Phase I – Liquid Diet Guidelines after your operation

You will be on this phase for at least 2 weeks after your surgery. You will feel full from liquids and may not meet your fluid goals the first few days. During this phase you must consume liquid only and avoid all solid foods. Your primary source of energy and protein will be protein shakes. Taste different protein shakes and drinks before surgery so you can have some ready for after surgery. Have different flavors and textures to keep it interesting and alternate between calorie providing drinks and non-caloric drinks throughout the day. Be sure to drink plenty of water.

Diet at Home

Once you are released from the hospital and tolerating the clear liquid diet well, you may start advancing your diet slowly to include protein shakes and slightly thicker liquids. This may include fat free soups, skim milk, and protein supplements. Try to drink 4 - 6 ounces every hour initially and work your way up to 8 ounces every hour for a total of 64 ounces per day. Your plan should be to drink 2 ounces every 15 minutes by sipping and not gulping liquids.

Experiment with liquids at different temperatures

Many people report having sensitivity to liquids at particular temperatures. Some people have a difficult time with warm beverages while others have sensitivity to cold. This is temporary and does not mean anything significant about your operation.Many people report having sensitivity to liquids at particular temperatures. Some people have a difficult time with warm beverages while others have sensitivity to cold. This is temporary and after a few weeks typically goes back to close to normal.

Try to adhere to a schedule, sip slowly and try keeping water and beverages at room temperature to ease fluid intake. Below is a list of acceptable liquids to consume during Phase I.

Phase I Sample Clear Liquids

  • Water
  • Crystal Light
  • Diet Snapple
  • Skinny Water
  • Decaffeinated/Herbal tea
  • PowerAde ZERO
  • Sugar-free popsicles
  • Sugar-free gelatin
  • Flavored waters (sugar-free and non-carbonated)
  • Decaffeinated Tea: iced or hot, black, green, herbal, unsweetened or artificially sweetened
  • Fat-Free or low fat broth
  • Fat-Free/ Low sodium soups ( no cream, meat or noodles)
  • Skim Plus, Lactaid fat free, Low-fat or fat free soy milk

* If skim milk is not tolerated use Fat-Free Lactaid or Fat-Free Soy Milk
* Half of your fluid intake should be comprised of water

Phase I Diet Reminders

  • When choosing protein shakes, be sure to choose one providing 20 to 30 grams of protein and less than 10 grams of sugar and less than 5 grams of fat. More than 30 grams per serving is not advisable as the body only absorbs about 25 to 30 grams at a time.
  • Do not consume any solid food at this time. If you choose soup, be sure to strain it or liquefy it completely. Cooking it after liquefying the soup will eliminate the metallic taste. Remember to choose soups that are broth based and low in sodium. Avoid creamy soups and soups with noodles.
  • Drink slowly. Sip on liquids throughout the day. At first you must not exceed 1 oz every 15 minutes or 4 oz every hour. Therefore, an eight ounce protein shake should take you about 2 hours to finish.
  • Be sure to consume your target goal of protein each day. There is a greater demand for protein during this time as it is needed for proper healing.
  • Look for signs of dehydration such as headache, dizziness, nausea, lethargy and concentrated (dark) urine.
  • Do not consume any carbonated or sugar sweetened beverages.
  • You may have sugar-free Popsicles or sugar-free Jell-O in between protein shakes. This counts towards your fluid intake.
  • Consume 64 to 72 ounces of fluids each day (includes protein shakes).

Phase I Allowed vs. Avoid Food List

Food Group

Allowed

Avoid

Beverages

Water and ice chips, decaffeinated tea,  sugar free cocoa, crystal light, sugar-free Kool-aid, sugar-free Tang, sugar-free lemonade, diet-Snapple, diet V-8 Splash, non-caloric flavored water.

All sugar sweetened drinks, alcoholic beverages, coffee and

CARBONATED BEVERAGES

Starches

None

All solid foods

Fruits

Mild, sugar free juices or thin smoothies such as apples, cranberry, strawberry, banana, grape, etc.

Strong, acidic fruit juices and/or smoothies such as orange, pineapple, etc. All juices and smoothies sweetened with regular sugar

Dairy

Skim or fat free milk, fat free soy milk or fast free lactaid milk

All others

Meat

None

All meat

Vegetables

No sugar added thin vegetable juices

All solid vegetables

Soups

Strained or completed blended broth based soups, chicken broth, beef broth, vegetable broth. Choose low sodium soups.

All high fat and high sodium soups with solid chunks that cannot be blended to liquid form. Noodle based soups and creamy soups.

Other

Sugar free popsicle, sugar free jello

Yogurt, icecream, regular popsicle, regular jello, puddings and other semi solid foods.

Shopping List for Phase I Diet

  • Magic bullet or blender
  • Pill crusher
  • Medicine cups
  • Strainer
  • A bottle shaker to make protein shakes with protein powder
  • Beverages
    • Water
    • Crystal lite
    • Sugar free juices
    • Protein shakes (20 – 30 grams of protein, < 5 grams of fat and sugar)
    • Broth and broth based soups
    • Low fat creamy soups
    • Sugar free Popsicle and Jello

The comfort of warm soup

Soup truly is a comfort food. There are many different kinds of soups you can create and enjoy. Your soups that are purchased should be fat-free soups that do not have big chunks of vegetables or pastaSoup truly is a comfort food that should be embraced at this early stage of the diet. There are many different kinds of soups you can create and enjoy. Your soups that are purchased should be fat-free soups that do not have big chunks of vegetables or pasta.

Sample Phase I Clear Liquids + Protein Supplement Diet

For the first few days after you leave the hospital we typically recommend that you stay on clear liquids. When you have minimal difficulty keeping yourself hydrated with the daily recommended amount of clear liquids, you may try some of these choices in the sample meal plans.

Sample Day #1

Meal 1 – Vanilla or chocolate flavored protein powder smoothie. Mix with half the recommend liquid (water or skim milk) and blend with 10 cubes of ice to make it like a slushee. Chewable multivitamin and sublingual vitamin B12
Meal 2 – Jay Robb’s Egg white protein shake. Calcium citrate
Meal 3 – Whey protein powder shake with water or skim milk
Meal 4 – Liquefied broth based chicken soup. Calcium citrate

Sample Day #2

Meal 1 – Designer whey protein shake and sublingual vitamin B12
Meal 2 – Isopure 8 oz. Calcium citrate
Meal 3 – 1 ounce Prostat liquid protein mixed in no sugar added juice or water
Meal 4 – Liquefied vegetable soup with two packets of Beneprotein or other non-flavored protein powder. Calcium citrate

Sample Day #3

Meal 1 – Double milk (8 oz skim milk + 1/3 cup non-fat dried milk). Chewable multivitamin and sublingual vitamin B12
Meal 2 – Bariatric advantage protein powder with water. Calcium citrate
Meal 3 – Unjury protein powder with water
Meal 4 – Liquefied low sodium broth based soup. Calcium citrate

You must drink non-caloric, non-carbonated and decaffeinated beverages like water, crystal lite, diet Snapple between the protein shakes.

You may have sugar free Popsicles or sugar free Jell-O at any time.  You can add protein to your sugar free Jell-O if you make your own instead of buying the single serve cups. Just add unflavored protein powder to the boiling water at the same time you add the gelatin powder. You may also have crushed ice with sugar free drink flavoring at any time. Sip on liquids throughout the day, aiming to drink 1 ounce of liquid every 15 minutes while awake.

Medical Condition: 
Postoperative Period
Lifestyle Modification: 
Diet
Anatomical Structure: 
Digestive System
Medical Procedure: 
Bariatric Surgery
Speciality Classification: 
DietNutrition
Medical Entity Classification: 
Beverages
MeSH Identifier: 
J02.200
National Library of Medicine: 
MeSH
Medical Audience: 
Patient