What diet do I need to follow post my Mini gastric Bypass?

For a detailed explanation, please refer to the videos explanations on the mini gastric bypass presentation page, to view click here, and there is a handout explaining the dietary changes under the Handouts and recipe page, please click here to view.

Which is the best of Multi Vitamins that I should take?
Which is the best Multi Vitamin that I should take?

In Australia there are two key brands:

  1. FitForMe.com.au,
  2. BNmulti.com

 

The key differences are:

  • Fit for me is a once day tablet
  • BNmulti is twice a day
  • Both companies  have chewable and capsule options
  • Fit For Me has removed the iron from the chewable and coated it to be absorbed lower in the intestine to reduce the chances of nausea.

To ensure you achieve your maximum nutrition, the convenience and taste of fit for me, would be ideal for you.  Both supplements can only be purchased online using the links above

When should I begin taking the Multi Vitamins?

Commence your chewable multi-vitamin when you get home from hospital. If you like the flavour continue with these on an ongoing basis. If you prefer a tasteless version, there is a capsule available that is an amazing multi-vitamin for anyone who has had weight loss surgery.

The Multi Vitamins make me feel nauseated, what should I do?

If you have just hard surgery and the supplements are causing nausea, please consider any of the suggestions below:

  • use the fit for me chewable, as it separates the iron into a very small white tablet that you swallow.  It is coated in a manner to help the iron be absorbed lower in the intestine to support, to lower the chance of nausea.
  • Break the fit for me into 2 sitting to lower the concentration
  • Ensure the multi vitamin is consumed with liquid or food, it will help reduce the impact of nausea
  • Consider swapping the chewable multi vitamin to the capsule.
  • Commence the capsule once off liquids

If you are weeks after surgery, swap from the chewable to the capsule version.  If the supplements specific for weight loss surgery still create nausea, it is best to discuss your needs with your dietitian / medical team.

Are there any food or drink that I should not consume?

Yes there are.  Due to a segment of the small intestine being bypassed, there is less intestine available to absorb the fats and sugars in food.  For this reason a number of fluids and foods need to be avoided to avoid dumping syndrome, these include:

  • Sugar drinks such as regular soft drink, fruit juices, fruit smoothies, sweet alcohol, ice poles, sorbet ice cream
  • Fatty food such as any fried food, fats on meats (red meat, pork, bacon), cakes, chocolate, biscuits, ice cream

Dumping syndrome can occur at two stages early(10-30mins post a meal)  or late( 1-3hrs post a meal) .  The symptoms include the following:

Early signs include:
  • Abdominal cramps
  • Diarrhoea minutes after eating
  • Nausea
  • Vomiting
  • Flushing
  • Dizziness
  • Rapid heart rate

 

Late symptoms include:
  • Sweating
  • Hunger
  • Low blood sugar
  • Fatigue
  • Dizziness
  • Weakness
  • Rapid heart rate

Dumping syndrome is fixed by changing the diet.  You should notice an improvement quite quickly within a few days.  If symptoms continue it is best to discuss your diet with a dietitian to review further.

Am I at risk of dumping syndrome?

Due to a segment of the small intestine being bypassed, there is less intestine available to absorb the fats and sugars in food.  For this reason a number of fluids and foods need to be avoided to avoid dumping syndrome, these include:

  • Sugar drinks such as regular soft drink, fruit juices, fruit smoothies, sweet alcohol, ice poles, sorbet ice cream
  • Fatty food such as any fried food, fats on meats (red meat, pork, bacon), cakes, chocolate, biscuits, ice cream

Dumping syndrome can occur at two stages early(10-30mins post a meal)  or late( 1-3hrs post a meal) .  The symptoms include the following:

Early signs include:
  • Abdominal cramps
  • Diarrhoea minutes after eating
  • Nausea
  • Vomiting
  • Flushing
  • Dizziness
  • Rapid heart rate

 

Late symptoms include:
  • Sweating
  • Hunger
  • Low blood sugar
  • Fatigue
  • Dizziness
  • Weakness
  • Rapid heart rate

Dumping syndrome is fixed by changing the diet.  You should notice an improvement quite quickly within a few days.  If symptoms continue it is best to discuss your diet with a dietitian to review further.

Will I be at risk of experiencing dumping syndrome for life?

No. The body is very efficient to with the desire to survive. Typically around 18months post surgery, the body absorb fatty and sugary food more efficiently and dumping syndrome typically ceases.  So this would be a perfect time frame to really work on habits to reduce cravings for these foods.  To manage non-hungry eating, please refer to the video, on the non hungry eating page, click here to view.

How long do I need to take multi vitamins for?

For life. It is absolutely crucial to avoid malnutrition.  Blood tests will confirm if any additional supplementation is required.  Do not wait to commence the supplements once you feel fatigued, you will likely be experiencing some malnutrition.  prevention is better and easier than management.

Is it ok to graze?

Immediately after surgery up to the point you are on a full diet, eating normal solid food, yes it is ok to graze.  The reason, this allows time for the swelling to reduce to allow you to eat sufficient amounts of food to be satisfied.

Long term, grazing on food between meal times from habit, boredom emotional reasons will slow down the weight loss and on some occasions, cause weight regain.

My weight loss is slow, what can I do to lose weight faster?

Everyone will lose weight at a different rate. A starting weight above 130kg will always experience a greater weight loss initially, compared to a starting weight of 100kg.  so please keep this in mind.  It is also best to not compare yourself to others, as this can create frustration and possibly derail you.  Always look at the ultimate goal, of losing your excess weight and keeping it off.  For some this does occur at a slower pace.  So what should you expect:

  • Your weight loss journey will always start from the pre surgical VLCD.  On average, you are looking at  3 to 4 kilograms weight loss per month.  Some months will be slower than others.  This is normal.  So reflect on this at the 2, up to 8 month mark as a guide.  If you weight loss stalls for two weeks, it is ok, always look at the average.
  • As you get closer to your ideal weight, your loss will always slow down.
  • At the 3 week mark post surgery, weight loss can stop. This is ok.  It will pick up again.
  • On the scales your weight will always oscillate 1/2 to 1 kilogram up and down.  This is normal.  So if you see your weight increase by 200gms, this is not weight gain.  In fact quite normal.
  • If you are a few months after surgery, and you would like to increase your weight loss, you may consider 16/8 intermittent fasting.  Click here to view more details. A food diary recording exactly what you have eaten as the day progresses will highlight if anything needs improving.
  • If you can become more physically active and incorporate some light weight as medically able would be ideal
How many calories should I am for to lose weight and keep my weight off?

1000 to 1200 calories would be a guide.  Under the Mini Gastric  Bypass Presentation, there is a video explaining this in detail.  Please click here to view.

Do I need protein powder to achieve my protein requirements?

Yes, in the early days.  The structure of the mini gastric bypass is very similar to the sleeve, expect for there is a flow through at the bottom of the tubular 1/2 cup capacity.  When the portions of a meal are contained to 1/2 cup solid food long term, then yes protein powder will be required to meet your requirements.