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General Dietary Rules for Bariatric Patients post-surgery

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Jim
 Posted 4/1/2013 3:56:23 AM
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I did some research to find the guidelines for eating correctly for us.  This is a general list--it may need to be tweaked slightly for our individual needs, but I think the basics are correct for all of us.

Dietary Guidelines After Bariatric Surgery

It is very important to follow the recommended dietary guidelines after undergoing bariatric surgery. These guidelines were carefully designed by your health care providers, with the goal of limiting the amount of calories you consume, while providing balanced meals that help prevent nutrient deficiencies and preserve muscle tissue.

General Guidelines

•Eat balanced meals with small portions.
•Follow a diet low in calories, fats and sweets.
•Keep a daily record of your food portions and of your calorie and protein intake.
•Eat slowly and chew small bites of food thoroughly.
•Avoid rice, bread, raw vegetables and fresh fruits, as well as meats that are not easily chewed, such as pork and steak. Ground meats are usually better tolerated.
•Do not use straws, drink carbonated beverages or chew ice. They can introduce air into your pouch and cause discomfort.
•Avoid sugar, sugar-containing foods and beverages, concentrated sweets and fruit juices.
•For the first two months following surgery, your calorie intake should be between 300 and 600 calories a day, with a focus on thin and thicker liquids.
•Daily caloric intake should not exceed 1,000 calories.

Fluids

•Drink extra water and low-calorie or calorie-free fluids between meals to avoid dehydration. All liquids should be caffeine-free.
•Sip about 1 cup of fluid between each small meal, six to eight times a day.
•We recommend drinking at least 2 liters (64 ounces or 8 cups) of fluids a day. You will gradually be able to meet this target.
•We strongly warn against drinking any alcoholic beverages. After surgery, alcohol is absorbed into your system much more quickly than before, making its sedative and mood-altering effects more difficult to predict and control.

Protein
Preserve muscle tissue by eating foods rich in protein. High-protein foods include eggs, meats, fish, seafood, tuna, poultry, soy milk, tofu, cottage cheese, yogurt and other milk products. Your goal should be a minimum of 65 to 75 grams of protein a day. Don't worry if you can't reach this goal in the first few months after surgery.

Supplements
You must take the following supplements on a daily basis to prevent nutrient deficiencies. Please remember that all pills must be crushed or cut into six to eight small pieces. You are not able to absorb whole pills as well as before surgery, and it can be difficult for the pills to pass through your new anatomy.

Multivitamins
Take a high-potency daily chewable multivitamin and mineral supplement that contains a minimum of 18 mg of iron, 400 mcg of folic acid, selenium, copper and zinc. Brands that contain this formula include Trader Joe’s and Centrum Adult chewable multivitamins. Take two tablets daily for at least three months after your surgery, and then one tablet daily for life.

Calcium Supplement
Take 1,200 to 2,000 mg of calcium daily to prevent calcium deficiency and bone disease. To enhance absorption, take the calcium in two to three divided doses throughout the day - for example, a 500 to 600 mg supplement taken three times a day. Calcium citrate is the preferred form of calcium.

Vitamin D Supplement
Take a total of 800 to 1,000 International Units (IUs) of vitamin D each day. This total amount should be taken in divided doses of 400 to 500 IUs twice a day. Vitamin D should be taken with your calcium supplement. If you prefer, you can take a combination calcium-vitamin D supplement to avoid taking multiple pills, so long as it contains the proper dosages.

Vitamin B12 Supplement
Take 500 mcg of vitamin B daily. It can be taken as a tablet, or in sublingual forms placed under the tongue.

Other Supplements
Some patients need additional folic acid or iron supplements, particularly women who are still menstruating. Your dietitian will discuss this with you.


Jim L, Jim Thorpe, Pa.  Surgery 7/25/06 Dr. Sawyna
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 Posted 4/1/2013 12:24:48 PM
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Thanks Jim.  Your post serves as a good reminder as to what we should be doing day by day.  It is appreciated.

NADIA - RNY WITH DR.HOLLAND ON JUNE 30,2009
BE WISE.  EXERCISE.



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