Various pre-op diets

Why do the pre-op diets vary so much with what your allowed & also how long you have to do it for? Some are milk diets ..some are restrictive low cal and some you seem to be allowed more on...how can they all do the same thing when so different? And also why are some people on the diet for 6 weeks or 4 weeks or 2weeks? Isn't there a standard amount of time it takes to shrink the liver? Some people on here cheat and there liver is still small and some people follow completely and there liver is still a it large & fatty?

Doesn't seem to have any rhyme or reason, I was on the milk/yogurt diet, the day of my op I was in hospital and a few ops over ran so my surgeon asked me if I'd mind having mine the following day, of course I agreed, he then said "Oh you must be starving having waited all day, why don't you order something off the menu, as you've not had anything all day I can recommend the chicken baguette and chips!!" Even though my surgeon himself said it, I ordered a muller light off the menu (I was in a BUPA hospital)

No idea to be honest I could understand the NHS at least having one rule but it seems not!

I guess its about giving us some choice it would be flipping horrible to only have the milk diet to do! WhatI do understand regarding the length of time people can do the LSD for and its all about your weight at the start of your LSD the heavier you are the longer the diet gies on for( I was on mine for 4 wweeks) but when I read of those who went private it only a week or two sometimes less! I guess private just do it differently from the NHS!

I self funded and only had to do 13 days on milk/yog (no choices that was the only diet my surgeon advised) as I took a cancellation last minute

Maybe the NHS follow stricter rules so they are covering themselves for comebacks. In Belgium I wasn't required to do an lsd (I did anyway) I think an lsd is only advised for very high bmi there. I really don't get the milk diet personally (but then again I am not a medical professional) I don't see how four weeks on drinking milk and yogurts can be better for you than a low cal low fat diet of lean chicken and salad on small portions for the same amount of time.

I had my surgery on the NHS I had a choice of 5 different diets which if you wanted to you could change on a daily basis as long as you stuck within the 5 diets. I had to do 4 weeks as I had a high BMI I did the the total food replacement diet for 3.5 weeks then my last few days before surgery I changed to the very low calorie diet just so I was able to eat food before I started another 4 weeks liquid diet post op x

I also don't understand when you see people on here admit to cheating on the diet and then there liver is still small and the op goes fine, so is the lsd really necessary in terms of being so strict and so long

My understanding is the time on the diet relates to how much weight you have to loose.
There are different diets, I'm guessing they've just evolved as no standard has been set & each surgeon / hospital has their own preference.
The milk diet works as calcium helps the body get rid of fat

I love Milk so i don't mind living on that and yoghurt for however long. But i have also seen various pre-op diets and found it somewhat confuzzling.

I'm having my op through the National Obesity Surgery Centre and they've given me a choice of 4 diets that I posted about here

Any restrictive diet you do will lead to the liver dumping its stores of glycogen in the early days; something that the creators of diets exploit when you see all this "I lost 7lbs in one week!" type of advertising.

I guess that as they're dealing with people with an unhealthy relationship with food they probably figure that the more 'simple' the restrictive diet, the more likely it is to be followed? Who knows. Interesting how some providers/NHS areas choose one restrictive diet over another.

It isn't only pre-op differences, this variation carries post op. Also when it comes to taking a PPI post op, some say for life, like my surgeon, others say a few months. A recent change my surgeon made was to recommend only liquid or soluble vitamins instead of tabs for bypassers.

Lets face it we are still guinea pigs in some respects, the surgeons are still developing their own protocols.

Caroline jess said:

Maybe the NHS follow stricter rules so they are covering themselves for comebacks. In Belgium I wasn't required to do an lsd (I did anyway) I think an lsd is only advised for very high bmi there. I really don't get the milk diet personally (but then again I am not a medical professional) I don't see how four weeks on drinking milk and yogurts can be better for you than a low cal low fat diet of lean chicken and salad on small portions for the same amount of time.

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Ahh good you weren't given a prescriptive diet either in Belguim. Thank goodness, I keep think I'm being scammed lol. " just stick some money in an overseas bank account, keep taking your meds ,no take always or booze for a fortnight and turn up " I think I'm loosing it :/

mrsb1 said:

Ahh good you weren't given a prescriptive diet either in Belguim. Thank goodness, I keep think I'm being scammed lol. " just stick some money in an overseas bank account, keep taking your meds ,no take always or booze for a fortnight and turn up " I think I'm loosing it :/

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MrsB. My first surgery with Dr Chris was in 2007. Back in the day I carried a wad of cash with me. I must have glared at everyone on the way there lol. It is still an option.

weegie said:

MrsB. My first surgery with Dr Chris was in 2007. Back in the day I carried a wad of cash with me. I must have glared at everyone on the way there lol. It is still an option.

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?

Sent from my iPad using WLSurgery

mrsb1 said:

? Sent from my iPad using WLSurgery

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Meaning you can still pay by cash if you prefer.

Lol that was an emo thingy it came up as a question mark. 10/10 for techno wiz me lol

Sent from my iPad using WLSurgery

When I went and got the go ahead for surgery, was told that nearer the time I would be told when to start the pre op diet. I was told i would have to do the milk diet for two weeks, which consisted of 4 pt of milk aday, a boviril drink and a sachet of sugar free jelly. I saw my surgeon at work about three weeks before my sugery, he said as far as he was concerned I could start the pre op diet when ever I want to. I did it for a extra week, partly because I hadn't planned what to take to work, and I was petrified that it wouldn't work and that they wouldn't have been able to do the op. ( i work in the operating theatres where I had my surgery). I know where I had my surgery either use the milk diet or a high protein type diet if you have milk allergies