Important Guidelines
- Sip liquids slowly – no more than 1-2 oz at a time
- Do not drink with meals or 30 minutes before/after meals
- Stop eating when you feel full
- Take all recommended vitamins and supplements as prescribed by your doctor
- Consume protein first at each meal
- All portions should be measured precisely
- Temperature should be warm or cool, not hot or cold
Week 1: Clear Liquid Phase
During this phase, consume only clear liquids in small amounts throughout the day. Aim for 4-6 oz per hour while awake.
Approved Clear Liquids:
- Water
- Sugar-free clear juice (apple or cranberry)
- Sugar-free gelatin
- Clear broth (chicken, beef, or vegetable)
- Sugar-free popsicles (melted)
- Decaffeinated tea
Sample Daily Schedule:
- 8 AM: 4 oz warm chicken broth
- 9 AM: 2 oz sugar-free apple juice
- 10 AM: 4 oz water
- 11 AM: 2 oz sugar-free gelatin
- 12 PM: 4 oz beef broth
- Continue pattern throughout day
Recipe: Enhanced Protein Broth
Ingredients:
- 2 cups low-sodium chicken broth
- 1 scoop unflavored protein isolate powder
Instructions:
- Heat broth until warm (not hot)
- Slowly whisk in protein powder until dissolved
- Consume 2-4 oz at a time
Nutrition per 4 oz serving:
- Calories: 35
- Protein: 9g
- Carbohydrates: 1g
- Fat: 0g
- Sodium: 140mg
- Sugar: 0g
Week 2: Full Liquid Phase
Progress to full liquids, including protein shakes and smooth, strained soups.
Approved Full Liquids:
- Protein shakes
- Strained cream soups
- Smooth yogurt (no chunks)
- Milk alternatives (unsweetened)
- Sugar-free pudding
- All clear liquids from Week 1
Sample Daily Schedule:
- 8 AM: 4 oz protein shake
- 10 AM: 2 oz sugar-free pudding
- 12 PM: 4 oz strained cream soup
- 2 PM: 4 oz protein shake
- 4 PM: 2 oz smooth yogurt
- 6 PM: 4 oz protein shake
Recipe: Basic Protein Shake
Ingredients:
- 4 oz unsweetened almond milk
- 1 scoop bariatric-approved protein powder
- 2-3 ice cubes
Instructions: Blend until smooth, consume within 30 minutes
Nutrition per 4 oz serving:
- Calories: 100
- Protein: 20g
- Carbohydrates: 2g
- Fat: 1.5g
- Calcium: 200mg
- Sugar: 0g
- Fiber: 1g
Recipe: Strained Cream of Chicken Soup
Ingredients:
- 1 cup low-fat cream of chicken soup
- 2 tbsp unflavored protein powder
Instructions:
- Heat soup until warm
- Whisk in protein powder
- Strain through fine-mesh strainer
- Consume 4 oz portions
Nutrition per 4 oz serving:
- Calories: 90
- Protein: 12g
- Carbohydrates: 8g
- Fat: 3g
- Sodium: 350mg
- Sugar: 1g
- Fiber: 0g
Weeks 3-4: Pureed Phase
Progress to pureed foods with the consistency of smooth applesauce.
Approved Pureed Foods:
- All previous liquids
- Pureed meats
- Pureed vegetables
- Pureed fruits (no seeds)
- Smooth cottage cheese
- Greek yogurt
- Hummus
Sample Daily Schedule:
- 8 AM: 4 oz protein shake
- 10 AM: 2 oz pureed peaches
- 12 PM: 3 oz pureed chicken salad
- 3 PM: 2 oz Greek yogurt
- 6 PM: 3 oz pureed fish with pureed vegetables
Recipe: Pureed Chicken Salad
Ingredients:
- 3 oz cooked chicken breast
- 1 tbsp light mayonnaise
- 1 tbsp Greek yogurt
- Salt and pepper to taste
Instructions:
- Blend chicken in food processor until very fine
- Add mayonnaise and yogurt
- Blend until completely smooth
- Season lightly
Nutrition per 3 oz serving:
- Calories: 165
- Protein: 22g
- Carbohydrates: 1g
- Fat: 8g
- Sodium: 280mg
- Calcium: 45mg
- Sugar: 1g
- Cholesterol: 65mg
Recipe: Pureed Mediterranean Fish
Ingredients:
- 4 oz cooked white fish
- 2 tbsp low-fat Greek yogurt
- 1 tsp olive oil
- 1/4 tsp lemon juice
- Herbs to taste
Instructions:
- Blend fish in food processor until fine
- Add remaining ingredients
- Puree until completely smooth
- Warm slightly before eating
Nutrition per 3 oz serving:
- Calories: 120
- Protein: 18g
- Carbohydrates: 2g
- Fat: 5g
- Sodium: 95mg
- Calcium: 60mg
- Sugar: 1g
- Omega-3 fatty acids: 400mg
Recipe: Protein-Enhanced Cauliflower Puree
Ingredients:
- 1 cup cooked cauliflower
- 2 tbsp unflavored protein powder
- 1 tbsp light cream cheese
- Salt and pepper to taste
Instructions:
- Steam cauliflower until very soft
- Blend in food processor until smooth
- Add remaining ingredients
- Puree until completely smooth
Nutrition per 2 oz serving:
- Calories: 70
- Protein: 10g
- Carbohydrates: 5g
- Fat: 2g
- Sodium: 150mg
- Calcium: 40mg
- Fiber: 2g
- Sugar: 2g
- Vitamin C: 30mg
Nutrition Goals Throughout the Month:
- Protein: 60-80g daily
- Fluids: 64 oz daily (separated from meals)
- Calories: As directed by your surgical team
- Supplements: As prescribed by your doctor
Additional Nutrition Notes:
- Protein Targets:
- Week 1: 40-60g daily
- Week 2: 50-70g daily
- Weeks 3-4: 60-80g daily
- Daily Micronutrient Goals:
- Calcium: 1200-1500mg
- Iron: 18mg
- Vitamin B12: 500mcg
- Vitamin D: 2000-4000 IU
- Folate: 400mcg
- Hydration Guidelines:
- Minimum 64 oz fluids daily
- Sugar-free
- Non-carbonated
- Room temperature or warm
- Sip slowly (1-2 oz at a time)
Important Notes:
- Always check with your surgical team before advancing to the next phase
- Stop eating immediately if you feel pressure, pain, or nausea
- Keep a food journal to track tolerance
- Focus on protein first at each meal
- Avoid rice, bread, pasta, and raw vegetables during the first month
- No carbonated beverages
- No straws
- No caffeine or alcohol
- No sugary foods or beverages
Signs to Contact Your Doctor:
- Vomiting
- Severe nausea
- Inability to keep liquids down
- Severe pain or discomfort
- Fever
- Redness or drainage at incision sites
Meal Timing Guidelines:
- Each meal should take 20-30 minutes
- Wait 30-60 seconds between bites
- Stop eating at the first sign of fullness
- Wait 30 minutes before and after meals to drink fluids
- Don’t exceed recommended portion sizes even if hungry
Additional Resources & Support
Professional Organizations
- American Society for Metabolic and Bariatric Surgery (ASMBS): https://asmbs.org/patients
- Academy of Nutrition and Dietetics: https://www.eatright.org/health/weight-loss/bariatric-surgery
- Obesity Action Coalition (OAC): https://www.obesityaction.org
Recipe Resources
- Bariatric Foodie: https://www.bariatricfoodie.com
- ObesityHelp Recipe Database: https://www.obesityhelp.com/recipes
- Bariatric Eating: https://www.bariatriceating.com
Support Groups & Communities
- ASMBS Support Group Finder: https://asmbs.org/patients/support-groups
- ObesityHelp Forums: https://www.obesityhelp.com/forums
- Bariatric Pal: https://www.bariatricpal.com
Vitamin & Supplement Information
- NIH Office of Dietary Supplements: https://ods.od.nih.gov
- ConsumerLab (supplement testing): https://www.consumerlab.com
Mobile Apps for Tracking
- Baritastic
- MyFitnessPal (with bariatric settings)
- Water Reminder
- Bariatric Surgery Timer
Educational Materials
- NIH Weight Management Resources: https://www.niddk.nih.gov/health-information/weight-management
- CDC Healthy Weight Resources: https://www.cdc.gov/healthyweight
- MedlinePlus Bariatric Surgery Information: https://medlineplus.gov/bariatricsurgery.html
Books & Publications
- “The Complete Gastric Sleeve Guide” by Sharon Howard
- “Eating Well After Weight Loss Surgery” by Patt Levine
- “The Bariatric Bible” by Carol Bowen Ball
- “Weight Loss Surgery For Dummies” by Marina S. Kurian, MD
Important Medical Resources
- Find a Bariatric Surgeon: https://asmbs.org/patients/find-a-provider
Tools & Equipment
Recommended kitchen tools for bariatric eating: (See my kitchen tools guide – https://kennysdigitalguide.com/best-kitchen-tools-for-healthy-meal-prep/)
- Food scale
- 4 oz portion cups
- Protein shaker bottles
- Small plates (7-inch diameter)
- Baby spoons/forks
- Food processor
- Blender for protein shakes
- Timer for pacing meals
Nutritional Reference Guides
- USDA Food Database: https://fdc.nal.usda.gov
- Protein Content Guide: https://www.nal.usda.gov/fnic/protein-content-foods
Important Note About Resources:
- Always verify information with your surgical team
- Resource links and websites may change over time
- Join local support groups for in-person guidance
- Check with your insurance provider about coverage for support services
- Consider working with a registered dietitian who specializes in bariatric nutrition
Remember to verify all websites and resources with your healthcare team, as they may have additional preferred resources specific to your program and needs. These resources are meant to supplement, not replace, the guidance provided by your medical team.