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I have an 8 week plan before going to "regular foods". The first four weeks was a liquid diet (you have all patiently listened to me complain about that enough), which consisted of water, diluted juices, broths, and protien shakes. The goal was 64 oz of water and 60 grams of protien per day.

The next 4 weeks are puree, and here is the plan:

Start replacing protein shakes with pureed foods, one meal at a time.

Slowly consume 1-2 ounces of protein every 2 hours

Consume 5-6 small meals daily until you can tolerate ½ cup of food at one time

Avoid liquids 15 minutes before and at least 30 minutes after meals.

Take 20-30 minutes to eat each meal.


After 8 weeks, then I can start incorporating "regular foods", here are my requirements, and weight loss tips from the nutritionist:

Incorporating new foods (after 8 weeks)…

-Now that the swelling has decreased you will be able to advance your diet. In order to minimize the chance of food particles lodging in your stomach/pouch choose softer foods first and try them one at a time.

-Continue to avoid high fiber foods
• Raw fruits w/ peels
• Dried fruit
• Raw vegetables
• Corn, peas
• Doughy breads, whole grains
• Pickles
• Popcorn
• Nuts, seeds & coconut
• Dry, tough meats

Tips for Successful Weight Loss:
• Moisten chicken and meat w/ low-fat broth or gravy

• Introduce one new food each day in order to better identify which foods may cause problems: nausea, discomfort or vomiting

• Keep a food log and bring it to follow-up appointment w/ dietitian and/or doctor

• Take small bites and chew food thoroughly (15-20 times)

• Use small utensils and plates

• You should feel full after maximum 1/2 cup of food

• Use the 20-20 rule. Take 20 minutes to eat 20 bites of food

• Eat the protein and vegetables first!!

• Stay hydrated by drinking 6-8 cups a day

• Drink 15 min before and 30 min after meals

• NO CARBONATION-may cause discomfort, burping, bloating, gas pain

• Start doing physical activity (4-6 weeks after surgery) - aerobic activity and strength training


 
I never feel full when I eat. I wish I could eat more than 1/2 cup - at this rate I'll never eat vegetables, by the time I get the protein in. I guess it's the harsh reality that this is life now - five 1/2 cup meals. I can live with it. In my diet binder, it always refers to the food plan as one for people with gastric bypass; I had the sleeve. I'd like to know the difference in how eating affects the sleeve, not just assume it's the same as the bypass. Anyway, I guess I'm just cranky about it.
 
I never feel full when I eat. I wish I could eat more than 1/2 cup - at this rate I'll never eat vegetables, by the time I get the protein in. I guess it's the harsh reality that this is life now - five 1/2 cup meals. I can live with it. In my diet binder, it always refers to the food plan as one for people with gastric bypass; I had the sleeve. I'd like to know the difference in how eating affects the sleeve, not just assume it's the same as the bypass. Anyway, I guess I'm just cranky about it.
Yeah, I never felt full from 1/2 cup but fortunately never felt true hunger in the first 6 months either. Cravings yes, hunger no. During that time, I think it was training in the practice of eating for fuel. Establishing a new routine. On the bright side, this is probably the time you'll loose the most weight. :)
 
I had RNY 1/22/2020. I was on full liquids - broth, thinned soups, cottage cheese, yogurt, protein shakes for till 1/29. I was on pureed foods - egg salad, tuna salad, pretty much any food I could mash with a fork till 2/17. Now I'm on regular food. I still have a protein shake or 2 a day. It's difficult to get in 70-90 grams of protein when you're eating a 2 TBSP per meal / snack.
 
Tracey are you being required to get 70-90 grams of protein in a day? Not even the government recommends that much. For a woman the bariatric recommended amount is 50-70 grams of protein and that is a lot. But in general for women of average weight and height it's 54 grams of protein on the nose.

Diane - Yes. I had an appointment 2/17 - and was and given paper work that says 70-90 grams of protein daily. It's difficult to do some days.
 
That's almost twice as much as every other bariatric surgeon's nutritionist requires. I have never heard of this number and in order to get 90 grams of protein you would have to eat a lot of calories. There just isn't any way that this makes any sense. Thank you for confirming that, but if I were you I would ask my doctor or my nutritionist why you are supposed to get so much while virtually everyone else in this group gets 50 to 70.
So, back in 2016 I did a medically supervised weightloss program. It was a high protien, low carb, low fat program. Very similar to a diabetic keto diet. I was supposed to get at least 100 grams of protien, no more than 80 grams of carbs, and no more than 20 grams of fat per day. My total calories were around 800-900 per day. So it is POSSIBLE, but I can't see how you could get that not being able to eat more than 4 oz at a time, unless you are also downing a couple if high protien shakes as well.

There is a lot of science behind that type of a diet.... I am a scientist and verified the credentials. And it worked for me, I lost 100 lbs in 8 months. My problem, the same as many of us, was sticking to the maintenance routine once the diet was over. I went back to my old eating habits, and I put all 100 lbs back on over the next 3 years. Hence my gastric sleeve.
 
Believe me I know that 70-90 grams of protein is a lot to get in every single day. Most days I don't get that much. When I eat - I eat protein first. Once I finish the protein I can eat veggies. I attached a copy of what I was given on 2/17/2020.
 

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