How big is a bariatric portion? Dr. Crawford talks about the post-op diet!
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- Опубліковано 21 січ 2020
- Dr. Christopher Crawford is a general/bariatric surgeon who takes you through the different portion sizes and food choices involved with the diet lifestyle after having bariatric surgery, whether it is a sleeve gastrectomy, Roux-en-Y gastric bypass or a duodenal switch.
For more information, take a look at www.meridiansurgicalgroup.net/
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Thank you for this video.. i am post op vsg 7 years, i lost a 166 pounds kept it all off. I was nearly 300 Pounds Today i am a 114 pounds.i am a petite 6-8,I am age 64 i am 5"2, Vsg or Sleeve Surgery saved my Life! i walk for excerise i Journal..I eat very Clean. No sodas .. i feel blessesd!!
Way to go Joann. I'm on day 3 post op, walking as much as I can and looking forward to long-term health. Already 16 lbs down.
Wow! Great job! Love to know what you eat everyday to keep the weight off? I am 5yrs out and gained 40lbs I’m really trying to lose it. I’m constantly hungry🥺
Congrats that's an amazing accomplishment after so much hard work!
Thank you for sharing!
Hey, I am about the weight you had pre-op. How are you doing now? I have to admit I am kind of scared of the operation and changes. What kind of dificulties, side effects and benefits did you notice?
i had a VSG sleeve surgery done 5 years ago now and I have not felt hunger one time since the day of my surgery. It is awesome. . i went from 640 lbs to 200 lbs had 5 skin removal surgeries which was 60 lbs of that lost weight too.
Congradulations!!!!
Amazing! Congratulations!
I'm 8 weeks post op from a gastric bypass and the thoughts of food & meal planning is overwhelming. I'm a visual person & this helps alot.
Can you talk a little about dumping syndrome...after 10 + years after gastric bypass surgery
I am feeling very overwhelmed also.
@mistyfrick8355 same! I'm pre op and these videos are so helpful.
1 week post-op, I watch it every day to get myself mentally equipped☺️ Thanks from UK
How long after surgery before you could drive?
I needed this. 2 years post op and I got so confused about portions and what to eat and when . Completely reorganized now! Thanks Doc!
A great Greek yogurt is Oikos Pro. It has 20g of protein and only 8g of carbs. Wonderful fruit flavors and comes in a 5 oz package.
Great video Dr. Crawford. Seeing a visual as opposed to reading comments about our food/portion sizes/stages makes it so much easier to understand. I hope a lot of ppl watch this and give it a thumb's up! P.S., LOVE your kitchen!
03/20/24 = This demonstration video CHANGED MY LIFE, thank you sooooooooooo much for making this video to help us SEE what a portion size should be and the VARIETY of foods. OUTSTANDING video!!! I can't thankyou enough for real.
I never use ready made protein shakes/powders.If you add skimmed milk powder to a pint of skimmed/semi-skimmed milk, you have 40g of protein per pint before you add a little fruit yogurt/cottage cheese/Quark, instant oats, milled flaxseed or chia seed, peanut butter, veggies like baby spinach to a smoothie. Add a little sugar subtitute or tbl of sugar-free instant pudding mix and you have a good cheap, healthy, tasty protein rich smoothie.You control what goes into it and the varieties are endless. Follow the Doc's advice here. Portion control, high protein and mindful eating are the key to shifting weight after surgery. Its hard to break the habits of bad food choices and over eating. Try to stay focused and positive and be creative with your food. I have lost 80kg and still on my journey. Good Luck!
Well done! That’s amazing! And your comment is spot on, thank you 🙏
Even at almost 11 months out, I appreciate this information. Thank you!
Can u tell me what the procedure Cody you and where it was done?
Thank you for this! 3 days post op here rny! Your video is one of the most helpful, and full of info.. it is nice to visually see the portion sizes, thank you again. Subbed ❤️
Thank you for the video. I am post op 10 days and really struggling with the recovery. I came to the Internet for motivation.
You got this! I’m 1 week post op and it’s been absolutely tough. We can do this! ❤
Hey how are you feeling/ doing now?
Thank you I had surgery a year ago and just got vague suggestions from the clinic like eat soft foods but then they got ballistic when I ate grits (my Mom was from South Carolina she has passed on but I was missing her… I don’t buy it often maybe once every 3 yrs!). The point is I liked your video and the visual!
Thank you for explaining, so I can see how my life will be like in each phases after gastric surgery.
Very very helpful!!! Maybe one day we can get bariatric cooking videos
I had rny in 2005 and I lost all the weight and kept it off for many many years. In the last few years I've had a great deal of stress and was put on some medicine and my weight shot up on it. My surgeon retired right after my surgery and I live across the US from where I had it done. So much has changed I didn't know how I should be eating to lose it. This video helps so much and I hope I can get back on track and lose the weight I gained.
Wishing you much success, I am in a very similar situation and I have just gotten back to basics and its really helping a lot. I am hopeful!
@@jasminepitts3979best way to Be.. back to Basics..
Hi, I had kept weight off up to stroke last January and not able to walk far.
Also my Dr. Retired from Lexington, KY
Thanks, definitely needed to see this!
Thank you so much, Dr. You explained more than my doctor did in your video. Awesome!
Thank you very much for the explanations and examples 🙏🏻
This video was so helpful. Thank you for posting it. I've saved it to my resources. 2 weeks out.
I am praying that all of you find your path and do what is nutritionally best for you! At my heaviest, I weighed 310 lbs. In 2019, I weighed 275 lbs. I made major nutritional changes and lost 140 lbs naturally in less than 2 years😭🥰! I am so happy and grateful to be in the space of helping! I am a Health Coach ready to help and inspire🦋!
Awesome video. Really helped me to put the diet into perspective. Thank u Dr.
I find this video to be very helpful. Thank you for sharing.
Thank you. I am 1 week and 4 days post op. I needed this. I am struggling.
How are you doing? I’m gonna be having the RNY procedure.
Thank you for the information video. I did my bypass a month ago .
I'm in the pre-surgery 6 month period of meeting a nutritionist and I'm deeply grateful for all of these videos, this is immensely helpful for me so I have a good idea of how best to prepare
Thank you I’m so excited to get back to my oldself
3 weeks post op thank you for this 📹
Thank you so much! Surgery is in 3 weeks! I'm still learning. I'll probably watch this several times.
Me too. I am gonna watch several more. I am glad to see an actual food demonstration . This is very helpful. Good luck
Thank you very much educational .!
I'm so happy i found this video I'm 4 years post op of the bypass and over the last year i gained 35 pounds and I'm not proud of it , but I'm definitely learning from this video and I'm gonna get back on the track thank you
Thank you for this. Please be aware the video was a little quiet so maybe just check on sound levels for future videos as it's such important information.
This was incredibly helpful! I an three days out from RNY and have some ideas! Unfortunately, I think the dietitian (in the practice where my doctor is) is lacking helpful information. She is sort of a broken record but without ideas. Thanks again!
Thank you
You have done the best breakdown of foods that I have seen after watching many videos. Also, you are more generous with foods available that you can have.
Thanks 😊
I’ve watched several videos on this and had appointments with dietitians and they never gave the reason that water has to be separated to keep food in the stomach and keep it filled longer
Surgery on April fifth. This was a great video. Thanks doc!
Hello, I’m getting the gastric sleeve done and I just wanted to know how long after consultation do you get the actual surgery done? Thanks!
@@biancadatattedpryncess762 hello! check my page out for all the info I have a lot of videos up!!! But it took me five months after initial consultation due to all the insurance requirements!
I had surgery on April 5th too. I’ve had a rough time because i had a hiatal hernia surgery at the same time. I’m still having a hard time keeping food down. What are you able to eat? I can sure use some ideas! 😩
@@juneweimar1064 Wow that is crazy I also had a hiatal hernia repaired! It’s now one month after surgery and I am eating pudding and watermelon oddly enough L O L. But that’s about it. I couldn’t drink water and was on IV therapy for the last month but now I’m finally able to take sips and not feel like I’m dying!!!
@@Mikemccurdy74 Me too. i had to be readmitted for dehydration...Are you taking omeprazole? I use to take it all the time because of my horrible heartburn but i wasn’t taking it anymore after the surgery (didn’t know i was suppose to!)...I started it again & it helped a lot. It’s so annoying though, i can’t hardly keep anything down so i’m still drinking the protein shakes.😩
Gracias Gracias
Thank you very much my surgery was December 21, 2022 and I'm now head to my pureed stage it still hard to enough fluids down.
Hey Margaret! How are you doing now? I have my vsg 8 days ago and I’m so incredibly thirsty all the time. I’m dying to just gulp water but I’ll throw up. How was your puréed stage?
Oh my god can you please be my doctor?? And I'm a year out 😔 I wish my clinic was as good as you. Do you guys share your info? The sheets??
Hello, I'm 11 years out. I'm also involved in the culinary arts , as well as wanting to start doing some menu consulting for people going through maintenance. What suggestions do you have of how to go about it
My surgeon told me to ease into foods and start with liquids like soups and juices and slowly easy into purees and thick soups and when i feel ready to start with solids but not to push it and to go with my gut feeling so i dont react badly and have reflux and throw up
Great information. Next time focus on doing a close up on the plates to show the actual portions on the plate. You really can’t see the food because it’s so far.
He gave the quantities. 1st phase is 2 tablespoons per food. Second was 1/4 cup, last was 1/2 cup or 4 ounces, which he said you eat for life.
Excellent video! Eating like this without the surgery can lead to significant weight loss as well. Plenty of Fiber is the key in this scenario.
Yeah but good luck with those hunger pangs without the surgery..
@@crustycrustacean4004 ppl still hungry. It's heartbreaking.
May be a medical issue. Should check thyroid, pancreas, and cortisol and pituitary gland and see a eating disorder therapist and intuitive eating Dietitian before surgery.
@@princessbabibear4794 I agree
In the video you stated one should wait at least 7 months after surgery before consuming raw veggies. Why is this? I'm asking because my surgeon and dietician have both cleared me for a regular diet which includes raw veggies etc.
You can still stretch your stomach out. Even a bypass. Portion size DoES matter!
as you said my team said no fruits until 3 months post op
More than anything else about the Bypass, is this, the food after the fact. How do you not feel like you are not going to eat enough? And the psychology behind losing the "best friend" I had for years---foods?
Apple sauce tends to have added corn syrup in it.
Thanks this helped a lot, now I can visualise the portion sizes. I had my surgery in July 2020 with no program in Turkey. I've been struggling with portion control and dumping and having stomach cramps and diarrhea at least thrice weekly.
I just had mine done in Turkey 2 weeks ago too! I did get a program but I don’t find it as informative as I like so this has been great 😊
@@mariemarinozzi9226 great, I didn't get a program. I paid for a gastric sleeve his done a mini gastric sleeve which means my pouch is like a sleeve not a egg size. Im not happy bcz I have to diet and exercise, fast to lose weight.
@@shazanakhan9807 oh no! That’s terrible! How did you find out, an X-ray? And how did you find the surgeon? Sorry to question you but what a painful ordeal to go through, only to have an unsatisfactory result 😔. I’m so sorry this has happened to you 🥰
@@mariemarinozzi9226 its k thank you. I found out a few days after the surgery, I was in hospital 6 days. I've lost 25kg so far with the surgery, but with other interventions I'm down to 63kg now, my goal is 48. Surgeon was bad, consultation was 5min to sign contract which was for full gastric sleeve. He was in a rush I didn't get to ask any questions, there was no time as he had to do his first patient whose waiting in theatre. My sis actually told me to go Turkey as she had implant etc there. I was going to wait to have it on the nhs as I was diabetic after birth with 46bmi at the time. How was ur surgeon and how much have u lost?
@@shazanakhan9807 what was the name of the surgeon? I had mine in turkey and I did get a program though my surgery felt like a transaction.
Can you please consider a plant based protein video? This was super helpful but I noticed the medical industry is still behind on providing insights on plant based proteins. I got the absolute minuscule amount of advice regarding this before my surgery and now I'm left to UA-cam. Also, I'm happy 😊 for an comment reply for advice if possible (no vid needed)?
I found this lady on UA-cam she has great plant based ideas.
I pray this helps!!
ua-cam.com/video/oIkUFqL9_BM/v-deo.html
Check out Garth Davis. He’s a plant based bariatric surgeon.
I think tofu will be a good option and beans as he mentioned. Instead of egg or cottage cheese, you can have silken tofu either scrambled or blended up into a yogurt consistency etc. Instead of chicken you could have some more firm tofus. Ask your doctor first though of course.
Ask doc about essential amino acids supplement and Algae for omegas.
@@emilily6513 lentils and beans good.
Great video - would maybe get a better microphone setup for future videos as it is difficult to hear you
Can someone who has not had surgery eat like this for Weight loss ?
I am 10 years out and I'm struggling with a 20 lb weight gain. I don't know if it's my portions I do know that I have started to eat some of the wrong foods and I know that is part of it and my exercise has slipped. I've been having a stressful Year and have finally moved to a whole new area which is really an old area that I have moved back to after 6 years but the stress of moving is definite. And the period before actually doing so. But I am kind of wondering if my portions need to be less again and found you this morning. I am going back to bariatric group that I had my surgery with for guidance. Insurance still pays. Was going to someone every 6 months in the state I was in before but they didn't seem to really Care much
No shame in using those supports! That is the responsible choice, that's why you have those supports in the first place. Good job noticing so early on and making steps to regain control
Try a functional/ integrated doctor.and Intuitive eating dietitian
6 days post op i got covid for 2 weeks from my surgery roommate... then double ear infection so i dropped almost 24lbs in 3 weeks. Now im stalling on week 7.. i have texture issues, no taste or smell since covid. Vertigo kept me in bed still. A ton antibiotics iv, mouth, injections... i drink 2 shakes a day to try get protein. But i am lactose intolerant and seafood intolerant. Any advice how to get scale moving? Also cant stand alot of fruit and veggies especially texture wise..
Yaaaay im from Wisconsin too and I love my cheese
3 1/2 years out. Still struggling to drink. 2 small drinks is ok. Anything after that my stomach hurts. Can not get anywheres near enough fluids. Help!
Weird…I was told no veggies for months after my surgery. And I missed it. My office mainly focuses on protein. May try to add some in now to help with calories
It’s very important not to stay low fat though.. you do lower fat in the beginning to avoid the dumping syndrome , but after that eating healthy fats is crucial like grassfed butter and evoo, ghee etc..
This was very helpful. One of the first videos that actually gives you a visual. But I can’t understand why at some point we can’t have a small slice of cake and a small scoop of ice cream? I thought we’d be able to eat thanksgiving food but a small amount on like a saucer plate?
You can
Thanks. But I’ve been at a stall and even gain 4 lbs I ate some donuts. I’m frustrated. 2 months post op and I loss 21 lbs. and it keeps fluctuating. And I do cheat. But I thought since I’m not eating much I wouldn’t gain. I don’t eat nowhere near 3000 calories a day.
@@latitaparnell321 it's 2000 for a grown woman. If you're a food addict, sugar and bread products probably have to go.
You wouldn't suggest an alcoholic just have one. Why? Because they CAN'T have one. One is never going to be enough.
@@latitaparnell321 I’m 4 months post op, I let the bad stuff creep up and my weight has stalled for a month and I can see the body fat adding up. I need to control myself
@@latitaparnell321 sugar and carbs causes insulin resistance/ metabolism issues maybe? Look into low glycemic options and ask dietitian
I had the R&Y in 2006 and first 5 weeks all I could eat stomach was water. And jello
Get your doctor to prescribe a medicine for that
Stalling at 4.3 month so worried!!
See an endocrinologist and intuitive eating dietitian
is it a total of 8 ounces per meal after 18 months? 4 protein and 4 starch, veggies, or fruit?
Yes 4 ounces or 1/2 cup per food, or 1 total cup of food per meal. 8 tablespoons is 1/2 cup. 8 Oz is 1 cup.
Would this be a good diet for someone who hasn't had surgery but wants to only eat a high protein, veggies, fruit and low carb diet? I have put on 10 lbs and Im no where near needing surgery, but I watch my 600lb life and see the diets they are put on. I just wonder if this would cause problems or not be nutritionally complete?
Follow a ketogenic diet, Dr Eric Berg has a lot of information and there are great groups online. On 600lb life Dr Now recommends a 1200 calorie day diet, that's too low for most people, remember he's talking to people with lots of stored fat so they'll be fine but for most people 1200 is low. Lowering your carb intake will always be a good route to health. Doing a diet like this would only cause problems in that you'll probably get too hungry and then would be tempted to pick and eat high sugar/carb foods, keto works on filling the void that carbs leave with fat thus making you more satisfied.
Because your weight gain is so small and you aren't a bariatric patient, why don't you eliminate drinks with calories and try the plate method? 1/2 plate non-starchy vegetables, 1/4 starch, and 1/4 protein source. Focus on high fiber and no added fats/sugars. Your weight will come off.
Does it mean if i don't have the surgery but eat portions this size i will lose?
There’s not enough education for postop life
Savages ....
Should see Eating disorder Therapist, Endocrinologist, Intuitive eating dietitian and you will probably skip surgery.
How about cream of wheat with skim milk and honey
The most important piece of advice ..... DON'T GRAZE!
Fourteen years after my op, I had to have a camera put down my stomach for something unrelated. My consultant informed me that my stomach looked like I was only 6 months out from surgery but I have seriously watched my portions and foods. Breakfast for me is usually cottage cheese or 1 scrambled egg and a portion of fruit, lunch 2ozs ham or turkey with 2/3rds cup of chopped salad veggies like bell pepper, tomato, beets .... And dinner is often the same as lunch. If I do eat out or takeaway, then I have two tablespoons of the protein main (say chicken curry or chilli) and a level tablespoon of rice .... Nothing else. I avoid pizza, pasta, French fries, chips .... All waste my calories.
I'm six months post op and struggle to eat two oz of protein in one sitting. I can't imagine eating four oz in one sitting. Does that mean our stomachs will naturally stretch on it's own to allow for more food?
What how 😮 I eat so much more then that and I’m 4 months out
I had rny 2 days ago in Halloween and I’m not hungry . I just want water, I know I’m supposed to eat jello and broth too but for some reason I just can’t bring myself to eat it. I don’t have any nausea or vomiting I just want water so bad all day
Call your doctor
Is a slice of lightly buttered toast manageable or is that a big no no?
I need to loose 45 pounds currently 188 pounds I have fatty liver disease can I get vsg surgery😢
Bro, my normal food intake is equal to the plate you showed with bell pepper. And more importantly, that food is only vegetable rice or any other vegetables with a tin of salmon 🍣 (I can only take salmon because my toes hurt due to diabetic neuropathy). But, still I am 45 kg overweight and my body is maintaining same weight since last 3 months.
Now I am preparing for gastric sleeve.
How is that ??
I just posted another video talking about "calories in = calories out?" that explains a little about why someone with a lower calorie intake might not see weight loss. Take a look!
Is it possible to gain weight again afterwards?
Yup.
Yes! I gained back 75 lbs of the 145 I lost. Took 2 years to loose it again but it was portion control that helped me. I'm 20 years out. This Dr gave an awesome presentation.
Yes. See an endocrinologist
What if one ate like this without having the surgery, would It result in weight loss?
This eating plan alone will definitely result to weight loss. Add in exercise/physical activities and the weight will come off even faster.
I would see it as starving your body. 🤨🤨🤨 There is a reason why biriatric patients take supplements and vitamins for the rest of their lives: considering the size of their tinny stomac, it cannot absorb enough nutrients.
@@lolahernandez6871 Honestly! There really is no difference. Either you starve with your whole stomach until you choose not to any more, or you starve with a piece of your stomach. Ya pick your poison!
@@lolahernandez6871 you're supposed to be a bit underfed
I am ten days in
My surgeon said no carrot?
Or brocolli
so, hypothetically, if someone decided to eat this way to kick off their weight loss, and live a healthier lifestyle, would that be just as healthy and effective if followed to the T? just curious...
It would but you would hit a plateau much quicker and also wouldn’t be able to stay on the diet for very long
Yes, but you would have a harder time maintaining it because you will feel more hunger than someone who has had surgery.
Basic biology says you will binge. Better to find an intuitive eating Dietitian and work on your relationship with food
You could do it, but you'd be white knuckling it for the first 3 days or so until the stretch receptors signal your brain that you're full on such a small amount of food. I would maybe do the last phase in terms of the portion sizes, 1/2 cup of protein + 1/2 fruit for a meal, then 1/2 cup P + 1/2 cup veg another meal and 1/2 cup P + 1/2 c starch. If you hit 600 cal in a day, I'd be amazed, but sure you'll drop weight like crazy. Take a good multi and a B12 tab, you should be fine. Good luck!
@@princessbabibear4794 nah, depends how dedicated someone is. Plenty of dieters go from 3,000 a day to 1,200 and manage to get through. The first 3-4 days are the worst for all dieters until your body figures out you're taking in less food. Then it'll be easier. At least this is healthy food, even if it's tiny portions! It's super low in fat and weight should melt off.
I guess that why I gained 😢my weight back, starving 🙃, I don't see no food my grandkids eat more than that
Ew, I do love the sauces
What yogurt is that ?
If I eat like this, I wouldn’t need WLS.
where the chicken at?
I will never enjoy life again...
positive thinking is the building block for positive results. Keep your head up!
How come? 😐
lmao, I was just thinking what have I done. I'm one week out and these tiny portions are too damn small from my brain to handle mentally. I wanted a restriction but not this much.
You eat to live not live to eat..
@@lkez2 Maybe read up on things very carefully first...?