Nutrition Guidelines after Gastric Bypass, Gastric Band

Nutrition Guidelines after Gastric Bypass, Gastric Band Nutrition Guidelines after Gastric Bypass, Gastric Band

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3. Low-Sugar & Low-Fat Foods and Beverages SUGAR - After weight loss surgery you will also need to follow a diet that is LOW IN ADDED SUGARS. This will help not only with tolerance to foods/beverages after surgery, but will also help with optimal weight loss. - Dumping Syndrome: After gastric bypass surgery, some patients experience a phenomenon known as “dumping syndrome” after eating concentrated sweets, fatty foods and/or drinking fluids with meals. This occurs when food exits the pouch rapidly and “dumps” into the intestine. This part of your intestine does not tolerate concentrated foods (sweet or fatty foods), so it immediately pulls water out of the rest of the body to dilute the food. It then rapidly flows down the remainder of the small intestine; it enters the large intestine (still flowing rapidly) and exits via the rectum. Some patients have shared stories about their dumping syndrome, describing the sudden onset of diarrhea and have reported having accidents in public places. Dumping syndrome can cause not only urgent diarrhea, but often patients will also feel nausea, lightheadedness, flushing, and stomach cramps. - Read Food Labels: Foods may have hidden sugar, so be sure and read food labels carefully. Aim for approximately 10 grams or less of sugar per serving. To prevent dumping syndrome you will need to avoid eating sugar and foods containing real sugar. Avoid products which list any type of sugar as one of the first three ingredients: including sugar, maple syrup, honey, molasses, corn syrup, corn sweeteners, glucose, lactose, maltose, dextrose, sorghum, sorbitol or mannitol. - Artificial Sweeteners: NutraSweet, Splenda, Sweet and Low and other artificial sweeteners are acceptable substitutes for real sugar. They will not cause dumping and will help with weight loss and maintenance since they contain very few calories. FAT - Your food choices will also need to be LOW-FAT. Fat may be difficult to digest or tolerate after weight loss surgery, especially fried foods, fast foods and snack foods. Small amounts of fats are fine such as those found in lean meats and fish or low fat dairy products and in fact, your body needs a certain amount of fat each day. - Cooking Methods: Use low-fat cooking methods to prevent adding fat to your foods. Try baking, broiling, or grilling and avoid frying foods. - Added Fat: A healthy, low-fat food can be made unhealthy from added fat. Be careful of the following ways that fat can be added to food: salad dressing, butter, sauces, gravies, mayonnaise, cheese, and nuts. - Read Food Labels: Read food labels for TOTAL FAT content. Total fat should be around 5 grams per serving as an average. **** NOTE: If a food is labeled “Low-fat” it does not necessarily mean it is also low in sugar and vice-versa. So, it is important to read the entire food label. Please save this packet and review it for the best results after your surgery!

4. 4-6 Small Meals per Day - The diet has been designed to be gentle on your “new” stomach, to ensure proper healing of the staple line, and to help you to avoid overeating. - A normal stomach can hold approximately 4-6 cups at a time. After surgery your stomach pouch will only be able to handle about ½ cup! o You will need to GO SLOW! o It is important to chew your foods well, eat very slowly and pay attention to how you are feeling. Stop eating as soon as you feel full. 5. 48-64 oz. (6-8 cups) Fluid per Day - Weight loss surgery patients need to drink AT LEAST 6-8 cups of LOW calorie fluids per day to prevent dehydration. (See list below.) - Do not drink fluids for 30 minutes before meals, during meals, or for 30 minutes after a meal. o Drinking too close to a meal may overfill the stomach pouch and cause vomiting. It can also cause the food to be washed through the intestines too quickly and may cause Dumping Syndrome or may leave you feeling hungry more quickly. - Sip slowly, but consistently between meals. - You may not be able to tolerate carbonated beverages or caffeine until you are in Phase 4. Beverages to Choose: WATER is best!! Flavored Water (Fruit2O, Sparkling) Crystal Light Wyler’s Juices Minute Maid Light Diet Juices Diet V8 Splash Sports Drinks Gatorade G2 Propel Vitamin Water Zero Powerade Zero Soft Drinks Diet soft drinks “Zero” soft drinks Coffee & Tea Diet Iced Tea Unsweetened Tea Coffee with sugar-free, fat-free creamer and sweetener Milk Skim or 1% milk Light Soymilk Other Sugar-free Kool-Aid Sugar-free, fat-free hot chocolate Diet Snapple Fuze **If a beverage is “sugar-free” or “diet”, it is a good choice for you! **Sweeteners can be used: Equal, Sweet N Low, Splenda, Stevia, NutraSweet Please save this packet and review it for the best results after your surgery!

4. 4-6 Small Meals per Day<br />

- The diet has been designed to be gentle on your “new” stomach, to ensure proper healing of<br />

the staple line, and to help you to avoid overeating.<br />

- A normal stomach can hold approximately 4-6 cups at a time. After surgery your stomach<br />

pouch will only be able to handle about ½ cup!<br />

o You will need to GO SLOW!<br />

o It is important to chew your foods well, eat very slowly and pay attention to how you<br />

are feeling. Stop eating as soon as you feel full.<br />

5. 48-64 oz. (6-8 cups) Fluid per Day<br />

- Weight loss surgery patients need to drink AT LEAST 6-8 cups of LOW calorie fluids per<br />

day to prevent dehydration. (See list below.)<br />

- Do not drink fluids for 30 minutes before meals, during meals, or for 30 minutes <strong>after</strong> a meal.<br />

o Drinking too close to a meal may overfill the stomach pouch and cause vomiting. It<br />

can also cause the food to be washed through the intestines too quickly and may<br />

cause Dumping Syndrome or may leave you feeling hungry more quickly.<br />

- Sip slowly, but consistently between meals.<br />

- You may not be able to tolerate carbonated beverages or caffeine until you are in Phase 4.<br />

Beverages to Choose:<br />

WATER is best!!<br />

Flavored Water (Fruit2O, Sparkling)<br />

Crystal Light<br />

Wyler’s<br />

Juices Minute Maid Light<br />

Diet Juices<br />

Diet V8 Splash<br />

Sports Drinks Gatorade G2<br />

Propel<br />

Vitamin Water Zero<br />

Powerade Zero<br />

Soft Drinks Diet soft drinks<br />

“Zero” soft drinks<br />

Coffee & Tea Diet Iced Tea<br />

Unsweetened Tea<br />

Coffee with sugar-free, fat-free creamer and sweetener<br />

Milk Skim or 1% milk<br />

Light Soymilk<br />

Other Sugar-free Kool-Aid<br />

Sugar-free, fat-free hot chocolate<br />

Diet Snapple<br />

Fuze<br />

**If a beverage is “sugar-free” or “diet”, it is a good choice for you!<br />

**Sweeteners can be used: Equal, Sweet N Low, Splenda, Stevia, NutraSweet<br />

Please save this packet and review it for the best results <strong>after</strong> your surgery!

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