What kind of diet shrinks your liver?

chelwest.nhs.uk - Liver shrinkage diet for Bariatric Surgery

How many glasses of wine can you have on keto?

How to Enjoy Wine on the Keto Diet. Along with choosing the right wine, moderation is key. You can absolutely savor a glass of your favorite vino...

Last updated Mar 24, 2022

Do you need baking powder with coconut flour?

Replacing wheat flour with coconut flour But when working with coconut flour, you always need to decrease the flour and increase the eggs and...

Last updated Aug 26, 2021

Promotion

Introduction

What is the purpose of a liver shrinkage diet?

Liver shrinkage diet (LRD) is a diet based on low energy (calories), in particular low in carbohydrate and fat. By following a liver shrinkage diet, your body will be forced to use up the stored carbohydrate (glycogen) from the liver. The glycogen and a quantity of water will leave the liver, and therefore liver will shrink and become softer, more flexible and easier to move during surgery. During laparoscopic (keyhole) surgery the liver has to be lifted out of the way to access the stomach lying beneath it. Most people needing bariatric surgery have a large, fatty liver which can cause difficulty for keyhole surgery. A large, fatty liver makes it harder for the surgeon to see and gain access to the stomach underneath. This can increase the duration of your surgery and therefore your time under general anaesthetic. It can also be dangerous as your liver could bleed heavily during surgery or there could be injury to other organs. If this happens the surgeon may have to do open surgery instead of keyhole surgery. If you do not follow the liver shrinkage diet and your liver has not shrunk, surgery may be deemed unsafe and the surgeon may cancel the surgery on the day.

How long will I have to follow the liver shrinkage diet?

Duration of the diet is based on below criteria:

What are the liver shrinkage diet options?

OPTION 1 - SlimFast Meal Replacement Diet

OPTION 2 - Milk and Yogurt Diet

OPTION 3 - Food based Diet

All of the above diets are designed to provide:

Around 800-1000kcal

Less than 100g of carbohydrate

Low fat

High protein

You are required to pick one of the options and follow it as per instructions. Please do not mix different diet options as it will not show effective results.

OPTION 1 – SLIMFAST® MEAL REPLACEMENT DIET

SLIMFAST® is a nutritionally complete, low calorie diet (LCD) meal replacement product. With this diet you are required to have:

4x 325ml (pre-made) SLIM FAST® bottles per day.

FAST® bottles per day. 2 x cereal bowls of salad/vegetables from the list provided below: (cooking method: blended into soup/boiled/steamed/roasted/raw)

How can you make your meal interesting?

What is the 2 week boiled egg diet?

What Is the Boiled-Egg Diet? The Boiled-Egg Diet focuses on eating hard-boiled eggs for a period of two weeks. A person following the program needs...

Last updated May 26, 2019

Is popcorn healthy for diabetics?

Popcorn is a very popular and healthy whole-grain snack food. It has been deemed a suitable snack food for people with diabetes, partly because of...

Last updated Aug 9, 2021

Promotion

Skip the ready-made dressings: Avoid adding any oil or salad dressings.

Lemon juice and vinegar (including balsamic vinegar) is allowed.

Keep hydrated: Aim to have at least 2 litres of fluids per day including: water, sugar free squash, herbal tea, black tea, black coffee (no sugar). including: water, sugar free squash, herbal tea, black tea, black coffee (no sugar). You are allowed to have 1 salty drink a day to help maintaining electrolyte levels.For example: 2 teaspoons of Stock or Marmite or Bovril or Consommé dissolved in a large glass of warm water. Please note you are NOT ALLOWED to have the powdered version of SlimFast as it is high in calories and carbohydrate.

OPTION 2 – MILK AND YOGURT DIET

This diet is purely based on milk, yogurt and additional fluids only.

Alcohol and all other food sources should be avoided for the period of this diet.

Daily intake:

3 pints of skimmed OR semi skimmed milk OR lacto-free OR soya milk per day. The milk can be hot/cold and flavoured with vanilla essence, SUGAR FREE syrups (e.g. Crusha, Monin). The milk can be hot/cold and flavoured with vanilla essence, SUGAR FREE syrups (e.g. Crusha, Monin). 2 x 125g low-fat plain or natural yogurt or 0% fat yogurt per day. Aim to avoid fruit yogurts as they can be high in sugar and fat. You can add sugar free syrups or flavourings into the plain/natural yogurt to adjust the taste if needed. Aim to avoid fruit yogurts as they can be high in sugar and fat. You can add sugar free syrups or flavourings into the plain/natural yogurt to adjust the taste if needed. An additional minimum of 2litres of fluid per day (i.e. water, calorie free or low calorie squash/flavoured water, tea/coffee, fruit/herbal teas) (i.e. water, calorie free or low calorie squash/flavoured water, tea/coffee, fruit/herbal teas) Avoid adding any sugar into your tea/coffee. Sweeteners are allowed to be used as an alternative. You can use milk from your daily allowance to add into your tea or coffee. Sweeteners are allowed to be used as an alternative. You can use milk from your daily allowance to add into your tea or coffee. You will need to aily as this diet is not nutritionally complete. For example: Sanatogen A-Z, Tesco’s A-Z, Centrum Advance/Performance, Holland and Barrett. as this diet is not nutritionally complete. For example: Sanatogen A-Z, Tesco’s A-Z, Centrum Advance/Performance, Holland and Barrett. You are allowed to have 1 or 2 salty drink a day to help maintaining electrolyte levels. For example: 2 teaspoons of Stock or Marmite or Bovril or Consommé dissolved in a large glass of warm water.

What is the carb limit for keto?

50 grams a day The ketogenic diet typically reduces total carbohydrate intake to less than 50 grams a day—less than the amount found in a medium...

Last updated Nov 25, 2021

What is the best flour for weight loss?

Almond and whole wheat flour. Almond flour is considered as one of the best flour for weight loss because unlike wheat flour it is low in...

Last updated Feb 14, 2018

Promotion

EXAMPLE OF A MEAL PLAN

OPTION 3 – FOOD BASED DIET

This diet is based on low carbohydrate, low energy, low fat and moderate protein meals and additional fluids throughout the day.

Your meals should follow the below format:

Breakfast:

1 carbohydrate portion

1 dairy portion

Lunch:

NO carbohydrate

2 protein portions

2 vegetable portions

Evening:

2 carbohydrate portions

1 protein portion

1 vegetable portion

1 dairy portion

Snacks:

2x pieces of fruit per day - can be taken anytime

What is a portion?

Example of a meal plan:

Foods to avoid:

It is important you avoid any foods high in sugar and fat, this includes:

Sweets

Chocolate/cakes

Jelly

Ice cream

Sugary drinks including juices/fizzy drinks

Alcohol

Sugar added to hot drinks/ food (sweeteners are allowed to be used as alternative).

Crisps

Fried foods/ takeaways

Creamy or ready-made pasta or meal sauces (choose tinned tomatoes to use in cooking i.e. in bolognaise sauces/stews/casseroles).

Meat/fish products that have breadcrumbs (choose the fresh / lean options)

Fluids:

Minimum of 2L of fluids including:

Water

Tea/Coffee (you can add milk from your daily dairy allowance – see above)

Sugar free squash/ sugar free flavoured water

You will need to start taking a multivitamin and mineral supplementation once daily as this diet is not nutritionally complete. For example: Sanatogen A-Z, Tesco’s A-Z, Centrum Advance/Performance, Holland and Barrett.

Additional Information

chelwest.nhs.uk - Liver shrinkage diet for Bariatric Surgery

How many carbs can you eat to keep your body in ketosis?

The ketogenic diet typically reduces total carbohydrate intake to less than 50 grams a day—less than the amount found in a medium plain bagel—and...

Last updated Jun 22, 2020

What fruit has no sugar?

The ones you might not even think of as fruit! Olives and avocado naturally contain no sugars. Rhubarb, lime and starfruit have some sugar, but...

Last updated Jun 23, 2018

Promotion

Can I do cheat day on keto?

Can You Have a Cheat Day on Keto? Having a cheat day while you're on the keto diet will take you out of the state of ketosis, Fears says. “It can...

Last updated Oct 27, 2022

Promotion

Is there anything healthier than oatmeal?

Millet. Naturally gluten-free and rich in vitamins and minerals such as phosphorus, magnesium, and folate, millet may be the most nutritious...

Last updated Nov 27, 2019