Kaye shares secrets to getting the 5 Day Pouch Test right and keeping the momentum going beyond Day 5. Learn how to use an important tool that will empower your success. You Can Do This!
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Monday, September 27, 2010
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If Broccoli Is So Good for Me, Why Does It Make Me Sick After WLS?
By Kaye Bailey
People in pursuit of healthy weight management know to stick close to the veggie tray at parties and buffets. After all, vegetables are good healthy food full of beneficial vitamins, nutrients and fiber. But some vegetables, particularly cruciferous vegetables like the ubiquitous broccoli and cauliflower, can cause severe gastric upset when eaten raw by patients of gastric weight loss surgery. In fact, there are many examples of weight loss surgery patients who have experienced gastric distress so severe after eating raw broccoli or cauliflower that a trip to the emergency room was needed.
The reason weight loss surgery patients of all procedures (gastric bypass, gastric sleeve, adjustable gastric banding or lap-band) are prone to discomfort after eating raw cruciferous vegetables is a matter of balance. The vegetables are rich in enzymes which are believed to aid digestion. However, due to the shortened gastric tract and loss of stomach acid the vegetables cannot be fully digested in their short trip through the intestinal tract. The problem is compounded by the presence of cellulose, the dietary fiber in the vegetables that requires intestinal bacteria to process. Even without gastric weight loss surgery many humans lack enough intestinal bacteria to break down the cellulose enough to avoid symptoms of gas, bloating, and cramping.
After weight loss surgery many patients are intently focused on becoming healthy and in control of their weight through proper diet and nutrition and increased daily activity. These are admirable pursuits which often lead to the conundrum over eating good healthy vegetables at the risk of severe gastric distress. Frustrated patients wonder, If it is so good for me why does it make me feel so bad? Good question. There are a few measures that may be taken to reduce the discomfort that follows eating raw vegetables so we can have our nutrients and enjoy them too. Take a look:
Experiment cautiously. If you do not know how you will respond to raw vegetables go easy at first and avoid discomfort or embarrassment that may come from eating too much of a good thing. In addition, remember that from day to day foods will sit differently. Always practice restraint while you get a feel for how food is setting with you that day.
Lightly steam or parboil vegetables to begin breaking-down the cellular structure thus helping the intestinal acid get busy more quickly with digestion. Remember, if you cannot digest the vegetable you will not be able to absorb the vitamins and nutrients in the vegetable. To serve the steamed or parboiled vegetables chilled simply prepare them in advance, drain of water and pat dry. Plate, cover and chill. Then serve cold with a lightly seasoned veggie dip made from yogurt which contains healthy bacteria that will aid in digestion. Avoid dairy-based dips, such as those made with sour cream, as this may increase the chance of stomach discomfort.
Take a digestive enzyme as directed prior to or shortly after eating raw vegetables. There are many digestive enzyme supplements available at reasonable cost. Many weight loss surgery patients report that papaya enzyme is effective in reducing digestive discomfort. According to one maker of papaya enzyme the dietary supplement contains "papain, a proteolytic enzyme and a popular ingredient in dietary supplements used for digestion. Taken after meals, it is a perfect natural supplement that may assist in digestion and may help reduce the effects of poor digestion, including heartburn and gas." As with all dietary supplements keep in mind the FDA does not evaluate these claims or approve supplements for their claimed use. Consumers should consult with a health care professional before using any dietary supplement.
Chew, chew, chew. Remember that digestion begins in the mouth and it is critical to chew completely all raw vegetables in order to give your gastric system the best conditions under which to digest food and benefit from the vitamins and nutrients it contains.
Kaye Bailey (c) - All Rights Reserved
For more terrific weight loss surgery friendly recipes and information link to [http://www.livingafterwls.com/Recipes.html]LivingAfterWLS Kitchen
Join the LivingAfterWLS Neighborhood: Your safe haven circle of friends making the most of their weight loss surgery experience. [http://livingafterwls.com/forum/index.php?act=idx]LivingAfterWLS Neighborhood
Article Source: [http://EzineArticles.com/?If-Broccoli-Is-So-Good-for-Me,-Why-Does-It-Make-Me-Sick-After-Weight-Loss-Surgery?&id=5090408] If Broccoli Is So Good for Me, Why Does It Make Me Sick After Weight Loss Surgery?
The reason weight loss surgery patients of all procedures (gastric bypass, gastric sleeve, adjustable gastric banding or lap-band) are prone to discomfort after eating raw cruciferous vegetables is a matter of balance. The vegetables are rich in enzymes which are believed to aid digestion. However, due to the shortened gastric tract and loss of stomach acid the vegetables cannot be fully digested in their short trip through the intestinal tract. The problem is compounded by the presence of cellulose, the dietary fiber in the vegetables that requires intestinal bacteria to process. Even without gastric weight loss surgery many humans lack enough intestinal bacteria to break down the cellulose enough to avoid symptoms of gas, bloating, and cramping.
After weight loss surgery many patients are intently focused on becoming healthy and in control of their weight through proper diet and nutrition and increased daily activity. These are admirable pursuits which often lead to the conundrum over eating good healthy vegetables at the risk of severe gastric distress. Frustrated patients wonder, If it is so good for me why does it make me feel so bad? Good question. There are a few measures that may be taken to reduce the discomfort that follows eating raw vegetables so we can have our nutrients and enjoy them too. Take a look:
Experiment cautiously. If you do not know how you will respond to raw vegetables go easy at first and avoid discomfort or embarrassment that may come from eating too much of a good thing. In addition, remember that from day to day foods will sit differently. Always practice restraint while you get a feel for how food is setting with you that day.
Lightly steam or parboil vegetables to begin breaking-down the cellular structure thus helping the intestinal acid get busy more quickly with digestion. Remember, if you cannot digest the vegetable you will not be able to absorb the vitamins and nutrients in the vegetable. To serve the steamed or parboiled vegetables chilled simply prepare them in advance, drain of water and pat dry. Plate, cover and chill. Then serve cold with a lightly seasoned veggie dip made from yogurt which contains healthy bacteria that will aid in digestion. Avoid dairy-based dips, such as those made with sour cream, as this may increase the chance of stomach discomfort.
Take a digestive enzyme as directed prior to or shortly after eating raw vegetables. There are many digestive enzyme supplements available at reasonable cost. Many weight loss surgery patients report that papaya enzyme is effective in reducing digestive discomfort. According to one maker of papaya enzyme the dietary supplement contains "papain, a proteolytic enzyme and a popular ingredient in dietary supplements used for digestion. Taken after meals, it is a perfect natural supplement that may assist in digestion and may help reduce the effects of poor digestion, including heartburn and gas." As with all dietary supplements keep in mind the FDA does not evaluate these claims or approve supplements for their claimed use. Consumers should consult with a health care professional before using any dietary supplement.
Chew, chew, chew. Remember that digestion begins in the mouth and it is critical to chew completely all raw vegetables in order to give your gastric system the best conditions under which to digest food and benefit from the vitamins and nutrients it contains.
Kaye Bailey (c) - All Rights Reserved
For more terrific weight loss surgery friendly recipes and information link to [http://www.livingafterwls.com/Recipes.html]LivingAfterWLS Kitchen
Join the LivingAfterWLS Neighborhood: Your safe haven circle of friends making the most of their weight loss surgery experience. [http://livingafterwls.com/forum/index.php?act=idx]LivingAfterWLS Neighborhood
Article Source: [http://EzineArticles.com/?If-Broccoli-Is-So-Good-for-Me,-Why-Does-It-Make-Me-Sick-After-Weight-Loss-Surgery?&id=5090408] If Broccoli Is So Good for Me, Why Does It Make Me Sick After Weight Loss Surgery?
Friday, September 24, 2010
Three Red Flag Warnings Leading to Weight Gain After Bariatric Surgery
By Kaye Bailey
Before undergoing bariatric surgery for weight loss it is hard to imagine that we could possibly ever become one of "those people" who gain weight after losing it with the help of surgery. Sadly, at some point most patients who have gastric surgery as their last hope for weight loss eventually regain some weight back. It can happen quickly and without fanfare. Here are three red flags to watch for that may lead to weight regain:
Snacking on Soft Carbs. Over the last 10 years countless bariatric patients have told me, "It seemed harmless at first to eat a few pretzels (crackers, chips, cookies, etc.) but pretty soon I was eating them all day and the weight started coming back." This is a common mistake made by weight loss surgery patients that eventually leads to regaining some weight previously lost with weight loss surgery. We turn to soft carbohydrates because, in most cases, they are comfortable in the stomach pouch, they taste good, and they are readily available. Unfortunately, soft carbohydrates defeat the function of the stomach pouch. When we eat a meal of lean protein and vegetable carbohydrates the food stays in our stomach pouch and we feel a sense of fullness or tightness that signals us to stop eating. Soft carbohydrates on the other hand pass quickly through the pouch and the sensation of fullness is not achieved, therefore we can eat soft carbohydrates seemingly all day. The first rule of weight loss surgery is "Protein First" and rule number three is "No Snacking." Remembering these rules will help us refrain from snacking on soft processed carbs, a habit that may lead to weight gain for bariatric patients.
Drinking Liquid with Meals. Generally speaking bariatric patients are instructed to cease consumption of liquids 30 minutes before and 30 minutes after eating. In addition they are told to refrain from drinking beverages with meals. The liquid restrictions are intended to keep mealtime focus on a high protein diet of lean animal, dairy and vegetable protein. The high protein food fills the gastric pouch and sustains satiation best when liquid is absent. When we consume beverages with our lean protein meal the food is washed through the gastric pouch before fully digested. Nutrients are lost as food is washed away and hunger returns more quickly. As we advance following weight loss surgery we tend to relax the liquid restrictions because it is not comfortable to eat food without liquid and dinner conversation is difficult with a dry mouth. An occasional small sip of water with meals may be acceptable and is unlikely to cause weight gain. However the return to full drinking with meals almost always leads to a weight loss plateau or eventually weight gain.
Avoiding the Scale. During the early weeks and months following weight loss surgery patients find themselves weighing frequently because it is exciting to measure our weight loss on the bathroom scale. In fact, for some patients in the phase of weight loss the relationship with the scale becomes a near-obsession. Sadly as life-long dieters bariatric patients intuitively know when the pendulum has swung from losing weight to gaining weight. Avoiding the bathroom scale is a loud red flag warning that weight gain is imminent. This is understandable, we have worked hard for weight loss and avoiding the scale allows us to deny or ignore what we already know: we are gaining weight. Patients who establish a weekly ritual of weighing on the same day of each week at the same time and place tend to be more accountable for weight gain and more likely to correct behaviors leading to weight gain at an early stage. Patients who find them self avoiding the scale are encouraged to engage in self-assessment to identify the cause of weight gain and correct behaviors quickly.
Before weight loss surgery we are told that gastric bypass, adjustable gastric banding (lap-band), or gastric sleeve procedures are only a tool for weight loss. We are instructed to adopt a lifestyle that includes dietary and physical activity modifications. This new lifestyle is to be followed for the rest of our life in order to maintain weight loss and achieve improved health. As much as the surgery is a tool, so are we human prone to the ups and downs we call life. Red flags are also tools -warning tools- that when observed give us opportunity to make a correction and move forward in a favorable direction.
Kaye Bailey (c) 2010 - All Rights Reserved
LivingAfterWLS
5DayPouchTest
Article Source: Three Red Flag Warnings Leading to Weight Gain After Bariatric Surgery
Tuesday, September 14, 2010
The 5 Day Pouch Test Bargain Bundle
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Four Truths About Weight Regain After Weight Loss Surgery
I was born with the disease obesity and by the time I was out of college it had advanced to morbid obesity. At age 33 my disease was treated with gastric bypass surgery which affected a loss of weight that put my disease, morbid obesity, in remission. Three years later I suffered a relapse of my disease with a weight gain of 20 pounds. Through dietary and lifestyle compliance, much like a person with heart disease who suffers a relapse, I was able to put my disease, obesity, back in remission. I will always have the disease of morbid obesity and am fortunate that I was able, at a young age, to be treated with the best medically available option.
The Facts:
My Four Truths:
Regain Is Likely: It is generally believed that 80% of people who undergo weight loss surgery (WLS) will experience weight gain (relapse) of 10-30 pounds depending upon initial weight loss. It is further believed that 20% of those will relapse to their former weight and possibly gain more as the disease of morbid obesity advances. This relapse can be the result of failed gastric surgery (the surgery was improperly performed or medical device failure); a non-compliant patient who does not evolve their eating and exercise habits; the active intestine becoming more efficient at absorbing calories; and potential stomach pouch stretch. Dr. Anita Courcoulas, chief of minimally invasive bariatric and general surgery at the University of Pittsburgh Medical Center said, "Regaining weight down the road is a common phenomenon for weight loss patients. These patients need to be educated and prepared for it if it happens."
100% Conviction: It is my experience that 100% of patients who take to the operating table for the treatment of their disease say, "I'm not going to be one of those people who gain weight after surgery." You can bet the farm I said that - and imagine my embarrassment and shame when I did in fact become one of those people. At the time I didn't understand my disease had relapsed, in part because I had relaxed my newly evolved eating and exercise habits, but also because my body has a disease that wants to store excess fat. I thought I gained weight because I was a failure at surgery.
I failed AGAIN! I am not alone in my feelings of failure over weight regain. Dr. Courcoulas said, "These are people who feel that they have failed at everything they tried in their lives. If they feel that they are failing surgery, they're embarrassed and they don't want to come back for help." How sad for us. When a cancer patient suffers a relapse do they take it as a personal failure? I sure hope not. Popular media perpetuates the belief that weight gain equals failure. WLS celebrities are splashed across mainstream media and tabloids alike for weight regain. But the celebrity with cancer who suffers relapse? Charity benefits are hosted bearing their name and their bravery is lauded. With a relapse in obesity the celebrity becomes the brunt of jokes for late night comedians. No wonder we don't want to become one of those people but statistics are not on our side
I Am Not Obese. Since kindergarten the word "fat" defined me and I actually thought that was who I was because "You are fat" and "I am fat" were constant phrases in my world. By about age 40 I finally figured out that I am not fat. I have obesity, a disease. Have you heard a heart attack patient say, "I am heart disease" or a leukemia patient say, "I am cancer"? We are not the disease! We have a disease that is part of the whole person that makes us the wonderfully unique and powerful person we are.
Relapse to Remission: Just like other diseases, obesity relapse can be put into remission. There is hope! As noted above there are (at least) four reasons for relapse including: failed gastric surgery; a non-compliant patient who does not evolve their eating and exercise habits; the active intestine becoming more efficient at absorbing calories; and potential stomach pouch stretch. Keeping in mind that statistically weight regain is likely, that you are not a failure, and that you are not the disease, you can pragmatically go about mapping a plan to fight your relapse.
LivingAfterWLS
5 Day Pouch Test
Article Source: Four Truths About Weight Regain After Weight Loss Surgery
The Facts:
- Obesity is a disease.
- Weight loss puts the disease in remission.
- Weight gain puts the disease in relapse.
- Like most diseases, victims of obesity are responsible to make dietary and lifestyle changes that work with medical treatment to keep our disease in remission.
- Like most diseases, relapses occur, obesity manifests relapse in weight gain.
- We are not the disease, we have the disease.
My Four Truths:
Regain Is Likely: It is generally believed that 80% of people who undergo weight loss surgery (WLS) will experience weight gain (relapse) of 10-30 pounds depending upon initial weight loss. It is further believed that 20% of those will relapse to their former weight and possibly gain more as the disease of morbid obesity advances. This relapse can be the result of failed gastric surgery (the surgery was improperly performed or medical device failure); a non-compliant patient who does not evolve their eating and exercise habits; the active intestine becoming more efficient at absorbing calories; and potential stomach pouch stretch. Dr. Anita Courcoulas, chief of minimally invasive bariatric and general surgery at the University of Pittsburgh Medical Center said, "Regaining weight down the road is a common phenomenon for weight loss patients. These patients need to be educated and prepared for it if it happens."
100% Conviction: It is my experience that 100% of patients who take to the operating table for the treatment of their disease say, "I'm not going to be one of those people who gain weight after surgery." You can bet the farm I said that - and imagine my embarrassment and shame when I did in fact become one of those people. At the time I didn't understand my disease had relapsed, in part because I had relaxed my newly evolved eating and exercise habits, but also because my body has a disease that wants to store excess fat. I thought I gained weight because I was a failure at surgery.
I failed AGAIN! I am not alone in my feelings of failure over weight regain. Dr. Courcoulas said, "These are people who feel that they have failed at everything they tried in their lives. If they feel that they are failing surgery, they're embarrassed and they don't want to come back for help." How sad for us. When a cancer patient suffers a relapse do they take it as a personal failure? I sure hope not. Popular media perpetuates the belief that weight gain equals failure. WLS celebrities are splashed across mainstream media and tabloids alike for weight regain. But the celebrity with cancer who suffers relapse? Charity benefits are hosted bearing their name and their bravery is lauded. With a relapse in obesity the celebrity becomes the brunt of jokes for late night comedians. No wonder we don't want to become one of those people but statistics are not on our side
I Am Not Obese. Since kindergarten the word "fat" defined me and I actually thought that was who I was because "You are fat" and "I am fat" were constant phrases in my world. By about age 40 I finally figured out that I am not fat. I have obesity, a disease. Have you heard a heart attack patient say, "I am heart disease" or a leukemia patient say, "I am cancer"? We are not the disease! We have a disease that is part of the whole person that makes us the wonderfully unique and powerful person we are.
Relapse to Remission: Just like other diseases, obesity relapse can be put into remission. There is hope! As noted above there are (at least) four reasons for relapse including: failed gastric surgery; a non-compliant patient who does not evolve their eating and exercise habits; the active intestine becoming more efficient at absorbing calories; and potential stomach pouch stretch. Keeping in mind that statistically weight regain is likely, that you are not a failure, and that you are not the disease, you can pragmatically go about mapping a plan to fight your relapse.
- Seek medical help and treatment: you are fighting a killer disease
- Assess your eating and exercise evolution and return to the lifestyle prescribed at the time of surgery
- Educate yourself on nutrition, physical and spiritual health so they may work in harmony to heal your body
- Seek support, family, friends, community, and fellow patients to help maintain your personal motivation
- Educate others to stop the ignorance and blame and promote the understanding of this illness we are fighting.
LivingAfterWLS
5 Day Pouch Test
Article Source: Four Truths About Weight Regain After Weight Loss Surgery
Tuesday, September 07, 2010
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