Good news for chocolate lovers: a small German study reports that a daily nibble of dark chocolate containing 50% or more cocoa may modestly lower your blood pressure without causing weight gain or raising cholesterol or glucose levels.
The study published in the Journal of the American Medical Association monitored participants who ate a 6 gram square of dark chocolate each day for 18 weeks. Dark chocolate is a good source of flavonoids – the antioxidant that is believed to improve the function of blood vessels.
At the end of the study the dark chocolate eaters saw a drop in their top (systolic) blood pressure number of 3 millimeters and the bottom (diastolic) number drop 2mm. The control group eating an equal amount of white chocolate saw no reduction in blood pressure.
Mayo clinic doctors praise the growing body of research identifying the health benefits of chocolate. However they say that it’s still too early to recommend eating chocolate for controlling hypertension.
Source: Mayo Clinic Health Letter: November 2007
Learn more: Chocolate After Weight Loss Surgery
LAWLS Bookstore
Thursday, December 06, 2007
Monday, November 26, 2007
Cream of Turkey Soup
From Low Carb Recipes this is a quick and healthy way to use some of your left over Thanksgiving Turkey. Use for Days 1 & 2 of the 5 Day Pouch Test.
Ingredients:
1/2 stick unsalted butter
1 large onion, chopped
10 ounces cooked turkey, finely shredded (discard skin)
2 1/2 cups chicken stock
1 Tablespoon fresh tarragon
1/2 cup heavy cream
Croutons (optional)
Directions:
Melt the butter in a large, heavy bottom pan, then add the onion and cook for 3 minutes. Add the turkey to the pan with 1 1/2 cups of the stock.
Bring to a boil, then let simmer for 20 minutes. Remove the pan from the heat and let cool, then transfer the soup to a food processor or blender and process until smooth.
Add the remainder of the stock and season to taste with salt and pepper. Add the tarragon, then pour the soup into a tureen or individual bowls and add a swirl of cream.
Garnish with croutons if desired.
Serves 4. Per serving: 420 calories, 24 grams protein, 33 grams fat (20 saturated) and 6 grams carbohydrate.
Ingredients:
1/2 stick unsalted butter
1 large onion, chopped
10 ounces cooked turkey, finely shredded (discard skin)
2 1/2 cups chicken stock
1 Tablespoon fresh tarragon
1/2 cup heavy cream
Croutons (optional)
Directions:
Melt the butter in a large, heavy bottom pan, then add the onion and cook for 3 minutes. Add the turkey to the pan with 1 1/2 cups of the stock.
Bring to a boil, then let simmer for 20 minutes. Remove the pan from the heat and let cool, then transfer the soup to a food processor or blender and process until smooth.
Add the remainder of the stock and season to taste with salt and pepper. Add the tarragon, then pour the soup into a tureen or individual bowls and add a swirl of cream.
Garnish with croutons if desired.
Serves 4. Per serving: 420 calories, 24 grams protein, 33 grams fat (20 saturated) and 6 grams carbohydrate.
Thursday, November 15, 2007
Spicy Cranberry Sauce in Pinot Noir
Did you receive our LivingAfterWLS Recipe of the Week on Sunday? (If not, subscribe by entering your email address in the Free WLS Newsletters box on the left.) It was all about cranberries. Well, Elise over at Simply Recipes presents a great cranberry sauce using a Pinot Noir as the simmering base. Her food blog is one of my favorites, though not weight loss surgery oriented. She is all about good food with family and friends and you will often find her father and children included in the meal preparation. And, her photography is gorgeous, as you can see in this picture.
Recipe: Spicy Cranberry Sauce in Pinot Noir
1 tablespoon vegetable oil
2 cups fresh or frozen cranberries (about 8 ounces)
1 tablespoon minced fresh ginger
2 cups Pinot Noir or other dry red wine
1 cup sugar
3 tablespoons chopped crystallized ginger
1/2 teaspoon curry powder
Large pinch of Chinese five-spice powder
1 Heat oil in large saucepan over medium-high heat. Add cranberries and fresh ginger; stir until cranberries begin to burst, 3-5 minutes.
2 Add wine and sugar; boil until mixture is reduced to 2 1/2 cups, about 15 minutes.
3 Add crystallized ginger, curry powder and five-spice powder.
Serve sauce cold or warm. Makes 2 1/2 cups.
Cranberries are a nutritional powerhouse - no longer jellied in sugar and shoved to the back of the dark pantry. Cranberries in all their glory are believed to be a potent cancer fighter, effective in slowing aging, contribute to dental health, reduce the risk of some heart disease and helpful in the prevention of peptic ulcers.
For more cranberry recipes visit Simply Recipes Cranberries.
Word of Thanks
Dear LivingAfterWLS Friends:
Just a word of thanks for all your support, prayers and kindness over the last few weeks. As many of you know my father has been critically ill and on Monday underwent open heart surgery to replace an artificial aortic heart valve which has given him life since 1969. Yes, 1969. Remarkable. He now has a new artificial valve and is responding well. Your thoughts and prayers are deeply appreciated.
To read more: Kaye's Prayer Request to the Neighborhood
My best to each of you in this season of giving thanks,
Kaye Bailey
Just a word of thanks for all your support, prayers and kindness over the last few weeks. As many of you know my father has been critically ill and on Monday underwent open heart surgery to replace an artificial aortic heart valve which has given him life since 1969. Yes, 1969. Remarkable. He now has a new artificial valve and is responding well. Your thoughts and prayers are deeply appreciated.
To read more: Kaye's Prayer Request to the Neighborhood
My best to each of you in this season of giving thanks,
Kaye Bailey
Tuesday, November 13, 2007
Hunger is NOT an Emergency
Just this week I had a breakthrough moment when I read that naturally slender people do not treat hunger as an emergency. “Most of us who struggle with extra pounds tend to view hunger as a condition that needs to be cured – and fast,” writes Judith S. Beck, PhD, author of the Beck Diet Solution. “If you fear hunger, you might routinely overeat and avoid it,” she says adding, “Thin people tolerate hunger because they know hunger pangs always come and go, buying them some time.”
Hunger defined: the painful sensation caused by a lack of food that initiates food-seeking behavior.
Learn More: Understanding Hunger, Appetite and Satiety
Hunger is not an emergency. Interesting, don’t you think? Since publishing the 5 Day Pouch Test I’ve received tremendous feedback. Some people are amazed to not feel hungry, even on those difficult first two days. Others report “climbing the walls” hunger. I believe each of us responds differently to the 5DPT and there are certainly extremes between lack of hunger and ravenous hunger.
Here are some tricks for learning to treat hunger the way slender people do – a condition that comes and goes.
- Drink water or flavored water to curb hunger pangs.
- Ignore the hunger and acknowledge that you will survive.
- Establish a predictable and consistent eating schedule so your body becomes accustomed to when you will eat.
- Eat protein first thing in the morning and again at lunch and dinner.
- Minimize visual cues that trigger hunger pangs (avoid/ignore media advertising, place snack foods in closed cupboards, avoid the office break room, etc.)
- Take a brisk walk before giving in to hunger (this will rev your metabolism).
Finally, just as hunger is not an emergency, it is also not a failure. If you feel hunger during the 5 Day Pouch Test then take one of the steps above to ignore it. And if you are still hungry then eat something from the approved list of foods for the day. Associating hunger with feelings of failure often leads to destructive eating and inappropriate food choices. The 5DPT is a powerful tool and a great step toward building a better relationship with food and your weight loss surgery.
Learn more about the 5 Day Pouch Test and get back your surgical weight loss tool.
Hunger defined: the painful sensation caused by a lack of food that initiates food-seeking behavior.
Learn More: Understanding Hunger, Appetite and Satiety
Hunger is not an emergency. Interesting, don’t you think? Since publishing the 5 Day Pouch Test I’ve received tremendous feedback. Some people are amazed to not feel hungry, even on those difficult first two days. Others report “climbing the walls” hunger. I believe each of us responds differently to the 5DPT and there are certainly extremes between lack of hunger and ravenous hunger.
Here are some tricks for learning to treat hunger the way slender people do – a condition that comes and goes.
- Drink water or flavored water to curb hunger pangs.
- Ignore the hunger and acknowledge that you will survive.
- Establish a predictable and consistent eating schedule so your body becomes accustomed to when you will eat.
- Eat protein first thing in the morning and again at lunch and dinner.
- Minimize visual cues that trigger hunger pangs (avoid/ignore media advertising, place snack foods in closed cupboards, avoid the office break room, etc.)
- Take a brisk walk before giving in to hunger (this will rev your metabolism).
Finally, just as hunger is not an emergency, it is also not a failure. If you feel hunger during the 5 Day Pouch Test then take one of the steps above to ignore it. And if you are still hungry then eat something from the approved list of foods for the day. Associating hunger with feelings of failure often leads to destructive eating and inappropriate food choices. The 5DPT is a powerful tool and a great step toward building a better relationship with food and your weight loss surgery.
Learn more about the 5 Day Pouch Test and get back your surgical weight loss tool.
Thursday, November 08, 2007
Feed the Carb Monster Soup
New on the 5 Day Pouch Test - Feed the Carb Monster soup recipes. Learn why these recipes work to help break carb cravings and facilitate weight loss.
Black Bean Soup
Beans and Barley Soup
Lentil and Barley Soup
Soups for the 5 Day Pouch Test: Days 1 & 2
Thanksgiving Desserts for Surgical Weight Loss
Have you started planning your Thanksgiving menu? In just two short weeks we'll be carving the great American turkey and giving thanks for life's bounty.
Desserts always present a special challenge as we try to follow our weight loss surgery dietary guidelines, but also desire to participate in family rituals and traditions of Thanksgiving. Today I opened my treasured Neighborhood Cookbook and found this great recipe for pumpkin pie that works just fine for all those who will be seated at my table. I hope it will find a spot on your holiday menu. The Neighborhood Cookbook is a collection of recipes from our Neighborhood - Real cooks living real lives and doing their best with weight loss surgery.
Kabuki's Sugarless Pumpkin Pie
Page 155 - Neighborhood Cookbook
This is a fine substitute for traditional pumpkin pie. If you truly want to go low carb omit the crust and serve as pudding.
Ingredients:
1 pre-baked pie shell
2 small boxes sugar free vanilla instant pudding
2 cups milk
2 cups plain canned pumpkin
1 1/4 teaspoon pumpkin pie spice
Blend all ingredients using a wire whisk until smooth. Pour into baked pie shell and chill until serving. May serve with a dollop of lite whipped topping or freshly whipped heavy cream.
Serves 8. Per serving: 178 calories, 4 grams protein,8 grams fat (3 grams saturated), 23 grams carbohydrate and 2 grams dietary fiber.
If you have the Neighborhood Cookbook consider these Sensible Dessert recipes this holiday season:
Chocolate-Almond Macaroons (page 150)
Gingerbread Cake (page 152)
Macadamia White Chocolate Dessert (page 158)
Pumpkin Mousse (page 161)
To order you cookbook Click Here. It's on sale now for $18.00 and comes with your choice of a free gift!
Tuesday, November 06, 2007
When Surgery Does Not Work
Published in the October 2, 2007 You Have Arrived Newsletter
Thoughts From Kaye
When the surgery doesn't work
When someone is frustrated with their surgical weight loss, perhaps by a plateau, complications or even weight gain, I often hear the words of despair, "I guess I'm just one of those who the surgery is not going to work for." Early in my weight loss surgery work I thought this was a false statement, perhaps even a cop-out. But lately I have come to understand that it is, collectively, a true statement: Weight loss surgery does not work for the patient, any patient. What? How can so many patients thrive with weight loss surgery and so many others struggle? Consider this:
The surgery does not work for the patient; the patient works for the surgery.
The surgery does not make our food choices.
The surgery does not drink our water.
The surgery does not do our exercise.
The surgery does not chose to follow or break the rules.
The patient makes the choices; the patient works for the surgery.
In our pre-op counseling we nod our heads and agree to the weight loss surgery incantation, "surgery is only a tool." I don't know about you, but I secretly hoped that surgery was going to be, after all, the easy way out. Turns out, it was just a tool.
A tool is a device used to accomplish a task. Consider a carpenter at his workbench with his tools. Before him is a saw, a hammer, wood, a measuring stick and nails. All tools of his trade. The carpenter could stand before his tools and yearn for the tools to craft a magnificent treasure box. But the tools will not work on yearning alone. The carpenter must select the correct tool for the task and then work for that tool using it to the best of his capability to craft the magnificent treasure box. The carpenter works for the tools, the tools do not work for the carpenter.
And so it goes with our weight loss surgery tool. Yearning and desire will not cause the tool to craft the treasure of a new healthy body. The tool will not work on hope alone. As owners of this powerful weight loss surgery tool we become stewards to work for it, to pursue our greatest potential through knowledge, practice and personal responsibility. We must use the tool as a device to accomplish a task. When we start taking responsibility for working the tool our chances for success increase tenfold.
It is true, the surgery does not work for me. I work for the surgery.
Thoughts From Kaye
When the surgery doesn't work
When someone is frustrated with their surgical weight loss, perhaps by a plateau, complications or even weight gain, I often hear the words of despair, "I guess I'm just one of those who the surgery is not going to work for." Early in my weight loss surgery work I thought this was a false statement, perhaps even a cop-out. But lately I have come to understand that it is, collectively, a true statement: Weight loss surgery does not work for the patient, any patient. What? How can so many patients thrive with weight loss surgery and so many others struggle? Consider this:
The surgery does not work for the patient; the patient works for the surgery.
The surgery does not make our food choices.
The surgery does not drink our water.
The surgery does not do our exercise.
The surgery does not chose to follow or break the rules.
The patient makes the choices; the patient works for the surgery.
In our pre-op counseling we nod our heads and agree to the weight loss surgery incantation, "surgery is only a tool." I don't know about you, but I secretly hoped that surgery was going to be, after all, the easy way out. Turns out, it was just a tool.
A tool is a device used to accomplish a task. Consider a carpenter at his workbench with his tools. Before him is a saw, a hammer, wood, a measuring stick and nails. All tools of his trade. The carpenter could stand before his tools and yearn for the tools to craft a magnificent treasure box. But the tools will not work on yearning alone. The carpenter must select the correct tool for the task and then work for that tool using it to the best of his capability to craft the magnificent treasure box. The carpenter works for the tools, the tools do not work for the carpenter.
And so it goes with our weight loss surgery tool. Yearning and desire will not cause the tool to craft the treasure of a new healthy body. The tool will not work on hope alone. As owners of this powerful weight loss surgery tool we become stewards to work for it, to pursue our greatest potential through knowledge, practice and personal responsibility. We must use the tool as a device to accomplish a task. When we start taking responsibility for working the tool our chances for success increase tenfold.
It is true, the surgery does not work for me. I work for the surgery.
Thursday, November 01, 2007
Riding the Train of Thought to Pleasantville
Previously Published Friday, July 13, You Have Arrived Postcard Club
Do you ever catch yourself panic thinking? Like today - Friday the 13th? Something like, "It's friday the 13th and what if I get in a car accident on the way to work and what if I'm unconscious and what if they can't find my wallet and what if they don't know my blood type and what if... what if... what if?" Oh yes, I've been a victim of my own out-of-control imagination and I bet you have as well. What confuses me is unless I'm playing "What if I win the lottery?" my "what if" thinking is almost always catastrophic, seldom favorable.
So today I'm turning a new leaf. I'm walking in the path of the black cat and I'm opening my umbrella indoors. Ok, maybe not indoors but perhaps under the awning! My what if thinking today will be positive with nary a trace of catastrophe. Here I go:
- What if I make it to work safely five minutes early?
- What if my boss notices I'm at work early?
- What if I follow my food plan and feel good about myself for doing so?
- What if my boss says I can leave early because of my timely arrival?
- What if I use that time for an extra push at my workout and feel good about myself?
- What if I go clothes shopping and everything fits the first try?
- What if I say "Thank you" when someone offers me a compliment instead of declining the compliment.
You get the idea! So I'm offering this Friday the 13th challenge to you. Turn those "What if" statements around and put that train of thought on the rails to Pleasantville! Don't get off the train at Catastrophe Station - Keep on riding till the sun sets on the best "What if Friday the 13th" ride you've ever had the good luck to enjoy!
Cheers!
Kaye
Do you ever catch yourself panic thinking? Like today - Friday the 13th? Something like, "It's friday the 13th and what if I get in a car accident on the way to work and what if I'm unconscious and what if they can't find my wallet and what if they don't know my blood type and what if... what if... what if?" Oh yes, I've been a victim of my own out-of-control imagination and I bet you have as well. What confuses me is unless I'm playing "What if I win the lottery?" my "what if" thinking is almost always catastrophic, seldom favorable.
So today I'm turning a new leaf. I'm walking in the path of the black cat and I'm opening my umbrella indoors. Ok, maybe not indoors but perhaps under the awning! My what if thinking today will be positive with nary a trace of catastrophe. Here I go:
- What if I make it to work safely five minutes early?
- What if my boss notices I'm at work early?
- What if I follow my food plan and feel good about myself for doing so?
- What if my boss says I can leave early because of my timely arrival?
- What if I use that time for an extra push at my workout and feel good about myself?
- What if I go clothes shopping and everything fits the first try?
- What if I say "Thank you" when someone offers me a compliment instead of declining the compliment.
You get the idea! So I'm offering this Friday the 13th challenge to you. Turn those "What if" statements around and put that train of thought on the rails to Pleasantville! Don't get off the train at Catastrophe Station - Keep on riding till the sun sets on the best "What if Friday the 13th" ride you've ever had the good luck to enjoy!
Cheers!
Kaye
Monday, October 29, 2007
If Your Pouch IS Broken: New Procedure
As reported at ClinicalTrials.gov
Incisionless Treatment for Patients With Inadequate Weight Loss Following Roux-en-Y Gastric Bypass
This study is currently recruiting participants.
It is estimated that up to 20% of patients who have Roux-en-Y Gastric Bypass (RYGB) surgery will not meet their weight loss goal, or may even regain some of the weight they initially lost. One possible explanation is that the opening between the stomach pouch and the intestine becomes stretched. If this opening becomes too wide, food may be able to pass from the stomach to the intestine too quickly - causing patients to feel less full after eating.
For some patients, doctors may recommend additional invasive surgery to tighten the opening between the stomach pouch and the small intestine. Although this may help patients resume their weight loss, the risk of complications during a second surgical procedure is significantly higher than the risk during the original gastric bypass.
The purpose of this study is to evaluate an incisionless procedure for patients who have either had inadequate weight loss or have regained weight following gastric bypass. The procedure is designed to tighten the opening between the stomach pouch and the small intestine, which may slow down the passage of food to help patients feel full longer after eating.
Locations: Denver, Colorado; Baltimore, Maryland; Boston, Massachusetts; St. Louis, Missouri; Lebanon, New Hampshire; New York City; Cleveland, Ohio; Philadelphia, Pennsylvania; Dallas, Texas; Milwaukee, Wisconsin.
Read more and get contact information
Incisionless Treatment for Patients With Inadequate Weight Loss Following Roux-en-Y Gastric Bypass
This study is currently recruiting participants.
It is estimated that up to 20% of patients who have Roux-en-Y Gastric Bypass (RYGB) surgery will not meet their weight loss goal, or may even regain some of the weight they initially lost. One possible explanation is that the opening between the stomach pouch and the intestine becomes stretched. If this opening becomes too wide, food may be able to pass from the stomach to the intestine too quickly - causing patients to feel less full after eating.
For some patients, doctors may recommend additional invasive surgery to tighten the opening between the stomach pouch and the small intestine. Although this may help patients resume their weight loss, the risk of complications during a second surgical procedure is significantly higher than the risk during the original gastric bypass.
The purpose of this study is to evaluate an incisionless procedure for patients who have either had inadequate weight loss or have regained weight following gastric bypass. The procedure is designed to tighten the opening between the stomach pouch and the small intestine, which may slow down the passage of food to help patients feel full longer after eating.
Locations: Denver, Colorado; Baltimore, Maryland; Boston, Massachusetts; St. Louis, Missouri; Lebanon, New Hampshire; New York City; Cleveland, Ohio; Philadelphia, Pennsylvania; Dallas, Texas; Milwaukee, Wisconsin.
Read more and get contact information
Sunday, October 28, 2007
Winner's Edge and Weight Loss Surgery
Hello Everyone!
First let me say that I'm not a sports enthusiast and have only a vague understanding of professional sport strategy and politics. Even so, I enjoy the World Series of Baseball: have enjoyed it since I was a kid when we attended the LA Dodgers games in the early hay-day of record making manager Tommy Lasorda.
So it has been with enthusiasm and wonderment that I've watched the first three games of the 2007 World Series as the Boston Red Sox have literally kicked the wind out of Colorado's Rocky Mountain High. Pre-series it seemed Colorado, who had won 21 of their 22 previous games, appeared unstoppable.
What went wrong in this young team's first run for the world championship? An Associated Press report said, "One reason the Rockies have gone from winning to their tough position now might well be the eight-day wait they had between the National League playoffs and the start of the World Series. They simply haven't rediscovered the ingredients that got them here."
An eight-day delay between winning the National League pennant and stepping up to bat for Game 1 stalled the Rockies, even put them in slump. The Associated Press reports a World Series comeback is unlikely.
Observing the psychology of "winner's edge" I cannot help but link it to long-term management of a healthy weight by way of weight loss surgery. (You knew this was coming, right?) At LivingAfterWLS and in the Neighborhood we speak often of grit determination, the storm of enthusiasm and being hell-bent to work our weight loss surgery tool. We want to keep the winner's edge because when we lose control of the tool we feel like losers (not weight losers, life losers) and feelings of failure perpetuate a hopeless slump.
Here are some quotes from the Neighbors in a thread titled Storm of Enthusiasm:
"For me (although far from perfect) what creates that feeling of enthusiasm is "BEING IN CONTROL" and watching the pounds come off! . . . But all in all....I know that losing and doing what we KNOW is right for us....leads to the weight going down and feeling better!"
-- Julie S aka Sunshine
"I am still in the weight loss phase and am seeing all the benefits that come with it! The rapidly changing body, the new clothing sizes, shopping! Reeling over the health benefits, the attention, the high of it all! It will be good to look back at the responses here once the high wears off!"
--Buffy CT
"I MAKE my storm of enthusiasm. Turning the weaknesses that caused self-destructive behavior into strengths that encourage self-empowering behavior creates a storm of enthusiasm. If I sense the winds starting to drop, I am moved to fan them! I just don't want the adventure to end. I'm not perfect by any means! But I've looked at life from both sides now, as the song says. This side is better. I shall not be moved!"
--Judy Petite
"You know, just coming to the Neighborhood storms up my enthusiasm. Reading what the Newbies have to say always takes me back to that initial "thrill". It is why I am here so much!"
--Kim
The Rockies only have one more chance to recapture their winner’s edge. But a person with weight loss surgery receives the gift of a new chance every day. It is highly possible to rediscover the ingredients that made your weight loss surgery storm of enthusiasm in the first place. If you are in a slump muster all the enthusiasm and brew a storm of enthusiasm, the same storm you enjoyed in the early stages of your weight loss surgery experience.
Seek support. Pursue knowledge. Make a plan. Grow desire. Empower yourself.
Cheers!
Kaye
First let me say that I'm not a sports enthusiast and have only a vague understanding of professional sport strategy and politics. Even so, I enjoy the World Series of Baseball: have enjoyed it since I was a kid when we attended the LA Dodgers games in the early hay-day of record making manager Tommy Lasorda.
So it has been with enthusiasm and wonderment that I've watched the first three games of the 2007 World Series as the Boston Red Sox have literally kicked the wind out of Colorado's Rocky Mountain High. Pre-series it seemed Colorado, who had won 21 of their 22 previous games, appeared unstoppable.
What went wrong in this young team's first run for the world championship? An Associated Press report said, "One reason the Rockies have gone from winning to their tough position now might well be the eight-day wait they had between the National League playoffs and the start of the World Series. They simply haven't rediscovered the ingredients that got them here."
An eight-day delay between winning the National League pennant and stepping up to bat for Game 1 stalled the Rockies, even put them in slump. The Associated Press reports a World Series comeback is unlikely.
Observing the psychology of "winner's edge" I cannot help but link it to long-term management of a healthy weight by way of weight loss surgery. (You knew this was coming, right?) At LivingAfterWLS and in the Neighborhood we speak often of grit determination, the storm of enthusiasm and being hell-bent to work our weight loss surgery tool. We want to keep the winner's edge because when we lose control of the tool we feel like losers (not weight losers, life losers) and feelings of failure perpetuate a hopeless slump.
Here are some quotes from the Neighbors in a thread titled Storm of Enthusiasm:
"For me (although far from perfect) what creates that feeling of enthusiasm is "BEING IN CONTROL" and watching the pounds come off! . . . But all in all....I know that losing and doing what we KNOW is right for us....leads to the weight going down and feeling better!"
-- Julie S aka Sunshine
"I am still in the weight loss phase and am seeing all the benefits that come with it! The rapidly changing body, the new clothing sizes, shopping! Reeling over the health benefits, the attention, the high of it all! It will be good to look back at the responses here once the high wears off!"
--Buffy CT
"I MAKE my storm of enthusiasm. Turning the weaknesses that caused self-destructive behavior into strengths that encourage self-empowering behavior creates a storm of enthusiasm. If I sense the winds starting to drop, I am moved to fan them! I just don't want the adventure to end. I'm not perfect by any means! But I've looked at life from both sides now, as the song says. This side is better. I shall not be moved!"
--Judy Petite
"You know, just coming to the Neighborhood storms up my enthusiasm. Reading what the Newbies have to say always takes me back to that initial "thrill". It is why I am here so much!"
--Kim
The Rockies only have one more chance to recapture their winner’s edge. But a person with weight loss surgery receives the gift of a new chance every day. It is highly possible to rediscover the ingredients that made your weight loss surgery storm of enthusiasm in the first place. If you are in a slump muster all the enthusiasm and brew a storm of enthusiasm, the same storm you enjoyed in the early stages of your weight loss surgery experience.
Seek support. Pursue knowledge. Make a plan. Grow desire. Empower yourself.
Cheers!
Kaye
Sunday, October 21, 2007
Ham and Veggie Casserole
Many gastric bypass weight loss surgery patients include eggs as part of their regular diet. In fact, the egg may well be the perfect bariatric food. An egg contains the highest quality of food protein known, each Grade A large egg contains 6 grams of protein. It is so nearly perfect that egg protein is the standard by which other protein is measured. The egg is second, only to mother’s milk, for human nutrition.
Given these benefits having eggs for dinner seems a healthy protein rich choice for the gastric bypass patient and their family. This Ham and Vegetable Torta is a delicious dinner casserole that sneaks in some extra veggies but still very high in protein. This recipe packages well and is very good reheated the following day.
Day 3: 5 Day Pouch Test
Ham and Vegetable Casserole
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
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.
Given these benefits having eggs for dinner seems a healthy protein rich choice for the gastric bypass patient and their family. This Ham and Vegetable Torta is a delicious dinner casserole that sneaks in some extra veggies but still very high in protein. This recipe packages well and is very good reheated the following day.
Day 3: 5 Day Pouch Test
Ham and Vegetable Casserole
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
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.
Tuesday, October 16, 2007
Choice of 3 Free Gifts - WLS Cookbook Sale!
Our Neighborhood Cookbook is back in stock! To celebrate we are offering you the choice of one three free gifts with your purchase:
2006 Best of You Have Arrived Newsletters on CD
5 Day Pouch Test Wallet Card
Recipe of the Week CD (30 Recipes)
In addition, we are pleased to offer you a $2.00 savings off the cover price.
Order your cookbook and free gift today!
Just $18.00 + $3.75 S&H
A $26.00 Value
Click to Order
This is the first ever weight loss surgery cookbook written by surgical weight loss patients for patients. 300+ recipes created by real life home cooks who are living well with their weight loss surgery. Focus is on the high-protein, low-fat, low-carb diet while paying attention to flavor and fresh, nutritious ingredients. Recipes are uncomplicated and accessible while respecting the needs and lives of busy weight loss surgery patients. The cookbook for every weight loss surgery success story!
In addition, we are pleased to offer you a $2.00 savings off the cover price.
Order your cookbook and free gift today!
Just $18.00 + $3.75 S&H
A $26.00 Value
Click to Order
This is the first ever weight loss surgery cookbook written by surgical weight loss patients for patients. 300+ recipes created by real life home cooks who are living well with their weight loss surgery. Focus is on the high-protein, low-fat, low-carb diet while paying attention to flavor and fresh, nutritious ingredients. Recipes are uncomplicated and accessible while respecting the needs and lives of busy weight loss surgery patients. The cookbook for every weight loss surgery success story!
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
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
Tuesday, October 09, 2007
Boost Potassium Intake with Salmon and Grapefruit
Potassium is one of the nutrients gastric bypass patients tend to be deficient. In fact many weight loss surgery patients (WLS) supplement their diet with potassium. By including certain foods in the diet weight loss surgery patients can increase their potassium intake.
Read more: Potassium Rich Food
Of course we have heard all our lives to eat a banana when low on potassium. But did you know there are many foods rich in potassium, which are better tolerated than the banana by most weight loss surgery patients? Foods such as apricots, butternut squash, grapefruit, salmon, halibut and chicken are all potassium powerhouses. By incorporating these foods in our meals after gastric bypass we benefit from flavor, variety and healthful nutrients and perhaps stave-off some of the food boredom we all complain about. In addition, we know WLS patients are at risk of potassium deficiency so why not get some the old fashioned way – delicious home cooked food.
One of my favorite potassium rich recipes includes salmon and grapefruit, ingredients that are available year round and easily digested by the weight loss surgery patient.
Grapefruit-Broiled Salmon
Prep: 20 minutes/ Cook: 10 minutes
This WLS friendly recipe tastes great and is nutrient dense with vitamin C, potassium and dietary fiber from the grapefruit and heat-friendly Omega 3 fatty acids in the salmon. A normal serving of Grapefruit-Broiled Salmon contains about 40% daily value potassium. The salad is good served cold the next day.
Ingredients:
3 grapefruits (or one jar canned grapefruit)
1 red bell pepper, diced
1 celery stalk cut into ¼-inch dice
¼ cup finely chopped red onion
2 teaspoons olive oil
1 teaspoon Dijon mustard
½ teaspoon salt
4 boneless salmon fillets, with skin (6 ounces each)
½ teaspoon dried oregano
¼ teaspoon black pepper
Directions:
1. With a small paring knife, peel the grapefruits. Working over a bowl to catch the juice separate the grapefruit sections from the membranes; reserve any juice that collects in the bowl. Halve the grapefruit sections crosswise and transfer to a salad bowl. Add the bell pepper, celery, oinon, oil, mustard, and ½ teaspoon of the salt. Toss to combine and refrigerate until serving.
(to save time I have used the bottled pre-sectioned grapefruit from the produce section.)
2. Preheat the broiler. Place the salmon, skin-side down, on a broiler rack. Sprinkle 3 tablespoons of the reserved grapefruit juice, the oregano, black pepper and remaining ¼ teaspoon salt over the salmon. Broil 6 inches from the heat for 8 minutes or until just cooked through. Serve the salmon with the grapefruit salad. Serves 4 (normal)
Per serving: Calories 402; Fiber 2g; Protein 35g; Total Fat 21g; Saturated Fat 4g; Cholesterol 100mg; Sodium 430 mg.
Read more: Potassium Rich Food
Of course we have heard all our lives to eat a banana when low on potassium. But did you know there are many foods rich in potassium, which are better tolerated than the banana by most weight loss surgery patients? Foods such as apricots, butternut squash, grapefruit, salmon, halibut and chicken are all potassium powerhouses. By incorporating these foods in our meals after gastric bypass we benefit from flavor, variety and healthful nutrients and perhaps stave-off some of the food boredom we all complain about. In addition, we know WLS patients are at risk of potassium deficiency so why not get some the old fashioned way – delicious home cooked food.
One of my favorite potassium rich recipes includes salmon and grapefruit, ingredients that are available year round and easily digested by the weight loss surgery patient.
Grapefruit-Broiled Salmon
Prep: 20 minutes/ Cook: 10 minutes
This WLS friendly recipe tastes great and is nutrient dense with vitamin C, potassium and dietary fiber from the grapefruit and heat-friendly Omega 3 fatty acids in the salmon. A normal serving of Grapefruit-Broiled Salmon contains about 40% daily value potassium. The salad is good served cold the next day.
Ingredients:
3 grapefruits (or one jar canned grapefruit)
1 red bell pepper, diced
1 celery stalk cut into ¼-inch dice
¼ cup finely chopped red onion
2 teaspoons olive oil
1 teaspoon Dijon mustard
½ teaspoon salt
4 boneless salmon fillets, with skin (6 ounces each)
½ teaspoon dried oregano
¼ teaspoon black pepper
Directions:
1. With a small paring knife, peel the grapefruits. Working over a bowl to catch the juice separate the grapefruit sections from the membranes; reserve any juice that collects in the bowl. Halve the grapefruit sections crosswise and transfer to a salad bowl. Add the bell pepper, celery, oinon, oil, mustard, and ½ teaspoon of the salt. Toss to combine and refrigerate until serving.
(to save time I have used the bottled pre-sectioned grapefruit from the produce section.)
2. Preheat the broiler. Place the salmon, skin-side down, on a broiler rack. Sprinkle 3 tablespoons of the reserved grapefruit juice, the oregano, black pepper and remaining ¼ teaspoon salt over the salmon. Broil 6 inches from the heat for 8 minutes or until just cooked through. Serve the salmon with the grapefruit salad. Serves 4 (normal)
Per serving: Calories 402; Fiber 2g; Protein 35g; Total Fat 21g; Saturated Fat 4g; Cholesterol 100mg; Sodium 430 mg.
Sunday, October 07, 2007
Kaye's Huggy-Touchy Empowerment Talk (again)
Previously Published 8/30/2007 in the You Have Arrived Postcard.
Hello Neighbors!
Today's postcard is about the personal empowerment that group support brings us. I know, you probably roll your eyes and think, "Here Kaye goes again pushing all that huggy-touchy empowerment talk." Perhaps some days I do get a little sentimental-corny about it, but trust me, when we travel together we become an empowered force to be reckoned with. Morbid obesity and the world that thinks we took an easy route to good health will NOT get the best of us. Not when we band together.
With that in mind I present empowerment from the LivingAfterWLS Neighbors, the very people who lift my spirits and make me believe that everything is possible. You will see that empowerment is not just a word I toss about lightly - it is a belief and a creed practiced by many people who want to do the best they can on any given day, for themselves and for their Neighbors.
a very positive site
truly a safe haven...
"This is a very positive site with LOADS and LOADS of helpful information - I do wish that I had found this site sooner as it has lots of information for pre-oppers that is just not available on this side of the pond. What it has helped me with is to confirm that I made the right choice for me in having Berty the Band fitted and also to gee me up and making me feel that this time I WILL be successful with my weight loss. Why this time? Becasue most of the neighbours here have already shown that it is possible to lose the weight and keep it off."
--Xandra (Cheshire, UK)
In the Neighborhood: What Brought you here?
"I am enjoying this community! It's the first place that I have found that puts a focus on self empowerment and I really like that."
--thn1inside (Missouri)
After I looked through the amazing list of topics that asked and answered so many questions that I had, I just had to come and see if the neighborhood was too good to be true. The very fact that the approach is that of a neighborhood made me feel that this site was going to be different. I was so right on that one! From the first post I made I was not only welcomed, but people actually answered my questions candidly and from their own experience and encouraged me to continue asking questions. I learned more in a week here than I ever have or will anywhere else. It truly is a safe haven where we can all meet and discuss any issue that we fancy. True, it is WLS based, but that is the best part. Most of us not only don't have a family member that has had surgery, we don't even know anyone that has. Now, we all have an entire new neighborhood that we can 'live' in any time we choose with countless experts on the subject.
--Celadon (Florida)
at first reluctant to join
coming here has been a life saver
"I was very reluctant to join after viewing other sites. I had encountered very negative members of other groups. Some who I think joined to simple tell people who have chosen to take their lives back by WLS that they are quitters. So coming here has been a life saver. I feel better and more confident the more I read here. Everyone is welcoming and friendly. The help everyone offers is great. I have alot to learn, but now I feel I have a sounding board I can visit to have all my questions answered. With the support of my family and this board I fell much more sure of my decision. In the beginning you can second guess your decision to have this life altering surgery, but hearing everyone else's stories I feel so much better."
--antoue (Connecticut)
"You are all awesome. I feel very blessed to have wandered into this neighborhood. I have been on a very lonely journey!!! I haven't been this excited about a support group and where to find answers since i had surgery on 9/7/05."
--debrasuzanne (Ohio)
Read Deb's Introduction: Good Morning ev1, deb from ohio here
"Welcome everyone, new or not, we need each other and the positive reinforcement and helpful tips. I thank you all. I'm soooo happy. I'm on my way to loosing the next 20. When I get down to my goal weight I'm gonna do something big. Maybe have a huge party or something!!! Te amo!! If I can do it so can you!!!"
--lovelivinnoregon (Oregon)
Hello Neighbors!
Today's postcard is about the personal empowerment that group support brings us. I know, you probably roll your eyes and think, "Here Kaye goes again pushing all that huggy-touchy empowerment talk." Perhaps some days I do get a little sentimental-corny about it, but trust me, when we travel together we become an empowered force to be reckoned with. Morbid obesity and the world that thinks we took an easy route to good health will NOT get the best of us. Not when we band together.
With that in mind I present empowerment from the LivingAfterWLS Neighbors, the very people who lift my spirits and make me believe that everything is possible. You will see that empowerment is not just a word I toss about lightly - it is a belief and a creed practiced by many people who want to do the best they can on any given day, for themselves and for their Neighbors.
a very positive site
truly a safe haven...
"This is a very positive site with LOADS and LOADS of helpful information - I do wish that I had found this site sooner as it has lots of information for pre-oppers that is just not available on this side of the pond. What it has helped me with is to confirm that I made the right choice for me in having Berty the Band fitted and also to gee me up and making me feel that this time I WILL be successful with my weight loss. Why this time? Becasue most of the neighbours here have already shown that it is possible to lose the weight and keep it off."
--Xandra (Cheshire, UK)
In the Neighborhood: What Brought you here?
"I am enjoying this community! It's the first place that I have found that puts a focus on self empowerment and I really like that."
--thn1inside (Missouri)
After I looked through the amazing list of topics that asked and answered so many questions that I had, I just had to come and see if the neighborhood was too good to be true. The very fact that the approach is that of a neighborhood made me feel that this site was going to be different. I was so right on that one! From the first post I made I was not only welcomed, but people actually answered my questions candidly and from their own experience and encouraged me to continue asking questions. I learned more in a week here than I ever have or will anywhere else. It truly is a safe haven where we can all meet and discuss any issue that we fancy. True, it is WLS based, but that is the best part. Most of us not only don't have a family member that has had surgery, we don't even know anyone that has. Now, we all have an entire new neighborhood that we can 'live' in any time we choose with countless experts on the subject.
--Celadon (Florida)
at first reluctant to join
coming here has been a life saver
"I was very reluctant to join after viewing other sites. I had encountered very negative members of other groups. Some who I think joined to simple tell people who have chosen to take their lives back by WLS that they are quitters. So coming here has been a life saver. I feel better and more confident the more I read here. Everyone is welcoming and friendly. The help everyone offers is great. I have alot to learn, but now I feel I have a sounding board I can visit to have all my questions answered. With the support of my family and this board I fell much more sure of my decision. In the beginning you can second guess your decision to have this life altering surgery, but hearing everyone else's stories I feel so much better."
--antoue (Connecticut)
"You are all awesome. I feel very blessed to have wandered into this neighborhood. I have been on a very lonely journey!!! I haven't been this excited about a support group and where to find answers since i had surgery on 9/7/05."
--debrasuzanne (Ohio)
Read Deb's Introduction: Good Morning ev1, deb from ohio here
"Welcome everyone, new or not, we need each other and the positive reinforcement and helpful tips. I thank you all. I'm soooo happy. I'm on my way to loosing the next 20. When I get down to my goal weight I'm gonna do something big. Maybe have a huge party or something!!! Te amo!! If I can do it so can you!!!"
--lovelivinnoregon (Oregon)
Wednesday, October 03, 2007
After the 5 Day Pouch Test
What happens after the 5 days?
After the 5 Day Pouch Test is when things get exciting. Having successfully broken a carb-cycle, regained a feeling of control over the surgical gastric pouch and possibly losing a few pounds one is ready for re-entry into a compliant way of eating. This means focusing on protein rich meals, observing the liquid restrictions and avoiding starches, particularly processed carbohydrates and slider foods. Three meals a day should be two-thirds protein, one third healthy carbohydrate in the form of low-glycemic vegetables and fruits. Consumption of whole grains is not forbidden, but should be limited to one serving a day.
Patients should drink at least 64 ounces of water a day and take their prescribed supplemental vitamins. Caffeinated beverages should be limited to one or two a day and carbonated drinks are discouraged. Alcoholic beverages should be limited to one per day or less.
Patients should commit to this way of eating for their lifetime.
For more Q&A's visit: 5 Day Pouch Test FAQsTuesday, October 02, 2007
Lifetime Weight Control
Published today in the You Have Arrived Newsletter.
This is the bullet list of guidelines provided by my center. Again, I realize they may differ from other programs and present them here as an example of one center's counsel for LIFETIME weight control. I know personally that when I follow these rules I feel terrific, my weight is stable and I feel confident and proud of my tool ownership.
Chose foods high in protein, moderate in carbohydrates and low to moderate in fat
Eat slowly in a relaxed setting. Chew all food well.
Eat no more than three small meals per day. The first 1/2 of each meal is protein.
Stop eating when you first notice the sensation of fullness!
Do not snack. A snack is any food consumed between meals or eaten in a hurried fashion.
Drink at least 64 ounces (2 quarts) of water every day.
Do not drink liquids 30 to 60 minutes before or after meals.
Avoid/limit sugar. Sugar will only sabotage your success.
Avoid/limit milk and milk products. Think of milk as a liquid form of sugar.
Avoid greasy, spicy and fast foods.
Avoid carbonated beverages and alcohol.
Take the nutritional supplements as prescribed.
Exercise for 20 minutes, aerobically, every day.
This is the bullet list of guidelines provided by my center. Again, I realize they may differ from other programs and present them here as an example of one center's counsel for LIFETIME weight control. I know personally that when I follow these rules I feel terrific, my weight is stable and I feel confident and proud of my tool ownership.
Chose foods high in protein, moderate in carbohydrates and low to moderate in fat
Eat slowly in a relaxed setting. Chew all food well.
Eat no more than three small meals per day. The first 1/2 of each meal is protein.
Stop eating when you first notice the sensation of fullness!
Do not snack. A snack is any food consumed between meals or eaten in a hurried fashion.
Drink at least 64 ounces (2 quarts) of water every day.
Do not drink liquids 30 to 60 minutes before or after meals.
Avoid/limit sugar. Sugar will only sabotage your success.
Avoid/limit milk and milk products. Think of milk as a liquid form of sugar.
Avoid greasy, spicy and fast foods.
Avoid carbonated beverages and alcohol.
Take the nutritional supplements as prescribed.
Exercise for 20 minutes, aerobically, every day.
Monday, October 01, 2007
Gastric Bypass Dumping Syndrome
Hello Everyone - Welcome to Monday!
Lately I've received several letters from people who are suffering from dumping syndrome or constant feelings of a low-grade dump. It's hard to pinpoint the symptoms but can be described as simply feeling "off". A return to the high protein diet that worked for weight loss will often diminsh the symptoms of dumping. Several people have successfully returned back to basics of WLS eating by following our 5 Day Pouch Test. It concentrates on the elimination of processed carb snacking, focuses on high protein and quickly advances through the post-op eating stages to help one feel a tightening of the stomach pouch.
Below is a previously published article the describes the feelings and causes of weigth loss surgery dumping syndrome:
By Kaye Bailey
Weight loss surgery patients who have gastric bypass can suffer from what is called dumping syndrome. Dumping syndrome is described as a shock-like state when small, easily absorbed food particles rapidly dump into the digestive system. This results in a very unpleasant feeling with symptoms such as a cold clammy sweat, pallor, butterflies in the stomach and a pounding pulse. These symptoms may be followed by cramps and diarrhea. This state can last for 30-60 minutes and is quite uncomfortable.
A small percentage of long-term post-operative patients build a tolerance and do not dump on foods that would normally cause dumping syndrome with the malabsorptive gastrointestinal system. However, most patients learn to avoid the foods that cause dumping because it is so unpleasant.
Foods that typically cause dumping are sweets, fats and processed carbohydrates. If a person is dehydrated the symptoms of dumping will be exaggerated.
The most efficient way to avoid dumping is to maintain the strict regimen practiced during bariatric infancy: follow the four rules. Eat protein first making sure it comprises one-half of every meal. Avoid snacking. Avoid all sources of simple sugar; and yes, this includes cookies, cakes, candy, sodas, ice cream and sorbet. Sip water throughout the day. When you practice this eating behavior your blood sugar will not fluctuate and you will not dump. Most patients, who crave a taste of something sweet, have learned they can tolerate a bite of fruit at the end of the meal. Each person must proceed with caution and discover what works for their body.
It is important to note that the dumping experience is different for every person. Some will always have extreme dumps and others more mild episodes. Individuals will notice dumping episodes will vary by incident. No two people experience dumping syndrome the and no two dumping episodes are the same.
Dumping is a bittersweet result of the malabsorptive gastric bypass surgery. Because patients are challenged daily to retrain their eating habits an occasional dumping episode is likely to occur. Adherence to the four rules will prevent dumping in most cases. However, every now and again we will be blindsided by a dump caused by a food never suspected. Keeping a list of poorly tolerated foods will help you avoid them. The acutely dramatic event of dumping is a convincing motivator to follow the rules and avoid the foods that have trigged a dumping episode.
Lately I've received several letters from people who are suffering from dumping syndrome or constant feelings of a low-grade dump. It's hard to pinpoint the symptoms but can be described as simply feeling "off". A return to the high protein diet that worked for weight loss will often diminsh the symptoms of dumping. Several people have successfully returned back to basics of WLS eating by following our 5 Day Pouch Test. It concentrates on the elimination of processed carb snacking, focuses on high protein and quickly advances through the post-op eating stages to help one feel a tightening of the stomach pouch.
Below is a previously published article the describes the feelings and causes of weigth loss surgery dumping syndrome:
By Kaye Bailey
Weight loss surgery patients who have gastric bypass can suffer from what is called dumping syndrome. Dumping syndrome is described as a shock-like state when small, easily absorbed food particles rapidly dump into the digestive system. This results in a very unpleasant feeling with symptoms such as a cold clammy sweat, pallor, butterflies in the stomach and a pounding pulse. These symptoms may be followed by cramps and diarrhea. This state can last for 30-60 minutes and is quite uncomfortable.
A small percentage of long-term post-operative patients build a tolerance and do not dump on foods that would normally cause dumping syndrome with the malabsorptive gastrointestinal system. However, most patients learn to avoid the foods that cause dumping because it is so unpleasant.
Foods that typically cause dumping are sweets, fats and processed carbohydrates. If a person is dehydrated the symptoms of dumping will be exaggerated.
The most efficient way to avoid dumping is to maintain the strict regimen practiced during bariatric infancy: follow the four rules. Eat protein first making sure it comprises one-half of every meal. Avoid snacking. Avoid all sources of simple sugar; and yes, this includes cookies, cakes, candy, sodas, ice cream and sorbet. Sip water throughout the day. When you practice this eating behavior your blood sugar will not fluctuate and you will not dump. Most patients, who crave a taste of something sweet, have learned they can tolerate a bite of fruit at the end of the meal. Each person must proceed with caution and discover what works for their body.
It is important to note that the dumping experience is different for every person. Some will always have extreme dumps and others more mild episodes. Individuals will notice dumping episodes will vary by incident. No two people experience dumping syndrome the and no two dumping episodes are the same.
Dumping is a bittersweet result of the malabsorptive gastric bypass surgery. Because patients are challenged daily to retrain their eating habits an occasional dumping episode is likely to occur. Adherence to the four rules will prevent dumping in most cases. However, every now and again we will be blindsided by a dump caused by a food never suspected. Keeping a list of poorly tolerated foods will help you avoid them. The acutely dramatic event of dumping is a convincing motivator to follow the rules and avoid the foods that have trigged a dumping episode.
Thursday, September 27, 2007
Delicious Autumnal Menu
Hello Everyone!
This is one of the most requested menus from LivingAfterWLS. The menu was originally published on October 1, 2006 in the LivingAfterWLS Recipe of the Week newsletter. When the newsletter was published a grassroots butternut squash fan club emerged. People left the farmer's markets and produce stands with freshly harvested squash. They prepared the recipe and rejoiced - We love the Creamy Butternut Squash Bake.
Enjoy!
If you are doing the 5 Day Pouch Test use the salisbury steak recipe for Day 4 of the plan. Enjoy the sauce sparingly. Save the squash and apple recipes for another day.
Salisbury Steak
Ingredients:
1 pound ground meat of your choice
1/3 cup dry breadcrumbs
1/2 teaspoon salt
1/4 teaspoon pepper
1 egg
1 large onion, sliced
1 can (10 1/2 ounces) condensed beef broth
1 can (4 ounces) mushrooms, drained
2 tablespoons cold water
2 teaspoons cornstarch
Directions
Mix ground beef, breadcrumbs, salt, pepper and egg: shape into 4 oval patties, each about 3/4 inch thick. Cook patties in 10-inch skillet over medium heat, turning occasionally until brown, about 10 minutes. Drain excess fat from skillet. Add onion, broth and mushrooms. Heat to boiling: reduce heat. Cover and simmer about 10 minutes.
Remove patties to a plate, tent with foil to keep warm. Heat onion mixture to boiling. In a small bowl whisk together water and cornstarch. Stir into onion mixture whisking to prevent lumps. Bring to a boil and continue whisking for 1 minute as mixture thickens. Serve sauce over meat patties.
Per serving using extra lean ground beef: 321 calories, 27 grams protein, 21 grams fat (8 saturated), 6 grams carbohydrate and 1 gram dietary fiber.
Per serving using lean ground pork: 354 calories, 24 grams protein, 25 grams fat (9 saturated), 6 grams carbohydrate and 1 gram dietary fiber.
Per serving using ground turkey: 225 calories, 25 grams protein, 11 grams fat (3 saturated), 6 grams carbohydrate and 1 gram dietary fiber.
Creamy Butternut Squash Bake
Ingredients:
1 large butternut squash
1/2 cup sour cream, light
2 Tablespoons margarine/butter blend
1/2 cup bread crumbs
1/2 cup Parmesan cheese
1/4 teaspoon freshly grated nutmeg
Directions
Wash and dry butternut squash. Leave whole. Pierce skin with a carving fork in 4 or 5 places. Place squash on a baking sheet lined with foil and bake in a 350F degree oven for 40 minutes or until soft. Remove from oven and allow to cool.
When squash is cool enough to handle cut lengthwise in two pieces. Remove and discard seeds. Spoon out squash into a casserole dish. Add sour cream and 1 tablespoon of the margarine/butter blend. Mash all ingredients together with a potato masher. Smooth mixture in casserole dish.
In a small bowl melt the remaining tablespoon of margarine/butter blend. Stir in breadcrumbs and Parmesan mixing to moisten. Sprinkle crumb mixture atop squash and sprinkle with grated nutmeg. Bake in 350F degree oven for 25 minutes.
Serves 4. Per serving: 199 calories, 7 grams protein, 10 grams fat (5 saturated), 22 grams carbohydrate and 2 grams dietary fiber.
Classic Baked Apples
Ingredients
4 large granny Smith apples
juice of 1 lemon
2 teaspoons margarine/butter blend
4 tablespoons Splenda Brown Sugar Blend
1/4 teaspoon cinnamon
1/4 teaspoon freshly grated nutmeg
pinch of salt
Topping:
1 cup sour cream
2 Tablespoons Splenda Brown Sugar Blend
1 teaspoon almond extract
Directions: Wash and dry apples. Slice each apple in two vertically, remove core. Spinkle cut side of apples with lemon juice. In a small bowl combine margarine/butter blend, Splenda, cinnamon, nutmeg and salt. Sprinkle each apple half with the mixture. Bake in 350F degree oven for 30 minutes. While apples bake combine sour cream, Splenda and almond extract in a small bowl, stirring well. Cover and chill until serving.
Serve 2 apple halves topped with 2 tablespoons sour cream topping. Per serving: 211 calories, 3 grams protein, 14 grams fat (8 saturated), 20 grams carbohydrate and 3 grams dietary fiber.
This is one of the most requested menus from LivingAfterWLS. The menu was originally published on October 1, 2006 in the LivingAfterWLS Recipe of the Week newsletter. When the newsletter was published a grassroots butternut squash fan club emerged. People left the farmer's markets and produce stands with freshly harvested squash. They prepared the recipe and rejoiced - We love the Creamy Butternut Squash Bake.
Enjoy!
If you are doing the 5 Day Pouch Test use the salisbury steak recipe for Day 4 of the plan. Enjoy the sauce sparingly. Save the squash and apple recipes for another day.
Salisbury Steak
Ingredients:
1 pound ground meat of your choice
1/3 cup dry breadcrumbs
1/2 teaspoon salt
1/4 teaspoon pepper
1 egg
1 large onion, sliced
1 can (10 1/2 ounces) condensed beef broth
1 can (4 ounces) mushrooms, drained
2 tablespoons cold water
2 teaspoons cornstarch
Directions
Mix ground beef, breadcrumbs, salt, pepper and egg: shape into 4 oval patties, each about 3/4 inch thick. Cook patties in 10-inch skillet over medium heat, turning occasionally until brown, about 10 minutes. Drain excess fat from skillet. Add onion, broth and mushrooms. Heat to boiling: reduce heat. Cover and simmer about 10 minutes.
Remove patties to a plate, tent with foil to keep warm. Heat onion mixture to boiling. In a small bowl whisk together water and cornstarch. Stir into onion mixture whisking to prevent lumps. Bring to a boil and continue whisking for 1 minute as mixture thickens. Serve sauce over meat patties.
Per serving using extra lean ground beef: 321 calories, 27 grams protein, 21 grams fat (8 saturated), 6 grams carbohydrate and 1 gram dietary fiber.
Per serving using lean ground pork: 354 calories, 24 grams protein, 25 grams fat (9 saturated), 6 grams carbohydrate and 1 gram dietary fiber.
Per serving using ground turkey: 225 calories, 25 grams protein, 11 grams fat (3 saturated), 6 grams carbohydrate and 1 gram dietary fiber.
Creamy Butternut Squash Bake
Ingredients:
1 large butternut squash
1/2 cup sour cream, light
2 Tablespoons margarine/butter blend
1/2 cup bread crumbs
1/2 cup Parmesan cheese
1/4 teaspoon freshly grated nutmeg
Directions
Wash and dry butternut squash. Leave whole. Pierce skin with a carving fork in 4 or 5 places. Place squash on a baking sheet lined with foil and bake in a 350F degree oven for 40 minutes or until soft. Remove from oven and allow to cool.
When squash is cool enough to handle cut lengthwise in two pieces. Remove and discard seeds. Spoon out squash into a casserole dish. Add sour cream and 1 tablespoon of the margarine/butter blend. Mash all ingredients together with a potato masher. Smooth mixture in casserole dish.
In a small bowl melt the remaining tablespoon of margarine/butter blend. Stir in breadcrumbs and Parmesan mixing to moisten. Sprinkle crumb mixture atop squash and sprinkle with grated nutmeg. Bake in 350F degree oven for 25 minutes.
Serves 4. Per serving: 199 calories, 7 grams protein, 10 grams fat (5 saturated), 22 grams carbohydrate and 2 grams dietary fiber.
Classic Baked Apples
Ingredients
4 large granny Smith apples
juice of 1 lemon
2 teaspoons margarine/butter blend
4 tablespoons Splenda Brown Sugar Blend
1/4 teaspoon cinnamon
1/4 teaspoon freshly grated nutmeg
pinch of salt
Topping:
1 cup sour cream
2 Tablespoons Splenda Brown Sugar Blend
1 teaspoon almond extract
Directions: Wash and dry apples. Slice each apple in two vertically, remove core. Spinkle cut side of apples with lemon juice. In a small bowl combine margarine/butter blend, Splenda, cinnamon, nutmeg and salt. Sprinkle each apple half with the mixture. Bake in 350F degree oven for 30 minutes. While apples bake combine sour cream, Splenda and almond extract in a small bowl, stirring well. Cover and chill until serving.
Serve 2 apple halves topped with 2 tablespoons sour cream topping. Per serving: 211 calories, 3 grams protein, 14 grams fat (8 saturated), 20 grams carbohydrate and 3 grams dietary fiber.
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