[Type here] - Reading HospitalWeight Management Center Gastric Sleeve Diet Manual RH5366 2.18 Page 3...

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WeightManagementCenterGastricSleeveDietManual

RH53662.18 Page2

TableofContents:

WeightLossSurgeryPre-opLiquidDiet……………………………………….Page3

ClearLiquidDiet(Days1&2)………………………………………………………Page4

FullLiquidDiet(Days3to9)………………………………………………………..Page5

PureedDiet(Days10-17).................................................................Page7

SoftDiet(Days18-32)……………………………………………………………….Page11

Unrestrictedtextures(Day33)………………………………………………….Page15

BariatricPlate…………………………………………………………………………..Page16


RH53662.18 Page3

WeightLossSurgeryPre-opLiquidDiet• Thepurposeofthepre-opliquiddietistoshrinkyourliver.Theliverand

stomachareclosetoeachotherinthebody.Whenyourliverislarge,itmakesithardforthesurgeontosafelyoperateonyourstomach.

• Consume800caloriesorlessdailytohelpshrinkyourliverpriortosurgery.• YouwillneedtofollowthisPre-opLiquiddietfor10dayspriortoyoursurgery

dateunlessinstructedotherwisebyyoursurgeon.

FoodGroups Allowed NotAllowed

Beverages Water:0calories

ProteinSupplements:75-200calories

DecafCoffee/Tea:5-10calories

Sugar-FreeBeverages:0caloriesexamples:CrystalLight®,Fruit2O®,Propel®Water,VitaminWater®Zero,Mio®WaterEnhancer

Juices

Soda(DietorRegular)

CaffeinatedDrinks

Breads/Cereals CreamofWheat:130-150calories

CreamofRice:130-150calories

AllOthersNoOatmeal

Vegetables VegetableJuice:50caloriesexample:V8®vegetablejuice

AllOthersNoV8Splash®

Fruits None AllFruit/FruitJuice

DairyProducts Skimor1%Milk:90-120calories

MilkAlternatives:Lactaid®,UnsweetenedSoymilkandNutMilk:25-110calories

Light,Low-FatYogurt:80-120caloriesexamples: DannonLight&Fit®,YoplaitLight®,0%Chobani®,OikosTripleZero®

AllOthers

Soups BrothorBouillon:10-20calories

Low-FatCreamSoups:90-150calories(blend&strain)

AllOthers

SugarSubstitutes

Equal®:0calories

Splenda®:0calories

SweetNLow®:0calories

Stevia®:0calories

AllOthersNo

HoneyorAgave

Sweets Sugar-FreeIcePops:15-30caloriesLow-FatSugar-FreePudding:60caloriesSugar-FreeGelatin:10-20calories

AllOthers

Ifyoutakemedicinetohelpcontrolyourbloodsugars,callthedoctorwhoprescribesthemedicine.Askyourdoctorifyoushouldstayonyourmedicinewhileontheliquiddietandaftersurgery.


RH53662.18 Page4

Days1and2:BariatricClearLiquids

Duration:2daysFoods/BeveragesAllowed:

• Water• CrystalLight®• Flavored,sugarfreewater(Fruit2O®,Propel®)• Sugar-freeKoolaid®• Propel®• VitaminWaterZero®• Decaffeinatedcoffeeortea(icedorhot)• Lowfatbroth• DietJell-O®

Whattoavoid:

• Caffeine• Carbonation-NoSoda• Sugar• Straws

Instructions:

• Sipsmallamountsoffluidthroughouttheday.• Itisimportantforyoutosiptheseliquidsslowly.• Donotuseastraw.Itcanmakeyoufeelbloatedandgassy.• Yourpouchisswollenfromsurgery.Fluidswillemptymucheasierwhentheswelling

goesdown.Remember:

• Ifyouhavetroubledrinkingplainwater,tryaddingasliceoflemonororange.

• Don’tusedrinksthatcontainsugar.Evennaturalsugars,liketheonesinjuice,containalotofcalories.Theywillslowyourweightlossandmaycauseyoutofeelsick.

• Donotdrinkcarbonatedbeverages(anythingwithbubbles)eveniftheyare“flat.”Whenyouswallow“flat”soda,thetrappedairbubblesarereleasedinyourpouch.Thiswillcausepainandbloating.

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Days3to9:BariatricFullLiquidsDuration:7days

Description:Afullliquiddietconsistsoffoodsthatpouroffaspoonlikesoup.

Examples:

FoodsAllowedAmountofProteinper1/2cup

(4oz.)Skimor1%Milk 4grams

Fairlife®Milk 6.5grams

SoyMilk(unsweetened) 4grams

LowFatCreamSoup(blendedandstrained) 4-8grams

ThinCreamofWheatorRice 3grams

LiteBlendedYogurt(nochunksoffruitor"FruitontheBottom")

4-8grams

LowFat,SugarFreePudding 2grams

ProteinSupplement Refertoproteinsupplementlabel

Sugarfree,decaffeinatedbeverages 0grams

V8®VegetableJuice 0grams

Broth 0grams

SugarFreeJello®orPopsicles 0grams

AlmondMilk(unsweetened) 0grams Instructions:

1. Sipliquidsslowly.2. Choosefoodslowinfatandsugar.3. Startproteinsupplementsandtrackproteinintake.

• ProteinGoal:o Women:50-80gramsofproteino Men:60-90gramsofprotein


RH53662.18 Page6

FullLiquids:SampleMenu

FoodProteinContent

Breakfast½cupthincreamofwheat(with4tablespoonsdrymilkpowder)½cupskimmilk

12grams4grams

MorningSnack ProteinSupplementRefertoproteinsupplementlabel

Lunch

½cupblendedandstrainedlowfatcreamsoup(with4Tablespoonsdrymilkpowder)

19grams

AfternoonSnack ProteinSupplement

Refertoproteinsupplementlabel

Dinner ½cupblendedandstrainedlowfat

creamsoup(with4Tablespoonsdrymilkpowder)

19grams

EveningSnack 4oz.lightvanillayogurt

4grams

TotalProtein:58gramsnotincludingproteinsupplements

TipsforSuccess:

• Youmayaddunflavoredproteinpowderornon-fatdrymilkpowdertoanyfoodsyoueat.

• 4Tablespoonsofnon-fatdrymilkpowderisequalto9gramsofprotein(Example:Carnation®instantskimmilkpowder).

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Days10-17:BariatricPureedFoods

Duration:1week

Description:Stage1orStage2babyfoodorblend(puree)yourownfoodwithablenderorfoodprocessor.InstructionsforBlendingFoods:

• Usesugarfree,lowfatingredients.• Cutallfoodintosmallpieces.• Addasmallamountofliquid:

o Tomatoorvegetablejuiceo Brotho Fatfreegravyo Skimor1%milko Litemayonnaise

• Donotaddwatertofood.Itwillmakeittasteblandanddilutethenutrients.• Youmayuseherbsandspicestohelpflavoryourfoods.

TipsforSuccess:

• Starttakingyourvitaminsupplementso BariatricFusionVitamins®:2chewsinthemorning,2chewsinthe

evening.o BarilifePowderVitamins®:1scoopwith8-10ouncefluidinthe

morning,1scoopwith8-10ouncefluidintheevening.• Continuetrackingproteinintake.

§ Women:50-80gramsofprotein§ Men:60-90gramsofprotein

• Donotdrinkbeverageswithyourmeals.o Stopdrinkingliquids10minutesbeforeyourmealandwait30

minutesafteryourmealuntildrinkingfluidsagain.• Fluidgoal:64ouncesdailyinbetweenmeals.

o Thisincludesallliquidsnotjustwater.o Continuetotakeslow,smallsipsevery15minutes.

• Maximumvolumepermealshouldnotexceed½cup(or4ounces)atthistime.

o Usingmeasuringcups,child-sizedutensils,andsmallplatescanhelpcontrolyourvolume.

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ProteinContentofPureedFoods

SuggestedFoods PortionProteinContentStage2BabyMeat

¼cup 10grams

Lowfat,cottagecheese(smallcurd)

¼cup 7grams

Lowfat,ricottacheese ¼cup 7gramsLightYogurtor0%FatGreekYogurt(vanillaorplain)

¼cup 2-4grams

Smooth-texturedwhippedpotatoes

¼cup 1.5grams

Low-fat,sugar-freepudding

¼cup 1gram

Stages1and2babyvegetables

¼cup 0.5grams

Applesauce(nosugaradded)

¼cup 0grams

Stages1and2babyfruit

¼cup 0grams

Pureedvegetables

¼cup 0-1grams

Pureedbananasorotherfruitswithoutseeds

¼cup 0grams

Pureedfishtuna,poultry,veal,pork,orbeef

1oz 7grams

Pureedegg/eggsubstitutesorpoachedegg

1eggor¼cup 7grams


RH53662.18 Page9

Thesearejustexamples.Youmaynotbeabletoeatthisamountoffoodatonetime.Remember,stopeatingassoonasyoufeelfull.

PureedFoods:SampleMenu

Day1 Day2 Day38:00a.m. ½cupcreamofwheat

Add2oz.offatfreemilk1eggpureed1oz.low-fatcheese(meltedintoegg)

Smoothie:1scoopproteinpowder4oz.fatfreemilk2oz.fatfreeyogurt1banana(pureed)

9:30a.m. 8-12oz.clearliquid

8-12oz.clearliquid 8-12oz.clearliquid

10:30a.m. 4-8oz.proteinsupplementor½cupcottagecheeseand1tablespoonpureedfruit

4-8oz.proteinsupplementor6-8oz.lightyogurt

4-8oz.proteinsupplementor½cupricottacheesewithdashvanillaextractand1packetsugarsubstitute

12:00p.m. 8-12oz.clearliquid


1:00p.m. 3-4oz.pureedham¼cupmashedpotatoes¼–½cuppureedvegetables

1cuppureedchiliwithseasonings/herbsaddedtotaste

3-4oz.pureedchickenortunasalad(madewithlow-fatmayo)¼-½cupunsweetenedapplesauce



4:00p.m.(ifneeded)

4-8oz.proteinsupplementor6-8oz.0%fatGreekyogurt

4-8oz.proteinsupplementor½cuppureedtunasalad(madewithlowfatmayo)

4-8oz.proteinsupplementor½cupfatfreerefriedbeanswith1oz.lowfatcheese(meltedintobeans)

6:00p.m. 2oz.pureedchicken¼-½cuppureedcarrots¼cupmashedpotato1tablespoonsfatfreegravy

2oz.pureedroastbeef¼-½cuppureedcauliflower¼cupmashedyams1tablespoonsfatfreegravy

Breakfastfordinner–1poachedegg¼cupricottacheese



8:30p.m.(ifneeded)

1wedgelow-fatspreadablecheese4tablespoonsunsweetenedapplesauce

6-8oz.0%fatGreekyogurt 4-8oz.proteinsupplement




RH53662.18 Page10

PureedDietRecipes

RicottaBake• 8ouncepart-skimricottacheese• ½cupgratedparmesancheese• 1largeegg,beaten• 1teaspoonItalianseasoning• ½cupmarinarasauce• ½cupshreddedlowfatmozzarellacheese

Directions:Mixricottacheese,parmesancheese,beatenegg,andseasoningstogether.Placeina2cupdishorfourhalf-cupramekins.Pourmarinaraontopandsprinklewithmozzarellacheese.Bakeintheovenat450oFfor20-25minutesuntilbubbly.Servings:Makesfour,4ounceservingsCalories:180caloriesperservingProtein13gramsperserving

TunaSalad• 1cantunafishinwater(drained)• 2tablespoonsreduced-fatmayonnaise• 2tablespoonsfat-freesourcream• 2tablespoonsfat-freecreamcheese• 1tablespoonlemonjuice• ¼teaspoonpepper• 2tablespoonsfinelychoppedparsley

Directions:Inablenderorfoodprocessor,combineallingredientsexceptparsley.Blenduntilsmooth.Addparsleyandpulsejustuntilcombined.Servings:Makesfour,4ounceservings.Calories:155caloriesperservingProtein:23gramsperserving

Shepherd’sPie• ½mediumdicedyellowonion• ½poundgroundbeeforturkey • 8ouncecannedpeasandcarrots,drained• ½bagfrozencauliflowerflorets• 4ozlow-fatcreamofmushroomsoup• 2-3laughingcowwedges• 1/3cupshreddedlow-fatcheddarcheese

Directions:reheatovento350oF.Boilsmallpotofwater.Sauteeonionsforabout2minutes.Addgroundbeef/turkey.Drainifnecessaryandblend.Dropcauliflowerfloretsintoboilingwater.Whencauliflowerfloretsaretenderthandrain.Addlaughingcowwedgeswhilefloretsarestillhot.Addpeasandcarrotsandsoupandblendtogether.Placeyourramekinsonbakingsheetandladle¼cupmeatandveggiemixture.Serving:Makessix,4ounceservingsCalories:126caloriesperservingProtein:12gramsperserving


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Days18to32:SoftSolidFoodsDuration:2weeksDescription:

• Avoidsolidchunksofmeat.• Takesmallbitesofyourfoodandcheweverybitewell.• Youmaystarttoeatgroundmeats,shreddedtenderpiecesofmeat,

poultryorfishchoppedintosmallpieces.Youmayaddbrothorfat-freegravytomeatsforadditionalmoisture.

• Tendercookedvegetablesonly(norawvegetables,nosalads).o Avoidanytough,stringyvegetablessuchas:corn,celery,

asparagusorbroccolistems.o Youmaychooselowsodiumcannedvegetables.

• CannedfruitsinwaterORfreshfruitwithoutseedsorskin:o Peeledappleorpearo Bananao Melon

• “Dry”grainssuchastoast,low-sugaredcereal(letsofteninmilk),oatmealorcrackerso Choosewholegrains!

• Continueproteinsupplementsasneeded.• Continuetodrink64ouncefluidsdailyinbetweenmeals.

ProteinContentofSoftFoods

SuggestedSoftFoodsPortionProteinContentLow-fatcheese 1ounce 7grams

Finelygroundmeats 1ounce 7grams

Flakedfish(haddock,tilapia,tuna) 1ounce 7gramsEggs 1egg 7grams

Eggsubstitutes ¼cup 7grams

Bakedpotato(noskin) ¼cup 1.5grams

Oatmeal ¼cup 1.5gramsAcornorbutternutsquash ¼cup 1.5grams

Wholegrainpasta ¼cup 1.5grams

Wholewheatcrackers 3–4 1.5grams

Wholewheattoast ½slice 1.5grams

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SoftDietRecipes

ProteinPancakes

• ½cupoldfashionedoats• ½cuplowfatcottagecheese• 4eggwhites• 1teaspoonvanillaextract• ½teaspooncinnamon

Directions:Blendallingredientstogetherinablenderorfoodprocessor.Sprayskilletwithcookingsprayandwarmtomediumheatonstovetop.Topwithbananaandornutbutter.Servings:MakestwoservingsCalories:145caloriesperservingProtein:15.5gramsperservingTenderPulledChicken

• 4boneless,skinlesschickenbreasts• 1jarSalsaVerde• ½cuplow-fatshreddedmozzarella

Directions:Add½salsatoyourslowcooker.Placechickenbreastsinslowcookerandtopwithremainingsalsa.Cookonhighfor4-6hoursoronlowfor8-10hours.Removechickenandpullwithforkuntilshredded.Servings:MakeseightservingsCalories:180caloriesperservingProtein:21gramsperservingTeriyakiSalmon

• Cookingspray• 2tablespoonslow-sodiumteriyakisauce• Four-4ouncesalmonfillets• Cannedpineappletidbitsinnaturaljuiceorwater

Directions:Preheattheovento450oF.Lightlycoatalargeshallowbakingpanwithcookingspray.Placeteriyakisauceinsmallbowl.Drainpineapple.Placesalmonanddrainedpineappleinthebakingpanandbrushthemwiththeteriyakisauce.Bake,uncoveredfor10-12minutesoruntilthefishiscookedthorough.Serveeachpieceofsalmonwithpineappletidbitsandextrasaucefromthepanontop.Servings:Makesfour-4ouncesalmonfilletsCalories:128caloriesperservingProtein:21.5gramsperserving


RH53662.18 Page13

Thesearejustexamples.Youmaynotbeabletoeatthisamountoffoodatonetime.Remember,stopeatingassoonasyoufeelfull.

SoftDiet:SampleMenu

Day1 Day2 Day38:00a.m. 1scrambledegg

1slicetoast2teaspoonsbuttersubstitute

½cupoatmeal1slicetoast

1cuplow-sugarcerealwith1%orskimmilk

9:30a.m. 8-12oz.clearliquid(addUnflavoredUnjury®ifdesired)

8-12oz.clearliquid(addUnflavoredUnjury®,ifdesired)

8-12oz.clearliquid(addUnflavoredUnjury®,ifdesired)

10:30a.m. 4-8oz.proteinsupplementor4wholewheatcrackerswith½tablespoonspeanutbutter

4-8oz.proteinsupplementor8oz.lightyogurt

4-8oz.proteinsupplementor1stringcheese



1:00p.m. 1sliceoflow-fatcheesemeltedover½cupcookedpastamixedwith2tablespoonsmarinarasauce¼cupcookedbroccoli

1slicewholewheatbread(toasted)1slicelow-fatcheese1oz.chippedlow-fatdelimeat(ex.Turkey,chicken,ham)¼ofalargebanana

½cupchickensalad(madewithlow-fatmayo)1slicewholewheatbread(toasted)¼cupmangosormelons



3:30p.m.(ifneeded)

4-8oz.proteinsupplementor1hardboiledegg

4-8proteinsupplementor½bananawith½tablespoonpeanutbutter

4-8oz.proteinsupplementor4-5crackerswith2tablespoonshummus

6:00p.m. 3oz.flakedfish¼ofalargebakedpotato(noskin)1tablespoonlightsourcream¼-½cupcookedcarrotsorothervegetable

3oz.meatloaf¼-½cupcookedgreenbeans¼cupbrownrice

¼cupfatfreerefriedbeans2oz.leangroundturkey1oz.lowfatcheese½ofa6”softtortilla1tablespoonsalsa



8:30p.m.(ifneeded)

4-8oz.proteinsupplementor1stringcheese

4-8oz.proteinsupplementor4wholewheatcrackerswith1laughingcowcheesewedge

4-8oz.proteinsupplementor6-8oz.0%fatGreekyogurt




RH53662.18 Page14

Day33:UnrestrictedTextures

• Ifyoutoleratesoftsolidsfor2weeks,youcanslowly

advanceyourdiettoregulartextures.• Tryonenewfoodatatime.• Chewfoodwellandeatslowly.

TipsforSuccess:

• Starttoweanoffproteinsupplementsandaimforproteinfromsolidfoods.• Continuetrackingprotein.

o Women:50-80gramsofproteino Men:60-90gramsofprotein

• Drink64ouncesofclearliquidsdailyinbetweenmeals.• Avoidalcoholforthefirst6monthsandlimitalcoholthereafter.• Limitcaffeineto8-12ouncesdaily.• Cautionwithcarbonateddrinksandstraws.• Increaseactivitytowardsgoalof300minutesperweek.

SampleMenu:Thesearejustexamples.Youmaynotbeabletoeatthisamountoffoodatonetime.

Remember,stopeatingassoonasyoufeelfull.ProteinContent

Breakfast ½cupcottagecheese¼cuppeaches

14grams0grams

Morningsnack clearliquidsHard-boiledegg¼cupgrapes

0grams7grams0.5grams

Lunch 1oz.lowfatham1oz.lowfatcheese1sliceofwholewheattoast

7grams7grams3grams

AfternoonSnack clearliquids½cuplowfatGreekyogurt½ouncealmonds

0grams9grams3grams

Dinner 2oz.chicken¼greenbeans¼cupbrownrice

14grams0.5grams1.5grams

EveningSnack litestringcheese½smallapple

6grams0.5grams


RH53662.18 Page15

What your plate should look l ike after surgery:

• Trackcaloriesandaimfor800-1,000caloriesdaily.o Youmayusetrackingapplicationsonyourmobiledevicestohelpyouthrough

yourweightlossjourneysuchasBaritastic.Entercode85673toconnectwiththeWeightManagementCenter!

• Eatproteinfirsttohelpincreasefeelingoffullnessandtopromotehealing.• Includenon-starchyvegetablessecondtohelpincreasefiberandpromotefullness.• Limitemptycaloriestarches.Aimforwholegrainstoincreasefiberandhelptopromote

fullness.• Getinvolvedwithoursupportgrouptohelpachievelastingsuccess!Checkoutsupport

groupdatesathttps://reading.towerhealth.org/services/weight-management/

MaximumVolumepermeal=1cup

https://reading.towerhealth.org/services/weight-management/


RH53662.18 Page16

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