| | Pre-surgery Diet WITHOUT Diectician??? | |
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carollsadler Newbie
Number of posts : 48 Age : 56 Location : Australind, WA Registration date : 2014-09-23
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Fri 10 Oct 2014, 11:30 am | |
| PC - question for you. You mention that "The oil in the Optifast diet is important to keep your gall bladder working during rapid weight loss". I don't have a gall bladder any more. Any thoughts on how that may impact whether I optifast or even for how long? | |
| | | zigzag Newbie
Number of posts : 128 Age : 64 Location : Brisbane Australia Registration date : 2014-02-28
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Sun 17 Aug 2014, 9:40 am | |
| Hello PC very useful post ! You would have had your op by now - hope you are tikitiboo ! You have prepared very well in the weeks before. | |
| | | PC Part of the furniture
Number of posts : 208 Location : Goulburn NSW Registration date : 2014-06-15
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Wed 13 Aug 2014, 6:25 am | |
| As far as Canberra Bariatric is concerned, I started out at 176.6kg (I had already lost some weight by that point and I continued to after that, but that's the weight they measured me at). Their overarching consideration was that I lose weight by dieting (not specifically by exercise, don't ramp up exercise too much, just do normal healthy activity and lose the weight by diet). At least that's my recollection of the discussion.
The Optifast diet is a tool to achieve weight loss. It's really only a requirement for the day prior to surgery when you need no solids in your stomach, so you drink an optifast shake instead.
Often surgeons (of other disciplines - not specifically bariatric surgeons) will ask an obese patient to lose 10% of their body weight (the % varies but 10% is pretty common) before surgery, to reduce the risks of surgery. Patients undergoing hip replacement get told that all the time.
Weight loss is especially important to bariatric surgeons for other reasons. When you're losing weight via dieting, your liver shrinks, and then it becomes harder for them to accidentally damage the liver as they're working on the stomach.
The oil in the Optifast diet is important to keep your gall bladder working during rapid weight loss.
Optifast is a pretty effective way of achieving the outcomes they want. However, if you can lose a substantial amount of weight in the weeks prior to surgery via some other dietary means, you're probably quite safe to do that, and ease into the Optifast closer to surgery. Not that I'd recommend it - the Optifast is surprisingly good at what it does.
I started my Optifast as breakfast replacements prior to even seeing the surgeon. I later started Optifast and veg (plus cheats like cottage cheese and salsa to make the veg go down) at dinnertime. Later on I went 3-4 meals a day of Optifast (a male at my weight doesn't get enough protein from 3) with veg and home made stock/broth (skimmed of all fat) at 2 of those meals.
Every night I'd switch the slow cooker off after dinner. Every morning I'd go to the slow cooker, skim off all the fat that's solidified at the top, add a 1kg bag of veg, top up the water, and switch it onto low heat. That night I'd have about half the veg at dinner, and the other half would go into tupperware for lunch the following day. I've been cooking up the same lamb bones since last weekend. If there are any vitamins left in the bones instead of in the broth by tomorrow, I'll be quite surprised.
Usually weight loss surgery patients lose less than 10% of their weight pre-op. I'm down over 9% EDIT: I've just crashed through 10%, but I wasn't given a % target, and I don't think any of us were. The target is any weight loss and a small liver. I know I've achieved the former. I'll find out on Friday about the latter. | |
| | | R.J. Newbie
Number of posts : 39 Location : Melbourne Registration date : 2014-08-02
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Wed 13 Aug 2014, 5:54 am | |
| My BMI is 51 and I'm 147kg and I'm still only required to do 2 weeks. | |
| | | zigzag Newbie
Number of posts : 128 Age : 64 Location : Brisbane Australia Registration date : 2014-02-28
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Tue 12 Aug 2014, 2:54 pm | |
| Thanks Wendy and Tara. I am about 125 kg. I would feel like two weeks is right for me. I thought last December when I saw the surgeon he said 1 week on Optifast. Clinic sister today made a tentative September 9 theatre booking for moi. Surgeon appt date is August 20 Dietician August 27 when surgery date will be confirmed. So it is all coming together.
Now all I need is the 'sleever's fairy' to doth me with her wand and dust me with pixie dust that I may have low pain, have good healing, don't throw up or get dumping syndrome too often nor lose too much hair later on - oh and yes get healthier and lose some ballast.
I have googled the optifast pages and found a couple of suppliers near by.
Thanks TT for experimenting | |
| | | WondaWendy Top Poster
Number of posts : 1258 Age : 53 Location : Redlands, Brisbane Registration date : 2014-04-08
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Tue 12 Aug 2014, 1:18 pm | |
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| | | tumultuous-tara Part of the furniture
Number of posts : 793 Location : Brisbane Registration date : 2011-11-29
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Tue 12 Aug 2014, 12:46 pm | |
| Aww thanks RJ glad to be of assistance. (I've done this Opti thing quite a few times now, and I'm doing it again right now.
Actually I'm trialing a few Opti approved "cheat" recipes at the moment. Adding flavouring essences , Almond, Orange, Peppermint etc to change up the shakes a bit.
A Chocolate Flummery Dessert and Sugar free Gummy homemade lollies . Will let you know if they past muster.
Ohhh and I might make the Optifast Cookies tomorrow too.
Zigzag,
Yeah all the surgeons have different opinions on the Opti but the norm seems to be two weeks and ofter if you have a really high BMI (Like 50 plus) they make you do 4 or 6 weeks. Hope this answers you question.
Tara | |
| | | R.J. Newbie
Number of posts : 39 Location : Melbourne Registration date : 2014-08-02
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Mon 11 Aug 2014, 12:34 pm | |
| Tara, you are a goddess and a life-saver and I can't thank you enough. You TOTALLY rock! | |
| | | zigzag Newbie
Number of posts : 128 Age : 64 Location : Brisbane Australia Registration date : 2014-02-28
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Mon 11 Aug 2014, 11:16 am | |
| Very pleased I saw this post, thanks T-Tara.......I am a serious butter ball......want that liver really malleable for the surgeon to be able to clasp back out of the way to get in and remodel my stomach. Good posts here....taking notes ........
Question Why do some surgeons want you to do 2 weeks, and others one week on the OPTidiet? | |
| | | tumultuous-tara Part of the furniture
Number of posts : 793 Location : Brisbane Registration date : 2011-11-29
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Mon 11 Aug 2014, 10:22 am | |
| RJ,
Cut and Pasted from a thread called A Small Victory - this should be the link.
http://www.gastricsleevesupport.com/t14819-a-small-victory#315095
There are other recipes etc on there.
There are a few tricks you can apply to make it through the three weeks slightly easier. Here are some that worked for me.
Use the Old recipe shakes x 21. Use the Chocolate, Strawberry or Vanilla Shakes that come in the boxes of 21 as they run at 152 Calories per shake. The new flavours Coffee, Banana, Caramel, Vanilla etc that come in the 12 packs have about 207 calories.
So that way if you have 3 of the old shakes = 450 cals total as opposed to 3 of the new shakes = 621 cals you have actually bought yourself 157 calories which means you could have an extra shake if you are struggling that day. And really, one extra VLCD shake in case of an emergency is not gunna take you out of Ketosis.
Benefibre or Metamucil Low calorie, keeps things "moving" AND helps fill you up and can be added to almost everything.
Diet/sugar free hard lollies. Virtually calorie free and really help when the sugar cravings hit. Be VERY careful how many you have as more than about 4 on your first try will have a rather violent laxative effect !
Diet Jelly Repulsive stuff ! And none of us would choose to eat it in everyday life but when doing Optifast it can be an absolute lifesaver and can actually help stop you falling off the wagon.
You can also add a little Carnation evaporated LIGHT milk to diet jelly which makes a kind of faux cheesecake. Also, Diet jelly can be added to the Vanilla shake to change up the flavours.
Green Vegies Meh right ! But extra green vegies (over the MINIMUM 2 cup allowance) are waaaaaay better than a binge.
Gravox Gravox Supreme Lite is only 18 calories for 1/4 cup serve (4 carbs). Gravox Cheese Sauce is on 30 Calories for 1/4 cup serves (5 carbs). Garlic, Spices, Soy sauce and Stocks.
Diet Cordial Added to water of fizzy water can help if you are detoxing from a soft drink habit. If not, it certainly helps get in as much water as possible to keep you full and help with the headaches.
MISO Soup People swear by Miso.
Optifast Biscuits Some creative person made up a recipe using a sachet of Optifast and an egg white !! Again, WAY better to eat 12 Optifast "biscuits" than something naughty. I'll have a look for the recipe for you and post it here when I find it.
Diet Yoghurt Probably not recommended but if you really are going to fall of the wagon this is a better choice.
Slendier (Konjac) Noodles Made from some weird root vegetable they are available at Coles and are damage free. 125g = 12 calories and 4 grams of carbs. These noodles with some soy, garlic, ginger, chilli and your green vegies will make up a massive meal and all Optifast approved !!
Of course with any of these suggestions check with your Dietician or Surgeon but they should really help you get through relatively unscathed.
You could also pop over to the Optifast site and have a look.
All the best, Tara | |
| | | tumultuous-tara Part of the furniture
Number of posts : 793 Location : Brisbane Registration date : 2011-11-29
| Subject: Re: Pre-surgery Diet WITHOUT Diectician??? Mon 11 Aug 2014, 10:21 am | |
| Hiya R.J.,
Don't fret you can totally do this without a Dietician.
Pop over to the OptiFast website http://www.optifast.com.au for all the info you could ever need.
So the object of doing Opti is to shrink your liver before surgery so it is fairly important you do as best you can. But the Opti program does look a bit scary and unachievable on first sight. Don't panic, there are actually heaps of "allowed" things like diet jelly etc.
I'll copy and paste these cheats for you that I wrote in a previous post. Honestly, some days these really help you stop yourself from blowing it completely.
But just a quick rundown on the average Optifast menu for you. Some Dieticians allow some fruit or a little lean chicken or tuna but most follow what I will post below.
3 OptiFast meal replacements per day 2 cups of Low Starch (mostly green vegies) no Pumpkin, potato etc. 1 Tsp Oil (for frying the vege). 2 litres of water
That's it !!
Oh, and keep the little brochure thingy that comes in the Opti box as it allows you to join up for the program/community for a month (if you want the extra support and info). Oh, and I think the little brochure thingy has some of the allowed cheats on it like the diet jelly.
I'm actually on Day one of Opti AGAIN ... so I feel your pain lol.
Any questions please ask.
Cheers Tara | |
| | | R.J. Newbie
Number of posts : 39 Location : Melbourne Registration date : 2014-08-02
| Subject: Pre-surgery Diet WITHOUT Diectician??? Mon 11 Aug 2014, 8:28 am | |
| Just had call from surgeon's office to say the dietician is sick and therefore my appointment tomorrow is cancelled. The next avail appointment is 2 September but my surgery is booked for the 3rd! Told them I'm concerned that I'll need to be on Optifast by mid next week to be ready in time for the surgery. Said they'll se what they can do. Aaaaaagh! Anyone else start the Optifast business before seeing a dietician? | |
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