Stocking the Kitchen – Gastric Bypass/Sleeve Gastrectomy

Stocking the Kitchen – Gastric Bypass/Sleeve Gastrectomy
In the first days after surgery, your nutrition priorities are:
1. Stay hydrated – sip, sip, sip on plenty of fluids.
o Choose sugar-free, bubble-free, alcohol free liquids (see next page)
o Drink 64 oz/day
 That’s 4 oz/hour or 1 oz (shot glass) every 15 min
 Use a timer, cell phone alarm or friend to keep you on track
2. Take your vitamins
o Take 2 chewable multivitamins – one in the morning and one at night
 Such as Flintstones Complete or Centrum Chewable
 No men’s formula, senior’s formula or gummies
o Take 500 mcg of liquid or sublingual vitamin B12
o Check out the ART outpatient pharmacy for vitamins we
recommend
3. If you feel like eating, take bites of pureed, protein-rich foods.
o You are on the pureed diet for 30 days
o Protein rich foods include pureed meat, beans, low fat
cheese, cottage cheese and yogurt (see next page)
o Eat for the experience, not the nutrition at this point
o It may take you several days or weeks to work up to 60
grams of protein per day.
o For more variety, you can take bites of pureed
vegetables and fruits but don’t live off of starches and
fats.
4. You will need to take calcium + D every day for life but we will wait at least one
month to add this.
TO PUREE FOODS
1. Cook the food using a moist method, such as boiling or stewing.
2. Cut the food into very small pieces about the size of a frozen pea.
3. Place the food in a blender.
4. Add water or broth to cover the blades inside the blender.
5. Blend the food and liquid together until it is smooth like baby food.
6. Push the food through a strainer if there are lumps, seeds or large pieces of food.
7. Use spices to flavor the food.
Rev 11/2012
LIKE us on Facebook
Bariatric Surgery Program Resources
MUSC Weight Loss Surgery Program Review the Nutrition Education Class online. (Attendance to a live session is
mandatory). http://www.muschealth.com/weightlosssurgery/nutrition/index.htm
Debbie Petitpain, MS, RD reviews guidelines for Gastric Bypass and Gastric Sleeve, and
Nina Crowley, MS, RD reviews the guidelines for the Adjustable Gastric Band. The video
screens are small so you will want to turn the volume up loud and have your education
book nearby.
Fluids & Pureeds: Get through your first month after surgery with help from your
Bariatric Dietitians! http://www.muschealth.com/weightlosssurgery/nutrition/index.htm
Fluids Video
Nina and Debbie review ways to stay hydrated and get in all your fluid during the first month
after surgery. View this hands-on video highlighting products and tips and techniques to get in all
your fluid.
Purees Video
The Dietitians review the recommended food groups, and what counts as a serving while
you are on the pureed diet. Check out brand-specific foods that you can eat during this
phase, how to puree foods, and some quick, easy to prepare recipes to liven up your diet!
Can You Hear Me Now? Subscribe to our Weight Loss Surgery Podcast Series by visiting our
webpage at: http://www.muschealth.com/weightlosssurgery/podcast.htm
Listen as members of our interdisciplinary team provide you with information and tips at significant time
points after surgery, emailed straight to your inbox.
Post-op Group Therapy
The MUSC Behavioral Medicine Clinic offers group treatment for individuals post bariatric
surgery on every Thursday from 4-5 PM. You must register - Call us at (843)7920686 to register. Insurance will be billed and you will be responsible for any copayments. Group topics include changes in relationships, body image, staying on track
with healthy behaviors and developing healthy coping skills.
Support Group
We welcome pre-op & post-op patients of all surgery types and family &
friends who are supporting the bariatric surgery patient.
http://www.muschealth.com/weightlosssurgery/classes/support.htm
Our Evening Group is the 3rd Tuesday of the month from 5:30 – 7 PM
the FLIP Side
A supportive, educational class for post-op patients on how to maximize your weight loss
after bariatric surgery. Come check your weight, review your diet and set long-term goals.
Classes are offered the 4th TUESDAY of each month 12:30 PM – 1:30 PM MUSC Bariatric Surgery Program ~ www.muschealth.com/weightlosssurgery ~ (843) 876‐4867
SIP, SIP, SIP… and other ways to get through your first 30 days
To get in 64 ounces per day, drink 4 ounces/hour for 16 hours or 1 ounce (about a
shot glass) every 15 minutes. Use a timer, your phone alarm, or a friend to remind you
to drink. It is most important to stay hydrated – even more important than eating!
Here are some examples of low calorie, non-carbonated fluids to drink:

























WATER!!!
Crystal Light (NOT Pure)
Wyler’s Light (powder or drops)
Sugar free Kool-Aid
Mio Liquid Enhancer or Dasani Drops
Coffee (can add artificial sweetener and/or milk)
Unsweetened tea or herbal tea
Diet Green tea (NOT the sparkling version)
Fruit2O
Diet Snapple
Minute Maid Light (15 cal/8 oz)
Metromint flavored water
PowerAde Zero Propel Zero Fitness Water
Vitamin Water ZERO
Sobe Lifewater 0 (white label)
Fuze Slenderize Low Carb
Low sodium chicken, beef, or vegetable broth (add protein by adding a jar of blended meat)
Smart water (comes in a 32oz bottle, so 2 gets you to your goal)
Diet V8 Splash (10 cal/8 oz) (NOT Light V8 Fusion)
100% fruit juice (dilute 50/50 with water, only 8 oz juice per day, stop after 1st month) Diet Juices with reduced calories (<5 calories per serving) (NOT sparkling)
V8 vegetable juice or tomato juice (counts as a veggie!) (50 cal/8 oz)
Sugar free popsicles (only gives you about 1 oz of fluid)
Diet Jell-O (only gives you about 1 oz of fluid; don’t use this if it fills you up too much)
Try these protein liquids: (they count as fluid AND food)






Fluids Video Online Review ways to stay hydrated highlighting products, tips and techniques to meet your fluid goals. www.muschealth.com/weightlosssurgery/nutrition Skim/nonfat milk or Nonfat Lactaid milk
Unsweetened Light soy milk (NOT almond milk or rice milk)
Nonfat dried milk powder (add 1/3 cup to 1 cup skim milk to double the protein in the milk)
No sugar added carnation instant breakfast (blue box) (added to skim milk)
Homemade smoothie: blend any combo of milk, yogurt, carnation instant breakfast, peanut
butter, eggbeaters, vanilla or almond extract, ice, etc.
Protein shakes (no added sugars)
o Isopure, Nectar, Glucerna, Slim Fast High Protein, Atkins Advantage, Muscle Milk Light,
New Whey Protein bullet, Syntha 6, Matrix, EAS Myoplex Lite or AdvantEDGE carb
control, whey or soy isolate protein powders
o Unjury and Bariatric Advantage protein supplements are available at ART Pharmacy
Try these pureed, blended foods during your first month:
Protein foods are most important… choose these first!
 Pureed meats (cooked, then blended with broth or water- try adding to 4-8 oz of broth)
o


Strained, plain baby food meats (use any seasonings except sugar to flavor)
Melted low-fat or fat-free cheese
o
o

Try Fage, Oikos, Yoplait, Dannon, or Chobani brands
Dannon Light and Fit Greek yogurt comes flavored without added sugar
Creamy, natural peanut butter (no added sugars) off the spoon or in a homemade shake
Silken tofu
o



Dannon Light and Fit, Activia Light, Light n’ Fit Carb Control, Low Fat Plain
Stonyfield Farms plain or light, Blue Bunny Light no sugar added, Breyer’s Light
Nonfat (0%) Plain Greek Yogurt (most have 2-3 times the protein of regular yogurt)
o
o


Add some blended fruit or unsweetened applesauce
Flavor with lemon or almond extract and artificial sweetener
Add tomato sauce and heat until gooey in the microwave
Fat-free, No Added Sugar Yogurts
o

Blend chunky soups in the blender and try adding some pureed meats while blending
Low-fat or Nonfat Cottage Cheese or Low-fat or Fat-Free Ricotta cheese
o
o
o

Melt some low-fat cheese and add hot sauce
Stir in your blended meat
Soups (low-fat veggie, bean, lentil, or meat-based soups without noodles/rice)
o

Shredded low-fat or fat-free mozzarella or cheddar mixed into blended meats or on top of mashed beans
Try soft cheese like Laughing Cow Light or Friendship Farmer Cheese
Beans! Fat-Free Refried beans (from the grocery store) or mashed limas, pintos, black beans
or black-eyed peas or homemade hummus (blended chickpeas)
o
o

lean/skinless turkey, chicken, beef, fish, tuna, veal, venison
Add to make broth-based soups creamy, or to give smoothies a thicker texture
Egg, egg substitute, or egg whites pureed (eggs are best as a transition food)
Oatmeal (made with milk, or nonfat dried milk powder)
Jell-O sugar-free pudding (made with your own skim milk)
Purees Video Online Review the food groups and how to puree foods plus brand‐specific foods and quick and easy recipe! Occasionally… after your protein and fluid needs are met…
www.muschealth.com/weightlosssurgery/nutrition  Blended cooked veggies or baby food veggies
 Blended fruits (fresh, frozen, or canned in water), unsweetened applesauce
 Blended starchy vegetables (potatoes, squash, limas, peas, sweet potatoes)
o
o

Limit added fats like butter, margarine, oil, sour cream, or heavy cream
Instead try fat free sour cream, Greek yogurt, butter-spray, or skim milk to make mashed potatoes or
mashed sweet potatoes
Cooked cereals (cream of wheat or grits made with milk, or topped with low fat cheese) MUSC Bariatric Surgery Program ~ (843)876-4867~ www.muschealth.com/weightlosssurgery Rev 11/2012