Professional Documents
Culture Documents
For general information on our other products and services or to obtain technical
support, please contact our Customer Care Department within the United States at (866)
744-2665, or outside the United States at (510) 253-0500.
Rockridge Press publishes its books in a variety of electronic and print formats. Some
content that appears in print may not be available in electronic books, and vice versa.
TRADEMARKS: Rockridge Press and the Rockridge Press logo are trademarks or registered
trademarks of Callisto Media Inc. and/or its affiliates, in the United States and other
countries, and may not be used without written permission. All other trademarks are the
property of their respective owners. Rockridge Press is not associated with any product
or vendor mentioned in this book.
CHAPTER 6: Breakfasts
Blueberry-Almond Overnight Oats
Protein Pancakes
Shakshuka Egg Bake
Denver Egg Muffins with Ham Crust
Cheesy Slow Cooker Egg Casserole
Make-Ahead Breakfast Burritos
Breakfast Pizza
Farmers’ Market Scramble
Raspberry-Lemon Gluten-Free Muffins
Pumpkin Spice Muffins
New Beginnings
YOUR DECISION
Congratulations on your decision to have weight-loss surgery!
This is an exciting new beginning, a chance to reset your mind,
body, and lifestyle. Your decision likely involved much
consideration and preparation. Even with extensive knowledge
about the procedure, surgery and the required lifestyle changes
can be overwhelming. Some people close to you may have
questioned your decision or suggested other, more traditional
ways to lose weight and improve your health. But surgery
seemed like a necessary step toward better control of your
health, and your medical team agreed. This book will help allay
any fears and give you the tools you need to embrace your new
lifestyle. In the first few chapters, you’ll find information on how
to prepare for surgery, what to eat afterward, and how to shop
and prepare meals, but also, I hope, inspiration for making
lasting changes to live your healthiest life. And, of course, you’ll
find the remaining chapters packed with delicious recipes that
will help you feel your best.
LITTLE ADJUSTMENTS
Throughout your journey, you’ll notice that small, sustainable
changes will have the biggest impact on your life and health. It
can be easy to compare yourself to others and worry you won’t
accomplish what they have. But you can get there, one step at a
time, with hard work and dedication. Rather than letting yourself
get overwhelmed thinking about how far you are from where
you want to be, consider what you can do right now. For
example, if your goal is to become more active, consider taking
the stairs instead of the elevator, or getting off the bus before
your usual stop to walk the rest of the way. If your goal is to
improve your dietary choices, consider skipping the starchy side
dish and adding extra vegetables to your plate. Much like taking
a shower or brushing your teeth, these small decisions will
become daily habits as you practice them.
YOUR SURGERY
The most common bariatric surgeries today are the Roux-en-Y
gastric bypass (RYGB), laparoscopic sleeve gastrectomy (LSG),
and adjustable gastric band (AGB). All bariatric surgeries work to
reduce hunger and encourage portion control. However, some
surgeries work at an even deeper metabolic level. Some
surgeries have been shown to improve type 2 diabetes, high
blood pressure, sleep apnea, fatty liver, and other comorbidities.
Determining which procedure is best for you will require the
expertise of your surgeon and medical team. Each surgery has
its own advantages and disadvantages, but they all help you take
control of your health. No matter which surgery you have
chosen to undergo, rest assured that it was the best decision for
you.
Advantages
• Restricts stomach capacity and limits food intake
• Alters gut hormones favorably, reducing appetite and
enhancing satiety
• Changes energy expenditure, which may support weight loss
and maintenance
• Reversible, if necessary
• Likelihood of significant (60 to 80 percent) long-term excess
weight loss with maintenance of more than 50 percent
Disadvantages
• Higher surgical complication rates relative to gastric sleeve
and band procedures
• High risk for long-term vitamin and mineral deficiencies
• Longest hospital stays
• High risk of developing food intolerances and dumping
syndrome (see here)
LAPAROSCOPIC SLEEVE GASTRECTOMY
Sleeve patients will have about 80 percent of their stomachs
removed under the care of their surgical teams. The procedure
works by significantly limiting the amount of food the stomach
can hold at a time—only a small, tubular pouch the shape of a
banana remains. But its greatest effect is on gut hormones that
impact hunger, satiety, and blood sugar control.
Advantages
• Restricts stomach capacity and limits food intake
• Alters gut hormones favorably, reducing appetite and
enhancing satiety
• Lower surgical complication rates compared to gastric bypass
• Lower risk for dumping syndrome compared with gastric
bypass
• Does not require a foreign device (as in gastric band) or
rerouting of the food stream (as in gastric bypass)
• Shorter hospital stays relative to gastric bypass
• Likelihood of significant (greater than 50 percent) excess
weight loss
Disadvantages
• Risk for long-term vitamin and mineral deficiencies
• Potential for acid reflux
• Nonreversible
Advantages
• Reduces stomach capacity and limits food intake
• Completely adjustable and reversible with no incisions in the
stomach wall or intestines
• Lowest early post-op surgical complication rates
• Lowest risk for vitamin and mineral deficiencies
• Shortest hospital stays
• Induces excess weight loss averaging 40 to 50 percent
Disadvantages
• Slower and less initial weight loss than with gastric bypass and
band procedures
• Requires a foreign device to remain in the body
• Risk for complications including band slippage and erosion
• Risk of esophageal dilation in patients who overeat
• Risk of developing intolerances to certain textures of food
• Requires more frequent follow-ups for adjustment of the band
• Highest rate of re-operation
COMMON MISCONCEPTIONS
1. Surgery is the easy way out. Surgery is a tool; it’s not a magic
bullet. The road to success will require hard work and
dedication.
MENTAL PREPARATION
After attending countless seminars, appointments, classes, and
more, you are ready to move forward, and your care team
agrees. But as you approach your surgery date, it is completely
normal to feel a mixture of excitement and nervousness. If you
feel like your nerves are getting the best of you, here are some
tips to help calm your mind and body:
• Practice taking slow, deep breaths.
• Practice mindful meditation techniques or listen to a guided
meditation.
• Practice progressive muscle relaxation by slowly tensing and
relaxing each muscle group in your body, beginning with your
toes and moving up to your jaw.
• Use guided imagery techniques to visualize yourself in a place
that brings you comfort, joy, and calmness.
• Listen to your favorite soothing music.
• Talk to a loved one about your thoughts and feelings or write
them down in a journal.
• Take a walk and get some fresh air.
• Focus on why you’re having surgery and the results you are
most excited about achieving.
Additionally, preparing for your hospital stay and the first few
weeks after surgery can help put your mind at ease. For your
stay, consider packing comfortable clothing, a pillow to hold
against your abdomen on the car ride home, protein shakes,
chargers for your personal electronics, and any toiletries you
may need. Having your post-op supplies ready before your
surgery will also help you feel confident and equipped for the
journey ahead.
Useful things to have at home when you return from the
hospital:
• Measuring cups
• Hydrating fluids
• Protein shakes
• A reusable water bottle
• A blender or blender bottles
• Small bowls and plates
• Small airtight storage containers
• Appetizer spoons and forks
• A mug warmer (to keep small plates warm)
• Recommended vitamin and mineral supplements
• A food scale
• A food journal to track your fluid and protein intake
• An insulated bag or cooler
THE DAY OF
The day of your surgery is the first day of the rest of your life.
You have likely spent months, maybe even years, preparing for
this. You have had extensive education on your procedure, and
you have spent time learning and practicing post-op dietary and
lifestyle recommendations. Your mind, body, and home are
prepared for the next steps. If you are second-guessing your
decision, remind yourself why you made this choice. Visualize
what your life might look like 6 or 12 months after surgery. Trust
in yourself and your ability to achieve your goals. Life after
surgery will not always be easy, but your hard work and
dedication will pay off. You’ve got this!
The day of your surgery, keep in mind the following:
1. You will likely be expected to avoid drinking any fluids for at
least 4 hours before your procedure.
2. Once you are awake following surgery, you will likely be
encouraged to drink slowly. Your stomach will only be able to
hold a small amount of fluid, so it may take you over an hour
to drink 8 ounces of water.
3. You will likely experience some discomfort with gas trapped
in your abdomen. Stand up and walk around as often as you
can to alleviate some of this pain.
GOING HOME
After surgery, as you wean off the anesthesia, you will likely feel
a bit groggy. You may also experience some nausea, gas pains,
and tenderness near your abdominal incision sites. Generally,
patients are encouraged to begin slowly sipping on liquids to
assess tolerance of liquids and support frequent hydration. Your
medical team may also encourage you to begin walking to
relieve gas pain and prevent blood clots. Depending on your
procedure, you will likely spend 1 to 3 days in the hospital.
Many patients who report discomfort following surgery
worry that this pain is their “new normal.” Despite common
challenges immediately following surgery, most find ongoing
improvement in their energy and emotions as they heal.
Once you are ambulatory, with control over your pain, ability
to urinate, and tolerance of fluid, your doctor will likely send you
home to recover. Prior to discharge, make sure to review your
post-op guidelines with your surgical team. Discuss medication
requirements and clarify when to start your post-op vitamin and
mineral supplements. Additionally, make sure you have
scheduled your post-op follow-up appointments and that you
have information on how to contact someone with questions or
concerns.
If you are here, congratulations on getting to this point. You
are now ready to go home and begin your journey!
CHAPTER 2
Food Lifestyle
Surgery is only a small part of your journey to weight
loss and wellness. Just like learning a new hobby or
sport, your new lifestyle will take practice, time, and
dedication. In this chapter, you’ll learn what to eat before
and after surgery, how to shop smart, and how to stock
your bariatric-friendly kitchen to set yourself up for
success.
Fat
Prior to surgery, you will need to be mindful about the amount
and type of fat you consume to gain control over your caloric
intake and help you lose weight. Use a food tracking app, and
read labels to identify hidden sources of fat.
WHAT TO EAT
• Almonds
• Avocados
• Canola oil
• Chia seeds
• Fatty fish (like salmon, tuna, and mackerel)
• Flaxseed
• Nut butters, all-natural
• Olives
• Olive oil
• Peanuts
• Seafood
• Walnuts
WHAT TO LIMIT
• Animal fats
• Baked goods
• Chips
• Chocolate
• Cream sauces
• Foods high in saturated fat
• Fried foods
• Full-fat dairy products
• High-fat condiments (like mayonnaise)
• High-fat salad dressings
• Stick margarines containing hydrogenated oils
• Tropical oils
Sugar
Sugar is an especially sneaky ingredient that you’ll find in almost
every prepared food you buy. Some foods that are unexpectedly
high in sugar include ketchup, yogurt, dried fruit, barbecue and
other sauces, fruit juices, pasta sauce, flavored coffees, sports
drinks, pre-made soups, frozen dinners, granola bars, protein
bars, and even some protein shakes. Removing sugar from your
diet can be challenging, but finding healthier alternatives will
help with weight loss and promote better habits for post-op
living.
High-Carb Foods
Reducing your carbohydrate intake has been shown to improve
blood sugar control, manage cravings, and aid in weight loss.
However, letting go of carbs can be easier said than done. While
it may not be necessary to go completely carb-free before
surgery, it’s a good opportunity to make some adjustments. For
example, try a burger wrapped in lettuce instead of a bun,
substitute cauliflower rice for white rice, or use zucchini noodles
in place of pasta noodles.
WHAT TO EAT
• Dairy products, low-fat
• Nuts
• Seeds
• Vegetables, non-starchy (like asparagus, broccoli, cauliflower,
kale, onions, spinach, and zucchini)
• Whole fruits
WHAT TO AVOID
• Chips
• Corn
• Dried fruit
• Flour, white (as in breads, crackers, pasta, and tortillas)
• Fried foods
• Potatoes
• Rice
• Sweet sauces and dressings
Drinks
After surgery, you may find it difficult to stay hydrated due to the
inability to drink with meals or consume large amounts of fluid
quickly. Prior to surgery, aim for at least 48 to 64 ounces of
hydrating fluids per day. Avoid beverages high in fat or sugar,
and try to limit your caffeine intake.
WHAT TO DRINK
• Broth, low-sodium
• Sports drinks, sugar-free
• Tea, unsweetened
• Water
• Water, flavored, sugar-free
• Water, infused
WHAT TO AVOID
• Coffee
• Fruit juices
• Sodas and other carbonated drinks
Habits to Avoid
Prior to surgery, you will be asked to quit smoking or using
tobacco—both can delay healing and increase your risk for blood
clots, pneumonia, and ulcers. You will also be asked to abstain
from alcohol for a period of time before and after surgery.
PRE-OP FAVORITES
These pre-op favorites are quick and easy, packed with protein,
and low in carbohydrates. They are also delicious, healthy go-to
options for the rest of your life.
MEALS
SNACKS
HOW TO EAT
How you eat after surgery is almost as important as what you
eat. Due to anatomical changes associated with bariatric surgery,
patients tolerate food better when they take small bites, chew
their food thoroughly (25 to 30 times), and eat slowly (over the
course of 20 to 30 minutes). At 30 minutes, you should be done
with your meal. You will also need to avoid drinking with meals
to prevent filling your pouch with fluid instead of food or
causing food to flush out of your stomach too quickly. Instead,
you’ll need to sip on fluids between meals.
Patients report a lack of appetite after surgery due to a
reduction in the hunger hormone, ghrelin, which is produced
primarily by the stomach. It may feel strange to eat when you
don’t feel hungry; consider creating a meal schedule or setting
alarms to remind yourself to eat. Most patients need to eat three
to six times per day to ensure they meet their protein and
nutrient goals.
You can prepare by practicing these habits before surgery.
You may even want to begin trying some of the recipes in this
cookbook. Give meal planning a try by choosing a few meals and
shopping ahead.
Here are some tips for rethinking eating:
1. Use smaller plates and bowls.
2. Take small bites.
3. Chew thoroughly, at least 25 to 30 times.
4. Eat slowly.
5. Watch for satiety cues—a hiccup, burp, sigh, sneeze, or runny
nose.
AFTER SURGERY
Your post-op diet will begin with liquids and progress to purées
and then soft foods before eventually returning to normal
textures. During this period of healing, protein will be your
primary fuel. The exact length and requirements of each phase
of your recovery will be determined by your doctor, but here are
some general guidelines to consider:
• Clear-liquid diet: This stage usually lasts for less than two days.
It allows your care team to assess your tolerance to liquids and
helps you practice frequent hydration.
• Full-liquid diet: Once you are fully tolerating liquids, this stage
is designed to maximize your fluid intake and incorporate
protein supplements.
• Purée diet: You can begin reintroducing foods to your body.
As you’ve started to heal, your body will be able to absorb more
nutrients and return to proper digestion. Focus on portion
sizes and understanding how much food your stomach can
safely digest.
• Soft-foods diet: As you incorporate more foods and soft
textures back into your diet, you may wean off of protein
shakes and powders. Choose protein-rich foods as often as
possible to meet your dietary goals.
• General diet: After you’ve completed your transitional diet, you
are free to reintroduce a variety of textures. Continue to focus
on proper portions, eat protein first, and avoid high-fat and
high-carb foods.
LAPAROSCOPIC
Weeks 1 and
SLEEVE Week 3 Weeks 4 to 6 Weeks 7 or 8+
2
GASTRECTOMY
TEXTURE IS IMPORTANT
As you can see, texture is key and will play an important role in
each stage of your recovery.
ICONS
The icons below represent the various post-op phases and
appear throughout this book to help you choose appropriate
recipes and navigate portion sizes appropriate for your stage of
recovery.
Full-Liquid Diet
Purée Diet
Soft-Foods Diet
General Diet
Liquids include both fluids and foods that turn to liquid at room
temperature.
Purées must be soft, moist, and smooth. They should not have
lumps or need to be chewed.
ENOUGH PROTEIN
Protein is the most important of three macronutrients you’ll
need to watch after bariatric surgery. The American Society of
Metabolic and Bariatric Surgery (ASMBS) recommends at least 60
to 80 grams of protein per day. When you eat adequate amounts
of protein, you preserve muscle mass, prevent hair loss, feel
energized, support your immune system, and stay full longer
after meals.
If you’re struggling to reach adequate protein levels, try the
following:
• Use protein shakes, powders, or bars.
• Make meals that involve protein-rich foods, including dairy,
eggs, meat, seafood, and legumes.
• Eat protein first at all meals and snacks.
• Keep protein-rich snacks on hand wherever you go—in your
purse, desk, gym or laptop bag, and so on.
FATS, TOO!
Dietary fats, the third macronutrient, are energy dense, and they
support cell health, produce important hormones, and help your
body absorb nutrients. Fats can be classified in three basic
categories: saturated, unsaturated, and trans fats. Saturated fats
are solid at room temperature (like butter or lard) and should be
eaten in moderation. Unsaturated fats are liquid at room
temperature and predominantly found in plant-based foods.
Essential fatty acids (omega-3s and omega-6s) are unsaturated
fats important to your diet— because our bodies cannot make
them. Trans fats, on the other hand, are man-made, and you
should avoid them: They can raise bad cholesterol, lower good
cholesterol, and increase your risk for developing heart disease
and type 2 diabetes.
While fat is an important component to our diet, it is the most
calorically dense macronutrient, at 9 calories per gram. Be sure
to practice portion control when eating foods high in fat.
However, be aware of foods that are labeled as low- or reduced-
fat, as they often have added sugars to maintain the quality of
taste.
As with carbs, if you’re unsure what to eat, you can refer to
the pre-surgery food lists (here).
YOUR KITCHEN
Your kitchen is one of your strongest weapons before and after
surgery. It can support your goals and defend your weaknesses.
How many times have you said to yourself, “I didn’t plan to eat
the ice cream, but it was in the house, and I had a moment of
weakness”? Prior to surgery, clean out your cupboards to keep
your kitchen safe from temptations. That way even if you want
to reach for something indulgent, you won’t be able to.
KITCHEN GADGETS
Don’t worry about needing fancy kitchen gadgets to prepare the
recipes in this book. Most will require only basic equipment like
knives, measuring cups, stock pots, and sauté pans. However,
here are a few useful tools you might find helpful. You can find
modest options online, or at many major retailers, for a
reasonable price.
Blender: Use for blending protein shakes and puréeing sauces,
soups, or meats.
Food processor: Use for puréeing or chopping foods into
smaller bits.
Hand or Stand Mixer: Mix, whisk, or knead ingredients for
recipes.
Muffin tin or small ramekins: Use to portion single servings.
Slow cooker: Use for making soups, roasts, and casseroles. A 4-
or 5-quart size is sufficient for most recipes.
Spiralizer or vegetable peeler: Use for making vegetable
noodles, like zucchini noodles.
STOCK UP
After surgery, your diet will consist of protein, high-fiber carbs,
and healthy fats. Therefore, you’ll want to make sure you have
plenty of protein-rich selections, like meats, eggs, low-fat dairy
products, fish, seafood, and legumes. To balance your meals,
you’ll also need a variety of healthy carbs and fats, including
non-starchy veggies, nuts, seeds, whole fruit, and 100 percent
whole grains.
AVOID
After surgery, you will need to make every bite count. Make sure
to avoid the temptation to buy:
• Foods with empty calories (pastries, sweets, pretzels, chips, rice
cakes, and popcorn)
• Foods with doughy or sticky textures (breads, rice, and pasta)
• Foods high in fat or sugar (high-fat dairy products, desserts,
sausages, butter, and some frozen or packaged foods)
• Sugary, highly caffeinated, or alcoholic beverages
TOSS
When cleaning out cupboards, know that it is okay to toss any
food that is not suitable for your new diet. You do not need to
finish the food in your kitchen just because you purchased it. If
you feel bad throwing food away, offer it to a friend or donate to
a local food bank.
Make sure to toss:
• Baked beans
• Boxed potatoes
• Breads
• Candies
• Cereals
• Chips
• Cookies
• Crackers
• Dried fruit
• Frozen desserts
• High-sugar condiments
• High-carb frozen meals
• High-fat soups
• Pastas
• Popcorn
• Rice
Meal Plan
This chapter details a sample meal plan for a typical post-op
gastric bypass patient, but adaptations helpful for gastric band
and sleeve patients are also noted throughout. All weeks can be
repeated or cut out as advised by your doctor.
MEAL-PLANNING TIPS
1. Choose recipes with the same ingredients to reduce food
waste and save money.
2. Choose a shopping day, and make a shopping list before you
go.
3. Keep breakfasts and snacks simple.
4. Cook once; eat twice. Freeze leftovers for easy meals
throughout the week.
LIQUIDS
After surgery, you’ll begin with a full-liquid diet. Liquid textures
require minimal work for your stomach to digest, allowing it to
heal appropriately. Your primary goal during this stage is to stay
hydrated, but you will also be using protein drinks to reach your
protein targets necessary for recovery. In chapter 5, you’ll find a
number of protein shakes and beverage recipes to help you
through this phase. Be sure to check with your care team for
specific guidelines.
WEEK 1
DAY 1 DAY 2 DAY 3
Chocolate-
SNACK High-Protein Milk Orange Pudding Bone Broth (½ cup)
(¼ cup, thinned)
Commercial
Vanilla
protein shake Peanut Butter
Banana Cream Bean
BREAKFAST with at least 20 and Chocolate
Protein Shake Protein
grams of Protein Shake
Shake
protein
Commercial
Banana
protein shake Peanut Butter
Vanilla Bean Cream
LUNCH with at least 20 and Chocolate
Protein Shake Protein
grams of Protein Shake
Shake
protein
Chocolate-
Orange Bone Broth (½ High-Protein Bone Broth
SNACK
Pudding (¼ cup) Milk (½ cup)
cup, thinned)
Commercial Peanut
protein shake Butter and
Banana Cream Vanilla Bean
DINNER with at least 20 Chocolate
Protein Shake Protein Shake
grams of Protein
protein Shake
Walk for 5
Walk for 5 to 10 Walk for 5 to 10 Walk for 5 to 10 to 10
minutes at minutes at minutes at minutes at
EXERCISE
least 3 times least 3 times least 3 times least 3
per day per day per day times per
day
WEEK 2
DAY 8 DAY 9 DAY 10
Chocolate-Orange
SNACK High-Protein Milk Pudding (¼ cup, Bone Broth (½ cup)
thinned)
Commercial protein
Banana Cream
LUNCH shake with at least 20 Protein Hot Cocoa
Protein Shake
grams of protein
Low-fat Greek
SNACK Bone Broth (½ cup) High-Protein Milk yogurt without fruit
or seeds (2 ounces)
Commercial
Vanilla Bean Peanut Butter protein shake
Café Mocha
BREAKFAST Protein and Chocolate with at least 20
Protein Blend
Shake Protein Shake grams of
protein
Low-fat Greek
yogurt Chocolate-
High- without fruit Orange High-Protein
SNACK
Protein Milk or seeds (2 Pudding (¼ cup, Milk
ounces) thinned)
Commercial
Lemon Pie Peanut Butter protein shake
Vanilla Bean
LUNCH Protein and Chocolate with at least 20
Protein Shake
Shake Protein Shake grams of
protein
Chocolate-
Low-fat Greek
Orange
Bone Broth (½ High-Protein yogurt without
SNACK Pudding (¼
cup) Milk fruit or seeds (2
cup,
ounces)
thinned)
Banana
Banana
Cream Protein Hot Vanilla Bean
DINNER Cream Protein
Protein Cocoa Protein Shake
Shake
Shake
Walk for 5
Walk for 5 to
to 10 Walk for 5 to 10 Walk for 5 to 10
10 minutes at
EXERCISE minutes at minutes at least minutes at least
least 3 times
least 3 times 3 times per day 3 times per day
per day
per day
PURÉED FOODS
After 1 to 2 weeks tolerating liquids, you can begin transitioning
to a purée diet. Foods at this stage should have the consistency
of a smooth paste—no solid pieces or chunks. Foods that purée
well include soft meats with sauce, fruits, cooked vegetables,
low-fat dairy items, eggs, low-fiber hot cereals, legumes, and
low-fat soups. Most can be puréed in a good blender or food
processor.
Because of stomach capacity restrictions, you will want to
limit your portions to about 2 to 3 ounces (4 to 8 tablespoons) at
a time. Consider adding unflavored protein powder or fat-free
powdered milk to your foods, or continue using protein shakes
to reach your protein goal (at least 60 grams per day).
As you transition from liquids to purées, it is important you
stay hydrated, drinking 48 ounces of fluids per day, including
protein shakes. Also remember that you shouldn’t drink with
meals; wait at least 30 minutes after you finish eating.
Now that your body’s healing, you can begin low-impact
exercises to build strength and flexibility. You can also begin
taking longer walks, or walking more quickly.
Helpful tips:
1. If you experience changes in taste, like a sensitivity to
sweetness, consider adding spices or dried herbs to food and
shakes.
2. If you have nausea or discomfort while eating, take smaller
bites, and make sure you eat very slowly.
3. If you do not have much of an appetite, continue using
protein shakes to meet your daily goals.
WEEK 3
DAY 15 DAY 16 DAY 17
Sweet
Perfectly Soft Scrambled Maple
BREAKFAST Low-fat Greek yogurt
Eggs Protein
Oatmeal
Lemon-
LUNCH Homestyle Refried Beans Dijon Tuna Curried Chicken Salad
Salad
Split Pea
DINNER Italian Ricotta Bake Mom’s Turkey Meatloaf
Soup
Perfectly Perfectly
Soft Sweet Maple Low-fat Greek Soft
BREAKFAST
Scrambled Protein Oatmeal yogurt Scrambled
Eggs Eggs
Homestyle Homestyle
Lemon-Dijon Tuna
LUNCH Refried Split Pea Soup Refried
Salad
Beans Beans
Walk 20 to 30 Walk 20 to 30
minutes, with 5 to minutes, with 5 to
EXERCISE Rest Rest
10 minutes of 10 minutes of
gentle stretching gentle stretching
WEEK 4
DAY 22 DAY 23 DAY 24
Low-fat
Sweet Maple Protein Perfectly Soft Scrambled
BREAKFAST Greek
Oatmeal Eggs
yogurt
Lemon-
Dijon
LUNCH Southwest Deviled Eggs Classic Turkey Chili
Tuna
Salad
Mom’s
DINNER Italian Ricotta Bake Homestyle Refried Beans Turkey
Meatloaf
Southwest
Southwest Curried Chicken
LUNCH Split Pea Soup Deviled
Deviled Eggs Salad
Eggs
Farmers’
Low-fat Greek Sweet Maple Farmers’ Market
BREAKFAST Market
yogurt Protein Oatmeal Scramble
Scramble
Tomato-
Basil Cod Deli meat and Mom’s Turkey Lentil Sloppy
LUNCH
en cheese roll-up Meatloaf Joes
Papillote
Low-fat
Perfectly Soft Scrambled
BREAKFAST Breakfast Pizza Greek
Eggs
yogurt
Zucchini
LUNCH West Coast Crab Cakes Classic Turkey Chili Lasagna
Roll-Ups
Halibut
with
DINNER Classic Turkey Chili Zucchini Lasagna Roll-Ups Creamy
Parmesan-
Dill Sauce
20 to 30 minutes of
10 to 15 minutes of light to
cardiovascular
moderate resistance
EXERCISE exercise, plus 5 to 10 Rest
exercises, plus 5 to 10
minutes of gentle
minutes of gentle stretching
stretching
20 to 30 10 to 15 minutes 20 to 30
minutes of of light to minutes of
cardiovascular moderate cardiovascular
EXERCISE exercise, plus 5 resistance exercise, plus 5 Rest
to 10 minutes of exercises, plus 5 to 10 minutes of
gentle to 10 minutes of gentle
stretching gentle stretching stretching
WEEK 7
DAY 43 DAY 44 DAY 45
Denver
Egg
Denver Egg Muffins
BREAKFAST Protein Pancakes Muffins
with Ham Crust
with Ham
Crust
Classic
Slow
LUNCH Mom’s Turkey Meatloaf Tofu Stir-Fry Cooker
Pulled
Pork
Deli meat
SNACK Low-fat string cheese Low-fat cottage cheese
roll-up
Mahi-
Mahi with
Classic Slow Cooker Pulled
DINNER Tofu Stir-Fry Mango-
Pork
Avocado
Salsa
Blackened
Zucchini Scrambled egg
Salmon
Enchilada Boats with
DINNER Leftovers with
with Meatless Cauliflower
Avocado
Crumbles Fried Rice
Cream
10 to 15
20 to 30 20 to 30
minutes of light
minutes of minutes of
to moderate
cardiovascular cardiovascular
resistance
EXERCISE exercise, plus 5 exercise, plus 5 Rest
exercises, plus 5
to 10 minutes to 10 minutes
to 10 minutes of
of gentle of gentle
gentle
stretching stretching
stretching
WEEK 8
DAY 50 DAY 51 DAY 52
Cheesy
Slow
Cheesy Slow Cooker Low-fat cottage cheese and
BREAKFAST Cooker
Egg Casserole fruit
Egg
Casserole
Barbecue
Chicken
Blackened Salmon with
LUNCH Zoodles with Meat Sauce and
Avocado Cream
Portobello
Pizzas
Deli meat
SNACK Low-fat string cheese Low- fat cottage cheese
roll-up
Soy-
Ginger
Zoodles with Meat Barbecue Chicken and
DINNER Salmon
Sauce Portobello Pizzas
with Bok
Choy
20 to 30 minutes of
10 to 15 minutes of light to
cardiovascular
moderate resistance
EXERCISE exercise, plus 5 to 10 Rest
exercises, plus 5 to 10
minutes of gentle
minutes of gentle stretching
stretching
Sweet
Sweet Maple Cheesy Slow
Low-fat Greek Maple
BREAKFAST Protein Cooker Egg
yogurt Protein
Oatmeal Casserole
Oatmeal
SNACK High-Protein Milk or Protein Shake
Soy-Ginger Bell
West Coast Crab Deli meat and
LUNCH Salmon with Pepper
Cakes cheese roll-up
Bok Choy Nachos
Deli
Low-fat string Low-fat cottage
SNACK Hard-boiled egg meat
cheese cheese
roll-up
Thai Red
West Coast Bell Pepper
DINNER Leftovers Curry
Crab Cakes Nachos
Chicken
20 to 30 10 to 15 minutes 20 to 30 minutes
minutes of of light to of
cardiovascular moderate cardiovascular
EXERCISE exercise, plus 5 resistance exercise, plus 5 Rest
to 10 minutes of exercises, plus 5 to 10 minutes of
gentle to 10 minutes of gentle
stretching gentle stretching stretching
WEEKS 9 THROUGH FOREVER
You’ve made it through your transitional diet. Congratulations,
and keep up the good work! The sample meal plans for Week 9
and beyond are models of healthy eating for the rest of your life.
GENERAL DIET
When you are ready to move to a general diet, you will no longer
have texture restrictions. Choose your foods wisely, selecting
protein-rich options first and avoiding empty calories. Just as
you moved from liquids to purées and purées to soft foods, be
sure to introduce only one or two new foods at a time. Certain
foods may cause nausea, pain, or vomiting. Breads, dry meats,
fibrous vegetables, and foods high in sugar or fat are often
culprits, and you should continue to limit these.
Stick to three meals and one to two snacks per day, being
attentive to portion sizes. Eventually, most patients are able to
tolerate about ½ to 1 cup of food. Continue to aim for 48 ounces
of fluids and 60 grams of protein daily, the same as on a soft-
foods diet. Be sure to take your supplements and stay active.
WEEK 9
DAY 57 DAY 58 DAY 59
Low-fat
Blueberry-Almond Overnight
BREAKFAST Shakshuka Egg Bake Greek
Oats
yogurt
Deli
SNACK Low- fat string cheese Low-fat cottage cheese meat
roll-up
Tempeh
Philly Cheesesteak– BLTA
DINNER Shrimp Ceviche
Stuffed Bell Peppers Lettuce
Wrap
Blueberry-
Shakshuka Egg Hard-boiled Shakshuka
BREAKFAST Almond
Bake eggs Egg Bake
Overnight Oats
Hawaiian Pork
Chicken Fish Taco
DINNER Kabobs with Leftovers
Lettuce Wraps Salad
Pineapple
15 to 20
30 to 45 30 to 45
minutes of light
minutes of minutes of
to moderate
cardiovascular cardiovascular
resistance
EXERCISE exercise, plus 5 exercise, plus 5 Rest
exercises, plus
to 10 minutes of to 10 minutes of
5 to 10 minutes
gentle gentle
of gentle
stretching stretching
stretching
WEEK 10
DAY 64 DAY 65 DAY 66
Perfectly Soft
Perfectly Soft
Scrambled
Scrambled Eggs with Blueberry-Almond
BREAKFAST Eggs with diced
diced ham and Overnight Oats
ham and
veggies
veggies
Shrimp Scampi
LUNCH Fish Taco Salad Sheet Pan Fajitas with Zucchini
Noodles
Lettuce-
Shrimp with Zucchini
DINNER Sheet Pan Fajitas Wrapped
Scampi Noodles
Veggie Burgers
45+ minutes of
20 to 30 minutes of light
cardiovascular
to moderate resistance
EXERCISE exercise, 5 to 10 Rest
exercises, 5 to 10 minutes
minutes of gentle
of gentle stretching
stretching
Make-
Make-Ahead Blueberry-
Low-fat Greek Ahead
BREAKFAST Breakfast Almond
yogurt Breakfast
Burritos Overnight Oats
Burritos
Lettuce- Low-fat
Spinach Dip– Egg Roll
LUNCH Wrapped Stuffed Chicken cottage cheese Bowl
Veggie Burgers and fruit
Pan-
Seared
Spinach Dip– Scallops
DINNER Stuffed Leftovers Egg Roll Bowl with
Chicken Garlic-
Cream
Sauce
20 to 30 minutes
45+ minutes of 45+ minutes of
of light to
cardiovascular cardiovascular
moderate
exercise, 5 to exercise, 5 to
EXERCISE resistance Rest
10 minutes of 10 minutes of
exercises, 5 to 10
gentle gentle
minutes of gentle
stretching stretching
stretching
CHAPTER 4
Everywhere You Go
While weight loss starts in your kitchen, it continues in many
other places. Setting yourself up for weight-loss success means
taking charge of your lifestyle, learning how to deal with
challenging eating scenarios, and navigating maintenance
mode. It may take time to make new habits stick, but eventually
they will become second nature. If you can, start making
changes prior to surgery— this may be less overwhelming.
EXERCISE
While surgery is by far the biggest step in your weight-loss
journey, exercise can expedite the process by building muscle
mass, reducing stress, and supporting overall wellness. If you did
not exercise regularly before surgery, have no fear. Begin
incorporating small activities into your day to build up stamina
and strengthen the habit. Consider taking a 15-minute walk,
using resistance bands, practicing chair exercises, or stretching.
Even small changes, like parking farther from the entrance at the
grocery store or taking the stairs, are great ways to increase your
activity level.
On the other hand, if you were exercising more regularly
before surgery, ease your way back into the frequency, duration,
and intensity you are familiar with. Many patients report losing
some of their strength and stamina during the early healing
process when they are consuming fewer calories. Practice
patience as you reintroduce your favorite activities to avoid
injury.
For the first month post-op, low-impact exercises are a good
option. Walking is the best exercise for the first few weeks. You
may also benefit from practicing simple yoga poses, stretches,
and deep-breathing exercises.
LATER ON
The American Heart Association recommends at least 150
minutes per week of moderate-intensity aerobic activity or 75
minutes per week of vigorous aerobic activity (or a combination
of both), preferably spread throughout the week. At least two
days per week, add moderate- to high-intensity muscle-
strengthening activity (such as resistance bands or weights).
Increase the amount and intensity of your activity as you get
stronger. If you are not familiar with weight-training exercises,
or you have injuries that prevent you from performing certain
movements, an exercise physiologist or physical therapist may
have suggestions on where to begin.
JOURNALING
One of the best ways to stay on track is through journaling. What
you can measure, you can manage! Prior to surgery, you may
have had some practice with tracking your food intake, but now
you can expand into tracking your measurements, fluid intake,
bowel movements, energy level, mood, exercise, and more.
Some patients like to plan their day in their journal so they
know what they will be eating and doing for exercise.
Throughout the day, you can reference your journal to make
sure you’re on track. You can use a journal and pen or a phone
app like Baritastic or MyFitnessPal.
RESTAURANTS
At some point post-op, you will find yourself at a restaurant,
ordering takeout, or maybe at a special social event. These
should be fun, not stressful, times. If you know where you’re
eating, check out the restaurant’s menu ahead of time.
Determine what you plan to eat before you arrive so you won’t
be tempted with other choices when you’re hungrier. There is
no reason you have to order an entrée for your meal; check out
the appetizer or side-dish menu to piece together your own
meal rich in protein and veggies. With a little planning and
practice, you’ll be in control.
Here are some tips for eating out:
• Do not try new foods or textures for the first time when eating
out. If you aren’t sure of what to get, opt for softer textures that
will likely be more tolerable.
• Avoid fried foods, doughy or sticky carbs, cream sauces, sweet
drinks, and desserts.
• It’s okay to be picky; most restaurants are used to patrons
asking for substitutions or changes to their meals. Feel free to
ask if they can swap out a starch for veggies, serve your
dressing or sauce on the side, or provide you with a half
portion rather than a full serving.
• Ask if those you are eating with would like to share a meal, or
plan to save your leftovers for the next day.
A FRIEND’S HOUSE
Eating at a friend’s house can sometimes be more difficult than a
restaurant; not only are there fewer foods for you to choose
from, you also know the chef personally. Imagine arriving to a
dinner party where your friend announces that she’s prepared a
creamy pasta dish, steak, and garlic bread. This might have been
doable pre-surgery, but what now? Here are some tips to make
the situation easier:
• Call your friend ahead of time and ask what will be on the
menu.
• Offer to bring a side dish that fits into your diet guidelines to
contribute to the meal.
• Alternatively, eat a balanced meal 1 to 2 hours before you
arrive.
HOLIDAYS
The holidays are a time of celebration, which often means food
and alcohol. They can be full of temptation and nostalgia.
Imagine that you show up to a holiday party and are
immediately greeted with a glass of champagne from a close
friend. Next, you see a large buffet filled with all your favorite
meats, sides, and desserts. How do you deal with this situation
once you’ve had surgery? Here are some suggestions:
• Eat a protein-rich meal or snack before an event.
• Situate yourself away from any appetizers or buffet tables to
avoid eating “just because it’s there.”
• Bring a side dish you can eat and share.
• Survey a buffet before getting your plate. Aim for a small
protein, veggies, and if necessary, a small portion of a carb you
can’t live without.
• If you choose not to drink, but don’t want people asking why,
consider asking the bartender for a cocktail glass with water, a
splash of juice, and a lime wedge.
SNACKING
Most bariatric patients are unable to meet their protein and
caloric needs in three meals. Instead, they are encouraged to eat
snacks between meals, meaning they will eat four to six total
times per day. When choosing a snack, make sure to include a
source of protein. Take nonperishable items like protein bars,
jerky, nuts, and seeds with you when you’re on the go and need
a healthy option.
Here are some other snack ideas:
IN A RUSH
Even with good intentions and healthy habits, there will
inevitably be days when you just don’t have time to prepare a
meal or cook. In the past, you may have found yourself pulling
up to the drive-through or ordering a pizza. Now, your backup
plan needs an upgrade. Consider stopping at a grocery store and
picking up a rotisserie chicken and vegetables you can steam,
making breakfast for dinner, heating up a low-carb frozen meal,
or just grabbing a protein shake.
HYDRATION TIPS
As a bariatric patient, you will need to make hydration a lifelong
priority—not just in the early weeks post-op. Adequate fluid
intake beyond your initial recovery will help with weight loss,
prevent constipation, and increase your energy levels. Build on
habits you established in the early weeks after your surgery.
Begin each day with a glass of water, and carry a reusable water
bottle with you throughout the day.
ALCOHOL
If you enjoyed alcoholic beverages on occasion before surgery,
you may be wondering whether you can continue to do so post-
op. The short answer is yes, but in moderation and with some
modifications. Generally, you should wait 3 to 12 months after
surgery to drink. If you do begin drinking again, your blood-
alcohol level can peak higher and faster due to your altered
metabolism. Additionally, consuming less food leads to faster
absorption into the bloodstream. For many post-op patients, it
only takes a single drink to elevate the blood-alcohol level to the
point of intoxication, so it’s important never to drink and drive.
Additionally, patients with a history of addiction are at a
higher risk for transference addiction, in which patients trade
their food addiction for other addictive behaviors. These include
shopping, gambling, sex, drugs, or alcohol. It’s important to
consult a doctor if you notice any behavioral changes in
yourself.
COCKTAIL HOUR
If you decide to drink alcohol, make sure you are not eating at the
same time, and aim for options low in sugar and calories—white or
red wines, vodka mixed with a light cranberry juice, or whiskey on
the rocks. Avoid sugary mixers and anything carbonated.
And just because you go to happy hour, doesn’t mean you
have to drink. Enjoy the social aspect, and catch up with friends. If
you want to have a drink in your hands, but don’t want alcohol, opt
for iced tea or coffee, water with a lime wedge, or sugar-free juice.
ADDITIONAL TIPS:
• Alcoholic beverages can be dehydrating, so be sure to drink
plenty of water when consuming them.
• Eat a snack or drink water before you arrive.
• If you plan to eat, look for protein-rich options like
hummus and veggies, shrimp and cocktail sauce, steamed
edamame, steak bites, or mini-sliders without the buns.
BEYOND RECOVERY
After you have reached your goal weight, you might feel like
you’ve reached the finish line. But even with a powerful tool like
weight-loss surgery, lost weight can be regained if you don’t
make healthy choices habit. This is no reason to be frightened—
you already have the skills you need to succeed. Weight
maintenance, however, can be a different journey than weight
loss.
MAINTENANCE
Between 6 and 24 months post-op, many patients will reach a
weight they would like to maintain. Generally, patients who
undergo gastric band, sleeve, or bypass surgeries will lose about
40 to 80 percent of their excess weight, with gastric bypass
patients typically losing the most. There are many factors that
will impact this timeline—a patient’s starting weight, dietary
choices, level of activity, and so on. How long it will take you to
meet your weight-loss goal is dependent on the dietary and
lifestyle choices you make as well as your health history and
genetics.
While weight loss requires a caloric deficit and somewhat
rigid dietary structure, weight maintenance allows for a bit more
flexibility. However, to avoid regaining weight, patients need to
continue to make healthy choices daily, focusing on protein-
rich options and avoiding foods high in sugar and fat.
SUPPORT SYSTEMS
One of the fundamental pillars to successful weight loss and
maintenance is your support system. This may include family
and friends but also coworkers, medical providers, and peers
from a bariatric surgery support group. The level of support you
need will likely vary over time. Research shows that those who
attend follow-up appointments and support groups on a regular
basis have a better likelihood of losing weight and keeping it off.
PLATEAUING
On your journey, it is normal to go days or weeks without losing
weight. Plateaus can be extremely frustrating, but rather than
focusing on the scale, use these opportunities to measure other
changes that are taking place. Are your clothes fitting in a new
way? Has your shape changed? Even though the scale might not
show it, your body may still be changing.
OVERCOMING PLATEAUS
If more than three weeks pass without a change on the scale, it
might be a good opportunity for self-assessment. Examine your
food intake, switch up your exercise routine, get more sleep, talk
to a dietitian, or attend a bariatric support group meeting.
STAYING ON TRACK
As you move forward, here are some tips to help you make
healthy decisions about food and more:
ENJOY YOURSELF
You now have the tools you need to reach your weight-loss
goals at your fingertips. Enjoy the ride—you’ve got this. And in
between hard work, don’t forget to celebrate your successes,
weight-related or not. You are worth it. Now, on to the kitchen!
The recipes that follow include detailed instructions and
nutrition information. Throughout, you’ll also find tips for
adapting dishes to boost nutritional value, vary flavor, and make
use of seasonal produce. Post-op–stage icons will also help you
navigate your transitional diet; you’ll find many recipes can be
altered for you to enjoy at every stage of your recovery and
beyond.
CHAPTER 5
High-Protein Milk
Cool-as-a-Cucumber Water
Vanilla Bean Protein Shake
Banana Cream Protein Shake
Piña Colada Protein Shake
Lemon Pie Protein Shake
Café Mocha Protein Blend
Green Machine Protein Shake
Chocolate-Raspberry Truffle Protein Shake
Peanut Butter and Chocolate Protein Shake
Berry Bliss Protein Shake
Protein Hot Cocoa
Chocolate-Mint Protein Shake
Bone Broth
Perfectly Soft Scrambled Eggs
Sweet Maple Protein Oatmeal
Homestyle Refried Beans
Lemon-Dijon Tuna Salad
Curried Chicken Salad
Garlic-Parmesan Cauliflower Mash
Chicken Zoodle Soup
Split Pea Soup
Classic Turkey Chili
Italian Ricotta Bake
Chocolate-Orange Pudding
High-Protein Milk
Protein drinks do not need to be fancy or expensive. A simple mixture
of low-fat milk and milk powder can offer the protein boost you need
when recovering from surgery. You may notice sensitivities to sweet
flavors or other taste changes after surgery. This recipe provides a
neutral flavor compared with other protein shakes.
Ingredient tip: With gastric bypass surgery, there is a risk you may
become lactose intolerant. If you notice that you no longer tolerate
cow’s milk after surgery, consider trying lactose-free cow’s milk (like
Fairlife) or soy milk, both of which are good sources of protein. You
can also substitute whey protein isolate for powdered milk to boost
the protein content of your shake.
Per Serving: Calories: 127; Total fat: 3g; Protein: 11g; Carbohydrates: 15g; Fiber: 0g; Sugar:
15g; Sodium: 162mg.
Cool-as-a-Cucumber Water
It can be challenging to meet your fluid goals after surgery due to
restricted stomach capacity and not being able to drink with your
meals. Adding a boost of flavor to your water is a great way to make it
more appealing. Make a large pitcher of infused water to keep in the
refrigerator for the week.
Fruit
Pome: Apples, pears
Citrus: Lemons, limes, grapefruits, oranges
Berries: Strawberries, raspberries, blueberries, blackberries
Tropical: Mangos, papayas, pineapple, bananas, kiwis, starfruit
Melon: Honeydew, cantaloupe, watermelon
Other: Cherries, plums, nectarines, peaches
Herbs
Mint, basil, rosemary, lavender, thyme, cilantro, stevia
Per Serving: Calories: 8; Total fat: 0g; Protein: 0g; Carbohydrates: 3g; Fiber: 1g; Sugar: 0g;
Sodium: 1mg.
Vanilla Bean Protein Shake
Sometimes you can’t beat the classics. This vanilla protein shake
recipe is just that: simple and not too sweet. The Greek yogurt in this
recipe provides extra creaminess and offers a boost of probiotics,
which are great for digestion and the immune system and have even
been shown to help with weight loss.
Ingredient tip: For a twist in flavor, dress up your cocoa with sugar-
free coffee syrups or extracts, like peppermint.
Per Serving: Calories: 254; Total fat: 5g; Protein: 28g; Carbohydrates: 23g; Fiber: 1g; Sugar:
19g; Sodium: 332mg.
Chocolate-Mint Protein Shake
If you love the rich taste of chocolate and the cooling flavor of mint,
this shake, reminiscent of a peppermint patty, is a perfect choice.
Using mint extract, as this recipe calls for, gives you all the flavor
without the added sugar or fat.
Prep tip: When you are cooking other meals, save vegetable scraps
in a bag in your freezer. These bits and pieces can be added to Bone
Broth during cooking for extra flavor and nutrition. You can also save
and substitute chicken bones, or use a combination of whatever you
have on hand.
Per Serving: Calories: 69; Total fat: 4g; Protein: 6g; Carbohydrates: 1g; Fiber: 0g; Sugar: 0g;
Sodium: 581mg.
Perfectly Soft Scrambled Eggs
Some of the simplest recipes are the best for that reason. Scrambled
eggs are a great transitional food after graduating from the liquid diet
because they are soft, easy to digest, and rich with protein. While this
is traditionally a breakfast food, scrambled eggs can be a quick-and-
easy answer to weeknight dinners, too.
Ingredient tip: For extra flavor and protein, add 1 pound cooked,
diced ham in the final 15 minutes of cooking.
Per Serving: Calories: 92; Total fat: 1g; Protein: 8g; Carbohydrates: 20g; Fiber: 8g; Sugar: 2g;
Sodium: 264mg.
Classic Turkey Chili
Chili is a hearty balance of protein, veggies, and fiber that will keep
you feeling full and energized long after eating. Additionally, leftovers
can be frozen in small, freezer-safe containers and easily reheated for
future meals.
Breakfasts
This chapter features a selection of delicious breakfast
mains perfectly suited for your busy lifestyle. Most of
these recipes can be prepped ahead and easily reheated.
Try out something new, or discover a healthy twist on a
classic.
Ingredient tip: Oats are chock-full of soluble fiber, which has been
shown to help reduce LDL (“bad”) cholesterol levels, promote regular
bowels, and leave you feeling full and satisfied for longer.
Per Serving: Calories: 225; Total fat: 8g; Protein: 9g; Carbohydrates: 30g; Fiber: 6g; Sugar: 5g;
Sodium: 250mg.
Protein Pancakes
Pancakes are a classic weekend breakfast treat you might assume
you have to give up after surgery. Instead of banning them from your
diet, consider adding eggs and cottage cheese to boost their protein
content. This healthy twist on your favorite flapjack is sure to become
a new favorite.
Per Serving: Calories: 89; Total fat: 3g; Protein: 8g; Carbohydrates: 6g; Fiber: 0g; Sugar: 2g;
Sodium: 160mg.
Shakshuka Egg Bake
This delicious yet simple take on a popular Middle Eastern breakfast
dish calls for canned tomatoes to minimize prep time without
sacrificing taste. You can whip up a batch for a family brunch on the
weekend, or for a week’s meal prep.
Ingredient tip: If you cannot find fresh Italian chicken sausage, look
for precooked sausage in the refrigerator section of your grocery
store. Dice into small pieces and brown in a skillet before adding to
the slow cooker.
Per Serving: Calories: 348; Total fat: 17g; Protein: 27g; Carbohydrates: 24g; Fiber: 3g; Sugar:
3g; Sodium: 783mg.
Make-Ahead Breakfast Burritos
Breakfast burritos are not only a delicious and easy breakfast meal,
they are great to freeze for future use. Look for 100 percent whole
wheat or low carb tortillas as healthier alternatives to white flour
versions. Once frozen, defrost these burritos in the microwave for 1 to
2 minutes and then heat for 60 to 90 seconds.
Per Serving: Calories: 160; Total fat: 11g; Protein: 7g; Carbohydrates: 11g; Fiber: 3g; Sugar:
6g; Sodium: 104mg.
Pumpkin Spice Muffins
Great for breakfast, these pumpkin muffins are hearty and satisfying.
This recipe will have you thinking about the crisp and cozy days of the
year with its fall-time flavors.
24 cherry tomatoes
12 mozzarella balls
12 fresh basil leaves
FOR THE BALSAMIC GLAZE
Ingredient tip: If you do not have mozzarella balls, you can use
string cheese—cut each piece into sixths.
Per Serving: Calories: 39; Total fat: 3g; Protein: 1g; Carbohydrates: 3g; Fiber: 0g; Sugar: 0g;
Sodium: 11mg.
Greek Chop-Chop Salad
If you are looking for a crisp, fresh, crunchy salad that leaves you
feeling rejuvenated, this one is for you. Skip the lettuce, and focus on
all the delicious veggies in this easy recipe that can be made ahead
for the whole week.
Per Serving: Calories: 23; Total fat: 2g; Protein: 2g; Carbohydrates: 0g; Fiber: 0g; Sugar: 0g;
Sodium: 85mg.
Edamame Hummus
This recipe is a twist on a classic Mediterranean recipe featuring
edamame in place of traditional chickpeas. This dip is delicious with
raw veggies but also can be used as a spread for deli meat and
cheese roll-ups, as a topping for salad or Roasted Garden Vegetables,
or in place of sauce for pizza recipes.
Vegetarian Entrées
The meatless, protein-rich meals in this chapter aren’t
fancy or complicated—they’re easy to prepare, and
based on family favorites. If you’re relatively unfamiliar
with non-meat proteins, here is a great place to start.
Try having one meat-free meal per week to increase
your intake of healthy fibers that aid in digestion.
Prep tip: If you buy and cook a large spaghetti squash, you can save
any leftover flesh and reheat throughout the week, serving with
different sauces and proteins like diced tofu.
Per Serving: Calories: 252; Total fat: 11g; Protein: 6g; Carbohydrates: 39g; Fiber: 9g; Sugar:
15g; Sodium: 950mg.
Zucchini Lasagna Roll-Ups
These are delicious, low-carb, gluten-free, and so good you won’t miss
the noodles. You can make this recipe for a group or pack leftovers to
have throughout the week.
Ingredient tip: Tofu is a great alternative to meat. It’s soft and easy
to digest, low in carbohydrates, and a good source of protein. Baking
tofu, as in this recipe, yields a firmer, meat-like texture. Be careful to
note the texture of tofu called for in recipes—firm tofu is often used
in cooking, while soft tofu is often used in desserts and smoothies.
Per Serving: Calories: 163; Total fat: 8g; Protein: 12g; Carbohydrates: 11g; Fiber: 3g; Sugar:
4g; Sodium: 321mg.
Buffalo Seitan Bites
These savory bites are the perfect game-day snack or appetizer that
will have you thinking you’re eating real meat. These bites use seitan, a
vegetarian source of protein made from wheat gluten that is low in
carbs, high in protein, and has a soft texture. Seitan can be made from
scratch, or premade versions can be found in the refrigerated area of
the grocery store, near the tofu. Serve with celery sticks and a light
dipping sauce.
Ingredient tip: Instead of making your own smoky tempeh, look for
refrigerated bacon-flavored tempeh near the tofu at your local
grocery store.
Per Serving: Calories: 129; Total fat: 7g; Protein: 7g; Carbohydrates: 10g; Fiber: 4g; Sugar: 2g;
Sodium: 888mg.
Zucchini Enchilada Boats with
Meatless Crumbles
A fun twist on a Mexican favorite with the same bold flavors, these
enchiladas are stuffed into carved zucchini boats instead of wrapped
in a carbohydrate-filled tortilla. Serve with Homestyle Refried Beans
for a fiesta with bold flavors!
Per Serving: Calories: 145; Total fat: 4g; Protein: 17g; Carbohydrates: 16g; Fiber: 5g; Sugar:
4g; Sodium: 783mg.
Lentil Sloppy Joes
Lentils are an easily digested, vegetarian source of protein, packing in
18 grams per cup. Additionally, they’re full of iron, B vitamins, zinc,
potassium, and magnesium. This vegan sloppy joe is a healthy twist on
a classic favorite and perfect for the whole family. Rather than using a
hamburger bun, serve in green bell pepper halves that have been
roasted at 350°F for 15 minutes.
Per Serving: Calories: 163; Total fat: 3g; Protein: 10g; Carbohydrates: 26g; Fiber: 11g; Sugar:
6g; Sodium: 525mg.
Black Bean Noodles with Creamy
Chipotle-Roasted Pepper Sauce
Cutting down on carbs after surgery means avoiding high-starch
foods like pasta, but that doesn’t mean that all noodles are out of the
question. Check your local grocery or search online for noodles made
out of beans. Compared to traditional wheat noodles, these are often
easier to digest and higher in protein, fiber, and minerals like iron.
Fresh cilantro
Avocado
Grape tomatoes
Lime slices
1. Preheat the oven to 400°F. Line a baking sheet with aluminum
foil.
2. Lay all of the peppers and the garlic clove on their sides on the
prepared baking sheet. Roast for 20 minutes, or until fork
tender.
3. Using tongs, flip the peppers and garlic, and roast for another
20 minutes. Remove from the oven and let cool. Once cool,
remove the stems and seeds from the peppers.
4. In a blender, combine the roasted peppers and garlic with the
yogurt, olive oil, vinegar, honey, lime juice, salt, and black
pepper, and blend until smooth.
5. Cook the black bean noodles according to package directions.
6. In a separate small saucepan, gently heat the sauce until
warm but not boiling.
7. Plate the pasta, add the sauce, top with desired garnishes, and
serve.
Ingredient tip: Rather than toss out unused wine, use it for cooking.
The alcohol will cook off when simmered. If you don’t want to use
wine, you can use chicken broth (in place of white wine) or beef broth
(in place of red wine).
Per Serving: Calories: 194; Total fat: 3g; Protein: 31g; Carbohydrates: 5g; Fiber: 1g; Sugar: 2g;
Sodium: 126mg.
Fish Taco Salad
Ditch the tortilla and opt for a lighter version of your favorite fish
tacos. This meal can be ready in 30 minutes and is completely
customizable. Garnish with freshly chopped cilantro, red onion, or
mango for an extra boost of flavor. Pico de gallo and freshly squeezed
lime juice are the perfect light and healthy alternative to salad
dressing, but you could also use thinned Avocado Cream instead.
Prep tips: For quicker meal prep in a pinch, look for fresh mango
salsa in the produce section of your local grocery store. Serve leftover
salsa with fish and seafood of all kinds.
Cooking tip: Most recipes that require a grill can be cooked in an
alternative fashion. For this recipe, if you do not have a grill, cook
mahi-mahi on the stove. Heat a large skillet over medium heat, add
seasoned mahi-mahi, and cook for 4 to 5 minutes. Turn the fish and
cook for another 4 to 5 minutes, or to an internal temperature of 125
to 145°F. The fish should flake easily with a fork.
Per Serving: Calories: 232; Total fat: 10g; Protein: 28g; Carbohydrates: 8g; Fiber: 2g; Sugar:
4g; Sodium: 138mg.
Blackened Salmon with Avocado
Cream
This high-protein recipe is great for your next backyard event and
pairs delightfully with Avocado Cream. Serve with Roasted Garden
Vegetables or a small chopped salad.
Ingredient tip: Not all seafood cakes are created equal— the ones
at restaurants are often loaded with more bread crumbs than fish, and
they are deep-fried in oil. Go for baked, grilled, or broiled fish or
seafood for a guaranteed healthier option.
Per Serving: Calories: 90; Total fat: 1g; Protein: 11g; Carbohydrates: 5g; Fiber: 1g; Sugar: 0g;
Sodium: 285mg.
Pan-Seared Scallops with Garlic-
Cream Sauce
These scallops are totally restaurant-worthy and take only 15 minutes
to make. Serve with roasted asparagus and Garlic-Parmesan
Cauliflower Mash for a protein-packed, nutritious meal.
Poultry
Full of essential nutrients, chicken may already be a
staple protein in your home, and with good reason. So,
you may be happy to see that many of the recipes in this
chapter are healthy makeovers of your favorite comfort
dishes. These dinners are designed to be doable for
weekend meal prep, but simple enough for a weeknight.
Ingredient tip: Rolled oats, like the ones in this recipe, are a great
substitute for bread crumbs, which are used more traditionally in
meatloaf recipes. Rolled oats are lower in not only calories than bread
crumbs but also sodium—and by a substantial margin. Oats contain
less than 1 percent of the sodium in traditional bread crumbs. For
every cup, they also contain 10 grams of fiber and 13 grams of
protein.
Prep tip: For faster cooking, use smaller loaf pans or greased muffin
tins. Cook for 25 to 30 minutes.
Per Serving: Calories: 258; Total fat: 10g; Protein: 25g; Carbohydrates: 17g; Fiber: 2g; Sugar:
1g; Sodium: 665mg.
Chicken Lettuce Wraps
These wraps are packed with sweet and tangy flavor and are a
healthier version of your restaurant favorite. Save any leftovers for a
delicious lunch the next day.
Prep tip: Garnish lettuce wraps with shredded carrots, bean sprouts,
chopped peanuts, or scallions.
Per Serving: Calories: 285; Total fat: 16g; Protein: 22g; Carbohydrates: 12g; Fiber: 1g; Sugar:
4g; Sodium: 802mg.
Slow Cooker Salsa Chicken
I don’t think a recipe could get much easier than this one. Add just
two ingredients to your slow cooker, sit back, and relax. This tender,
juicy chicken is great in salads, tacos, soups, or just by itself.
Ingredient tip: Mushrooms are rich in not only in fiber but also a
variety of other important vitamins and minerals. Also, if exposed to
sunlight, they are the only plant-based source of vitamin D.
Per Serving: Calories: 181; Total fat: 9g; Protein: 12g; Carbohydrates: 14g; Fiber: 2g; Sugar:
8g; Sodium: 600mg.
One-Pan Chicken Piccata
Traditional Italian recipes such as this often have fancy names that
sound too intimidating to cook at home. Just know that names can be
deceiving. This one-pan meal is bursting with creamy lemon flavor that
your whole family will enjoy. Serve with vegetable noodles or
cauliflower rice to soak up all the delicious juices.
Ingredient tip: If you don’t have time to butterfly your chicken, look
for cutlets in the meat section of your grocery store.
Per Serving: Calories: 227; Total fat: 15g; Protein: 14g; Carbohydrates: 13g; Fiber: 1g; Sugar:
1g; Sodium: 588mg.
Oven-Baked Chicken Tenders
These incredibly crunchy oven-baked chicken tenders are so
delicious, you won’t even miss the fryer. At less than 15 grams of carbs
and more than 30 grams of protein, they’re a healthy way to indulge in
a childhood favorite. Serve with buffalo sauce, low-sugar barbecue
sauce, or low-fat Greek yogurt ranch.
Prep tip: If you do not have a grill, bake the kabobs in the oven at
400°F for 25 minutes, or until the pork is cooked through.
Per Serving: Calories: 292; Total fat: 15g; Protein: 24g; Carbohydrates: 17g; Fiber: 2g; Sugar:
9g; Sodium: 979mg.
Honey-Mustard Pork Tenderloin with
Roasted Green Beans
This honey-mustard pork tenderloin is baked to perfection with
minimal cooking experience required. Great for a low-key Sunday
dinner with company or busy weeknights, this recipe is guaranteed to
please.
Desserts
There’s no need to deny your sweet tooth. The better-
for-you variations on traditional desserts and new
confections you’ll find in this chapter will help you stay
on track without feeling deprived.
Per Serving: Calories: 215; Total fat: 2g; Protein: 12g; Carbohydrates: 36g; Fiber: 0g; Sugar:
27g; Sodium: 480mg.
Strawberry Frozen Yogurt
This sweet dessert is a healthy spin on traditionally calorie-filled
frozen yogurt. With only five ingredients, you might already have what
you need to make this tasty treat.
Dirty Dozen™
1. strawberries
2. spinach
3. kale
4. nectarines
5. apples
6. grapes
7. peaches
8. cherries
9. pears
10. tomatoes
11. celery
12. potatoes
†Additionally, nearly three-quarters of hot pepper samples
contained pesticide residues.
Clean Fifteen™
1. avocados
2. sweet corn*
3. pineapples
4. sweet peas (frozen)
5. onions
6. papayas*
7. eggplants
8. asparagus
9. kiwis
10. cabbages
11. cauliflower
12. cantaloupes
13. broccoli
14. mushrooms
15. honeydew melons
*A small amount of sweet corn, papaya, and summer squash sold in the United States
is produced from genetically modified seeds. Buy organic varieties of these crops if
you want to avoid genetically modified produce.
MEASUREMENT CONVERSIONS
Volume Equivalents (Liquid)
US STANDARD US STANDARD (OUNCES) METRIC (APPROXIMATE)
⅛ teaspoon 0.5 mL
¼ teaspoon 1 mL
½ teaspoon 2 mL
¾ teaspoon 4 mL
1 teaspoon 5 mL
1 tablespoon 15 mL
¼ cup 59 mL
⅓ cup 79 mL
½ cup 118 mL
⅔ cup 156 mL
¾ cup 177 mL
1 cup 235 mL
2 cups or 1 pint 475 mL
3 cups 700 mL
4 cups or 1 quart 1L
Oven Temperatures
FAHRENHEIT CELSIUS (APPROXIMATE)
250°F 120°C
300°F 150°C
325°F 165°C
350°F 180°C
375°F 190°C
400°F 200°C
425°F 220°C
450°F 230°C
Weight Equivalents
US STANDARD METRIC (APPROXIMATE)
½ ounce 15 g
1 ounce 30 g
2 ounces 60 g
4 ounces 115 g
8 ounces 225 g
12 ounces 340 g
16 ounces or 1 pound 455 g
RESOURCES
Academy of Nutrition and Dietetics
www.eatright.org
The Academy of Nutrition and Dietetics (AND) is the largest
organization of food and nutrition professionals in the world.
The academy’s website is a resource for reliable food and
nutrition information, cooking tips, and recipes, and it allows
you to search for credentialed nutrition experts in your area.
American Society for Metabolic and Bariatric Surgery
www.asmbs.org
The American Society for Metabolic and Bariatric Surgery
(ASMBS) is the largest organization in the nation dedicated to
advancing the science of bariatric surgery and improving the
treatment of obesity. Their journal, Surgery for Obesity and
Related Diseases (SOARD), publishes research-driven articles
regarding the treatment of obesity.
Baritastic and MyFitnessPal
www.baritastic.com and www.myfitnesspal.com
Research shows that people who track their food intake are more
successful with weight loss. Free food and exercise trackers,
such as Baritastic and MyFitnessPal, are great tools to help you
stick to your goals by allowing you to set reminders, look up the
nutrient content of food, calculate the nutrition information of
recipes, and more.
BariatricPal
www.bariatricpal.com
Created by a bariatric surgery patient, this website is a way for
patients to connect with others in the weight-loss surgery
community. Additionally, you can find information about
surgery and reviews on surgeons in your area.
Obesity Action Coalition
www.obesityaction.org
The Obesity Action Coalition (OAC) is a national organization
dedicated to advocating for those affected by the disease of
obesity. On their website you can find educational resources,
support programs, and opportunities to connect with others in
the OAC community.
ObesityHelp
www.obesityhelp.com
ObesityHelp is an online community for bariatric professionals,
patients, and family members. Here you can find various
forums, educational resources, and recipes for those who have
had, or are planning to have, weight-loss surgery.
The Obesity Society
www.obesity.org
The Obesity Society (TOS) is a professional society focused on
obesity science, treatment, and prevention. Check out their
website to find out more information about their annual
conference, ObesityWeek, and their journal, Obesity, with the
newest discoveries in the field of obesity treatment.
REFERENCES
Academy of Nutrition and Dietetics. “Bariatric Surgery.”
Nutrition Care Manual. Accessed July 5, 2019.
http://www.nutritioncaremanual.org.
American Society for Metabolic and Bariatric Surgery. “Bariatric
Surgery Procedures | ASMBS.” Accessed July 5, 2019.
asmbs.org/patients/bariatric-surgery-procedures.
Aills, Linda, et al. “ASMBS Allied Health Nutritional Guidelines for
the Surgical Weight Loss Patient.” Surgery for Obesity and
Related Diseases 4, no. 5 (2008) doi:10.1016/j.soard.2008.03.002.
American Society for Metabolic and Bariatric Surgery. “Bariatric
Surgery Misconceptions | ASMBS.” Accessed July 5, 2019.
asmbs.org/patients/bariatric-surgery-misconceptions.
Cummings, Sue, and Kellene A. Isom. Academy of Nutrition and
Dietetics Pocket Guide to Bariatric Surgery. Academy of
Nutrition and Dietetics, 2015.
Dagan, Shiri Sherf, et al. “Nutritional Recommendations for Adult
Bariatric Surgery Patients: Clinical Practice.” Advances in
Nutrition: An International Review Journal 8, no. 2 (2017): 382–
394., doi:10.3945/an.116.014258.
Mechanick, Jeffrey, et al. “Clinical Practice Guidelines for the
Perioperative Nutritional, Metabolic, and Nonsurgical Support of
the Bariatric Surgery Patient—2013 Update: Cosponsored by
American Association of Clinical Endocrinologists, The Obesity
Society, and American Society for Metabolic & Bariatric Surgery.”
Endocrine Practice 19, no. 2 (2013): 337–372.,
doi:10.4158/ep12437.gl.
Parrott, Julie, et al. “American Society for Metabolic and Bariatric
Surgery Integrated Health Nutritional Guidelines for the Surgical
Weight Loss Patient 2016 Update: Micronutrients.” Surgery for
Obesity and Related Diseases 13, no. 5 (2017): 727–741.,
doi:10.1016/j.soard.2016.12.018.
ACKNOWLEDGMENTS
To Tony, my husband, sous chef, #1 taste-tester, and best friend:
Thank you for making me laugh, keeping me calm, and
inspiring me to always chase my dreams. I am so lucky to have
you as my other half.
To my mom, dad, and sister: Thank you for always pushing
me toward opportunities for growth and giving me the
confidence to achieve anything I set my mind to. Your love and
support means everything to me.
To my dear friends: Thank you for supporting me throughout
this project, distracting me with fun adventures when I needed a
break, and being such amazing people; I am so lucky to have
you in my life.
To my colleagues: This book would not be possible without
the experience I have gained while working with you, the most
outstanding medical professionals I have ever met. Thank you
for your wealth of knowledge, expert advice, ongoing
encouragement, and friendship.
To my patients: Thank you for letting me be a little part of
your journey. I have learned so much from each and every one
of you. Your bravery, commitment, passion, and light have been
inspiring, and one of the best parts of my working experience.
Finally, to the team at Callisto Media who helped me make
this book possible: Thank you for this opportunity and your
endless support. You have helped me fulfill my dream of
creating a cookbook, and I couldn’t have done it without your
expertise and guidance.
ABOUT THE AUTHOR