INSTRUCTIONS FOR POST OP GASTRIC PATIENTS
FIRST 3 WEEKS:
First week (Day 1-7) at least 7 days
oOnly clear liquids
oFruit juices (no fruit nectars, please!) diluted with water, half and half Apple juice
oGatorade or Pedyalite (any flavor)
oSpecial K protein water
oVitamin water
o Water
o Tea (herbal)
oClear broth
o Popsicles
Second and third week (Day 7-21)
Day 7-8: Begin with nonfat drinkable yogurt 1⁄2 cup servings, with no pieces of fruit on it.
Day 7-10: Add liquid protein to the regimen, at least 30 g of protein a day
Examples of protein drinks that can be used:
o Optifast
oIsopure (both at GNC)
oCarb solutions
o EAS
oDesigner Whey Protein
oBody for Life Protein
o Glucerna
oSlim Fast Optima
oMet Mrx
Day 7-11: Add creamy soups (no chunks) If you can’t drink it don’t eat it.
Week 4 Begin with soft foods (22-28)
o Tuna
oLowfat cottage chease
o Oatmeal
oApple sauce
oEnsure pudding
oPuree veggies
oMashed potatoes
Week 6 : increase food as tolerated, chew thoroughly, eat slowly
NO CARBONATED DRINKS
Take small sips, don’t chug. Use a tablespoon at first.
Drink only what you can.
Do not force feed.
Do not take more than half a cup at a time.
Meds should be cut up or mashed.
Take your vitamins each day vitamins each day.
The idea is to not expand the stomach pouch. During the fist week, you will NOT be physically hungry (careful with the mental hunger).
If you feel lethargic, or very, very weak, it’s because you are dehydrated, call
IMPORTANT CHANGES:
1. Never combine solids with liquids. Liquids should be taken one hour later after your meal. Suck on an ice cube if you are thirsty.
2.No Carbonated drinks. They can make your pouch to stretch.
3. Avoid high calorie drinks, juices, frappuccinos, milkshakes, alcohol … or you won’t be
able to lose weight. Or you can easily “dump”
4.Sit down for a meal and take at least 20 minutes for yourself.
5.Take small bites.
6.CHEW!!!! 30 chews per bite.
7.Avoid Productive burping (P’bing):
oEating too fast and not chewing food properly
oEating solid food too soon after the surgery
oDrinking liquids with the meals or right after eating
oEating too much at a meal
8.If anything gets stuck, stop eating, wait for it to burp up and don’t eat again. Resume your meal later.
9.Always cook with Pam or “I can’t believe it’s not butter” cooking spray.
10. Eat three meals a day (SOLIDS, NO PROTEIN SHAKES).
11. Each plate should have a serving of protein, green veggies, fruit and grain, and one
serving of fat.
12. If you feel restricted in the morning, drink something warm prior to your breakfast.
13. If you do not exercise use a pedometer (Big 5 or Wal-Mart) and take 10,000 steps a day.
14. Resume with your exercise 3 weeks after your surgery.
Clear liquids: Broth, Gatorade, pedyalite, diluted apple juice, protein water, popsicles Full liquids: protein shakes, creamy soups no chunks,
Soft diet: oatmeal, toast, crackers, tuna, mashed potatoes, puree vegetables, lowfat cottage cheese, apple sauce,
For more information on your post op bariatric program / contact Sheri Burke at International Patient Facilitators / 1 800 210 5124
