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Post-OP Bariatric Surgery Recovery Diet

Your bariatric program will provide you with specific information about what to eat after surgery, but here are some generally accepted guidelines to give you an idea of what to expect.

One to Two Days Post-op

At this time, your bariatric surgeon will be monitoring your progress by seeing how well you tolerate low-sugar, non-carbonated liquids such as water, tea, broth, or Gatorade®.3 Sugar-free gelatin is another option.

Use a cup to drink. Avoid sipping from a bottle or straw—you could swallow too much air and get gas.

A Note on Sugar-Free Foods

Artificial sweeteners such as Splenda®, Equal®, and Sweet’N Low® are calorie-free alternatives to sugar.3 Most bariatric surgery patients are able to tolerate artificial sweeteners in moderation. It’s important to keep in mind that these artificial sweeteners are used in many no- and low-calorie foods. An excessive amount of artificial sweeteners can lead to dumping syndrome in gastric bypass patients.

Three Days to One Month Post-op

If you tolerate liquids well, your surgeon will likely recommend that you move on to a pureed diet and begin eating three meals per day. However, if you are not hungry, you do not have to eat.

Remember, your stomach will be very small, and so will your portions. You should only eat a few tablespoons at a time.

Many patients are able to consume about 16 to 24 ounces, roughly two to three glasses, of protein shake each day.

Hydrating Is Critical
You must remain hydrated. Hydration is critical, but can be difficult because your stomach will be roughly the size of an egg. Here are a few tips:
- Drink 48 to 64 ounces of water each day.
- Sip calorie-free liquids frequently—when not eating.

Keep the following in mind:
- Do not drink while eating.
- Wait at least one hour after eating to begin drinking again.
Protein and Nutrients

Bariatric programs generally recommend including quite a bit of protein in your diet, because your body will need it while you are healing. The recommended daily requirement for adults is 60 to 65 grams of protein.

Healthy protein sources include:
- Lean meats
- Beans
- Eggs, especially the whites
- Dairy products

Getting enough nutrients is often a challenge for bariatric surgery patients. You have the same nutritional requirements as people who have not had bariatric surgery, but a far smaller stomach and, for gastric bypass patients, a limited ability to absorb nutrients and calories.

Bariatric programs generally recommend taking chewable multivitamins and chewable calcium supplements every day.

Tips
- Eat slowly. Plan on spending about 30 minutes eating a meal.
- Chew thoroughly so that your food is the consistency of peanut butter.
- Cut up meat to the size of a pencil eraser when eating.
- Stop eating before you feel full.
Examples of Pureed Foods
- Protein shakes or supplements
- Plain chicken broth: no noodles or bits of chicken
- Lean meats or poultry pureed in a blender
- Scrambled or soft-boiled eggs
- Low-fat or skim milk
- Low-fat yogurt
- Low-fat frozen yogurt
- Beans: split pea soup or fat-free refried beans
- Unsweetened applesauce
- Mashed ripe bananas
- Diet frozen juice bars
One Month to Lifetime Post-op Diet

If you tolerate the pureed diet well, your surgeon will likely recommend that you begin to incorporate solid foods.

You should slowly incorporate small amounts of new foods—a few tablespoons rather than a half-cup. Everyone encounters problems with some foods; it’s perfectly normal. If you do have a poor reaction to a certain food, you always can try it again in a week or so.

Hydration Is Still Important

Hydration will continue to be important. Hydrate with more than 64 ounces of water, calorie-free or very-low-calorie drinks, and diet frozen juice bars. Beverages such as fruit juices contain calories, which will slow down your weight loss or cause you to lose less weight than you could.

Proteins and Nutrients

You still need 60 to 65 grams of protein each day. This translates to about 4 ounces of lean meat, three times each day.

At this point, you can switch from chewable multivitamins to those in pill form.

When it comes to calcium, calcium citrate is the best-absorbed calcium. Some calcium supplements contain vitamin D and magnesium to aid in absorption.

Your surgeon may prescribe iron supplements as well.

Tips
- Incorporate new foods in small amounts.
- Avoid foods and beverages high in fat and/or sugar.
- Chew your food thoroughly.
- Eat slowly.
- If your stomach feels irritated, let it recover by consuming liquids in place of the next meal or two.
Examples of Healthy Lifetime Foods
- Lean ground beef, chicken, turkey, or pork
- Fish
- Tofu
- Cottage cheese
- Cheese
- Soft pasta
- Cooked or canned fruits and vegetables (avoid starchy vegetables such as corn)
- Whole-grain cereals and breads
- Protein shakes or supplements

LIFE AFTER BARIATRIC SURGERY

RECOVERING FROM BARIATRIC SURGERY

POST-OP PHYSICAL ACTIVITY

HEALTHY HABITS

HEALTH TRANSFORMATIONS

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