Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian)

Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian)

Phase 1 : Clear Liquid Diet (Days 1–3 post-op)

  • Goal : Hydration, prevent nausea, promote healing
  • Frequency : Sip 30–50 ml every 15–20 mins
  • Allowed :
    • Coconut water (unsweetened)
    • Jeera or ajwain water (strained)
    • Clear homemade vegetable broth (no solids)
    • Rice kanji water
    • Lemon water (without sugar)
    • ORS / electrolyte solution

Phase 2 : Full Liquid Diet (Days 4–14 post-op)

  • Goal : Gradual introduction of calories and protein
  • Portion : 100–150 ml per serving, 6–8 times/day
  • Allowed :
    • Protein shakes (plant-based or whey isolate) mixed in water or skim milk
    • Skim milk or lactose-free milk (unsweetened)
    • Moong dal or masoor dal soup (strained)
    • Thin oats or dal porridge (blended smooth)
    • Buttermilk (diluted, no masala)
    • Soy or almond milk (unsweetened)
      Avoid : Sugar, caffeine, aerated drinks, spicy or acidic items

Phase 3 : Pureed Diet (Weeks 3–4)

  • Goal : Increase protein intake, begin texture transition
  • Portion : ½ cup per meal, 5–6 meals/day
  • Allowed :
    • Soft khichdi (blended/moist, with dal and rice)
    • Mashed paneer with turmeric & cumin
    • Steamed and blended vegetables (carrot, lauki, spinach, pumpkin)
    • Hung curd or low-fat curd (plain)
    • Boiled mashed soya chunks
    • Chia seed pudding (in soy/almond milk)
    • Moong dal cheela (blended) or soft moong dhokla

      Eat slowly, chew/puree thoroughly, avoid fibrous veggies like methi, cabbage, corn

Phase 4 : Soft Diet (Weeks 5–6)

  • Goal : Introduce soft solids, continue high protein, low fat/sugar
  • Portion : ¾ cup per meal, 5 small meals/day
  • Allowed :
    • Upma with moong dal and grated veggies
    • Soft idli with minimal chutney
    • Boiled eggs (if tolerated, optional for ovo-vegetarians)
    • Low-fat paneer bhurji
    • Tofu stir-fry (minimal oil)
    • Stuffed lauki or tinda (well-cooked, mashed inside)
    • Greek yogurt or homemade hung curd
    • Protein laddoo (homemade: roasted moong dal, chia, peanut, jaggery)

      Limit fat, avoid raw salads, dry fruits, bakery foods

Phase 5 : Stabilization / Regular Bariatric Diet (From Week 7 onward)

  • Goal : Maintain weight loss, build lifelong habits
  • Portion : 1 cup per meal, 3 meals + 2 snacks
  • Daily targets :
    • Protein: ≥ 60–80 g/day
    • Fluids: ≥ 1.5–2 L/day (30 min away from meals)
    • Supplements: Multivitamin, calcium, iron, B12

  • Meal Ideas :
    • Breakfast : Vegetable dalia or besan cheela + curd
    • Lunch : 1 small jowar roti + dal + sautéed vegetable + curd
    • Snacks : Roasted chana, buttermilk, low-fat milk smoothie
    • Dinner : Vegetable soup + quinoa khichdi with tofu
    • Protein options : Soy nuggets, paneer, whey isolate, pulses, tofu
      Long-term avoid: Fried food, sugar, carbonated drinks, alcohol

Supplement Guidelines

(To be advised by surgeon/dietician as per labs)

  • Multivitamin (daily chewable or capsule)
  • Calcium + D3 (500–600 mg twice/day)
  • Iron (45–60 mg elemental/day)
  • Vitamin B12 (oral or injection monthly)
  • Protein supplement: Until intake from diet is sufficient

Lifestyle Tips

  • Eat slowly, chew thoroughly (20–30 times per bite)
  • Avoid drinking with meals (gap of 30 mins)
  • Stay upright 30 mins after meals
  • Focus on protein first, then vegetables, then carbs
  • Maintain food and symptom diary during first 3 months

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