Cheated

[Toya214 17]

I am on my liquid diet before surgery. I ate a grilled chicken salad yesterday and today I ate stir fry broccoli and snow peas. Surgery date 7/20. I just needed to chew and to make things worse I haven't pooped in 5 days!!!

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[Hotmama@48 9]

Hmmm...I can imagine how difficult the liquid pre-op diet is/will be, as I have not yet started mine....Mine begins on 7/25/16, and will last for two weeks before my surgery date of 8/8. I know how painful it's going to be, BUT know that it's start of a positive journey in your life, and it it also a necessary step that your doctor has ordered for your safety...Shrinking the liver is necessary to avoid nicking it during the surgery which can be a very serious complication, but I'm sure you already know that, lol.

Just pick yourself up, dust yourself off and pick back up on the pre-op diet where you left off and stay there. Worse case scenario if your liver is still too large to do the surgery safely by your surgery date, your WLS will be be cancelled and postponed for a later date. As for the poop and other, it should be working its way out at some time or another since solid food has now been added to the mix....After all, what goes in, eventually come out, lol.

Hang in there...YOU GOT THIS!!! Best of luck to you:)

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Edited July 10, 2016 by Hotmama@48

[leebick 448]

I am on my second round of the 2 week, liquid only, pre-op diet. My first surgery was canceled on day 13 of the pre-op diet because I had a terrible chest cold! I've been doing OK, although I noticed yesterday that when I was making dinner for my husband and daughter, I was tasting things without thinking about it. I'm not talking a lot… checking the broth for salt, a taste of chicken for seasoning, etc. That has to stop. My nutritionist explained that their choice of pre-op diet is to shrink the liver (I've lost 33 lbs since Jan, so I think I'm on target there anyhow), to shift the body into ketosis to accelerate the liver shrinkage, and to get you used to the post-surgical diet. I'm going to do my best to stick to this!

From reading a bunch of boards, it seems that the choice of pre-op diet varies from practice to practice. In addition to the 2 week, high Protein, liquid only diet that I'm following, I've seen low calorie with low carb/high Protein (basically Atkins induction), two Protein shakes and one low carb/high protein meal a day, no diet at all except Clear liquids only on the day before surgery. Some diets are for 2 weeks, some for only 1. I'm not saying this to tell you it's OK to cheat, or to not follow your surgeon's directions, but simply to encourage you. Don't feel guilty, because you can't change it. I don't think it's going to have a huge effect on having surgery if it doesn't continue! Get back on the horse, adjust your thinking, and MOVE FORWARD!!

PS- on the pooping- I have the OK to drink a low-carb stool softener. Can't remember what I bought. I think it's psyllium- stirs into a glass of Water. I will stop this a day before surgery. So far, things are "moving along!"

Edited July 10, 2016 by leebick

[Toya214 17]

Thanks everyone. It is hard but I know we can do it! ???? your right i can't be hard on myself, think of it this way I didn't have a cheeseburger lol.

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[melvin5ft2 56]

So its interesting that most of the comments I've seen about the pre-op diet people on are liquids. I was NOT put on a liquid diet. I was put on a low carb diet. I'm to keep my carbs under 30 per day and was given a list of what I could eat (which includes lots of solid food). I was told to take milk of magnesia and an acid reducer for the 2 days before surgery and I'm to be on clear sugar-free liquids the day before surgery. Does anyone else have a pre-op diet resembling mine?

[melvin5ft2 56]

Also wanted to state that I think the liquids only diet might be standard for operations involving more than just the stomach (ie: areas lower in the digestive tract). And perhaps some doctors have used the liquid diet for sleevers just as a carryover from what has been done in the past. Just a guess.

[leebick 448]

Also wanted to state that I think the liquids only diet might be standard for operations involving more than just the stomach (ie: areas lower in the digestive tract). And perhaps some doctors have used the liquid diet for sleevers just as a carryover from what has been done in the past. Just a guess.

Not in my experience! I started out with a BMI of 46 and am down to 41, no hernias, no GERD, no high blood pressure, no apnea, no diabetes. Basically just fat! I still get the 2 week pre-op liquid diet. Sigh. Sleeve on 7/18, can't wait for it to be over.

[Diana_in_Philly 1,426]

My pre op is 1000 calories, almost 0 fat and 0 carbs. So I can eat a big salad with plain grilled chicken and just balsamic vinegar or lemon for dressing. Since I've been on 1200 cal. since 5/11 not a huge change.

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[alisha401 14]

Cheated on the pre op diet. My surgery for the gastric sleeve is two days away and i ate some wings and a shrimp, please tell me that i won't have to start over again.

[alisha401 14]

I am two days away and i cheated will i have to start over?

[leebick 448]

I am two days away and i cheated will i have to start over?

Well that's up to your doctors, but don't cheat anymore. Follow the diet to the letter! I can't imagine that a shrimp and a couple of wings would disqualify you, but I'm not a doctor- it'll be up to them to decide (but I can't imagine they'd have any way of knowing unless you tell them).

[8petals 57]

So its interesting that most of the comments I've seen about the pre-op diet people on are liquids. I was NOT put on a liquid diet. I was put on a low carb diet. I'm to keep my carbs under 30 per day and was given a list of what I could eat (which includes lots of solid food). I was told to take milk of magnesia and an acid reducer for the 2 days before surgery and I'm to be on clear sugar-free liquids the day before surgery. Does anyone else have a pre-op diet resembling mine?

Yes. I start my pre-op diet tomorrow. I have to eat high Protein, low carb, and no sugar. Basically, I'll be eating a Protein shake for Breakfast, and lean meat and veggies for both lunch and dinner. And the last 48 hrs before surgery, I will be on a clear liquid diet. Have you started yours yet? If so, how's it going?

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[alisha401 14]

I am two days away and i cheated will i have to start over?

Well that's up to your doctors, but don't cheat anymore. Follow the diet to the letter! I can't imagine that a shrimp and a couple of wings would disqualify you, but I'm not a doctor- it'll be up to them to decide (but I can't imagine they'd have any way of knowing unless you tell them).

What about this shrinking the liver, i never heard of it.

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[alisha401 14]

So its interesting that most of the comments I've seen about the pre-op diet people on are liquids. I was NOT put on a liquid diet. I was put on a low carb diet. I'm to keep my carbs under 30 per day and was given a list of what I could eat (which includes lots of solid food). I was told to take milk of magnesia and an acid reducer for the 2 days before surgery and I'm to be on clear sugar-free liquids the day before surgery. Does anyone else have a pre-op diet resembling mine?

Yes. I start my pre-op diet tomorrow. I have to eat high Protein, low carb, and no sugar. Basically, I'll be eating a Protein shake for Breakfast, and lean meat and veggies for both lunch and dinner. And the last 48 hrs before surgery, I will be on a clear liquid diet. Have you started yours yet? If so, how's it going?

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I wish i had that diet...

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[leebick 448]

What about this shrinking the liver, i never heard of it.

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Lots of nutritional biochemistry and physiology going on here- it's pretty complicated- but in a nutshell... Excess fat from the blood is stored in the liver, resulting in what's known as fatty liver disease. This is very, very common in people with metabolic syndrome. Most of us who are having BWLS have metabolic syndrome... high cholesterol, high triglycerides, low HDL, insulin resistance, preponderance of abdominal fat, pre/diabetes, high blood pressure. Anyhow... it's safe to assume if you have a BMI over 40, you have some type of metabolic syndrome and consequently also have a fatty liver (glycogen from the bloodstream is stored in the liver as fat... hence, fatty liver). Research has shown that a diet that is high in Protein and very low in carbohydrates forces the body to burn the fat stored in the liver as an energy source, reducing the amount of fat stored in the liver. This shrinking of the liver makes it easier for your surgeon to move the liver around to perform BWLS laparoscopically (i.e., through small incisions instead of a big, long incision). MANY (most?) BWLS programs require some form of liver shrinking diet before surgery, to make the surgery move along a little more easily.