Pre-Op Liquid Diet

Pre-Op Diet for Weight Loss Surgery

Pre-op operative weight loss is desirable to decrease the risk of complications for our patients scheduled for weight loss surgery.  Weight loss before surgery reduces the risk of conversion from laparoscopic surgery to an open procedure.  Pre-operative weight loss also reduces the severity of co-morbidities, reduces operating room and recovery time.  To be specific:

  • Reduces liver size and intra-abdominal fat
  • Improves visual field
  • Reduces co-morbidities
  • Increases patient’s understanding of post-op requirements
  • Reduces operating time
  • Reduces post-operative risks

It is very important that you adhere to the pre-op diet that your surgeon is recommending for you.  Situations have occurred where patient’s surgery was cancelled due to non-compliance with the pre-op diet.  Please understand this can occur to you if you do not follow the guidelines.  If you find yourself struggling with the guidelines, please call the office for support and guidance.

Juice Plus Complete

Our program recommends Juice Plus Complete as your meal replacement for our pre-op surgery patients.  Juice Plus Complete provides a complete line of nutritional supplements that have been specifically formulated to meet the unique demands of both the pre-operative bariatric surgical candidate, as well as the post-operative bariatric surgical patient.

The Juice Plus Complete can be ordered through our office and shipped directly to your address and comes in an four 15 serving bags with a measuring scoop to make accurate dispensing easy. Each 110 calorie serving provides a full 13 grams of protein, with 19 grams of carbohydrate (of which 8 grams are fiber and 9 grams are sugar) and 0 grams of fat. Meal Replacements come in chocolate and vanilla.

Pre-Operative Protocol

In order to lose weight pre-operatively, the meal replacements are recommended for every patient.

1. 4-5 shakes per day 2. 64-96 ounces of water

***ONLY add ½ c of fruit to 2 of the 5 shakes per day***

***Please remember if you are having GASTRIC BYPASS,

clear liquids ONLY the day before surgery***

*Water *Ice Chips *Clear broths (chicken, beef, vegetable) *Sugar free Jell-O *Caffeine free unsweetened tea

*True Lemon or Crystal Light (or other sugar free drink mixes) *Sugar free popsicles

The First 48 Hours

The first 48 hours on a liquid diet is the most challenging.  You will be very hungry until your body induces ketosis.  Ketosis occurs when the amount of carbohydrate fuel (fuel that is needed to run the body) drops below a critical level, forcing the body to turn first to protein and then to fat reserves to do the work carbohydrates normally do.

You will experience a sensation of improved well-being and absence of bothersome hunger in the second or third day.  This feeling is due to a chain of reactions set off by the release of ketones.  Ketones inhibit the release of insulin and the stress hormones.  As a result, the blood sugar becomes more stable and hunger is calmed.  Anxiety is reduced.  You must drink 64-96 ounces of water daily to remove the waste products in the blood stream.

Side effects of a liquid drink diet:

  • Dizziness, dry mouth, “ketosis breath”, headache, fatigue and bowel changes

Directions, Recipes and Hints

Basic ingredients to add to any shake:
Ice cubes
Fruit(s)
Flaxseed oil
Stevia
Sugar-free flavorings, syrups
Base – water, skim milk, unsweetened almond milk,unsweetened coconut milk, unsweetened cashew milk, or soy milk (if using milk or soy as a base, do not add fruit to your recipe)

Basic Blending Instructions:

  • Pour cold liquid into a blender.  Begin mixing on a low speed.
  • Slowly add the Juice Plus Complete Meal Replacement (or protein powder of choice) while blender is mixing for about 15 seconds.
  • Add ice cubes, replace lid and blend until smooth.

 

Shaker Directions:

  • Pour cold liquid into shaker.
  • Slowly add the Juice Plus Complete Meal Replacement (or protein powder of choice)
  • Add small ice cubes if desired.
  • Replace lid and shake until smooth.

Hints:

  • To increase sweetness, add Stevia or fruit.
  • To decrease sweetness, increase liquid
  • Frozen fruits make the shakes creamier
  • You may freeze the shakes for an ice cream consistency.  Do not allow the shake to thaw.  It must be eaten frozen.
  • If you are using frozen fruit, you may or may not need to add ice cubes.

Recipes

Please use these recipes as suggestions.  The consistency of the shakes will depend on the fluid added.  You may want to increase or decrease fluids, depending on your likes and dislikes.  You may be creative and make recipes of your own.  Remember, the key is to adhere to the guidelines and again, please do not forget to call the office, should you need additional information and support.

Mocha Shake

6 ounces coffee
4 ice cubes
1 tbsp. milk
1 scoop chocolate
Additional Calories:  11
Additional Carbohydrate:  1.5
Additional Fat:  0.1 grams
Total Calories:  121 Calories

Frozen Chocolate Banana

6 ounces water
4 to 5 ice cubes
1/2 medium banana
1 scoop chocolate
Additional Calories:  60
Additional Carbohydrates:  15 grams
Additional Fat:  0.2 grams
Total Calories:  170 Calories

Chocolate Strawberry Shake

6 ounces of water
1 scoop of chocolate
4 to 6 ice cubes
6 small strawberries
Additional Calories:  60
Additional Carbohydrate:  15 grams
Additional Fat:  0
Total Calories:  170

Raspberry Chocolate

6 ounces water
1 scoop chocolate
6 ice cubes
3/4 cup fresh raspberries
Additional Calories:  60
Additional Carbohydrate:  15 grams
Additional Fat:  0.1 grams
Total Calories:  170 Calories

Pineapple Blast

6 ounces water
4 ice cubes
1 scoop vanilla
1/3 cup pineapple chunks
Additional Calories:  60
Additional Carbohydrate:  15 grams
Additional Fat:  0.1 grams
Total Calories:  170 Calories

Pina Colada

6 ounces water
4 ice cubes
1 scoop vanilla
1/3 pineapple chunks
1 tsp. sugar free coconut extract
Additional Calories:  60
Additional Carbohydrates:  15 grams
Additional fat:  0.1 grams
Total Calories:  170 Calories

Orange Creamsicle

6 ounces of water
4 to 6 ice cubes
1 scoop vanilla
1 small orange (size of tennis ball)
Additional Calories:  60
Additional Carbohydrate:  15 grams
Additional Fat:  0
Total Calories:  170

Blueberry Blaster

6 ounces water
4 to 6 ice cubes
1 scoop vanilla
3/4 cup blueberries
Additional Calories:  60
Additional Carbohydrate:  15 grams
Additional Fat:  0 grams
Total Calories:  170 Calories

All testimonials on this website are actual patients sharing their experience and before and after photos. Please note that individual results will vary by patient.