This information is designed to help you get to your goal. It doesn’t matter if you are a new post op patient, having had bariatric surgery, or if you had your surgery a long time ago and want a fresh-start to use your “tool” to get back on track and reach your goal.

Before you get started fill out this form:

Beginning Weight Loss Surgery – Form

It gives us a record of where you are right now and from that we can set your goals about results you can expect from bariatric surgery.

We have a simple philosophy: if you can measure it, then you can manage it. So this section is designed to show you how you can lose weight with a few simple changes. You will learn how to get to your goal and how to stay there. By following the guidelines and plans in this section you will be able to accurately predict when you will get to your goal. You can see if what you are doing is working for you, or not. If it is not, then you have the tools to figure out what to do to make it work, and what steps you can take to help it work better. Your body counts calories perfectly—and your weight will reflect that.

We believe strongly in personal accountability—which is why we make you commit in this section. We also believe strongly in support groups for weight loss patients. So, this section is designed so you can take it your support group every month, share with other patients and see all the changes. No support group around you? You can still find support with friends, with family—and on-line.

With this system you will learn to measure, to weigh yourself, and you will watch the patterns develop that will help you to lose weight.

Tempted to skip the exercise portion of this section? Did you know that if you walked just one mile a day for the last year you would weigh ten pounds less than you do now? Just a mile—a simple thing like that. In ten years you would weigh 100 pounds less.

Small changes, over the long run, have dramatic results. That is the long-term effect of weight loss surgery—you have a smaller stomach, or pouch, and if you use it properly it becomes a tool for future weight loss. If you have not used it properly, and are filling your pouch with high calorie items, then it you will not lose and may re-gain the weight.

One definition of insanity is the assumption that if you keep doing the same things, in the same way, that you will have a different result. Easy as it is to say you will need to change old habits, we don’t do that. Instead, we give you choices—choices that will work. It is your choice to follow these guidelines or not.

Before every weight loss surgery support group you need to do a meal plan and a diary


We are creatures of habit—so some meals we will know what the calorie count will be. But if your weight is at a plateau, then the way to see what you are doing wrong is to write it down. Your goal every month should be to write down at least one weeks worth of meals. This means all the calories you are eating, and we also want you to write down how much are you exercising.

We use rough calculations in this section but they will give you very good numbers to work with when making adjustments and choices. Machines are available to help you get complete accuracy. A scale by Tanita will help you determine your BMR more precisely and help you follow your BMI, fat mass, and lean body mass. Again, the more you measure, the better you will do. The feedback will help you.

Those scales are called body analyzers, and are expensive, but we recommend them for your support group. You can get a scale for home use that will tell you how much body fat you have. For a distributor, go to the company’s website at www.tanita. com. On a more simple level, we like pedometers a lot and strongly recommend that you get a pedometer to measure your steps. Your goal is 10,000 steps per day but more about that in later chapters.

A key to long term nutritional health is taking a set of vitamins designed for the specific needs of bariatric surgery patients. We like vitamins that supply your needs but do not contain fillers like gluten or lactose. Those fillers can cause nausea, gas, and bloating. One of the many reason we like them is because you can get them sent to you monthly and you don’t have to worry about going out and buying them.

This section is your guide to success. Enjoy the results of your hard work. Proudly share it with your support group, family and friends.