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Phase III: Pureed Foods (2 weeks to 3 1/2 weeks after surgery)

Phase I: Clear Liquids | Phase II: Full Liquids | Phase III: Pureed Foods

During this phase of the diet progression, you will advance to pureed/blended foods. In order to prevent blockages from a chunk of food, all foods will be the consistency of applesauce or smooth mashed potatoes. You can blend or puree the food yourself, or you can use baby food.

Instructions for blending/pureeing food:

  1. Cook the meat, vegetable or fruit.
  2. Cut the cooked food into small pieces.
  3. Place cut food into a food processor or blender, adding additional liquid to cover the blades.
  4. Blend until a smooth consistency is achieved. There should be no chunks.
  5. Strain out any chunks, seeds, etc.
  6. Season to taste, avoiding spicy seasoning such as cayenne pepper or hot sauce.

Larger quantities of food can be pureed at one time and frozen for later use. An ice cube tray is a handy tool for this.

General Guidelines

  • Watch your portion sizes. Your total meal will be 2 oz (1/4 cup) during this phase. Half (1 oz) will be a protein source, and the other half (1 oz) will be a carbohydrate source.
  • Eat 4 meals per day. Have breakfast within 1 hour of getting up.
  • Space your meals throughout the day, allowing 3-4 hours between meals.
  • Always eat your protein source first.
  • Do not drink liquids with your meals. Stop drinking liquids 15-30 minutes (depending on type of surgery) before meals, do not drink with your meals and wait an hour after you finish eating before you start drinking liquids again.
  • Using smaller plates and silverware can help you enjoy your meals more.
  • Take only 15 to 20 minutes to eat your meals. Take time to enjoy your foods, noticing the taste and texture of the food.
  • Introduce only one new food at a time. Some foods may be difficult to tolerate after the surgery. Introducing only one new food at a time will allow you to quickly identify which food may be causing you trouble. Use a 3-strike rule for foods. Don't rule it out the first time you try it.
  • Eat a variety of foods. No one food provides all the nutrition your body needs for good health.
  • You may find that your protein supplement is necessary to meet your protein goal each day. This will gradually change as you advance in the diet progression.
  • Staying hydrated is important. Remember to drink 64-96 oz of fluids each and every day.
  • Continue taking your vitamin and mineral supplements as directed.
Jan
Surgery in July, 2005


"I had surgery in 2005. The biggest decision I ever made, but the day I made it was when I attended a seminar by Dr. Mirande. I felt that he was very informative and answered every question thrown his was with no effort at all, telling me that he is a smart man."

"There wasn’t anything that he didn’t tell me about. I knew what to expect t. After my surgery, he still was the most caring person, for and has shown me several times that he is proud of me. Thank you Dr. Mirande"
Sky Lakes Medical Center Southern Oregon Center for Obesity Surgery