SOS-RESCUE PLAN

Bariatric Surgery Rescue

Did you know that 30% of WLS patients have weight regain after surgery?

After a patient’s weight stabilizes (typically 12 to 18 months after bariatric surgery), he or she may experience weight regain. Approximately 30% of patients begin to regain weight at 18 months to 2 years after their procedure. Patients who regain more than 22 lbs from the lowest weight reached should be medically assessed. In the absence of anatomical complications, lifestyle behaviors and health habits may raise the risks for suboptimal results.

On the other hand, some patients experience a weight-loss plateau after losing 10% of their initial body weight. Either a weight-loss plateau or weight regain can be very frustrating. It is important to understand that a plateau is both normal and it is an expected part of the extreme weight-loss process, only when it lasts more than a month or if there is weight regain then it is important to reevaluate and focus efforts towards the basic nutritional principles of bariatric surgery and to have a specific action plan like the SOS-RESCUE PLAN.

We continue with our pledge to offer you simple strategies to improve your nutritional status, turn unhealthy diets around, and empower you through evidence-based information.

What can you expect from following the SOS-RESCUE PLAN?

  • Lose weight
  • Lower inches of waistline
  • Increase metabolic health

Nutrient deficiencies are a critical piece for restoring the ideal metabolic conditions to promote weight loss. The demands on a weight-loss surgical (WLS) patient’s body while losing weight are really intense. Getting all the nutrition to function at peak performance can be a challenge! The restriction that comes from surgery is one reason. Another one -usually obliviated- is that during extreme weight loss there is a considerable expense of many nutritional elements used for detoxification processes, repair of several tissues, balancing hormones and fat burning. In the short term, an avoidance of nutrient-rich foods and ignoring supplement recommendations will deplete vitamin and mineral storage and facilitate the loss of muscle mass, which results in a lower metabolic rate and its capacity to burn calories, it can also contribute to negative health outcomes long after bariatric surgery is performed.

The 2-week SOS-RESCUE PLAN is a structured plan to help you take control.

All you need for 2 weeks!

  • Protein meal replacements
  • Structured meal plan & back-to-basics guidelines
  • Supplements

When to use the SOS-RESCUE PLAN:

  • Get past a weight loss plateau
  • To get you back on track after a setback
  • If weight is sneakily creeping up
  • To stop cravings for unhealthy foods and sugar

Yes, you can do this!

How can WLS patients meet their high nutritional needs when they can’t eat enough?

The American Society for Metabolic and Bariatric Surgery (ASMBS) guidelines indicate that supplementation is required for life for all weight loss surgery patients to fill the nutritional gap from a low-calorie intake after surgery. Our body utilizes three macronutrients, thirty-three vitamins and minerals, and thousands of antioxidants to enable the production of enzymes, hormones, and other substances essential to fight disease and maintain health.

High-quality food and quality supplements will provide the building blocks for the body to heal itself and improve its metabolism. The SOS-RESCUE PLAN takes the guesswork out of which supplements to take and provides the structure to make it easier to get sound nutrition using the very basic principles you learned immediately after bariatric surgery.

SOS-RESCUE PLAN action plan:

Enjoy 2 to 3 VITALEPH Whey-protein meal replacements  

Mix with 2 ice cubes and your choice of water or unsweetened almond milk, coconut milk, hemp milk, and other milk substitutes.

You may add 1-2 teaspoons of nut butter, MCT or coconut oil, or ⅛ of an avocado. 
1 light meal

Include 1 light meal (protein + vegetables + fats) with a lean, high-quality protein source. Optimal nutrition fuels metabolism. Choose clean, local, whole, fresh food.

You may enjoy this light meal for breakfast, lunch OR dinner

Take all the supplements as indicated in the bottle

ESSENTIAL multivitamin

Probiotics

Lypo-Solve

Vitamin B-12

*A light meal consists of:

1-3 oz of protein, preferably animal-sourced + allowed veggies + healthy fats

Protein sources, preferably animal-sourced: Some examples include fish, seafood, chicken breast, rabbit, beef, game, and turkey.

If you can’t find clean sources, then choose lean. Red meats should then be “loin, round”, “select” or should have less than 5g of total fat per 3 oz. serving.

Cook your meats by braising, stewing, boiling, grilling, roasting, foil-wrapped or oven-baked. Avoid fried foods, floured, or breaded.

A WORD OF CAUTION: an excess of protein converts into blood sugar (glucose) with the same fat building effect as sugars or carbohydrates.

Allowed veggies: You may have as many leafy vegetables as you'd like. Some examples of green leafy vegetables are spinach, romaine lettuce, celery, kale, chard, cilantro (coriander), watercress, collards, turnip greens, mustard greens, and cabbages. You can include broccoli, tomatoes, mushrooms, onions, garlic, peppers, herbs, and spices. 

Avoid starchy vegetables such as potatoes, edamame, soy, cob, peas, green beans and any other type of legumes like beans.

Vegetables may be enjoyed steamed, cooked or raw in soups or salads. Include healthy fats or oils for flavor.  

Healthy fats and oils: Include 1-2 servings in a meal. One serving is equivalent to 1 teaspoon of healthy oils (olive, coconut, avocado, grapeseed, MCT oil), 1 teaspoon of grass-fed butter or ghee, 1/8 of an avocado and/or 1 oz of nuts and seeds.

    • for dressings use flaxseed, extra virgin, olive oil (EVOO), hemp, walnut, and grapeseed oils.
    • to sauté use butter, extra virgin olive oil (don´t let it burn, use medium heat).
    • for high-heat cooking use coconut oil, pasture-raised butter or ghee (clarified butter). DO not fry foods.
A WORD OF CAUTION: Do not overload on fats. Use them to cook your meals and enhance their flavor. A little goes a long way!
Avoid carbohydrate sources like sugar, fruit, grains, cereals, and flour.
Drink plenty of water. Include herbal teas and concentrated electrolyte drops. 
NO SNACKING 
NO ALCOHOL & NO SMOKING
Increase physical activity

BACK TO BASICS GUIDELINES

Weight Loss Surgery (WLS) guidelines for life!

  • Do not combine solids with liquids. Stop drinking 5 minutes before your meal and resume after 30 minutes. Avoid putting a glass of any liquid next to your meal. Drink 2 glasses of liquids between meals
  • Eat protein first
  • It should take you 20 minutes to finish a meal but less than 30 minutes; if it takes you longer to finish your meal, then you are snacking and doing so should be avoided
  • Take small size bites (teaspoon size). Eat slowly and chew thoroughly –at least 30 times!
  • Do not force the feed, stop when feeling satisfied not full
  • Avoid Productive burping (P’bing): o Eating too fast and not chewing food properly o Drinking liquids with the meals or right after eating o Eating too much at a meal
  • If anything feels like it got stuck in your chest: stop eating, wait to burp up and do not eat again for 45 minutes. Do not attempt to flush “it” down with liquid since it can make it worse. Walking may help. Remember to chew many more times
  • Avoid high-calorie drinks, fruit juices, Frappuccinos, milkshakes, sports drinks (Gatorade, Powerade, etc.), energy drinks, alcohol, etc. All calories add up and calories in a liquid form are absorbed rapidly! In addition to reviving your appetite, drinking calories leads to weight regain.
  • Alcohol is dehydrating; it has no nutrients and is high in calories. It should be avoided
  • THERE ARE NO SNACKS.
  • Exercise. Kick-up your exercise routine. Change the intensity, frequency or type of exercise. Any small change invites your body to respond
  • Beware of self-sabotaging actions such as skipping meals, drinking caloric beverages and/or preferring nutrient-void processed foods
  • Take ALL the supplements included in the SOS-RESCUE PLAN (multivitamins, vitamin B-12, lyposolve, and probiotics) and enjoy your protein meal replacement. Vitamins and minerals are needed for biological processes like fat burning; protein is required to increase satiety and prevent muscle breakdown.
  • Drink enough water and/or organic green tea

If you have a medical condition like diabetes, make sure to speak to your primary care physician. It may be necessary to adjust your medications and/or carbohydrate intake. This plan aids in the bariatric perioperative management of weight loss surgical patients. It is not intended to be a substitute for professional medical advice. Always inform your doctor of the supplements you are taking. Do not use if pregnant or nursing. Consult a healthcare professional if you have any pre-existing medical conditions or are taking any prescription medication. Use as directed. Not intended for children. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.