Post-surgical Diet Modification Procedures that utilize a malabsorptive function,

If you have not been able to control your weight the Roux-en Y Gastric Bypass for instance, alters
through diet and exercise, and have elected to the anatomy of your digestive system thereby
undergo weight loss surgery after careful changing the way your body manages food and
consideration and evaluation by Dr. Nowzaradan, how your digestive system reacts to the types of
you will still find that your post-surgery diet will food you eat. With the Roux-en Y Gastric Bypass,
need to be modified. important parts of your digestive system are
bypassed, which disrupts the normal functioning of
Weight loss surgery may address the mechanics of the digestive system. The post surgical diet for an
how much food you will need in order to feel full, individual who has undergone a Roux-en Y Gastric
or how much of the nutrients and calories are Bypass should generally be low in simple sugars
absorbed into your system, but the surgery does and carbohydrates and high in protein. You may
not control your own post-surgical behavior. need to avoid dairy products and acidic foods.
Vitamin and mineral supplements are typically
Those procedures that are strictly restrictive (Lap required.
Band System®, Vertical Sleeve Gastrectomy) may
not have much effect on how you feel when eating We Are Here to Help
certain foods, but they will effect how much food Dr. Nowzaradan and his staff will supply you with
you need in order to feel full. Because you will be detailed information regarding your specific post-
eating less, you must make the best use of your surgical dietary needs. In additional, you may find
caloric intake as possible. our regular Support Group meetings are an
opportunity to discuss your issues with others who
share your concerns. This is often the arena where
many unique and inventive solutions are
discovered.

Whatever your goal is, nutrition is instrumental in

achieving or maintaining it. You need a healthy diet
to help you lose weight and keep your body in top
shape to perform all the things you do in a day.
The following chart illustrates guidelines established
by the USDA’s latest dietary recommendations.

Men Women

Men should eat six or seven one-ounce servings Women should eat five or six one-ounce servings
of grains per day. Whole grains are an important of grains per day. Whole grains are an important
source of fiber and a healthy diet, so least three source of fiber and a healthy diet, so least three of
of the servings should be from whole grains. Be the servings should be from whole grains. Be sure
sure to read package labels to make sure the to read package labels to make sure the product is
product is made from whole grains. made from whole grains.

One serving is equal to one slice of bread, one One serving is equal to one slice of bread, one cup
cup of breakfast cereal, one-half cup of pasta, of breakfast cereal, one-half cup of pasta, cooked
cooked rice, or cooked cereal. rice, or cooked cereal.

Sources for whole grains include brown rice, Sources for whole grains include brown rice, whole
whole grain bread and pasta, buckwheat, oatmeal, grain bread and pasta, buckwheat, oatmeal, wild
wild rice, quinoa, amaranth, and spelt products. rice, quinoa, amaranth, and spelt products.

Men should consume about three cups of dairy Women should consume about three cups of dairy
products, or milk-alternatives each day because products, or milk-alternatives each day because
dairy products are an important source of dairy products are an important source of
calcium. Low fat or no fat dairy products are the calcium. Low fat or no fat dairy products are the
best choice. If you choose not to consume dairy best choice. If you choose not to consume dairy
products, alternative calcium sources include products, alternative calcium sources include
sardines, tofu, and calcium-fortified foods. sardines, tofu, and calcium-fortified foods.

One serving is equal to one cup of milk, one cup One serving is equal to one cup of milk, one cup of
of yogurt, one and one-half ounces of cheese. yogurt, one and one-half ounces of cheese.

Sources for milk and dairy products include milk, Sources for milk and dairy products include milk,
yogurt, cheese, and sour cream. These products yogurt, cheese, and sour cream. These products
can come from cows, goats, or sheep. can come from cows, goats, or sheep.

Most men need about six to eight ounces of meat, Most women need about four to six ounces of
legumes or other protein sources per day. Low meat, legumes or other protein sources per day.
 legumes or other protein sources per day. Low meat, legumes or other protein sources per day.
fat meats and other protein sources are needed to Low fat meats and other protein sources are
provide protein and a variety of other nutrients. needed to provide protein and a variety of other
It is important to realize that many meats are high nutrients. It is important to realize that many
in saturated fat, which you don't want, and other meats are high in saturated fat, which we don't
proteins like fish and sea food are high in omega- want, and other proteins like fish and sea food are
3 fatty acids that you do want. high in omega-3 fatty acids that we do want.

According to the USDA, one serving is equal to According to the USDA, one serving is equal to
one-half ounce. Other sources consider two one-half ounce. Other sources consider two
ounces to be one serving size. ounces to be one serving size.

Sources for proteins include meats, poultry, fish, Sources for proteins include meats, poultry, fish,
seafood, dry beans, nuts, and seeds. seafood, dry beans, nuts, and seeds.

Men need to consume healthy fats every day. Women need to consume healthy fats every day.
Fats are an important source of essential fatty Fats are an important source of essential fatty
acids, vitamin E. It is important to consume acids, vitamin E. It is important to consume
sufficient omega-3 fatty acids found in fish and sufficient omega-3 fatty acids found in fish and
flax, and to reduce consumption of saturated fat flax, and to reduce consumption of saturated fat
found in red meats, trans-fat and hydrogenated found in red meats, and trans fat or hydrogenated
oils found in processed foods. oils found in processed foods.

One serving is equal to one teaspoon. Men need One serving is equal to one teaspoon. Women
up to nine servings of healthy fats per day, which need up to seven servings of healthy fats per day,
are already found in much of the food we eat. which are already found in much of the food we
eat.
Sources for healthy fats include fish, flax, seeds,
nuts, vegetable oils like olive oil, peanut oil, and Sources for healthy fats include fish, flax, seeds,
safflower oil. nuts, vegetable oils like olive oil, peanut oil, and
safflower oil.

Men need five to nine servings of fruits and Women need five to nine servings of fruits and
vegetables per day. Dark green and brightly vegetables per day. Dark green and brightly
colored fruits and vegetables contain many colored fruits and vegetables contain many
antioxidants and bioflavonoids in addition to antioxidants and bioflavonoids in addition to
vitamins, minerals, and fiber. vitamins, minerals, and fiber.

One serving is equal to one-half cup for a starchy One serving is equal to one-half cup for a starchy
vegetable such as potatoes or corn, and two cups vegetable such as potatoes or corn, and two cups
for a dark green low-starch vegetable like broccoli for a dark green low-starch vegetable like broccoli
or leafy greens. One fruit serving is typically or leafy greens. One fruit serving is typically equal
equal to one small to medium sized fruit or one- to one small to medium sized fruit or one-half cup
half cup berries. berries.

Sources for fruits and vegetables include dark Sources for fruits and vegetables include dark
green and brightly colored vegetables, potatoes, green and brightly colored vegetables, potatoes,
sweet potatoes, beans, peas, carrots, apples, sweet potatoes, beans, peas, carrots, apples,
oranges, peaches, bananas, etc. C alorie counts oranges, peaches, bananas, etc. C alorie counts
vary significantly, so keep track of calories. vary significantly, so keep track of calories.

Sugar and sweets add excess calories and very Sugar and sweets add excess calories and very
little nutrition. Men do not require any sugar to be little nutrition. Women do not require any sugar to
consumed on a daily basis. be consumed on a daily basis.

One serving is equal to one teaspoon. One serving is equal to one teaspoon.

Sources for sugar and sweets include soft drinks, Sources for sugar and sweets include soft drinks,
candy, pastries, all sugars, syrups, honey, and candy, pastries, all sugars, syrups, honey, and
molasses. molasses.

Men need about 25 to 35 grams of fiber for Women need about 20 to 25 grams of fiber for
general good health and to help maintain a general good health and to help maintain a healthy
healthy digestive system and healthy cholesterol digestive system and healthy cholesterol levels.
levels.
Serving size depends on the food group that is the
Serving size depends on the food group that is the source of fiber.
source of fiber.
Sources for fiber include whole grains, whole
Sources for fiber include whole grains, whole fruits, and vegetables.
fruits, and vegetables.

Men need less than 2300 mg per day of sodium, Women need less than 2300 mg per day of
so be sure to read the labels of prepackaged and sodium, so be sure to read the labels of
processed foods. prepackaged and processed foods.

One serving is equal to one dash of salt, which One serving is equal to one dash of salt, which
contains 155 mg of sodium. contains 155 mg of sodium.

Sources for salt or sodium include processed Sources for salt or sodium include processed
foods, canned vegetables, salt, and prepared foods, canned vegetables, salt, and prepared
foods. foods.

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