Gastric Bypass Meal Plan** Nutritional guidelines of Dr. Alfredo Fernandez
|
STAGE 1 | STAGE 2 | STAGE 3 | STAGE 4 | SAMPLE MEAL |
Clear Liquid | Full Liquid | Puree | Permanent Plan |
Food Groups | Items to Include | Items to Avoid |
100% Fruit juice | cranberry, apple, grape (sugar content in this is okay since it is natural sugars) | All other juices |
Soup | fat-free bouillon or broth | All other soups |
Unsweetened beverages | Water, Crystal Light, Sugar-free Kool Aid, decaffeinated tea or coffee | All others: Carbonated beverages may cause some discomfort so soon after surgery |
Food Groups | Items to Include | Items to Avoid |
100% Juice | 100% fruit or 100% vegetable juices | fruit drinks, all juices that are not pure juices, try acidic juices carefully |
Milk | 1%, skim or low fat buttermilk, sugar-free low fat yogurt no-fruit pieces), sugar-free low fat pudding | Whole or 2% milk, milkshakes or eggnog, ice cream, regular yogurt, regular pudding |
Soups | Low-fat broth, strained or blended vegetable, or cream soups | soups containing whole pieces of food |
Cereal | strained, refined, cooked cereal thinned with milk, water or juice | Sugar sweetened/flavored hot cereals, all cold cereals |
Fats | None with except of light spray of canola or olive oil | No butter, cream, bacon, or gravies |
Miscellaneous | Sugar-free jello & popsicles. spices as tolerated, unsweetened decaffeinated beverages | Sugar, honey, regular jello, ice cream, sherbet, puddings, liquid nutritional supplements (Ensure/Boost) |
Unsweetened beverages | Water, Gatorade, Crystal Light, Sugar-free Kool Aid, decaffeinated tea or coffee | All others: Carbonated beverages may cause some discomfort so soon after surgery |
Food Groups | Items to Include | Items to Avoid |
100% Juice | 100% fruit or 100% vegetable juices | fruit drinks, all juices that are not pure juices, try acidic juices carefully |
Milk | 1%, skim or low fat buttermilk, sugar-free low fat pudding | Whole or 2% milk, milkshakes or eggnog, ice cream, regular pudding |
Dairy Items | Sugar-free yogurt (no fruit pieces), soft-cheese, cottage cheese, sugar-free low fat pudding | Regular yogurt, regular pudding |
Soups | Low-fat broth, strained or blended vegetable, or cream soups | soups containing whole pieces of food |
Eggs, Meat, Poultry, Fish | Pureed: tuna, poultry, ham, casseroles, fish, beans; soft scrambled eggs, peanut butter, plain or cheese omelets, pureed meat if tolerated, tofu | Raw eggs, nuts, all others not listed under foods allowed |
Vegetables | All pureed vegetables, mashed potatoes | Whole vegetables |
Fruits | All pureed fruit, smooth applesauce, ripe bananas | Whole fruit raw or cooked |
Bread, Cereal, Rice & Pasta | Pureed breads, pureed rice, pasta and cooked cereal | Whole bread, dry cereals, whole rice and pasta |
Fats and oils | Very small amounts; low fat margarine, low fat mayonnaise, Canola or olive oil spray, low fat gravy | No butter, cream, bacon, or high fat gravies |
Miscellaneous | Spices as tolerated, catsup, salt, sugar-free Jello | Sugar, honey, candy, gum, items containing nuts, seeds or coconut, regular Jello, sherbet, desserts |
Unsweetened beverages | Water, Gatorade, Crystal Light, Sugar-free Kool Aid, decaffeinated tea or coffee | All others: Carbonated beverages may cause some discomfort so soon after surgery |
Description:
This meal plan is not really considered a "diet" but represents the changes
that need to be made on a permanent basis. It is used at the eighth week after
Gastric bypass surgery and continues permanently.
Guidelines:
1. Diet will be low in fat, have a moderate amount of fiber and contain no
sugar.
2. Avoid seeds and nuts. Fiber intake is based on individual tolerance.
3. Consume foods only between 8am and 8pm.
4. All liquids should be taken apart from meals.
Amounts:
6 mini meals per day, with one to two ounces of 1 type of food at a time.
Consume 4-6 oz at one time over 30-60 minutes. Be sure to drink at least 48oz
water or sugar free beverage each day.
Food Groups | Items to Include | Items to Avoid |
100% Juice | 100% fruit or 100% vegetable juices | fruit drinks, all juices that are not pure juices, try acidic juices carefully |
Milk | 1%, skim or low fat,buttermilk, sugar-free low fat pudding | Whole or 2% milk, milkshakes or eggnog, ice cream, regular pudding |
Dairy Items | Sugar-free yogurt (no fruit pieces), soft-cheese, cottage cheese, sugar-free low fat pudding | Regular yogurt, regular pudding |
Soups | As tolerated | None, except the more highly seasoned soups may not be tolerated well. |
Eggs, Meat, Poultry, Fish | Poultry should be ground at first, then advance to soft pieces of chicken, turkey. Baked fish is usally well tolerated. Many individuals will not tolerate meat (beef, pork, lamb), even if ground. | Raw eggs, fattly, highly spiced meat, fish, and poultry. Meats only as tolerated. |
Vegetables | All canned, well-cooked vegetables, potatoes | Fresh vegetables may added with care as tolerated |
Fruits | All canned fruits, smooth applesauce, ripe bananas | Add fresh fruits with care as tolerated |
Bread, Cereal, Rice & Pasta | Pasta, rice, simple cold and hot cereals, toasted breads, crackers | Breads are sometimes difficult to tolerate unless toasted. Seasoned party crackers may not be tolerated. |
Fats and oils | Small amounts; margarine, mayonnaise, Canola or olive oil spray, low fat gravy, salad dressings | Keep portions small, rember fats are concentrated source of calories. Avoid spicy or highly seasoned dressings unless well tolerated. |
Miscellaneous | Spices as tolerated, catsup, salt, sugar-free Jello | Sugar, honey, candy, gum, items containing nuts, seeds or coconut, regular Jello, sherbert, desserts |
Unsweetened beverages | Water, Gatorade, Crystal Light, Sugar-free Kool Aid, decaffeinated tea or coffee | All others: Carbonated beverages may cause some discomfort so soon after surgery |
Breakfast | Lunch | Dinner |
8:00am: 2-4oz Skim Milk 1 oz Oatmeal 1 oz scrambled egg |
12:00 noon: 2-4oz natural peanut butter, tuna, egg, chicken salad 1 slice toasted bread or 4 crackers 1 oz canned fruit or vegetable |
5:00pm: 2-4oz soft chicken, fish, tofou, meat 2-4oz cooked vegetable |
AM Snack | PM Snack | HS Snack |
10:00am: 2 oz sugar-free low fat pudding 2 oz water with protein supplement |
3:00pm: 2 oz sugar free low fat pudding 1 oz low fat cheese |
7:00pm: 2-4 oz water with protein supplement |