What should be taken into consideration in the diet after obesity surgery?
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Dieting after obesity surgery plays a big role in maintaining health. So, what should you pay attention to when dieting after obesity surgery?
“The World Health Organization (WHO) defines obesity as excessive fat accumulation in the body that impairs health. We know that starting the fight against obesity, which is an epidemic that surrounds the world, as early as possible will contribute to the success of this fight. Although diet therapy, exercise therapy, lifestyle change therapy and pharmacological treatment are used in the fight against obesity, surgical treatment, also known as obesity surgery or bariatric surgery, has become highly preferred in the recent increase in obesity cases. After obesity surgery, which is an important method in the fight against obesity and is applied to patients who meet the criteria determined by the health authorities, with detailed evaluation by the relevant physician, a diet is required.
Most patients who come to the diet clinic are surprised when we talk about the diet protocol we will follow. The expectation of many of our patients is that they will not have an appetite after surgery and that they will crave sweets, pastries, etc. again. not wanting food and losing weight without dieting and getting the body they want. However, after obesity surgery, there is a diet protocol that must be followed in a certain discipline. The two primary goals of this diet protocol are; Foods are used to meet adequate energy and nutrient requirements by ensuring that tissue healing and lean tissue (muscle) loss are minimal after surgical trauma; It is chosen to ensure early satiety, keep reflux and dumping syndrome to a minimum, ensure weight loss, and prevent the regain of lost weight. To protect the body's lean tissue, that is, muscle tissue, American Endocrine Society, Postoperative Nutrition and Endocrine Management Guide in Bariatric Surgery Patients; "In order to preserve lean body mass in the long term postoperatively, it is recommended that the diets of all patients, regardless of the method of obesity surgery, include 60 to 120 grams of protein per day."
“The easiest thing after obesity surgery is to lose weight, the difficult thing is to lose the weight in a healthy way and maintain it for a lifetime.”
Dieting after obesity surgery is very important in maintaining health.
The patient-specific diet planned to meet the protein requirement consists of 5 steps, each stage of which will vary from patient to patient. We classify these stages as 1st phase - Open Liquid Diet, 2nd phase - Full Liquid Diet, 3rd phase - Puree Diet, 4th phase - Soft Diet, 5th phase - Continuation Program (Normal Solid Diet). . Although the duration of implementation of each step is thought to be approximately two weeks, the stages of which patient should stay on which step and for how long, moving to a higher step or returning to a lower step if necessary in case of any unexpected situation (vomiting, diarrhea, nausea, etc.) are also included in obesity. It is mandatory that the diet treatment after surgery must be under the control of a dietitian. The first month, 3rd month, 6th month and 1 year after obesity surgery is a very important period. It is especially important that you go through this process with the support of a dietitian working in the field of bariatric surgery, to avoid vomiting, nausea, blood sugar imbalances, reflux, etc. that may develop after surgery. It helps prevent gastrointestinal system problems, preserve your muscle mass, and minimize other complications that may be caused by vitamin-mineral deficiencies, such as hair loss and broken nails. The easiest thing after obesity surgery is to lose weight, the difficult thing is to maintain the lost weight for a lifetime by losing it in a healthy way. "I can recommend you to visit your dietitian once a year to prevent weight gain again," he said.
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Before undergoing bariatric surgery like RNY, patients are required to follow a pre-op diet to reduce liver size and fat around the stomach. This makes the surgery safer and easier for the surgeon to perform. The pre-op diet typically consists of high-protein, low-carbohydrate shakes, and liquids for 1-2 weeks before surgery. Its an important step in preparing the body for surgery and ensuring optimal recovery post-op.
Wegovy is available through the NHS for patients meeting specific criteria. To qualify, individuals generally need to have a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition such as diabetes or hypertension. Wegovy is a relatively new option and is prescribed under careful medical supervision.
The diet after sleeve gastrectomy is crucial for recovery and long-term success. Patients start with a liquid diet, then gradually progress to pureed foods, soft foods, and eventually solid meals over several weeks. A focus on high-protein, low-carbohydrate, and nutrient-dense foods helps maintain weight loss and avoid deficiencies. Hydration and vitamin supplementation are also important aspects of the post-sleeve diet.
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Sleeve surgery is another term for the gastric sleeve procedure, where most of the stomach is removed to help patients achieve significant weight loss. The procedure is less invasive than other forms of bariatric surgery, like the Roux-en-Y bypass, but still offers dramatic weight-loss results.
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Another term for the Roux-en-Y gastric bypass, the Roux bypass is highly regarded for its effectiveness in helping patients lose weight and improve health conditions related to obesity. Named after the French surgeon César Roux, this procedure is a combination of both restrictive and malabsorptive techniques. It requires a lifetime commitment to dietary changes, exercise, and regular follow-up with healthcare professionals.
Stomach stapling is an older term for bariatric surgery procedures that reduce stomach size. It involves surgically creating a smaller stomach pouch using staples, which limits food intake. Modern techniques like gastric sleeve surgery have replaced traditional stomach stapling, but the principle remains the samerestricting food capacity.
Weight lost refers to the reduction in body weight that is typically achieved through lifestyle changes, medications, or bariatric surgeries like the RNY or gastric band. Weight loss, particularly significant or rapid weight loss, can have dramatic positive effects on a person's overall health, reducing the risk of heart disease, diabetes, and other obesity-related conditions. Successful weight loss usually requires long-term changes to diet, exercise, and behavior.
Over the first three months, patients can expect to lose about 33 percent of their excess weight. Six months post-surgery, patients can anticipate shedding half their extra weight.
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