Motivation: 7 Day Liver Shrinkage Diet

[@dixiemerchant1052]

Oh my God! You just gave me all the motivation ever needed for the liver shrinkage diet!!!!! Thank you for real info, real help!!!!!! I am blown away!!

[@DoctorJP]

lol, glad it was motivating and not TOO scary

[@honeybearx5740]

No dr has ever mentioned this. This is the greatest detailed explanation ive heard on this topic.i really appreciate you

[@DoctorJP]

Best of luck on your journey!

[@ThreePinkButtons]

Mine is 2 weeks full liquids, honestly it was really bad day 1-4 but I got used to it and have lost 10 pounds. I'm on day 13! It's really motivating to see that this will have a positive impact on surgery. Thanks for this information, I had no idea!

[@DoctorJP]

OK, best of luck on your journey!

[@conniedeshazo3031]

Mine also is 14 days of liquids

[@l4mamii]

This video changed my life! I usually slack on diets a lot but this video has given me a new perspective about the importance of changing the foods that I eat specially to make sure that my liver shrinks.

[@DoctorJP]

So glad this was helpful! Best of luck on your journey!

[@l4mamii]

Yes, it was super helpful. I am 5 days post-opp & my recovery has been lovely. No nausea or pain. Again thank you & happy holidays@@DoctorJP

[@MegaDragon102]

I'm about to have a VSG in 2 weeks. Its one thing to hear that we need to shrink the liver but its a whole other thing to see why and what could happen if the liver doesn't shrink. Really great video!

[@DoctorJP]

So glad this was helpful - best of luck on your journey!

[@ralphs3012]

Thank you Dr Pilcher. My VGS procedure is in 10 days and I’m starting this diet now. Your video was exactly what I needed. Thank you!

[@DoctorJP]

Best of luck on your journey!

[@oscarnaranjo844]

I am a medical student about to start my internship (and about to get sleeved) and i want to tell you that this was an absolute masterclass and a great source of information as a patient as well as a medical student.

[@DoctorJP]

Thanks so much for watching, and best of luck on journeys, both medical/intellectual, and physical/health!

[@kristengarcia1038]

Wow, I didn’t quite understand the liver shrinking thing until now. Those surgical outcomes could be vastly different! Definitely sticking to my diet.

[@DoctorJP]

Best of luck on your journey!

[@rile_up]

Visually understanding the point of this diet is really helpful. Mine is all protein shakes for 2 weeks. It is rough but will definitely be worth it. Thanks!

[@DoctorJP]

Thanks for watching Jason. Best of luck!

[@Aprilann871]

Same 2 weeks

[@kasianne]

Mine is all shakes for THREE WEEKS! 😩

[@lindsayevans9543]

I'm now thoroughly convinced of the importance of shrinking my liver pre-op. Thank you for helping us understand so we can make informed decisions 🥰

[@DoctorJP]

So glad this was hopeful! Best of luck on your journey!

[@RaVeN_Marie316]

I am so glad I found this video. Surgery is in 9 days. I’ll start today! I didn’t have a great understanding on how important this was.

[@DoctorJP]

Best of luck for you!

[@massageistherapy]

OMG!!! I really enjoyed the visuals on the digestive apparatus. Thanks for sharing with us anatomy nerds😀

[@DoctorJP]

Glad you enjoyed it!

[@christyofbattlebornbelievers]

you have convinced me!!!!! thank you! really thank you! in 2 months I am getting my surgery and your video is so helpful!

[@DoctorJP]

Best of luck!!

[@TheMom2phoenix]

I appreciate this video so much, and I also greatly appreciate you not talking down to your audience. What motivates me are facts and info, and this has helped greatly! Thank you! And I don't normally watch surgery videos, but these clips were really important in helping me understand why I'm doing this.

[@DoctorJP]

Very glad this was helpful, and best of luck on your journey!

[@alialandon2912]

Finishing my 3rd day of 14 days. I appreciate your video on this. I have gotten so much motivation from this video. Thank you so much. I will continue to watch each day.

[@DoctorJP]

Best of luck on your journey!

[@alialandon2912]

@John Pilcher, Bariatric Surgeon I feel like I don't need luck anymore because of your wonderful videos. You are changing lives with these videos. Please never stop. You are an angel 😇

[@Chrissy881]

oh WOW!!!!!!! I super paid attention to your demonstration if the surgery Amazing how difficult it could be if a patient doesn't seriously do a Liver Shrinkage...

[@jeaniepartlow7931]

Your video helped me find success in having a healthy liver for my surgery on Monday. I made sure to ask the surgeon for an update after she did the surgery and she said healthy liver that gave her no problem. Yeah! Always appreciate your good advice to add to my surgeons directions. Success. And two days in easy recovery. 😊

[@DoctorJP]

Hope everything went well! Best of luck on your journey!

[@katec561]

Best motivation ever! Thank you Dr Pilcher!!! I’m just about to start this diet as I prepare for bypass surgery in a couple of weeks-no cheating for me now I’ve seen this!!

[@DoctorJP]

OK! Best of luck on your journey!

[@PRicanDiva1]

Doctor Pilcher, today is my first day of the 7 pre-operation diet. I am concentrating on the goal until next Tuesday when Dr. Cabazos will perform the surgery. I am excited about a better healthy lifestyle. Thanks to all the SAGE team, you are amazing as well as all your videos.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@blackbeauty5811]

Thank you so much for sharing very informative Doc! Im scheduled for surgery on the 13th!

[@DoctorJP]

Thanks for watching, and I hope everything went well with your surgery!

[@blackbeauty5811]

@@DoctorJP thank you, everything went very well!

[@nonacee5065]

Watching it again. On day one to shrink my liver. Keeping this for every day viewing until my surgery next week.

[@DoctorJP]

Hope your surgery is already done, and I hope it went well!

[@CamAndJayToday]

Your videos are so helpful. You have a great talent at getting people to understand important information related to their heath. Thank you for taking the time.

[@DoctorJP]

So glad this was useful! Best of luck on your journey!

[@m.fernandez8943]

This is a great video! Great to look at what the livers look at, i have fatty liver. I'm thinking about a test trial in December before the actual one in February.. My team has a 7 day liver diet, i already have the plan. So much appreciate these videos! Fist bump

[@DoctorJP]

Best of luck in Feb!

[@rosesolis1868]

Thank you very informative! I am currently on my 3 day and this video helped me to move forward and see the importance of shrinking my liver, surgery date is November 20, 2023,

[@DoctorJP]

Best of luck on your journey!

[@dorkolicious525]

Whenever I falter on my Preop diet, I’m replaying this for motivation. Thanks for sharing.

[@DoctorJP]

You got this! Best of luck on your journey!

[@kimsallee8110]

Thank you they never explained it all. Your video was very helpful in helping me understand the 2 week diet plan. Thank you

[@DoctorJP]

Glad it was helpful! and, best of luck on your journey!

[@stephanierobinson3648]

Awesome video, soon as I get my consultation and surgery assign date I am going to do this with a smile, knowing this is very important for me and the doctor.

[@DoctorJP]

Love your motivation! Best of luck on your journey!

[@terryeversole7623]

This is priceless!!! Thank you so much for this video. My liver shrinkage is 2-weeks, all liquid. I’ll be sure to have this video on a loop during those 2 weeks! Wish I lived in San Antonio! You’d be my surgeon for sure! ❤

[@DoctorJP]

So glad this was helpful, and best of luck on your journey!

[@Linda4Yeshua]

Thank you Dr. John ! I wasn't aware of this ! I will definitely be doing this; twice or more !

[@DoctorJP]

lol great motivation! Once is very effective!

[@jenncutt1571]

I have been binge watching your videos for the last 2 weeks and they are so informative and helpful. Thank you for posing these!. im in Ontario Canada - been on Optifast for 2 weeks, and my surgery is in 5 days.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@tjbaby2411]

Thank you for these 👌 will be heading for my surgery in the next few months 🙏

[@npico798]

Thank you Doctor. I’m having my lapband to bypass revision. This was very helpful.

[@DoctorJP]

Best of luck on your journey!

[@nicolebryant6961]

Start my living shrinking diet this week and this really helped get the right mindset! Thank you!

[@DoctorJP]

Best of luck with your surgery!

[@gabu8065]

I’m getting my surgery soon in Houston soon. Thanks for helping me make this decision with your videos

[@DoctorJP]

So glad this was helpful. Best of luck on your journey!

[@sarahmiles449]

Awesome video. Such a great motivator!

[@DoctorJP]

Glad this was useful for you!

[@magdalenaramirez7971]

Very well explained! Thank you so much!

[@DoctorJP]

Thanks for watching, and best of luck!

[@torquer9669]

That was very helpful to me, thank you. Clear, kind, and well presented.

[@DoctorJP]

Glad it was helpful!

[@Dr.PrettyProfessor]

Dr. Pilcher, THANK YOU for this video also. VERY informative and helpful!

[@DoctorJP]

Very glad this was useful!

[@mee5780]

I'm day 8 into the milk only LRD (surgery in 5 days) and this has given me so much motivation. Thank you for this video and explaining it so well. The live surgery clips were fascinating 🙌

[@DoctorJP]

Thanks for watching! I hope the liver clips were motivating and not scary.

[@brendaschoonover3951]

The video wasn’t scary … the video games nowadays are ten times worse! This helps me to stay on track with the diet! My surgery is the 25 th of this month! I’m on my two week diet right now.

[@traceycoles1693]

Thank you. I start mine in the morning. This (expecially the surgery film) is just what ! need!

[@DoctorJP]

Thanks for watching, and best of luck!

[@traceycoles1693]

@@DoctorJP thank you. I've been sticking to it rigidly and not finding it too hard. My hospital says I can do diet or shakes, I've chosen shakes as with food, it's too easy to have and extra mouthful here and there. Well, that's how I got to needing the surgery in the first place. Another 8 days to go.

[@CynthiasASMR]

I so appreciate the video representing the damage that can be done to our livers. (GSV in two weeks) It's scary as it should be because this is totally controllable by our choices Preop. I'm in a three week diet. Ive lost some pounds already but haven't stuck to it 100%, now.... I think I'll go back to. 100%. So two weeks can help avoid this. Id hate to do this to not only myself but my surgeon and care team.

[@DoctorJP]

Outstanding. And yes, shrinking your liver is a good thing for everyone involved.

[@shivb8192]

Thank you so much for this video. Very helpful and informative.

[@DoctorJP]

Thanks for watching!

[@analirod5493]

Woow! thanks for this well explained video.I'm 5 day's post up surgery and I do get tempt to eat something! But I do want this surgery to go well! I like how this DR. explained everything plus the video's did helped a lot!

[@DoctorJP]

So glad it was useful! Best of luck on your journey!

[@kasianne]

Me after watching: *happily drinks protein shake and stops complaining* 😂

[@kasianne]

I have a 3 week shake-only diet. 😫

[@nonacee5065]

I'm in Australia and saw my surgeon yesterday, decided on self funded gastric bypass in 7 days. I'm 70 and had a lapband 15 years ago. This will be removed. I was told that i didn't need to do anything preoperatively. The anaesthetist told me I'll be in high dependency unit for 1 to 2 nights due to severe sleep apnea, then on the ward another 2 days. I'll have 2 tubes, a catheter and a neck iv. On the 4th day they do a test to see that everything is flowing properly, then get discharged. Having done keto diets on and off throughout the years i knew that fluids only, post operatively, would put me into ketosis. So i thought about getting onto that before hand to get over the keto flu prior to surgery. After watching your video however the prime goal now is liver shrinkage. I'll do the intense protein shake diet with a vegetable chicken soup as a meal each night, then fast on the 6th day. I want as easy a transition as possible and a good field for the doc. I'm surprised he didn't tell me to do this though and he was very unfazed, when i asked if i had to do anything preoperatively. Obviously with a 4 day stay and intensive care plus all the tubes, he's expecting issues. I'll just not give it a chance. Thanks for the very clear explanation and visuals. I'm on it as of today to be ready for next week. 🤞

[@DoctorJP]

If I have the timing right, then your surgery happened 4 days ago. I hope everything went well, and I wish you the best on the rest of your journey!

[@nonacee5065]

@@DoctorJP yes you are correct. I've spent 4 nights in critical care although I only needed 2 days of that side of the service. I had a central line. 2 tubes, a catheter and apparently this is common practice with my doctor. I was on iv antibiotics, potassium and heaps of fluids. I'm also to give shots of Clexane for the next 20 days. The surgeon said that the lapband had caused adhesions on my liver which took an extra 1.5 hours to cut away. I also had a bile leak from the liver (no gallbladder). He did say my liver shrinkage diet gave me a small clean liver except it was adhered. Apart from some gas bubbles I feel pretty good. I'm home now and on free fluids which includes yoghurt, creamy soup and obviously broth and jelly. In the hospital they even gave me ice cream. I couldn't believe it. I can drink tea and decaf with milk as well. All my prep for clear fluids is semi wasted ha ha.

[@nonacee5065]

Oh and I decided to do a protein water fast 3 days prior to surgery. Very determined lady here.

[@sabrinaomar3829]

Wow thank you so much for your great knowledge, I appreciate this video you have posted!

[@niceymix1]

So very informative and easy to follow!

[@DoctorJP]

Glad it was helpful!

[@nataliewiser7312]

Dr. Pilcher thank you for showing that video, it's very helpful to me during my research as I'm considering bariatric surgery. It would be nice if there were a surgical tool that perhaps expands (think wings) to create a flat surface for the liver to rest on to minimize damage to the liver. That split looked really bad.

[@DoctorJP]

I like the way you think, Natalie, and back in the old days when we made a big huge cut up and down the abdomen we did have a larger "dam" shaped retractor that was less likely to cut into the liver. These days with little incisions we can only put small things in. On balance it's worth it because the best majority of people lose weight well and do not have any liver damage.

[@corinkristen1292]

Wow. I needed this video! Thank you.

[@DoctorJP]

You're so welcome! Best of luck on your journey!

[@HeyTexasItsMe]

Whoa!!!! Thank you so much for this information. I am super motivated. I have 5 days to go.

[@DoctorJP]

Best of luck on your journey!

[@rowenamoore3327]

Thank you. This explains everything really well.

[@DoctorJP]

Glad it was helpful!

[@sashadennis6709]

This video was extremely informative thank you!

[@DoctorJP]

Very glad it was good for you. Best of luck on your journey!

[@honeybearx5740]

You are great🎉

[@DoctorJP]

Thanks so much for watching!

[@godschild2432]

Wow this pre op surgery is important.

[@kalondraellison5229]

Wow! Thanks for this valuable information!!

[@DoctorJP]

Glad it was helpful!

[@aj8097]

Very informative; thank you!

[@DoctorJP]

Glad it was helpful!

[@Reneem210]

This is a great video! Thank you!

[@DoctorJP]

Glad it was helpful!

[@luvspursmanu]

Thank you for posting this today!

[@DoctorJP]

Thanks for watching!

[@luvspursmanu]

@@DoctorJP I ALWAYS watch your videos! Maybe do one on water intake after gastric bypass. I know at our support sessions when we had it, many gastric bypass patients have stated drinking water "hurts" them going down the esophagus. I have remedied that so I get my water but still don't understand why this is. Things that make you go hmmmmmm

[@DoctorJP]

@@luvspursmanu Thanks for the suggestion Lisa! I'll put that on my list.

[@toyaspears6376]

Excellent information...

[@DoctorJP]

Thanks for watching!

[@mosespitts5051]

I enjoy watching this video it's very informative and it has come along. September 7th Baratric Surgery.

[@queenvictoria7707]

Hope your surgery went well !!!!!

[@KisskissMore]

Thank you for the tips Doctor 🥰

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@carolinapaulette8929]

Thank you for this very informative video Doc! Much appreciated! I am much more motivated to complete my surgeons liquid diet.

[@DoctorJP]

It can be the hardest part, but definitely worth it. Best of luck on your journey!

[@cindyfredes3432]

Great video. Very informative 💜

[@DoctorJP]

Glad it was helpful!

[@AB-uj7cg]

Great video, very well explained.

[@DoctorJP]

Glad it was helpful!

[@Yessica_Vidaurreta]

I’m getting ready to have bariatric surgery and you have been AMAZING! I know you expressed stopping any over the counter supplements would say that includes Blood Builder & Multivitamins?

[@DoctorJP]

please follow the advice of your bariatric team

[@VintageGlamour93]

Hello Dr. John! Am I allowed to use a screenshot of the enlarged liver in a presentation about liver shrinkage diet? The photo will not be distrubuted, only shown once and your name will be mentioned as owner of the photo? Greetings from Germany!

[@DoctorJP]

Yes you may use a screenshot of that image, and I hope your presentation has a positive impact on many people.

[@brookssuggs6650]

Great info!

[@DoctorJP]

Thanks for watching!

[@dedicateddispater890]

I'm on day 4 of my 7 day water fast. Not too easy, but not too hard. I am looking forward to eating again...

[@DoctorJP]

You got this!

[@kiwimahana6850]

Thank you Dr John, this is exactly what I’ve been looking for. I have a very fatty liver (lying down my stomach remains round). What are your thoughts on incorporating intermittent fasting and having the protein shakes in the eating window?

[@DoctorJP]

Thanks for your question. I think that every surgery program has a plan that works, and I don't want to interfere with your program's plan.

[@MontraviasKing]

Dr. Pilcher, thanks for making this informative video. I found it to be beneficial. I have the Laparoscopic Duodenal Switch with Single Anastomosis this Wednesday, December 22, at 11:30 AM. I was placed on the liquid diet a few days ago (earlier than expected) due to impending concerns from the new COVID variant. Nonetheless, I have been modifying my diet for surgery for weeks now and feel confident about liver shrinkage. I will take your recommendation on going more aggressive and think I will be fine. Question- is adding salt and pepper to my broth hurtful or helpful at this point?

[@DoctorJP]

Thanks for your question. In my patients I see no problems with salt and pepper. I'd like you please to reach out to your surgical team as well on this question.

[@MissMiaAfroGoddess]

Thank you for showing what the actual liver looks like in live surgery, seeing is believing!

[@DoctorJP]

So glad this was useful, and best of luck on your journey!

[@deasiabrannon805]

I’m starting my pre-op diet in 4 days🥲 surgery on May 3rd!!!

[@DoctorJP]

Best of luck on your journey!

[@annajeanetteash8890]

Amazing! Thank you!

[@DoctorJP]

Glad you liked it!

[@driveneco]

thanks dr john!

[@DoctorJP]

Thanks for watching!

[@lononya6494]

Thank you so much for doing this video my bariatric surgery is scheduled for july 15th 2022 in San Antonio texas where i live and i have to start the liver shrinkage diet on july 1st 2022 for 2 weeks b4 surgery and omg im so motivated to do this diet to the T perfectly. My Surgeon id Dr. David Straus. Right now im 5'2 240lbs its been tough hypothyroidism. I was wondering can patients use phentermine during this diet?

[@DoctorJP]

Best of luck Lory! Dr. Strauss is a great surgeon! Surgeons have different opinions about using medicines like phentermine. In my experience it has been useful but I can't speak for Dr. Strauss.

[@lononya6494]

@@DoctorJP thank you so much Dr. I will call there office ♥️

[@stuforbes3706]

This has been so helpful. Is 7 days enough?

[@DoctorJP]

For our patients, 7 days works well. Nevertheless, I suggest for you to follow your surgeon's plan.

[@Chrissy881]

Hi Dr Pilcher, is it safe to do Dr.Sebi's liver and gall bladder Cleanse prior to Gastric Bypass Also, is it ok to do a water only fast prior to Surgery.? The reason I ask is because when doing a water only fast, after at least 5 days a person is in Autophagy and I watched Heidi's video on your channel she mentioned that during surgery we are "pumed up with fluids" I don't know what the fluids are but if in Autophagy, its necessary to do a slow "Refeed" and if not done properly it could cause side effects like heart palpitations. So im wondering if doing an extended water only fast is safe prior to surgery. Thank you. Also, I want to "Thank You" from the whole world because you are "THE ONLY ONE" who responds to peoples questions on KZbin

[@Dreaminginrealife]

You're video is so helpful. I do want to ask though my surgeon only requires me to do 2 days full liquids prior to surgery on July 6th. Do you think its okay for a normally healthy fat person 😂 to do this prior to surgery? To help my outcome.

[@DoctorJP]

I think you should follow the advice of your surgeon as well as you can.

[@dkialindsey17]

Im doing horrible on my liver shrinkage diet I started yesterday (6 days before surgery) when I was supposed to be on low carb high protein diet for 2 weeks... im not sure if 5/6 days is enough to shrink my liver and im scared my surgery is this Friday 8/6/21 i dont know if i need to just do liquids from here on out or if the low carb diet for these next few days will be enough

[@DoctorJP]

Hello Kia, thanks for checking in. I understand your concern. You're going to have to communicate with your surgical team to get advice on this. Best of luck!

[@dkialindsey17]

@@DoctorJP thank you for taking the time to reply 😊

[@blackbeauty5811]

Ketokia may I ask how did your surgery go?

[@patriciarejouis7398]

How did your process go @KetoKia

[@linaw32]

hey what ended up happening?

[@ACIDICcitric]

Interesting IF and Keto and fasting!

[@sarahjenkins8963]

Man! I remember my 2 week liquid diet plan. 3 protein shakes and up to 3 snacks. Broth, sf jello and sf Popsicles. Well I did it to a tee and had the sweats, Nausea, heart palpitations and starving. Well I was so excited that I did it. Well I went in for my weigh in. I lost only 3lbs! I couldn't believe it I cried. Then my PA asked what I was doing. I said I did everything to a letter. So I had to cut out any of the snacks just do the shakes. Day of surgery I get a call 2 hours before I was supposed to be there my surgeon was sick. Fast-forward 2 months. I have to do this again. But I thought Well the first round I did what they said I barely lost, so I am doing it my way. I did 5 protein shakes a day instead. And I lost 8lbs. I don't know exactly why that happened. Weird

[@DoctorJP]

Yes, the liver shrinkage can be the hardest part. Best of luck on your journey!

[@kerrim1792]

Wow! Thank you!

[@DoctorJP]

You are so welcome. Thanks for watching!

[@paranormalg0at]

Hi Jason, I'm awaiting my date for my gallbladder removal. My surgeon has suggested 1 of 2 diets. (One being mainly milk based with the odd few yoghurts/ Bovril or stock cube in hot water) and the other a very plain very small meal based one. I'm scared if I do the food one I'll be unsatisfied and want more, as I love food so much (just being honest, obviously that's why I'm here and needing removal!) So I'm opting for the milk based one even though I'm not a fan of drinking milk unless it's in tea or coffee. I'm very scared about doing this as my family depend on me a lot (I have small children and my husband is disabled) I'm scared about not having enough energy, feeling faint etc. Will drinking more fluids like water help this? Also scared about recovery time. Do you have any tips for me as I'm very anxious about the procedure. Thank you :)

[@darrenmclaren3760]

Could you go on a 7 day fast? Just wondering! Thanks Doctor.

[@DoctorJP]

People write about doing that; I think it should only be done under medical supervision.

[@jessicav6859]

You mentioned in a video about new information about the sleeve having some new information since i think 2021 or so. People gaining back weight and acid reflux. Is your last bypass vs. Sleeve still current? I told my surgeon i want to do the sleeve but in starting to have second thoughts. I'm leaning towards bybass now.

[@DoctorJP]

Thanks for watching Jessica. My video that compares "Gastric Bypass vs Sleeve, update for 2021" is pretty up to date.

[@teresaletters]

Can I ask is it okay to take gaviscon (heart burn relief) while doing lrd? Sorry if silly question, just want to do this right! Thank you for the great video 💜

[@DoctorJP]

Sorry to be slow in replying, and I hope this answer is still pertinent, but in my opinion, Gaviscon is OK on the liver shrinking diet.

[@ruthbrooks7559]

Thank you

[@DoctorJP]

Thanks for your interest!

[@992turbos8]

Thank you I knew there had to be a good reason other then testing if the pt. will be compliant . But now I know the why , what about being that over achiever , Example: start with 2x shakes and a meal a day . over achiever Start 1x and a meal a day

[@DoctorJP]

lol, I love overachievers. I did address that idea near the end of the video.

[@TheSubzero1991]

Thanks!

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@l8russ]

I had a question..I have been looking forward to having the gastric bypass but i had my consultation with my surgeon today and in the notes it said we will be doing the gastric bypass or sleeve. When I asked him he said if they can't do the bypass field to complications that they would do the sleeve instead. What does this mean? I would rather have the bypass but don't want to wake up after surgery and have the sleeve done.

[@DoctorJP]

I wish I could answer that for sure RUME, but I suppose your surgeon just wants to have all the options on the table. Now that you've had a chance to think about it, I think it would be fair to ask in what percentage of cases your surgeon plans a gastric bypass then makes an intra-operative decision for Sleeve? If you feel strongly, it should be an option for you to instruct the surgeon to stop the operation if they can't do a gastric bypass (rather than fall back to the Sleeve).

[@shan4901]

I’m on day 2, I feel good, kinda spacey little headache but I’m managing

[@DoctorJP]

I imagine you've had the surgery by now, hope everything went well!

[@pearlspetals5542]

Thank you doctor. 2 questions. Is it safe to say that the bigger you are he bigger and fattier the liver? Or could it just be random. Also is is a guarantee that if you follow the pre-op diet your liver will be small and healthy. Thank you.

[@DoctorJP]

Thanks for your question Joan. There is a rough correlation between total body size and liver enlargement, but other factors have a strong influence such as body shape, medical conditions, and age. In your question, you used the word "guarantee." There really aren't any guarantees in medicine, sorry. And to be honest, I have seen one or two patients who seemed to do a very good job on their liver shrinkage diet but still in surgery the liver was too big for us to accomplish the surgery. Both those patients went back and dieted some more, then had successful surgery. Seems it would be smart for you to visit back with your surgery team on this. Best of luck on your journey!

[@pearlspetals5542]

Understood. Thank you for responding. This channel is amazing helpful!💕

[@DoinStuff4Life]

I think i'm in trouble. I am on a Liver shrinking diet for gallbladder surgery. I've eaten under 100g of carbs a day (anywhere from 26 to 60) and keeping my calories under 1000. I'm on day 4 and I see a slight reduction in my belly but I am not in ketosis yet. Am I gonna be able to get surgery on May 14?

[@DoctorJP]

I'm sorry I didn't see this message earlier. How did it go?

[@DoinStuff4Life]

Went great. Recovering now. At about ,80% but the surgery was a success

[@kristengarcia1038]

Ok, I do have a question, how would you know if it’s working? Should people with known NAFL and a higher BMI stay on the diet longer?

[@DoctorJP]

That's a smart question, but my advice is not to do the diet longer than your surgeon recommends. If anything, you may intensify the diet by getting closer to fasting in the last couple of days before surgery. Please be sure you are keeping up with your hydration during the liver shrinkage diet.

[@meganwebb4045]

Hi doc. I have a vsg scheduled and they gave me a 2 week preop diet, if I were to do the 7 day one you were discussing my results should be about the same you think? I’m on day 4 and feel like I’m losing it lol.

[@DoctorJP]

Hey Megan, yes it's the hardest part, but you should follow the advice of YOUR surgical team! Best of luck on your journey!

[@tjbaby2411]

I'm in the UK ours is 2 weeks

[@DoctorJP]

OK, thanks for watching, and best of luck on your journey!

[@AshleyFromBrooklyn]

I’m 8 months post op (not with this place) and it’s so hard to get three meals a day because of my lack of appetite. I force myself to do the 2 shakes and a meal a day. And a snack.

[@DoctorJP]

I don't want to lead you too far astray from the guidelines that your program is promulgating, but here are my thoughts on the healing plan after surgery: Optimal Recovery, and Diet Progression kzbin.info/www/bejne/gJqlgWaNgNial68 Practical Ideas for Healthy Eating kzbin.info/www/bejne/bnaXaJtvYsqbis0 Conscious Eating kzbin.info/www/bejne/d4O3c5mtqJyiZpo Hunger is Complicated kzbin.info/www/bejne/ppTFqnmQiK9jf5I

[@l8russ]

On my 4th day and going crazzy

[@DoctorJP]

Hang in there! It's worth it! Good luck with your surgery!

[@michaelvarney.]

I wonder if Dr. Pilcher takes out of state patients. :) Not a rhetorical question.

[@DoctorJP]

Thanks for asking Michael. We are actually pretty well practiced with bringing patients from other parts of the country for surgery. The COVID pandemic pushed us to get better at remote patient connections, so we are much more comfortable accomplishing the long term follow up as well. If you'd like to explore, please call my office on a weekday at 210.651.0303 Best of luck on your journey!

[@gcc5702]

Hi doc, my surgery is in 4 days and unfortunately my surgeon has no requirement for a pre-op diet. He’s an India-based bariatric surgeon and seen this is quite common there. After watching this I think I should do something. Can I just do a water fast for the 4 days to surgery? would it do much to shrink my liver?

[@DoctorJP]

Sorry I missed your question earlier, and I hope surgery went well. I would have advised you to follow your surgeons directions, because every program creates instructions that work well for its patients. Best of luck on your journey!