Pouch Reset Meal Plan

One of the most significant setbacks that bariatric surgery patients can face is weight regain after gastric bypass, or more commonly, after a less invasive procedure like gastric sleeve or LAP-Band. Others become dissatisfied with their results, feeling they have not lost enough weight, so they consider revision surgery. 

However, some bariatric patients have successfully jump-started their weight loss through a gastric pouch reset diet. The gastric pouch reset diet is essentially a post-op psychological tool to help you get back on track and avoid additional weight loss surgery.

Can You Stretch Your Stomach After a Gastric Bypass?

Weight loss surgery patients often want to know if you can stretch your stomach after gastric sleeve surgery. Medical experts are divided on whether this is an actual phenomenon, as the stomach is a muscular organ that expands and contracts. A regular-sized stomach can stretch to hold more than four liters of food and returns to normal when food exits into the rest of the digestive system. 

Following surgery, your new stomach pouch continues its normal flow of expansion and contraction. Tissues within the stomach called rugae remain present in sufficient amounts to continue the process. When you overeat, even on a bariatric diet, the rugae stretch to accommodate the food you eat. When you overeat repeatedly, the sensation of fullness takes longer, and before you know it, you have lapsed back into unhealthy eating habits.

How to Tell if Your Pouch is Stretched

If you are unsure if you need gastric bypass pouch tightening, you can perform something referred to as the gastric bypass pouch reset test, also commonly referred to as the cottage cheese test. Scientific studies have not verified this procedure, so take it for what it's worth. Measure eight ounces of cottage cheese or mashed potatoes, and then eat until full. Subtract the remaining food to determine how much cottage cheese or mashed potatoes fit into your post. Eating five or more ounces of either food will indicate if you stretched your gastric sleeve.

How to Do a Pouch Reset

Essentially, a pouch reset mimics the post-bariatric surgery diet given to you by your surgeon and dietician. Contrary to popular opinion, a pouch diet will not "shrink" your stomach long-term. The point of the pouch reset diet is to restrict the types and amount of foods you eat to return to the mindset of healthy eating. 

Although similar to your original post-op eating plan, each phase is shorter, as your stomach doesn't require healing. A pouch reset, usually done over 5 to 10 days, aims to recharge your body and mind and put the focus back on successful weight loss. Whether you choose a VSG pouch reset or a gastric bypass reset, the plan will begin with a liquid diet, followed by a pureed diet, and then back to solid foods.

Does a Pouch Reset Work?

Just as when you first underwent bariatric surgery, a stomach reset may help you lose weight again. Whereas before, you couldn't eat because your stomach was swollen, this time, you'll contend with a healthy stomach. You'll need serious willpower and support from your doctor, family, and friends. 

A pouch reset is not a fix-all but a tool to restrict your caloric intake and return you to good habits. If you start to eat larger meals again, your stomach will respond to the increased volume. Before you embark on a reset, you must be aware that there is no firm scientific evidence of the tool’s efficacy; there is only anecdotal evidence.

I’ve had zero complications and healed nicely. In 5 months I've lost 85 lbs and feel better than ever right now! My foot pain is basically gone, my back issues have felt so much better, and I’m so ready to take on life! Thank you Dr. Garcia and staff!

— April Rondinone

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What are the Goals of a Pouch Reset?

The pouch reset diet is essentially a test to demonstrate that you still have the will and commitment to follow a disciplined post-op diet and exercise plan. Once you succeed in this short-term pouch reset plan, you will regain the confidence to restore your mindset, behavior, and lifestyle for long-term weight loss. When undergoing a pouch reset, consider these goals when making your way back to eating solid foods and steadily losing weight:

Allow your new small stomach pouch to return to a healthy, tight, muscular position
Break weight loss inertia or a weight loss plateau so you can get to back-on-track bariatric eating
Restore your mental and emotional resolve and personal confidence toward a successful weight loss journey

Whether you are planning to undergo a VSG pouch reset or a gastric bypass pouch reset, you should know that these plans are not research-backed but only based on anecdotal evidence.

The Pouch Reset Meal Plan

Most pouch reset meal programs are based on a rigorous 5-day or 10-day bariatric diet divided into three broad phases. Once again, you'll restrict yourself to liquid, pureed, and soft foods before finally transitioning back to solid food. The pouch created by your bariatric surgery won't necessarily shrink, but the pouch reset diet should leave you feeling fuller faster, just as your original bariatric diet did. Although you can figure out how to do a pouch reset on your own, you should do it under the guidance of a bariatric surgeon and dietician.

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The 48-Hour Pouch Reset

The 48-hour pouch reset plan is essentially a ploy by online companies to get you to buy their bariatric food products, especially their protein shakes. The first day consists of consuming only a protein shake for meals to flush your digestive system with sugars and simple carbohydrates.

The second day is merely a test to see if you can eat one cup of shredded chicken. The idea behind this 48-hour plan is to inspire confidence that you don't have to eat as much. For a more comprehensive diet to help you get back on track, try either the 5-day plan or the 10-day plan.

The 5-Day Pouch Reset Test

The five-day pouch reset test is the original system developed in 2007 by bariatric patient Kaye Bailey, who struggled with weight regain following her bariatric surgery. The pouch reset menu varies slightly based on whether you are doing a VSG pouch reset or a gastric bypass pouch reset. If you try the 5-day pouch reset, you can expect the following:

Day 1: Clear liquids like watch broth and sugar-free popsicles
Day 2: Full liquids only, including yogurt, protein shakes
Day 3: Pureed foods, including low-fat cottage cheese and scrambled eggs
Day 4: Soft foods, like soft cereals, steamed fish, soups, mashed fruits
Day 5: Healthy solid foods

 10-Day Pouch Reset Meal Plan

The 10-day pouch reset is similar, with the stages approximately twice as long. You can expect to consume the following:

Day 1: Clear liquids only, sugar-free Jell-O, decaf coffee and tea, non-carbonated sugar-free drinks
Day 2 and 3: Full liquids, non-fat Greek yogurt, pudding, non-fat ice cream, soup with soft noodles, diluted applesauce, diluted no-sugar-added juice
Day 4 to 6: Pureed foods, hummus, soft cereals, scrambled eggs, any health foods you can puree, except meat
Day 7 to 9: Soft foods, like soft cereals, soups, mashed fruits and vegetables, soft fish, canned tuna or salmon, ground beef or chicken
Day 10 and Beyond: Introduce other healthy solid foods slowly and in small portions with meals no bigger than the size of your fist.

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Top 5 Reasons to Choose Tijuana Bariatric Center

  1. Expert Care – Our team of board-certified surgeons has over 50 years of combined experience and has performed over 10,000 successful procedures, delivering top-tier care to our weight loss patients from all over the world.
  2. A Commitment to Safety – Our cutting-edge techniques help to minimize recovery time and the risk of complications. We adhere to the strictest international safety protocols and ensure every workspace is immaculate.
  3. A Holistic Approach – We believe that a successful weight loss journey must include emotional and social components in addition to the physical aspects. For this reason, we have created a comprehensive treatment modality that includes in-depth education, personalized dietary counseling, access to our online social media support groups, and extensive follow-up via email and phone.
  4. Affordable Excellence – Located in Tijuana, Mexico, our state-of-the-art weight loss center provides life-saving surgery at a fraction of the costs normally incurred in the United States and elsewhere. Our transparent pricing, convenient financing, and built-in medical tourism insurance allow patients to focus on their healing journey rather than on costs.
  5. At Atmosphere of Compassion – Dr. Garcia has experienced his own weight loss journey, as have many of our staff. We aim to create an environment that is comfortable, caring, and stress-free, where patients can relax and know they are not being judged in any way.

Back-On-Track Bariatric Eating

Typically, any pouch reset diet will focus primarily on protein, with added healthy vegetables and fruits. When attempting a pouch reset, you should focus on the guidance you received from your bariatric surgeon and dietitian. This advice includes:

  • Drinking liquids at least 30 minutes before and after eating
  • Eating slowly and chewing well at each meal
  • Little or no caffeine
  • Drinking at least 64 ounces of water per day
  • No snacks
  • Consuming protein shakes with 15 grams or more of protein with less than 5 grams of sugar

We hope that you have found the above information on the pouch reset and diet and meal plan useful.

If you want to know more about the pouch reset, call us today at 1 800 970 0577 or use our contact form so that you can enjoy a free virtual consultation.

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