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Your surgeon has determined that preoperative weight loss is mandatory before your weight loss surgery.  Preoperative weight loss results in decreases in the size of your liver and in the fat stores in your abdomen.  These changes give your surgeon more room in your abdomen to complete your surgery. 

 

Instructions:

  1. Start 2 weeks prior to your surgery date.
  2. Daily food goals are:
    1. 4 Protein Shakes, mixed with 1% milk (8 ounces of protein shake should have 100-200 calories, >13 gm protein)
    2. 1 meal consisting of lean protein (4 ounces) and vegetables
    3. 2 servings of fruit per day
  3. Daily fluid goals are:
    1. 64 or more ounces of calorie-free fluid every day such as water or Fruit2O

Sample Meal Plan

7:00am – 7:30am         Breakfast                     1 Serving Protein Shake

7:30am – 9:30am                                             Calorie-free fluid 

9:30am – 10:00am       Snack                          1 Serving Fruit

10:00am – 12:00pm                                        Calorie-free fluid

12:00pm – 12:30pm    Lunch                          1 Serving Protein Shake

12:30pm-2:30pm                                             Calorie-free fluid

2:00pm – 2:30pm        Snack                          1 Serving Fruit

2:30pm – 4:00pm                                            Calorie-free fluid

4:00pm – 4:30pm        Snack                          1 Serving Protein Shake

4:30pm – 6:00pm                                            Calorie-free fluid

6:00pm – 6:30pm        Dinner                         2 cups raw greens

                                                                        1 tomato

                                                                        4 ounces grilled chicken

                                                                        2 teaspoons oil

                                                                        1 tablespoon vinegar

                                                                        herbs, salt, pepper

6:30pm – 8:30pm                                            Calorie-free fluid       

8:30pm – 9:00pm        Snack                          1 Serving Protein Shake

9:00pm                                                            Calorie-free fluid

                                                          

  1. Do not take additional calcium supplements during the two week period.
  2. Purchase all your Carnation Instant Breakfast, 0 Sugar Carbs Added, in advance.
  3. To stay focused on your diet prescription, write out your meal plan each evening for the next day.
  4. All food and fluid must be consumed.
  5. If you have food allergies or intolerances to any foods listed, discuss substitutions with your dietitian.
  6. Read Nutrition Facts Labels on other drinks to make sure they are calorie-free.
  7. If you are having a problem with constipation, use fiber supplements as directed on the packaging.
  8. If you desire, you may include 2 additional snack servings per day of ½ cup diet gelatin and/or sugar-free Popsicles.
  9. Allowed food substitutions include:

INSTEAD of 1% milk TRY 1 cup fat-free yogurt (Breyer’s Light, Yoplait Light, Columbo Light, Dannon Light ‘n Fit)

 

INSTEAD of 1 tomato TRY 1 cup chopped vegetable mix including red bell pepper, green bell pepper, cucumber, celery, onion OR 1 cup chopped carrots OR ½ cup steamed broccoli, carrots, green beans

 

INSTEAD of 1 orange or apple TRY ½ banana OR ½ cup grapes OR 1 cup melon OR ½ cup canned pineapple in juice OR 1 cup fresh pineapple OR ½ cup packaged fruit in juice OR ½ cup unsweetened applesauce

 

INSTEAD of 4 ounces cooked chicken TRY 4 ounces tuna in water, drained OR 4 ounces cooked fish (grilled, backed, broiled) OR 4 ounces turkey breast OR 4 ounces cooked pork tenderloin OR 3 ounces cooked lean beef (loin or round) OR 3 ounces cooked lean ham

 

INSTEAD of 2 teaspoons oil and 1 tablespoon vinegar TRY 1 tablespoon regular salad dressing OR 2 tablespoons light salad dressing

 

Please consult with your dietitian about any other substitutions.

 

Approximate nutrition facts for the meal plan are:

 

Total Calories-1149

% Calories from fat-23

% Calories from carbohydrates-49

% Calories from protein-28

Total fat grams-30 (100% RDA)

-saturated fat grams-10

-monounsaturated fat grams-13

-polyunsaturated fat grams-3

Cholesterol mg-136 (45% RDA)

Sodium mg-877 (37% RDA)

Potassium mg-4029 (115% RDA)

Total carbohydrate grams-143 (108% RDA)

-dietary fiber grams-12 (32% RDA)

Protein grams-81 (144% RDA)

Calcium mg-2398 (200% RDA)

Iron mg-22 (123% RDA)

Zinc mg-17 (154% RDA)

Vitamin C mg-297 (330% RDA)

Vitamin A RE-2725 (272% RDA)

Vitamin B6 mg-2.9 (170% RDA)

Vitamin B12 mcg-6.2 (121 % RDA)

Thiamin mg-1.9 (158% RDA)

Riboflavin mg-2.5 (192% RDA)

Folate mcg-645 (161% RDA)

Niacin mg-35 (219% RDA)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     


   


   




   





 


 
   




   




   





   


 




 





 


 


 


 
Send Feedback   Send Feedback to: Weight Loss Surgery Program at weightlosssurgery@partners.org
This page was last modified on 1/7/2009