Clinical Dietitian Consultation: Gastric Procedures, Reflux, IBD, and Metabolic Balance

The success of medical treatment for the digestive system doesn’t end with the doctor's procedure, it continues on your plate at home.
At our clinic, nutrition is an integral part of the medical strategy.

Our clinical dietitian, Jenny (M.Sc.), works in full synchronization with Dr. Vosko to ensure your body is prepared for treatment - and that results are maintained for the long term.

The consultation integrates a profound medical perspective - from tailoring medical nutritional supplements (such as Modulen for Crohn's patients) to building recovery protocols following procedures. Whether you are preparing for an endoscopic sleeve gastroplasty (OverStitch), managing Inflammatory Bowel Disease (IBD), or suffering from reflux - Jenny will build the precise nutritional roadmap for you, providing the confidence and independence to manage your diet.

Connecting Medicine and Nutrition.
Schedule a consultation to build your personalized plan.

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This service is intended for adults (ages 18+) and focuses on conditions requiring integrated medical and nutritional care:

• Candidates for Endoscopic Procedures (ESG/TORe): Mandatory consultation before and after "Endoscopic Sleeve" and bypass repair procedures. Jenny will ensure your eligibility and build your gradual recovery protocol.
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• Inflammatory Bowel Disease (IBD): Support for Crohn's and Colitis patients, including dietary adjustments and medical nutritional supplements (as needed, such as Modulen/Ensure) for managing flare-ups and maintaining remission.
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• Diverticulosis: Tailoring nutrition to prevent inflammation (Diverticulitis) and alleviate symptoms, with an emphasis on correct fiber intake based on the disease stage.
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• Irritable Bowel Syndrome (IBS): Utilizing the FODMAP method to identify food sensitivities, reduce bloating, and alleviate abdominal pain.
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• Diabetes and its Complications: Balancing Type 1 and Type 2 diabetes, with an emphasis on patients also suffering from digestive issues (such as Gastroparesis) who require precise and gentle adjustments.
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• Motility Disorders and Reflux (GERD): Improving quality of life and reducing medication dependency by identifying "trigger foods" and modifying eating habits. Treatment is also adapted for those with Achalasia and swallowing difficulties.
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• Preparation and Rehabilitation: Preparing the body before complex medical procedures and ensuring nutritional recovery afterward.

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Assessment & Plan Construction (Pre-Procedure)

The first meeting is critical to your success. Jenny performs a comprehensive mapping:

• Blood Tests: Identifying anemia, vitamin deficiencies, or unbalanced inflammation/sugar levels.
• Lifestyle: Understanding your eating patterns and personal challenges.
• The Roadmap: Building a personalized plan-whether it is preparation for surgery or calming active bowel inflammation.

Recovery Protocol (ESG/TORe)

Following gastric procedures, you must not "guess" what to eat. Jenny will equip you with a safe, gradual recovery protocol:

• Phase 1: Clear and full liquids (to reduce stress on the sutures).
• Phase 2: Pureed and mashed textures.
• Phase 3: Gradual return to soft and solid foods.Adhering to these stages prevents pain, vomiting, and potential damage to the surgical results.

Management of Bowel Diseases (IBD/Diverticulosis)

• Inflammatory Bowel Disease (IBD): Tailoring a diet to the disease stage-gentle nutrition during a flare-up (including formulas like Modulen if necessary) and a rich, diverse diet during remission to prevent deficiencies.
• Diverticulosis: Precise guidelines on when to avoid fiber (during inflammation) and when to enrich the diet with fiber (for prevention), to maintain digestive peace.

Our Approach to Support

Our philosophy is based on patient empowerment.
We do not perform weekly weigh-ins or constant monitoring; instead, we provide you with medical knowledge, a precise menu, and a toolbox for independent management.
We are available for questions and adjustments, but we believe in your ability to lead the change with our professional guidance.

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• Uncompromising Professionalism: Jenny is a critical professional factor in your care. Before procedures such as Endoscopic Sleeve Gastroplasty, she evaluates your readiness.
  If severe nutritional deficiencies or a lack of preparedness for lifestyle changes are identified, we will recommend pausing or postponing the procedure - out of genuine concern for your health and safety.
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• Medical Toolbox: Beyond standard menus, Jenny is highly skilled in utilizing clinical nutritional solutions, such as specialized formulas (Modulen) for Crohn’s patients, and tailoring dietary protocols for acute conditions like Diverticulitis flare-ups.
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• Dual Expertise (Diabetes & GI): A rare ability to balance the need for blood sugar regulation with digestive system sensitivity, specifically for complex patients.