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You may have struggled with diets, exercise regimens, and countless lifestyle changes, only to find yourself frustrated by minimal results. If obesity has affected your overall health or daily life, you might be considering a gastric sleeve as a proven way to take back control. This surgery can reduce your stomach size, allowing you to eat smaller meals and lose weight over time.

What many people don’t realize is that your success with gastric sleeve surgery doesn’t begin in the operating room: it starts with what you eat before and after the procedure. At NJ Advanced Surgical Solutions, we provide patients with the tools and guidance they need to follow effective pre- and post-op diet plans. This article will walk you through exactly what to expect.

What is a gastric sleeve?

A gastric sleeve, also known as a sleeve gastrectomy, is a surgical weight-loss procedure that reduces the size of your stomach by about 80-85%. The remaining “sleeve” resembles a tube or banana and becomes your new functional stomach. Because it holds far less food, you feel full faster, your appetite decreases, and long-term weight loss becomes achievable.

A gastric sleeve surgery is permanent: the portion of the stomach removed is gone for good. That’s why building healthy eating habits before and after surgery is essential. The procedure is a powerful tool, but your results will depend heavily on a healthy diet.

Dietary guidelines before your gastric sleeve surgery

Preparing for surgery is just as important as the recovery process. A structured pre-op diet helps you lower surgical risks, improve access to the stomach, and establish long-term habits.

Reduce carbohydrates and refined sugars

In the weeks leading up to surgery, focus on reducing your daily calorie intake, especially from simple carbohydrates such as candy, soft drinks, bread, and pasta. Cutting back on these foods reduces fat deposits around the liver, making surgery safer and more efficient.

Prioritize protein intake

Aim for at least 60 grams of protein per day. Lean sources, such as chicken, fish, eggs, and low-fat dairy, will help preserve muscle mass as you lose weight. Protein also keeps you full longer, which is essential when adjusting to smaller portions.

Incorporate healthy fats

Not all fats are bad. Foods such as salmon, nuts, seeds, and olives provide essential fatty acids that support healing and overall well-being. Limit saturated fats from oils, butter, and fried foods, and avoid trans fats altogether.

Stay hydrated

Water should be your main beverage leading up to surgery. Aim for consistent hydration throughout the day by limiting soda, alcohol, and high-calorie drinks. Proper hydration helps reduce complications and increases your energy levels.

Transition to a liquid diet before surgery

Two to three days before your procedure, you’ll typically switch to clear liquids only, such as broth, water, sugar-free gelatin, and low-calorie sports drinks. This helps cleanse your digestive system and ensures your body is ready for surgery.

Follow medication guidelines

Certain medications, such as NSAIDs, arthritis drugs, herbal supplements, and blood thinners, may need to be stopped prior to surgery. However, you must always consult your surgeon about what’s safe to continue and what must be paused.

Dietary guidelines after your gastric sleeve surgery

The post-op diet allows your stomach to heal, prevents complications, and supports your new lifestyle. The progression from liquids to solids usually takes about a month.

Week 1: Stick to clear liquids

Immediately after surgery, your diet will consist only of clear liquids, such as water, broth, and sugar-free flavored drinks. Avoid carbonation, caffeine, and anything with added sugar. This phase protects your healing stomach and keeps you hydrated.

Week 2: Move to thicker liquids

During your second week, you’ll transition to foods like protein shakes, Greek yogurt, applesauce, cream of wheat, and sugar-free puddings. These provide more nutrition while remaining gentle on your stomach.

Week 3: Introduce soft and pureed foods

By the third week, you can begin eating scrambled eggs, ground meat, cooked vegetables, beans, and soft fruits. All foods should be well-cooked or blended thoroughly to avoid strain on your healing digestive system and ensure optimal digestion.

Week 4: Reintroduce solid foods cautiously

In the fourth week, most patients can reintroduce solid foods. The focus should remain on lean protein, vegetables, and complex carbs. Certain foods, like fried items, nuts, seeds, fibrous vegetables, and full-fat dairy, should be avoided until cleared by your surgeon.

Long-term dietary habits

Even after the first month, your eating habits will determine your success. Eat slowly, chew thoroughly, and stop when you feel satisfied. Stick to small portions, prioritize protein, and limit your intake of processed foods and added sugars. Over time, you may reintroduce a wider range of foods, but your commitment to balanced eating is key to sustaining results.

Gastric sleeve surgery can be a life-changing step toward better health, but you must make dietary changes to sustain the results. By preparing your body before surgery and carefully following nutritional guidelines afterward, you’ll set the stage for safe healing and effective weight loss. At NJ Advanced Surgical Solutions, we are available to guide you and offer the expert support you need to stay on track and experience sustainable weight loss.

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