DietStagingforGBP&LAGBWLS

FORGBP
DietStage/Timing

Fluids/FoodsAllowed

GuidelinesforClients

StageI
Days1&2followingsurgery

GBPclearliquids*,water,icechips

Youmaybegindietimmediatelyaftersurgery
ifnothavingswallowtest.

StageII
BeginonDay3aftersurgery
Beginmultivitaminandmineral
supplementation
Priorityonhydrationandproteinintake
StageIII,Week1
BeginonDays1014

VarietyofGBPclearliquids*
Sugarfreeicepops
GBPfullliquids*

Consume>4864oz/daytotalfluids;>2432oz
GBPclearliquids*plus2432ozofany
combinationofGBPfullliquids*
Alsocanconsumesaltyfluidsathome(ex.
Brothandbouillon)withinfluidallowance
Have>4864ozoftotalliquidsdaily.
Aimtohaveproteinfoodchoicesat36small
mealsdaily;youmayonlybeabletotoleratea
coupleoftablespoonsateachmeal/snack
Donotdrinkwithmeals;wait~30minutes
aftereachmealbeforehavingbeverages
Stayinghydratedisessentialandapriority!
Wait30minutesaftermealsbeforehaving
liquids
Alwayseatproteinfirst
Avoidrice,bread,andpastauntilyoucan
comfortablyconsume6080gramsproteinas
wellasfruits/vegetablesdaily.
Yourcalorieneedswillbebasedonyour
height,weight,age,andactivitylevel

StageIII
AdvancetoStageIIIastolerated

StageIV
AdvancetoStageIVashungerincreasesand
morefoodistolerated
Vitamin&mineralsupplementationdaily

IncreasedintakeofGBPclearliquids*
Astolerated,replaceGBPfullliquids*withsoft,moist,diced,groundorpureedprotein
sources:eggs;groundmeats,poultry,softmoistfish;addedgravy,bouillon,orlight
mayonnaisetomoisten;cookedbeans;heartybeansoups;cottagecheese;lowfat
cheese;continueyogurt
Addwellcookedsoftvegetablesandsoftand/orpeeledfruittomeals/snacks
Tough,stringyfoodsthatcanblockthestoma(ex.rawcelery,asparagusstalks)should
beavoided
Clientsshouldcontinuetoconsumeproteinwithsomefruitorvegetablesateach
meal;somepeopletoleratesalads1monthaftersurgery
Starchesshouldbelimitedtowholegraincrackerswithprotein,potatoes,and/ordry
lowsugarcerealsmoistenedwithmilk
Healthy,balancedsolidfooddietwithprotein,fruits,vegetables,andwholegrains

FORLAGB
DietStage/Timing

Fluids/FoodsAllowed

GuidelinesforClients

StageI
Days1&2aftersurgery

LAGBclearliquids*,water,icechips

Onthefirstdayaftersurgery,youmayhave
sipsofwaterandicechips.

StageII(dischargediet)
BeginonDay2&3aftersurgery
Beginsupplementation:chewable
multivitamin/multimineralsupplementwith
iron,twicedaily;also,chewableorliquid
calciumcitratewithvitaminD

VarietyofLAGBclearliquids*
LAGBfullliquids*

Have>64oz/daytotalfluidsperday
Dailyfluidsshouldinclude>2432ozLABG
clearliquids*plus32ozofanycombinationof
LABGfullliquids*

StageIII,Week1
BeginonDays1014aftersurgery
Continuevitaminandmineralsupplementation

IncreasedLAGBclearliquids*(totalliquids>64oz/day)
Astolerated,replaceLAGBfullliquids*withsoft,moist,diced,groundorpureed
proteinsources:eggs;groundmeats,poultry,softmoistfish;addedgravy,bouillon,or
lightmayonnaisetomoisten;cookedbeans;heartybeansoups;cottagecheese;lowfat
cheese;continueyogurt

Beassuredthathungeriscommonandnormal
withinaweekorsoofLAGB.
Havingproteinfoods(moistgroundchoices)
for36smallmealsdailycanhelpyoufeel
satisfied.
Mindful,sloweatingisessential.
Donotdrinkwithmeals;wait~30minutesafter
eachmealbeforedrinking.

StageIII
Start4weeksaftersurgery;advanceas
toleratedduringrapidweightlossphase

Ifproteinfoodsarewelltolerated,addwellcookedsoftvegetablesandsoftand/or
peeledfruittomeals/snacks
Ifyouaretoleratingsoft,moist,ground,diced,and/orpureedproteinswithsmall
amountsoffruitsandvegetables,thenwholegraincrackersmaybeadded(tobeeaten
withprotein).
Rice,pasta,andbreadshouldbeavoided.

Stayinghydratedisessentialandapriority!
Haveproteinateverymeal,especiallyifyou
feelincreasedhungerbeforeyourinitialfillor
adjustment.
Verywellcookedvegetablesmayalsohelpyou
tofeelsatisfied

StageIV
AdvancetoStageIVashungerincreasesand
morefoodistolerated
Continuedailyvitamin&mineral
supplementation

Healthy,balancedsolidfooddietconsistingofadequateprotein,fruits,vegetablesand
wholegrains.
Tough,stringfoodsthatcanblockthestoma(ex.rawcelery,asparagusstalks,steak)
shouldbeavoided.

Yourcalorieneedswillbebasedonyour
height,weight,age,andactivitylevel

PostLABGAdjustment
~6weeksaftersurgery;then,~every6weeks
untilsatietyisreached

LABGfullliquids*(seeStageII)for2daysafterfill
AdvancetoStageIII,Week1guidelinesastoleratedandusefor45days;then,
advancetoStagesIII&VI

Whendietisadvancedtosoftsolids,pay
specialattentiontomindfuleatingandchewing
untilfoodisamushyconsistency;iffoodisnot
wellchewed,itcouldgetstuckabovestomaof
theband

Definitions
*GBPclearliquids:clear,noncarbonatedliquidswithoutcalories,sugar,orcaffeine
*GBPfullliquids:proteinrichliquidswith<5gramssugarperservings,suchas1%ornonfatmilkmixedwithwheyorsoyproteinpowder;
lactosefreemilkorsoymilkmixedwithsoyproteinpowder;lightyogurt,plainyogurt;Greekyogurt
*LABGclearliquids:clear,noncarbonatedliquidswithoutcalories,sugar,orcaffeine
*LABGfullliquids:lowsugar,lowfat,proteinrichliquidssuchas1%ornonfatmilkmixedwithwheyorsoyproteinpowder(limit20grams
proteinperserving);lactosefreemilk/soymilkwithsoyproteinpowder;blendedlightyogurt;plainyogurt

Resource:ADAGuidetoBariatricSurgery