Baby food after gastric sleeve

Puréed Food Diet for Post-Bariatric Surgery Patients

Once you receive your surgeon's okay to progress to foods with a thicker consistency after your bariatric surgery, you can begin puréeing your foods.

Key Goals of the Puréed Food Diet (Phase 2B) After Bariatric Surgery

Incorporate high protein foods into your diet, which helps your pouch heal.

Women: 50–60 grams of protein
Men: 60–70 grams of protein

Start taking your chewable vitamin supplement with minerals.
Drink plenty of fluids, 48–64 ounces per day.

Meal Plan for Phase 2B: Puréed Diet After Bariatric Surgery

Consume three small meals each day.
Protein supplements

Gastric Bypass Patients: Begin using protein supplements after each meal to meet your daily protein requirements.
Laparoscopic Adjustable Gastric Band Patients: Continue using protein supplements as you did in Phase 2A.

Liquids between meals

Wait at least 30 minutes after each meal. Then consume an 8 ounce protein supplement or shake, followed by 16 ounces of sugar free, clear liquids.
Try to spread fluids out over a three-hour period.
Stop drinking at least 30 minutes before mealtime.

Suggested Foods Ideas for Puréed Diet After Bariatric Surgery

Protein Sources

Yogurt (plain or sugar free, low or nonfat, blended without fruit chunks)
Strained cream soups (celery, potato, mushroom, or chicken made with skim milk)
Skim milk with ½ scoop protein powder
Protein supplements added to food or water for extra protein
Mashed cottage cheese (low or nonfat, small curd)
Ricotta cheese (low or nonfat)
Scrambled eggs or egg substitute
Puréed beef, chicken, or turkey
Baby food meats
White fish (cod, haddock, tilapia, orange roughy) mashed with a fork
Canned chicken breast, mashed and moist
Canned tuna fish in water, mashed

Grains/starches

Cream of wheat or cream of rice
Farina
Grits
Baby oatmeal
Mashed potatoes/sweet potatoes
Puréed winter squash

Fruits

Diluted, 100% fruit juices (apple, grape, cranberry)
Light juices sweetened with non-nutritive sweetener
Applesauce
Mashed bananas or mashed canned fruits in own juices
Puréed peaches, apricots, pears, pineapples, melons

Vegetables

Tomato juice
Diet V-8 Splash® or V-8 Juice®
Puréed spinach, carrots, summer squash or green beans

Avoid puréed broccoli, cauliflower, and other fibrous vegetables at this stage.

Sample Menu for Phase 2B: Puréed Diet After Bariatric Surgery

Eat the protein portion of your meal first, and don't forget your liquids between meals (about 30 minutes after each meal).

Breakfast

Protein: 2 tablespoons to ¼ cup scrambled eggs or egg substitute
Starch: 2 tablespoons to ¼ cup cream of wheat

Lunch

Protein: 2 tablespoons to ¼ cup mashed low fat cottage cheese
Fruit: 2 tablespoons to ¼ cup puréed peaches in own juices

Dinner

Protein: 2 tablespoons to ¼ cup baked skinless chicken breast (puréed) or mashed canned chicken breast
Vegetable: 2 tablespoons to ¼ cup puréed carrots

Liquid meal- If you're having a liquid meal replacement, soup, or high protein shake:

Drink 4 ounces (1/2 cup) over 20 to 30 minutes
Try adding mashed, canned chicken or tuna to soup to increase protein content
Blend if needed

Suggested Recipes

View Phase 2B: Puréed Food Diet suggested recipes for post-bariatric surgery.

How to Purée Foods

Puréed food should be the consistency of baby food, “spoon thick.”

Cut food into small pieces and place in blender or food processor
Add liquid (broth, low calorie gravy or skim milk)
Puréed until smooth
Season food to taste

Tips and Ideas for Staying Hydrated

Sip all fluids slowly to prevent nausea and vomiting
Carry a water bottle with you everywhere
Other liquids to help maintain hydration include decaffeinated coffee and tea, broth, and sugar free fruit juices with artificial sweeteners.

As you receive regular checkups after your bariatric surgery, your bariatric surgeon will advise you when to advance to the next phase of your diet.

Phase 3: Adaptive or Soft Food Diet
Return to the overview of your diet after bariatric surgery

You Don't Need Baby Food After WLS |

Steph Wagner

January 20, 2016

Great news, right?!

If you’ve heard that you have to eat baby food after your Gastric Sleeve, Bypass, Band or Duodenal Switch surgery…I have great news for you.

You may see a list of diet stages for after your surgery – Liquid, Pureed, Soft and Regular. Some programs will list baby food on their pureed diet.

Every Bariatric Program is different in their diet progression. (Be sure to follow your own doctors recommendations, even if they differ from what I share on this site.) Your program may have a very similar structure to these four phases. Or it may only have three phases. Or it may have five or six phases. There are several different philosophies on the post-op diet, including how to progress yourself back to foods afterwards!

The Pureed Diet is sometimes included, and sometimes not included. I’ve worked for Bariatric Programs that used the Pureed Diet and some that haven’t. So what’s the deal?

Regardless of differences in the diets, the ultimate goal is all the same. To keep stress off your healing stomach. If you advance your diet too quickly, there is risk of irritating your stomach or even causing a stricture or blockage in your new stomach. You certainly don’t want to eat chicken breast right out of the gate for this reason!

If you do have a program that uses the Pureed Diet stage and it lists “baby food” as an option…you can skip it all together. If you just plain can’t stomach the idea of eating out of a jar of green beans, then don’t! I personally wouldn’t recommend it anyway (for lack of protein and for various other reasons) but if your program does include it, do not fret. It’s a guideline, it’s not a requirement.

The same goes for blending your meats (ick!!!) Some programs may list blended meats on the food list which may mean putting chicken thigh meat in a blender with a little bit of broth. Before you ask – nope. I’ve never tried it. No thanks.

Just because you are undergoing a weight-loss surgery and need to cautiously advance your diet, doesn’t mean you have to make it as miserable as possible. While you DO want to stick with only the phase you are supposed to be in, don’t feel like you must endure awful foods. Get creative with your liquids and try soft mushy foods like tuna salad, cottage cheese, Greek yogurt and scrambled eggs. Yes…”real” foods that don’t require a blender or a jar opener! (Check out my blog post “The First Bite, When Your Liquid Diet is Finally Over“)

For the record, my personal recommendation to my own patients and clients is to follow a liquid diet for two weeks after surgery, then advance to a soft mushy protein phase for two weeks. After those first four weeks have gone successfully, patients are advanced back to a “regular” bariatric diet and can slowly begin incorporating more solid proteins. Again, do not replace your doctors recommendations with my own.

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Dietary recommendations for patients after gastrectomy

On the

third day after the operation

Drink at least 2-3 liters of unsweetened liquid. Permitted to drink:

still water
weak warm tea
weak warm coffee

Drink slowly, in small sips. The drink must be at room temperature.

During

Weeks 1 and 2 after surgery:

juices

broths

1% milk

weak warm tea

weak warm coffee

protein drinks

2. At least 100g of protein should be consumed per day.
3. It is necessary to avoid the use of carbonated and alcoholic beverages.
4. You should drink in small sips.

3 and 4 weeks after surgery:

Meals should be frequent and fractional - 4-5 times a day, 2-4 tablespoons.
You can eat any vegetables, fruits, meat, fish, mashed.
At least 100 g of protein should be supplied per day with food.
Drink at least 2.0 liters of fluid per day.

PRODUCTS	PORTION	PROTEIN CONTENT, g.
Unsweetened liquids	Unlimited	0
Skim or 1% milk	1/2 cup	4
Unsweetened yogurt	100 ml	2.5
Meat baby food or home-made puree of lean meat or shrimp	30 g	7
Beans (red, white, black) and lentils	1/4 cup	4
Low-fat (or low-fat) cottage cheese, mozzarella or ricotta cheese	1/4 cup	7-8
Beaten eggs	1 piece	6
Tofu, puree	1/4 cup	5

¼ cup=4 tablespoons

8:00 1 egg
9:00 am 1 glass of water or 1 cup of decaffeinated coffee or tea
10:00 - Drink containing 30g of protein.
11:00 AM 2 tbsp low fat or low calorie cottage cheese
12:00 1 glass of water or lemonade without sugar
13:00 2 tablespoons chicken puree and 1 tablespoon carrot puree
14:00 1 glass of water or lemonade without sugar
15:00 Protein drink containing 30 g of protein.
17:00 1 glass of water
18:00 1 cup chicken puree soup (see recipe below)
19:00 1 glass of water or sugar-free juice
20:00 1 cup water

Recipe options:

Chicken puree soup (1 cup contains 14 g of protein).
Combine 1/3 cup non-fat dry milk, 1 teaspoon chicken stock, and 1 scoop protein powder. Add 2 teaspoons of warm water.
Tuna mousse (1 glass contains 12 g of protein).
Take 2 cans of canned tuna, 2 tablespoons low-calorie mayonnaise, 2 tablespoons low-calorie sour cream, 2 tablespoons low-calorie cream cheese, ½ cup chopped shallots, 1 tablespoon lemon juice, ¼ teaspoon ground pepper, ½ teaspoon seeds celery and beat in a blender until smooth.

Starting

from 5 weeks after surgery You can switch to a soft diet

This means that new foods can be added to your previous diet. This diet is called "soft" because all the foods you eat must be cooked in such a way that you can easily knead them with a fork.
If your diet has enough protein (more than 90g), you can add chopped fruits and vegetables.
As a result of cooking, vegetables should be soft. You can also include ripe, unpeeled fruits in your diet.
It is forbidden to use fruits canned in syrup, sweet fruit juices, as well as vegetables cooked in vegetable or butter.

PROHIBITED FOODS

Milk over 2% fat
Butter, margarine, vegetable oil, mayonnaise
Ice cream
Cakes, pastries, sweets
Sausages, lard
Fried food
Sweet drinks
Carbonated drinks
Alcohol

ALLOWED PRODUCTS

Tuna and chicken canned in own juice
Lean turkey meat
Skinless chicken meat
Lean pork or beef, steamed and shredded
Beaten or boiled eggs
Baked or boiled fish and seafood
Tofu
Beans and lentils
Fat-free or low calorie cottage cheese, mozzarella or ricotta cheese
Yogurt

If your diet contains more than 90 g of protein per day, you can add:

Peeled vegetables
Ripe fruits without peel
Fruit preserved in its own juice
Low calorie soups

Drinks:

1% or skim milk
Water
Decaffeinated coffee and tea
Other unsweetened beverages

Recommended high protein foods

PRODUCT	SERVING	CALORIES	PROTEIN CONTENT, g.
Baked or canned beans	¼ cup	62	3.5
Beef tenderloin	30 g	48	7
Beef, loin	30 g	59	7
Curd 1% fat	¼ cup	41	7
Cream cheese	¼ cup	55	6.7
Parmesan cheese	¼ cup	128	12
Mozzarella cheese	30 g	78	8
Ricotta cheese	¼ cup	90	8
Skinless chicken breast	30 g	46	9
Chicken leg	30 g	54	7
Cod, baked	30 g	30	7
Steamed crab	30 g	27	6
Egg	1 piece	78	6
Kambala	30 g	21	7
Halibut	30 g	40	7
Lean ham	30 g	44	7
Steamed Lobster	30 g	26	5
Milk 1% fat	½ cup	43	4
Pork tenderloin	30 g	47	6
Pork loin	30 g	57	7
Salmon, baked	30 g	52	7
Steamed shrimp	30 g	28	6
Steak, fillet	30 g	55	9
Tofu	¼ cup	55	9
Tuna, canned in its own juice	30 g	37	8
Turkey, white meat	30 g	35	7
Veal loin	30 g	50	7
Yogurt	½ cup	60	5. 5

Possible menu option

MEAL TIME	OPTION 1	OPTION 2
7:00	1 egg	¼ cup cottage cheese, 1 tablespoon berries
8:00	1 glass of water or any other drink	1 glass of water or any other drink
9:00	1 glass of water or any other drink	1 glass of water or any other drink
10:00	Protein Shake	Protein Shake
11:00	1 glass of water or any other drink	1 glass of water or any other drink
12:00	60 g grilled shrimp, 4 tablespoons beans	60 g chicken, which can be sprinkled with grated cheese
13:00	1 glass of water or any other drink	1 glass of water or any other drink
15:00	Protein Shake	Protein Shake
16:00	1 glass of water or any other drink	1 glass of water or any other drink
18:00	8 tablespoons broccoli, 30g low fat cheese	60g grilled fish, 4 tablespoons beans
19:00	1 glass of water or any other drink	1 glass of water or any other drink

Possible difficulties and ways to overcome them.

Nausea and vomiting
Causes: overeating or eating too fast.
Prevention: Eat slowly and chew your food thoroughly. As soon as you feel full, you should stop eating!

Dumping syndrome
Causes of occurrence: too rapid evacuation of food from the stomach.
Signs: nausea, diarrhea.
Prevention measures: exclude sugary foods and drinks, fatty foods from the diet, and also remember that it is not recommended to drink and eat at the same time!

Locks
Causes of occurrence: reduction in the amount of fiber in the diet.
Prevention measures:
- drink more water
-keep an active lifestyle
- exclude products containing sugar
- consume dietary fiber

Dehydration
Causes of occurrence: insufficient fluid intake or frequent vomiting.
Signs: headaches, dry mouth, dark urine.
Prevention measures: keep the drinking regimen.

Some more useful tips:

Eat in small quantities. Your stomach is now much smaller, so one meal should not exceed 1/8 cup in volume.
Chew food thoroughly to avoid injury to the gastric mucosa.
It is necessary to eat slowly, in small pieces. Do not watch TV or read while eating. This can distract you and cause you to overeat. Take a plate with a smaller diameter, and you will not notice a reduction in the amount of food.
Avoid snacking. This is one of the reasons for the return of excess weight.
Eat at least 5 meals a day.
Do not eat and drink at the same time, as this can lead to full stomach and poor digestion. It is advisable to drink 1.5 hours after a meal or an hour before it.
Stop eating as soon as you feel full.

Good luck to you!

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Nutrition after bariatric surgery | FSCC FMBA of Russia

Bariatric surgery is the most effective treatment for obesity and related diseases. However, if you do not follow the principles of proper nutrition after bariatric surgery, then all the efforts of the doctor may be in vain.

At the first stage, changing long-term eating habits can be difficult. To gain excellent physical shape, you will need to be persistent and follow all the doctor's instructions. Specialists of the FSCC FMBA are ready to provide professional assistance to each patient at any stage of treatment.

Principles of a balanced diet after bariatric surgery

It is important to remember that bariatric surgery is surgery on the gastrointestinal tract. It changes the conditions for the functioning of the digestive system, and nutrition after surgery has some features. Your doctor will provide you with a personalized diet plan.

General recommendations to follow:

Protein is the main component of the diet. You need to consume at least 60 grams of protein per day. In sufficient quantities, it is found in meat (turkey breast, chicken, fish fillet, beef, pork), low-fat cheese, cottage cheese, eggs, peanut butter.
Do not skip meals. Frequent, fractional meals will prevent stomach overflow and improve metabolic processes.
Eat only at the dinner table, don't rush.
Serve small portions on plates. Cut food into small pieces, chew thoroughly and slowly. Use small dishes, baby spoons to avoid overeating. Stop as soon as you feel full.
Drink plenty of fluids throughout the day (6-8 cups). Give up carbonated, high-calorie drinks, caffeine. Drink at intervals of 30 minutes before or after meals, this will help prevent nausea, vomiting.
Take a daily vitamin/mineral supplement (multivitamin, calcium citrate), but check with your doctor first. Additionally, vitamins B12, D, iron may be required.

Remember that a balanced diet after bariatric surgery is not just a diet, but a new way of life. In order to lose weight, healthy habits must become an integral part of your life.

Diet after bariatric surgery

As with other surgical interventions, the diet after bariatric surgery is severely restricted for several weeks. This is necessary to reduce the frequency of possible complications and adapt the gastrointestinal tract to changes.

1-2 the second day after the operation. The first step is "pure liquids". Drink no more than 100 ml of liquid (1/2 cup) at one time - in small sips.

Water
Bouillon
Decaffeinated coffee

All fluids must be at room temperature.

3-21 days after surgery. The second step is "enriched liquids" / protein blends.

Gradual increase in fluid intake up to 150 ml in one go.

Calorie content of the daily diet is about 1000 kcal, protein intake is not less than 60 g per day.

Skim dairy products (
Fat-free unsweetened yoghurt
Chicken, turkey, beef, fish broths
Liquid porridge made from rice flour, wheat groats, oat groats
Finely chopped seasonal fruits in the form of liquid purees (sugar free)
Reconstituted Protein Shakes
Unsweetened teas
Protein mixtures.

Content per 1 meal:
protein not less than 25 g
carbohydrates not more than 5 g
fat not more than 1 g

3-6 weeks after surgery. The third step is "all food in the form of a homogeneous puree."

The amount of food consumed is increased to 200 ml or 1 cup. The following chopped foods are added to the diet:

Baby vegetable and fruit purees without sugar
Baby meat purees from chicken and turkey
Fat-free cottage cheese and curd cheeses, liquid consistency (
Eggs (1 yolk per day)
Hummus, tofu
Mixed vegetables, puréed with white chicken or turkey meat
Lean fish

7 weeks after surgery and beyond. Fourth step.

The amount of food consumed is not more than one cup (200 ml), a serving of meat food is not more than 60 gr. The following foods are added to the diet:

Well cooked pasta and rice
Almost all foods are allowed, except for tough beef, sweet and fatty foods

The main rule: Proteins are the main part of nutrition! (not less than 60 g per day)

Vitamins and mineral supplements

After surgery, there is a deficiency not only of protein, but also of some physiologically active substances. Their reception depends on the methods of the operation and the individual characteristics of the patient.

Essential vitamin supplements include: