The puréed diet phase is the third of five phases bariatric patients progress through after surgery. We’ve already examined the clear liquid diet phase and the full liquid diet phase. Now, we’re going to continue focusing on hydration and protein, but add in new foods to get your stomach ready for solids. You’ll purée food to the consistency of smooth applesauce and try one new food at a time. During the puréed diet after surgery, it’s important to blend your foods to a smooth consistency without grit or lumps.
Purpose of the Puréed Diet
The purpose of the puréed diet is to get your stomach ready for solid foods. It’s the bridge between your liquid diet and your soft foods diet. At this point, you’re probably only a few weeks out from surgery, so your stomach is still healing. We need to slowly progress our foods to a regular consistency to prevent blockages and damage to our sensitive stomachs. The puréed diet helps your stomach heal while preparing for more solid foods. You’ll want to continue focusing on hydration by getting 64 ounces of water a day. You’ll also need to keep up with your protein, getting at least 60 grams of protein per day. Keeping focused on these goals will prevent dehydration and help your stomach heal. It also helps to give you energy.
I know the idea of puréeing your food doesn’t sound appealing. However, let me tell you that the best meal I had all year after surgery was a puréed chicken breast. It was heavenly. After a month of liquids, which to be fair are mostly sweet, it was such a relief to have something savory in my mouth. It tasted amazing. It was at that point that I realized the puréed diet won’t be so bad, and I tried different foods. The only one I wasn’t brave enough to try was puréed scrambled eggs, but I hear that it is delicious as well.
What Can You Eat on a Puréed Diet?
At this point in your post-op journey, you’re probably craving something different, which is great. Now, you can try things like puréed scrambled eggs, chicken, low-fat refried beans, applesauce
You can also continue any of the liquids from the first two stages, but you want to make sure everything is low-fat and low-sugar. Make sure your liquids aren’t carbonated or caffeinated. Don’t use a straw. The reason these restrictions are in place is that straws and carbonation can introduce excess gas to your stomach, which can be quite painful. Remember that your stomach is still healing. Caffeine can also cause stomach ulcers, at which you have a higher risk of developing at this point. It’s important to stick to these guidelines. It’s for your safety.
Tips for the Puréed Diet
To purée your food, use an equivalent amount of liquid to solid food. So, if you’re blending four ounces of chicken breast, add four ounces of chicken stock to the blender. Some good liquids to add are water, beef, chicken or vegetable stock, milk and the liquid from canned vegetables or fruit. You can also try to add low-fat gravy to your meat. Try one new food at a time to determine tolerance. Sometimes you can’t tolerate foods immediately. However, try again in a few weeks to see if you can tolerate that food.
You’ll want to eat two to three ounces of food for over 30 to 45 minutes. Go slow. Savor the food. Put your spoon down between bites, and wait 30 seconds before getting your next bite. It helps to have a stopwatch or timer next to you to time yourself. Remember that your stomach is still healing, so eating slowly helps your stomach digest properly. Don’t be afraid to try new foods. Almost anything can be puréed if you’re adding enough liquid. This stage is the beginning of your new life. Savor it.
Once again, you’re going to need to meet your water and protein goals. You need 48 to 64 ounces of water and 60 to 80 grams of protein per day. This goal will continue for the rest of your life. Use an app like My Fitness Pal to keep track of what you eat. It’s super important that you meet these goals every day to help keep your body functioning properly.
Puréed Diet Recipes
The puréed diet recipes that follow are ones I thoroughly enjoyed on the puréed diet. If the consistency is off-putting, try starting with some baby food or applesauce to get used to it. You’ll be surprised at how much you enjoy some of these foods, even at the puréed stage. I used a Ninja blender to blend all of my foods, but you can easily use a regular blender or a food processor to get foods to the right consistency. You’re looking for a texture like smooth applesauce with no lumps.
Puréed Chicken Breast
- 4 ounces cooked chicken breast Homemade or canned
- 4 ounces chicken stock
- Roughly chop the cooked chicken breast and place in blender
- Add the chicken stock, and blend until the consistency of smooth applesauce
- Add more liquid if necessary.
Puréed Peaches & Cottage Cheese
- 4 ounces canned peaches in juice
- 4 ounces low-fat cottage cheese
- 4 ounces skim milk
- Purée the peaches in their own juice until the consistency of smooth applesauce. Add more liquid if needed.
- Purée the cottage cheese with the milk until no lumps are left. Add more liquid if needed
- Pour the cottage cheese in a bowl. Swirl the pureed peaches through it.
Puréed Refried Beans
- 4 ounces low-fat refried beans
- 4 ounces Broth Chicken or beef
- 2 Tablespoons Mexican-Blend Shredded Cheese
- Add the refried beans to blender with the broth. Blend until the consistency of applesauce. Add more stock if needed.
- Divide into four two-ounce servings. Top each serving with 1/2 tablespoon of Mexican-Blend shredded cheese.
- Optional: Melt the cheese in the oven or microwave for a few seconds.
Puréed Poached Eggs
- 2 Eggs, poached
- 1 cup Warm, skim milk
- Carefully add the poached eggs to the blender
- Pour in the warm milk. Blend until the consistency of smooth applesauce.
- Strain through a fine-mesh strainer
- Add salt and pepper to taste
Cheesy Fruit Salad
- 1 cup fat-free cottage cheese
- 1/2 cup canned fruit in juice
- 1/4 cup fruit juice
- 1/4 cup water
- Add the cottage cheese to the blender with the fruit juice and water. Blend well.
- Add the canned fruit in juice to the mixture. Blend until the consistency of smooth applesauce.
Puréed Diet for Gastric Sleeve
Since I had the gastric sleeve procedure, I can only speak of my experience from a gastric sleeve background. As I mentioned earlier, when I puréed foods, I used a Ninja Blender. To me, this phase was exciting because I could try different foods, and I knew it was a bridge between the liquid and soft diet phases. Very Well Health offers some other tips that I found helpful during this phase. For example, peel fruits with the skin before puréeing them in the blender. You should also pass fruits with seeds (like strawberries) through a sieve before eating.
Remember that your newly formed stomach is still healing. It takes time for the stomach to be fully able to digest foods you could eat before. Therefore, it’s important to make sure none of the food you’re consuming is in solid format. Avoid things like nuts and seeds because they are hard to get to the right consistency for this stage. Greek yogurt is a really good food to eat during the puréed stage because it’s high in protein, and it’s already in the proper consistency.
Try Something New
While the puréed diet phase sounds a bit off-putting at first, it’s not nearly as bad as you think. Try something new in the phase to see how it tastes and how your stomach handles it. You’ll still stay hydrated and meet your protein needs, but food will be the consistency of smooth applesauce. Try one new food at a time to determine tolerance and eat very slowly. Add equal amounts of solid food to liquids for the right consistency. During the puréed diet stage, it’s important to blend your foods to the consistency of smooth applesauce. The next phase of your diet is the soft foods phase diet! This phase is an exciting one!
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You can try things like puréed scrambled eggs, chicken, low-fat refried beans, applesauce and low fat cottage cheese. You can also have stage one or stage two baby food if you don’t want to purée it yourself. Other foods to try are applesauce, puréed bananas, pureed canned vegetables and pureed canned fruits.
Yes, as long as you purée them in a blender. Add some milk to get the right consistency. After bariatric surgery, you want the consistency to be like smooth applesauce.