Roadmap for Adopting Healthy Eating Habits after Bariatric Surgery

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Bariatric surgery is an effective method in the treatment of obesity. However, adopting healthy eating habits after surgery is critical for successful recovery and permanent weight loss. Here is a roadmap for adopting healthy eating habits for the first weeks, first months and first year after bariatric surgery:

  1. First Weeks (1-2 weeks after surgery)
    • Diet Order
      • Liquid Diet: In the first week after the operation, transition to a liquid diet is made. Water, soup, yoghurt and liquids containing protein (protein shakes) should be preferred.
      • Eating slowly: Eating slowly while consuming liquid food facilitates digestion and does not strain the stomach.
    • Portion Control
      • Small Portions: It is important to drink small amounts of fluids due to the reduced stomach volume. Care should be taken to eat little but often, 5-6 times a day.
    • Liquid Consumption
      • Daily fluid intake: Drinking at least 1.5-2 litres of fluid per day prevents thirst. Fluid intake with meals should be avoided.
  2. First Month (3-4 weeks after surgery)
    • Dietary Pattern
      • Transition to Solid Foods: After the first two weeks, solid foods can be introduced. Pureed vegetables, soft fruits and high-protein foods (chicken, fish) should be introduced gradually.
      • Emphasis on Protein Intake: Protein-containing foods should be preferred to increase daily protein intake.
    • Coping with Emotional Eating
      • Monitoring Emotional States: It is important to observe emotional states to control emotional eating habits. Healthy snacks should be preferred in times of stress or anxiety.
    • Regular Meals
      • Meal Planning: Three main meals and snacks should be planned every day. Avoiding skipping meals helps to keep blood sugar in balance.
  3. First Year (6-12 months after surgery)
    • Dietary pattern
      Balanced and varied diet: Vegetables, fruits, whole grains and healthy fats (olive oil, avocado) should form the basis of the diet. Colourful vegetables and fruits increase vitamin and mineral intake. Try New Foods Gradually: As the digestive system improves in the first six months, new foods can be introduced gradually. The body’s reaction to each new food should be observed.
    • Vitamin and Mineral Supplements
      Supplement Use: As nutrient absorption may be reduced after surgery, it is important to take vitamin and mineral supplements on doctor’s advice. Deficiencies of B12, iron, calcium and vitamin D are particularly common.
    • Physical Activity
      Exercise Programme: Starting regular physical activity in the first year supports weight loss and improves overall health. Walking, swimming or sports are recommended with the doctor’s approval.
    • Psychological Support
      Emotional Health: Adopting healthy eating habits after bariatric surgery sometimes requires facing emotional challenges. Receiving psychological support and participating in support groups can facilitate this process.
    • Conclusion
      Adopting healthy eating habits after bariatric surgery not only supports weight loss, but also improves overall health. This roadmap includes key points that patients should consider in the postoperative period. Working with a dietitian to create a personalised nutrition plan is key to achieving a successful outcome. It is important to remember that bariatric surgery is just the beginning, with real success achieved through healthy lifestyle changes.