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Cleveland Clinic Bariatric and Metabolic Institute

Surgical Weight Loss

 
 
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Bariatric Surgery Nutritional Guidelines

Purpose:
This bariatric surgery diet is designed to restrict caloric intake to produce desired weight loss, to help develop appropriate eating habits and to prevent disruption or obstruction of your pouch.

In addition, it is strongly recommended to pursue weight loss in preparation for surgery. Even a small amount of weight loss may contribute to a decreased risk during bariatric surgery.

Main Focus:
1. Drink enough fluids to keep your body hydrated
2. Eat adequate protein
3. Take required vitamin and mineral supplements to meet Recommended Daily Allowances.

Diet Principles:
1. Drink 6-8 cups of fluid each day

  • Sip one cup of liquid over an hour
  • Stop drinking within 30-60 minutes of a meal
  • Sip allowed beverages slowly
  • Do not use a straw

2. High calorie foods, beverages, and snacks are omitted.

3. When your doctor gives you permission, vitamin/mineral and calcium supplements are required daily. Additional vitamin B12, iron, and zinc may be recommended.

4. Eat very slowly. Foods need to be thoroughly chewed to prevent blockage.

5. Stop eating as soon as you are full. Indications of fullness are: a) a feeling of pressure in the center just below your rib cage, b) a feeling of nausea, c) a pain in your shoulder area or upper chest. Contact your doctor if the above symptoms persist or worsen.

6. Include protein first at each meal to help maximize protein intake. As your pouch expands, you may only need to eat 3 meals and 1-2 high protein snacks each day.

7. The diet will be advanced gradually, depending on tolerance, following bariatric surgery:

Phase I Clear liquid diet (in hospital only)
Phase II Full liquid diet (1-2 weeks)
Phase III Puree diet (2 weeks)
Phase IV Soft diet (2 weeks)
Phase V Regular diet (after 1-2 months)