatric Surgery.  Some people do find temporary weightloss using these practices.)

The Atkins Diet- From the controversial diet described in Dr. Atkins' New Diet Revolution, and several follow-up books. Basically a low-carbohydrate diet, predicated on the idea that without the Carbohydrates, the body does not fully metabolize the fats and proteins consumed. The diet is based on the theory that overweight people eat too many carbohydrates. Our bodies burn both fat and carbohydrates for energy, but carbs are used first. By drastically reducing carbs and eating more protein and fat, our bodies naturally lose weight by burning stored body fat more efficiently. A diet that maintains 20gms of Carbohydrates or lower will in fact cause the body to go into a state of Ketosis and begin feeding on itself. It is estimated Dr. Atkins' Diet Revolution has been read by more than 30 million people, and the "Low-Carb Lifestyle" has been adopted (at least for short terms) by 90 million world wide. A 2003 review of Atkins "theories" in the Journal of the American College of Nutrition concluded: "When properly evaluated, the theories and arguments of popular low carbohydrate diet books... rely on poorly controlled, non-peer-reviewed studies, anecdotes and non-science rhetoric. This review illustrates the complexity of nutrition misinformation perpetrated by some popular press diet books. A closer look at the science behind the claims made for [these books] reveals nothing more than a modern twist on an antique food fad." No major governmental or nonprofit medical, nutrition, or science-based organization in the world that supports the Atkins Diet. A 2004 medical journal review concluded, the Atkins Diet -"runs counter to all the current evidence-based dietary recommendations." Among the Obese and Morbidly Obese community, the Atkins Diet has been quite popular. Dr. Robert Atkins, himself Obese (BMI of 35) at the time of his death, suffered a heart attack, congestive heart failure, and hypertension, before his death resulting from head injury due to a fall. For an overview and balanced review of Atkins Diet- http://www.1is2fat.com/to_lose_weight_fast.htm South Beach Diet - Created by cardiologist, Dr. Arthur Agatston. This diet works in phases, the first two for a specific timeframe and the third phase as maintenance for life. Phase One - consists of relatively standard portion sizes but all carbohydrates are restricted. (very similar to an Atkins ‘induction phase, but with lowered fat content.) This is the strictest phase in the diet and will last for two weeks. It emphasizes lean meats, such as chicken, turkey, fish, and shellfish. Low-Glycemic-index vegetables are allowed as well as low-fat cheese, nuts, eggs. Phase Two  - re-introduces some of the ‘banned foods’ slowly as long as weight loss continues within a range of 1 to2 pounds per week. Phase Three -  is for maintenance and is prescribed "for life." Maintaining desired weight through healthy balanced diet and a ‘return’ to Phase 1 if weight begins to increase. The SouthBeach Diet is not a low carbohydrate diet. A in all Phases stresses- - - A minimum of 8 glasses of water, and/or decaffeinated beverages every day, - - Limiting Caffeine intake, - - Multivitamin and mineral supplementation daily. Meals in the SouthBeach Diet consist of healthy combinations of carbohydrates, proteins, and fats. This plan was designed to be simplistic and relatively easy to follow A major key to success with the South Beach Diet is the Glycemic Index (GI), which ranks carbohydrate foods based on the effect on blood sugar levels. Phase 2 & 3 food choices focus on low-GI Carbohydrates such as fresh Low-carb vegetables, apples, berries, high-fiber cereal, and whole grain breads. For an overview and balanced review of The South Beach Diet- http://www.1is2fat.com/what_is_the_south_beach_diet.htm

The 3-Hour Diet- From - The 3-Hour Diet: How Low-Carb Diets Make You Fat and Timing Makes You Thin, by fitness journalist, Jorge Cruise.  The crux of the plan (along with portion control) is ‘Timing’ of caloric intake to control blood sugar levels. The "Rules"- 1.) Eat breakfast within one hour of rising, 2.) Eat every three hours thereafter, 3.) Stop eating three hours before bedtime. It is believed that eating this way increases BMR (baseline metabolic rate -- how fast your body burns calories), increases energy, and decreases appetite. While people do report successfully losing weight on this plan, there isn't yet agreement on whether it's a metabolic improvement to spread three meals out into five or six smaller meals. Many bariatric doctors and Nutritionists that work with bariatric patients, do recommend multiple smaller meals to accommodate nutrition needs that might not be met with reduced stomach capacity. The “Plateau Buster” Diet- (This ‘diet’ has been passed along on many Weight-Loss Surgery and Diet Message Boards for quite sometime. It is basically an “Atkin’s Induction Diet” that relies on the extreme low carb content to cause the metabolism to drop into Ketosis.  Due to the manner in which food choices have been simplified, two people could presumably follow this diet to the letter, and consume completely different ratios of Fat to Protein and even depending on choices, there is the possibility of eating nearly a balanced Protein/Carb/Fats formula, but one would have to focus on doing so by utilizing 'legumes' almost exclusively.   It is generally ‘passed on’ in the following format with the caveats and ‘instructions.’) How to Break a Plateau : #1 - Do this for 10 days to break a plateau #2 - Drink 2 quarts of water a day #3 - You must have 45 grams of protein supplement and all your vitamins/minerals supplements each day #4 - You may consume up to 3 oz of the following high protein foods, 5x a day beef pork chicken turkey lamb fish eggs low fat cheese cottage cheese plain yogurt or artificially sweetened (?) peanut butter beans/legumes You may also have: sugar free popsicles tea or coffee sugar free soda sugar free Jell-O broths/bullion (sp?) crystal light drinks #5 - If it's not on the list, you can't have it for 10 days!!!! #6 - Keep a food diary and try to get up to 30 mins of exercise daily
k8spy
on 3/10/07 3:46 am - Burton, MI
My Dr. had me get a two week liquid diet from betterMD. It consist of 3 shakes/puddings a hot soup and a iced tea with fiber. This is all I am eating for the past 6 days and I have 8 days left, it is about 500 cals. The shakes and soups are ok but the iced tea taste like ass.

Scott
David G.
on 3/10/07 9:15 am - Reisterstown, MD
Scott, LOL...what I really want to know (or maybe I don't) is how you know what "ass" tastes like???? Good luck my friend, as your date approaches. Dave

Dave
Every morning in Africa , a gazelle wakes up. It knows it must outrun the fastest lion or it will be killed. Every morning in Africa , a lion wakes up. It knows that it must run faster than the slowest gazelle, or it will starve. It doesn't matter whether you're a lion or a gazelle when the sun comes up you'd better be running.

Marcel L.
on 3/10/07 12:11 pm - Longueuil, Canada
I'm on a 3 weeks Optifast liquid diet. I WANT SOMETHING SOLID!!! I have cheated 3 times in 2 weeks, and felt guilty twice. The other time was my birthday. The doctor requested I do 2 weeks, but I know my liver is engorged in a major way. My excess weight is mostly bottom waist located (fat stomach/ pear shape) and that usually denotes an engorged liver.  So I'm not taking chances, and TRYING to do the right thing pre-op. Damn it's not easy (Why so many food ads on TV?) I still have a week to go, and I'm hanging in there.

Regards,
Marcel
NOTE: No trees were killed in the sending of this message, but a large number of electrons were terribly inconvenienced.

FatManWalking
on 3/10/07 12:31 pm - Deep in the Heart of, TX
RNY on 12/11/06 with
Marcel, Hang in there. Don't beat yourself up for indiscretions. A few deviations will not undo all the prep work you have done. Just reset and move on.  Like others, I believe the pre-op diet is the hardest part of the whole experience. I hear you about TV ads! I mute the sound at minimum when they are on. JP
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