Wednesday, May 18, 2011

Stage 2 Liquid Nutrition diet


Follow this diet for two weeks before your surgery and for the first two weeks after surgery.
Goals
  • Adequate protein to promote healing after surgery and help build lean body mass; 60-70 grams protein per day for women and 70-80 grams per day for men
  • Adequate fluid to prevent dehydration 48-64 oz per day initially after surgery; 4-5 days post-op increase to 64-96 oz sugar free, caffeine free fluids per day
    • Do not drink 30 minutes before or 30 minutes after a meal
  • Begin taking a chewable Multivitamin (MVI) with iron to prevent nutrient deficiencies
    • Centrum chewable or Flintstones Complete are two chewable MVIs with iron you may try
    • Take your MVI with iron twice a day
  • Begin taking a chewable calcium + Vitamin D supplement
    • Should be in the calcium citrate form (such as Citracal) 500 mg three times per day for a total of 1500 mg per day
    • Take calcium and MVI with iron at least two hours apart
  • Caloric intake should be 800-1000 calories per day for the post-op stage
  • Pre-op calories are not limited
  • Keep a food diary    




Examples of Sugar Free (or No Sugar Added) Full Liquids
  • Skim milk and/or light soy milk
  • HEB Mootopia milk—lactose free and 50% more protein than regular skim milk
  • No sugar added Carnation Instant Breakfast
  • Isopure or IsopurePlus Zero Carb beverages
  • Dannon Light and Fit yogurt
  • Low fat strained cream soups
  • Low fat broth (with a scoop of unflavored protein powder)
  • Sugar Free Popsicles
  • EAS Light
  • Resource OptiSource High Protein (can be found at CVS online)


Tips for the Liquid Stage
  • Get creative with your protein drinks! You won't drink it if you don't like it
  • Purchase an unflavored protein powder such as Beneprotein
    • This can be added to most foods including soups, yogurts and beverages
    • It is available at the Davila Pharmacy downtown San Antonio or also through a commercial pharmacy such as CVS or Walgreens
    • This product is in stock at Davila but has to be ordered from CVS or Walgreens
      • Can be ordered through CVS/Walgreens online
  • If you find that you have become lactose intolerant try lactose free milk or a lactase supplement before eliminating dairy from your diet
    • Dairy is a great source of protein calcium and vitamin D!
  • Avoid sugar alcohols
    • Half of the calories from sugar alcohols are absorbed
    • Too much can cause diarrhea
  • Avoid foods that are high in fat and (real) sugar—these foods will cause dumping syndrome
  • If you are taking a calcium supplement take it separately from your multivitamin with iron
    • You should be taking 1500 mg of calcium citrate
    • Divide the dose up into 500 mg three times throughout the day, this helps your body absorb the calcium more efficiently
  • If you have questions about your diet contact
    • You may also call the Outpatient Nutrition Clinic at 292-7578