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Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic Disease
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Topic: Summary Stage 1 Diet: Clear Liquid Diet 4 x 4 Rule Protein Supplement Daily Vitamin & Mineral Supplements Physical Activity
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Stage 1 Diet: Clear Liquids Gastric Bypass: 1 week of clear liquids Lap Band: 2 weeks of clear liquids
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Stage 1 Beverages: Clear Liquids Crystal light ® Herbal tea( decaf) Diet Gelatin DIET Twister DIET Snapple ® DIET Ocean Spray Cranberry Sugar free Kool-Aid Broth/Consomm é Diet V8 Splash ® Country Time Diet Lemonade ® Wyler ’ s diet lemonade Sugar free ice pops
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Flavored Water Options Water Dasani Flavored Water Hint Flavored Water Fruit 2 0 Aquafina Flavor Splash Propel Water Smart Water READ the nutrition label!!! *NO calories (<5-10kcal) *NO sugar *NO carbonation
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What to Find on the Hospital Tray Clear Liquid Diet: Tray Contents Water Diet Jell-o Tea (non-caffeinated) Soup/Broth Juice Must dilute 1:1 with water Recommend: Avoid juices once discharged from hospital
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4x4 Rule
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Drink 1 oz per hour for the first 4 hours. Remember to sip slowly! = 1 oz Drink 2 oz per hour for the next 4 hrs. =2 oz
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4 x 4 Rule Drink 3 oz per hour for the next 4 hrs. = 3 oz Drink 4 oz per hour for the next 4 hrs. = 4 oz
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4 x 4 Rule Start with 1 oz/ hr- sipped slowly. Increase in 1 oz increments every 4 hours Goal rate: 4 oz per hour
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Fluids Drink 48 to 64 oz each day Avoid sweetened, caffeinated, carbonated beverages Do NOT use a straw STOP drinking if you feel fullness, pain or discomfort
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Fluid Journal Record ALL liquids consumed 4 oz EVERY hour for 12-16 hours per day. Record total ounces per day
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Protein Shake Begin the day after you go home from Hospital Minimum protein goal 70grams per day May be mixed with Skim milk, Skim milk plus, 1% milk, Soy milk, Water, Crystal Light.....
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Nutrition Facts Serving Size: 1 level scoop (~24g) Amount per Serving Calories 90Calories from Fat 15 % Daily Value * Total Fat 1.5g2% Saturated Fat 1g5% Cholesterol 30mg10% Sodium 80mg3% Potassium 160mg5% Total Carbohydrate 2g1% Dietary Fiber 0g0% Sugars 0g Protein 18.0g37%
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Protein Supplement Worksheet Protein Powder Name: Nutrition Label: Serving Size: 1 scoop Protein Grams Designer Whey Protein _____18____
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Protein Content: Beverages Beverage Type:Protein Content in 4oz: Skim Milk Plus5.5 grams Skim Milk4.0 grams Soy Milk3.0 grams Lactaid Milk4.0 grams Water0.0 grams Crystal Light0.0 grams X
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Protein Supplement Worksheet _______Grams of Protein in Beverage _______Grams of Protein in 1 Scoop _______Grams of Protein in ONE SHAKE!!!! 5.5 18 23.5 +
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Protein Supplement Worksheet Circle One: 1 2 3 4 5 Shakes Needed Per Day to get at least 70 grams of Protein!!
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Daily Multivitamin and Mineral Schedule
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Daily Vitamin and Mineral Schedule My scheduleTimeSample Schedule Time: Multivitamin7:00am Calcium: 500mg 12:00pm Calcium: 500mg 5:30pm Iron9pm
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Daily Vitamin and Mineral Schedule Multivitamin Chewable or Liquid form Calcium Citrate with vitamin D Do NOT take calcium with iron Take 2-4 hours apart! Take 2-4 hours apart! 500mg of calcium at one time.
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Multivitamin and Protein Begin your daily vitamin/minerals and protein shake the day AFTER you get home! You will need to take multivitamins for the rest of your LIFE!
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MOVE! Immediately following surgery get up and move! Helps get rid of excess gas Decrease potential health risks- pulmonary embolus, blood clots
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MOVE! At home: walk inside and outside. This is your responsibility! Record exercise in journal and bring to visits. As tolerated slowly incorporate treadmill, stationary bike, elliptical, chair exercises. Swimming: incorporate once wounds heal.
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Summary Only clear liquids are allowed Juices in hospital must be diluted 1:1 with water Do NOT use a straw Avoid caffeinated and carbonated beverages Start off with 1 oz of liquids sipped slowly over 1 hr. Use the 1 oz cups provided. As tolerated, fluids will be gradually increased in 1 oz increments every 4 hrs to a goal rate of 4 oz/hr while awake (4x 4 rule).
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Important! Bring to Hospital: Booklet “ Your Guidelines for Food Choices and Nutrition ” Pen or Pencil 4x4 Worksheet (today ’ s handout). Watch or clock Bring to EVERY office visit: Booklet “ Your Guidelines for Food Choices and Nutrition ” Food and Exercise Journal
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