The Plateau is a stage that occurs between the first and second postoperative month, ie 30-60 days. It is characterized by the absence of weight loss, commonly lasts between 1-2 weeks. It is common for the patient to be disappointed to believe that the purpose of the procedure and nutrition education is lost. This stage is all part of the process and patient experience. Do not be disappointed, this stage is also characterized by the loss of sizes as you begin to notice differences in body image.
The amount of food needed to meet the nutritional requirements will be insufficient, therefore it must be replaced with nutritional supplements depending on the surgical procedure. The supplementary food needs of the gastric sleeve and gastric bypass are different. It is recommended that patients with gastric sleeve is maintained with these supplements at least 2 years after, the supplementation with gastric bypass patient is for life. Recent studies have found that the pre–post intake of lactobacilli, decreases subsequent gastrointestinal symptoms, ask your doctor about the nutritional requirements and follow the rules according to these guidelines.
Red meat is a food that will be avoid in the first 4-6 months, the patient usually tries to eat red meat is prior to this date. It is usual also that he starts with abdominal pain, nausea and vomiting. We recommend starting with ground beef, as is softer to chew and less aggressive to the newly healed stomach.
It is important that you avoid alcoholic beverages while your stomach heals completely the first 6 months. You should avoid all kinds of carbonated drinks like beer. Calorie levels in distilled liqueur like whiskey, vodka and tequila are high, this type of liqueur can cause stomach upset, nausea and vomiting. The gastric bypass patient is highly susceptible to the effects of alcohol after the surgery; because alcohol directly enters to your intestine, absorption is almost immediate, therefore increased toxicity in your body, not to mention that the side effects appear sooner and more intense. The patient should be aware that the best decision is to avoid alcohol beverages of any kinds to prevent symptoms that caused discomfort.
If you take medication for previous health-related conditions, talk to your doctor about what type of treatment is you in. There are drugs that must be removed prior to your surgery in advance to avoid complications. To maintain a low level of gastric acidity and in order to reduce as gastritis and acid reflux symptoms after surgery, you should start with Omeprazole 20 mg every 12 hours 1 month prior to surgery and for 2 months after the surgery
It is extremely important that you are aware that bariatric surgery is a tool to help you modify your eating habits, if you believe that surgery will work by itself you are making a mistake. Any patient undergoing bariatric surgery requires monitoring by a multidisciplinary team that includes the physical, nutritional and psychological aspect, if you are not willing to work on these 3 areas, you have high chances of failure, this means that you can nutritional deficiencies and insufficient weight loss. You will have to visit your Nutritionist periodically to be evaluated, the first 8 weeks are extremely important so the visit will be frequent.
If you need additional help for your postoperative food and nutrition, we also offer our 2 year signature after-care support through our resident nutritionist:
Carla Lavin: firstname.lastname@example.org
Our food and nutrition counseling and post-op programs are on:
- Bariatric nutrition
- Meal planning and nutrition tips
- Physical exercise plans
- Weight management strategies