The Rules!

So I was looking around and ran into this "Sleeve Guide" from the Institute for Advanced Bariatric Surgery.  It really makes sense....to think of our new tiny stomachs as "a sink" is really a good analogy.....

Here are the rules.....


THE RULES
The best analogy that we have found to help explain to patients why these rules are important is
the “Sink Analogy”. We compare your Sleeve Gastrectomy operation to a sink. Think of your
new small stomach (pouch) as a very small sink. Imagine pouring liquid into such a sink – if you
pour the liquid too fast it will overflow, but if you pour it slower or wait for a minute the liquid
will eventually drain thru the sink hole. Now imagine putting thick, dense sludge into such a
sink – the sludge may never make it down the sink hole unless we add water and stir.


ALWAYS AVOID DRINKS / LIQUIDS WITH CALORIES
The reason why this is a rule is because it does not matter how small we make your pouch (sink),
liquids will always pass through fairly quickly without giving you any satiety or satisfaction
from that liquid. But every calorie of that liquid will be absorbed. Your pouch will not stay full
on liquids, you can drink a lot of liquids without being full, and you will be hungry very soon
after drinking liquids.


CHOOSE SOLID FOODS OVER LIQUID-SOFT FOODS
The reason why this is a rule is because the denser the food you are able to eat the more it will
plug up the sink (pouch), the longer your pouch will stay full, the less you will eat, and the better
your hunger and cravings will be controlled. The thicker and denser the sludge the longer the
sink stays full. If you were just to eat meat, the sleeve would work very well because meat is the
densest food we have.


DO NOT EAT AND DRINK AT THE SAME TIME
The reason why this is a rule is because we do not want you to liquefy the food as you are eating
it. Do not wash the sludge down the sink hole. We want you to stop drinking about 15 minutes
before your meal – to make sure the sink is empty of water before putting food in it. Once you
start eating, no drinking with your meal – do not liquefy the food you are eating. You will be
able to eat more, and you will be hungry sooner if you are drinking while eating. Never put a
glass of any liquid next to your meal – the habit to eat and drink at the same time is very strong.
You may not realize that you are even doing it until it is too late. We also do not want you to
drink for at least 90 minutes after your meal. Do not help mother nature – your pouch can
liquefy the food on its own without your help. Your pouch will take longer on its own, thus
giving you prolonged satisfaction and hunger control.



Find the entire document here.
http://www.iabsobesitysurgery.com/Media/Forms/SleeveDietGuide.pdf