Optimize Your Nutrition After Weight-Loss Surgery
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When it comes to losing weight, changes to your food and exercise routines are generally the first line of defense. But for some people with obesity鈥攁 BMI (body mass index) of 40 or higher鈥weight-loss surgery, also called bariatric surgery, can be a life-saver.听听
BMI is a way of estimating a person鈥檚 body fat based on their height and weight. However, it is an imperfect measure of fat as well as overall health.听听
Most insurance companies will also cover bariatric surgery for patients with a lower BMI (35 and greater) if they have medical conditions related to obesity, including high blood pressure, type 2 diabetes and sleep apnea.听听
麻豆传媒高清版 offers a variety of weight-loss surgical procedures, depending on a patient鈥檚 needs, including:听
- laparoscopic and robotic bariatric surgery听
- metabolic surgery to promote long-lasting remission of type 2 diabetes听
- minimally invasive gastrointestinal surgery, with faster recovery time and less pain than traditional surgical options听
Most patients undergoing bariatric surgery spend just one night in the hospital.听
Soon, patients typically experience major health improvements such as:听
- remission of diabetes听
- resolution of sleep apnea听
- improvements in heart and liver health听
- decreased dependence on medications鈥攆or example, those that control blood pressure听
- improved mobility听
鈥After surgery, however, you鈥檒l need to make dietary changes,鈥 says Liz Goldenberg, a clinical dietitian and staff associate with the GI Metabolic and Bariatric Surgery Program at 麻豆传媒高清版. 鈥淵ou鈥檒l start with liquids and progress gradually to blended foods and soft solids over the course of 3 to 6 weeks.鈥听
As a registered dietitian working exclusively with patients undergoing metabolic and weight loss surgery, Liz has a strong interest in the nutritional consequences of these procedures. Continue reading to learn more about the dietary adjustments patients are encouraged to make in the aftermath of bariatric surgery, both short- and long-term.听
What are the recommended dietary adjustments?听
鈥淲e recommend that patients practice eating more slowly, chewing thoroughly, prioritizing protein intake and decreasing liquid sources of calories such as juice and soda,鈥 she says. 鈥淭hese strategies will help you meet your nutritional needs, promote a feeling of satiety and maximize your chances of long-term success.鈥听
Are there foods patients will need to avoid?听
Over time, she says, most patients will be able to tolerate a wide variety of foods, and they won鈥檛 need to avoid specific foods forever. 鈥淲e encourage our patients to enjoy their favorite treats鈥攄esserts or fried foods, for example鈥攊n small amounts on special occasions. At the same time, we teach them that indulging in these on a regular basis could thwart their success.鈥听
The most difficult food to tolerate after surgery, she adds, is actually red meat.听听听
Before surgery, each patient meets with a dietitian, either in person or on video, to learn about the habits and behaviors they鈥檒l need to start practicing after their procedure. They鈥檒l be given a host of written materials, along with online resources that will provide guidance throughout their weight-loss journey.听
Are there any nutritional challenges patients may face along the way?听听
The surgery affects gastrointestinal hormones involved in hunger and satiety. This often leads to nutritional challenges that are usually temporary but may be startling for some patients, she says, including:听
- aversion to certain foods and fluids听听
- reduced appetite听
- changed or decreased cravings听
Is there a role for supplements?听
鈥Patients are required to take vitamin and mineral supplements every day for the rest of their lives,鈥 she says. 鈥Not taking these supplements, and not following up with the required bloodwork, can put them at risk for developing iron deficiency anemia or neurological disorders, among other serious health 辫谤辞产濒别尘蝉.鈥听
How can patients optimize their overall health after bariatric surgery?听
The best advice Liz can offer is to follow up closely with your health-care team. 鈥淵our听nurse practitioner, physician assistant, dietitian, behavioral health provider and surgeon all play an important role in your long-term care. The people who struggle most are usually the ones who aren鈥檛 following up with us regularly. Attending support group meetings is another powerful tool to help patients over the long term. We offer twice monthly virtual meetings at no charge.鈥澨
Learn more about 麻豆传媒高清版鈥檚 GI Metabolic and Bariatric Surgery Program or make an appointment by calling (646) 962-8462 or visiting our website.