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Weight Management Center Gastric Bypass Diet ManualTable of Contents:Weight Loss Surgery Pre-op Liquid Diet .Page 3Clear Liquid Diet (Days 1 & 2) Page 4Full Liquid Diet (Days 3 to 9) .Page 5Pureed Diet (Days 10-30).Page 7Soft Diet (Days 31-58) . .Page 11Unrestricted textures (Day 59) . .Page 15Bariatric Plate . .Page 16RH5365 2.18Page 2
Weight Management Center Gastric Bypass Diet ManualWeight Loss Surgery Pre-op Liquid Diet The purpose of the pre-op liquid diet is to shrink your liver. The liver andstomach are close to each other in the body. When your liver is large, it makesit hard for the surgeon to safely operate on your stomach.Consume 800 calories or less daily to help shrink your liver prior to surgery.You will need to follow this Pre-op Liquid diet for 10 days prior to your surgerydate unless instructed otherwise by your surgeon.Food GroupsBeveragesAllowedWater: 0 caloriesProtein Supplements: 75-200 caloriesDecaf Coffee/Tea: 5-10 caloriesBreads/CerealsSugar-Free Beverages: 0 caloriesexamples: Crystal Light , Fruit2O , Propel Water, Vitamin Water Zero,Mio Water EnhancerCream of Wheat: 130-150 caloriesCream of Rice: 130-150 caloriesVegetablesFruitsDairy ProductsVegetable Juice: 50 caloriesexample: V8 vegetable juiceNONESkim or 1% Milk: 90-120 caloriesNot AllowedJuicesSoda (Diet or Regular)Caffeinated DrinksAll OthersNo OatmealAll OthersNo V8 Splash All Fruit/Fruit JuiceAll OthersMilk Alternatives: Lactaid , Unsweetened Soymilk and Nut Milk: 25-110caloriesSoupsLight, Low-Fat Yogurt: 80-120 caloriesexamples: Dannon Light & Fit , Yoplait Light , 0% Chobani , Oikos TripleZero Broth or Bouillon: 10-20 caloriesAll OthersLow-Fat Cream Soups: 90-150 calories ( blend & strain )SugarSubstitutesEqual: 0 caloriesSplenda: 0 caloriesAll OthersNo Honey or AgaveSweet N Low: 0 caloriesSweetsStevia: 0 caloriesSugar-Free Ice Pops: 15-30 caloriesLow-Fat Sugar-Free Pudding: 60 caloriesSugar-Free Gelatin: 10-20 caloriesAll OthersIf you take medicine to help control your blood sugars, call the doctor who prescribes themedicine. Ask your doctor if you should stay on your medicine while on the liquid diet andafter surgery.RH5365 2.18Page 3
Weight Management Center Gastric Bypass Diet ManualDays 1 and 2: Bariatric Clear LiquidsDuration: 2 daysFoods/ Beverages Allowed: WaterCrystal Light Flavored, sugar free water (Fruit2O , Propel )Sugar-free Koolaid Propel Vitamin Water Zero Decaffeinated coffee or tea (iced or hot)Low fat brothDiet Jell-O What to avoid: CaffeineCarbonation- No SodaSugarStrawsInstructions: Sip small amounts of fluid throughout the day.It is important for you to sip these liquids slowly.Do not use a straw. It can make you feel bloated and gassy.Your pouch is swollen from surgery. Fluids will empty much easier when the swellinggoes down.Remember: If you have trouble drinking plain water, try adding a slice of lemon or orange. Don’t use drinks that contain sugar. Even natural sugars, like the ones in juice, contain alot of calories. They will slow your weight loss and may cause you to feel sick. Do not drink carbonated beverages (anything with bubbles) even if they are “flat.”When you swallow “flat” soda, the trapped air bubbles are released in your pouch. Thiswill cause pain and bloating.RH5365 2.18Page 4
Weight Management Center Gastric Bypass Diet ManualDays 3 to 9: Bariatric Full LiquidsDuration: 7 daysDescription: A full liquid diet consists of foods that pour off aspoon like soup.Examples:Foods AllowedAmount of Protein per 1/2 cup (4 oz)Skim or 1% Milk4 gramsFairlife Milk6.5 gramsSoy Milk (unsweetened)4 gramsLow Fat Cream Soup (blended and strained)4-8 gramsThin Cream of Wheat or Rice3 gramsLite Blended Yogurt (no chunks of fruit or"Fruit on the Bottom")4- 8 gramsLow Fat, Sugar Free Pudding2 gramsProtein SupplementRefer to protein supplement labelSugar free, decaffeinated beverages0 gramsV8 Vegetable Juice0 gramsBroth0 gramsSugar Free Jello or Popsicles0 gramsAlmond Milk (unsweetened)0 gramsInstructions:1. Sip liquids slowly.2. Choose foods low in fat and sugar.3. Start protein supplements and track protein intake. Protein Goal:o Women: 50-80 grams of proteino Men: 60-90 grams of proteinRH5365 2.18Page 5
Weight Management Center Gastric Bypass Diet ManualFull Liquids: Sample MenuFoodProtein Content½ cup thin cream of wheat(with 3 tablespoons of dry milk powder)7 grams½ cup skim milk4 gramsMorning SnackProtein SupplementRefer to proteinsupplement labelLunch½ cup blended and strained low fat creamsoup (with 3 tablespoons of dry milk powder)19 gramsAfternoon SnackProtein SupplementRefer to proteinsupplement labelDinner½ cup blended and strained low fat creamsoup (with 3 tablespoons of dry milk powder)19 gramsEvening Snack4 oz. light vanilla yogurt4 gramsBreakfastTotal Protein: 58 grams not including protein supplementsTips for Success: You may add unflavored protein powder or non-fat dry milk powder to anyfoods you eat. 4 tablespoons of non-fat dry milk powder is equal to 9 grams of protein(Example: Carnation instant skim milk powder).RH5365 2.18Page 6
Weight Management Center Gastric Bypass Diet ManualDays 10-30: Bariatric Pureed FoodsDuration: 3 weeksDescription: Stage 1 or Stage 2 baby food or blend (puree) your own food with a blender orfood processor.Instructions for Blending Foods: Use sugar free, low fat ingredients.Cut all food into small pieces.Add a small amount of liquid:o Tomato or vegetable juiceo Brotho Fat Free gravyo Skim or 1% milko Lite MayonnaiseDo not add water to food. It will make it taste bland and dilute the nutrients.You may use herbs and spices to help flavor your foods.Tips for Success: Start taking your vitamin supplements.o Bariatric Fusion Vitamins: 2 chews in the morning, 2 chews in theevening.o Barilife Powder Vitamin: 1 scoop with 8-10 ounce fluid in themorning, 1 scoop with 8-10 ounce fluid in the evening. Continue tracking protein intake.o Women: 50-80 grams of proteino Men: 60-90 grams of protein Do not drink beverages with your meals.o Stop drinking liquids 10 minutes before your meal and wait 30minutes after your meal until drinking fluids again. Fluid goal: 64 ounces daily in between meals.o This includes all liquids not just water.o Continue to take slow, small sips every 15 minutes. Maximum volume per meal should not exceed ½ cup (or 4 ounces) at thistime.o Using measuring cups, child-sized utensils, and small plates can helpcontrol your volume at this time.RH5365 2.18Page 7
Weight Management Center Gastric Bypass Diet ManualProtein Content of Pureed FoodsSuggested FoodsPortionProtein ContentStage 2 Baby Meat¼ cup10 gramsLow fat, cottage cheese (small curd)¼ cup7 gramsLow fat, ricotta cheeseLight Yogurt or 0% Fat Greek Yogurt (vanillaor plain)¼ cup¼ cup7 grams2-4 gramsSmooth-textured whipped potatoes¼ cup1.5 gramsLow-fat, sugar-free pudding¼ cup1 gramStages 1 and 2 baby vegetables¼ cup0.5 gramsApplesauce (no sugar added)¼ cup0 gramsStages 1 and 2 baby fruit¼ cup0 gramsPureed Vegetables¼ cup0-1 gramsPureed Bananas or other fruitswithout seeds¼ cup0 gramsPureed fish tuna, poultry, veal, pork, or beef1 oz7 gramsPureed egg/egg substitutes or poached egg1 egg or ¼ cup7 gramsRH5365 2.18Page 8
Weight Management Center Gastric Bypass Diet ManualThese are just examples. You may not be able to eat this amount of food at onetime. Remember, stop eating as soon as you feel full.Pureed Diet: Sample MenuDay 1Day 2Day 38:00 a.m.½ cup cream of wheatAdd 2 tablespoons of fat free milk1 egg pureed1 oz. low-fat cheese(melted into egg)Smoothie:1 scoop protein powder4 oz. fat free milk2 oz. fat free yogurt½ banana9:30 a.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquid10:30 a.m.4-8 oz. protein shake4-8 oz. protein shake4-8 oz. protein shake12:00 p.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquid1:00 p.m.2 oz. pureed ham2 tablespoons pureed vegetable¼ cup mashed potatoes¼ cup pureed chicken salad (madewith low-fat mayo)2 tablespoons unsweetenedapplesauce2:30 p.m.8-12 oz. clear liquid¼ cup pureed tunasalad (made with lowfat mayo)2 tablespoons pureedfruit8-12 oz. clear liquid3:30 p.m.4-8 oz. protein shake4-8 oz. protein shake4-8 oz. protein shake5:00 p.m.(if needed)½ cup 0% fat Greek yogurt¼ cup low-fat cottagecheese1 tablespoon pureedpeaches¼ cup fat free refried beans1 oz. low-fat cheese (melted)6:00 p.m.2 oz. pureed chicken2 tablespoon pureed carrots¼ cup mashed potato1 tablespoon fat free gravy½ cup pureed chili1 oz. low fat cheese(melted into chili)2 oz. pureed shredded beef1 tablespoon fat free gravy2 tablespoons pureed cauliflower¼ cup mashed yams7:30 p.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquid8:30 p.m.1 wedge low-fat spreadable cheese4 tablespoons unsweetenedapplesauce½ cup 0% fat Greekyogurt½ cup low-fat cottage cheese10:00 p.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquidRH5365 2.188-12 oz. clear liquidPage 9
Weight Management Center Gastric Bypass Diet ManualPureed Diet RecipesRicotta Bake 8 ounces part-skim ricotta cheese ½ cup grated parmesan cheese 1 large egg, beaten 1 teaspoon Italian seasoning ½ cup marinara sauce ½ cup shredded low fat mozzarella cheeseDirections: Mix ricotta cheese, parmesan cheese, beaten egg, and seasonings together. Place in a 2 cupdish or four half-cup ramekins. Pour marinara on top and sprinkle with mozzarella cheese. Bake in theoven at 450oF for 20-25 minutes until bubbly.Servings: Makes four, 4 ounce servingsCalories: 180 calories per servingProtein 13 grams per servingTuna Salad 1 can tuna fish in water (drained) 2 tablespoons reduced-fat mayonnaise 2 tablespoons fat-free sour cream 2 tablespoons fat-free cream cheese 1 tablespoon lemon juice ¼ teaspoon pepper 2 tablespoons finely chopped parsleyDirections: In a blender or food processor, combine all ingredients except parsley. Blend until smooth.Add parsley and pulse just until combined.Servings: Makes four, 4 ounce servings.Calories: 155 calories per servingProtein: 23 grams per servingShepherd’s Pie ½ medium diced yellow onion ½ pound ground beef or turkey 8 ounces canned peas and carrots, drained ½ bag frozen cauliflower florets 4 oz. low-fat cream of mushroom soup 2-3 Laughing Cow wedges 1/3 cup shredded low-fat cheddar cheeseDirections: Preheat oven to 350 oF. Boil small pot of water. Sautee onions for about 2 minutes. Addground beef/turkey. Drain if necessary and blend. Drop cauliflower florets into boiling water. Whencauliflower florets are tender, drain. Add Laughing Cow wedges while florets are still hot. Add peas andcarrots and soup and blend together. Place your ramekins on baking sheet and ladle ¼ cup meat andveggie mixture.Serving: Makes six, 4 ounce servingsCalories: 126 calories per servingProtein: 12 grams per servingRH5365 2.18Page 10
Weight Management Center Gastric Bypass Diet ManualDays 31 to 58: Soft FoodsDuration: 4 weeksDescription: Avoid solid chunks of meat.Take small bites of your food and chew every bite well.You may start to eat ground meats, shredded tender pieces of meat,poultry or fish chopped into small pieces. You may add broth or fatfree gravy to meats for additional moisture.Tender cooked vegetables only (no raw vegetables, no salads).o Avoid any tough, stringy vegetables such as: corn, celery,asparagus or broccoli stems.o You may choose low sodium canned vegetables.Canned fruits in water or fresh fruit without seeds or skin:o Peeled apple or pearo Bananao Melon“Dry” grains such as toast, low-sugared cereal (let soften in milk), oatmeal or crackers.o Choose whole grains!Continue protein supplements as needed.Continue to drink 64 ounce fluids daily in between meals.Protein Content of Soft FoodsSuggested Soft FoodsPortionProtein ContentLow-fat cheese1 ounce7 gramsFinely ground meats1 ounce7 gramsFlaked fish (haddock, tilapia, tuna)1 ounce7 gramsEggs1 egg7 gramsEgg Substitutes¼ cup7 gramsBaked Potato (no skin)¼ cup1.5 gramsOatmealAcorn or Butternut squash¼ cup¼ cup1.5 grams1.5 gramsWhole grain pasta¼ cup1.5 gramsWhole wheat crackers3–41.5 gramsWhole wheat toast½ slice1.5 gramsRH5365 2.18Page 11
Weight Management Center Gastric Bypass Diet ManualSoft Diet RecipesProtein Pancakes ½ cup old fashioned oats ½ cup low fat cottage cheese 4 egg whites 1 teaspoon vanilla extract ½ teaspoon cinnamonDirections: Blend all ingredients together in a blender or food processor. Spray skillet withcooking spray and warm to medium heat on stovetop. Top with banana and or nut butter.Servings: Makes two servingsCalories: 145 calories per servingProtein: 15.5 grams per servingTender Pulled Chicken 4 boneless, skinless chicken breasts 1 jar Salsa Verde ½ cup low-fat shredded mozzarellaDirections: Add ½ salsa to your slow cooker. Place chicken breasts in slow cooker and top withremaining salsa. Cook on high for 4-6 hours or on low for 8-10 hours. Remove chicken and pullwith fork until shredded.Servings: Makes eight servingsCalories: 180 calories per servingProtein: 21 grams per servingTeriyaki Salmon Cooking spray 2 tablespoons low-sodium teriyaki sauce Four-4 ounce salmon fillets Canned pineapple tidbits in natural juice or waterDirections: Preheat the oven to 450oF. Lightly coat a large shallow baking pan with cookingspray. Place teriyaki sauce in small bowl. Drain pineapple. Place salmon and drained pineapplein the baking pan and brush them with the teriyaki sauce. Bake, uncovered for 10-12 minutes oruntil the fish is cooked thorough. Serve each piece of salmon with pineapple tidbits and extrasauce from the pan on top.Servings: Makes four- 4 ounce salmon filletsCalories: 128 calories per servingProtein: 21.5 grams per servingRH5365 2.18Page 12
Weight Management Center Gastric Bypass Diet ManualThese are just examples. You may not be able to eat this amount of food at onetime. Remember, stop eating as soon as you feel full.Soft Diet: Sample MenuDay 1Day 2Day 38:00 a.m.1 scrambled egg½ slice toast1 teaspoon low-fat margarine¼ - ½ cup oatmeal with½ banana1 egg or ¼ egg substitute1 slice low-fat cheese -make intoan omelet9:30 a.m.8-12 oz. clear liquid(add extra protein as needed)8-12 oz. clear liquid(add extra protein as needed)8-12 oz. clear liquid(add extra protein as needed)10:30 a.m.4-8 oz. protein supplement or 4whole wheat crackers with ½tablespoons peanut butter4-8 oz. protein supplement orstring cheese4-8 oz. protein supplement or 48 oz. 0% fat Greek yogurt12:00 p.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquid1:00 p.m.1 oz. of low-fat cheese meltedover ¼- ½ cup pasta1 tablespoon marinara sauce¼ cup cooked broccoli1 slice whole wheat bread(toasted)1 slice low-fat cheese1 oz. chipped low-fat deli meat(ex. Turkey, chicken, ham)¼ cup chicken or tuna salad(with low fat mayo)½ slice toast¼ cup canned fruit (in water)2:30 p.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquid3:30 p.m.(if needed)4-8 oz 0% fat Greek yogurt4 All Bran crackers with 1 wedgeLaughing Cow light cheese½ cup low-fat cottage cheese6:00 p.m.¼ of a large baked potato(no skin)¼ cup Chili1 tablespoon light sour cream8-12 oz. clear liquid¼ cup chicken and rice casserole¼ cup soft cooked green beans1 peach half (canned in water)8-12 oz. clear liquid¼ cup fat free refried beans1 oz. lean ground beef1 oz. low fat cheese½ of a 6” soft tortilla8-12 oz. clear liquid8:30 p.m.(if needed)4-8 oz. protein supplement or2 oz. of tuna1 teaspoon low-fat/fat-freemayo3 whole wheat crackers4-8 oz. protein supplement or4-8 oz. 0% fat Greek yogurt4-8 oz. protein supplement or1 hard-boiled egg10:00 p.m.8-12 oz. clear liquid8-12 oz. clear liquid8-12 oz. clear liquid7:30 p.m.RH5365 2.18Page 13
Weight Management Center Gastric Bypass Diet ManualDay 59: Unrestricted Textures If you tolerate soft solids for 4 weeks, you can slowly advanceyour diet to regular textures.Try one new food at a time.Chew food well and eat slowly.Tips for Success: Start to wean off protein supplements and aim for protein from solid foods.Continue tracking protein.o Women: 50-80 grams of proteino Men: 60-90 grams of proteinDrink 64 ounce of clear liquids daily in between meals.Avoid alcohol for the first 6 months and limit alcohol thereafter.Limit caffeine to 8-12 ounces daily.Caution with carbonated drinks and straws.Increase activity towards goal of 300 minutes per week.Sample Menu:These are just examples. You may not be able to eat this amount of food at onetime. Remember, stop eating as soon as you feel full.Protein Content½ cup cottage cheese14 gramsBreakfastMorning snackLunchAfternoon SnackDinnerEvening SnackRH5365 2.18¼ cup peachesclear liquids0 grams0 gramsHard-boiled egg¼ cup grapes1 oz. low fat ham1 oz. low fat cheese1 slice of whole wheat toastclear liquids7 grams0.5 grams7 grams7 grams3 grams0 grams½ cup low fat Greek yogurt½ ounce Almonds2 oz. chicken¼ green beans¼ cup brown rice9 grams3 grams14 grams0.5 grams1.5 gramslite string cheese½ small apple6 grams0.5 gramsPage 14
Weight Management Center Gastric Bypass Diet ManualMaximum Volume per meal 1 cupWhat your plate should look like after surgery Track calories and aim for 800-1,000 calories daily.o You may use tracking applications on your mobile devices to help you throughyour weight loss journey such as Baritastic. Enter code 85673 to connect withthe Weight Management Center.Eat protein first to help increase feeling of fullness and to promote healing.Include non-starchy vegetables second to help increase fiber and promote fullness.Limit empty calorie starches. Aim for whole grains to increase fiber and help to promotefullness.Get involved with our support group to help achieve lasting success! Check out supportgroup dates at nagement/RH5365 2.18Page 15
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Weight Management Center Gastric Bypass Diet Manual RH5365 2.18 Page 3 Weight Loss Surgery Pre-op Liquid Diet The purpose of the pre-op liquid diet is to shrink your liver. The liver and stomach are close to each other in the body. When your liver is large, it makes it hard for the surgeon to safely operate on your stomach.
