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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
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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.
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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
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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
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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
8-12oz.clearliquid 8-12oz.clearliquid
1:00p.m. 3-4oz.pureedham¼cupmashedpotatoes¼–½cuppureedvegetables
1cuppureedchiliwithseasonings/herbsaddedtotaste
3-4oz.pureedchickenortunasalad(madewithlow-fatmayo)¼-½cupunsweetenedapplesauce
2:30p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
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
7:30p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
8:30p.m.(ifneeded)
1wedgelow-fatspreadablecheese4tablespoonsunsweetenedapplesauce
6-8oz.0%fatGreekyogurt 4-8oz.proteinsupplement
10:00p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
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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
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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
12:00p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
1:00p.m. 1sliceoflow-fatcheesemeltedover½cupcookedpastamixedwith2tablespoonsmarinarasauce¼cupcookedbroccoli
1slicewholewheatbread(toasted)1slicelow-fatcheese1oz.chippedlow-fatdelimeat(ex.Turkey,chicken,ham)¼ofalargebanana
½cupchickensalad(madewithlow-fatmayo)1slicewholewheatbread(toasted)¼cupmangosormelons
2:30p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
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
7:30p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
8:30p.m.(ifneeded)
4-8oz.proteinsupplementor1stringcheese
4-8oz.proteinsupplementor4wholewheatcrackerswith1laughingcowcheesewedge
4-8oz.proteinsupplementor6-8oz.0%fatGreekyogurt
10:00p.m. 8-12oz.clearliquid
8-12oz.clearliquid 8-12oz.clearliquid
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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
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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
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