After the first six months of bariatric surgery, there is something in our body mechanisms that changes. Our weight loss slows down, some of us reach our goal weight (or are getting very close to), and for some, the weight loss stops completely. It’s at this point that we need to change something up either to gear up for maintenance or to continue losing, getting us to that goal.

For bariatric patients, there are more than one WOE (ways of eating – also known as POE or plan of eating). The hard part is finding exactly what it is that will work for you.

Take note, if you have regained weight, these are not intended for that purpose. Later, we’ll do a series focusing on regain and how to lose it (as this is something that Jen is learning a lot about right now!)

Last newsletter we talked about the Plant Based WOE.
This week we’re going to talk about the Paleo/Primal WOE(s).

When it comes to eating trends, the Paleolithic (AKA Paleo) eating plan is at the top of the heap right now. It’s on trend, fashionable, and seems like it’s everywhere! The thought behind the eating plan is that our Paleolithic ancestors ate a certain way and it worked for them, therefore it should work for those of us in a more modern life.

The Paleo WOE has the following components:

It’s high protein. You will eat high protein foods such as meat and tree nuts.
It’s high fat. You are encouraged to add fats to your diet such as fats from avocado and salmon and you are also encouraged to use fats from animal sources such as grass-fed butter, ghee, lard, tallow, bacon fat, etc.
It’s rich in fruits and veggies. You are encouraged to eat as many fruits and veggies as you want.
It is NOT low-carb. Contrary to popular belief, the paleo diet is NOT a low-carb diet. You are encouraged to eat all fruits, including bananas, and even tubers such as sweet potatoes. Additionally, “natural” or “unrefined” sugars such as coconut sugar, honey, and blackstrap molasses are used as sweeteners.
It’s meant to be anti-inflammitory. It omits foods such as peanuts, field peas, grains, beans, and nightshades which are all considered inflammitory foods.


Anyone 6 months or farther out who wants a whole “real food” eating plan, or anyone who is experiencing inflammatory issues.

This eating plan is composed of real-food products. No processed or pre-packaged foods.
This eating plan allows for a variety in diet – all meats, all fruits, and almost all vegetables are allowed.
This eating plan will make you feel satisfied and you won’t experience sugar crashes.
This eating plan encourages the use of organic, grass-fed, and free-range products which are healthy and without hormones, antibiotics, and pesticides.

This eating plan encourages the use of organic, grass-fed, and free-range products, which can be expensive.
This eating plan encourages the use of specialty products such as Bragg’s Aminos (replacing soy sauce), which can be hard-to-find or expensive.
This eating plan can feel more restrictive with a lot of foods removed.
This eating plan allows natural sugars such as coconut sugar and maple sugar/syrup which can trigger sugar addictions and can cause dumping in some WLS patients.

Here is a sample one-day menu that one might eat on this plan (we did not do a protein count on this eating plan because nutrients rather than protein is the focus):

B: ½ C Sweet Potato Hash (sauteed sweet potatoes, onions, and asparagus) topped with a poached egg.
L: 1 C Green salad topped with carrots, cucumbers, radishes, and 2-3 oz. grilled chicken topped with lemon juice and olive oil.
D: 3 oz Grilled Rib-eye steak with ½ C grilled veggies
Snacks: Apple slices or celery with almond butter, avocado slices rolled in ham, or a handful of cashew nuts.

We hope this was helpful for you! Next week we will be concluding our WOE series by exploring the Ketogenic WOE.
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