You're joking right?
If ANY of what you just said is true, YOU are failing yourself, not the surgery failing you.

Get on track now before you do damage.
Didn't your doctor give you guidelines to follow?  Measure your food!

I really hope that you have talked to your dietician or surgeon's office by now. Eating like this can cause all kinds of medical problems for you. I will always remember my 11 year old daughter telling me, "Mom, this surgery is just a tool. You still have to do your part to make it work." I really hope maybe you mislaid your after surgery diet instructions.

 I think this person'spost is a farce! I am still in the research phase and know better tthan to do what she/he did!!

Not necessarily....many come off the table not knowing anything. 

 Do you think maybe you could plan intake in the morning or the evening before?  The RNY rules are actually pretty simple at their heart.

In the first month, you are usually on some kind of restricted diet, with progressions between clear liquids, full liquids, soft and pureed foods, and gradual introduction of normal foods.  Your surgeon should have given you this information, so I'll refer you to him/her for that information.  The rest of the rules are fairly universal (with small tweaks made by your surgeon):

1)  Do not eat and drink at the same time.  Stop eating at least 10-15 minutes before eating and don't start drinking again until about 30 minutes after you eat.  
2)  Your pouch can handle maybe 1/4-1/2 cup of food at a time.  Measure your foods in order to ensure that you don't eat too much, because that will cause you to vomit.  If you are lucky enough not to vomit, you could damage pouch.
3)  Use very small bites and chew solid food at least 25-30 times before you swallow.  Some people use baby silverware to do this.  I just use a salad fork and try to think consciously.
4)  Most surgeons require between 45-60 grams of protein a day minimum.  Many members on this board who are successful find they feel best with protein closer to 100 grams.  This is hard to get in.  Most people need to take a protein supplement.   You definitely should be focusing on eating protein first, green leafy vegetables second, and everything else as you have room (and you shouldn't have room for anything else for quite some time).
5)  You need to get in 48-64 ounces of fluid a day.  These fluids are important for any number of reasons, and you should be carrying a drink with you at all times.  No carbonated beverages for a few months at least; caffeine is not considered healthy early on; and absolutely no alcohol for the first six months at least.
6)  You must take your vitamin supplements.  You will never absord vitamins and minerals as you used to.  

If you know about these rules and were given a post-surgery diet, you need to review them, and simply do it.  Many of us struggle with following these rules, but apparently, you are blessed with the ability to follow them with little stomach upset (at least after the first few days of vomiting, which might have been a sign that you were abusing your pouch rules).

If you didn't know these rules, you need to find a nutritionist who knows something about RNY, because otherwise, you will cause serious damage to your pouch, and it's not just a matter of not losing weight--you could die from complications from this surgery.

Please let us know what happens.  I intend to worry about you at least until I know that you have the information you need to be successful.

  In less than one minute, I found your surgeons website that has a wealth of information about you "PLAN".  Here you go wife of MD and medical professionl:

Nutrition

---

Pre-Surgery Diet (start 2 weeks before surgery)

 

1. Choose low-fat foods, and avoid fried foods.

2. Stop using sugar. Use sugar substitutes such as Sweet & low, Equal, or Splenda.

3. Decrease intake of desserts and candy.

4. Stop drinking sugar-sweetened beverages such as regular soda and sweetened

Kool-Aid.

5. Start weaning off of caffeine and carbonated beverages.

6. Start cutting back on fast food and eating out. Begin making healthy meal

choices when eating out and at home.

7. Eat 3 meals a day. Do not skip breakfast.

8. Start decreasing portion sizes.

9. Eat more fruits and vegetables.

10. Practice drinking water and other fluids between meals, not with meals.

11. Drink 64 ounces water a day.

12. Practice sipping liquids.

13. Avoid alcohol.

14. Begin some form of exercise.

15. Review the following information on the gastric sleeve diet.

16. Practice chewing foods thoroughly, 20 - 40 times or to paste consistency.

17. Purchase your protein drinks or supplements.

18. Purchase your vitamin and mineral supplements.

19. Begin planning a schedule for mealtime, fluids and vitamin and mineral

supplements.

 

Post –Operative Diet Guidelines

 

1. Eat 3 meals per day. Avoid snacking and grazing.

2. Eat small amounts. Initial portion size should be no more than 1 - 2 ounces -

approximately 2 - 4 Tablespoons - of food per meal for the first month. At first you

may not be able to tolerate this amount. Over time, you will slowly tolerate more

volume at each meal. Long term, the stomach will eventually hold about 4 - 8

ounces (1/2 - 1 cup) of food per meal.

3. Eat protein foods first.

4. Do not try to eat food and drink liquid together.

• Consume liquid 30 to 60 minutes before and/or 30 to 60 minutes after

eating meals but not during meals.

5. You are required to take a multi-vitamin with minerals for the rest of your life.

6. Eat slowly!

• Each meal should last 30minutes or longer.

• Avoid gulping foods and drinks.

• All foods must be well-chewed to a paste consistency.

• Using a small fork or spoon (i.e. baby utensils) can help control portion sizes.

• Have one place to eat (such as at the table) and avoid reading or watching TV

while you eat. This helps you to enjoy your food, concentrate on eating slower

and to realize when your stomach is full.

7. Drink plenty of calorie-free, non-carbonated, caffeine- free fluids between

meals.

• Drink slowly-sip fluids, never gulp.

• Calorie-containing beverages should be limited to skim milk and protein drinks.

• Limit juice to no more than 4oz. per day.

• Consume zero-calorie beverages throughout the day.

 

Diet Progression After Surgery

The diet after surgery progresses through several stages. Dr Shillingford will

let you know when it is okay to progress to the next stage.

 

Day 1 - 2 after surgery:

Clear Liquid Diet

The clear liquid diet means fluids or foods that are liquid at body temperature and can

almost be seen through. You will be on a clear liquid diet while you’re in the hospital.

Examples of Clear Liquid Diet (No Added Sugar/ Sugar Free):

• Clear (diluted) fruit juices without added sugar: apple, grape or white grape or

diet cranberry

• Sugar-free Crystal Light drink mix or popsicles, Sugar-free Kool-Aid

• Herbal tea, caffeine-free tea

• flat soda

• Sugar-free Popsicles

• Sugar-free gelatin

• Clear broth

• Water

      It is best to dilute juices by 50% with water.

      Avoid citrus juices (orange/grapefruit) and tomato juice for the first three weeks.

      Coffee and de-caffeinated coffee contain acids which are irritating to the stomach

lining and should be avoided for the first few weeks for healing.

 

Day 3 through Day4:

Full Liquid Diet

The next stage is the full liquid diet which consists of sugar-free, low-fat milk products and

the clear liquids listed above. You will need to supplement with protein (drinks or

powder) after surgery. Remember to sip liquids, do not gulp.

Examples of Full Liquid Diet (No Added Sugar/Sugar-Free, Low Fat):

• Skim Milk or Lactaid milk

• Soy Milk (non-fat)

• Low fat, thin, strained cream soup (smooth, no pieces of food)

• Sugar-free instant breakfast

• Protein drinks – Start daily when you get home from the hospital. (See section on

protein and protein drinks)

• Plain or “light" (no sugar added) yogurt with no fruit pieces

• Sugar-free pudding or custard

• Thinned cream of wheat or rice cereal

 

Day 5 through Week 3:

Pureed Diet

You may now begin a pureed diet. This includes all items listed for clear and full liquids,

and the items listed for the pureed (blenderized) diet.

• Eat PROTEIN foods first

• Make sure foods are well blended.

• Start slowly. If you do not tolerate pureed foods go back to the liquid diet and try

again in a few days.

• Remember to drink liquids between meals, not with meals.

• Continue protein drinks or protein supplements every day.

Examples for the Pureed Diet (Sugar-Free/No Sugar Added, Low Fat):

Eggs

Cheese

Pureed or blenderized scrambled eggs or egg substitute or cheese

omelet; melted low-fat cheese, low-fat or non-fat cream cheese,

ricotta cheese, very smooth/mashed soft cheese such as mozzarella,

string cheese, low-fat or non-fat smooth or small curd cottage cheese

Meat, Fish,

Poultry,

Baby food meat or pureed meat or poultry moistened with broth or

low-fat gravy

Blenderized shrimp, scallops or fish

Pureed tuna or salmon (canned in water) or pureed egg salad with

low-fat or non-fat mayonnaise

Potted meats thinned with broth; smooth deviled ham

Starches Unsweetened instant oatmeal (strained), cream of wheat or rice

cereal, mashed potatoes or sweet potatoes, smooth polenta, hummus,

refried beans; low-fat or baked crackers or chips

Vegetables Baby food vegetables or pureed cooked vegetables (no corn or peas)

Mashed winter squash, tomato juice or sauce, pureed salsa, marinara

Soup Strained, low-fat cream soup made with skim milk; fat-free broth

Blenderized lentil or split pea soup or chili

Fruit Baby food fruits (bananas, pears, applesauce, peaches, mango, etc)

Unsweetened applesauce (smooth)

Unsweetened canned fruit – blenderized

Unsweetened fruit juice (diluted, no sugar added)

Remember: IF YOU CAN CHEW IT, DON’T DO IT!

 

Tips to Get Started

Everything that you eat on the pureed diet should be sugar-free or no sugar added, low fat

and blended to the consistency of baby food or smooth applesauce.

• You will need a blender or food processor or you can purchase baby food.

• Start with 1 ounce (2 Tablespoon) portions - no more than 4 Tablespoons at the

most. Listen to your body and stop eating as soon as you feel full.

• Eat protein foods first. Then if you are not too full, try vegetables or fruits.

• Continue protein supplements (80 g protein per day from supplement).

Helpful Hints for Blenderizing

• Cut foods into small pieces before putting into the blender or food processor.

• Remove seeds, skins and fat.

• Add liquid for ease of blending. Add enough liquid to cover the blades. Options

include skim milk, broth, strained low-fat cream soup, low-fat gravy, low-fat or

non-fat sour cream or fat-free half & half.

• Blend the item to a smooth, applesauce consistency.

• Make sure there are no particles, seeds or lumps remaining. If so put through a

sieve or strainer.

• If you have leftover blenderized foods, try freezing in single serving portions in ice

cube trays and put the frozen cubes into plastic freezer bags.

Meats – Very lean and dry meats puree better by adding a small amount of fat (margarine,

oil, light mayonnaise, gravy, etc.) Fish also tends to be dry. Improve the texture by adding

small amount of lemon juice, light mayonnaise or strained low-fat tartar sauce.

Starches – Try pureed peas, canned beans, sweet potatoes. Starches puree better when

hot. Rice and potatoes tend to puree into a gummy paste and are not recommended.

Substitute cream of rice cereal prepared with a flavorful broth and seasoned with

margarine. Pasta or noodles are not recommended as they are not well-tolerated.

Vegetables – Cook vegetables until soft. If using canned vegetables, drain first. Add

melted margarine and puree. Add a small amount of liquid until it reaches the smooth

applesauce consistency.

Fruit – If using canned fruit, drain first. Add a few drops of lemon juice to help prevent

them from discoloring.

Begin to take advantage of your favorite leftovers before surgery. Process these foods, and

freeze them in an ice cube tray. (Each cube is approximately 1/2 to 1 ounce). When

frozen, pop out into Zip-lock bag; label and date, and freeze cubes until needed.

 

Meal Guidelines for the Pureed Diet

(See Sample Pureed Meals listed in the Appendix)

Once you begin to eat pureed foods (which are considered solids) you will want to start

differentiating between liquids and solids – meals should include pureed foods, and so

liquids (including protein drinks) should be taken separately from your meals.

• You should eat 3 meals a day with protein drinks between meals.

• Protein drinks containing at least 20 grams of protein per serving should be

consumed as needed to meet 80 g/day goal.

• Start with a portion size of 1 to 2 tablespoons of pureed food for the first month.

At first you may not be able to tolerate this amount. Eat your protein source first, and then

if you have room a small amount of fruit, vegetables or other foods may be consumed.

Hints for Measuring Foods: Liquids or soft/pureed foods are best measured in

measuring cups or spoons; they can be measured in ounces, Tablespoons or mls.

1 cup 8 fluid ounces 240 ml 16 tablespoons

3/4 cup 6 fluid ounces 180 ml 12 tablespoons

1/2 cup 4 fluid ounces 120 ml 8 tablespoons

1/4 cup 2 fluid ounces 60 ml 4 tablespoons

1/8 cup 1 fluid ounce 30 ml 2 tablespoons

1 Tablespoon = 3 teaspoons

1/2 Tablespoon = 1-1/2 teaspoons

 

Week 4-8 After Surgery:

Soft Solid Food Diet

If you have been tolerating pureed foods, you may now begin a soft diet. This includes all

items listed for clear and full liquids and pureed diets plus items listed for the soft diet.

Try 1 to 2 new foods a day. This will help you to learn what foods you tolerate.

• Remember your stomach pouch empties more slowly with more solid or dense

foods than with liquids, so you will be able to tolerate a smaller quantity of food

than you could with liquids.

• Go slowly. If you do not tolerate the trial of soft foods, resume pureed foods and

try again in a week.

• Eat protein foods first

• Avoid foods high in sugar and fat.

• Space meals 4-5 hours apart

• Continue your protein drinks between meals

• Drink other fluids constantly between meals

 

Examples of Soft Diet (No Added Sugar/Sugar-Free, Low Fat):

• Baked fish (no bones)

• Imitation crab meat, baby shrimp

• Bananas

• Canned peaches or pears in water or juice

• Well-cooked vegetables without seeds or skin (no corn or peas)

• Scrambled, poached or hard boiled eggs

• Tuna or egg salad (no onions, celery, pimientos, etc.)

• Finely shaved deli meat

• Baked, grilled or rotisserie chicken

o Moist foods will be better tolerated. Moisten meats with broth, low fat

mayonnaise, or low-fat gravy or sauce.

o Fish and seafood proteins are softer and easier to break down than poultry

or red meat proteins.

o Reheating foods tends to make them dry out and hard to tolerate.

Common Problem Foods

(Avoid for 3 months after surgery)

• Red meat such as steak, roast beef, pork. Red meat is high in muscle fiber, which is

 Wow.  So much for her claim that this is a surgeon that provides no instructions and no post-op eating plan! 

Lora