Overwhelmed after Nutritionist Appt.

ATXHeather
ATXHeather Posts: 218 Member
I had my first appointment with the nutritionist today, starting my 3 month medically supervised diet. She also went over the pre-op and post-op diet and that is what really overwhelmed me.

For the 3 months, she wants me to lose 18 lbs. and have an intake of 1500-1700 a day. She also wants me to start practicing the 30-30-30 rule and to be mindful of chewing my food, etc. No problem, I can do that.

The Pre-Op diet is TWO WEEKS of a liquid diet at 900 calories a day. That sounds really hard to me. That's two weeks of nothing but protein drinks. I'm hungry now on 1700 calories.

The Post-Op diet is two weeks of clear liquids only. Weeks 3 and 4 is full liquids. Weeks 5 and 6 is pureed foods. Weeks 6-12 is soft food diet at 3 meals a day with no snacking. After that it is 3 meals a day (no snacks in between) and keep it very low carb and low fat. There is a also a big list of NO foods that I see other people eating (sugar free pudding, egg yolks, dairy, mashed potatoes, etc.)

This seems really strict to me and has me feeling very overwhelmed and like I won't be able to succeed. Did anyone else have a pre-op and post-op diet that looked like this? I need some reassurance here!

Replies

  • garber6th
    garber6th Posts: 1,890 Member
    Honestly, there is so much information given to you pre-surgery that it can be totally overwhelming. You just have to take it a day at a time and one step at a time. I didn't have to do a pre-op liquid diet. The post op liquid diet was not difficult for me. My plan was similar to yours. I didn't have any hunger at all after surgery so the challenge for me was to make sure I was getting enough protein and drinking enough water. I was a little overwhelmed by the thought of that before surgery but as I was doing it, it wasn't bad. If you think it all seems strict, it is, and it's for a reason. Your surgeon and nutritionist know what you need to do to be successful. Also, every surgeon does things differently, so you can't compare your plan to someone else's plan if they have a different surgeon. Some surgeons say some foods are ok, some don't. My best advice would be to follow the plan you are given. The process is overwhelming at times, and it can be scary, but the benefits of the surgery are amazing and they will make you forget the difficult parts!
  • ATXHeather
    ATXHeather Posts: 218 Member
    Thanks! I am way more concerned about the pre-op diet than the post-op. I know I won't be hungry post-op so it will be a challenge to just get my protein in. It's that two weeks of liquid only pre-op that is messing with my head. I'm on 1700 calories now and I'm sitting here hungry waiting until I can eat lunch. How on earth will I feel on 900 calories of only liquid? I think I just need to make sure I am a busy as possible during those two weeks so I don't have time to focus on being hungry or "being deprived."
  • JxAAA
    JxAAA Posts: 87 Member
    Honestly the post op diet isn't bad, you're not hungry and when you are you can only get very little down. I'm 4 weeks out now, some days I'm craving food and will eat every 4 hours or so and then there are days where I just don't want to be bothered with food and stick to liquids & soups.

    I think the 2 week pre-op is the toughest but if you really set your mind to it you can do it. Along with this strict diet I'm sure you'll fantastic weight loss results early since you're on liquids for quite a bit.

    Also if you really feel this is too overwhelming and you're setting yourself up to fail there's no harm in consulting with a different surgeon and seeing what their WLS program is. So many doctors and they all have different plans that work for them.
  • JxAAA
    JxAAA Posts: 87 Member
    Just to add one more thing. When I first started my 3 month plan I was on a 1500 calorie diet. I practiced the 30/30 ate slowly and found myself getting full with less. About a month before my pre-op diet I was down to 1200 calories a day and was pretty satisfied, I wasn't hungry. You have 3 months to prepare, you can wean yourself down.
  • ATXHeather
    ATXHeather Posts: 218 Member
    Just to add one more thing. When I first started my 3 month plan I was on a 1500 calorie diet. I practiced the 30/30 ate slowly and found myself getting full with less. About a month before my pre-op diet I was down to 1200 calories a day and was pretty satisfied, I wasn't hungry. You have 3 months to prepare, you can wean yourself down.

    That is a very good point! Hopefully in 3 months, it won't feel so hard!
  • bikrchk
    bikrchk Posts: 516 Member
    My pre-op liquid diet was only for 5 days, (I feel very lucky!). I know other have had to do 2 weeks or even a month. My instruction was to lose 10 lbs between my consult and pre-op appointment about a month later. Even as a lower BMI'er (37 at consult) that was doable for me. Post op, I was put on full liquids day 1 and instructed to go to purees week 3. I think I went about week 2, but I did everything a little faster than average. My procedure went really well, only one night in the hospital, no pain meds needed and back to work the next week. Today, at 6 months out, I'm getting between 1000-1200 calories per day with 75g of protein. I'm still losing. Slowly now, (I have 25 lbs to go). Whatever your plan is, do your best to follow it, you'll get through it and be on the other side before you know it!
  • pawoodhull
    pawoodhull Posts: 1,759 Member
    I had a 2 week pre-op diet that consisted of the foods my surgeon's office uses for their "non surgical" weight loss program. It was about 1500 calories a day and I was sure there just wasn't going to be enough food. Boy was I wrong! I think it was two thing. The high protein in everything I ate kept me feeling full longer and upping my water intake to 64 ounces a day was the other. I was amazed at how easy it was and that I lost 20 pounds in those two weeks.

    As for post op, I had full liquids for 4 weeks, pureed food for 2 weeks, soft food for two weeks and then back to normal. They tell you to avoid things like egg yolks because they are really dense and just don't digest well for a few months after surgery. I was not given the option of things like sugar free jello and such. Frankly I didn't want to waste calories on things that weren't protein rich, so not having them wasn't an issue for me.

    It all sounds so complicated, but really it isn't. It's just a matter of getting used to a new way of looking at food and how you fuel your body. Don't get too caught up in what's coming in a few weeks. Try and concentrate on what you need to do between now and surgery. Once surgery is done, concentrate on sipping and walking and doing what you need to do then. And the next step, and so on.

    There are a lot of varieties of plans on here, each doctor does things slightly different. Follow your doctor's plan and you will be fine. And remember, there are foods that you probably will just not want to add back into your life when this is all said and done. You may see something on someone else's food log and wonder how they can eat that. For instance, I have never been able to control myself with ice cream, so I have chosen to not reintroduce it into my life. Point is, don't compare what you are allowed or chose to eat too closely to others here. There are unique details to each one of our walks on this journey. You will find yours.
  • itsdreday
    itsdreday Posts: 60 Member
    Chicken broth worked for me during the pre-op clear liquid phase. Seriously, several boxes a day while drinking water in between. It's cheap, filling, and nearly impossible to go overboard on calories.
  • ATXHeather
    ATXHeather Posts: 218 Member
    Thanks everyone! I'm starting to come to terms with the two week of liquids. BUT, I am hoping that if I lose enough weight during the 3 month, that I can do the "Level 1" Pre-Op Diet, which is low carb and low fat. I am going to ask my doctor at my next appointment. But I'm making peace with the liquid diet.
  • smkey920
    smkey920 Posts: 2 Member
    I started a 3 week liquid preop diet this week. I have been preparing for it since January, and I think that really helped. The first two days this week were difficult, but it is getting easier. I just keep reminding myself that it will help insure a successful surgery. My only complaint is that everything is cold and sweet. Broth is a life-saver! Good luck!
  • hurricanelena
    hurricanelena Posts: 83 Member
    My plan was very similar to yours except that my doctor cleared me for full liquids after surgery.

    I will echo what others have said and that after surgery, it will be all you can do to get those liquids down. Admittedly by week 2-3 I was probably doing slightly chunkier than a true liquid, but even that was tough.

    Although my insurance only required 3 months, I gave myself 6 months in the medically supervised pre-surgery weight loss to help adjust my eating habits more gradually. WIth my doctor's permission I was able to taper my eating down from 2500-3000 calories/day to 1500-1800 cal in a few weeks rather than imediately. Our doctor also had us gradually replace 1 meal/day with a shake, then 2/day so the liquid diet wasn't such a jump.