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Karlstad, J. (n.d.). Weight-loss Surgery and Fitness. Retrieved February 22, 2016, from http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/weight-loss-surgery-and-fitness-the-dos-and-donts-for-a-successful-exercise-program

Bariatric Surgery: Life After Surgery. (n.d.). Retrieved February 22, 2016, from https://www.amc.edu/patient/services/Surgery/bariatric_surgery/documents/Life_After_Surgery.pdf

Losing Weight. (2015, May 15). Retrieved February 22, 2016, from http://www.cdc.gov/healthyweight/losing_weight/

Phase 4: Stabilization Diet for Bariatric Surgery Patients. (n.d.). Retrieved February 22, 2016, from http://www.upmc.com/Services/bariatrics/approach/post-surgery/diet/Pages/stabilization.aspx

Karlstad, J. (n.d.). Weight-loss Surgery and Fitness. Retrieved February 22, 2016, from http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/weight-loss-surgery-and-fitness-the-dos-and-donts-for-a-successful-exercise-program

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Fluffy Jello Recipe

SERVINGS: 4

INGREDIENTS
1 box sugar-free jello, any flavor
8 T. of Cool Whip Free

DIRECTIONS

1. Make jello according to directions on box

2. Put in refrigerator to set

3. Once set, divide jello into four ½ cup servings

4. Vigorously mix 2 T. of Cool Whip Free with each ½ cup serving

Pan-Fried Rainbow Trout Recipe

SERVINGS: 2

INGREDIENTS

8 ounces rainbow trout fillets
3 Tbsp yellow cornmeal
1⅓ Tbsp chopped parsley
¼ tsp ground celery seeds
¼ tsp ground black pepper
1 pinch salt
2 tsp olive oil

DIRECTIONS

1. Clean and rinse fish fillets. Check to make sure all bones are removed. Pat dry.

2. Mix together cornmeal, salt, pepper, celery seed and chopped parsley.

3. Cover fish with cornmeal mixture and press onto fish.

4. Heat olive oil in non-stick skillet. Cook fish 2 to 3 minutes per side. Fish should be brown and crisp and should flake when pierced with a fork.

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When you have gastric bypass surgery, you lose weight because the amount of food energy (calories) you are able to eat is much less than your body needs to operate. The body has to make up the difference by burning reserves or unused tissues. Your body will tend to burn any unused muscle before it begins to burn the fat it has saved up. If you do not exercise daily, your body will break down your unused muscle and you will lose muscle mass and strength. Daily aerobic exercise for 20 minutes will communicate to your body that you want to use your muscles and force it to burn the fat instead.
Monday: Modified Quadriceps Stretch
Tuesday: Seated Leg Lifts
Wednesday: Resting Day
Thursday: Knee Taps
Friday: Modified Push-Ups
Saturday: Seated Hamstrings Stretch
Sunday: Aerobic Exercises

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Eating the wrong foods could put undue pressure on your healing stomach.

Post op: 4 stages
- Stage 1: Clear liquids (Week 1)
- Stage 2: Pureed foods (Weeks 2 & 3)
- Stage 3: Soft foods (Weeks 4&5)
- Stage 4: Solid foods (Week 6)

Week 1 Includes: water, fat-free milk, fat-free broth, and sugar-free jello

Weeks 2 and 3 Includes: protein shakes, egg whites, non-fat soft cheese, non-fat cottage cheese.

Weeks 4 and 5 include lean chicken/turkey, fish, egg whites, non-fat cottage cheese, non-fat cheese, tofu, potatoes, carrots, green beans, tomatoes, squash, cucumbers, bananas, avocados.

Week 6 includes proteins, vegetables, and carbohydrates. Not processed, pre-packaged or fast foods.

48-Hour Meal Plan

Week 1:
Breakfast/Lunch/Dinner: diet gelatin, water, decaf tea with lemon and sugar substitute, apple/cranberry juice.
Take small sips when you are drinking. DO NOT gulp.

Week 6:
Breakfast: 1 egg, 1/2 cup of cereal, 1/2 banana, 1 teaspoon of margarine, 6 ounce of light yogurt
Lunch: 2 ounces low fat turkey breast, 1/2 cup mashed potatoes, 1 cup salad with 2 table spoons of light dressing, 1 small orange, and 1 reduced fat string cheese.
Dinner: 2-3 ounces baked fish, 1/2 cup of cooked rice, 1/2 cup cooked spinach, 1/2 cup unsweetened applesauce, 1 teaspoon of margarine, and 1/2 cup low fat cottage cheese.

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Will take the steps instead of the elevator because taking the elevator is a result of being lazy. She will attend counseling sessions to talk about and deal with emotional adjustments after the weight-loss surgery. This will hopefully help motivate her in the long-run to keep exercising and eating right.

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How long her goal will take to be reached: According to the Center for Disease Control and Prevention, it is safe to lose an average of 1-2 pounds a week while trying to lose weight. At this healthy rate, it would take Samantha between 48 and 95 weeks to reach her goal of 140 pounds. She may be able to lose weight faster depending on the amount of exercise she does and how well she sticks to her diet.

Short-term goals:

Lose an average of 4-8 pounds by the end of the month

Be on a steady healthy diet by the end of the first month

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BMI: Samantha’s body mass is index is 41.6. This number is listed under the category of obese.

Healthy weight: According to Samantha’s age of 38 and height of 5’ 3”, her ideal healthy weight is 126 pounds. Her healthy weight range is between 112 and 140 pounds.

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Samantha Brawley is a 38 year old woman from Orlando, Florida that has just had gastric bypass surgery. She stands at 5’3” and used to live an active lifestyle, playing sports frequently with her children. Samantha has been in bed ever since the surgery (3 weeks ago) with no motivation to get up. She has had a hard time losing and keeping off weight and now weighs 235 pounds, along with bad bowel function changes(sometimes diarrhea, but more often constipation). Her current goal is to get down to 140 pounds and make lifestyle changes that will enable her to maintain a healthy weight and feel better about herself. Samantha is hoping to soon get back to her active, healthy lifestyle.