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Thursday, May 18, 2017

Inspired Reminders Bulletin: Your Body is Fighting You!

Greetings Dear Readers!
The May LivingAfterWLS Inspired Reminders newsletter was published and delivered to your Inbox today. Be sure to check it out, it is full of useful information you need to know in your WLS journey. Here is the introduction and if you are not subscribed you can can read it here in our online archive: LivingAfterWLS May Inspired Reminders Bulletin

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It's not your imagination!

Your body is fighting against weight loss.   
The chills & thrills of weight loss surgery.

In 2009 I wrote, "Ten years after being gut-whacked and I'm still on a diet." That is what I wanted to title my book which was eventually published as "Day 6: Beyond the 5 Day Pouch Test." In the introduction I explained, "No matter what treatment a person with the disease of morbid obesity seeks there is a tough journey to follow. There is no "easy way out." I am still on a diet. And it doesn't look to change anytime soon."

Jump forward to spring 2017: I'm 18-years removed from surgery and I'm still on a diet! I guess I'm in it for life. At one time this realization would have scared the jelly out of my doughnut. But these days it's my security blanket. I know I have a disease: obesity. I have been surgically treated for the disease. By following the prescribed lifestyle plan including diet and exercise I can work with my surgery to keep the disease in remission. That is the cold hard reality for all of us living after WLS. (See the article below Obesity Reclassified from 2013 when the AMA official categorized obesity a disease.)

Mind you, this acceptance was not easily achieved. I rebelled with vigor against the rules abandoning diet and physical activity in favor of hoping for the best. Leaving things to chance, however, did not help me control my obesity before surgery or after surgery. In our WLS community the path commonly trends to complete compliance following surgery followed by a detour along the road to chance and then, hopefully, a calm resolve of acceptance and renewed commitment to the lifestyle that supports our health and weight management goals. I've observed this trend for a decade and the anecdotal evidence predicts most patients will experience this learning curve.

Today's Bulletin features a look at why our body resists weight loss in the feature article It's not your imagination! Your body is fighting everything you do to lose weight. I found this subject revealing. I hope you enjoy it. As mentioned above you will find information about the 2013 obesity classification and also a primer Obesity Defined. Be sure to check out our Recipe: Tuna Pasta Primavera and then link through to some of the reader favorite Hot Blog Topics of the last few weeks.

I appreciate your time today, I know your Inbox is loaded with messages needing your attention. May I also take this opportunity to thank those who support our LivingAfterWLS Bookstore and other publication outlets. The LivingAfterWLS research work is self-funded and it is through your support that we are able to conduct clean research without becoming prejudiced by sponsors expecting a quid pro quo return of favorable findings in exchange for funding. Have a fabulous week and may good health be yours to enjoy!

Link to Bulletin

Kaye Bailey

Wednesday, May 17, 2017

5 Day Pouch Test Quick Review: Liquids

Hello Dear Readers! I know many of you are working your way through the 5 Day Pouch Test this week or this month. In the Official 5 Day Pouch Test Group on Facebook there is active discussion as our members proceed through the back-to-basics programs.  In reading through the posts today I see questions and concerns about the definition of Days 1 & 2 Liquids. I've pulled some information from the 5DPT Owner's Manual that defines each of the options and gives a little bit more information on why each Day 1&2 "Liquid" selection is effective with this plan.
The 5 Day Pouch Test Owner's Manual

Protein Fortified Beverages: Protein shakes, protein drinks, protein breakfast drinks are all protein fortified beverages. Look for ready-to-drink (RTD) beverages that have at least 15 grams of protein and fewer than 5 grams of carbohydrate per serving. Protein powder drinks are acceptable as well, providing they meet the same criterion of 15 grams protein and fewer than 5 grams carbohydrate. Homemade protein smoothies are a favorable addition to the 5DPT menu.

Clear broth or creamy soups: Clear broth and creamy soups are a favorite comfort food for many of us. Canned commercial chicken broth, beef broth, and vegetable broth are enjoyable meals on Days 1 and 2.

Creamy soups are a comfort food favorite for Days 1 and 2. Many creamy soups include dairy products such as milk, cream, sour cream, or half-and-half. For purposes of the 5DPT full-fat dairy should be used as called for in the Day 1 and 2 recipes because it improves satiation longer than no-fat or reduced fat food.

Hearty Soups:  As I developed this plan I learned that more substantial soups made of animal protein, legumes, beans, and low-glycemic vegetables work well to alleviate the discomfort and stress of a liquid diet.

Soups vs. Sliders: It is easy to confuse soup with slider foods since both are liquids that flow more rapidly through the stoma than solid protein. The thing to remember is the soup recipes provided are nutrient dense. Slider foods such as crackers or pretzels washed down with liquids have no nutritional value nor are they satiating.  In addition, when we enjoy soup and observe the liquid restrictions our body benefits from the vitamins and nutrients in the meal while we enjoy a comforting feeling of satiation."

Shared with permission and in compliance with copyright law.
The 5 Day Pouch Test Owner's Manual 2nd Edition (C) 2012

Tuesday, May 16, 2017

Protein, Fat, Carbohydrate: What's the recommended intake after WLS?

Greetings Readers!

 After WLS we are prescribed a high protein or "Protein First" diet to follow for the rest of our life to ensure adequate weight loss is achieved and a healthy weight is maintained using the WLS tool. But years of dieting have conditioned us to count calories above all else, not the nutrients. For traditionalists who are looking for a generalized daily calorie intake I share this section from Day 6: Beyond the 5 Day Pouch Test which addresses the question of daily caloric intake. I hope you find this a useful nugget of info in your WLS toolbox. Also check out this earlier post: Dietary Protein: Quick List and Recipe Links

Shared with copyright permission from Day 6: Beyond the 5 Day Pouch Test by Kaye Bailey

"I am not particularly comfortable giving specific one-on-one nutritional advice to my weight loss surgery Neighbors. First of all, I’m not a health care worker so I’m not qualified to render such advice. Secondly, I cannot see you to make a semi-informed analysis of your health. Nutritional advice is serious business and should only be given after verbal consultation and laboratory blood analysis, always with trusted health care providers."

"What I can do here is provide you the current generalized recommendations so you have a point of reference when speaking with your qualified health care provider. We may not always have the luxury of speaking with our bariatric centers so it is wise to educate ourselves on the current bariatric standards and practices of nutrition."

"In general, based on the broad-canvas study, bariatric centers agree patients should follow a 1,200-calorie a day diet. The protein, fat, and carbohydrate recommendations are based on that recommendation."

"Protein: Common recommendation for daily protein intake is 60 to 105g (20-35% of a 1,200-calorie diet). Protein digestibility and quality are important factors that patients must take into account when making food or supplement choices. The digestibility of protein is increased when accompanied by a full array of vitamins and minerals."

Make this delicious burger tonight: Beef, Bacon & Mushroom Cheeseburger

"Fat: Fat is necessary for the growth and development of the basic components for hormones, skin, hair, transportation of fat-soluble vitamins, and insulation and cushion for the body and internal organs. As a rule, the bariatric profession abides the American Heart Association recommendation of 27 to 47g daily fat consumption in a 1,200-calorie diet. It is beneficial to take fat-soluble vitamins with food sources that are rich in mono and polyunsaturated fats such as avocado, tuna, salmon, olive oil, flaxseed, and canola oil."

Our WLS body will tell us when we've consumed too much dietary fat by causing dietary stress that may include upset stomach, diarrhea, cramping, vomiting. Here is a simple home remedy to help relieve this type of digestive discomfort:
Digestive Stress? Try this simple solution

"Carbohydrate: Carbohydrate provides the body with its preferred source of fuel and is the only source of energy for the brain, central nervous system, red blood cells, kidney, and retina. Bariatric patients are counseled to choose complex carbohydrates over simple carbohydrates.  Bariatric centers do not generally recommend a specific daily carbohydrate allowance, according to Swilley. The report referenced the generally accepted recommended intake for all people provided by the National Academies’ Institute of Medicine of 113g carbohydrate consumption daily in a 1,200-calorie diet. It is unlikely a gastric surgical patient of any procedure could meet this recommendation."

Day 6: Beyond the 5 Day Pouch Test by Kaye Bailey (C) Copyright 2009

Struggling with carb consumption? Check out this article: Why can't I just quit carbs cold turkey?

Check out Day 6: Beyond the 5 Day Pouch Test on Amazon in paperback and Kindle.

Friday, April 28, 2017

Recipe: Italian Vegetable Egg Custard

Are you looking for a new weekend breakfast recipe? This is one of my favorites, particularly in the spring and summer months. It does take some preparation, but it is most certainly worth the effort! It is early for summer squash in most gardening zones, but you can find a nice selection of fresh squash at the Farmer's markets and some supermarkets.

Featured recipe from Day 6: Beyond the 5 Day Pouch Test, page 144.
Shared with permission, LivingAfterWLS, LLC (C) 2012.

Summer Squash
Custard doesn't have to be sweet to be delicious. This savory brunch custard makes gr  eat use of fresh summer vegetables. After you have tried it with squash and tomatoes, experiment with other fresh vegetables like peppers, mushrooms, and even diced or shredded winter squash. Explore your creative Receptiveness! See page 74 of Day 6: Beyond the 5DPT.

Italian Vegetable Egg Custard

Cooking spray
4 eggs
1/2 cup all-purpose flour
2 cups summer squash, shredded
1 cup zucchini, shredded
1/2 cup black olives, sliced, divided
2 Tablespoons Parmesan cheese, grated
1 teaspoon Italian seasoning blend
1/2 teaspoon garlic salt
1 medium tomato, thinly sliced
1 bunch green onions, sliced 1/2-inch thick
1/2 cup mozzarella cheese, shredded

Preheat the oven to 450°F and place the rack in the middle of the oven. Spray an 8-inch square baking pan with cooking spray.

In a medium bowl beat the eggs and flour until smooth. Stir in summer squash, zucchini and 1/4 cup olives; mix well. Spread in prepared baking pan. Place in center of oven and bake until custard is set, about 10 minutes. (see note). Remove to a warm trivet.

Mix the Parmesan cheese, Italian seasoning blend and garlic salt together and sprinkle evenly over the baked custard. Top evenly with tomato slices, remaining olives, sliced green onion and mozzarella cheese. Divide into four equal portions and serve warm.

Learn More: Health Benefits of Eggs

Note: To determine that the custard is done insert a wooden skewer or toothpick into the center about two-thirds down. If it comes out clean the custard is done. If the custard is almost done turn the oven off and leave the oven door slightly ajar so the custard will finish cooking

Serves 4. Per serving: 232 Calories; 12g Fat; 13g Protein; 19g Carbohydrate; 3g Dietary Fiber.

 Day 6: Beyond the 5 Day Pouch Test
Sale $19.95
Thousands of people around the world use Kaye Bailey’s 5 Day Pouch Test to stop weight gain after weight loss surgery and return to the basics prescribed by their bariatric center.  But what happens on Day 6? Kaye Bailey answers that question sharing her generous spirit of compassion and belief in others as she shares her secrets for working with the surgical weight management tool for lifetime weight maintenance. Readers quickly learn that working with the tool, not against it, brings optimum success and healthy long-term weight management. No gimmicks. No quick fixes. Just profound sensibility delivered in the powerful “you can do this” style we have come to expect from Ms. Bailey. The 66 recipes will put delicious guilt-free food on your table as you nurture your best life and health with weight loss surgery. Kaye’s Day 6 lifestyle is suitable for all bariatric procedures including gastric bypass, adjustable gastric banding, gastric sleeve and others.

Thursday, April 27, 2017

USDA FoodKeeper App - A Tool You Must Use!

I have not been compensated for this post: This is information that we all need as part of our healthy lifestyle program and I'm tickled to share with you the valuable resources from USDA that I've come to count upon in my kitchen and home.

Hello Dear Readers, thanks for joining me here today and happy Spring to you all.

If you've been with me for very long you know one of my nag-topics is food safety and kitchen hygiene. For myself, and for so many of you, I know having a bariatric surgery was not only a means to weight loss and healthy weight management: it was an opportunity for a new start in the pursuit of living better, healthier lives. That includes becoming schooled in matters of food handling safety, proper food preparation and storage, and protecting myself and family from foodborne illness.

The USDA is my go-to source for current and meaningful information that promotes, "kitchen confidence" -- simply the confidence in your ability to safely prepare delicious meals for your loved ones and yourself. Food safety and kitchen confidence is no trivial matter. The Centers for Disease Control and Prevention (CDC) estimates that each year approximately 48 million Americans suffer from foodborne illnesses, leading to 128,000 hospitalizations and 3,000 deaths. The CDC says "Many of these illnesses can be prevented by changing behaviors in the kitchen and gaining a little kitchen confidence."

FoodKeeper Mobile App
Earlier this month the USDA invited home cooks to improve their kitchen confidence by visiting their remarkably user-friendly website and making use of their go-to quick reference guide to food safety with the free and friendly app: FoodKeeper for iOS and Android.

"The FoodKeeper helps you understand food and beverages storage. It will help you maximize the freshness and quality of items. By doing so you will be able to keep items fresh longer than if they were not stored properly. It was developed by the USDA's Food Safety and Inspection Service, with Cornell University and the Food Marketing Institute. It is also available as a mobile application for Android and Apple devices."
Find the app at FoodKeeper or get it directly from your App store on your favorite mobile device.

This image shows the information on storing and consuming shredded cheese. Notice how clean and concise the information is presented - no lengthy explanation, just the simple facts. The clean presentation makes sense because the question "I wonder if this is still good?" is usually asked when we are engaged and lack the time for lengthy reading and research. A couple of quick clicks and we are in the know, good to go!


I hope you will check out the FoodKeeper App and the website to build your kitchen confidence and keep your family healthy and happy as you enjoy meals together.

Safety Tips to Prevent Food Borne Illness This Summer 

What's for Breakfast? Protein First!

Recipe: Spring Eggs
We know the first rule of weight loss surgery is to eat protein first. That means we must eat protein at every meal. The high protein or protein first diet is prescribed for all bariatric procedures and is the dietary guideline patients are instructed to follow for life. The bulk of our calories at any meal should come from animal, dairy, or vegetable protein. This includes breakfast. By eating protein first thing in the morning we instantly raise our metabolism, we promote feelings of satiation and reduce cravings for snacks or simple carbohydrates.

Eating a high protein breakfast effectively staves hunger cravings and snacking binges later in the day because it reduces the circulating levels of the hormone ghrelin, which stimulates hunger. So not only are we raising our metabolism with high protein nutrition, we are managing the brain chemistry that often gets the blame for head hunger and snacking binges. The earlier in the day we eat protein the more likely we are to stick with our high protein diet plan without annoying cravings or sluggishness.

Dietary Protein: Quick List and Recipe Links

Try starting your day with 35 grams of high quality protein including eggs, meat, poultry, shellfish or fish, Greek yogurt, milk, cottage cheese, vegetarian protein, or protein supplementation such as protein shakes or protein bars. I keep hard-cooked eggs on hand for a quick-grab breakfast and more often than not mix my ready-to-drink protein shake with hot coffee (use it like coffee creamer) for a steady supply of morning protein.

For more protein breakfast ideas check out Protein First: Living the First Rule of WLS

Wednesday, April 26, 2017

Rule #2 is Lots of Water -- But it's so boring! Help!

Don't like water - what else can I have?
Drink lots of water is the universal golden rule for dieters. But even the most devoted water sippers become bored with the flat unexciting taste of water. Fortunately there are many health-supportive was we can spruce up plain water creating a refreshing beverage with added vitamins and nutrients. Online there are countless recipes for making infused water, a fancy word for water that blended with fruits, vegetables, herbs, and/or tea. Here are a few of my go-to blends that both refresh and promote good health with an energy boost.

Using the formulas below you will make a 2-4 quart batch of refreshing infused water. Using a large pitcher or gallon jar prepare the infusion ingredients. Top the ingredients with 6 cups ice, fill the jar with water, and stir. Cover and refrigerate for at least 2 hours to let flavors infuse. Best used within two days of making, but don't expect it to last that long. These refreshing beverages are delicious!

Green Tea
We've long known that green tea is beneficial to our weight loss efforts. It continues to provide health promoting benefits to those with surgery and is a pleasant alternative to water. Most nutritionists agree that herbal teas can be counted the same as water when monitoring our daily water intake. Remember our WLS rule #2 is Lots of Water. To change up your green tea (or freshen your water) try these recipes to make two quarts of refreshing flavor-infused water. 

Basic recipe: Brew two quarts of green tea using 4-6 tea bags following package directions. While it brews add the flavor ingredients to a gallon jug, top with 6-8 cups ice, add brewed tea, mix well and chill for two hours or overnight before serving. Enjoy several refreshing servings throughout the day.

Iced Peppermint Tea
Mint is known to refresh, soothe stomach aches, and suppress appetite. In place of green tea bags use peppermint tea. Add 1/4 cup chopped mint and one lemon, sliced. Mix well and chill as directed above.
Berry-Fresh Kiwi Cooler
In the gallon jug combine 3 cups halved fresh strawberries, three thinly sliced kiwis, and two thinly sliced lemons. Gently muddle all of the ingredients together. Add ice and tea, mix, chill, serve.

Sunshine Cleanse
Combine two thinly sliced lemons, two thinly sliced limes, two thinly sliced grapefruits, and two thinly sliced oranges. Gently muddle with a wooden spoon or spatula.  Add ice and tea, mix, chill, serve. (This is also good prepared with peppermint tea.)

Minty-Cuke Thirst Quencher
Scrunch 1/4-cup fresh mint leaves in the bottom of gallon jug to release flavor and aromatics (I love this refreshing fragrance!). Add two thinly sliced cucumbers (peeled if desired). Half two limes and squeeze juice into jug, discard halves. Thinly slice two limes and add to jug. Top with ice and tea and mix well. Chill and serve adding more ice as desired.

Friday, March 24, 2017

Digestive Stress? Try this simple solution

Papaya Fruit

 After WLS surgery studies suggest we become deficient in digestive enzymes, particularly with gastric bypass and the malabsorptive procedures. This leads to stomach discomfort, bloating, and extreme cases chronic nausea.

A simply remedy is to include a papaya enzyme supplement in your diet. The tropical papaya contains a chemical called papain that is effective in digesting proteins, carbohydrates, and fats. In fact, papaya has long been used as a meat tenderizer, which essentially begins protein breakdown during the cooking and preparation process of food.

Recipe: Tropical Protein Papaya Smoothie

Papaya enzymes have shown positive results in aiding digestion and more recent research suggests the enzyme may be useful in reducing blood sugar levels in people with diabetes. Papaya enzyme tablets can be found in the personal health section of your market and are inexpensive. Follow dosing directions on the bottle and implement the supplement in your diet for at least 30 days to determine its effectiveness in your post-WLS high protein diet.

Papaya fruit, in its fresh state, is an excellent source of vitamin C, vitamin A, vitamin B6, and magnesium. Some weight loss surgery patients may have an adverse reaction to the natural sugars in papaya. In this case it is important to enjoy fresh papaya fruit in small amounts served with lean protein.

Breakfast Delight: Tropical Papaya Protein Smoothie

Make your morning shine with the fresh tropical flavor of papaya, coconut, and citrus in this vitamin and protein packed morning smoothie. Use fresh papaya to take advantage of its digestive enzymes that are known to settle grumpy tummies and improve nutrient absorption.

Papaya is an excellent source of vitamin C, vitamin A, vitamin B6, and magnesium. Some weight loss surgery patients may have an adverse reaction to the natural sugars in ripe fresh papaya. In this case it is important to enjoy fresh papaya fruit in small amounts served with lean protein.

Tropical Protein Papaya Smoothie
2 servings*

1/2 medium papaya, peeled, seeded and chopped
juice and zest of one medium orange or tangerine
8 ounces vanilla flavored ready-to-drink protein shake
1/2 cup frozen banana slices*
1/4 teaspoon coconut extract
toasted coconut for garnish, if desired

Place chopped papaya, juice and zest from orange, protein shake, banana slices, and coconut extract in a drink blender and pulse until smooth and frothy. Serve immediately.  Approximate nutrition per serving: 150 calories; 12 grams protein; 18 grams carbohydrate; 2 grams fat. Nutrition will vary based on ingredients.

 This recipe provides two servings. Use the remaining papaya half sliced to enjoy with your noon meal of lean protein or make a second batch of Tropical Protein Papaya Smoothie, freeze in ice cube trays. Use smoothie cubes to blend with a vanilla flavored ready-to-drink protein shake for a healthy and refreshing energy boosting snack.

Make frozen banana slices by peeling and slicing several ripe but firm bananas. Toss banana slices with lemon juice to prevent browning, place in a single layer on a parchment lined tray. Freeze for 1 hour then remove and store in a resealable plastic bag in the freezer. Use as called for in recipes.