General lifestyle changes for Gastric Sleeve surgery. These are lifetime changes that are good to start as far before having surgery as you can, so you can master them and avoid discomfort.

  • Quit drinking carbonated beverages
  • Start cutting your food into small pieces
  • Stop taking Herbal Supplements (unless directed by your medical doctor)
  • Start attending Dr. Simpson’s weight loss surgery support events
  • Learn not to drink with meals. Stop drinking 30 minutes before eating. Don’t drink until 30 minutes have passed after eating.
  • Start exercising. Talk to your doctor about it first.

Exercise is a dirty word to many of our patients – physical inactivity is a common trait in overweight people. Activity monitors are great motivators and the ultimate measurement tools for people that need it. They just might be the perfect answer for you.

Learn  About Activity Monitors

Two weeks prior to your bariatric procedure – lose weight/shrink the liver

The simple reason for losing weight and reducing the liver’s size is to make more room within your body. More room to work makes things easier to see and do – so the procedure is made as safe as possible.

To lose weight try and eat like you’ve already had the procedure – 10 ounces of food per meal 3 times a day. 4 ounces of your meal should be protein and 6 ounces vegetables or low glycemic fruit.

Using protein drinks as a meal replacement helps to lose weight quickly. We are partial to ViSalus protein and vitamin supplement shake mix. But you may use other high quality protein. We have found that better protein mixes are more digestible and are less irritating to the stomach because they are easier to digest.

Be sure to eat  low glycemic carbs. In short, eat your vegetables and some fruit. Avoid High Glycemic foods such as potatoes, rice and those made with white flour.

Avoid liquid calories – to lose weight soda pop and sugar drinks must be avoided for the rest of your life.

One week prior to your bariatric procedure

Do not take most nonsteroidal antiinflammatory drugs (NSAIDs) and all blood thinners:

NSAIDs – cause stomach irritation (examples)
Aspirin Made by several companies
Ibuprofen Motrin®, Advil®, Motrin IB®
Naproxen Naprosyn®, Aleve®
Nabumetone Relafen®
Blood thinners – can cause more bleeding after surgery (examples)
Warfarin Sodium Coumadin
Clopidogrel Bisulfate Plavix
Heparin
dabigatran Pradaxa
rivaroxaban Xarelto
apixaban Eliquis

 We will review your medications and may instruct you to change or stop taking some of them

One day prior to the procedure – clear liquid diet

NO SOLID FOOD! Things you can have include:

  • Clear fruit juice (NO PULP)
  • Clear broth (beef, chicken and vegetable)
  • Jell-O
  • Popsicles
  • Flavored water

The day of your bariatric procedure

We will call you and tell you when and where you need to go for procedure. We use outpatient facilities and hospitals depending on your age and health.

  • Stop taking diabetes medications. But continue to check your sugar. If your sugar increases above 150 call your primary care physician.
  • Bring a picture ID and/or driver’s license with you to the surgical facility.
  • You will need to remove your clothes and put on a patient gown and booties.

If you take any medications the morning of your procedure, please tell the nurse

  • You may be required to take medications.
  • Anesthesia will be applied.