Macronutrients & Micronutrients

The composition of the post-surgery diet is essential to meeting your nutritional needs. It is important to understand the two different types of nutrients. Macronutrients consist of carbohydrates, proteins, and fats; micronutrients consist of vitamins and minerals.

For the first six months post-surgery, the surgeons recommend taking in the following:

  •  Protein: 60 to 100 grams daily
  •  Fat: 45 to 50 grams daily
  •  Carbohydrates: 45 to 50 grams (under 50 grams per day will put you in a ketogenic state)
  • Fluids: 64 ounces daily
  • Sleep: 7 hours per night
  • Exercise: 150 minutes of routine exercise weekly, eventually working up to 300 minutes weekly
  •  Omeprazole: 20 to 40 mg daily

For the first four weeks post-surgery, most people will consume approximately 500 to 600 calories daily. For the second month post-surgery, that number will gradually increase to approximately 700 to 800 calories per day.

By the third month, your daily calorie intake should be between 900 and 1200, depending on if you are male or female. This is an excellent time to invest in a few appointments with a registered dietician because these numbers are approximations and will vary by person depending on age, gender, medications, and exercise levels.

The grams of protein should be around 60 to 100 daily, and the carbs and fats should be kept around 50 grams each. Of course, it is normal to have some days with a little more and some days with a little less.

 

Photo by Brooke Lark

It is important to keep the refined sugars low, at less than 25 grams daily. Usually only natural sugars that are in vegetables and fruits are allowed; no added sugars or sodium. The American Heart Association suggests consuming less than 1500 mg of sodium daily.

Take your time when adding new foods to your diet. Introduce one at a time to see how your new tummy will handle it. Sometimes the tummy will accept it and sometimes it will not – it is a learning process for each one of us.

In the first few months after surgery, it is very normal to return to softer and easier to digest foods from time to time to rest the new tummy. If you are finding yourself in a stall, go back to what worked for you in the beginning, tracking and journaling all foods and drinks.

You can always go back to having 2 protein shakes per day, 2 higher protein snacks, and a sensible healthy meal, plus lots of water, a moderate amount of exercise, and 7 hours of sleep per night. After 6 months, a good multivitamin for life is recommended.



Share on facebook
Share on twitter
Share on linkedin

Health Disclaimer: This website provides information about health and related subjects. The information provided on this site, or in any linked materials, is for informational purposes only and is not a substitue for receiving direct professional medical expertise and / or treatment. If you think you have a medical emergency, call your doctor or emergency services immediately. 

Recipe & Food Disclaimer: We are not responsible for any outcome of any recipe you try from the website. Take care when using cookware including knives and other sharp or hot objects. Review all ingredients prior to ingesting to ensure you are not allergic to anything in the recipes. We do not provide any assurances or accept liability in regards to quality, nutritional value or safety when using the recipes provided on this site. 

Check your BMI Today!

CREDENTIALS

Dr. Elías Ortiz, Bariatrics

Professional License Number: 8684409

Federal Taxpayers Registry: OIGJ810323D28

CURP: OIGJ810323HBCRMS08

Qualifications

Undergraduate Degree in Medicine (1999–2004), Faculty of Medicine of the Autonomous University of Baja California
– Overall average: 8.85 / 10

Undergraduate Internship (2004–2005), Regional General Hospital No. 1, IMSS, Tijuana, Baja California, Mexico.
– Overall average: 9.49 / 10

Social Service (2005–2006), Mobile Unit No. 19, SSA, Tijuana, Baja California Mexico.

Graduate Professional XXXI National Aspiring medical residencies
– Place finish in specialty group (Surgery): 32 of 3602.

General Surgery Specialty (2008-2012), Medical Unit of High Specialty, West National Medical Center, Mexican Social Security Institute
– Total Rating: 96.40 / 100.

Certifications

Certificate of Accreditation of Foreign Language Skills: English. April 22, 2006, at the Autonomous University of Baja California, Mexico

Resident Coordinator of General Surgery, generation 2008–2009, Regional General Hospital No. 45, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Chief Resident in General Surgery, 2011–2012 in Medical Unit of High Specialty, West National Medical Center, Mexican Social Security Institute, Guadalajara, Jalisco, Mexico.

Professional Experience

2nd Regional and International Congress on Obesity conducted by the Association for the Study of Obesity and its complications AC.
– May 2004, Tijuana, Baja California, Mexico.

Natural Orifice Transluminal Endoscopic Surgery
– General session speaker
– Regional General Hospital No. 45, May 15, 2008, Guadalajara, Jalisco, Mexico

Natural Orifice Transluminal Endoscopic Surgery
– General session speaker
– Zapopan General Hospital, November 5, 2008, Guadalajara, Jalisco, Mexico

ERCP (endoscopic retrograde cholangiopancreatography)
– General session speaker
– Regional General Hospital No. 45, February 12, 2009, Guadalajara, Jalisco, Mexico.

1stCourse News and Controversies in Surgical GERD
– April 2009, Regional General Hospital No. 45, Guadalajara, Jalisco, Mexico

Laparoscopic Surgery Program in the Regional General Hospital No. 1
– Social Security Institute, April–May 2010, Tijuana, Baja California, Mexico

Laparoscopic Surgery Program in the Regional General Hospital No. 1
– Social Security Institute, June–August 2011, Tijuana, Baja California, Mexico

Gastric Plication Surgery Mini Fellowship
– Hospital Angeles Tijuana, November 2011

Adjustable Gastric Band Surgery Mini Fellowship
– Hospital Angeles Tijuana, December 2011

Bariatric Surgery Program at Hospital Angeles Tijuana
– November–December 2011, Tijuana, Baja California, Mexico

Theoretical and Practical Course XIV of Endoscopic Surgery, AMCE, AC
– Medical Unit of High Specialty, West National Medical Center Gdl, Jal. January–February 2012

See if you qualify for Weight Loss Surgery!

Take your first step by telling us a little about yourself. A coordinator will be in touch to discuss your weight loss surgery options.
All form fields required.

The following information is for calculating your Body Mass Index (BMI) to determine which surgery you qualify for.

Contacting you by phone is the fastest way to discuss your qualifications and next steps. Please make sure your phone number is accurate.

Knowing more about where you've been and want to be will allow us to have a better conversation with you about reaching your goals.