The following advice is designed to reduce the likelihood of any complications following surgery. It is therefore very important that you follow this advice closely. There are 4 stages. Do not be tempted to skip stages or rush things. The advice is designed to help you get all the nutrients you need while you are recovering and healing following your surgery.
You should be led by your body and how you are feeling. Do not try to copy or follow anyone else who has a gastric band; everyone is different. If you progress too quickly and then struggle, go back to the previous stage for a few days more.
You should aim to be eating ‘normal’ foods approximately 5-6 weeks after your operation.
Immediately after your surgery, once your surgeon has advised that you may sip freely: Start taking your calcium and multivitamin/mineral supplements (if taking) and commence Stage One (as below).
All drinks should be smooth (no bits or lumps) and able to be sucked through a straw.
Breakfast: Fruit smoothie (200 mL)
Mid-morning: Fruit juice (200 mL)
Lunch: Complan or Build-Up or glass semi-skimmed milk including 2 tbsp skimmed milk powder (200 mL)
Mid-afternoon: Slimfast (200 mL)
Dinner: Fortified soup (200 mL)
Supper: Build-Up or Complan (200 mL)
(Plus tea/coffee/sugar-free squash etc. in between)
When you feel ready, move on to Stage 2 for 1-2 weeks
Breakfast Virtually fat-free yoghurt/fromage frais ½ -1 soggy weetabix or ready brek (runny); Homemade fruit smoothie (made with yoghurt)
Mid-morning Blended tinned fruit (unsweetened); Virtually fat free yoghurt/fromage frais; Sugar-free Angel delight/custard
Lunch An example would be one of the following:
Midafternoon As mid-morning
Dinner As lunch
When you feel ready, move on to Stage 3
The texture you are aiming for now is mashed food you could eat with just a fork or spoon.
¾ cup low sugar cereal (not muesli) with skimmed/semi-skimmed milk, Scrambled eggs; Baked beans; Minced meat or turkey e.g. cottage or shepherd’s pie; Bolognese sauce; Fish in sauce/fish pie; Soft ready meals e.g. cauliflower cheese, lasagna, macaroni cheese with soft (overcooked) pasta, cous cous or mash potato and soft (overcooked) vegetables (tinned are often soft)
Rice pudding, yoghurt, fromage frais, stewed or soft tinned fruit, cottage cheese, sugar-free mousse/whipped/custard
Now aim for 3 meals a day and 1-2 small snacks between your meals. The long term aim is to have 3 tea-plate sized meals a day and a mid-meal snack of something like a piece of fruit or yoghurt. You do not need to add any extra liquid calories or additional protein any more. You no longer need to have extra milk, skimmed milk powder, fruit juice or Slimfast. It might be tempting to skip meals if you aren’t hungry as a way to speed up weight loss but this will result in you developing unhelpful eating behaviors or eating too much at your next meal. You should try to include all types of textures now (remembering to chew really well). If it is a new food, put only a very small amount in your mouth and chew extra well.
Following is some advice to help with your weight loss journey:
As your diet becomes more solid and you progress through the stages, it is still important to maintain your fluid intake. Suitable choices would include water, no-added sugar squash, tea and coffee and up to 1/2 a liter skimmed/semi-skimmed milk per day. Avoid fizzy drinks as these may cause discomfort. You should not drink with your meals; you may find this difficult at first particularly if you are used to drinking with your meals. Aim to wait 30 minutes after a meal before drinking
You may find it difficult to tolerate some foods, and this varies from person to person. Common foods known to cause problems may be dry meat, soft white bread, stringy or very fibrous vegetables, sweet corn, nuts, dried fruit, pips and seeds. Avoid these until you have established yourself on your solid diet and always try foods cautiously. If you don’t tolerate a food, try it again in a few weeks’ time. There is a lot of adaptation in the first few months. It is highly likely you will manage it with time.
Whilst it is not essential, you may wish to take a multi vitamin and mineral supplement in the initial period after your surgery. The reason for this is that during this time you may only manage very small portions and your diet may not be able to provide all the nutrients that you require. As you progress through the stages and start to get into a routine with your meals you should no longer need this supplementation.
Vomiting: You should not expect to be sick with a gastric band. If you are, it is likely you have either:
Ask yourself if any of these could be likely causes and try to avoid repeating the ‘mistake’ at the next meal. If you continue to be sick and it can’t be explained by the above, you should contact your surgeon or GP.
Constipation: If you are suffering with this, check to see if you are drinking enough fluid. You should have at least 2½ liters a day. Try to choose more high fiber foods such as wholegrain products, fruit and vegetables. Regular exercise will also help to alleviate constipation. If constipation persists, then you can safely take laxatives such as Resource Optifiber, milk of magnesia or Senna.
This may happen if you have eaten food that was too solid, eaten too fast or too much, or as a result of eating certain ‘problem’ foods. This will feel uncomfortable and you may wretch or vomit. It usually resolves itself, but you can try repeatedly swallowing small quantities of cold sparkling water or Diet Coke, as the fizz may help to dislodge the lump. If the trouble persists, please contact your surgeon or GP.