You have to follow a 2 week pre op diet in order to make your liver smaller before surgery.
You do this by following a low carbohydrate, very low calorie, high protein diet for 2 weeks before your surgical procedure.
There are no standardized guidelines for the pre weight loss surgery diet. That means the form the low carbohydrate, very low calorie, high protein diet takes is debatable amongst surgery practices.
Some programs allow only liquid shakes to achieve this, and some allow shakes + food. There is not ONLY one right way! You have options.
Pre Op Bariatric Macros
What’s most important is achieving the following preop bariatric macros as they define what a low carbohydrate, very low calorie, high protein diet really is:
60-100 grams protein per day
A 2 week bariatric liquid
diet plan would include:
Here’s a sample schedule of
the 2 week liquid diet plan. Drink the first shake within an hour of waking up,
then one every 3 hours throughout the day:
Using liquid meal replacement shakes eliminates any confusion about what and how much to eat.
This assures you get the correct calories and bariatric macros without having to weigh and measure or calculate anything yourself. It also gives you a break from preparing food. So that’s kinda nice!
The bariatric specific high
protein meal replacement is a powder you simply mix with water:
Use a shaker cup or blender. It’s up to you.
Inevitably you’ll get sick
of the shakes.
If you drink 5 meal replacement shakes a day for one week, that’s 35 shakes!
If you’re doing a 2-week pre op liquid diet then you’ll be drinking 70 shakes over 2 weeks!
Use any no calorie or low calorie beverage in place of water. Try sugar free lemonade or tea or decaf coffee for example.
Use herbs as flavor enhancers:
Use spices as flavor enhances:
Use baking extracts as flavor enhancers:
Almond, coconut, banana, hazelnut, maple, anise, lime, orange, pumpkin pie spice, peppermint, strawberry, or even cake batter extract!
Add the following flavorings to vary your vanilla drink.
Note: Start with a small amount of extract if you’re not sure how much to use. You can always add more if it’s not strong enough, but you can’t take it back if you add TOO much!
Add the following extracts to vary the flavor of your chocolate drink. Remember: Start with a small amount of extract if you’re not sure how much you’ll like. You can always add more if it’s not strong enough, but you can’t take it back if you add TOO much!
If you use insulin and/or
oral medication(s) to treat your diabetes, you’re at risk of experiencing low
blood sugars as you reduce carbs and calories on the bariatric 2 week liquid
pre op diet.
Contact your doctor to discuss your blood sugar management before starting the pre surgery liver shrinking diet plan. It’s likely you’ll need to reduce your insulin or oral medication because the bariatric preop diet is low in carbohydrate and calories and will make your blood sugars go lower than normal.
Monitor your blood sugar carefully and contact your doctor as needed