The Liver Diet

With my surgery fast approaching, last week was the start diet for my preop “liver reduction diet”. The idea behind this diet is that obese people tend to have enlarged livers due to increased glycogen storage (thanks to all those carbs) and fatty deposits. By reducing overall caloric intake (carbs especially), the goal is to shrink the liver as much as possible because it has to be moved out of the way during surgery. The bigger the liver, the higher the risk of damage. The liver diet is also intended to mentally and physically prepare you for postop eating, which is reduced in volume and calories and features frequent high-protein meals. Plus, the liver diet also tends to result in more preop weight loss, which is always helpful during recovery.

Searching for these diets online, every bariatric program’s guidelines are slightly different, but the concept is the same. Here is my surgeon’s program:

  • Weeks 1-2: Two protein shakes a day, two high protein/low carb snacks, and a “lean and green” dinner. Shoot for 64 oz of water daily. I am also allowing myself one serving of fruit a day, which I usually mix into my morning protein shake for better flavor.
  • Week 3: Five protein shakes a day. Shakes and clear liquids only the day before surgery.

Overall, this has been rough going so far. Getting used to eating such small amounts overall has left me hungry and exhausted – I feel almost flu-like. I’m sure as my stomach shrinks it will get easier, but I am so run-down. Working 12-hour shifts during this adjustment period hasn’t made it any easier, but I gotta make some money before I take unpaid time off. On the plus side, I’ve been doing this less than a week and I’m down four pounds. I know it’s not a healthy thing to do in the long-term but I am under the guidance of a physician and this is for a specific purpose. I just wish I wasn’t so darn tired…

I have been really strict about not “cheating” because I know myself and I know how easy it is to turn into a gorge session. Yesterday our manager ordered pizza for the staff working Easter and it took all I had to say no, especially when my co-workers said “just one bite” wouldn’t hurt me. Frustrating, to say the least. I’m realizing more and more how complicated my relationship with food has gotten over the years and how difficult it is to help people understand that just one bite is not just one bite for people like me.

In the process of going through this experience, we have actually found some really yummy “lean and green recipes” for dinners. The guidelines are similar to a ketogenic diet (except for the high-fat part – I’ve tried to find low-fat variations). I’ll try to put together a list of some of our favorites.

So the verdict overall? This is really tough but it’s also temporary. And I’m setting myself up for a better experience during and after surgery.

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