Immediately following WLS, only sips of liquids are allowed. Over the next four weeks, the consumption amount is increased gradually with fluids including water, protein drinks, clear broth, sugar-free jello and sugar-free ice pops. Soft foods are started about four weeks after the operation. After about 6-8 weeks, patients are allowed to eat regular, healthy foods. We want our patients to engage in normal social eating, while enjoying foods that you like. We don't see this as a diet but more just common sense eating behavior.
Once healed, care must be taken to let your stomach adapt to its new environment. Vitamin supplementation will be necessary, especially in patients who have undergone malabsorptive procedures (gastric bypass and bilio-pancreatic diversion with duodenal switch – BPD-DS).
Dumping syndrome is the body’s intolerance to foods high in sugar and fat. These foods empty quickly from the stomach into the intestine causing nausea, clamminess, sweating, cramping, pounding heartbeat, light-headedness and diarrhea. Symptoms may last between 20 minutes and 4 hours. To avoid dumping syndrome, avoid high sugar foods, eat protein at every meal and avoid drinking with or for 30 minutes after a meal.
No, the content of sugar is high and protein is too low and it is not a good choice. You should only be drinking the protein shakes approved by your dietitian.
The most important thing to remember is that you shouldn’t drink any liquids with calories. This will prevent you from losing weight and can make you regain weight.
In general, sodas are not recommended for general health reasons but there is not a specific indication why you can’t drink them as long as you drink the ones with no calories.
As a note, sodas will increase the amount of gas and burping.
Caffeine can irritate your stomach right after surgery and should be avoided during the first 4-6 weeks after surgery. After that time, a limited amount is fine.
Having a drink social is ok however, it's important to understand a few things:
1. Alcohol will increase the risk of developing ulcer.
2. The absorption of alcohol is faster and you will feel the effects with smaller amounts.
3. Surgery will not make you an alcoholic but many bariatric patients have compulsive behaviors and are at hight right of transfer addictions.
4. Alcohol is also a liquid with calories (converted to sugar in the body) which should be avoided so as to not gain weight..
This is not a disease. It’s a reaction from your body to the type of food and amount that you eat and how fast this passes from the stomach to your small intestine. The most common cause is foods that are high sugar and fat. You will develop nausea, vomiting, diarrhea, palpitations and flushing. This could last for 20 minutes to several hours.
Not everybody will develop dumping syndrome and it may not last forever. It can be more common shortly after surgery and with time your body may adapt to your new anatomy and you won’t experience it again. Most people only have dumping syndrome when they eat a food that triggers it.
We consider that a treat. As indicated in this manual, those are thing that you can eat but we recommend you eat them in very small amounts and no more than once a week. Remember, sugar free cookies and ice cream is still cookies and ice cream and still have a lot of calories.
Yes, vitamins are essential for us to maintain good health.
After any of the surgeries, the amount of food you eat is so small so it makes you prone to vitamin and protein deficiencies.
Vitamin deficiencies can cause death if they are not corrected in time.
A multivitamin is recommended even for people that have not had weight loss surgery.
Proteins are the base of our body, they help us heal, maintain muscle and health.
It is important to have an intake of about 60-80 grams a day. If you can meet this goal with food then a protein shake is not necessary. If you cannot eat enough protein via food you will need to supplement with a protein shakes or bars until you can eat more protein. This will likely be necessary for serval months after surgery