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Bariatric Diet Guidelines: Pre-testing

Topic: Summary. Stage 1 Diet: Clear Liquid Diet4 x 4 RuleProtein SupplementDaily Vitamin

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Bariatric Diet Guidelines: Pre-testing

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    1. Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic Disease

    2. Topic: Summary Stage 1 Diet: Clear Liquid Diet 4 x 4 Rule Protein Supplement Daily Vitamin & Mineral Supplements Physical Activity

    3. Stage 1 Diet: Clear Liquids Gastric Bypass: 1 week of clear liquids Lap Band: 2 weeks of clear liquids

    4. Stage 1 Beverages: Clear Liquids Crystal light® Herbal tea( decaf) Diet Gelatin DIET Twister DIET Snapple ® DIET Ocean Spray Cranberry Sugar free Kool-Aid Broth/Consommé Diet V8 Splash ® Country Time Diet Lemonade ® Wyler’s diet lemonade Sugar free ice pops

    5. Flavored Water Options Water Dasani Flavored Water Hint Flavored Water Fruit20 Aquafina Flavor Splash Propel Water Smart Water READ the nutrition label!!! *NO calories (<5-10kcal) *NO sugar *NO carbonation

    6. What to Find on the Hospital Tray Clear Liquid Diet: Tray Contents Water Diet Jell-o Tea (non-caffeinated) Soup/Broth Juice Must dilute 1:1 with water Recommend: Avoid juices once discharged from hospital

    7. 4x4 Rule

    8. 4 x 4 Rule Drink 1 oz per hour for the first 4 hours. Remember to sip slowly! = 1 oz Drink 2 oz per hour for the next 4 hrs. =2 oz

    9. 4 x 4 Rule Drink 3 oz per hour for the next 4 hrs. = 3 oz Drink 4 oz per hour for the next 4 hrs. = 4 oz

    10. 4 x 4 Rule Start with 1 oz/ hr- sipped slowly. Increase in 1 oz increments every 4 hours Goal rate: 4 oz per hour

    11. Fluids Drink 48 to 64 oz each day Avoid sweetened, caffeinated, carbonated beverages Do NOT use a straw STOP drinking if you feel fullness, pain or discomfort

    12. Fluid Journal Record ALL liquids consumed 4 oz EVERY hour for 12-16 hours per day. Record total ounces per day

    13. Protein Shake Begin the day after you go home from Hospital Minimum protein goal 70grams per day May be mixed with Skim milk, Skim milk plus, 1% milk, Soy milk, Water, Crystal Light.....

    15. Protein Supplement Worksheet

    16. Protein Content: Beverages

    17. Protein Supplement Worksheet

    18. Protein Supplement Worksheet Circle One: 1 2 3 4 5 Shakes Needed Per Day to get at least 70 grams of Protein!!

    20. Daily Vitamin and Mineral Schedule

    21. Daily Vitamin and Mineral Schedule Multivitamin ? Chewable or Liquid form Calcium Citrate with vitamin D Do NOT take calcium with iron Take 2-4 hours apart! 500mg of calcium at one time.

    22. Multivitamin and Protein Begin your daily vitamin/minerals and protein shake the day AFTER you get home! You will need to take multivitamins for the rest of your LIFE!

    23. MOVE! Immediately following surgery get up and move! Helps get rid of excess gas Decrease potential health risks- pulmonary embolus, blood clots

    24. MOVE! At home: walk inside and outside. This is your responsibility! Record exercise in journal and bring to visits. As tolerated slowly incorporate treadmill, stationary bike, elliptical, chair exercises. Swimming: incorporate once wounds heal.

    25. Summary Only clear liquids are allowed Juices in hospital must be diluted 1:1 with water Do NOT use a straw Avoid caffeinated and carbonated beverages Start off with 1 oz of liquids sipped slowly over 1 hr. Use the 1 oz cups provided. As tolerated, fluids will be gradually increased in 1 oz increments every 4 hrs to a goal rate of 4 oz/hr while awake (4x 4 rule).

    26. Important! Bring to Hospital: Booklet “Your Guidelines for Food Choices and Nutrition” Pen or Pencil 4x4 Worksheet (today’s handout). Watch or clock Bring to EVERY office visit: Booklet “Your Guidelines for Food Choices and Nutrition” Food and Exercise Journal

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