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Showing posts with label allowed liquids. Show all posts
Showing posts with label allowed liquids. Show all posts

Friday, December 14, 2012

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)

Wednesday, November 14, 2012

032 Post-Op Diet Week 1 (Stage 1)

Hello. Hello!

If you have been reading along with our blog then you know that Jimmy's surgery is Friday! If you haven't then let me tell you that JIMMY'S SURGERY IS FRIDAY! It's hard to believe that the time is already upon us when it feels like we have been waiting forever for it to get here. Fear not! You will have a post tomorrow. I have set it up so that you will have Jimmy's Week 2 Pre-Op Vlog to watch while we are at the hospital tomorrow having the surgery done. I will be posting how the surgery went on Facebook tomorrow so that people won't freak out from worrying but there most likely won't be any surgery updates here until Monday. Sorry.

All that being said, I know that you won't want to hear about what Jimmy's diet is like at that point because you will want to know that Jimmy is alive and kicking so I am going to tell you what Jimmy's first week post-op diet is going to be like now so that we can talk surgery on Monday.

Heartland Bariatric Center has designed specialized diets for men and women for each type of surgery they offer. The first week post-op is very similar to his two week pre-op liquid diet with two exceptions. #1 He can't have any full liquids (so no Carnation Instant Breakfast or powdered protein shakes) and he has to have 60-90g protein daily through liquid protein shots.

DAILY
  • 60-90g Liquid Protein Shots
  • One Cup (8oz.) of 100% fruit juice (Grape must be diluted with water)
  • At least 48-64oz. of other liquids (from the allowed liquids list) daily
ALLOWED LIQUIDS
  • Water
  • Diet V-8 Splash, V-8 juice or Tomato Juice (Not a chance Jimmy will try these)
  • Sugar-Free Jell-O
  • Sugar-Free Popsicles (Less than 15 calories per serving)
  • Fruit 2-O
  • Crystal Light (Jimmy was really excited about this one!)
  • Diet Snapple (Not a Chance)
  • Up to 2 Cups of broth (unlikely)
  • Decaf coffee, tea (Not a Chance--I know he's weird, right?)
  • Powerade Zero/Gatorade Zero
This is 1-42g Protein Shot. Jimmy has to have two of these daily.
And from what I hear, they don't taste the best,
Did I mention that he can only take 1 ounce of these liquids in every 15 minutes? It's true! One of the earliest post-op struggles is trying to consume all of your daily liquids so that you don't get dehydrated. During the first week post-op it will be hard to consume a total of 6 cups of liquid a day. To make it easier to measure and keep track, I bought enough 1 ounce disposable medicine cups that he can measure out a whole days worth of liquid and throw them away as he drinks them.

A 1 ounce medicine cup for Jimmy to use
to measure his liquids
1 ounce compared to the 32 ounces he could
easily be taking in per meal before surgery
Please continue to keep Jimmy in your prayers. The nice thing about the post-op diet is that Jimmy shouldn't be hungry all the time. However, he will still crave the foods that he used to eat which will make things difficult because he is not supposed to have them--especially while he is healing.

Thank you for all your prayers,



Thursday, November 1, 2012

023 Pre-Op Liquid Diet (2 Weeks)

Good morning, everyone! Tomorrow Jimmy will be starting his Pre-Op Liquid Diet. Before I get into all the specifics of what Jimmy is going to be doing, I want to remind you that every WLS program is different. This is the liquid diet that was given to Jimmy by his surgeon and it may differ from the diet either you or someone you know were asked to follow. Also, please remember that you should always consult your personal doctor before trying a new dietary program.

Ok, now that all the technical items are out of the way we can get down to business!

As I said, tomorrow Jimmy will be starting his 2 Week Pre-Op Liquid Diet as perscribed by Dr. Hornbostel. The purpose of the liquid diet is to help Jimmy drop a few pounds before the surgery, prepare his body for smaller amounts of food intake, and to cleanse his system before undergoing operation.

Heartland Bariatric Center has designed specialized diets for men and women for each type of surgery they offer. They even offer two different options for men undergoing the gastric sleeve! Through some discussion about taste, amount of food allowed, and cost of supplies this is the option that Jimmy and I decided upon for him:

DAILY

  • Five Cups (40oz.) of 2% milk, each with No-Sugar added Carnation Instant Breakfast
  • One Cup (8oz.) of 100% fruit juice
  • At least 48-64oz. of other liquids (from the allowed liquids list) daily
ALLOWED LIQUIDS
  • Water
  • Diet V-8 Splash, V-8 juice or Tomato Juice (Not a chance Jimmy will try these)
  • Sugar-Free Jell-O
  • Sugar-Free Popsicles (Less than 15 calories per serving)
  • Fruit 2-O
  • Crystal Light (Jimmy was really excited about this one!)
  • Diet Snapple (Not a Chance)
  • Up to 2 Cups of broth (unlikely)
  • Decaf coffee, tea (Not a Chance--I know he's weird, right?)
  • Powerade Zero/Gatorade Zero
Now that you know what Jimmy is in for I really ask that you will keep him in your prayers. Other people have said that they have experience hunger, irritability, and fatigue during the first few days of their liquid diets. So I am sure that things are going to be really fun at our house!

Also, pray for us as we continue to make Post-Op Preparations too.

Grace and Peace,