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I understand y they want our liver to shrink b/f surgery



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I went to youtube and watched some videos of different doctors performing the operation.

That is awesome. I highly recommend it.

I understand why they want our liver to shrink w these ways of eating that we're doing. They want our liver "floppy" b/c they have to lift it up to cut one portion of the stomach. It looks like the liver covers part of the stomach that they need to get to.

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Yes anatomically most people have the left lobe of the liver superior (lying above) the stomach. The more "giving" and flexible the liver the easier it is to get to the stomach. Obesity (plus diabetes, high blood lipids, and cirrhosis) lead to a "fatty" liver where the individual liver cells are swollen with glucogen. A low carb diet uses up the stores of glucogen and helps clear out the fatty deposits.

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" A low carb diet uses up the stores of glucogen and helps clear out the fatty deposits. "

Catherine707 do you know how long this takes?

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Doctor told me they want it to shrink so it would be easier to move out the way during the procedure. Makes sense.

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I went to youtube and watched 4 different doctors do this procedure. It was awesome to see. They show the liver and how they lift it out of the way. You've all got to see this. It's exciting.

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" A low carb diet uses up the stores of glucogen and helps clear out the fatty deposits. "

Catherine707 do you know how long this takes?

My best guess would be a week for someone without siginificat Fatty Liver deposits, hence the reason most surgeons require a liquid diet for a week prior to surgery. If you have a higher BMI or documented more fatty liver deposits the doctor may request a 2 or more week liquid diet.

I would ask my surgeon about this if you are concerned and follow their recommendations!

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I went to youtube and watched some videos of different doctors performing the operation.

That is awesome. I highly recommend it.

I understand why they want our liver to shrink w these ways of eating that we're doing. They want our liver "floppy" b/c they have to lift it up to cut one portion of the stomach. It looks like the liver covers part of the stomach that they need to get to.

I went to youtube and watched 4 different doctors do this procedure. It was awesome to see. They show the liver and how they lift it out of the way. You've all got to see this. It's exciting.

Lions and Tigers and Bears, oh my....!!!! :o.............. <_<

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Not every surgeon requires a pre-op liver-shrinking diet. My surgeon doesn't do this for anyone, regardless of BMI, etc. He has a special tool that holds the liver out of the way during surgery. Also I think he likes to tell his patients that he thinks pre-op dieting is "mean" lol!

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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
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      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

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