It was such a hit that they produced a larger-than-life sequel called 1000 lb life of two sisters that weight equals 1000 lbs. One sister followed a diet plan that allowed her to lose enough weight to receive bariatric surgery.

I need a 200 word response to the discussion board posted below in this text. APA format please
The 600 lb life series really opened the eyes to a lot of obese people. It was such a hit that they produced a larger-than-life sequel called 1000 lb life of two sisters that weight equals 1000 lbs. One sister followed a diet plan that allowed her to lose enough weight to receive bariatric surgery. “This is considered the most effective treatment for managing obesity and related conditions. Benefits include reduction of diabetes mellitus, hypertension, dyslipidemia, and mortality rates as well as improved quality of life” (ATI Nursing Education, 2019). For a person to become a good candidate for bariatric surgery individuals need to have behavioral dietary guidance and a nutritional assessment to prepare for good results. Sticking to the diet plan once set is another task that many fail at due not willing to change lifestyles.
Regarding nutrition preoperatively, a low carb diet is more effective than a low-fat diet in the aspect of short-term weight loss. A low-calorie diet has been evidenced to start a catabolic state that could alter recovery postop. Studies have shown that nutritional deficiencies come from people eating high calorie food with very low nutritional benefit. Eating foods with high protein such as chicken and fish and nutritious vegetables like dark leafy green, carrots, broccoli, brussels sprouts, green peas, asparagus, red cabbage, and sweet potatoes promotes the healthy diet while remaining fulfilling. This leads to candidates having vitamin deficiencies that need to be corrected before bariatric surgery to improve postop outcomes. Nutrients are needed to proper human flourishing. Preoperative surgery candidates often are encouraged to take two adult multivitamin-mineral supplements that include thiamin, iron, folic acid, copper and zinc. In addition to a multiple vitamin, calcium citrate and vitamin D supplements are found to be beneficial. Vitamin B12, intramuscularly or subcutaneously, can give the patients a boost of energy which in return promotes activity and weight loss.
Nutrition recommendations, postoperatively, starts on with food consistency change over a period of 2 months. Patients first start off with a clear liquid diet for the first 2 days and progressing to milk, plain yogurt on days 3-7. After approximately 1-2 weeks pureed or mashed food can be consumed. After week two patients can incorporate other foods like scrambled eggs and soft fruits. At the one-month mark patients can start to add solid foods. By month two patients should have progressed to a regular solid diet. “Special attention must be given to patients who hesitate to progress to solid foods postoperatively for fear of gaining weight, pain, nausea, or vomiting” (Sherf Dagan, 2017).
The MyPlate method brings simplicity to all individuals regarding food categories and portioning. Patients can develop plans that start with a simple MyPlate plan which is half of your plate fruits and vegetables, a quarter of grains and a quarter of protein. This plan isn’t individualized but it can be if you visit and enter your age, sex, weight, height and physical activity level. “It’s important to eat a variety of fruits, vegetables, grains, protein foods, and dairy and fortified soy alternatives. Choose options for meals, beverages, and snacks that have limited added sugars, saturated fat, and sodium” (MyPlate, n.d.). Even with the MyPlate program, there is other guidelines that bariatric patients need to follow. “The bariatric plate method suggests to include 3-4 oz protein, ⅓ cup of vegetables and 3-4 tablespoons of a healthy carb at every meal” (Willard, 2019). These amounts may be less than what is found on the MyPlate personalized option.

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