We get it—sometimes things don’t go as planned. Weight regain after bariatric surgery can happen to the best of us, and it’s totally normal to hit a plateau or feel a little discouraged. But don’t worry! The 5-Day Pouch Reset Diet is here to help you get back on track and kickstart your weight loss journey again. You’ve got this!
What Is the 5-Day Pouch Reset Diet?
The 5-day pouch reset, or metabolic reset diet, is a condensed version of the post-op diet. The only difference is that the pouch reset diet is done over a five-day period and designed to get you back to eating smaller amounts of food. By following this plan, you can “tighten” your stomach pouch and jumpstart weight loss again.
After completing the reset, you can either continue the diet or return to your personalized post-op eating plan for long-term success.
Who Should Try the Pouch Reset Diet?
The pouch reset diet is a valuable tool for anyone who:
- Has hit a weight loss plateau or stall
- Is experiencing weight regain after bariatric surgery
- Notices their portions exceed 6 ounces
- Stopped tracking food intake
- Wants to regain control of their diet
- Feels their pouch or sleeve has stretched
No matter where you are on your journey, this diet can help you take steps toward achieving your weight loss goals.
5-Day Pouch Reset Diet: Your Day-by-Day Guide

Day 1: Clear Liquids
The pouch reset diet begins with the most challenging phase before working your way back to eating solid foods. During day one, clear liquids will help flush your body and disrupt ghrelin and leptin levels, which are the hormones responsible for hunger and feeling satisfied. You can have unlimited sugar-free drinks, but try incorporating nutrient-rich clear broths to give your body energy.
- Water
- Tea
- Broth (chicken, vegetable, beef)
- Sugar-free drinks (Crystal Light, Gatorade Zero, Vitamin Zero water, Powerade Zero, Mio, etc.)
- Unsweetened tea

Day 2: Thick Liquids
If you make it to day two of the pouch reset diet, you are doing great! From here, you can enjoy protein in the form of thick liquids. Blending protein shakes is the most effective strategy for consuming full liquids as it breaks down all the nutrients from fruits and vegetables. Protein powders are the easiest way to incorporate protein into your smoothie or shake. Space out your three protein shakes every 2 to 3 hours.
- Must drink three protein shakes
- Weight Loss Magic Soup (as many servings of the vegetable soup recipe spaced out every 2-3 hours)
- 64 ounces of water or a sugar-free beverage
Remember, you can always incorporate foods from the previous day!

Day 3: Soft Solids
- 3 protein shakes
- Unlimited Weight Loss Magic Soup (link above)
Choose two servings out of these soft solid protein options:
- ½ cup cottage cheese
- 6 ounces Greek yogurt: plain or flavored Dannon Oikos Triple Zero
- ½ cup beans (whole or refried)
- 2 scrambled or poached eggs
- 4 ounces tofu

Day 4: Firm Solids
- 3 protein shakes
- Unlimited Weight Loss Magic Soup (link above)
Choose two servings of protein per day:
- 4 ounces chicken
- 4 ounces fish
- 4 ounces tofu
- 2 eggs
Choose two servings of fat per day:
- ½ avocado
- 15 almonds
- 1 TB oil, butter, or peanut butter

Day 5: Whole Foods
Same as day 4, protein can be any lean protein (including beef, pork, venison, etc.). Add 2 servings of your choice:
- ¼ cup beans
- ¼ cup berries
- ¼ cup quinoa
- ¼ cup sweet potato
- ¼ cup vegetables
Tips to Prevent Pouch or Sleeve Stretching
To maintain the results of your bariatric surgery:
- Avoid overeating: Stick to portion sizes that match your surgery guidelines.
- Stay away from carbonated drinks: They can stretch your stomach pouch.
- Chew thoroughly: Eating slowly and chewing food well helps prevent discomfort and overeating.
- Follow your post-op diet: Consistency is key to long-term success.
What If the Pouch Reset Doesn’t Work for Me?
If you’re still struggling with weight regain after the reset, don’t worry—there are other options! Consider:
- Non-Surgical Solutions: New medications, like GLP-1 medications (e.g., Ozempic), can help you with weight loss.
- Revision Surgery: Procedures like the Mini Gastric Bypass or SADI-S can help address any issues with a stretched pouch or sleeve. To find out what options are available for you, click here.
If this diet doesn’t work out, try the 10-day pouch reset diet for a more long-term approach that can be followed at your own pace.
Takeaways: You’ve Got This!
The 5-Day Pouch Reset Diet is your fast track to getting back on track after bariatric surgery. Whether you’ve been stuck at a plateau or experiencing weight regain, this reset can help you regain control and start feeling better again.
But if the diet doesn’t quite work for you, don’t forget that there are plenty of other options out there. Mexico Bariatric Center is here to help you find the solution that works best for you.
Learn More: Want to Test Your Pouch Size? Here is our Guide!






How fo i know if my pouch has stretched and is it possible aftrr 7 months out
Here is a guide how to test your pouch size – https://mexicobariatriccenter.com/pouch-test-to-test-your-pouch-size/
Will this diet work with the original gastric bypass surgery. I had it when it first came out and have gained about 40 pounds and need to get it off asap. Any help will be appreciated.
Yes this diet will work for you as well. Once you have completed day 5 you can continue with that plan as long as you would like to get more weight off.
Thanks for all the help.
could you gain weight after reset push for gastric bypass
Can someone send me the recipe for the “weight loss magic soup” please? thanks!
jana
Go above where it’s talking about the soup and click on the words in blue. That takes you to the recipe
My question is; I had my gastric bypass surgery 10 years ago and have put back on most of my weight. I found this 5 or 10 day reset; my question is do I stay on this until I get back down to my lowest weight?? Any suggestions or advise would be appreciated!!
Thank you for sharing this I have not gained any weight however it’s been almost 4 months I’ve been at the same weight. I admit it’s my fault I stopped eating right and have been eating sweets and not drinking my protein drinks.
I am 15 months post op. I had a modified gastric bypass due to a hiatal hernia that had already been repaired once. Im 5 7 and weighed 250. Im down to 135 and still losing. I wanted to stop at 165 but it keeps falling off. I drink high calorie, high protein drinks but can eat very little without getting sick. How can i stop losing weight but still keep my sugar and cholesterol under control?
Does this really work
I cannot tolerate anything sweet.. (not a post diet thing, I just don’t care for sweets) is there a reset diet that I can do without protein drinks? (I am allergic to whey protein too)
Que proteína recomiendan? Se puede utilizar alguna leche vegetal con el batido?
Hola Alejandra, recomendamos proteína que tenga al menos 20 g de proteína y menos de 5 g de azúcar. Sí, puede usar cualquier leche vegetal sin azúcar con su batido
Can I use milk with my protein shake?
I am a year post Op and I have a four month old baby. I wanted to know does the sleeve really reset? Put all my weight back on and feeling depressed 😔
Hi Cathy definitely try this out to get you back on your weight loss track. If it doesn’t work I recommend you reach out to our nutritionist, Christian, for any questions! His email is nutrition@mexicobariatriccenter.com ,we also have revision surgery options available as well to make your stomach smaller
What V-8 juice do I use?
I would like to know will this still work if I’m 4 or 5 years out since the surgery ?
Yes
I am about to go on the diet almost 3 years out. 50og down initially now 8 kg up. I desperately need someone to be my buddy and redirecting my efforts. I NEED this.
Hi Lamorna! We have a facebook support group if you havent joined yet, many of our patients are on there and can offer helpful advice and motivation! Join here: https://www.facebook.com/groups/insidemexicobariatriccenter
Can fruits be added to protien shakes?
I am 6 years out, will this help me???
I’m almost 4 yrs post sleeve. 210 down to 160. I’ve been down to 148. That’s my goal. On day 2 of reset. Going well. Good luck to you
What is considered a serving size of the Magic Soup?
Recipe yields 20 servings
Each cup is
57 calories
11 carbs
0 fat
4 protein
225 sodium
Any original but my favorite is spicy tomato juice
[…] am following the Mexico Bariatric Center’s 5-day pouch reset (https://mexicobariatriccenter.com/5-day-pouch-reset/). According to them, this diet will help you shrink your stomach or pouch again, help you get back […]
Where is the soup recipe?
Hi Heather, here is the link for the soup recipe https://mexicobariatriccenter.com/weight-loss-magic-soup/
Is there a time you will have to stop eating and drinking at night like the soup what I find is I get hungry at nights can I have the soup before going to bed
Hello! Eating before bed isn’t necessarily bad, but after surgery it can cause indigestion or bad acid reflux at night so please take that with precaution :)
I had my surgery 16 years ago & I’ve gained alot of weight back my problem is my health & that I can’t eat cheese or alot of these over foods or shakes & I don’t know what I can substitute with that well work if anything at all?
When it says two servings- does that mean at one meal or choose two for different meals?
Also, can I still mix a cold brew coffee with protein shake during the 5 days or avoid coffee?
Thanks!
Hi Melisa, when it says choose 2 servings it means choose 2 of the options for the whole day. For example, at one meal you can have 1/2 cup of cottage cheese and at another meal you can have 2 scrambled eggs. That would be all for the day.
You can still have caffeine during the 5 days.
can u have coffee
.
Hi Lisa! You can have caffeine/coffee, but be sure to stay hydrated.
Can flavored creamer be added to coffee?
Hi Lauren, you can use unsweetened almond milk or unsweetened coconut milk in place of coffee creamer. The artificial sweeteners in sugar-free creamers can cause stomach discomfort but if you can tolerate it, it can be ok.
Which one has the best results the 5 day or 10 day restart? On the bottom of the soup receipt is says you can eat crackers or wheat beard but not on the directions or either reset. Can you have it and if so how much? I would like to follow as it should to get the best results.
Hi there, both have good results for getting you back on track and helping you feel restriction. The 5 day reset is great if you are looking for a quick way to get back on track. The 10 day is great for discipline. You can have the magic soup with crackers or whole wheat bread if you are just having it on it’s own, but if you are having the soup on the reset diet you can not have crackers or bread with it. You should follow the guidelines listed on the pouch reset pages.
Can’t wait starting mine tomorrow. Going shopping today for all the ingredients to make the magic soup and get back on track. I’m 3 years out and I’ve gained back. About 12 pounds would like to lose it as quickly as possible. Please tell me what the reset on the pouch. You do lose weight during that time.
Hi Melissa, yes, you can lose weight but the main goal is to get you back on track and get you focused on your goals.
Hi can you repeat the 5 day diet. I did it last M-F , lost 9 pounds . Just wanted to know if I can do it twice . Also is coffee ok? Thanks
Hi there, you can do the reset again. You can have decaf coffee on the reset.
I have been looking for a way to reset. I have gained about 25 pounds back after 14 years. That’s not bad but I’m feeling fluffy, if you know what I mean. Lol!
Hi Lynn! I hope you are doing well! If the pouch reset does not work for you feel free to contact our nutritionist! :)
Is it normal to have liquid diarrhea with stomach cramping on the second day?
Hi Sara! Please email our surgeon liaison about this jen@mexicobariatriccenter.com
Can I chew unsweetened gum? Also are fairlife shakes in the bottle okay for a protein shake?
Gum can introduce too much air to your stomach, leading to discomfort. Yes the Fairlife shakes are ok!
Thank you.
Hi,
I have a big problem regarding the protein shakes, as I don’t tolerate dairy (and most protein powders contain whey = dairy). I’ve bought Atpro 200, which is supposedly neutral in flavour and smell, but I’m very sensitive and the stench and taste is horrendous!! I just can’t stomach it..
Is there any alternative for me? I don’t drink coffee, but I like egg milk (keto recipe: 2 whole eggs, 30 g butter, 2 dl boiling water) in tea
and hot chocolate, but does that contain too much fat? Also, it’s added like you’d add milk to tea/coffee, so I won’t even consume the 2 eggs in a day – that’s no way near 3 protein shakes daily..
Please can you advise me?
Hi Iben,
I recommend you get either a vegan, vegetarian or egg protein powder. They do not contain any dairy, and you can just make it with water or almond or coconut milk. I don’t recommend adding the egg milk, you can add unsweetened coconut milk.
Question I had the sleeve done 3 years ago but have noticed weight gain I want to do the rest but I really can’t tolerate protein shakes anymore anyone that can help
Hi Carrie! We will need more information. Do you have an allergy, intolerance, or preference to substitute the protein shakes?
Can you drink Tomato Juice as a thick liquid?
Hi Lauren, Tomato juice should not be consumed as it contains a high sugar content.
On Day 5, can I have a Grilled Chicken & Strawberry Salad, which includes feta?