Nutritional consultation

The diet or change of diet both prior to and after gastric surgery also plays a major role in an efficient, healthy loss of weight. Generally, based on the requirements of the MDK (≈ Medical Review Board of Statutory Health Insurance Funds), you should have participated in several months of nutritional consultation before applying for the assumption of costs. This nutritional consultation should be provided in accordance with the guidelines of the DGE (≈ German Nutrition Society), which means that no additives or powders may be used. After surgery (e.g. gastric bypass) the diet must be supplemented, e.g. by means of protein shakes in the evening or beverages containing vitamins and minerals. A change of diet at this point is not to be underestimated. A gradual change of diet is therefore recommended to prevent relapses, in particular in patients with cravings. After surgery, we also recommend the control of the diet by a nutritional consultant at regular intervals. A few basic rules can be found below:

 

Food sequence

Always eat the protein (fish, meat, poultry, curd cheese) first, then follow with vegetables, salad or raw foods and end your meal with the carbohydrate side dish (pasta, rice, potatoes, bread).

10 recommendations for a healthy diet (DGE)

1.       1. Eat a varied diet: relish the variety of foods on offer. No foods are, as such, forbidden. It is the quantity selection   and combination that count.

2.       2. Fruit and vegetables: five a day; eat two servings of fruit and three servings of vegetables every day, as fresh as possible (salad, raw food or cooked only briefly and in their own juices), to provide your body with vitamins, minerals and dietary fibre.  

3.       3. Eat grains several times a day, and several times a week eat potatoes, bread, pasta, rice, grain flakes: best made from whole grains. They contain only little fat but plenty of vitamins, minerals, trace elements, dietary fibre and bio-active substances.  

4.        4. Milk and dairy products on a daily basis; once a week fish, meat, sausage products and eggs in moderation. These foods contain valuable nutrients such as calcium (milk and dairy products), iodine, selenium and omega-3 fatty acids (saltwater fish) as well as iron and vitamins (B1, B6 and B12 in meat). Amounts of 300 to 600 g of meat, sausage products and fish per week are sufficient to ensure an optimum supply.

5.        5. Sugar and salt in moderation: eat foods or drink beverages containing sugar or sweeteners only occasionally. Season your foods creatively using fresh herbs, different spices and only little salt.

6.        6. Only little fat and high-fat foods: too much fat in your diet will promote an increase of weight and the development of cardiocirculatory disorders and cancer long-term. Restrict your intake of dietary fat: 60 to 80 g fat per day, where possible of vegetable origin (vegetable oils, e.g. olive or rapeseed oil, margarine that does not contain hydrogenated fats), supplies sufficient essential fatty acids and fat-soluble vitamins (A, D, E, K). Pay particular attention to hidden fats, which are contained in many meat products, sweets, dairy products, cheeses and baked goods. These animal fats supply fat of an inferior quality, as well as cholesterol. Apart from the quality of the fats, the quantity also plays an important role. Therefore, use oils and fats sparingly. The choice of low-fat foods also prevents complaints. Too much fat in your diet will delay the process of emptying your stomach and can result in heartburn.

7.         7. Plenty of fluids: drink at least 1.5 litres of zero-calorie fluids a day. You should only drink alcoholic beverages occasionally and only in small quantities. Alcohol, milk, juice, coffee and black tea are not suitable to cover your daily fluid requirement.   

8.        8. Tasty and gentle preparation: cook your food briefly and at low temperatures, with a bit of water or fat – this retains the natural flavour, is gentle on nutrients and prevents the development of harmful compounds.

9.         9. Take your time and enjoy your food – eating consciously assists in eating correctly. Make it a feast for your eyes as well. Take your time to eat, at least twenty minutes – this promotes satiety.

10.     10. Pay attention to your desired weight and keep moving: with your correct body weight you will feel comfortable and with regular exercise you will keep moving. Do something towards being trim, taut and terrific. Every step counts.

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