post op guidelines

Easyloss Virtual Gastric Band App Post Op Guidelines

Your Easyloss Virtual Gastric Band will help to limit how much food your stomach pouch can contain, (remember, your pouch is about the same size as a golf ball and you must adjust your portion sizes accordingly).  You are 100% in control of every eating decision you make. You need to follow a healthy eating plan if you are going to get the best results from your Easyloss Virtual Gastric Band Surgery. You can ‘over ride’ Your Easyloss Virtual Gastric Band if you choose to, but this does seem pointless when you have followed the whole programme so well and have already achieved a significant weight loss.

You have taken the major step of virtual surgery to control your obesity. Take care not to over eat by taking in too many liquid calories (e.g. sugary drinks, alcohol) and melting foods such as chocolate and ice–cream. These are easy to eat with a virtual gastric band but if you eat too much of these types of foods you will find it more difficult to lose your unwanted weight.

The first six weeks

You are now ready to continue on your weight loss journey with this long term eating plan.

Remember, you are not just eating small amounts to reduce your calorie intake and lose weight, but you are aiming for a healthy nutritious way of eating for the rest of your days as well.

Everyone differs in the foods that are healthiest for them, but there are six ‘Easyloss’ guidelines to follow if you are to gain the greatest benefit from your virtual gastric band:

1. Eat a minimum of three meals per day – the new golf ball sized pouch at the top of your stomach empties slowly throughout the day and you should be satisfied eating three meals a day without getting hungry in between meals. Beware not to develop a ‘grazing’ eating pattern by taking lots of small snacks throughout the day. Occasionally you may find that four or five smaller meals per day suits you better. If you do feel hungry between meals remember to always have a glass of water instead of a snack.

2. Eat healthy, solid food – By eating nutritious healthy food you will be less likely to end up eating more than you need over the course of the day. Many soft foods or liquid foods are higher in fat or carbohydrates and you may be taking in more calories than you should if you are eating large quantities of these types of food.  You may then find your weight loss slowing down or even stopping. Choose solid foods without lots of sauce (e.g. small meal of chicken and vegetables). You will eat less overall and stay satisfied for longer.

3. Eat slowly and stop as soon as you even think you are no longer hungry – Most obese people eat their meals far too quickly and have over eaten before they recognise the signal that they are no longer hungry.  You need to be aware that overeating may result in some harmless but never the less uncomfortable sensations around your stomach area. Take tiny bites (cut meat up to the size of a pencil–top rubber) and chew each piece 10–25 times. If at any time while you are eating your meal you start to feel tightness in your chest or stomach just stop eating and if you are hungry again a few minutes later, have a little more.

4. Do not eat between meals – You will not need to eat between meals because of hunger if you are eating three or four sensible small meals per day.

5. Do not drink at meal times – Liquids speed up the passage of food through the golf ball sized pouch of your stomach and ruin the beneficial effect of slowly emptying food from your new stomach pouch. If you have a drink immediately before your meal you may also find that your stomach pouch is still full and you are unable to eat sufficient amounts of nutritious food at your mealtimes. Avoid fluids half an hour before your meals, and for one hour afterwards.

6. All drinks should be zero calories – As liquids pass through your stomach so easily, calorie laden drinks, including alcohol, will simply add unwanted, unnecessary calories to your daily intake. Women need calcium, and this can be obtained from skimmed milk, but avoid juice, fizzy drinks (the gas can also cause discomfort for some people), squashes and milkshakes.

A healthy diet

There are five main food groups and a healthy diet comprises a mix of these:

1. Protein foods – such as meat, fish, eggs, beans – include 2–3 60–90g (2–3oz) portions per day. Be careful to chew meat, chicken and fish up thoroughly before you swallow – the recommended bite size is the size of a pencil–tip rubber.

2. Milk and dairy – choose low–fat cheese and limit amount to 30–60g (1–2 oz). Choose skimmed milk and low fat yogurt varieties.

3. Fruit and vegetables – try to make sure that you have 4–5 portions per day. A small glassful of unsweetened fruit juice counts as one portion. Salads tend to be easily digested by most people with Easyloss Virtual Gastric Bands, and vegetables are filling as well as nutritious.

4.Carbohydrates – bread, potatoes and cereals. For some people with Easyloss Virtual Gastric Bands, this food group may be harder to digest so you may develop an in–built mechanism to reduce your carbohydrate intake! Replace soft bread in your daily food intake with granary or wholemeal or crisp breads which are more easily digestible. One small portion of 60–90g (2–3oz) at each meal will be fine.

5. Fats and sugary foods – use a small amount of olive oil for cooking and if you are honestly still hungry after your meal replace a high calorie dessert with a low fat yogurt or piece of fruit. As mentioned before, beware of the soft, calorie–laden foods such as chocolate, sweets or ice cream.

Problem foods

Some foods may not be tolerated very well immediately after your ‘Easyloss Virtual Gastric Band’ procedure. This again is very individual and some foods cause a problem for one person, but not the next. Some vegetables and fruits that contain stringy fibres are particularly prone to be problematic.

Asparagus – cut up very small or blend into soup

Pineapple – juice is ok, fruit may be difficult to digest

Rhubarb – cut up very small or puree

Broccoli – the stalks may be problematic

Dried fruits – may swell inside you and should be avoided for the first few weeks

Oranges – juice ok, flesh may be problematic

Meat – needs to chopped very small and chewed thoroughly

Foods such as coconut, crisps and soft white bread are sticky and can be difficult to digest.

Nuts (such as peanuts, almonds, walnuts) and popcorn may also cause obstruction unless they are well chewed to a paste, and are probably best avoided for the first few weeks.

For best, quickest weight loss results

Limit or avoid the following foods:

High calorie drinks (full milk, milkshakes, alcohol, fruit squashes, and juices)

Cakes, biscuits and desserts

Cereals with added sugar

Fats and fatty foods – butter, oils, snacks foods (crisps, peanuts), chips

Creamy soups

Multivitamins after a gastric band

You do not have altered absorption of nutrients so if you are following a healthy eating plan, you should not become deficient in any vitamins or minerals. You will get most of your calcium requirements if you have three portions of dairy food in your diet each day (one portion = 1/3 pt. milk, a matchbox-size piece of cheese or 1 pot yogurt).

Whilst you are losing weight, you might like to take one multivitamin tablet daily but this is a matter of individual choice– choose one that can be broken up into smaller pieces to swallow so that it does not cause you discomfort. Most major multivitamin brands are suitable but avoid the capsule formulations.