DIETARY PATHWAYS:

Summary of your Post - Operative Surgical and Dietary Management Plan

What to Expect from the Dietitian

Our team is here to support you on your journey before, after and well beyond your weight loss surgery.

People who work closely with their Dietitian and Surgeon to achieve their weight loss goals are far more likely to achieve the lifestyle changes they want.

Nutrition is critical for success so early counselling with a dietitian prepares you for the long-term diet and lifestyle changes you must implement and set up for success after surgery.

Research shows that those who make dietary changes prior to having weight loss surgery and who are able to start losing weight prior to their bariatric procedure are more likely to lose more weight and maintain their weight loss longer than those who didn’t.

Your first appointment is designed to capture all these elements and the habits that are unique to you. This also helps you and your Surgeon decide on the right type of surgery and together with your input, and a screening process assessing your individual unique needs helps your Dietitian to map out a diet and lifestyle plan to support you at the initial stages of contemplation and planning for surgery.

What to Expect from your Initial Dietitian Consult
  • Anthropometrics - InBody Composition Analysis – a comprehensive assessment and explanation of your unique body type.

Body composition analyses tell you a lot more than just your weight. These 15 minute assessments give us comprehensive insights into the reasons why you struggle to lose weight, how many kilojoules you require and how best to lose it. This method accurately analyses your percentage of body fat, fluid retention, fat distribution, metabolic rate and more. Body Composition Analysis normally priced at $50 is complimentary at your Initial Consult.

  • Available laboratory values interpreted and the Dietitian corrects for deficiencies.
  • Psychological and psychosocial history assessment – disordered eating patterns addressed
  • Dietary intake and assessment / identification of food intolerances
  • Physical activity levels assessed
  • Evaluation of Individual Needs addressing drastically reduced portion sizes, unpredictable food intolerances, or the necessity of prescription exercise. Assessing an individual’s unique needs and readiness for change are requisite components of preoperative nutrition counselling.
  • Rather than counting calories, the Dietitian focuses on fundamental nutrition concepts such as what types of foods should go on their plates and how to create nutritious meals.
  • Many patients have been dieting their whole life and understand what they should be eating but haven’t been able to translate that knowledge into their lifestyle. Others may have no clue about basic nutrition, how to cook, or how to make good choices with regard to eating.
  • Your Dietitian will discuss and advise on achieving your diet and nutrition goal
  • Give you the necessary information and tools to get you started in the right direction

This initial consultation is not included in the 3 consultations covered by the cost of your surgery however it is a requisite as part of planning your weight loss journey.

Planning Phase
  • Meet with your Surgeon and decide on the best type of surgery for you
  • Meet with your Dietitian to assess pre-op nutritional status
  • Your date for surgery will then be booked
  • Lab assessment of your nutritional status and any pre-existing vitamin and mineral deficiencies
Components of Pre-Op Nutritional Assessment

What to expect:

During your initial consult:

  • Anthropometrics - InBody Composition Analysis – a comprehensive assessment and comparative monitoring body composition changes at each visit.
  • Weight history
  • Available laboratory values monitored
  • Psychological history monitored
  • Dietary intake monitored
  • Physical activity level assessed
  • Learning the Art of Eating Mindfully to accentuate personal responsibility and discuss Mindfulness techniques.
  • This results in an emotional, as well as physical hunger and will revolutionize the way that you experience food.
  • Pre-operative diet:Personalised Very Low Calorie Meal Plan developed to prepare you for surgery
  • Post-operative diet:This covers what to expect from a nutritional point of view and plan your fluids only diet. This will include a clear fluids diet and then what is called a free fluids diet. Dietitian provides you with verbal and written information detailing the specific postoperative diet and lifestyle changes, such as daily protein requirements, fluid needs, and recommended vitamin and mineral supplementation. If you follow the instructions and guidelines presented by the Dietitian you will very likely be successful with surgery. 
  • Dietitian visit at your bedside post-surgery explained.
  • Book your Post-operative appointment with your Dietitian

This consultation is covered in the cost of your surgery.

2 weeks after surgery
  • You will be upgraded from your liquid only diet to a pureed or mashed diet. At this visit your Dietitian will develop a personalised nutritionally complete Puree diet meal plan and ensure you are taking appropriate multi vitamins.
  • Initial planning will commence to prepare and plan for what your overall diet will look like
  • Anthropometrics – InBody individualised Composition Analysis ongoing body composition assessment and monitoring explanation of body composition changes and ongoing instruction to optimise metabolism.
  • Available laboratory values monitored
  • Medication review
  • Vitamin/mineral supplementation

This consultation is covered in the cost of your surgery.

4 weeks after surgery
  • Discuss the commencement of solid foods after your surgery towards a Healthy Eating Plan
  • Further meal planning and discuss how to meet all your specific nutritional requirements including protein, iron, calcium, vitamins and micronutrients.
  • Anthropometrics – InBody individualised Composition Analysis ongoing body composition assessment and monitoring explanation of body composition changes and ongoing instruction to maximise metabolism.
  • Your unique questions and concerns are addressed, monitoring development and progress.
  • Personal barriers / challenges to Postoperative Success addressed. Dietitian keeps an eye out for eating behaviours that could be problematic after surgery, such as binge eating, emotional eating, and boredom eating, and if a person shows evidence of a current or past eating disorder, for example, a psychological assessment will address that.
  • Follow up/subsequent visits are strongly recommended to keep you on track to ensure you remain motivated and focussed. This is a vital component of successful surgery outcomes!
  • Postoperative Nutrition Counselling addresses issues such as food intolerances, challenges in implementing healthful eating habits, adequacy of the diet in meeting basic nutritional needs, and adherence to vitamin and mineral supplementation. The dietitian supports postoperative patients in maintaining healthful eating habits in the face of personal stress that may provoke unhealthful behaviours, such as emotional eating.

This consultation is covered in the cost of your surgery.

6 weeks after surgery
  • Anthropometrics – InBody individualised Body Composition Analysis assessment and monitoring with detailed explanation of body composition changes and ongoing instruction to maximise metabolism.
  • Detailed post op nutritional assessment and dietary management.
  • The Dietitian creates a Supportive Environment via a nonjudgmental approach to counselling helping patients establish their own goals. She offers consistent support and availability to her patients. One of the most important things a dietitian can do is be as available as possible and remain in communication with her patients, the more likely they are to stay on track with their weight loss goals.
  • Review of progress so far, trouble –shooting and dietary goal planning
  • Discussion on nutritional supplements where deficiencies identified

Detailed discussions on how to eat after a band, gastric sleeve or bypass and address any issues.

2-3 months after surgery
  • Anthropometrics – InBody individualised Body Composition Analysis assessment and monitoring with detailed explanation of body composition changes and ongoing instruction to maximise metabolism.
  • Review of nutritional and medical progress. Detailed post op nutritional assessment and dietary management.
  • Discuss how to get the most out of your weight loss surgery. Review of on track dietary goals, weight loss targets, and discussion to consider additional measures to help further your weight loss and improve metabolism.
6 months after surgery
  • Full Review of blood tests including vitamin and mineral levels
  • Anthropometrics – InBody individualised Body Composition Analysis assessment and monitoring with detailed explanation of body composition changes and ongoing instruction to maximise metabolism.
  • Review of goals achieved to date and planning further goals (it could take most people up to 2 years to attain their ultimate goals) *This is obviously a guide only and the advantage of working with a Dietitian is that they will adjust this plan according to your needs and whatever challenges may come. You may need to see the Dietitian more often than just these 7 appointments, but your Dietitian can discuss some options about packages to support weight loss surgery.