Saturday, May 7, 2016

Liquid Phase for Post Weight Loss Surgery

Disclaimer: Remember post-op nutritional plans vary. My sister had the same surgery with a different doctor and we had very different plans. Dr's often adjust based on anecdotal evidence, experience, individual patients health needs or history. Here are the current ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss PatientALWAYS check with your medical posse first. 

There is a difference between clear liquids and full liquids. This post lists both. A clear liquid diet is often used as the first step in post-op nutrition, they supply fluid, electrolytes, and a limited amount of energy and encourage the restoration of gut activity after surgery (some Dr's skip this and move straight to full liquids.) Full liquid diets include milk, milk products, milk alternatives (lactose intolerance or dairy-free) and other liquids with slightly more texture. Be sure you are always choosing sugar-free, low naturally occurring sugar (lactose), no added sugar liquids.

There's not much you can do but survive this part of the journey. The liquids through pureed/soft food phase are miserable and until you start eating "real food" again you will feel like a patient. It gets better I promise.

A few items that help in this phase:

Popsicle Molds - $1 store carries them or you can do the old Dixie cup, foil and wooden stick trick but I love these molds. You can pour leftover SF drinks in and make your own popsicles. If you want to take your popsicles on the go these popsicle baggies are pretty cool.

Ice Cube Trays - You will be opening boxes of broth or making homemade broth (great to do a couple of nights before surgery), pour the remainder of the box into an ice cube tray and freeze. When frozen unmold and put in a freezer Ziploc bag. Nuke one or 2 cubes as needed. I know... 1 or 2 cubes crazy?! but remember you are healing and this won't be the way you "eat" forever. It will freak you out for a bit. I drank capfuls of double milk (recipe below) and cried and thought "What the hell did I do to myself?! I can't live like this?!" It's the shock of surgery, shock of new life, drugs & anesthesia in your system, hormones, lack of nutrients... again... it gets better I promise.

Measuring cups and food scale - When our nerves are healing we may not be getting the signal or feeling of fullness, as RNYers we also have a bypassed pyloric valve so fluids flow on through. Post-ops often question "Did they even do surgery?" when they don't feel restriction, you will know you had it during solids. Trust me. Remember I said this the first day you eat chicken. It's important you eat the appropriate portion sizes (your Dr. will provide you this info at each food phase) things like measuring cups, little portion cups and a food scale can help.

Blender Bottle for shaking up protein powder shakes and Travel "sippy-cup style" Mugs which sort of skims foam off protein shakes as you drink them, foam can sometimes make you more gassy early on.

Some Liquid Ideas


Recipes Ideas Tips WLS

Sugar Free Drinks - look for non-carbonated, caffeine free (most programs clear you for both in moderation after a time) I love the little sticks that can go in water: crystal light style. Dehydration is one of the main reasons for readmission to the hospital post-op so don't let it happen to you. Sip, sip, sip.
Decaf Tea - Regular or herbal teas are a nice way to start the day (until you are cleared for caffeine/coffee which varies from program to program.) Speaking of tea: Smooth Move Tea is also a good one if you are having constipation (ask your Dr before using.)

Summer Healthy Drinks

Sugar Free Jello (packets and refrigerated cups) - seems thicker than "liquid" but generally is OK and when you are allowed yogurt try one of my favorite recipes: Fluff Stuff
Popsicles - Sugar Free Popsicles will be your best friend, crunch factor.

Pacific Organic Bariatric Surgery Weight Loss Surgery

Broth (homemade, strained of all solids) or Store bought (canned or boxed) - I love boxed and when you get bored of one flavor start mixing them (easy if you made cubes, just pop a couple of each flavor.)
Bone Broth (more protein) Pacific Organic Bone Broth comes in some fun flavors: Turkey with Rosemary, Sage & Thyme, Chicken with Ginger, Chicken with Lemongrass and Chicken Original.
Protein Soups - A few companies make savory protein powders now. Celebrate Vitamins (see link on the left) makes a Chicken Soup and Tomato Soup version.
Strained Cream Soups - Just make sure their are no solid chunks of veggies or meats, pour through a fine mesh strainer.

Eggface WLS Recipes

Double Milk - 1 cup Milk mixed with 1/3 cup Nonfat Dry Milk Powder = 16 grams of protein per 8 oz. serving. You can add Sugar Free Syrups to change the flavor up. Great option if you run out of protein powder or it's a tight $$ month.

More Money Saving Tips.

Protein Shakes - Look for low carb, low calorie, whey protein isolate is best for absorption. Then it's really a personal taste thing...  keep trying them you will find a favorite... look for travel packets, samples, sharing tubs with other post-ops.

More Protein Tips
My Favorite Protein Shake Recipes

WLS bariatric surgery food recipes eggface

Sip water every chance you get, walk, breathe fresh air and chill. Leave the scale alone for awhile. I know you want to see the #'s drop but unless you are super strong it's going to drive you batty. Despite doing all the right things it may not move right away or it may move for a time then sit at one weight for weeks then suddenly drop. Concentrate on the life changes: healthy eating choices, moving your body every day, working on the head stuff. There is no finish line. The day after a scale # or a dress size is achieved you will wake up to more of the same. The #'s will come and if you concentrate on those life changes versus the #'s, those #'s may just stick around a lot longer ;)

Cleared by your Dr. to move on... Tips, Suggestions & Recipe for Pureed/Soft Stage

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12 comments:

Anonymous said...

I just entered the full liquid phase of my recovery and have been feeling very down and unsure about everything. I feel so tired all the time and never sure if I am hungry or full. Your blog has been a true guide for me. Your post could not have been better timed. Thank you

Michelle "Shelly" said...

Awesome... I love when the universe works like that. Sending you speedy healing wishes. I was wiped for a while too then suddenly around week 7 I was a ball of energy. Great days are coming!!

Katie said...

I was about to post the very same comment, just had surgery on May 3rd and was wondering if I should be feeling more restriction/fullness from liquids, very reassuring to know it will come in the solids phase. Your blog is a really great resource, thanks for everything!

Kat said...

I am so glad to see new post surgery folks reading and finding it helpful. Myself, I've been post op for almost 7 years, but have had a regain and am going to do a pouch reset. I always love your ideas, and you are my hero as you have been an advocate and through your discipline, you have also worked this tool to its utmost advantage.

Thanks Michelle, YOU ROCK!!

Adele Morehead said...

Hi Shelley! I was just sleeved 10 days ago and my husband found your site. I'm obsessed with ice cream and I knew that would be the hardest part for me. In comes my husband and finds your amazing site! He bought me a bunch of ingredients and an ice cream maker for Mother's Day! I didn't even know protein ice cream existed or you could even do that! I love it! You may have just saved me!! Anyway, I've been looking for that Max Protein you mentioned but I also see that was from 7 years ago. Does it still exist? I didn't see it on GNC's website either! Please tell me what you use. I'm going to try my first batch with Quest protein tonight! Thank you so much!!

Michelle "Shelly" said...

Hi Adele, How cool is that?! What an awesome, supportive husband! Well Max is no longer around in the form it was unfortunately. You can use any you enjoy though... just be sure the milk is 2% or so. Too watery and it'll get icy. Still tasty but not as creamy (fat content makes it creamy) I use whatever I have on hand.. whey isolates work the best.

So happy for you as you begin this journey! Best,

Michelle "Shelly" said...

Hey Kat, Thank you for the lovely message. On the pouch test... I'd just go back to your Dr's plan ;) versus any "resets"... head back to your Dr... maybe get a new set of labs, chat with the dietician again about where you are at and what's gone on in your life that led to a stray from the original plan. They get that this is a lifelong, chronic disease that requires chronic treatment and when life changes we need to reassess.

chocochip bailey said...

I had my surgery done may 12, 2016 and have been having extreme pain every time I take the slightest sip of premier protein,Gatorade zero,broth,or even medication...I don't want to proceed to puree cause if the first stage is painful...what will the second be can anyone help me

Michelle "Shelly" said...

Chocolatechip Bailey, Call your surgeon's office and let them know. It does take a little to learn to control the amount of liquid you swallow at a time... and some ouch moments do happen in those first few weeks if you gulp to much but everytime, with every "sip" is not the norm.

You do not want to become dehydrated and end up readmitted.

Hope it is easily resolved and please comment and let me know!

Best,

basa said...

What a great and helpful site you have. Your humor is pretty spot on too. Had my sleeve surgery on June 7th and I feel great. Little bored with the fluids! But vanilla premier shake used in place of water with cream of wheat is great. I get to start the purée phase on Tuesday so the ideas here are perfect. Thanks!

Rose Thomas said...

Thank you. I am a few weeks away from surgery.

ArmyGal88 said...

What great information. Thanks and so glad I found your site. I had my surgery (sleeve) on Aug 16 and have struggled with the full liquids this week - can barely tolerate the taste of the protein drinks, altho I did find Premiere to be more palatable than most. I'll try you smoothie suggestions - have strawberries and raspberries in my freezer but suspect hat it will work as well as cherry. Have tub of chocolate Bariatric Fusion. For me a bad aftertaste, so when its done, I'm done with it. Have one more week to go on full liquids per my team's plan, so I will just march on. Once I have made the commitment to such a life and body altering procedure I don't want to screw it up. So far energy level is not too bad. Just trying to keep track of my daily protein (60 grams/day for now). Things like sugar free jello and popsicles have helped when I need a break.