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Showing posts with label slider foods. Show all posts
Showing posts with label slider foods. Show all posts

Wednesday, January 04, 2017

Evening Munchies: Slider Food Territory

After weight loss surgery, and truly for most of our dieting life, the evening munchies have been a nemesis for many of us. That feeling as the day winds down that a little something snacky would be oh-so-good right now. For me, denying the evening snack urge is unsuccessful. So I've had to re-define "snack" to things that support my health and weight loss goals.

Refresher: Understanding Slider Foods

Here is a new way of looking at this nightly battle of mind over body:

What if the Evening Munchies was a blessed opportunity to one more time nurture your body with nutrients? Rather than it being a danger zone to traverse with the potential to undo all the good work you've done during the day, what if it was an opportunity to gift yourself the reward of healthy indulgence? Here are some options:

  • Cheese, cottage cheese, string cheese
  • Yogurt with chopped almonds and a drizzle of honey (promotes sleep)
  • Fresh strawberries dipped in dark chocolate
  • Warm tea with milk or frozen protein drink or "shake"
  • Protein Oatmeal (Quaker Instant) with milk or yogurt & chopped almonds
  • The left-over chicken-fish-meat etc. you couldn't finish at dinner
  • Microwave Mug-Eggs (one of my favorites!)
  • Bran Muffin (good before bed to start the morning regular)

The Strategy:

  • First - acknowledge you enjoy a bite to eat in the evening.
  • Second - acknowledge your health and weight loss goals.
  • Third - define specific food morsels that allow you to enjoy an evening snack while promoting your health and weight loss goals.
I have learned that I seldom succeed when I "forbid" myself specific food or eating occasions (such as NO SNACKING AFTER 7pm, etc) I do much better when I acknowledge and solve the puzzle while keeping the big goals in mind.

Learn more ways to stick to the WLS High Protein diet in my book Protein First: Understanding and Living the First Rule of Weight Loss Surgery available for instant download on Amazon Kindle and wherever fine eBooks are sold.




Wednesday, May 11, 2016

5DPT: May Bulletin - Managing Slider Food & Evening Munchies

ICYMI: In Case You Missed It the 5 Day Pouch Test May Bulletin is now available live in our online archive. Link to 5DPT May Bulletin to read your information packed newsletter full of facts, tips, and hints to successfully manage your weight with weight loss surgery, the 5 Day Pouch Test, and LivingAfterWLS. Click now - the information is great & free! Enjoy. Link: 5DPT May Bulletin
"Thank you for joining me today in this information packed 5 Day Pouch Test Bulletin. I have been following various conversations in social media groups about weight regain after bariatric surgery and share with you today articles that I hope will promote a calm understanding of how weight regain happens. Featured topics include slider foods, ways to relieve nausea, and protein supplements. I hope you find something useful as you pursue a long lasting healthy weight with surgery. Thanks for taking time from your busy life to join me here today."
Remember the Official 5 Day Pouch Test website is open 24/7!



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Thursday, May 07, 2015

Hot Off the Press: 5 Day Pouch Test Bulletin May 2015

Have you read it yet? The May 5 Day Pouch Test Bulletin? This is a don't miss issue full of so much information that you need to know to maintain a healthy weight and avoid regain after weight loss surgery. Subscribers check your Inbox folders. To read it online just link below to our online archive, free for your benefit and enjoyment!
 5DPT May Bulletin Online

Introduction: "Thank you for joining me today in this information packed 5 Day Pouch Test Bulletin. I have been following various conversations in social media groups about weight regain after bariatric surgery and share with you today articles that I hope will promote a calm understanding of how weight regain happens. Featured topics include slider foods, ways to relieve nausea, and protein supplements. I hope you find something useful as you pursue a long lasting healthy weight with surgery. Thanks for taking time from your busy life to join me here today."

Featured Articles:
The Slider Food Trap: Why do we turn to these foods when we know better?
We know that they contribute to obesity because they were likely a part of our diet prior to surgery. Common sense tells us that if food contributed to our obesity before surgery it will surely cause weight gain after surgery. We promised our surgeon to follow the dietary rules after surgery, yet somehow that grit determination wanes and little by little we find our old comfort food snacks back in hand. Continue Reading

Effective ways to relieve feelings of nausea
  • I don't know about you, but I'm a frequent flier in the nausea club since having WLS. My surgery was in 1999 and I have yet to break the code of understanding why sometimes I just feel sick and queasy: sometimes after I eat, sometimes when I've had nothing to eat. Smells and odors will bring on tummy turbulence for me quite quickly and eqNot the Queen's Teaually unexpectedly. Continue Reading

Protein Supplementation after WLS
  • It is common to see the question, "What protein powder should I use?" asked in online groups. What is surprising, to me, is the inconsistency in answers and the passion with which people believe there is only one true and correct answer to the question. Continue Reading
Check out the full newsletter in our public archive:  5DPT May Bulletin Online

Thursday, October 30, 2014

5 Day Pouch Test: Slider Food and Rule Breaking

Introducing Two for Thursday, a new weekly blog feature answering two top trending questions about the 5 Day Pouch Test. I hope you enjoy this new feature and it serves you well in your healthy weight management with surgery. Do you have a question? Post it to the comments or email me at newsletters@livingafterwls.com - put "Two for Thursday" in the subject line please!  Here we go:
In my 10 years of working with thousands of WLS post-ops not one person has ever said to me, "I truly regret that I followed the rules and missed so many nibbles and bites of treats not allowed on my plan."  ~Kaye Bailey

#1 - Question: What makes a slider food?

Earlier this week I received this question from one of our many LivingAfterWLS Neighbors:
"My question: is Greek yogurt a slider food?  I add a teaspoon of protein powder and one of fiber to the 5.3 ounce cup to give it added oomph. Please let me know as it is one of my nutrition mainstays."


Answer:  Great question! You hit the key factor that prevents yogurt (or any semi-soft protein like cottage cheese, hearty vegetable and protein soups, or even high protein oatmeal) from becoming a slider food: Controlled Portion!  When following the 5DPT guidelines and WLS Four Rules you would eat your measured portion after 30 minutes abstaining from consuming liquids, enjoy your serving, and then allow 30 minutes for your body to absorb and digest the nutrients before sipping your water or tea again. Your additions of protein powder and fiber and stellar - this is a very healthy and smart "nutrition mainstay" and I'm so happy you are doing well with it!  Always remember a good test of slider food is first the nutritional value, degree to which the food is processed and lastly portion size. People who stand at the fridge eating out of a tub of yogurt then washing it down with a beverage are not benefiting nutritionally, which turns a smart food choice into a slider food.

The salad shown here uses cottage cheese as an ingredient in a crab salad, thus controlling the portion size and changing the texture of the salad to be more dense so it feels less like a slider food. 

Three questions to ask to determine if a soft food, such a yogurt, is a slider food:
1. What nutritional value does this food provide? (Protein grams should exceed carbohydrate grams, the ingredients should be recognizable, and nutrients should include vitamins, minerals, and fiber.)

2. Is this food highly processed and will I need a beverage to wash it down?  (Avoid artificial ingredients, refined sweeteners, refined grains, unknown ingredients that you wouldn't use in home cooking, imitation foods, and the obvious junk or fast food.

3. Is this food portion controlled and consumed while following the liquid restrictions. (Use measuring utensils, appropriately sized dinner plates/bowls, and/or portion controlled single-serve items such as string cheese or yogurt. Avoid "free pouring" or "guesstimating."




Link to Infographic

# 2 - When is it okay to start bending the rules?

(Caution: Stern Talk Ahead)


Answer: It is always too soon to bend the food rules after WLS. This question is coming up more often in WLS groups than I have seen in a very long time. It concerns me a great deal, particularly when people as few as two weeks out from weight loss surgery are asking about cheating or confessing to eating off-plan. And more alarming, group members are being supportive with advice like, "It's okay, just be careful. Don't go overboard." Bending the rules that soon after surgery will only cause regret, self-loathing, and quite frankly may interfere with the body's healing process following the trauma of surgery. The excuses are common, "Just needed something to chew." "The chips were calling my name." "I was at a social function and didn't want to offend my hostess." "I didn't think about it before I ate it."  I understand these explanations because I've used them as well.

Anyone who goes into weight loss surgery has been thinking about it pretty much non-stop for months -- if not years -- before going under the knife. We all prepared by evolving a good understanding of the dietary and lifestyle Four Rules. We crossed our heart and promised to follow the rules and make this surgery --our last resort-- work for us. Do you remember that phase in your WLS experience? So why-oh-why would one break the rules and eat something like chips that is so obviously inappropriate before the surgical incisions are even healed? And if one so easily disregards the rules that soon after surgery what is going to happen a year down the road when surgery is a vague memory and the temptations found in returning to the same environment where we became obese are ever present?

To new patients I strongly suggest holding out as long as you possibly can before breaking a rule and re-introducing non-nutritional food to your diet - this is the very food that contributed to obesity in the first place. Follow to the letter the instructions provided by your surgeon. We all promised to follow the rules. Honor that covenant with yourself, your doctor, your deity. Take the promise seriously.

This surgery is a really big deal.


We know what chips taste like.
We know what Halloween candy tastes like.

Is it really that tough to forgo eating inappropriate food and trust our taste memories while acknowledging that our objective is to enjoy food that supports our weight management goals? In place of that food hunger (sometimes called Head Hunger) we can successfully cultivate a hunger and appetite for all the joy that comes with good health, weight loss, and the pursuit of the dreams we had when we opted for surgical intervention.  The cliche "nothing tastes as good as skinny feels" is a great truth, although I prefer to say, "nothing tastes as good as healthy feels."

Many people have made the mistake of bending the rules and derailing the miracle they hoped to find with surgery.  We know that bending the rules leads to a departure from our goals and ultimately disappointment. We know this without having to personally test the theory.

Seriously! Avoid bending the rules for as long as you can. In my 10 years of working with thousands of WLS post-ops not one person has ever said to me, "I truly regret that I followed the rules and missed so many nibbles and bites of treats not supported by my plan." Not one person. Yet, I've listened through the tears to countless people tell me "I just wish I'd never taken that first bite of chocolate (sip of Diet Coke, handful of potato chips, scoop of ice cream, etc). It was the first bite that did me in."


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Thursday, February 24, 2011

2011 Four Rules Refresher Course

In the spirit of the New Year we are taking a closer look at the Four Rules - starting with Rule #1 Protein First. In short - Protein First means it should be the first nutrient we eat at any meal and it should account for the highest percentage of nutrients eaten over fat, carbohydrates and alcohol. (More detail on this in the articles below)

Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:
    * Protein First
    * Lots of Water
    * No Snacking
    * Daily Exercise

What I didn't fully understand at the time of surgery was the duration of these rules.

The Four Rules are for life.

In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules.

If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules!

Happy 2011 - We are all in this together!

Kaye


Our refresher course of the Four Rules has been published in the LivingAfterWLS Weekly Digest Newsletters -- You can subscribe to our free newsletters here:


The newsletters are archived for your convenience to review any time you need a little "Right-I remember That" reminder so you can continue to work with your weight loss surgery for the best of health and weight management. Follow the links below:

Rule #1 - Protein First
LivingAfterWLS Weekly Digest
The Four Rules: #1 is Protein First
Why it works and How to get Enough

January 20, 2011

Feature Articles:
--High Protein Diet Promotes Fat Loss
--Protein First Recipes
--Do-It-Yourself Vegetarian Burgers
--Flavor Your High Protein Diet with Condiments

Rule #2 - Lots of Water
LivingAfterWLS Weekly Digest
The Four Rules: #2 Drink Lots of Water
Understanding & Accomplishing Water Intake
Without Floating Away!

February 2, 2011

Featured Articles:
--Restrict Liquids, Drink Lots of Water - HUH?
--Water Terms Defined
--After WLS: Pass the Water, Hold the Ice

Rule #3 -- No Snacking
LivingAfterWLS Weekly Digest
The Four Rules: #3 No Snacking  
When snacking hurts; When snacking helps

February 9, 2011


Featured Articles:
--No Snacking. It is the rule that works.
--Slider Foods Lead to Weight Gain for Some
--How to Eat Popcorn After WLS
--What about Milk and Cookies?

Rule #4 -- Daily Exercise
LivingAfterWLS Weekly Digest
The Four Rules: #4 Daily Exercise  
Most of Us Struggle with This One

February 18, 2011


Featured Articles:
--For Weight Loss & Weight Management We Must Exercise
--2-Week Walking Program
--How to Increase the Activities of Daily Living
--Apples & Exercise Promote Body Fat Loss








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Wednesday, February 27, 2008

Salt, Soda and Obesity

Salty snacks equal soda-guzzling, heavier kids
Study suggests cutting back on salt, even a pinch, could curb obesity
The Associated Press
updated 3:12 p.m. MT, Wed., Feb. 20, 2008

DALLAS - Kids who load up on salty meals and snacks get thirsty, and too often they turn to calorie-filled sodas. So maybe cutting back on the salt is a good way to cut the calories.

That is the idea coming from a British study published Wednesday in an American Heart Association journal.

Salt is "a hidden factor in the obesity epidemic," said Graham MacGregor, a co-author of the study by researchers at St. George's University of London.

And researchers say all that salt is not coming from the salt shaker: About 80 percent comes from manufactured food.

"Most people think that sodium comes from the salt shaker. The salt shaker contributes less than 10 to 15 percent," said Dr. Myron Weinberger, a professor of medicine at Indiana University School of Medicine.

"Fast foods, for example, are just loaded with sodium. Processed foods are all very high in sodium," said Weinberger, who wrote an editorial related to the study published in the online journal Hypertension.

Benefits go on
Not only could less salt translate to fewer soft drinks and therefore fewer calories, but a modest reduction in salt has already been shown to lower blood pressure, which increases the risk of later-in-life heart attack and stroke, researchers say.

Also, several studies have shown a link between sugary soft drinks and obesity in children.

Reducing salt in manufactured foods can be done gradually, without the public even noticing, said Dr. Feng He, lead author of the study and cardiovascular research fellow at St. George's. She said a 10 to 20 percent reduction in salt is not even detectable.

"It's important for the food industry to make a reduction," she said.

The study suggested that cutting in half the amount of salt British children consume — a decrease of about half a teaspoon a day — would lead to an average reduction of about 18 ounces of sugar-sweetened soft drinks per week.

The study was based on diet data from Great Britain's National Diet and Nutrition Survey. Researchers looked at 1,688 British boys and girls — ages 4 to 18 — over a seven-day period in 1997.

They noted that the amount of salt eaten might be underestimated in the study because it did not include salt added during cooking or at the table. The researchers also found that more than half the fluids drunk by the children were soft drinks, and more than half of those were sugar-sweetened.

The United Kingdom began a government-led campaign to cut salt consumption in 1996 and researchers say more recent studies show that salt intake has already decreased.

Proposal to cut back on salt
In the United States, the Food and Drug Administration is taking public comment until March 28 on a consumer group's proposal to restrict the amount of salt in processed foods, among other options. And the American Medical Association has urged the government to require strong labeling of high-salt foods because if salt's connection to high blood pressure and heart problems.

MacGregor said that parents should look at food labels. And they should make sure children eat more fresh fruits and vegetables without adding salt, which stimulates the brain to want more fluid.

"Thirst is one of the most basic instincts. When you get thirsty, you have to drink," MacGregor said.

Sunday, October 14, 2007

What are weight loss surgery "slider foods"?

Good Morning Neighbors!

Since we have been talking about the 5 Day Pouch Test so much the word "slider foods" has become a regular part of our vocabulary. Slider Foods is a commonly used term in the bariatric community to describe foods that simply slide through the pouch without providing the sensation of fullness.

In a malabsorptive procedure the pouch is made and the stoma or outlet is attached to the lower part of the middle intestine called the jejunum. The majority of caloric absorption takes place in the jejunum, so depending upon where your surgeon created the outlet the level of absorption can vary. Skilled surgeons will adjust the length of intestine bypassed according to their patient's projected needs based on dieting history and pre-op psychological screening.

Helpful Video: Eating After Weight Loss Surgery

Slider foods slide right through the stoma into the jejunum. My first test of the slider foods was graham crackers and coffee for my after work snack. Now imagine, I could eat a stack of graham crackers and wash it right through the pouch with the coffee and never feel any satiation. What resulted was an easily absorbed slurry that my jejunum sucked up like a sponge - it didn't have to do any work to absorb this simple carbohydrate slurry. Of course, weight gain resulted and I had to give up this little indulgence. Another popular slider food is pretzels. I speak with post-ops all the time who are addicted to pretzels - again, this is a simple carb that your jejunum is very happy to receive and convert to fat. Traditionally dieters are encouraged to eat pretzels or popcorn - fat free and fiber, right? But that doesn't work so well for us. Giving our re-routed bodies these simple carbs is dangerous because our bodies have spent years perfect the art of fat storage - slider foods are to the body a great big lotery win.

Read more about the carb cycle