Post Surgery phase

You are moving from:
liquid → purée → soft foods → more regular meals

So, I recommend:

• very small portions to start
• chew each mouthful thoroughly
• avoid drinking with meals and focus on food
• there is a risk of stool dumping with high sugar intake like chocolate

Medication implications

Metformin

• Reduces ↓ B12 absorption – Check with a doctor’s blood test B12 deficiency signs include fatigue and tingling
• Stomach upsets are possible as side effects include loose stools and bloating
• needs protein with meals for tolerance

Duloxetine (SNRI) 

• can reduce appetite → schedule eating, not hunger-based feeling.
• can increase sweating hydrate between meals
• can raise Blood Pressure slightly (watch with ramipril)
• protein intake supports neurotransmitters with rich tyrosine foods → beef, turkey, eggs

Ramipril

• monitor potassium if using supplements, I’ve contacted Whole Supp to see how much is in the Meal Replacement powder.
  Each serving of Whole Supp contains 400 mg of potassium (20% of RI).
• good hydration is important

Telfast

• avoid taking with fruit juice (reduces absorption)