During Phase 2 of the
4-phase post-gastric sleeve diet, you’ll be instructed to eat only liquids and “pureed meals.” It doesn’t sound very appetizing, but our dietitians have put together a complete plan with delicious Phase 2 recipes.
In this article, we will break down exactly what to expect during this phase as well as layout some delicious recipes and a sample diet that you can easily follow to make this process easier to adhere to.
First, what is the 4-phase diet?
This is a bariatric specific diet that all post-op patients will be on immediately following surgery. The purpose of this diet is to allow your body to heal and recover properly while still allowing you to get all of your required nutrients.
The phases are as follows: Phase 1 – Liquids only Phase 2 – Pureed foods Phase 3 – Soft foods Phase 4 – Solid foods – full bariatric diet (stabilization)
Phase 2: Pureed Foods
The pureed food phase (phase 2) is the first step towards introducing real food into your diet (as opposed to a supplemental diet). By focusing on nutritious food with a consistency that the GI tract can tolerate, you are able to get the nutrition you need without risking injury to suture lines and staple lines.
It’s important to make sure your food is completely pureed with no solid pieces or chunks.
At this point, you are not ready for solid food but now is the time to start the path to whole food. Eventually, you need to learn how to get proper nutrition from whole foods; however, supplementing your meals with protein supplements will help you get enough protein.
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Nutrient goals for the pureed food phase:
Women > 60g Men > 75g BPD/DS > 90g
Fat: Less than 30g Fluids: At least 64 ounces
For sleeve patients, this phase will last four weeks before transitioning into the next phase.
Now, let’s take a look at the specific eating rules you must adhere to during this phase.
Here are the eating rules for this phase:
Meal size: 1.5 oz. (3tbsp) Don’t drink liquids within 30 minutes before or during your meals Wait to drink 30 minutes after your meals 3 meals per day, no aimless snacking Drink protein shakes between meals to meet protein needs
As you can see, this diet is very specific and has guidelines that must be followed to ensure success and the best chance for optimal healing and recovery.
What foods to eat during Phase 2
Cottage cheese Greek yogurt Fat-free refried beans Pureed, moist meats and seafood Scrambled eggs Beans Morningstar farm products Bocca burger products Tofu
What foods to avoid during Phase 2
Red meat Fruits Vegetables Starches (bread, rice, pasta, cereal, oatmeal) Fried foods Fat-free or sugar-free puddings and desserts
However, this does not mean you can’t still eat delicious meals while still getting exactly what you need.
Knowing how to make pureed recipes taste good is tough, that’s why we have a library full of dietitian-created pureed food recipes ready for you to use:
Check out these
delicious pureed recipes that will fit perfectly into your diet: Creamy Shrimp Scampi Puree
Yields 8 Servings
Nutrition per serving Calories: 91.8 Protein: 14.1g Carbs: 0.9g Fat: 3.7g
2 tbsp Olive oil 1 lb Shrimp 4 Cloves garlic, minced ¼ cup Parsley, chopped 2 tbsp Low fat plain Greek yogurt In a large saute pan, heat olive oil over medium-high heat. Pat shrimp dry and add to the hot pan. Cook 2-3 minutes, tossing halfway through, until just pink. Add garlic and cook another 1 minute, until fragrant. Remove to a heatproof bowl. Add parsley and Greek yogurt and toss to coat. Transfer mixture to a food processor and process until smooth. Turkey Tacos with Refried Beans Puree
Yields 8 Servings
Nutrition per serving Calories: 68 Protein: 10.7g Carbs: 5.4g Fat: 0.9
For the beans
1 Clove garlic, minced 1 cup No salt added pinto beans, rinsed and drained ¼ cup Low sodium chicken broth 2 tbsp Cilantro, chopped
For the turkey
¼ tsp Mild chili powder ¼ tsp Garlic powder ¼ tsp Paprika ¼ tsp Cumin ½ lb Lean ground turkey To make the beans: In a saute pan, heat 2 Tbsp water over medium heat. Add garlic and saute 1 minute, until fragrant. Add pinto beans and chicken broth and bring to a boil. Reduce heat to medium-low and simmer for 5 minutes. Use a potato masher or the back of a fork to mash the beans. Continue cooking 3-4 minutes, until liquid evaporates. Remove from heat and stir in 2 Tablespoons of chopped cilantro. To make the turkey: In a sauté pan, heat chili powder, garlic powder, paprika, and cumin. Toast 1 minute. Add 2 Tbsp water and turkey. Cook for 6-8 minutes, stirring to break up until cooked through. As water evaporates, add 1 Tbsp water at a time to keep the pan from drying out. In a food processor or blender, combine beans and turkey and pulse until smooth. Chimichurri Chicken Puree
Yields 5 servings
Nutrition per serving Calories: 47.6 Protein: 5.6g Carbs: 0.5g Fat: 2.3g
½ lb Lean ground chicken ½ tsp Paprika ¼ tsp Dried oregano ¼ cup Parsley 2 tbsp Cilantro 2 Cloves garlic, peeled 2 tsp Apple cider vinegar In a saute pan, heat 2 Tbsp water over medium-high heat. Add chicken, paprika, and oregano. Cook for 6-8 minutes, stirring to break up until cooked through. As water evaporates, add 1 Tbsp water at a time to keep the pan from drying out. In a food processor or blender, combine parsley, cilantro, garlic, apple cider vinegar, and 3 Tbsp water. Pulse until finely chopped. Add chimichurri to the pan and stir to coat. Return to the food processor and process until smooth. Phase 2 – Pureed Foods Sample Menu
This one week diet plan is perfect for anyone in Phase 2 to follow.
Not only will it allow you to implement the pureed recipes, but you will also get all of your protein from high-quality protein supplements.
Just remember, this is just an example. If you have a pureed recipe that fits the diet and is similar to the ones laid out in this article, we say go for it.
Always follow the rules and guidelines laid out for the specific phase. This will help you stay on track and improve your healing and recovery.
Outside of protein supplements (protein shakes), make sure your food is fully pureed since your body is still healing.
Protein is key and you need to make sure you are meeting your required amounts based on your gender and surgery.
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