Medical Tourism - What to Know Before Traveling For Weight Loss Surgery

By Kaye Bailey

It is estimated that a quarter-million people will undergo bariatric surgical procedures in the United States this year for the treatment of obesity and morbid obesity. Roux-n-Y gastric bypass surgery, considered the gold standard of weight loss surgery, will be performed most frequently at a cost of $40,000 or more per surgery. The less invasive gastric banding "lap-band" and gastric sleeve procedures will be performed for about $20,000 a surgery. More people are electing to travel outside the United States to have these procedures at accredited facilities where quality and safety are assured by international governing bodies and costs are less than half.

Medical Tourism: the process of "leaving home" for treatments and care abroad or elsewhere domestically - is an emerging phenomenon in the health care industry. A 2008 study suggests that Americans are leaving their homes more than ever to receive medical care outside of the nationals borders in an effort to seek quality less costly medical care. Note these points reported by the Deloitte 2008 Survey of Health Care Consumers:

• Health care costs are increasing at eight percent per year - well above the Consumer Price Index (CPI), thus eating into corporate profits and household disposable income.
• The safety and quality of care available in many offshore settings is no longer an issue: Organizations including the Joint Commission International (JCI) and others are accrediting these facilities.

Quality:

Receiving safe and quality care is the primary issue for consumers considering outbound medical tourism as a treatment option. Consumers seeking treatment outside United States borders should look for centers that have been reviewed y the Joint Commission International (JCI) which was launched in 1999 after a growing demand for a resource to effectively evaluate quality and safety. There are over 120 hospitals worldwide that are accredited through the JCI. Patients should also seek programs touting these attributes:

• U.S.-trained physicians and care teams
• English language services
• Use of clinical information technologies
• Use of evidence-based clinical guidelines
• Affiliations with reputable, top-tier U.S. provider organizations
• Coordination of pre- and post-discharge care
• Provision for adverse events requiring services unavailable in the facility

Safety:

Safety questions are answered in frequent reviews by the JCI and other governing bodies to protect the safety and rights of the medical tourist. Safety questions in the accreditation process include:

• Are the accreditation certificates regularly renewed?
• Is the hospital following all the standard safety norms? Are the disposables being taken care of properly?
• Are the food and inpatient facilities hygienic?
• Is staff fluent in English or is interpreter competent to prevent any miscommunication?
• How safe and secure is the environment at the provider site?
• What are the precautions to be taken for the post-procedural care?

Packages and Financing:

Packages will frequently include, but are not limited to, hospital stay, hotel stay, ground transportation, blood test and X-rays, surgery, anesthesiologist's fees, surgeon's assistant's fee, surgeon's fees, nurses fees, discharge medications, medical devices and miscellany. Transportation to and from the destination and the cost of a traveling companion is not included in most packages. Many centers facilitate financing for the medical procedures they offer through a third party financing company not associated with the medical facility.

Kaye Bailey 2010 - All Rights Reserved

Article Source: Medical Tourism - What to Know Before Traveling For Weight Loss Surgery

Neighborhood News & Fun Friday

Good things are happening in the LivingAfterWLS Neighborhood - Our weight loss surgery safe haven circle of friends. Check out some of the great conversations we are enjoying today and join us!




Fun Friday
Gwenda is Back! Get ready for another round of fun at our weekly Neighborhood game where we get to know our Neighbors and have the chance to win fabulous prizes! Today's Fun Friday has us revealing our superstitions! Play Now




Weekend Wanderings
by Denisemarr
"As your ambassador of weekend living, I want to welcome you to Weekend Wanderings. So tell us, where will you be wandering to this weekend??? Where ever your weekend takes you, whether it is around the world or around the block, have a great one. And Remember: Not all who wander, are lost."




Spring Fitness Training Group
Lots of run and walk events coming up in May! Join our Neighborhood team training group and share your hints, tips & enthusiasm as we all get ready to participate in fun physical activities in the warm months ahead!




Day 6 Recipes, Pictures & Reports from the Day 6 Book
We're sharing our Day 6 Recipes! Pictures & Reviews. What's on your plate?




Reduce Offensive Flatulence After Weight Loss Surgery
Discussing that embarrassing topic of offensive gas after weight loss surgery. Learn what causes it and share your experience in a safe place where others understand.

Reduce Offensive Flatulence After Weight Loss Surgery

By Kaye Bailey

It is quite common for patients of gastric bypass, gastric banding and gastric sleeve weight loss surgery to report an increase in uncomfortable intestinal bloating and the frequent release of foul and offensive gas. Some patients report the problem of gas to be so offensive they suffer chronic embarrassment leading them to isolation. By its nature gastric surgery changes the human digestive process and increases the occurrence of gas. In addition, weight loss surgery patients follow a high protein, low carbohydrate diet which is also known to cause gas. Understanding what causes excessive flatulence is the first step to implementing therapies to reduce the occurrence and offensiveness of this natural body function.


High Protein Diet: Weight loss surgery patients who follow a strict high protein diet frequently report excessive flatulence beyond the 14 releases per day experienced by adults with a healthy digestive tract. In digestion proteins are broken down with the secretion of hydrocholoric acid which allows the activation of pepsin, a protein digesting enzyme. Weight loss surgery patients become deficient in hydrocholoric acid or pancreatin when their intestines are shortened or bypassed with surgery. Therefore the gastric enzymes and acids to facilitate complete digestion are deficient and excessive gas can be produced. A high protein diet, by nature, is a diet low in fiber intake. The absence of adequate fibrous carbohydrates leads to waste material moving too slowly through the large bowel and constipation and flatulence results.

To reduce the occurrence of flatulence associated with a high protein diet stay hydrated by drinking at least 64 ounces of water daily. The water will help to move food along the digestive and intestinal tract preventing the build-up of gas. Eliminate processed meat, cured meat, beans, tofu and soy products from the diet for several days until symptoms of chronic flatulence are reduced.

Sugar Replacers: Weight loss surgery patients are strongly encouraged to eliminate sugar and sweets from their diet. Many people include products labeled "sugar-free" in their diet to satisfy sweet cravings. Sugar-free products use sugar replacers, a term to describe the sugar alcohols such as mannitol, sorbitol, xylitol, maltitol, isomalt, and lactitol, that provide bulk and sweetness to cookies, hard candies, sugarless gums, jams, and jellies. Sugar alcohols evoke a low glycemic response because the body absorbs them slowly making them slow to enter the bloodstream. However, side effects such as gas, abdominal discomfort, and diarrhea, are so extreme that regulations require food labels to state that "excess consumption may have a laxative effect."

To decrease the gas associated with sugar alcohols eliminate or reduce the intake of food containing sugar alcohol. Do not exceed package serving size of sweets made from sugar alcohol.

Therapies to Reduce Offensive Flatulence: The following therapies may be effective in reducing embarrassing and uncomfortable gas and bloating associated with the diet after gastric weight loss surgery

Beano: A few drops help prevent gas formation. Not effective in preventing bloating and gas pain, however will prevent gas-passing or flatulence.

Chamomile, ginger and papaya teas: good digestive aides, nerve tonics, and cramp and pain relievers.

Peppermint oil: relieves flatulence and related pain.

Kaye Bailey 2010 - All Rights Reserved


LivingAfterWLS
5 Day Pouch Test

Article Source: Reduce Offensive Flatulence After Weight Loss Surgery

Kaye Bailey Article Syndication

Kaye Bailey EzineArticles

Recently syndicated articles by internationally recognized weight loss surgery expert Kaye Bailey:

Four Truths About Weight Regain After Weight Loss Surgery
Nobody undergoes weight loss surgery thinking weight regain will happen to them. But statistics indicate that 80 percent of those who undergo gastric bypass, gastric banding, or gastric sleeve weight loss surgery will at some point regain some of the weight they lost initially with the surgery. Learn four truths about weight gain after weight loss surgery.
Read Full Article

Emergency Preparedness For Weight Loss Surgery Patients
Weight loss surgery patients should take some extra steps in preparing an emergency readiness kit for use in the event of a natural or national disaster. Here are some good suggestions for preparing a special needs kit for the bariatric patient.
Read Full Article

Gastric Bypass Dumping Syndrome - Three Foods That Cause It
As pre-op weight loss surgery patients we are taught to fear the mysterious dumping syndrome and in most cases we are told that avoiding sugar will prevent the occurrence of dumping syndrome. So it comes as a surprise when after having a malabsorptive gastric surgery we experience symptoms that we think are dumping syndrome, yet sugar has not crossed our lips. In this article we take a look at dumping syndrome so that we can understand the full picture - beyond the sugar - and avoid the foods that may cause it.
Read Full Article

Budget Tips For Eating Healthy After Weight Loss Surgery
After gastric bypass, gastric banding or gastric sleeve weight loss surgery we know we must follow a healthy high protein diet in order to lose weight and maintain weight loss. In these economic times it is natural to be concerned about the cost of a specialized diet. Follow these helpful tips to sustain your weight loss surgery diet without breaking the bank.
Read Full Article

Kaye Bailey EzineArticle Profile

Budget Tips For Eating Healthy After Weight Loss Surgery

By Kaye Bailey

After gastric bypass, gastric banding or gastric sleeve weight loss surgery we know we must follow a healthy high protein diet in order to lose weight and maintain weight loss. In these difficult economic times it is natural to be concerned about the cost of a specialized diet. Follow these helpful tips to sustain your weight loss surgery diet without breaking the bank. By making a special effort when planning, shopping and preparing meals it is painless to save money and follow a nutritional program to benefit our health today and in the future.

• Make a weekly menu of dinner meals. Focus on protein dishes that can be repurposed as lunches. Side dishes should be fresh seasonal vegetables and fruits or frozen vegetables requiring minimal preparation.

• Plan two or three "routine" breakfast selections. Most WLS patients have a lower tolerance for food upon waking and eventually find a few things that consistently settle well on their stomach pouch first thing in the morning. Have these routine selections on hand at all times to avoid starting the day off with a grumpy pouch.
• Follow the weekly grocery sale adds and take advantage of specials and coupons. Use grocery store loyalty cards for added savings. Avoid sales for processed simple carbohydrates (junk food) because these foods are referred to as "slider foods" and they often cause weight gain in WLS patients. Remember, a slider food on sale is still a slider food.
• Purchase items that can be used in multiple recipes and for different meals such as canned beans, eggs and flash frozen poultry and fish pieces. Stock up on sale items and repackage bulk purchases for single meals or single serving sizes and freeze to avoid waste.

Weight Loss Surgery Recipes

• When shopping, follow the "Protein First" rule and make protein selections first. Look for fresh lean meat, pork and lamb in the meat department. Add poultry and fish from the meat department or frozen meat section. Shop for low-fat dairy protein and select low-fat cottage cheese and yogurt as well as eggs. Add vegetable based protein to your diet with canned beans, dried beans and legumes, and tofu products.
• Take advantage of locally grown produce available seasonally at roadside stands and farmers markets. For an exercise bonus gather your produce at "pick-your-own" farms and orchards to save money and burn calories.
• Eliminate pricey beverages from your diet in favor of filtered tap water. It is less expensive and better for the environment. Flavor water with a squeeze of fresh lemon or fresh ginger. Add frozen berries for a refreshing treat. Make sun tea with tea bags instead of buying manufactured tea beverages. You will get a purer beverage and save money too.
• Prepare your meals at home rather than eating out. You can control the ingredients and avoid things that interfere with your healthy dietary goals following weight loss surgery.

Build on your experience each week to become a health savvy and budget wise shopper so that you can enjoy your healthy life following surgical weight loss.

Kaye Bailey - 2010 - All Rights Reserved

LivingAfterWLS
5 Day Pouch Test

Article Source: Budget Tips For Eating Healthy After Weight Loss Surgery

I Am Me, Not My Disease

Emergency Preparedness For Weight Loss Surgery Patients

By Kaye Bailey

Following weight loss surgery patients make a multitude of adjustments in their lives to accommodate the dietary and nutritional needs of an altered gastric digestive system. Even if weight loss has long been accomplished patients who have undergone gastric bypass, gastric banding or gastric sleeve surgical procedures must, for the rest of their life, maintain rigorous nutritional and dietary habits in order to be healthy. After time these adjustments feel like second nature to the patient and even those around them. But in preparing an emergency kit for use in the wake of a natural or national disaster it is essential that weight loss surgery patients treat themselves as "special needs" and ensure their nutritional and dietary needs are provided for in the event the emergency kit is put into service.

Flood, fire, national disaster, or the loss of power from high winds, snow, or ice frequently jeopardize the health and safety of thousands of Americans each year. This year weather events and natural disasters have been particularly harsh throughout the world and many thousands have found themselves without food, shelter or warmth. While we cannot prevent natural or national disasters we can assemble emergency supply kits to improve our survivability when disaster strikes.

A well-prepared basic emergency supply kit will contain items to provide for the basics of survival: fresh water, food, clean air and warmth. The Federal Emergency Management Agency (FEMA) recommends the following items be included in a basic emergency supply kit:

• Water, one gallon of water per person per day for a least three days, for drinking and sanitation
• Food, at least a three-day supply of non-perishable food
• Battery-powered or hand crank radio and NOAA Weather Radio with tone alert and extra batteries for both
• Flashlight and extra batteries
• First aid kit
• Whistle to signal for help
• Dust mask, to help filter contaminated air and plastic sheeting and duct tape to shelter-in-place
• Moist towelettes, garbage bags and plastic ties for personal sanitation
• Personal hygiene items
• Wrench or pliers to turn off utilities
  
• Can opener for food (if kit contains canned food)
• Local maps
• Cell phone with chargers

Emergency readiness kits should provide water, food, clean air and warmth for 72 hours. Keeping that in mind a "special needs" weight loss surgery patient should consider including the following items in their personal readiness kit:

• Vitamins and supplements for three days. Additional dosages of vitamins B and C may be included to relieve stress and boost immunity.
• Non-NSAID over-the-counter pain relief medicine. Most surgical weight loss patients are discouraged from using NSAID medication for pain relief. Make sure acceptable OTC pain relief is included in the First aid kit.
• Vitamin fortified or protein fortified powder drink mixes in individual packages. These are useful in adding minerals and nutrients to the diet while stretching the water supply because when mixed with the water rations they provide hydration and vitamin and mineral nutrition.
• Ready-to-Drink (RTD) and Ready-to-Eat (RTE) protein drinks and protein bars. A weight loss surgery patient must have a minimum of 60 grams protein per day for best health. Provide at least 60 grams of dietary protein per day for three days of emergency use.
• Sugar free hard candy to supplement food intake and keep the mouth moist.
• Additional bedding or clothing for warmth. Body temperature regulation is difficult for those having lost body weight or body mass. Provide extra items for warmth in the event of a disaster that subjects the weight loss surgery patient to extreme cold or elements.
• Emergency response information for the treatment of a bariatric patient including contact numbers. Make this information readily available to first responders.

Gather items for the emergency preparedness kit in one location. Stow the items in a portable duffel bag or plastic bin that is accessible and labeled for easy access in the event of an emergency. Ideally each household member will have a kit tailored for their needs. Periodically check the kit and replenish items that have expired. Make certain all contact information is current. It is not easy to think about facing a disaster, but should the day come when the emergency kit is needed a little preparation will go a long way in making a bad situation better.

Kaye Bailey (c) 2010 - All Rights Reserved

Kaye Bailey is an internationally recognized writer, speaker and weight loss surgery advocate. She is the author of the highly successful weight loss surgery back to basics plan: 5 Day Pouch Test and the 5 Day Pouch Test Owner's Manual. Her follow-up book, Day 6: Beyond the 5 Day Pouch Test, was published in December 2009. It provides guidance for long-term weight and health management with all bariatric surgical procedures. Ms. Bailey is known for her powerful "you can do this" manner and her belief in the power of personal responsibility. She is the founder of LivingAfterWLS, LLC parent company to the LivingAfterWLS.com and 5daypouchtest.com websites. Supporting both websites is the LivingAfterWLS Neighborhood, an online compassion-driven community for weight loss surgery, gastric bypass and gastric banding patients.

LivingAfterWLS
5 Day Pouch Test

Article Source: Emergency Preparedness For Weight Loss Surgery Patients

5 Day Pouch Test Approved Recipes

Hey Neighbors! Many of you have included our Collection of Neighborhood Recipes in your weight loss surgery tool box. We have finished testing and now offer you the official list of approved 5 Day Pouch Test Recipes from this wonderful community cookbook. Here you go:

5 Day Pouch Test: Approved Recipes
A Collection of Neighborhood Recipes

Days 1 & 2: Liquids
P.3 – Fortified Milk, P.6 – Mocha Smoothie, P.21 - Sunrise Morning Protein Shake, P.47 – Unjury Hi-Protein Pudding, P.66 – Diane's Head Hunger Soup.

Day 3: Soft Protein
P.13 – Bed & Breakfast Baked Eggs, P.17 – Newbie Coddled Egg for One, P.26 – Chocolate Peanut Butter Protein Bars, P.29 – Parmesan Tuna Patties, P.113 – Deviled Egg Salad.

Day 4: Firm Protein
P. 98 – Baked Halibut with Herbs, P.102 – Broiled Peppered Salmon, P.15 – Family Meat Loaf, P.117 – Grilled Rosemary Garlic Shrimp, P.120 – Herbed Scallops.

Day 5: Solid Protein
P.96 – Apricot Chicken, P. 116 – Florentine Steak, P. 121 – Jerk Chicken Thighs, P.131 – Pork Au Poivre with Mustard & Sage, P.132 – Roast Beef with Horseradish Sauce


If you don't have the cookbook yet you can order it HERE

Happy Mother's Day

As we honor Mothers and Motherhood today please accept my heartfelt wishes for a day of joy and memory making as you celebrate the special relationships in your life. Thank you for being a treasured part of my life through our LivingAfterWLS connection.

"Let us be grateful to people who make us happy, they are the charming gardeners who make our souls blossom."-Marcel Proust

Coupon Savings & Free Recipe with Seasoning

Happy Mother's Day from all of us at LivingAfterWLS General Store!
Because we understand that just like being a mother, living with surgical weight loss is a 24/7 occupation, we are offering a store-wide coupon of savings of 5% off all purchases on quality weight loss surgery products! In addition all orders placed now through May 10 will be shipped with a free recipe and seasoning blend sample as our way of saying "Thanks Mom" for all the nurturing you do - Moms, Dads, Daughters & Sons alike!

Shop Now and enter Coupon Code MAYBLOOMS - We look forward to thoughtfully packaging your order and sending it out quickly so you may have great tools for your best LivingAfterWLS experience!

SHOP LIVINGAFTERWLS GENERAL STORE & SAVE

Books & Publications:
We are pleased to offer exclusively books published by LivingAfterWLS, LLC with the intent of enhancing the lives who courageously chose to battle obesity with a surgical weight loss option. All Books & Publications come with our fun FREE Goody Bag full of clever tools & samples to support your WLS way of life!!! Fun Stuff!

5 Day Pouch Test Owner's Manual
by Kaye Bailey
The complete 5 Day Pouch Test plan including inspiration, instructions, and recipes in Kaye Bailey's classic empowering style. 100-page easy to read paperback with hints, tips and encouragement that enables you to take charge of your weight loss surgery tool. If you have ever asked "Is my pouch broken?" then this book is for you. Available exclusively at the LivingAfterWLS General Store.
SKU#5545823

Free Goody Bag with Purchase!
List Price: $24.95
Sale Price: $22.95 -- SAVE $2.00


Day 6: Beyond the 5 Day Pouch Test
by Kaye Bailey
You've succeeded with the 5 Day Pouch Test. Keep the momentum by learning the secrets of Day 6 - Beyond the 5 Day Pouch Test. Facts, Inspiration, Recipes all in Kaye's empowering style. Reserve your copy today! Save $4.00 off list price!
SKU#5662212

Free Goody Bag with Purchase!
List Price: $29.95
Sale Price: $25.95 -- SAVE $2.00


A Collection of Neighborhood Recipes
Edited by Kaye Bailey
300 Recipes for weight loss surgery patients BY weight loss surgery patients. Now in its 3rd printing. Quality spiral bound cookbook features Appetizers & Beverages, Protein Breakfasts, On the Go Protein, Healthy Snacks, Condiments & Sauces, Soups & Salads, Vegetables & Side Dishes, Main Dishes, Sensible Desserts and Healthy Grains. Nutritional data included on most recipes. Limited Quantities!!!
SKU# 1241715152

Free Goody Bag with Purchase!
List Price: $20.00
Sale Price: $18.00 -- Save $2.00!


Shop Now and enter Coupon Code MAYBLOOMS

I Can See Clearly Now

Happy Fun Friday!

Wishing you all a bright bright brite sunshiny day!

Headaches - Three Effective Herbal Remedies

By Kaye Bailey

While it may seem quick and easy to grab over the counter treatments for headaches there are actually time proven herbal remedies that may be even more effective in headache treatment without the harsh chemical side effects. Unlike allopathic medicine (drugs) that focus on chemistry and treatment, herbal medicine concentrates on prevention. Consider these three herbal medicines in your treatment of headaches. And of course, always seek the advice of qualified health care professionals when seeking treatment for illness.

Feverfew: this herb, a member of the daisy family, is a common garden plant and has long been used by the British for self-medication. Research has shown that the active ingredient in feverfew is parthenolide. The Journal of Pharmacy and Pharmacology suggests that feverfew inhibits serotonin release and the amount released from platelets is controlled by the parthenolide content in the dose of feverfew. Parthenolide is the main active ingredient in feverfew. Several studies indicate feverfew may reduce headache suffering. Feverfew products should indicate the proper amounts of parthenolide per dose at 165 milligrams as determined in a 1992 study published by J Pharm and Pharmacol.

Ginger: As more research indicates the prevalence of headaches to blood flow abnormalities we are learning that ginger reduces clotting time of blood cells and also blocks the production of prostaglandins, which are linked to the inflammation associated with headaches. Ginger has long been known for its therapeutic properties to relieve headaches, nausea, and vomiting. Modern science suggests that headache sufferers who take 1.5 to 2 grams of powdered ginger daily report fewer headaches and less severe headaches. Ginger is widely available in the vitamin and supplement section of major stores and can be purchased in the correct dosage in encapsulated form.

Chamomile: The use of chamomile to relieve headaches dates back to the ancient Egyptians who used chamomile for its therapeutic and relaxing qualities. Chamomile tea, commonly available, is a light and flavorful tea and is employed to ease pain, headaches, and insomnia. High levels of flavonoids are present in chamomile which help the body fight allergens, viruses, and carcinogens. These are the active properties that make chamomile effective as an anti-inflamatory nerve tonic, and mild sedative. Those with chronic headaches report fewer sleep disturbances when having a cup of chamomile tea before bedtime.

Feverfew, ginger, and chamomile may all be used to prepare a warm compress to use for immediate relief of headaches. Soak a cloth in a warm brew of herbal tea and apply to forehead. Relax and enjoy the warm compress as it helps relieve headach pain.

All of these herbal treatments provide effective relief for people who suffer headaches as a result of a high protein diet.

Kaye Bailey (C) 2010 - All Rights Reserved

Kaye Bailey is an internationally recognized writer, speaker and weight loss surgery advocate. She is the author of the highly successful weight loss surgery back to basics plan: 5 Day Pouch Test and the 5 Day Pouch Test Owner's Manual. Her follow-up book, Day 6: Beyond the 5 Day Pouch Test, was published in December 2009. It provides guidance for long-term weight and health management with all bariatric surgical procedures. Ms. Bailey is known for her powerful "you can do this" manner and her belief in the power of personal responsibility. She is the founder of LivingAfterWLS, LLC parent company to the LivingAfterWLS.com and 5daypouchtest.com websites. Supporting both websites is the LivingAfterWLS Neighborhood, an online compassion-driven community for weight loss surgery, gastric bypass and gastric banding patients.

LivingAfterWLS
LivingAfterWLS Neighborhood
5 Day Pouch Test

Article Source: http://EzineArticles.com/?expert=Kaye_Bailey

http://EzineArticles.com/?Headaches---Three-Effective-Herbal-Remedies&id=3693661

Avoid Fried Foods - Prevent Gastric Bypass Dumping Syndrome

By Kaye Bailey

Anyone who is awake knows that fried food is not a healthy dietary choice. A high fat diet is believed to be a contributing cause of diabetes, heart disease, overweight and obesity. But Americans continue to load their plates with fried food because we have developed a taste for it and because food producers make products that taste good and are affordable.

Overweight people who have undergone bariatric weight loss surgery to control their weight are encouraged to follow a diet high in protein and low in fat and carbohydrate. This has been shown to effectively work with the weight loss surgery to reduce weight and control weight over long periods of time. Living in a world where high fat food is ever present, the surgical weight loss patient is often tempted to indulge in fried food often thinking that small amounts of fried food will not negatively affect their diet or health. However, eating fried food, even in small amounts, can have catastrophic consequences for gastric surgery patients.

In general fried food is bad for us simply by the nature of its nutritional composition. Consider this: A 6-piece serving of fried chicken tenders contains 401 Calories; 16 grams Protein; 8 grams Fat; 57 grams Carbohydrate. The FDA calculates this at 3 1/2 starch/bread servings and 1 lean meat serving. Its easy to figure out how we have become "obese nation" when you consider many children are weaned from the bottle right to the fast food fried chicken pieces.

This nutritional data indicates the fried chicken tenders are a high fat carbohydrate. When a person who has undergone a malabsorptive gastric surgery such as gastric bypass eats high fat carbohydrates they are at imminent risk of dumping syndrome. Gastric Dumping Syndrome, or rapid gastric emptying, is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. The syndrome is most often associated with malabsorptive gastric surgery, specifically gastric bypass surgery. Symptoms of dumping syndrome may manifest immediately after eating or within three hours of eating. Symptoms may include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue. Symptoms do subside as insulin levels return to normal. Many patients experiencing dumping find comfort in lying down or sipping on fortified water or energy drinks served at room temperature.

Not only is dumping syndrome physically uncomfortable it can be unpredictable and embarrassing. Many patients experience profuse sweating which can be embarrassing and difficult to explain to those unaware of the condition. At other times a patient may suffer from confusion and become disoriented which may appear to be intoxication or diabetic distress to someone unacquainted with the signs and symptoms of dumping syndrome.

So the consequences of eating fried food after a gastric weight reduction surgery are twofold: immediate risk of dumping syndrome and long term risk of weight gain and the diseases associated with a high-fat diet.

Gastric surgery patients, specifically gastric bypass patients, may successfully avoid dumping syndrome by eating a diet of carefully chosen lean protein combined with low glycemic fresh fruits and vegetables. Patients are instructed to avoid simple sugars, simple carbohydrates and high-fat carbohydrates and to avoid drinking liquids with meals. At the onset weight loss surgery patients are instructed to eat a high protein diet following surgery.

Kaye Bailey - 2010 - All Rights Reserved

Kaye Bailey is an internationally recognized writer, speaker and weight loss surgery advocate. She is the author of the highly successful weight loss surgery back to basics plan: 5 Day Pouch Test and the 5 Day Pouch Test Owner's Manual. Her follow-up book, Day 6: Beyond the 5 Day Pouch Test, was published in December 2009. It provides guidance for long-term weight and health management with all bariatric surgical procedures. Ms. Bailey is known for her powerful "you can do this" manner and her belief in the power of personal responsibility. She is the founder of LivingAfterWLS, LLC parent company to the LivingAfterWLS.com and 5daypouchtest.com websites. Supporting both websites is the LivingAfterWLS Neighborhood, an online compassion-driven community for weight loss surgery, gastric bypass and gastric banding patients.

LivingAfterWLS
5 Day Pouch Test

Article Source: http://EzineArticles.com/?expert=Kaye_Bailey

http://EzineArticles.com/?Avoid-Fried-Foods---Prevent-Gastric-Bypass-Dumping-Syndrome&id=4237594

Meatball Ravioli Soup

Today's weather has been more winter than spring and I cannot get warm. So that means its soup time! Here's one of my favorite recipes because everything comes the freezer or pantry. Dinner is ready in a snap! I wish warm weather could be had so easily! CHEERS!

Ingredients:
1 package Tyson Fully Cooked Chicken Meatballs

1 tablespoon olive oil
1 large onion finely chopped
1 garlic clove minced
1 (28 ounce) can chopped tomatoes (undrained)
1/4 cup tomato paste
1 (32 ounce) container Swanson chicken broth
1 cup water
1/2 teaspoon granulated sugar
1/2 teaspoon dried basil
1/4 teaspoon each dried thyme and oregano
8 ounces mini cheese-filled ravioli

1/4 cup fresh chopped parsley
Freshly grated Parmesan cheese

Directions:
Preheat oven to 425. Arrange frozen meatballs in single layer on a cooking sheet sprayed with non-stick cooking spray. Bake for 10 minutes.

While meatballs bake heat olive oil in a 4-6 quart stockpot. Brown onion and garlic.

Add tomatoes and liquid, tomato paste, broth, water, sugar, basil, thyme and oregano. Bring mixture to a simmer, cover and simmer 10 minutes. Add ravioli and cook, covered at a gentle boil according to package directions (approximately 10 to 15 minutes), until they are just tender and no longer have a starchy taste. Stir in meatballs and return to simmer. Stir in parsley and sprinkle with cheese.

Serve warm.

WLS patients should eat 3-5 meatballs topped with a modest serving of ravioli and liquid.

5 meatballs contain 13g protein, 11g fat (3 saturated), 6 grams carb

What's so bad about Fried Food?

Here's an interesting discussion from the Neighborhood about fried food after Weight Loss surgery - take a look and link to the Neighborhood to add your thoughts and ideas!

Question from deb728: "Now I know fried food is bad for you in general. But is there a specific reason that we as weight loss people can't eat it? I would never eat a cheesteak or anything super greasy again, but sometimes I'm like holy cow I want chicken nuggets. So I was just wondering why can't it be like everything else-a couple french fries or chicken nuggets like once every two months?"

Kaye's Answer: "Hi Deb -- Thanks for asking this question! As you mentioned, in general fried food is bad for us from a general health standpoint. A 6-piece serving of fried chicken tenders contains 401 Calories; 16g Protein; 8g Fat; 57g Carbohydrate. The FDA calculates this at 3 1/2 starch/bread servings and 1 lean meat serving -- clearly not something fitting a "Protein First" meal. Its easy to figure out how we have become "obese nation" when you consider many children are weened from the bottle right to the fast food fried chicken pieces.

Now, since you had RNY you are dealing with not just the nutritional facts above, but a malabsorptive procedure. That means you no longer have an abundant supply of gastric enzymes needed to digest foods high in fat. Because fried chicken pieces are high in fat and carbohydrate you are at risk of dumping syndrome when eating them. In fact, many people are baffled when they experience classic dumping symptoms after eating fried fatty food. So that's the second reason to avoid fried foods, including fried chicken pieces or my personal favorite, fried cheese! Yeah, I've tried that and not had good results. sick0022.gif

But there is a rainbow here in this cloud of bad news!!

You can cook at home a reasonable "mock" chicken nugget and be quite happy in your pouch, your mouth, and your brain (no guilt!) Take this recipe for Parmesan Crusted Chicken and make a great meal. Once you get familiar with the method you can experiment with herbs or coatings to keep things fresh. Instead of serving it with the classic fries or onion rings add some salad or fresh fruit and berries. I think you will be quite happy with your effort!"

Happening in the Neighborhood

Good things are happening in the LivingAfterWLS Neighborhood - Our weight loss surgery safe haven circle of friends. Check out some of the great conversations we are enjoying today and join us!

Celebrating our Neighbor's Hard Work!
Diana is down 17 pounds in two weeks following the 5 Day Pouch Test & Day 6 way of LIVING!

Unofficial Sleep Survey
Kim wants to know how all of the Post-Ops are sleeping. Please take part in my unofficial survey in order to help cure me of my curiosity. I may sleep better with the knowledge! Take her quick and painless survey here.

Spring Fitness Training Group
Lots of run and walk events coming up in May! Join our Neighborhood team training group and share your hints, tips & enthusiasm as we all get ready to particpate in fun physical activities in the warm months ahead!

Driver's License - Did you fudge on your your weight?
We're taking a survey: Is your driver's license a factual document including height, weight and hair color or is it a work of fiction written by an optimist?

Popcorn -- Do or Don't
What have you been told about eating popcorn after weight loss surgery? Is snacking on this "healthy snack" a do or don't after weight loss surgery? Interesting discussion!

Fun Friday
Gwenda is Back! Get ready for another round of fun at our weekly Neighborhood game where we get to know our Neighbors and have the chance to win fabulous prizes!

Bookworm Bundle - Save 20% at LivingAfterWLS Store

Build your LivingAfterWLS Library with our Best Selling Books and save 20% with a Bundle Purchase! Bookworm Bundle includes:

5 Day Pouch Test Owner's Manual by Kaye Bailey List: $24.95 Day 6: Beyond the 5 Day Pouch Test by Kaye Bailey List: 29.95 The Neighborhood Cookbook edited by Kaye Bailey List: $20.00 500 Pages of Information, Inspiration, Motivation, Recipes to support your long-term success with weight loss surgery. $74.95 Value --- for $59.95 SAVE 20% Free Goody Bag with Bundle! BUY NOW!

Day 6 Birthday Dinner Triumph!

This is my plate from Jim's 68th Birthday Dinner April 26, 2010. I served Jalapeno-Salmon Burgers on whole grain buns (I went topless - bun wise, that is!), Baby Romaine Salad with tomatoes, avocado & Parmesan; Long Grain & Wild Rice Pilaf (from a box-Near East); fresh strawberries and German Chocolate Cake for Dessert. Total cost per plate was $8.05 and I enjoyed 1/2 my salmon burger for lunch today. I had only a bite of the cake, Jim enjoyed about 1/2 a normal slice -- we have quite a bit of that left since neither of us eat sweets very often. (Temptation looms - but I will be strong!) The cake was more for the ceremony than for nutrition.

I was out of town attending meetings most of the day yesterday so I needed to grab something in Park City on my way home that would keep well for the 90-minute drive and I could put together quickly once I arrived home later than normal and more tired than normal. So shopping objective was convenience, freshness, cost, ease of preparation, and presentation. I had 15 minutes to do the shopping!

Why this is a Day 6 Meal:

The centerpiece of this meal is the salmon burger. At 4 ounces/patty each contains 28g Protein and is rich in omega 3 fats - the good fat. I chose to eat mine on the bottom half of the whole grain bun with a spread of Miracle Whip Light. Jim took his burger top-on. I purchased the salmon patties ready-to-cook at Whole foods "Daily Special" for $2.49/pound so each patty was only $2.50. I pan seared them over medium-high heat in a small amount of canola oil from the pantry. Before I started cooking the salmon patties I cooked the rice per package directions. I used Near East brand Long Grain & Wild Rice Mix, serves 3 (1 cup each) at $0.90/serving. As you remember from the Day 6 starches such as rice or pasta can be included as condiments in our Daily Intelligent Eating Plan - That meant about 1-2 Tablespoons for me. Jim, however, took a full serving of about 1 cup cooked rice.

While the salmon cooked I "plated" the salad of greens, tomatoes, avocado and Parmesan cheese and garnished with a few plump fresh strawberries. It took about 8 minutes for the salmon patties to cook (4 minutes per side) and during the last part of cooking I toasted the buns under the broiler. I lined a baking sheet with foil, placed the open buns on the foil and lightly sprayed with cooking spray. Toasting took about 90 seconds.

I want to illustrate here that we can quickly and economically respect our Day 6 goals, even on special occasions.

For this occasion it was my luxury to be able to get help from the grocery store. (We live 40 miles out on the range away from such convenience -this truly is a luxury shopping day for me!!). By taking advantage of the Daily Special salmon patties my main protein was ready-to-cook and delicious at just $2.50/serving. Buying & Cooking 4 servings when we only needed 2 means that I have leftovers for both Jim and I later this week (I already ate my leftovers from last night!) So I've cooked once, we will eat twice. The fresh produce made a easy and nutritionally balanced low-glycemic side dish (salad) and the rice was a convenient and healthy whole grain option for Jim and a nice "condiment" for me. The German chocolate cake was more for show and for Jim than for nutritional need. Understanding this is part of our "Intelligent" Day 6 eating. German chocolate cake is the only sweet Jim has ever expressed a fondness for (ranch kids didn't grow up on sweets), so once a year he gets it. I was right-happy with a taste chased with a fresh strawberry - and that choice allowed me to feel "Triumph" not remorse.

Here is the cost workup on the Birthday Dinner:



The Daily Intelligent Eating Triumphs concept teaches us that every single day we have opportunity to feed our body well. It doesn't have to be expensive or time consuming or stressful. I know you are out there doing this for yourself and your families and it makes me so proud! So please, join the fun and share how you are making every day Day 6!

Day 6: Beyond the 5 Day Pouch Test

Ham & Egg Casserole for Dinner

A wonderful dinner casserole that sneaks in some extra veggies but still very high in protein. Delicious fresh or reheated the following day.

Ingredients:
1 pound zucchini, sliced (about 4 medium)
1 package (10 oz.) frozen chopped spinach
1/2 pound fresh mushrooms, sliced
1 clove garlic, minced
6 eggs
1 cup (8 oz.) low-fat (1%) cottage cheese
1 teaspoon dill weed
1/4 teaspoon pepper
4 ounces cooked lean ham or turkey ham, diced (about 3/4 cup)
1/2 cup (2 oz.) shredded Monterey Jack cheese

WLS Friendly Egg Recipes

Directions:
In large skillet over high heat, cover and cook zucchini, spinach, mushrooms, and garlic, until spinach starts to thaw, about 3 or 4 minutes. With fork, break spinach apart. Uncover and cook, stirring occasionally, until zucchini is crisp-tender, about 5 to 6 minutes. Drain well. In large bowl, beat together eggs, cottage cheese, and seasonings until well blended. Stir in ham and cooked vegetables.

Lightly spray 12 x 7 1/2 x 2-inch baking dish. Pour in egg mixture. Sprinkle with shredded cheese. Bake in preheated 350ºF oven until knife inserted near center comes out clean, about 25 to 35 minutes. Let stand 5 minutes before serving.

Great recipes in our LivingAfterWLS Publications by Kaye Bailey

Poached Eggs over Sauteed Spinach Greens

I like this recipe simply because it is a change from the same old hard-cooked egg. It is easy to make and showy to present - a great weekend brunch dish.

Prep and Cook Time: 20 minutes

Ingredients:
4 chicken eggs
1 tsp light vinegar (rice, apple cider, or white wine)
about 4 cups water
1 cup thinly sliced green onion
6 medium cloves garlic, sliced
4 cups fresh baby spinach
4 tablespoons chicken broth (divided)
juice & zest of one lemon
salt and black pepper to taste


Directions:
Bring water and vinegar to a fast simmer in a skillet large enough to fit eggs. Make sure there is enough water to cover eggs.

While water is coming to a simmer, heat 1 tablespoon broth in a separate stainless steel 10-12 inch skillet. Sauté sliced green onion in broth over medium heat for about 3 minutes. Add garlic slices and continue to sauté stirring constantly for another minute.

Add baby spinach, remaining broth, and lemon juice, and simmer covered on medium low heat for about 10 minutes stirring occasionally. Spinach will wilt down considerably.

When done season by tossing with lemon zest, salt and pepper. Divide mixture among 4 plates.

In the boiling vinegar water poach eggs until desired doneness. This will take about 5 minutes, or just until the white is set and the yolk has filmed over. Remove from vinegar water with a slotted spoon and place on top of greens.

One egg and ¼ of the spinach mixture is a serving. Adjust to your WLS needs.

Birthday Gift for You in the General Store

Yesterday was my 44th Birthday and I'm sending a big cyber-hug of THANKS to all my LivingAfterWLS Neighbors and Friends who have taken the time to wish me Happy Birthday! I am simply overwhelmed with your love and kindness. Thank you!

We have made it possible in the LivingAfterWLS General Store to give back this weekend as both my husband and I celebrate our birthdays. I'm personally including with each order my own recipe for Parmesan Chicken and enough You Have Arrived Italian Blend seasoning to make it! Consider it my gift to you for your kindness and loyalty to the LivingAfterWLS project. No coupon code necessary - I'm sending this with all orders placed April 21-April 26. Thank you for celebrating this birthday with me! I'm looking forward to a healthy happy year with you.

While you are shopping please take advantage of our coupon - Enter SPRING in the coupon box at checkout and save $2.00 off your order - no minimum purchase required!

FREE with ALL BOOK PURCHASES -- Goody Bag that includes some of our LivingAfterWLS Worksheets, the 5 Day Pouch Test handy reference card, a sweet laminated "You Have Arrrived/Four Rules" Wallet Card and product samples! Fun Stuff!!! Items are top quality and may vary with what we have on hand! Fun for Everyone!
LivingAfterWLS Books

FAQ: Credit & Debit Cards -- The LivingAfterWLS General Store accepts VISA, MasterCard, American Express and Discover credit and debit cards and PayPal payment options. PayPal is the verified secure gateway by which our payments are processed, but not the required form of payment. When placing an order enter the CAPTCHA (funny letters and numbers) in the PayPal gateway box to proceed then click the link on the left side of the page that says "Don't have a PayPal Account? Use your credit card or bank account to continue" -- Click the word "Continue" to make a secure payment with your credit or debit card. Your secure purchase is guaranteed.

Shop Now!

Our products are carefully selected with you in mind - Thank you for allowing us to serve you. More than being an online merchant I consider myself and LivingAfterWLS a steward of the weight loss surgery community. It is an honor to be in your service. May you have a fine weekend and enjoy your best life LivingAfterWLS!

Sincerely,
Kaye Bailey

Find me on Facebook and Follow me on Twitter

It's My Birthday!

Carbonated Beverages & Weight Loss Surgery

As seasonal temperatures climb it is tempting to reach for a cool refreshing carbonated beverage. Kaye explains why as weight loss surgery patients we are discouraged from including carbonated drinks in our diet.

Fresh Strawberries with Creamy Lime Custard

This is a terrific company-worthy dessert that makes great use of springs ruby jewels: strawberries. You can substitute lemon or orange for the lime if you prefer.

Ingredients:
8 oz fat free sour cream
1/2 cup fat free sweetened condensed milk
1/2 tsp lime peel zest
1 1/2 tbsp fresh lime juice
3 cup fresh sliced strawberries

Directions:
1. In a medium size bowl, combine the sour cream, milk, grated lime, and fresh lime juice and mix well.

2. Spoon 1/4 cup of the lime custard into 4 dessert bowls. Top with 3/4 cup of strawberries and place a 2 tablespoon dollop of custard on top.

Serves 4. Per serving: 200 Calories, 7g Protein; Trace Fat; 42g Carbohydrate.

More WLS Friendly Berries & Fruit Recipes

Sugar Substitutes For Beginners

As weight loss surgery patients we are constantly seeking knowledge about sugar and sugar substitutes so we can make the best choices for our health and metabolic systems. I came across this article by Rachel Smith of Sugar Subtitutes and found it accurate and informative regarding sweetening products available to consumers. I think the use of sweeteners, including sugar and sugar substitutes, after surgical weight loss is the personal choice of the patient. It is appropriate for a patient to consult with their bariatric care team, nutritionist in the decision making process as well as being informed of the options available and personal taste preferences. This article is a good start for learning what is available to us.

Learn more in the LivingAfterWLS Library: Diet, Nutrition, Vitamins

Sugar Substitutes For Beginners
By Rachel J Smith

Sugar substitutes have been around for many years, but historically have only been found mostly in commercial products found in supermarkets. However, over the last few years, the range of sugar substitutes have increased and are now readily available and affordable for every day cooking. So lets get started with what options are available for the every day home cook.

If you are like most cooks, you probably already use honey in your kitchen. The are great to use since honey also contains good nutrition, especially manuka rated honey. Honey crystals have also become popular as an alternative. However, as a low sugar alternative, honey still contains the same amount of sucrose as table sugar. So if you're cooking for a family member who requires a low sugar diet, then perhaps honey will not be suitable. Many celebrities have been turning to Agave Nectar recently, but some quick research will show you that this alternative also contains the same level of fructose as table sugar.

Then there are the supermarket brands, such as Equal (Nutrasweet), Sweet n Low, and Splenda. These either contain sucralose, dextrose, sacharrin or aspartame, which by themselves can be up to 200 times more sweet than sugar. For that reason it can be quite difficult to cook with these 'artificial' sweeteners, as amounts used vary between different recipes, and converting all your recipes can be time consuming. Of course, you may have already read about the health issues raised against the companies manufacturing these products. However, they are readily available, and have FDA approval (Food and Drug Administration). Personally, I don't use them anymore, since they can be hard to work with due to their fine granularity.

One of the latest products to come out over the last few years has been Stevia, made from stevia plants mostly located in south america. However, most of the products that I have tried have been either too bitter to use, or have a slight after taste, which my family notice every time I've cooked with it. About a year ago, a product called Truvia was brough out, which is a mix of Rebiana (like Stevia) and Erythritol. While it does taste quite good, the Rebiana is still quite noticeable in the mix of the recipes. It's not a bad alternative if your family do not notice it, since it's readily available.

Since we're talking about Erythritol, lets go into detail more about this sugar substitute. Erythritol belongs not so much to 'artificial' sweeteners as it's made with a natural fermentation process from fruits. This process creates many of the sugar alcohols, which are becoming more popular with the users who refuse to use the supermarket brands. Many of the sugar alcohols such as Eryhritol and Xylitol can be found in health stores, as they do have FDA approval under the category GRAS (generally regarded as safe).

The easiest thing I have found about Erythritol and Xylitol, is that they are so easy to use for cooking. Erythritol is about 70% as sweet as sugar, but Xylitol is 1 for 1 with sugar. No more adjusting recipes! Both can be bought in bags of 1 lb, or 3lb from health stores, and both have the same granularity and 'feel' as normal sugar. Just a note that these sugar alcohols can absorb a lot of water, so you might need to add more water if your baking something like cookies.

So which one do I choose?

Personally I've been using a lot of pure Erythritol. Simply because it's easily absorbed by the body, and will not cause a laxative effect or bloating. Even though Xylitol IS easier to use, but just to be safe, I like using a sugar substitute with the least side effects. Also the advantage of Erythritol is that it's effectively zero GI, unlike all the other sugar substitutes.

* Just a note that if any member of your family is allergic to fermented products, then sugar alcohols may not be suitable, since they are made with a fermentation process *

Hope you have all found this article useful. Check back soon for more of my articles as we go through how to use each sugar substitute.

Rachel J Smith is a proud home cook and enjoys trying out new products to make her recipes more healthy for her family. She is a contributing member of SugarSubstitutes.org. Their website can be found at http://sugarsubstitutes.org

Article Source: Sugar Substitutes For Beginners

Marian the Librarian-LivingAfterWLS Curator

As we have amassed a great collection of knowledge here at LivingAfterWLS (dating back to the original blog post in 2005) it has become increasingly apparent that a means is necessary to organize this data making it readily available for the benefit of all. Not long ago I learned of a curating service expert at the daunting task of organizing, indexing and referencing our vast body of knowledge here in the Neighborhood and all electronic stations of LivingAfterWLS. What a relief! We have often said that we are the pioneers in the front lines of Living after weight loss surgery -- but if our knowledge is lost or disorganized it has forfeited its value.

Enter Marian the Librarian. Online you will see the personality "Marian the Librarian" offer links to previous discussions, articles or relevant postings as deemed appropriate by the curating team. In addition you will see the curator "Marian the Librarian" post notice of new content in other social media owned by LivingAfterWLS such as our LivingAfterWLS YouTube channel or LivingAfterWLS Blog, Twitter or Facebook pages.

Meet Marian the Librarian our Neighborhood Curator

As any good Librarian, Marian will quietly point us in the direction of valuable content, but will not offer personal opinion or comment. You will visually recognize her by the Avatar posted above and know that the links she provides are valid LivingAfterWLS links and authentic spammer-free content. I am looking forward to what she pulls up from the list of over 150,000 posts here in the Neighborhood -- I know there is lots of great content down deep just waiting to be rediscovered.

ASK MARIAN:
If you have a specific question you would like Marian to address -- research questions only -- Please post it to this thread:

Ask Marian the Librarian

More Protein Quick Recipes

Originally posted 2/24/2009

Protein Quickies: Recipes for Real Life

In today’s You Have Arrived Newsletter (subscribe here) we presented five “Protein Quickies: Recipes for Real Life.” The recipes are so terrific, all taken from Women’s Health Magazine, that I’m sharing three more recipes here in the LivingAfterWLS Blog. They are all protein dense with a reasonable serving of nutritious complex carbohydrates. Enjoy!

Chicken Braised in Soy Sauce and Lemon
Brown bone-in chicken pieces in a few tablespoons of olive oil. Remove from pan. In same pan, stir in some chopped garlic. Add 1/2 tablespoon minced lemon zest, a pinch of cayenne, 2 tablespoons soy sauce, 1 teaspoon sugar and 1/3 cup water; stir. Add the chicken, cover, and simmer for about 15 minutes, turning the pieces once. Add lemon juice and more soy sauce to taste.

Grilled Cod with Basil Dipping Sauce
For sauce: Combine 2 tablespoons water, 1 teaspoon minced garlic, 2 tablespoons soy sauce, 2 tablespoons rice vinegar, 1 tablespoon sugar, 1 Thai chili (seeded and thinly sliced), and 1/2 cup sliced fresh basil. Season 1 pound of cod with salt and pepper. Cook, turning once, until cooked through (8 to 12 minutes, depending on thickness). Serve with the sauce.

Baked Eggs with Spinach
Preheat oven to 350°F. In boiling salted water, cook 2 pounds of spinach for 1 minute. Drain, cool, squeeze out excess liquid and chop. Heat 3 tablespoons butter in a baking dish, and add spinach, and toss to coat. Spread out spinach, making 8 nests. Crack 1 egg into each and top with salt, pepper, Parmesan, and breadcrumbs. Bake for 15 to 20 minutes or until yolks are just set and whites are solidified.

Fun Friday - Four Squared

Hey Neighbors -- Happy Fun Friday in the LivingAfterWLS Neighborhood!!

LivingAfterWLS Neighborhood

I still haven't heard from Gwenda -- Could she be tied up this long??? Seriously, I know she is dedicated to caring for her ailing aunt and has limited internet access so I'm stepping in with a Fun Friday again this week. As soon as I post here I'll pop in on April 9 Fun Friday and select the winners! It was a great game and what I have read so far was quite enjoyable.

Fabulous Prizes -- See our Past Winners in the Fun Friday Hall of Fame

Today is April 16th which is the number 4 squared (4x4=16) -- So I found a Four-Square Quiz for today's Fun Friday! Four Questions with Four answers each! Quick and Easy! Let's get playing!!!! To win prizes follow the link below and participate in the Neighborhood - Your LivingAfterWLS Safe Haven Circle of Friends.

Four-Squared Quiz Game
Please provide Four Answers for each of Four Questions!!


Four movies I can watch over and over:
1-
2-
3-
4-

Four places I've lived:
1-
2-
3-
4-

Four websites I visit daily:
1- (I think we all know the correct #1 answer here LOL!)
2-
3-
4-

Four of my favorite WLS-Friendly "Protein First" dishes:
1-
2-
3-
4-

Daily Intelligent Eating Triumphs

KayeBailey — April 15, 2010 — Kaye enthusiastically shares her "Daily Intelligent Eating Triumphs" concept with those who have undergone surgical weight loss including gastric bypass, gastric banding and gastric sleeve procedures. She empowers and uplifts with her authentic belief in people and their ability to thrive making healthy choices each day.



Get Kaye's Book Today

5 Ideas for 21g Protein Meals

We know the rule: WLS Rule #1 Protein First. That means after any surgical procedure to control our weight we are supposed to get most of our calories from protein. A 2008 study of bariatric surgeons indicates they are suggestion anywhere from 60 grams of protein a day to as many as 105 grams of protein a day -- depending upon the surgeon and the patient. At a minimum, that means we need about 20g per meal three times a day. Without falling back to protein bars, shakes or powders I offer some quick meal suggestions that come in at 21 grams of protein and a volume of 1-cup or less food.

Remember, protein is a good source of amino acid and energy for your body. Not only that, it requires more energy to process protein than the other nutrients (fat or carbohydrate) so your metabolism goes into high-octane burn when you feed it protein. That is how it causes weight loss and sustains weight maintenance. When you eat protein the dietary carbohydrates and fat your body previously stored as body fat for "a rainy day" must be used for energy to sustain metabolic process. So enjoy those protein grams and put your body in high metabolic burn!


1. Tuna Salad: 3 Ounces StarKist Tuna Salad Sandwich-Ready mixed with 1 hard-cooked egg, 4 baby carrots. Mix tuna salad with chopped egg, serve with baby carrots (avoid high calorie veggie dip - not necessary). Calories 180; 21g Protein, 9g Fat, 4g Carbohydrate. Add seasonal berries or fruit as desired, but make certain to follow the 2B/1B Rhythm (2 Bites Protein/1 Bite Carbohydrate).

2. Turkey Wrap: 2 ounces deli turkey breast slices (low sodium), 1 ounce Swiss cheese, 1 teaspoon mustard, shredded lettuce, chopped tomato. Stack or roll ingredients; serve chilled. Calories 180; 21g Protein, 9g Fat, 7g Carbohydrate. Change this up with any deli meat and cheese you enjoy.

3. All American Patty Melt: 3 Ounces extra-lean beef patty, grilled with 1 ounce American cheese melted on top served with 1 teaspoon each ketchup & mustard and 1/4 cup fresh cucumber slices. Calories: 322; 23g Protein; 24g Fat (11 Saturated); 4g Carbohydrate.

4. Salsa Chicken Melt: In a microwave safe container heat 3 ounces cooked shredded chicken with 1 tablespoon of salsa for 90 seconds. Top with 1 tablespoon low-fat sour cream (optional) and 1 tablespoon diced avocado (optional) or ready-made guacamole. Enjoy warm. Calories: 125. 21g Protein; 4g Fat (1 saturated) 2g Carbohydrate. A great use of left-over chicken, turkey, pork or beef.

5. Meatballs to Go: Place three (1-ounce) frozen cooked meatballs in a microwave safe lunch container. Top with 1/3 cup ready-made pasta or spaghetti sauce (your choice - I like the screw-top jars for easy use and storage once opened); 1/4 cup cottage cheese and 1 tablespoon shredded mozzarella cheese. Cover container & secure carefully: I place in a zipper bag to prevent spill damage if taking as "brown bag" lunch. Allow to thaw in refrigerator until lunch time, then cook in microwave oven on medium-high until hot throughout, 2-3 minutes. Enjoy warm. Very filling without the "pasta-load". Calories: 325; 20g Protein; 14g Fat (6 Saturated); 8g Carbohydrate. (You can make several of these meals in advance and freeze taking the frozen meal on the day of use. Simply thaw at room temperature until lunch and cook as directed).

Day 6: Beyond the 5 Day Pouch Test is my new book that has great tips like these for following a high protein diet in order to maximize the effectiveness of our weight loss surgery tool. Learn more.

Fun Friday: It's All about Change

Are you ready for some good times?

Then join us for the LivingAfterWLS Fun Friday weekly game where we answer questions, get to know one another and win fabulous prizes! This week our question is presented by our fun and daring Fun Friday Hostess DarlingGwenda from Down Under who asks the evocative and provocative question "How has weight loss surgery changed your life?" There are no boundaries here, from the simple sublime to the greatest of grand, tell us about the change in your life since weight loss surgery! Go here to play:

Fun Friday March 26, 2010

For a look at our past prize winners visit the Fun Friday Hall of Fame 2010! You can link there to the original quiz game conversations and have a good laugh! As you will see, Fun Friday is a great way to jump in and participate in the Neighborhood, your weight loss surgery Safe Haven Circle of Friends.

Other areas of interest:
Weekend Wanderings! Weekend LIVING Thread Join our new Ambassador of Weekend Living Denise & Share your Weekend Wanderings

Spring Party Accountability Challenge The most supportive group in town, set your goals, stay accountable, be empowered!

5 Day Pouch Test Support Join others doing the 5DPT and get back on track. Together we can do this!

Day 6 Accountability Beyond the 5DPT - Daily Intelligent Eating Triumphs - Join us!

Fans: New Seasons of the Biggest Loser Our favorite get-fit TV show!

Community Kitchen Recipe Sharing & Cooking Ideas

LivingAfterWLS and The Neighborhood is your online resource for ALL surgical gastric procedures to help arrest obesity through weight control. We offer support for patients of gastric bypass, gastric banding, gastric sleeve, gastric revision and all others. Please join us!

Lap-band patients go here: Bandit Buddies

Gastric-Sleeve patients go here: Heart on Your Sleeve

Veterans of stomach surgery go here: Voice of Vetrans

We look forward to seeing you soon in the Neighborhood!

Grapes and the Low-Glycemic Index

Neighborhood Question:
Regarding Low Glycemic Index Fruits & Vegetables: What about grapes? They are different on each list I've found. I don't have them as an ingredient in anything, but sometimes when I have to have something, instead of reaching for chips, I go for grapes.

Kaye's Answer:
Grapes - They are a crafty fruit so innocent and delicious yet such a real trouble maker when they mix with the wrong crowd!

Denise - this is a very good question. I did go back to my research file on GI fruits & vegs to make sure I reply correctly based on what my original research uncovered as I did recall some very specific things about grapes. My primary research source is The Glycemic Index and I use their tables because they are world's leading authority on glycemic index and endorsed by the American Diabetic Association. http://www.glycemicindex.com/

On the GI index grapes have a GI value of 53 ranking them a "LOW" GI Value. That means they have low impact on glucose levels. One cup is considered a serving size. At first glance this would make them a suitable fruit for patients of gastric surgery, but front line research tells us a different story -- grapes are beautiful fruit of the Gods just waiting to slip down into our little pouches and morph from healthy fruity snack to spiteful little slider food and dumping disaster. Here's what happens: Grapes are good for us and low calorie, so we don't measure portion size. We enjoy each grape, one by one, which is mostly water and fructose, in unmeasured portion as a snack, so there is no buffer to slow the absorption of fructose through the esophagus or intestinal walls of the pouch. We can eat a copious amount of grapes because as fast as we are enjoying them they are sliding right through the stoma - we never achieve fullness. Unaware of the dramatic glucose load this puts on our body we continue to enjoy our healthy snack when at once the slam hits us and we are in glucose overload distress - dumping. (I believe Kim has a few stories about dumping on silly old grapes!) This can happen with banded patients as well who have followed a lean protein diet and developed a low tolerance for glucose surging.

So the short answer, though low glycemic, grapes are a fruit to enjoy very cautiously. As a snack I suggest measured portions, no more than one cup in a single serving. Make your grape snack a mini-meal and include a one ounce serving of deli meat and one ounce serving of low fat cheese.

Consider grapes as "ingredient" food, not just a snack. Here is a classic Southern Style Chicken Salad that makes wonderful use of grapes in the main dish. The high protein count in the recipe will prevent a glucose overload from the grapes.

You Have Arrived Classic Southern Chicken Salad

Dressing:
1/4 cup heavy whipping cream
3/4 cup Miracle Whip Light
1 teaspoon You Have Arrived Signature Blend
Salt & Pepper to Taste

Salad:
2 1/2 cups cooked chicken, chopped and chilled
1 cup celery, chopped
1 cup green seedless grape, sliced
1/2 cup sliced almonds, lightly toasted
4 tablespoons fresh parsley, chopped
Bibb Lettuce, leaves separated into six cups - one per serving

For Dressing: In a medium bowl using a whisk whip the whipping cream until fluff. Fold in Miracle Whip Light, You Have Arrived Signature Blend and season with salt and pepper to taste. Set aside.

In a large bowl toss together cooked chopped chicken, chopped celery and sliced grapes. Add dressing and fold together gently until combined. Chill until serving, may be prepared to this stage one day ahead. When ready to serve divide chicken mixture evenly among lettuce cups, garnish with toasted sliced almonds and chopped fresh parsley. Serve chilled.

Serves 6. Per serving: 363 Calories; 27g Protein; 24g Fat (5g saturated);11g Carbohydrate; 2g Fiber; Rich in Vitamin B12 & Niacin.

More of this discussion in the Neighborhood

Day 6 Checklist - Nurturing Checkup

Hello Neighbors & Day 6 Enthusiasts!

As you know part of our "Day 6" way of life is closely monitoring how we nurture our bodies nutritionally, physically, emotionally, spiritually, and socially. In the Day 6 book this is covered at length and on Page 122 there is a daily checklist to help us monitor how we are doing so we can celebrate our progress and make improvements or corrections when necessary. This worksheet is available for free downloading as well to make it easy for your daily nurturing.

Day 6 Daily Checklist

Please make use of this simple tool - I know it is useful to me in the daily quest for better Day 6 living and I think you will find it helpful too. Let me know what you think!

Have a well-nurtured day! And join us in the Neighborhood to share your Day 6 experience!

Avoid these 5 Day Pouch Test Mistakes