Nutrition Goals Before Gastric Reduction Surgery Gastric Bypass Surgery does not cure obesity. It will cause you to lose weight at first, but ultimately, your success will depend on your lifestyle choices. The transition to a successful gastric bypass lifestyle starts before surgery. You can optimize healthy weight loss by starting to re-shape your food behaviors now. Your goal is twofold; one, optimize your immune system to speed your recovery, and two, learn the behaviors you will need for long term weight loss success. Here are the top pre-surgery behaviors that will promote a successful surgery and help you thrive in your new “small stomach” life. 1. Learn to read food labels. Keep sugar out of the first three ingredients. This means avoiding all sugar, sweets, desserts, juices, and sugared beverages. 2. Focus on protein first at meal times. In preparation for and after surgery, your goal is to have a minimum of 70 grams of protein daily. Your dietitian will work with you on carbohydrate counting and will devise a plan for the amount of carbohydrates you should be consuming per meal. 3. Take multi-vitamin/mineral supplements daily. See your Dietitian for individualized recommendations, regarding Calcium, B-vitamins, and iron supplementation as needed. 4. Wean off all caffeine and all carbonated beverages. They are gastric irritants. Caffeine can also cause hypoglycemia, or low blood sugar. 5. Avoid all alcohol. A recent study found WLS patients reach a blood alcohol level above the legal limit after just one drink. Alcohol does not remain in the stomach long enough to be properly metabolized. It is moved directly to the small intestines in an undiluted form where it is absorbed into the blood stream. 6. Avoid fried foods and fast foods. November 2012 7. Sip liquids (no straw). Please drink a minimum of 10 cups of water between meals everyday to prevent dehydration. 8. Chew each bite 30 times. Eat meals very slowly, putting your fork down for several minutes between bites. Get a timer so you can really learn to slow the pace of your eating to a mealtime of 45 minutes. 9. The opening from your stomach into your intestines is about the size of the tip of your little finger following surgery. Food must be chewed thoroughly so it can pass out of your new stomach. Listen to physical signs of hunger and fullness and remember, even one bite past feeling full will stretch your pouch. This could result in slower rate of weight loss and even weight gain. Try using a small plate at meal times. 10. If hypoglycemia occurs after surgery, consume at least 5 grams of soluble fiber with meals to delay the time it takes food to leave your stomach. Ask your dietitian about soluble fiber food sources. 11. Taste-test high-protein, low-carbohydrate shakes and recipes. If the shake you are using is not on our list, please bring in the nutrition facts label. Do not use boiling hot water to prepare protein shakes. Hot water will destroy the protein. Only mix as much as you will drink. Protein shakes lose their potency if stored after mixing. Examples of high protein drinks – Whey Delicious Protein Delight Atkins Slim Fast – low carb Unjury Novartis-Optisource Medifast shakes 12. If you have Diabetes, it needs to be under good control or at least stable before the surgery. 13. Some patients create a Weight Loss Surgery notebook to document their journey. Put pictures of yourself in throughout the process and journal your successes and struggles as you move toward a healthier lifestyle. November 2012