Mauricio Rosas-Alvarez, DI

2 weeks | surgery | 2 weeks | 2 weeks post-OP | 4 weeks pOST-Op | 3 months pOst-op

1
Two weeks prior to and after Surgery:
Liquid Protein Diet (no fruit allowed)
PRE
3-4 Protein shakes
(20-30 g protein each)
600-800 kcals/day
0-4g sugar per servg
sugar-free CL allowed
POST
gradually increase to 80g
protein (from shakes)
start vitamin regimen
fluid goal 48oz /day
begin light exercise

2
Two weeks post-surgery:
High Protein Pureed diet
3-4 meals /day
(a meal is 2-4 Tbsp)
+ 2-3 protein shakes
(20-30g pro <4g sugar)
fluid goal 64oz /day
meals and fluids separated by
half hour
no whole pills
biggest focus is on hydration
and protein needs


3
Four weeks post-surgery:
Bariatric Soft Diet
foods can be mashed with a
fork
3 meals /day
+ 2 protein shakes
no liquids with meals
Three months post-surgery:
Bariatric Diet
can add protein bars
can add raw veg, seeds, nuts
Vitamin Regimen: (CHEWABLES or crushables)
1. Multivitamin
2. Iron
3. B-complex with at least 15mg Thiamin (Vit B1)
4. Calcium Citrate + Vit D (3 Doses of 500-600mg /day)
5. Vitamin B12 (monthly injections or sublingual
500mcg/day)
NUTRITION
guidelines for Bariatric patients
NUTRITION DISCHARGE INSTRUCTIONS: 80-120 g protein
Follow liquid diet for 2 weeks after surgery-
When you get home, start by adding protein powder to your clear liquids (water, Crystal
Light, broth)
After 2-3 days, begin mixing protein powders with skim milk/1% milk/soy milk as tolerated
Gradually work back up to 80g protein per day (Typically 3 protein shakes per day)
Avoid ready to drink shakes, as they may be too thick
Fluid goal is minimum 48 ounces per day in addition to the protein drinks. Sip continuously
NO caffeine, alcohol, carbonation, straws
Start Vitamin Regimen (no whole pills)
Do not lift anything heavier than 8-10 lbs for the first 6 weeks after surgery
Sleeve Gastrectomy: No whole pills for 3 months
post-surgery
Gastric Bypass: No whole pills for 6 months post-
Surgery
Gastric Banding: No whole pills