{"id":647,"date":"2024-05-31T15:00:11","date_gmt":"2024-05-31T15:00:11","guid":{"rendered":"https:\/\/ciba-usa.com\/?page_id=647"},"modified":"2024-06-18T17:36:42","modified_gmt":"2024-06-18T17:36:42","slug":"nutritional-guidelines","status":"publish","type":"page","link":"https:\/\/ciba-usa.com\/es\/surgeries\/nutritional-guidelines\/","title":{"rendered":"Orientaci\u00f3n Nutricional"},"content":{"rendered":"
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Instrucciones de nutrici\u00f3n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Antes de la cirug\u00eda<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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En Ciba, nuestros pacientes deben seguir una dieta antes de someterse a una cirug\u00eda de p\u00e9rdida de peso. La dieta es beneficiosa para equilibrar las hormonas y reducir el h\u00edgado graso agrandado. Una dieta preoperatoria tambi\u00e9n es \u00fatil para el bienestar f\u00edsico, emocional y mental, tanto antes como despu\u00e9s de la cirug\u00eda.<\/p>

Si bien puede haber aprensi\u00f3n acerca de la palabra \"dieta\", a los pacientes con un IMC entre 30 y 50 se les pide que comiencen a adquirir h\u00e1bitos alimentarios saludables antes de la fecha de la cirug\u00eda.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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<\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\u00cdNDICE\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tI. Perder peso<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tII. Duraci\u00f3n de la dieta preoperatoria por IMC.<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tIII. Dieta pre cirugia<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tIV. Tama\u00f1os de porciones recomendados<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tV. Plan de alimentaci\u00f3n (muestra)<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tVI. Instrucciones diet\u00e9ticas previas a la cirug\u00eda.<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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I. PERDER PESO<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Para los pacientes con un IMC superior a 50, nuestros cirujanos pueden exigir que se cumplan pautas diet\u00e9ticas espec\u00edficas antes de la cirug\u00eda.<\/p>

(NOTA ESPECIAL PARA PACIENTES CON DIABETES.)<\/p>

Los pacientes deber\u00e1n ajustar su insulina o medicaci\u00f3n mientras siguen la dieta preoperatoria. Se recomienda consultar con un especialista en diabetes\/enfermero\/enfermero\/m\u00e9dico de cabecera antes de emprender la dieta.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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II. DURACI\u00d3N DE LA DIETA PREQUIR\u00daRGICA POR IMC\n\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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IMC 29 a 32 \u2013 1 semana
IMC 33 a 39 \u2013 2 a 3 semanas
IMC 40 a 50 \u2013 4 a 8 semanas
IMC 51 a 60 \u2013 8 a 12 semanas<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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III. DIETA PRE-QUIR\u00daRGICA<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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3 comidas principales por d\u00eda (tama\u00f1o reducido, las im\u00e1genes a continuaci\u00f3n muestran c\u00f3mo medir f\u00e1cilmente sus comidas usando reglas generales)<\/p>

2 o 3 peque\u00f1os snacks (dependiendo de la hora a la que te vayas a dormir, puedes a\u00f1adir un tercer snack por la noche si te acuestas tarde; en caso contrario, lim\u00edtate a 2 peque\u00f1os snacks al d\u00eda)<\/p>

Importante: Se deben incluir prote\u00ednas en cada comida o refrigerio (ayuda a sentirse satisfecho por m\u00e1s tiempo y no provoca que los niveles de insulina aumenten).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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IV. TAMA\u00d1OS DE PORCI\u00d3N RECOMENDADOS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Utilice la regla de la palma para medir las porciones de alimentos f\u00e1cilmente sin necesidad de b\u00e1sculas, tazas, gramos, onzas, etc. Tampoco es necesario contar calor\u00edas, simplemente siga esta regla.<\/p>

El tama\u00f1o de la palma de la mano determina la porci\u00f3n de prote\u00edna.<\/p>

El pu\u00f1o determina las porciones de verduras.<\/p>

Una mano ahuecada determina las porciones de carbohidratos y frutas.<\/p>

Un pulgar determina las porciones de grasa (nueces\/semillas\/queso).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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V. PLAN DE ALIMENTACI\u00d3N (MUESTRA)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tAlmuerzo<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\n\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tSnack<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\n\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tCena<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\n\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tSnack (si es necesario)<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t<\/thead>\n\n\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tOpci\u00f3n 1:\nTortilla (1 huevo entero + 1 clara, un pu\u00f1ado de espinacas, una cucharada de cebolla picada, aceite de oliva, sal y pimienta con moderaci\u00f3n)\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tEnsalada de verduras mixtas (aceite de oliva, sal, pimienta, jugo de lim\u00f3n para aderezo), pechuga de pollo asada (la mitad de la pechuga o igual al tama\u00f1o de la palma de la mano)\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t10-15 almendras, \u00bd manzana grande (o 1 manzana peque\u00f1a)\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tBr\u00f3coli salteado (use cebolla y ajo, jugo de lim\u00f3n, sal y pimienta, otras especias para agregar sabor), tilapia frita\/al horno\/a la parrilla (1\/2 filete o porci\u00f3n igual al tama\u00f1o de la palma de la mano)\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tUna loncha de queso (porci\u00f3n del tama\u00f1o de un dedo) con 1 mandarina\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t \t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tHuevos revueltos (1 huevo entero + 1 clara de huevo, 4-6 trozos de champi\u00f1ones frescos, cucharada de cebolla picada, aceite de oliva, sal y pimienta con moderaci\u00f3n)\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tEnsalada de tomate y pepino con gambas, garbanzos o guisantes\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tDos trozos peque\u00f1os de queso, cualquier fruta\/bayas frescas (1 pu\u00f1ado)\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tFilete de ternera a la parrilla (elija carne magra, porci\u00f3n del tama\u00f1o de la palma de la mano, sin salsa espesa), un pu\u00f1ado de esp\u00e1rragos perforados\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tDos cucharadas de hummus con 1 rama de apio y 4-5 zanahorias peque\u00f1as\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t \t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tYogur griego peque\u00f1o (sin az\u00facar) con 1 pu\u00f1ado de ar\u00e1ndanos frescos\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
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\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t \t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\tWrap de lechuga con dos finas lonchas de pechuga de pavo\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t
\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t \t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t<\/div>\n\t\t<\/div>\n \t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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VI. INSTRUCCIONES DIET\u00c9TICAS PREVIAS A LA CIRUG\u00cdA<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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1 month before surgery<\/span><\/p>

Adem\u00e1s de la dieta prescrita antes de la cirug\u00eda, los pacientes deben consultar con sus m\u00e9dicos acerca de una rutina de ejercicios adecuada. Los pacientes con enfermedades cardiovasculares o articulares no necesitan hacer ejercicio y deben consultar con sus m\u00e9dicos para una rutina f\u00edsica adaptada.<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/article>

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14 days before surgery<\/span><\/p>

A todos los pacientes se les pedir\u00e1 que comiencen a tomar 20 mg dos veces al d\u00eda de omeprazol (medicamento anti\u00e1cido), y la \u00faltima pastilla se tomar\u00e1 la noche anterior a la cirug\u00eda. Este medicamento ayuda a disminuir la acidez del est\u00f3mago, el reflujo \u00e1cido, las n\u00e1useas, la inflamaci\u00f3n y la hinchaz\u00f3n causadas por el procedimiento. Los pacientes continuar\u00e1n tomando medicamentos anti\u00e1cidos despu\u00e9s de la cirug\u00eda durante al menos dos meses o hasta que desaparezca el reflujo \u00e1cido o la acidez estomacal.<\/p>

\u00a0<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/article>

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7 days before surgery<\/span><\/p>

Los pacientes consultar\u00e1n con su cirujano de Ciba sobre cualquier medicamento que tomen regularmente.<\/p>

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3 days before surgery<\/span><\/p>

Los pacientes comienzan una dieta l\u00edquida completa los \u00faltimos 3 d\u00edas antes de la cirug\u00eda (sin incluir el d\u00eda de la cirug\u00eda, si la cirug\u00eda es un lunes, los 3 d\u00edas anteriores incluyen viernes, s\u00e1bado y domingo). Se requiere que los pacientes sigan una dieta l\u00edquida completa. El cirujano puede aumentar esta \"etapa l\u00edquida\" a 5, 7 o m\u00e1s d\u00edas dependiendo del IMC y la duraci\u00f3n de la etapa de la dieta de alimentos s\u00f3lidos. Nuestros cirujanos informar\u00e1n a los pacientes si es necesario aumentar la \"etapa l\u00edquida\" durante la consulta preoperatoria.<\/p>

\u00a0<\/p>

Tus comidas l\u00edquidas pueden incluir las siguientes opciones:<\/p>

  • Yogur griego natural (o yogur normal sin az\u00facar),<\/li>
  • Batidos de prote\u00ednas con bajo (3 g) o \u201c0\u201d carbohidratos y bajo o \u201c0\u201d grasa (un buen batido de prote\u00ednas debe incluir no m\u00e1s de 3 g de az\u00facar y no menos de 20 g de prote\u00edna); limite los batidos de prote\u00ednas a 3 o 4 por d\u00eda, ya que se consideran sustitutos de las comidas;<\/li>
  • Leche de almendras (no se recomienda la leche de vaca normal o baja en grasa debido a los altos niveles de az\u00facar \u2013 lactosa);<\/li>
  • Caldo (pollo\/carne\/pescado\/caldo de verduras, o parte l\u00edquida de cualquier otro tipo de sopa), si\u00e9ntase libre de agregar una cucharada de prote\u00edna en polvo sin sabor a su caldo para sentirse lleno;<\/li>
  • Sopa de huevo (colada);
    Sopas de crema de zanahoria, calabac\u00edn o calabaza (bien licuadas y coladas, para que no queden trozos s\u00f3lidos, agregue suficiente agua para que quede m\u00e1s fina, NO agregue crema, un poco de leche para mejor sabor es aceptable); puedes agregar prote\u00edna en polvo sin sabor;<\/li>
  • Pud\u00edn\/gelatina\/paletas heladas sin az\u00facar;<\/li>
  • Se recomienda agua con infusi\u00f3n de frutas, especialmente con electrolitos, y abundante agua o t\u00e9 de hierbas\/frutas sin az\u00facar, agua de coco y otros l\u00edquidos sin az\u00facar;<\/li>
  • Se permiten jugos verdes (col rizada, espinacas, apio, etc.), no se permiten jugos de frutas porque contienen demasiada fructosa (otra forma de az\u00facar);<\/li>
  • El prop\u00f3sito de la etapa de la dieta l\u00edquida es limpiar la bolsa del est\u00f3mago y el intestino de s\u00f3lidos y reducir la cantidad de \u00e1cido estomacal producido, disminuyendo as\u00ed las posibilidades de sufrir acidez estomacal despu\u00e9s de la cirug\u00eda. Esto tambi\u00e9n es importante ya que ayudar\u00e1 a disminuir la hinchaz\u00f3n de la bolsa del est\u00f3mago despu\u00e9s de la cirug\u00eda y tambi\u00e9n reducir\u00e1 el tama\u00f1o del h\u00edgado.<\/li><\/ul><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/article><\/div> \n\t\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    1 Day before surgery. Pre-op tests stage.<\/span><\/p>

    Por lo general, las pruebas preoperatorias se realizan el d\u00eda de llegada (el d\u00eda antes de la cirug\u00eda). Los pacientes pueden beber l\u00edquidos como agua, jugo de manzana, Gatorade, paletas heladas sin az\u00facar o gelatina hasta 3 horas antes de llegar a San Diego. Despu\u00e9s de llegar a San Diego, es esencial beber agua s\u00f3lo hasta que se le haya extra\u00eddo sangre. Despu\u00e9s, se puede volver a beber l\u00edquidos.<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/article>

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    The big day. Surgery<\/span><\/p>

    No se pueden consumir l\u00edquidos despu\u00e9s de las 10 de la noche de la noche anterior a la cirug\u00eda. Es muy importante que se consuman abundantes l\u00edquidos durante la dieta l\u00edquida de 3 d\u00edas para mantener la hidrataci\u00f3n el d\u00eda de la cirug\u00eda.<\/p>

    Felicitaciones por embarcarse en un viaje valiente para vivir un estilo de vida m\u00e1s saludable y vibrante. En Ciba estaremos contigo en cada paso del camino.<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/article><\/div> \n\t\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Felicitaciones por embarcarse en un viaje valiente para vivir un estilo de vida m\u00e1s saludable y vibrante. En Ciba estaremos contigo en cada paso del camino.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Nutrition Instructions Prior to surgery At Ciba, our patients are required to follow a diet before having weight loss surgery. The diet is beneficial for balancing hormones and shrinking enlarged fatty liver. A pre-op diet is also helpful for one\u2019s mental, emotional and physical well being both before and after surgery. While there may be apprehension about the word \u201cdiet\u201d patient\u2019s with a BMI between 30 and 50 are asked to begin acquiring healthy eating habits before their surgery date. INDEX I. Losing weightII. Duration of diet pre-surgery per BMI.III. Pre surgery dietIV. Recommended portion sizesV. Meal Plan (Sample)VI. Pre-surgery dietary instructions I. LOSING WEIGHT For patients with BMI over 50, our surgeons may require that specific dietary guidelines are met before surgery. (SPECIAL NOTE FOR PATIENTS WITH DIABETES.) Patients will need to adjust their insulin or medication while following the pre-op diet. It is advised to consult with a diabetes specialist \/nurse\/nurse practitioner\/general practitioner before embarking on the diet. II. DURATION OF DIET PRE-SURGERY PER BMI BMI 29 to 32 \u2013 1 weekBMI 33 to 39 \u2013 2 to 3 weeksBMI 40 to 50 \u2013 4 to 8 weeksBMI 51 to 60 \u2013 8 to 12 weeks III. PRE SURGERY DIET 3 main meals per day (curtailed size, pictures below show how to easily measure your meals using thumb rules) 2 or 3 small snacks (depending on when you go to sleep, you may add a third snack in the evening if you go to bed late, otherwise limit yourself to 2 small snacks a day) Important: Protein should be included in every meal or snack (it helps in feeling fuller longer and does not cause insulin levels to spike). IV. RECOMMENDED PORTION SIZES Use the rule of palm to measure food portions easily without any scales, cups, grams, ounces, etc. No need to count calories either, simply follow this rule. The size of one\u2019s palm determines a protein portion. The fist determines a veggie portions. A cupped hand determines carb\/fruit portions. A thumb determines fat (nuts\/seeds\/cheese) portions. V. MEAL PLAN (SAMPLE) Breakfast Lunch Snack Dinner Snack (if necessary) Option 1: Omelet (1 whole egg + 1 egg white, handful of spinach, table spoon of chopped onions, olive oil, salt and pepper in moderation)\u2028 Mixed greens salad (olive oil, salt, pepper, lemon juice for dressing), grilled chicken breast (1\/2 of breast or equal to palm size) 10-15 almonds, \u00bd large apple (or 1 small apple) Saut\u00e9ed broccoli (use onions and garlic, lemon juice, salt and pepper, other spices to add flavor), fried\/baked\/grilled tilapia (1\/2 filet or portion equal to palm size) A slice of cheese (finger size portion) with 1 mandarin Scrambled eggs (1 whole egg + 1 egg white, any fresh mushrooms 4-6 pieces, tablespoon of chopped onions, olive oil, salt and pepper in moderation) Tomato and cucumber salad with shrimps, chickpeas or green peas Two small pieces of cheese, any fruit\/fresh berries (1 handful) Grilled beef steak (choose lean meat, palm size portion, no heavy sauce), a handful of drilled asparagus Two table spoons of hummus with 1 celery stick and 4-5 baby carrots Small Greek yogurt (sugar-free) with 1 handful of fresh blueberries Lettuce wrap with two thin slices of turkey breast VI. PRE-SURGERY DIETARY INSTRUCTIONS 1 month before surgery In addition to the prescribed pre-surgery diet, patients should consult with their physicians for a suitable exercise routine. Patients with cardio-vascular or joint diseases are not required to exercise and should consult with their physicians for an adapted physical routine.. 14 days before surgery All patients will be asked to begin taking 20 mg twice a day of Omeprazole (antacid medication), with the last pill to be taken the evening before surgery. This medication aids to decrease stomach acidity, acid reflux, nausea, inflammation, and swelling caused by the procedure. Patients will continue taking antacid medication after surgery for at least two months or until acid reflux\/heartburn is gone. \u00a0 7 days before surgery Patients will consult with their Ciba surgeon about any medications taken regularly. \u00a0 3 days before surgery Patients begin a full liquid diet the last 3 days before surgery (not including the day of surgery, if surgery is on Monday, the 3 days before include Fri, Sat, Sun) it is required that patients follow a full-liquid diet. This \u201cliquid stage\u201d can be increased to 5, 7 or more days by the surgeon depending on one\u2019s BMI and duration of the solid food diet stage. Our surgeons will inform patients if they are required to increase the \u201cliquid stage\u201d during the pre-op consultation. \u00a0 Your liquid meals can include the following options: Plain Greek yogurt (or regular sugar-free yogurt), Protein shakes with low (3 g) or \u201c0\u201d carbs and low or \u201c0\u201d fat (good protein shake should include no more than 3 g of sugar and no less than 20 g of protein); limit protein shakes to 3 or 4 per day as they are considered meal substitutes; Almond milk (regular or low-fat cow milk is not recommended due to high sugar levels \u2013 lactose); Broth (chicken\/beef\/fish\/vegetable broth, or liquid part of any other type of soup), feel free to add a scoop of unflavored protein powder to your broth in order to feel full; Egg-drop soup (strained);Carrot, zucchini or squash cream soups (well-blended and strained, so there are no solid pieces, add enough water to make it thin, NO cream to be added, a little bit of milk for better taste is acceptable); you may add unflavored protein powder; Sugar-free pudding\/Jell-O\/popsicles; Fruit-infused water, especially with electrolytes, and plenty of water or herbal\/fruit tea without sugar, coconut water and other sugar-free fluids are recommended; Green juices (kale, spinach, celery, etc.) are allowed, fruit juices are not allowed as they contain too much fructose (another form of sugar); The purpose of the liquid diet stage is to cleanse the stomach pouch and bowel from solids, and to reduce the amount of stomach acid produced, thus decreasing the chances of having heart burn after surgery.<\/p>","protected":false},"author":1,"featured_media":0,"parent":12,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-647","page","type-page","status-publish","hentry","entry","owp-thumbs-layout-horizontal","owp-btn-normal","owp-tabs-layout-horizontal","has-no-thumbnails","has-product-nav"],"yoast_head":"\nNutritional Guidelines - Ciba USA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ciba-usa.com\/es\/surgeries\/nutritional-guidelines\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nutritional Guidelines - Ciba USA\" \/>\n<meta property=\"og:description\" content=\"Nutrition Instructions Prior to surgery At Ciba, our patients are required to follow a diet before having weight loss surgery. The diet is beneficial for balancing hormones and shrinking enlarged fatty liver. A pre-op diet is also helpful for one\u2019s mental, emotional and physical well being both before and after surgery. While there may be apprehension about the word \u201cdiet\u201d patient\u2019s with a BMI between 30 and 50 are asked to begin acquiring healthy eating habits before their surgery date. INDEX I. Losing weightII. Duration of diet pre-surgery per BMI.III. Pre surgery dietIV. Recommended portion sizesV. Meal Plan (Sample)VI. Pre-surgery dietary instructions I. LOSING WEIGHT For patients with BMI over 50, our surgeons may require that specific dietary guidelines are met before surgery. (SPECIAL NOTE FOR PATIENTS WITH DIABETES.) Patients will need to adjust their insulin or medication while following the pre-op diet. It is advised to consult with a diabetes specialist \/nurse\/nurse practitioner\/general practitioner before embarking on the diet. II. DURATION OF DIET PRE-SURGERY PER BMI BMI 29 to 32 \u2013 1 weekBMI 33 to 39 \u2013 2 to 3 weeksBMI 40 to 50 \u2013 4 to 8 weeksBMI 51 to 60 \u2013 8 to 12 weeks III. PRE SURGERY DIET 3 main meals per day (curtailed size, pictures below show how to easily measure your meals using thumb rules) 2 or 3 small snacks (depending on when you go to sleep, you may add a third snack in the evening if you go to bed late, otherwise limit yourself to 2 small snacks a day) Important: Protein should be included in every meal or snack (it helps in feeling fuller longer and does not cause insulin levels to spike). IV. RECOMMENDED PORTION SIZES Use the rule of palm to measure food portions easily without any scales, cups, grams, ounces, etc. No need to count calories either, simply follow this rule. The size of one\u2019s palm determines a protein portion. The fist determines a veggie portions. A cupped hand determines carb\/fruit portions. A thumb determines fat (nuts\/seeds\/cheese) portions. V. MEAL PLAN (SAMPLE) Breakfast Lunch Snack Dinner Snack (if necessary) Option 1: Omelet (1 whole egg + 1 egg white, handful of spinach, table spoon of chopped onions, olive oil, salt and pepper in moderation)\u2028 Mixed greens salad (olive oil, salt, pepper, lemon juice for dressing), grilled chicken breast (1\/2 of breast or equal to palm size) 10-15 almonds, \u00bd large apple (or 1 small apple) Saut\u00e9ed broccoli (use onions and garlic, lemon juice, salt and pepper, other spices to add flavor), fried\/baked\/grilled tilapia (1\/2 filet or portion equal to palm size) A slice of cheese (finger size portion) with 1 mandarin Scrambled eggs (1 whole egg + 1 egg white, any fresh mushrooms 4-6 pieces, tablespoon of chopped onions, olive oil, salt and pepper in moderation) Tomato and cucumber salad with shrimps, chickpeas or green peas Two small pieces of cheese, any fruit\/fresh berries (1 handful) Grilled beef steak (choose lean meat, palm size portion, no heavy sauce), a handful of drilled asparagus Two table spoons of hummus with 1 celery stick and 4-5 baby carrots Small Greek yogurt (sugar-free) with 1 handful of fresh blueberries Lettuce wrap with two thin slices of turkey breast VI. PRE-SURGERY DIETARY INSTRUCTIONS 1 month before surgery In addition to the prescribed pre-surgery diet, patients should consult with their physicians for a suitable exercise routine. Patients with cardio-vascular or joint diseases are not required to exercise and should consult with their physicians for an adapted physical routine.. 14 days before surgery All patients will be asked to begin taking 20 mg twice a day of Omeprazole (antacid medication), with the last pill to be taken the evening before surgery. This medication aids to decrease stomach acidity, acid reflux, nausea, inflammation, and swelling caused by the procedure. Patients will continue taking antacid medication after surgery for at least two months or until acid reflux\/heartburn is gone. \u00a0 7 days before surgery Patients will consult with their Ciba surgeon about any medications taken regularly. \u00a0 3 days before surgery Patients begin a full liquid diet the last 3 days before surgery (not including the day of surgery, if surgery is on Monday, the 3 days before include Fri, Sat, Sun) it is required that patients follow a full-liquid diet. This \u201cliquid stage\u201d can be increased to 5, 7 or more days by the surgeon depending on one\u2019s BMI and duration of the solid food diet stage. Our surgeons will inform patients if they are required to increase the \u201cliquid stage\u201d during the pre-op consultation. \u00a0 Your liquid meals can include the following options: Plain Greek yogurt (or regular sugar-free yogurt), Protein shakes with low (3 g) or \u201c0\u201d carbs and low or \u201c0\u201d fat (good protein shake should include no more than 3 g of sugar and no less than 20 g of protein); limit protein shakes to 3 or 4 per day as they are considered meal substitutes; Almond milk (regular or low-fat cow milk is not recommended due to high sugar levels \u2013 lactose); Broth (chicken\/beef\/fish\/vegetable broth, or liquid part of any other type of soup), feel free to add a scoop of unflavored protein powder to your broth in order to feel full; Egg-drop soup (strained);Carrot, zucchini or squash cream soups (well-blended and strained, so there are no solid pieces, add enough water to make it thin, NO cream to be added, a little bit of milk for better taste is acceptable); you may add unflavored protein powder; Sugar-free pudding\/Jell-O\/popsicles; Fruit-infused water, especially with electrolytes, and plenty of water or herbal\/fruit tea without sugar, coconut water and other sugar-free fluids are recommended; Green juices (kale, spinach, celery, etc.) are allowed, fruit juices are not allowed as they contain too much fructose (another form of sugar); The purpose of the liquid diet stage is to cleanse the stomach pouch and bowel from solids, and to reduce the amount of stomach acid produced, thus decreasing the chances of having heart burn after surgery.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ciba-usa.com\/es\/surgeries\/nutritional-guidelines\/\" \/>\n<meta property=\"og:site_name\" content=\"Ciba USA\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-18T17:36:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ciba-usa.com\/wp-content\/uploads\/2024\/05\/image-79.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/\",\"url\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/\",\"name\":\"Nutritional Guidelines - Ciba USA\",\"isPartOf\":{\"@id\":\"https:\/\/ciba-usa.com\/es\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ciba-usa.com\/wp-content\/uploads\/2024\/05\/image-79.png\",\"datePublished\":\"2024-05-31T15:00:11+00:00\",\"dateModified\":\"2024-06-18T17:36:42+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/#primaryimage\",\"url\":\"https:\/\/ciba-usa.com\/wp-content\/uploads\/2024\/05\/image-79.png\",\"contentUrl\":\"https:\/\/ciba-usa.com\/wp-content\/uploads\/2024\/05\/image-79.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ciba-usa.com\/surgeries\/nutritional-guidelines\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/ciba-usa.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Surgeries\",\"item\":\"https:\/\/ciba-usa.com\/surgeries\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Nutritional Guidelines\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ciba-usa.com\/es\/#website\",\"url\":\"https:\/\/ciba-usa.com\/es\/\",\"name\":\"Ciba USA\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/ciba-usa.com\/es\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ciba-usa.com\/es\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/ciba-usa.com\/es\/#organization\",\"name\":\"Ciba USA\",\"url\":\"https:\/\/ciba-usa.com\/es\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ciba-usa.com\/es\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/ciba-usa.com\/wp-content\/uploads\/2024\/05\/cibausa-logo-azul.png\",\"contentUrl\":\"https:\/\/ciba-usa.com\/wp-content\/uploads\/2024\/05\/cibausa-logo-azul.png\",\"width\":81,\"height\":82,\"caption\":\"Ciba USA\"},\"image\":{\"@id\":\"https:\/\/ciba-usa.com\/es\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Nutritional Guidelines - Ciba USA","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ciba-usa.com\/es\/surgeries\/nutritional-guidelines\/","og_locale":"es_MX","og_type":"article","og_title":"Nutritional Guidelines - Ciba USA","og_description":"Nutrition Instructions Prior to surgery At Ciba, our patients are required to follow a diet before having weight loss surgery. The diet is beneficial for balancing hormones and shrinking enlarged fatty liver. A pre-op diet is also helpful for one\u2019s mental, emotional and physical well being both before and after surgery. While there may be apprehension about the word \u201cdiet\u201d patient\u2019s with a BMI between 30 and 50 are asked to begin acquiring healthy eating habits before their surgery date. INDEX I. Losing weightII. Duration of diet pre-surgery per BMI.III. Pre surgery dietIV. Recommended portion sizesV. Meal Plan (Sample)VI. Pre-surgery dietary instructions I. LOSING WEIGHT For patients with BMI over 50, our surgeons may require that specific dietary guidelines are met before surgery. (SPECIAL NOTE FOR PATIENTS WITH DIABETES.) Patients will need to adjust their insulin or medication while following the pre-op diet. It is advised to consult with a diabetes specialist \/nurse\/nurse practitioner\/general practitioner before embarking on the diet. II. DURATION OF DIET PRE-SURGERY PER BMI BMI 29 to 32 \u2013 1 weekBMI 33 to 39 \u2013 2 to 3 weeksBMI 40 to 50 \u2013 4 to 8 weeksBMI 51 to 60 \u2013 8 to 12 weeks III. PRE SURGERY DIET 3 main meals per day (curtailed size, pictures below show how to easily measure your meals using thumb rules) 2 or 3 small snacks (depending on when you go to sleep, you may add a third snack in the evening if you go to bed late, otherwise limit yourself to 2 small snacks a day) Important: Protein should be included in every meal or snack (it helps in feeling fuller longer and does not cause insulin levels to spike). IV. RECOMMENDED PORTION SIZES Use the rule of palm to measure food portions easily without any scales, cups, grams, ounces, etc. No need to count calories either, simply follow this rule. The size of one\u2019s palm determines a protein portion. The fist determines a veggie portions. A cupped hand determines carb\/fruit portions. A thumb determines fat (nuts\/seeds\/cheese) portions. V. MEAL PLAN (SAMPLE) Breakfast Lunch Snack Dinner Snack (if necessary) Option 1: Omelet (1 whole egg + 1 egg white, handful of spinach, table spoon of chopped onions, olive oil, salt and pepper in moderation)\u2028 Mixed greens salad (olive oil, salt, pepper, lemon juice for dressing), grilled chicken breast (1\/2 of breast or equal to palm size) 10-15 almonds, \u00bd large apple (or 1 small apple) Saut\u00e9ed broccoli (use onions and garlic, lemon juice, salt and pepper, other spices to add flavor), fried\/baked\/grilled tilapia (1\/2 filet or portion equal to palm size) A slice of cheese (finger size portion) with 1 mandarin Scrambled eggs (1 whole egg + 1 egg white, any fresh mushrooms 4-6 pieces, tablespoon of chopped onions, olive oil, salt and pepper in moderation) Tomato and cucumber salad with shrimps, chickpeas or green peas Two small pieces of cheese, any fruit\/fresh berries (1 handful) Grilled beef steak (choose lean meat, palm size portion, no heavy sauce), a handful of drilled asparagus Two table spoons of hummus with 1 celery stick and 4-5 baby carrots Small Greek yogurt (sugar-free) with 1 handful of fresh blueberries Lettuce wrap with two thin slices of turkey breast VI. PRE-SURGERY DIETARY INSTRUCTIONS 1 month before surgery In addition to the prescribed pre-surgery diet, patients should consult with their physicians for a suitable exercise routine. Patients with cardio-vascular or joint diseases are not required to exercise and should consult with their physicians for an adapted physical routine.. 14 days before surgery All patients will be asked to begin taking 20 mg twice a day of Omeprazole (antacid medication), with the last pill to be taken the evening before surgery. This medication aids to decrease stomach acidity, acid reflux, nausea, inflammation, and swelling caused by the procedure. Patients will continue taking antacid medication after surgery for at least two months or until acid reflux\/heartburn is gone. \u00a0 7 days before surgery Patients will consult with their Ciba surgeon about any medications taken regularly. \u00a0 3 days before surgery Patients begin a full liquid diet the last 3 days before surgery (not including the day of surgery, if surgery is on Monday, the 3 days before include Fri, Sat, Sun) it is required that patients follow a full-liquid diet. This \u201cliquid stage\u201d can be increased to 5, 7 or more days by the surgeon depending on one\u2019s BMI and duration of the solid food diet stage. Our surgeons will inform patients if they are required to increase the \u201cliquid stage\u201d during the pre-op consultation. \u00a0 Your liquid meals can include the following options: Plain Greek yogurt (or regular sugar-free yogurt), Protein shakes with low (3 g) or \u201c0\u201d carbs and low or \u201c0\u201d fat (good protein shake should include no more than 3 g of sugar and no less than 20 g of protein); limit protein shakes to 3 or 4 per day as they are considered meal substitutes; Almond milk (regular or low-fat cow milk is not recommended due to high sugar levels \u2013 lactose); Broth (chicken\/beef\/fish\/vegetable broth, or liquid part of any other type of soup), feel free to add a scoop of unflavored protein powder to your broth in order to feel full; Egg-drop soup (strained);Carrot, zucchini or squash cream soups (well-blended and strained, so there are no solid pieces, add enough water to make it thin, NO cream to be added, a little bit of milk for better taste is acceptable); 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