Hi everyone,
I just wanted to post the diet sheet i was given to see if everyone has the same, hope you dont mind as it quite long
General Dietary Advice
Initially a meal will initially consist of 2-3 tablespoons of pureed foods (see menu plan, stage 2).
If you get acid reflux or bloating, stop eating.
Avoid all fizzy drinks as this will increase the acid and make you feel bloated.
Eat slowly.
Cut food into small pieces.
Chew all your foods well.
Avoid snacking in-between meals, this will slow your weight loss and possibly increase your appetite.
Avoid going back to meals once you feel full.
Stop eating as soon as you feel full, otherwise you may be sick.
Take fluid half an hour before and after meals, avoid taking food and fluid together, as this may make you sick.
Aim for at least 2 litres (8 cups) of low calorie fluid per day.
Choose low sugar/reduced sugar or diet, non fizzy drinks.
Use artificial sweeteners rather than sugar.
Choose low fat foods (3g per 100g or 3% fat).
· You may find it more convenient to freeze meals in ice cube containers, so that meals can be prepared quickly and food is not wasted.
Cooking Methods
It is important to consider the cooking methods that you use to reduce your fat and calorie intake. Avoid frying and roasting. Grill, bake, microwave, stew, poach, boil, and steam instead.
Fat
Fat is a very concentrated source of calories and can be difficult to digest after the gastric balloon. Fat can delay stomach emptying and lead to heartburn. Eating these foods will also slow your weight loss.
High fat foods to avoid are: -
Fatty meats/products such as sausages, pate, corned beef, bacon, scotch eggs, quiche and burgers
Mayonnaise
Salad dressings
Whole milk
Condensed milk
Evaporated milk
Cream
Butter/margarine/lard/dripping/oil
Full fat cheese
Full fat yoghurts
Biscuits
Cake
Crisps
Chips
Nuts
Pastries
The Gastric Balloon Diet
There are four stages to the gastric balloon diet
Fluids only
Smooth, pureed diet
Soft, mushy, crispy diet
Normal textured diet
The exact time of progressing to the next stage varies between individuals. It is important to ensure that you do not rush each stage and move on before you are ready. You are less likely to have problems if you begin carefully.
If you are sick, one or more of the following may have occurred:-
1. You ate too much
The texture of the food was unsuitable
You ate too quickly
You had fluid and food close together
Stage One –Fluids
You will be able to begin taking clear fluids after the balloon has been placed into your stomach. You will start with sips of water and then gradually build up to small, slow, frequent sips of fluids.
It is important that you drink plenty of fluid (at least two litres per day) to ensure that you do not become dehydrated and/or constipated.
Fluids to choose are: -
Water
Low calorie/reduced sugar/no added sugar squash
Non fizzy diet drinks
Tea
Herbal tea
Coffee
Semi skimmed or skimmed milk
Diluted fruit juice (half water and half fruit juice)
Smooth thin/strained soup
Thin fruit smoothies
Meal replacements such as Slim fast, Build up or Complan
You should avoid high calorie/sugary drinks such ordinary fizzy drinks, squashes, cordials, whole milk, drinking chocolate and malted drinks.
Avoid fizzy drinks as they may make you feel bloated and can cause acid.
Once you can tolerate small sips of fluids, then you will move onto stage two.
Stage Two –Low Calorie Liquids/Smooth Pureed Foods
This stage should be followed for between two and six weeks after the balloon has been placed.
Eat slowly, as soon as you feel full, stop eating, as you may be sick. In time,
you will be able to recognise your tolerance level to food and fluid.
The stage two meal plan gives you an idea of the portion sizes that you should eat. If you eat or drink slightly too much you are likely to have discomfort and be sick.
The pureed stage should always have a sauce or gravy to ensure that the pureed food is a smooth custard consistency.
Meal Plan for Stage Two- Liquid/Smooth Pureed Diet
Breakfast
2 tbsp Weetabix/porridge or ready brek with plenty of semi skimmed or skimmed milk made to a very runny/liquid consistency or
1 very soft cooked scrambled egg
In-between Meals
Low calorie fluids (sipped slowly)
Lunch/ Evening Meal
200mls soup (avoid cream of) or
25g (1oz) pureed meat such as chicken and turkey or
25g (1oz) pureed tender fish such as haddock, cod or plaice or
25g (1oz) pureed tinned fish in water, tomato sauce or brine such as salmon, tuna, mackerel, pilchards or
50g (2oz) smooth soft meat/fish/vegetable pate/paste or
1 very soft cooked scrambled egg or
1oz (25g) light cream cheese into hot pureed potato or
1oz (25g) grated reduced fat cheese mixed into hot food such as pureed potato or
50g (2oz) plain low fat pureed cottage cheese and
1 tbsp pureed soft mashed potato with
1 tbsp pureed vegetables such as carrots/cauliflower/broccoli
Or
1 diet/light smooth yoghurt or
1 fromage frais or
3 tbsp smooth low fat custard or
3 tbsp light smooth mousse made with semi skimmed/skimmed milk or
3 tbsp milky pudding such as tapioca, sago, and rice pudding or
3 tbsp pureed/stewed fruit
Only move onto stage three, when you can manage more than a tea plate sized portion of the pureed food and these foods do not cause vomiting or indigestion.
Stage Three -Soft and Mushy/Crispy Foods
You should continue to choose the foods from stage two (pureed), but slowly introduce and replace them with more texture and variety. Begin with 2-3 tablespoons for a meal and gradually increase your portion size to no more than a tea plate.
Crispy foods are foods, which will fall to bits in water, such as melba toast, crisp breads and bread sticks. They are not the same as crunchy foods such as raw vegetables and salad. Crunchy foods are likely to cause problems if eaten at this stage.
Foods to try and introduce are: -
Casserole/stew/hot pot
Tinned meat particularly in sauce such as chicken, ham, stewed steak, and pork
Wafer thin ham, chicken or pork.
Shepherds’ pie and fish pie.
Tinned fish such as sardines and mackerel in tomato sauce.
Tinned tuna/salmon in reduced fat mayonnaise or salad cream.
Soft plain omelette
1 Soft-boiled egg
2- 3 tbsp baked beans, lentils and peas
Tinned pasta in sauce such as ravioli, macaroni cheese, and spaghetti.
Spaghetti bolognaise chilli con carne (without kidney beans).
Jacket potato (avoid skin)
Cous cous with tomato based sauce.
Ratatouille
2 tbsp tinned or softly cooked vegetables such as carrots, cauliflower, broccoli
1-2 bread sticks/melba toast/cracker/crisp bread/1/2 slice of wholemeal toast (without crust) with low fat spread/light cream cheese/pate/paste
Tinned fruit such as peaches, pears, mandarins
Soft fruits such as raspberries, strawberries, mango, melon, kiwi, banana
Only when you are able to tolerate a variety of foods from stage three and a tea plate sized portion, should you then move onto stage four
Stage Four – Normal Gastric Balloon Diet
Approximately 8-16 weeks after the gastric balloon has been placed, you should be able to begin to eat a variety of solid food, within a tea plate sized portion.
It is important to start meals with high protein foods, such as meat, fish, eggs, Quorn, Tofu, soft beans and cheese, to ensure that you have an adequate daily protein intake.
Aim to have a good variety of high protein, low fat and low sugar foods in your diet.
Aim for 3 tea plate size meals per day. Avoid going back to meals once you feel full. Avoid missing meals, as this may also slow your weight loss.
Do not snack in-between your meals, as this will slow your weight loss.
Foods to include are: -
Soft meat such as chicken, turkey, pork, and beef cut up into very small pieces (1cm squares) and chewed thoroughly
Tender, soft flaky fish such as salmon and lemon sole
Reduced fat hard cheese
Pasta/rice/noodles
Toasted wholemeal bread (no crust)
Softly cooked vegetables
Fruit such as a soft peeled apple, or soft pealed pear
Some salad, including tomatoes without skins, cucumber.
Caution Foods
There are some caution solid foods, which may not be tolerated in the long term. These foods are more likely to make you sick.
The caution foods include: -
Non-toasted bread particularly soft and white
Over-cooked pasta and boiled rice
Red meat particularly steak and chops
Barbequed meat
Stringy vegetables such as green beans
Sweetcorn
Mushrooms
Lettuce
Pineapple
Pips, seeds, skins, piths from fruit and vegetables
Nuts
Dried fruit
Vitamin and Mineral Supplements
It is recommended that you take a daily complete multimineral/vitamin tablet to prevent low blood levels and deficiencies. These can be bought at any chemist or supermarket and include Sanatogen A to Z Gold, Boots complete vitamin/mineral, Seven Seas Multibionta and Centrum.
If you have any dietary queries or problems, you should contact the Specialist Dietitian.
Hoping it may catch up next week, and I'll perhaps lose double then! I just don't see how I can fail to lose weight, eating so little!!
By the way, I tried to answer your friend request, but I kept getting a message saying I didn't have permission to do that?! Really bizzare. Will see if I can send you a private message.
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