054 Gastric Sleeve Diet Stage 3

Today marks four weeks out from Jimmy's gastric sleeve weight loss surgery! We are so excited because he is doing really, really well AND he gets to start his Stage 3 Diet on Sunday! He won't have his month appointment for a couple more weeks (due to the holidays) but when he does we will let you know what Dr. Hornbostel and everyone else had to say. So I know that everyone really seems to love and be fascinated by what Jimmy is allowed to eat and what he is not. I am including his whole Stage 3 diet below. Be aware that some of the foods Jimmy was allowed to eat before are being phased out for healthier options now that he is allowed a wider variety of foods. Don't miss that because I guarantee Jimmy won't! I realize this diet may be different than the one prescribed by your surgeon. All bariatric surgical programs are different. Talk to your surgeon before changing your diet or exercise program. This diet was prescribed to Jimmy by his surgeon (Dr. H) and nutritionist (Krystal).

Jimmy's Post-Op Stage 3 Gastric Sleeve Surgery Diet
What is the Stage 3 bariatric diet?
It is a soft diet that consists of foods high in protein with no added sugar and minimal fat

Recommended Foods:
Meats/Eggs/Cheese/Dairy/Legumes - These foods are high in protein, consume them first at meals. Meat should be lean, moist, tender and must be chopped or ground. Make sure your body can tolerate fish and poultry before trying to eat beef and/or pork.

• Skinless chicken or turkey
• Baked or grilled fish and shellfish
• Lean ground beef or pork (if tolerating poultry and fish well)
• Thinly sliced deli meats such as chicken, turkey, roast beef, or ham (these should be purchased at the deli counter so they will be lower in salt and preservatives)
• Meat, tuna, or egg salad prepared with light mayonnaise
• Meatless burger (vegetable, bean or soy based)
• Well cooked beans: black, garbanzo, kidney, lima, navy, pinto (including low fat refried beans), etc.
• Cheese (reduced fat)
• Eggs
• Creamy peanut butter (less than 5g of Sugar per serving & may be used in small amounts to add protein to foods such as oatmeal, yogurt, and/or protein drinks)
• Skim, 1% Milk, or soy milk (containing no more than 20g Carbs per serving)
• Yogurt - Low fat or Fat free (must be no sugar added and have less than 20g Carbohydrates per serving)

Protein Supplements - It is still very important that you consume between 40g to 60g of protein a day. This requirement will never go away.

• High Protein nutritional drinks as allowed on Stage 1 and Stage 2 diets (must have a minimum of 15g Protein per serving and less than 20g Carbs per serving)
• Powdered protein drinks may still be used
• Protein bars (containing at least 15g protein per serving and no more than 20g of Carbs per serving)

Vegetables - Vegetables MUST BE COOKED until very soft and prepared with minimal fat. Do not eat skins.

• Asparagus
• Beets, Broccoli, Cauliflower
• Celery, Carrots
• Eggplant, okra
• Lentils, beans as listed above
• Mushrooms, onions, peppers
• Spinach, sugar snap peas
• Squash, any kind
• Turnips
• Green beans or wax beans
• Tomatoes, no skin
• Potatoes, white or sweet (no skins, no fried potatoes)

Fruits - All fruits must be canned or frozen (except ripe Bananas). Do not eat skins or peels. Canned fruits must be packed in its own juice. Frozen fruit should have no sugar added.

• Apricots, peaches, pears, crushed pineapple
• Applesauce (no sugar added), mandarin oranges, fruit cocktail
• Frozen honeydew melon, cantaloupe, seedless watermelon
• Canned or frozen mango, papaya, cherries

Starches/Oils/Misc. Foods

• Oatmeal or Cream of Wheat (no sugar added)
• Cold Cereals (containing no more than 5g. of Sugar per serving)
• Fat Free or Low Fat Soup
• Whole Wheat Crackers (Triscuits - updated 12/17/12 as of Jimmy's meeting with Krystal)
• Whole Wheat toast, melba toast
• Sugar Free Pudding
• Sugar free ice cream or frozen yogurt. Avoid sherbet.
• Oils - olive, canola, soybean
• Margarine (trans fat free), butter, sugar free jelly
• Herbs, Spices, Salt, & Pepper

Foods to Avoid

• Soft bread (it can make a dough ball that could plug up your stomach)
• Rice
• Spaghetti and other pastas
• Macaroni and Cheese
• Raisins, prunes, and other dried fruit (these are too sweet)
• Granola and other Cereals with nuts
• Raw fruits and vegetables, salad
• Nuts and Popcorn
• Chips and crackers (other than whole wheat crackers)
• Tough or chewy meat
• Whole pieces of corn or whole peas (puree before eating)
• High fat foods (butter, margarine, oil, regular mayonnaise, sour cream, cream cheese, salad dressing, whole milk, half and half, ice cream, cakes, cookies, pies, other desserts, bacon, and sausage)

Serving Size: 1/4c. - 1/2c. (2 - 4oz) of food, 3 - 4 times a day. NO MORE THAN 1/2c AT A TIME! Focus on eating foods containing protein first. Avoid drinking with meals and for at least 30 minutes after meals. Drinking with meal or directly after meals can cause Dumping Syndrome. Continue to drink a minimum of 6c. of fluid daily (see Stage 1). Avoid Fruit Juice or limit it to a maximum 4oz. per day (100% juice with no sugar added). 

Duration: Follow this diet for Weeks 5, 6, 7, & 8 following the surgery or until your doctor advises differently (this diet begins 1 month after your surgery)