Exercise: Walk at least 20-30 minutes every day.
Follow-up: For optimal weight loss and best surgical outcome, it is vital for you to keep all your follow-up appointments.
Four Rules for Successful Weight Loss:
During the first month after surgery, your stomach and the opening into your intestines are swollen and very small. You will be able to eat only very limited amounts of food. It is important that you concentrate on eating the most important foods for healing: PROTEINS. All proteins must be very soft, moist, and well chewed in order to pass through your new little stomach successfully. If you eat too fast or too much, it will feel like heartburn and may cause you to become sick, so be careful.
Build up to eight 8-oz glasses of water every day, drinking small amounts frequently. Avoid all other beverages, especially alcohol, coffee, tea and carbonated sodas.
A multivitamin with iron is to be taken twice daily and vitamin b-12 in a sublingual form should be taken three times per week. Take vitamins as chewable or swallow one at a time with water or yogurt. You may cut the vitamins in half if swallowing it in pill form. Additionally, after the first month, begin taking 1500 mg of calcium with Vitamin D each day.
The nutrient protein plays a vital role in providing the body with essential amino acids necessary to sustain all living things. Next to water, protein makes up the greatest portion of our body. If the body does not get enough protein from our diet, it cannot properly build new cells and tissues. Such a condition is called protein energy malnutrition and restricts growth, impairs the healing of wounds and increases our susceptibility to infection. Initial signs of protein deficiencies may appear as general weakness, loss of muscle, brittle nails and most common hair loss. While dietary protein will not directly increase muscle size, it will help avoid further loss of muscle tissue that occurs during periods of bed rest, stress, injury, or illness. Bariatric surgery is an example of such trauma increasing protein needs that can often cause the "catabolism" or muscle wasting to supply the body with its increased energy needs.
The effect of surgery on our body and the need for increased protein intake, which can only be accomplished through liquids due to the new small-restricted pouch, should now be clear. But how much protein should we consume? The Recommended Dietary Allowance (RDA) is 44 grams a day for the average woman and 56 grams for the average man. However, this recommendation is for individuals in a non-trauma state. Confusing the issue further is the conflicting recommended number of protein grams needed daily for the bariatric surgery patient.
Company products researchers and marketing professionals want you to believe there is a difference, but generally to the surgical patient there is not. The exception to this assertion is supplement manufacturers that use cheap proteins listed as gelatin or collagen as its major source of protein. Such proteins hold a very low bioavailability. Biological value or bioavailability is the most common measure of a protein supplement's quality. Such a value is based on four principles:
Top selling protein supplements:
The following information is not a specific supplement endorsement and should not be consumed without first being approved by your surgeon and dietician.
Lean Body by Labrada
One packet mixed with 12 ounces water, milk, or juice provides 30 grams of whey protein, 200 calories with water and only one gram of sugar. Lean Body Protein is available in a twenty-pack box with an average cost of $35.00 and offers the following flavors: Chocolate and Vanilla Ice Cream.
Met-rx Original Drink Mix
One packet mixed with 16 ounces of water, milk, or juice provides 37 grams of caseinate and whey proteins, 250 calories with water and only three grams of sugar. Met-rx is available in a twenty-packaged box with a cost of $45.00 and offers the following flavors: Chocolate and Vanilla.
Myoplex Lite by EAS One packet mixed with 10 to 12 ounces of water, milk, or juice provides 25 grams of whey, soy, and casein proteins, 190 calories with water and only two grams of sugar. Myoplex Lite is available in a box of 20 individual packets with an average cost of $40.00 and offers the following flavors: Chocolate Cream, Vanilla Cream, Cappuccino Ice, and Tropical Variety pack.
90% Plus Protein by Weider
Three tablespoons mixed with eight ounces of water, milk, or juice provides 24 grams of soy, whey, and egg proteins, 120 calories with water and zero grams of sugar. Weider 90% Plus Protein is available in a 16-ounce container with an average cost of $10.00 and offers the following flavors: Chocolate and Vanilla Malt.
Pro Blend 55 by MD Labs
Two scoops mixed with eight to twelve ounces of water, juice, or milk provides 55 grams of whey, egg, and casein proteins, 240 calories and only four grams of sugar (when mixed with water). Pro Blend 55 is available in a two-pound canister with an average cost of $34.00 and offers the following flavors: Swiss Chocolate, Alpine Vanilla, Strawberry Twist, and Mocha Cappuccino.
Simply Protein Complete Whey by EAS
Two scoops mixed with four to six ounces of water, juice, or milk provides 20 grams of whey protein, 115 calories, and only three grams of sugar (when mixed with water). Simply Whey is available in a five-pound canister with an average cost of $24.00 and offers the following flavors: Chocolate and Vanilla.
Begin exercise program at six weeks after your operation. Perform exercises five days per week and resting two days every week.
First - Third Week: Brisk walk for 15 minutes on first day. Increase by two minutes per exercise day until after two weeks you are walking for 35 minutes.
Fourth - Sixth Week: Continue brisk walking five days per week for 35-40 minutes per session.
Seventh - Tenth Week: Begin resistance training using bands. Perform upper body training for 15 minutes three days per week and lower body resistance training for 15 minutes two days per week. Follow resistance training with 15 minutes of brisk walking (or some form of cardiovascular exercise).
Eleventh Week and Beyond: Alternate two weeks of cardiovascular exercise (brisk walking, jogging, or biking) for 35 to 40 minutes (exercise five days, rest for two days) with two weeks of combination training (15 minutes resistance training and 15 minutes cardiovascular training).
Remember, this is a lifelong process and the operation is designed to get you to a position where, with continued compliance and healthy eating habits, you will remain at a healthy weight. Surgery is a “tool” not a “cure.”