• Make sure to eat slowly. It should take approximately 30 minutes to eat each meal. Chewing slowly and thoroughly is essential
  • During each meal, eat protein first, followed by fruits and vegetables, and then grains last. Your diet should be high in protein and low in refined carbohydrates.
  • Avoid concentrated sweets. This includes ice cream, cookies, pies, cakes, fruit juice and soft drinks
  • Limit fats since they can lead to nausea and weight gain. This includes cheese, peanut butter and luncheon meats.
  • It is important to remember that the stomach can only hold about ½ cup of food.
  • Avoid snacking (‘grazing’) and opt for 4-6 small nutrient-dense meals per day.
  • Drink at minimum 6-8 cups of non-calorie fluid per day to prevent both dehydration and constipation. Sip slowly and make sure to not drink it all at one time.
  • Stop drinking liquids 15 minutes prior to a meal and make sure NOT to drink with meals. You can resume drinking liquids 1 hour after a meal.
  • If you are unable to tolerate dairy, substitute Lactaid for milk. You may need to take Lactase pills with dairy to help digest the lactose.
  • Stop eating when you feel full. If you ignore this, vomiting will follow.

Common Concerns/Complications:

WHAT IF I’M VOMITING?

  • Make sure to not drink too quickly. This commonly happens when people eat or drink while watching TV or talking on the phone. Skipping meals can cause extreme hunger, which can lead to overeating.
  • Chew slowly and thoroughly. Make sure to chew all foods 20-25 times before swallowing
  • Try your best NOT to overeat. One bit too many may cause you to vomit. Eating too quickly can lead to overeating because the ‘full’ signal is too late. At your next meal, remember to eat 1-2 bites less, and you will notice the difference.
  • Do NOT drink liquids with meals. Wait 1 hour after meals to start drinking liquids.

WHAT IF I’M CONSTIPATED?

  • It is definitely normal to experience less stool output as your food intake decreases.
  • It is important to make sure to drink at least 8 cups of water or other non-calorie fluid each day.
  • Slowly increase more fruits and vegetables in your diet. Choose high fiber cereals and grains (Kashi Go Lean cereal, Fiber Rich crackers)
  • Increase your activity level.

CAN I DRINK ALCOHOL?

  • Alcoholic beverages are high in calories and can cause weight gain when consume in excess.
  • Choose alcoholic beverages sparingly. Limit to a few times each month.
  • Light beers, dry white and red wines are the lowest in calories.
  • Choose non-calorie mixers like club soda, diet tonic and diet sodas.

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