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Generalized BARIATRIC DIET Remember: follow your physician’s instructions on when to advance to each stage. STAGE ESTIMATED DAYS POST-OP I 0-2 DIET High Protein Clear Liquid Diet INFORMATION Types of foods: clear broth, water, decaf tea or decaf coffee, Crystal Light, liquid protein supplement*. Instructions: Sip fluids all day; begin vitamin supplements**; NO CARBONATED BEVERAGES; do not use straws at this stage; no gulping foods; no alcohol; limit caffeine II 3-7 High Protein Full Liquid Diet Goals: sip 2-4 fluid ounces slowly per hour, total of 64 fl oz per day; protein 70 grams/day Types of foods: all foods from Stage I/clear liquids; add: skim or fat-free milk; protein powder added to fat-free milk if desired; low fat-cream soups (thin, no chunks or pureed). Instructions: Sip fluids all day; continue vitamin supplements**; same instructions as in Stage I however keep in mind when you are having a “meal” you may feel full after 2 tablespoons or ½ cup foodthe denser the food the faster you will feel full (satiated). Make sure you are drinking your liquids BETWEEN meals as your new “pouch” will only be able to handle a limited amount of volume at a time. Drink fluids 15 minutes before or 1 hour after meals. Goals: sip 2-4 fluid ounces slowly per hour, total of 64 fl oz per day; protein 70 grams/day. III 8-28 Soft Types of foods: continue foods as in stage II; add one new food at a time as tolerated, such as: blended protein shakes, natural applesauce (you can add plain protein powder if desired), creamy peanut butter, bananas, cream of wheat, cream of rice or oatmeal (start with 2 Tbsp serving size of each), soft canned foods (pears or peaches in juice), soft cooked vegetables (avoid asparagus and celery), mashed potatoes or peeled baked or boiled potatoes- no butter or milk added, low or non-fat cottage cheese or Ricotta cheese, egg/egg substitute- do not fry or cook with butter margarine or oil- use spray, dried beans or peas cooked until very tender (easily mashable), low fat cheese, low-carb tortillas, low fat crackers (includes wholegrain or whole wheat such as Melba toast, graham crackers, soda crackers, Tricuits) Meal Plan: Eat three (3) meals a day and (2) snacks Limit fats and avoid high sugar foods/beverages TIP: if hunger becomes a problem, you probably need more protein or fluid. Choose high protein first, then fruit, then vegetable and toast/crackers or potatoes last. Instructions: Sip fluids all day; continue vitamin supplements**; same instructions as in Stage I-II Drink fluids 15 minutes before or 1 hour after meals. Avoid starchy foods such as pasta, rice, bread, biscuits, cornbread, bagels, muffins- these swell in your stomach and cause you to be uncomfortable. Chew-Chew-Chew!! Chew your food slowly and completely before swallowing. Goals: sip 2-4 fluid ounces slowly per hour, total of 64 fl oz per day; protein 70 grams/day IV 29 and beyond Regular Types of foods: Continue as in stage III but add: high protein and high fiber cereals (low sugar), salads, turkey jerky, chicken/turkey, baked fish, and lean ground beef as tolerated. Meal Plan: Continue as noted in Stage III Instructions: Use small eating utensils; cut your food into pea sized/pinky nail sized pieces initially (you probably will not have to do this as time progresses); remember to chew very well before swallowing, avoid drinking liquids with your meals- drink 15 min before or 1 hour after as noted in above stages (sipping small amounts of liquids at meals is acceptable if foods are dry or too thick). Goals: sip 2-4 fluid ounces slowly per hour, total of 64 fl oz per day; protein 70 grams/day; focus on general healthful diet with high fiber, low fat and low sugar foods. * We recommend Bariatric Advantage Brand high protein supplements ** We recommend Bariatric Advantage Brand chewable multivitamin supplements 1104 Johnstown Road, Beckley WV 25801 ● 877.468.0008 ● www.soundnutritionwv.com