Keys to Success – Bariatric & Metabolic Institute at Medical City Las Colinas

Keys to Success – Bariatric & Metabolic Institute at Medical City Las Colinas


(light music) – Hi, I’m Shanaz Neely, I’m
one of the clinical dieticians here at Bariatric and Metabolic
Institute of Las Colinas. My role is to help you
with lifestyle changes for weight management and get you ready for you bariatric surgery. After your initial
visit with your surgeon, you will have an opportunity to visit with a registered dietician. Depending on your specific case, and your insurance requirements, you may require additional
follow-ups with a dietician. At your nutrition visits, we’ll talk about weight management, and we will discuss topics such
as how to read food labels, portion sizes, healthy grocery shopping, goal setting, and we’ll answer
any questions you may have. In addition to that we’ll talk about diet progression after surgery. This is to reintroduce
food back to your GI tract to make sure you can tolerate your food. There’s some dietary restrictions that you need to follow
after your bariatric surgery. And that’s why I wanna make sure I will list those for you today. The first thing I wanted
to talk to you about is eating slowly and chew
your food really well. We wanna make sure you
chew your food so well that it kind of melts in your mouth, the consistency of apple
sauce before you swallow it. Also take your time, give yourself at least 30 to
45 minutes to finish your meal. This is gonna really help
with your food tolerance, and also it’s gonna help with absorption. This way you can actually enjoy your food, you can pay attention to the texture, you can pay attention to the flavor, and also it’s gonna
help a lot with satiety. The next element we wanted to talk about is adequate hydration. We wanna make sure, for the first few days after your surgery, you drink at least 40 ounces of fluids. Later on we’d really rather
if you drink more like 80 too 100 ounces of fluids per day. This is gonna help to make
sure you won’t get dehydrated. As a good rule of thumb, we recommend you drink one
to two ounces of fluids every 15 minutes. So make you don’t forget to drink. One of the main reason that people come back to the hospital after bariatric surgery
is for dehydration. So make sure you always sip on fluids. The third rule I wanted
to talk to you about is the type of fluids I want you to drink. I wanna make sure you
stay away from anything that is carbonated. Carbonation can actually
expand the size of your pouch, and it kind of defeats the whole purpose of bariatric surgery. Also, it may cause stomach
discomfort and bloating. So make sure you don’t drink
anything carbonated like soda. Also, stay away from any sugary beverages, and anything that has caffeine. So for the most part we want
you to drink non-caloric, non-sugary, non-carbonated,
and non-caffeinated products. The next key element to remember is not eating and drinking at the same time. This is not a problem
before surgery, however, after your bariatric
surgery it’s going to be very important to make sure
you do not eat and drink at the same time. We usually recommend 30 minutes before, and 30 minutes after your
meal, you don’t drink anything. Think about it, if you eat
and drink at the same time, the fluid is gonna push
the food out of your pouch, and you’re gonna end
up with an empty pouch. That’s gonna make you feel hungry, and that’s what you don’t wanna feel, because you’re gonna overeat. Also, eating and drinking at the same time may lower your food tolerance. So make sure you don’t eat
and drink at the same time, that’s very important. The next key element to remember is taking your multivitamin
and minerals daily. This is vital, after you
have your bariatric surgery, your digestion and your
absorption is altered. Also, you can only eat
very small amount of food, so it’s going to be very important to make sure you take your multivitamin and your minerals daily. We will give you a specific
regimen of the multivitamin and the minerals that you have to take. But we wanna make sure you do it everyday, this is for life. Failure to take your
multivitamin and minerals can lead to major nutrient deficiency. For the first six months
or so we recommend that you can take the
chewable or liquid version. This is gonna help with the
tolerance and absorption, so remember to take your
multivitamin and minerals every single day. Next key point to remember
is eating balanced meals, including lean protein. For the first few months
after your surgery, we put a lot of emphasis
on eating protein. And that’s because you
are only able to eat two to four tablespoon
of foods at each setting. So we wanna make sure you
get the protein first, however, over time when
the size of your pouch expands a little bit, our goal would be for you to eat more balanced meals. That means not only protein
but we wanna make sure you include complex
carbohydrates, like whole grains, nonfat dairy products, and a lot of fruits and non-starchy vegetables. And remember, not to eat
a lot of sugar and fat. Not only they are very high in calorie but your tolerance for these
food items after surgery is going to be very low. So try to limit your
intake of high fatty food, as well as sweet, sugary beverages, and all those sort of foods. Last but not least is physical activity. We can’t talk about weight management and not include physical activity. If you’re not active at this time, I encourage you to start slowly. Do anything you like to do. If you like swimming, do that. You can dance, you can go for jogging, anything matters as long as
you try to do it consistently. Over time you can increase
the intensity and duration, and maybe you can participate
in a structured exercise plan. But make sure you move everyday, that’s a big part of weight management. At the end, I just wanted to tell you, try to be positive,
this is a long journey. And please give us a call, we are here to help and support you, and we’re gonna answer
any questions you have. Look forward to seeing you in our clinic. (light music)

Leave a Reply

Your email address will not be published. Required fields are marked *