Some patients will be prescribed a pre-operative diet to help shrink the liver. Any patient with a BMI greater than 50 or a history of "fatty liver" will be required to be on the following diet for two weeks. Shrinking the size of your liver causes the operation to be safer. If your liver is found to have too much fat in it, we will reschedule your surgery until the fat content is reduced by applying this diet program.
Lap-band pre-surgical diet instructions
UNJURY is available
from our office
Drink 4 servings of UNJURY each day. Where milk is well-tolerated (soy or lactose-free milk may be substituted) it is recommended that two servings of UNJURY are mixed with milk, the other two with non-milk beverages as shown in Mixing Ideas below.
- Include at least 6 servings each day from the food list below.
- Drink water or sugar-free beverages as needed during the day.
- Add an additional serving from the food list for each serving of UNJURY when milk is not used as in the meal plan example below.
- Consult your dietitian or physician for fiber recommendations.
*Digestive problems including gas, bloating and diarrhea may be due to lactose intolerance.
UNJURY is a great-tasting protein supplement powder delivering very high quality protein to anyone who needs more protein - including bariatric patients.
UNJURY Mixing Ideas
With milk
- Add 1 scoop of Chocolate or Vanilla UNJURY to 8 ounces of skim milk . For lactose intolerance, use soy or Lactaid milk. Shake or stir for 15-20 seconds. Contains 180 calories and 28 grams of protein.
Non-milk
- Add1 scoop of Unflavored UNJURY to 8 ounces of fruit flavored Crystal Light Orange, Raspberry or other fruit flavor. Shake or stir for 15-20 seconds. 80 calories & 20 grams of protein per serving.
- Add 1 serving of Strawberry Sorbet UNJURY to 8 ounces of water or Crystal Light lemonade. Shake or stir for 15-20 seconds. 100 calories & 20 grams of protein.
- Add 1 scoop of Chicken Broth Flavor UNJURY in 8 ounces of warm water (not hot) approximately 130 degrees. Stir until dissolved. 100 calories and 21 grams of protein.
Food List
- ½ cup unsweetened applesauce
- 1 cup sugar-free pudding or UNJURY Hi-Protein Pudding
- 1 cup sugar-free Jell-O or UNJURY Hi-Protein Jell-O
- 6 ounces Dannon Light N Fit yogurt or sugar-free yogurt
- ½ cup cream of wheat or oatmeal
- 1 cup Tomato or V-8 Juice
- ½ cup low fat (1%) cottage cheese
- Fat free raw vegetables as allowed by your Dietitian
Meal Plan Example* | |
| Morning meal | 1 Serving of UNJURY Protein mixed with skim milk ½ cup cream of wheat or oatmeal 1 cup V-8 or tomato juice |
| Snack | ½ cup sugar-free pudding |
| Midday meal | 1 Serving of UNJURY Unflavored Protein mixed with 8 ounces of Crystal Light. 6 ounces of Dannon Light N Fit yogurt |
| Snack | ½ cup cottage cheese |
| Evening meal | 1 Serving of UNJURY Chicken Broth Flavor mixed with warm water 1 cup V-8 or tomato juice ½ cup unsweetened applesauce |
| Bedtime snack | 1 Serving of UNJURY Protein mixed with skim milk 6 ounces of Dannon Light N Fit yogurt |
Nutritional Information based on meal plan example | |
| Total calories | 1015 per day |
| Total protein | 128 grams per day (may be lower if milk is not used) |
| Total carbohydrates | 119 grams per day |
UNJURY Pre-Surgical Diet protein cost per day | |
| UNJURY | $5.00 |
*This diet does not meet adequate daily requirements of vitamins and minerals. We recommend a multi-vitamin daily. If milk intake is limited, Calcium supplementation is recommended.
References
Colles, SL, Dixon JB, Marks P, et al. Preoperative weight loss with a very-low-energy diet: quantitation of changes in liver and abdominal fat by serial imaging. Am J Clin Nutr 2006;84:304-11.
Fris, RJ. Preoperative Low Energy Diet Diminishes Liver Size. Obesity Surgery. 2004;14:1165-1170.
