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Leading up to surgery, there isn't a set diet plan per say, but the main goal is to maximize their help prior to getting to surgery. So a lot of patients tend to have comorbidities associated with their weight, their diabetes, or hypertension, their cholesterol issues. And we're really focused on trying to maximize their health going into surgery. So getting their bloods sugars under control, getting their blood pressure under control, just so they can have a better outcome afterwards.
What makes us unique about a bariatric practice. I mean that's the number one reason why you should come to University of Miami to have your bariatric surgery performed. We try to keep our patients close-knit as well. We try to approach it as a family in terms of our patients afterwards. We always know what's going on in their lives aside from just their bariatric surgery.
Prior to surgery, depending on what their insurance company requires, they may or may not have to complete some sort of diet history. So depending on their insurance company, it could range anywhere between three to six months before their surgery. If their insurance group requirement doesn't have any requirements set, then they may only see me once for a set nutrition assessment, which every patient's going to have to do. Postoperatively, the followup is kind of the same with Doctor De la Cruz. So we kind of see each other at the same times. So they'll come at two weeks to see me, then they'll come at one month, three months, six months, nine months, and a year, and then every three months after that.
For the first time, what they're going to go through is a detailed nutrition assessment. So I'm going to ask them a whole bunch of different questions concerning their diet history, how they got to the point that they are at right now, the causes that led them to gain the weight, or whatever medical conditions that they have, and trying to pinpoint where we're going to have to make certain changes within their routines, and maximize their weight loss after surgery.
After surgery, every patient is quite different. There aren't specific foods that will make every patient sick, but there are certain patients that may have issues with certain types of food. So it's not across the board that everyone will have an issue with a certain type of food. But there may be certain issues with different types of foods amongst different types of patients. After surgery, protein is going to be key.
You're going to meet Dr. de la Cruz first, at your initial visit. Once you're done with him, you're going to see one of the patient advocates. So you are going to be assigned a patient advocate who's going to be responsible for getting you through the whole procedure. We'll complete whatever requirements that your insurance company needs from my end. Even if your patient advocate isn't here the day that you come in, one of the other patient advocates will be a abreast of what's going on.
Am I going to have to take supplements? And the answer to that is yes. So, postoperatively it's recommended that all patients take supplements. So regardless if they opt for having a lap gastric band or if they opt for a sleeve gastrectomy or a Roux-en-Y gastric bypass, you all will have to take some sort of supplement afterwards. Now, it changes depending on which surgery you choose to have. So there are some variations in the amounts and the frequency, but all patients will have to take supplements postoperatively
So alopecia can occur after surgery. So anyone who loses weight rather quickly can have an issue with hair loss. It's not necessarily related to bariatric surgery in and of itself. It has more to do with the stress response of losing a lot of weight quickly. Once your weight loss stabilizes, then your hair will kind of grow back on its own.
After surgery, you're going to be able to eat pretty much just about anything. You'll be on the pre-op very low calorie liquid diet for about two to four weeks prior to surgery, which is decided on by Doctor De la Cruz. Then, through that first month we'll progress you through different phases of foods until you get to regular textured foods again, which would be about a month after surgery. So you can look forward to a month out after surgery being back to regular, whole foods again.