Bariatric Pre-surgical Program

CoreLife works in support of you, the surgeon, to maximize surgical outcomes and enhance total health by providing medical oversight, nutritional education, tailored exercise, and behavior counseling.

 

Meets all insurance and surgical program requirements

Our professionals adhere to the specific protocol of your Bariatric Center to satisfy established pre-surgical requirements, offering the best opportunity for long-term success. By accepting insurance, we are able to perform these services more cost-effectively for your patients, making us more accessible than other weight-treatment options.

There is an affirmative link between preparation and positive outcomes

Patients who lose weight and prepare their body in advance of surgery:
  1. Can decrease the likelihood of pre and post surgical complications
  2. Maximize the success of the procedure and the longevity of the benefits
  3. Improve the surgical outcome

When I first started CoreLife I wanted to lose 45 LBS. I am now down 58 LBS and feel great! Not only am I more confident, my blood pressure and cholesterol levels have never been this good. Thank you CoreLife.

Kevin S.

Sample Pre-Surgical Requirements

Patients are responsible for reading all clinical visit summaries/discharge instructions from all healthcare providers and adhering to recommendations.

Differences between other programs and CoreLife:

  • Many programs consist of visits just once a month for 7 months – these monthly seminars review different education topics each month leading up to surgery
  • CoreLife’s program consist of weekly visits covering the same topics while providing a much more comprehensive and convenient resource for medical oversight, nutrition, exercise and behavior change prior to surgery.  All of this is provided in one convenient, private, and local CoreLife center.

**All visits have to be completed in order to qualify for surgery.**

  • No one under a BMI of 35 will qualify for surgery. Patient has to have a BMI of 35+.
  • Our goal is to prepare and educate patient on all aspects- Our job is to get the patient ready for surgery. We need to help them understand:
    • food and how it relates to success
    • exercise and how to implement it into daily life.
Sample Supplementation

Every post-op patient is advised to take vitamin and mineral supplements daily for life.  For the first two months post-op, supplements should be in the liquid or chewable form and should be from a reputable bariatric company.

Iron

Delivers oxygen throughout the body

  • Recommended dose: 20-30 mg/day (or per physician)
  • Start 6 weeks post-op: Discuss with physician at 6-wk post op visit
  • May take Colace (stool softener) if needed
  • Take at least 2 hours separate from calcium as calcium may inhibit absorption of iron

Vitamin B12

Important for a healthy nervous system, red blood cell production and energy.  A deficiency may lead to nerve cell damage, lack of energy or depression.  

  • Following surgery, supplementation is done by consuming 1000mcg sublingual tablet daily OR injection
  • Injections are typically started at the 6 week post op visit
  • If opting for the sublingual tablet, this will also be discussed at the 6 week post op visit

Multivitamin

All three procedures require a multivitamin 1-3x/day.  This should be started in the liquid or chewable form upon discharge from hospital.

Calcium

Aids in preventing osteoporosis, kidney failure and neuromuscular disturbances

    • Consume calcium supplement in the form of calcium citrate, as it is absorbed more readily
    • 1200- 1500 mg/day Calcium Citrate recommended; best absorbed when taken with food
    • Take at least 2 hours apart from iron supplements

 

 

 

Medstar Compliant Post-Surgery Guidelines

Patients will be up and walking after surgery within (24 hours) We want to see patients after surgery for at least 3-4 months minimum. We do this to ensure the skills that have been taught are being used in daily life, from both a nutritional and fitness aspect.

Typical Diet Progression (surgeon to provide further details through MedStar)

Stage 1- (post-op day 1-14)

  • Clear liquids, no sugar, no carbonated beverages (days 1-2)
  • Full liquids, no sugar, no carbonated beverages (days 3-14)

Stage 2- (week 3-6)

  • Pureed diet (weeks 3-4)
  • Soft diet (weeks 5-6)

Stage 3- (weeks 7- lifetime)

  • Healthy diet goals for the remainder of lifetime.

Healthy Diet Goals

  1. Variety is essential
  2. Do not drink carbonated beverages
  3. Have small frequent feedings, including high protein, low fat diet with complex carbohydrates as tolerated.
  4. Use protein and vitamin supplements
  5. Take a multivitamin for life.
  6. Avoid/minimize alcohol.
  7. Avoid sugar and concentrated sweets.
  8. Chew all foods extremely well

Exercise is part of a healthy lifestyle. We will prepare patients both before and after surgery. Before we will focus on range of motion, flexibility, and starting to introduce exercise into daily life.

After surgery- Patients are not allowed to lift any weight over 20 lbs for the first 4 weeks. Need to focus on walking, flexibility and building endurance.