Diet plan after bariatric surgery
Important Aspects of Nutrition After Bariatric Surgery
Basics of changing your diet
Ensure effective weight loss and long-term weight maintenance. An adapted nutritional plan helps to meet the new needs of the changed digestive system and avoid malnutrition.
1st phase: liquid nutrition
- Immediately after surgery : The first nutritional phase after bariatric surgery involves a strict liquid diet. The aim is to support the healing process and protect the gastrointestinal tract.
- Nutrient-rich liquids : Consuming protein-rich shakes, broths, and other clear liquids is recommended.
2nd phase: pureed food
- Gentle introduction of solid food : After a few days to weeks, you switch to pureed food. This should be high in protein and easy to digest.
- Avoiding complications : Small meals help avoid nausea and discomfort.
3rd phase: Soft food
- Further Nutrition : This phase introduces soft, solid foods that are high in protein and low in fat and sugar.
- Slowly increase the amount of food : Portion sizes should be increased slowly so as not to overload the stomach.
Long-term nutritional adjustments
- Balanced diet : A long-term change in diet to a balanced, nutrient-rich diet is essential.
- Regular check-ups : Regular follow-up checks and nutritional advice are important to prevent nutritional deficiencies and support weight loss.
Careful attention to nutritional guidelines after bariatric surgery is critical to the success of the operation and the patient’s long-term health. Continuous medical and nutritional support helps to successfully integrate the new eating habits into everyday life.
Nutrition Plan After Stomach Reduction
- Blue level: expresses what should not be forgotten in everyday life. Exercise, vitamin-mineral supplementation, hydration (sugar-free, decaffeinated and calorie-free)
- Pink level: indicates high-quality protein intake. A protein intake of at least 60 g per day is recommended.
- Yellow level: refers to vegetables-fruits and olive oil. All vegetables can be eaten. Consuming 1 tablespoon of olive oil daily is recommended. Fruits with a high sugar content (banana, apricot, grape, peach, cherry, sour cherry, pineapple, etc.) should be consumed limited.
- Green level: controlled consumption refers to what needs to be consumed. Carbohydrate sources high in fiber such as legumes, whole grains and whole grain sources should be preferred.
- Red level: Consumption refers to non-recommended foods. High-calorie foods consist of fat, sugar and energy-intensive foods. Foods that fall into this group should be controlled. The intake of fatty meat and fat additives should be avoided.
FOR LONG-TERM SUCCESS AFTER BARIATRIC SURGERY
- Daily balanced diet of at least 3 main meals and 2 snacks
- Avoid drinking water with meals, avoid carbonated mineral water and all other carbonated drinks
- Chew food completely and consume small amounts
- Eat slowly; You need to give yourself at least 20 minutes to avoid large bites and allow you to feel full.
- Avoid eating more than the portion served.
- Take vitamins and mineral supplements such as iron, calcium, vitamin D vitamins daily.
- For long-term health, a diet based on sources of essential fatty acids, complex carbohydrates and high-quality proteins is recommended.
1st-7th DAY NUTRITIONAL PROGRAM
| Time/Hours | 1st-7th DAY NUTRITIONAL PROGRAM |
| 1 teacup low-fat milk without lactose (half portion of protein supplement) | |
| 100 ml freshly squeezed fruit juice OR 100% sugar-free fruit juice (preferably acid-free apple juice diluted 50:50 with water) | |
| 100 ml lime blossom tea (without sugar) | |
| 100 ml lean meat / chicken broth (only the broth is drunk, there should be no solid ingredients in the soup) | |
| 100 ml low-fat milk without lactose (half portion of protein supplement) | |
| 100 ml compote (just the pure liquid) | |
| 100 ml lean meat / chicken broth (only the broth is drunk, there should be no solid ingredients in the soup) |
- All drinks on your list should be consumed as described above.
- Write down the amount of fluid you consume daily.
- Keep a water bottle in your hand to drink as much as possible in small sips throughout the day.
Saturation can occur after 2 tablespoons. This makes it important to stop eating at the first sign of satiety to prevent the small stomach from distending.
8th-14th DAY NUTRITIONAL PROGRAM
| Time/Hours | 8th-14th DAY NUTRITIONAL PROGRAM |
| 1 cup low-fat milk without lactose (half portion of protein supplement) | |
| 100 ml apple juice (must be 100% developed and filtered) | |
| 100ml yogurt soup (filtered rice without added grains with meat or chicken broth) or 100ml tomato soup (without solid ingredients) | |
| 100 ml apple juice (must be 100% developed and filtered) | |
| One cup of low-fat milk without lactose (half serving of protein supplement) | |
| 100 ml Ayran (1/1 diluted lactose-free yogurt with water) |
DAY 15 NUTRITIONAL PROGRAM
| Time/Hours | DAY 15 NUTRITIONAL PROGRAM |
| 1 teacup fat-free lactose-free milk 1 tablespoon low-fat cottage cheese5 min boiled quarter egg |
|
| 1 glass of low-fat milk without lactose (half portion of protein supplement) | |
| A portion of soup (1 tablespoon of cooked and mixed chicken – carrot puree is added) | |
| 1 glass of low-fat milk without lactose (half portion of protein supplement) | |
| A portion of soup (1 tablespoon of cooked and mixed chicken – vegetable puree is added) | |
| 1.5 tea cups of probiotic yogurt with added fruit (e.g. apple, banana) |
DAY 16 NUTRITIONAL PROGRAM
| Time/Hours | DAY 16 NUTRITIONAL PROGRAM |
| 1 teacup low-fat milk without lactose (half portion of protein supplement) | |
| 2 tablespoons low-fat cottage cheese. Small boiled tomato without peel | |
| 1 water glass of milk / ayran | |
| 1 tbsp spinach puree 1 teacup lactose-free yogurt |
|
| 2 tbsp fruit pulp | |
| Vegetable patty (Prepared from a chopped zucchini, 1 egg and 1 tablespoon of light cheese) | |
| 1 glass of lactose-free milk (half portion of protein supplement) |
DAY 17 NUTRITIONAL PROGRAM
| Time/Hours | DAY 17 NUTRITIONAL PROGRAM |
| 1 glass of light milk (half portion of protein supplement) | |
| 1 tablespoon low-fat cottage cheese half an egg boiled for 5 minutes |
|
| Fruit puree made from a small boiled apple without the peel | |
| A portion of soup (2 tablespoons of boiled and mixed chicken, vegetable puree added) |
|
| 1 glass of light milk (half portion of protein supplement) | |
| A portion of soup (2 tablespoons of boiled and mixed chicken, vegetable puree added) |
|
| A glass of probiotic yogurt with added fruit (fruit without peel) |
- Food should be chewed very well and consumed slowly.
- Every day you have to try a new food and record them to track how the food affects your stomach.
- Keep a water bottle in your hand to drink as much as possible in small sips throughout the day.
Important: pay attention to saturation in this phase too!
21st-30th NUTRITIONAL PROGRAM
| Time/Hours | 21st-30th NUTRITIONAL PROGRAM |
| 1 piece of egg 1 tablespoon low-fat soft cheese1 small boiled tomato without peel OROil-free omelet with cheese (1 egg and 1 tablespoon curd) OR Scrambled eggs with tomatoes (tomatoes without peel in watery form) 2 tablespoons quark |
|
| Protein shake (1 tablespoon lactose-free milk, ½ cup protein supplement, 1 tablespoon low-fat cheese, 1-2 slices of fruit)OR1 glass of lactose-free milk (half portion of protein supplement)Fish or chicken mixed into 2 meatballs 2 tablespoons vegetable puree OR3 tablespoons mixed chicken-vegetable soup2 tablespoons yogurt |
- Food must be soft and liquid.
- Dried fruits should not be eaten. Acid and gas-producing fruits such as oranges and tangerines should be kept away from.
- Do not drink liquids with solid food.
- Drink a small amount of water throughout the day without waiting for thirst.
- Stay away from alcohol and high-calorie fruit juices for a year. Stay away from carbonated drinks for life.
- Eating time must be at least 20 minutes and there should be 30 to 40 seconds between bites.
5th-6th Week NUTRITIONAL PROGRAM
| Time/Hours | 5th-6th Week NUTRITIONAL PROGRAM |
| 1 piece of egg 1 slice of soft cheeseOR1 glass of curd red pepper without shell, cookedOR4 tablespoons of mushroom omeletteOR1 teaspoon of oat flakes with milk1 piece of egg |
|
| 1 glass of light milk (One serving of protein supplement) 2 fish or chicken mashed into meatballs2 tablespoons of vegetable puree1 tablespoon of yogurtORchicken soup2 tablespoons of vegetable puree1 tablespoon of yogurtOR3 tablespoons of vegetables2 tablespoons of yogurt |
|
| OR 60 g fish, cooked2 tablespoons of vegetables1.5 cups of fruit with probiotic yogurt (without peel)2 tablespoons of fish or chicken pureed into meatballs2 tablespoons of vegetable puree1 tablespoon of yogurtOR2 tablespoons of chicken soup2 tablespoons of vegetable puree1 tablespoon of yogurtOR3 tablespoons of vegetables2 tablespoons of yogurtOR60 g of fish, cooked2 tablespoons of vegetables1 cup of light kefirOR200 ml fruit puree |
7th week NUTRITIONAL PROGRAM
| Time/Hours | 7th week NUTRITIONAL PROGRAM |
| 1 piece of egg 1 slice of soft cheeseOR1 cup of cheese1 teaspoon of oatmeal cooked with skimmed milk |
|
| 200 ml fruit puree 3 tablespoons of vegetables of your choice2 tablespoons of yoghurtOR3 tablespoons of meal1 tablespoon of yoghurtOR3 meatballs (90 gr.) minced meat, chicken, fish2 tablespoons of vegetables of your choice1 glass of light milk (a portion of protein supplement))3 tablespoons of vegetables of your choice2 tablespoons of yoghurt 1 tablespoon of yoghurt 1 , 5 cups fruit juice probiotic yogurt (without skin) |
Medication
| Dexpass | Paracetamol – pain killers | 1x day if necessary |
| Lanzedin | Stomach Protector | For 3 Month , 1x day / 30 min. before Breakfast |
| Oksapar | Blood thinners | In the evening 1x before sleep |
| Barifit* | Multivitamis | 1*1 |
| Barifit* | Protein powder | 1*1 |
