Eat frequent small meals consisting of healthful foods.
Take small bites and eat slowly and mindfully. Patients must follow this strictly post bariatric surgery.
Chew solids well and avoid drinking liquid15mins pre meal and 30 mins post meals.
Relaxation techniques(chew foods 32 times before ingesting) should be used to reduce the speed of eating and drinking.
Patients should carry sugar-free beverages with them and drink often.
It is recommended that patients consume about 3 litres of fluid daily.
A low fibre intake can result in either constipation or chronic diarrheabecause of the lack of dietary bulk. In addition, a higher fibre intake is recommended to reduce serum cholesterol and provide satiety.
Fresh fruit can be incorporated into a smoothie made with cow's milk, yogurt, or soy milk.
Approximately 60–80 g of daily protein is recommended for nutritional adequacy and for wound healing after surgery.
Frequent nutrition visits are required in the first few months after surgery, in part to ensure that protein nutrition is optimal.
Average servings of foods and beverages containing large amounts of sugar will cause the dumping syndrome and must be avoided.
Patients should have available healthful snacks, such as nuts, whole grain crackers, roasted grams, fresh and dried fruit, and protein shakes.
The gastric bypass creates malabsorption, whereby iron, calcium, and B complex vitamin nutrition is in jeopardy.
A daily combination of an adult strength multivitamin with iron, a Bcomplex supplement, and 1,000– 1,500 mg of calcium is needed for the rest of the patient's life.
Chewable vitamins are now available for patients who do not tolerate pills well.
Diagnostic blood work is needed at the patient's annual postoperative visit or sooner if suspicious symptoms such as fatigue or shortness of breath are present.
Attendance at support group meetings should be mandatory before surgery, and patients should continue regular attendance for several months or longer after surgery.
Patients who are achieving their goals serve as role models and can encourage a fighting spirit in those more wary of making big changes in their habits.
Most patients need at least 45 minutes of daily aerobic exercise with thrice-weekly strength training exercise highly recommended to maintain the metabolic rate at a high level.
If orthopedic problems persist, aquatic exercise programs may be the only option for adding therapeutic movement to the postoperative lifestyle.
Some patients lose weight very rapidly, especially in the early postoperative phase. If they are having difficulty eating well, this must be resolved to allow for a nutritious diet with adequate protein.
Muscle loss is unavoidable if someone is losing as much as 1 lb/day. Exercise and high protein, especially strength training, can help reduce the rate of muscle loss.