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10/11/10 1:14 P

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You are welcome, glad it could be of help


HW 315#
1st consult 241#
Day of Surgery 228#
Current Weight 98#
RNY Surgery 8-5-10
Magic happens every second of every minute, just be open to see it in the little ways!

 Pounds lost: 217.0 
MRSNUNU Posts: 27
10/11/10 12:51 P

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OMG! thank you for this post.. i went on the site as well... Pretzels i was addicted...fat free crackers with cheese cubes... i'm going to stop them cold turkey i couldn't stand myself if i'm eating something that will affect (in a bad way) my goals and weight loss... emoticon

 current weight: 130.0 
LAVADA1's Photo LAVADA1 SparkPoints: (0)
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9/22/10 7:04 P

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Thank you....very informative! emoticon


URSULA125's Photo URSULA125 Posts: 2,370
9/22/10 4:34 P

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Posting this was a great idea! Thank you!

Edited by: URSULA125 at: 9/22/2010 (16:34)
Coleader of ON THE ROCK

I Corinthians 9:27
"I discipline my body and bring it under strict control"

II Corinthians 10:4
"For the weapons of our warfare are not physical (weapons of flesh and blood),but they are mighty before God for the overthrow and destruction of strongholds."

 Pounds lost: 0.0 
JOANNEPP1's Photo JOANNEPP1 Posts: 797
9/22/10 10:51 A

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Thank You!!

RNY Bariatric Surgery 1/22/08
294 -Start of Program
198 -Six Month Check-Up
172 -under goal before leaving for Texas in November
162-under one year goal
157 - I am so excited, I can not remember being in my 15o's.
147 - Below my personal goal weight.
June 2009 - abdominoplasty and lower body lift.
Oct. 2009 - 22 months ago morbity Obese today I am now petite. And would do it all again in a heartbeat.
Oct. 2010 - Still very happy with my decision to have

 current weight: 134.0 
9/22/10 10:32 A

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Have you lost control of your weight loss surgery tool?

Today learn and live the plan that is sweeping the surgical weight loss community. If you are asking:

Does my pouch still work?
Have I broken my pouch?
Am I doomed to be a failure at this too?
Can I lose the weight I've regained?
Is the honeymoon period over?
I never made it to goal weight and now I'm gaining. Help!

If you are asking these questions then the 5 Day Pouch Test is for you. In 5 Days you can rediscover your pouch,

get back on track and lose weight with your weight loss surgery tool. You have not failed! You can learn to use the

tool again!

Does my pouch still work?
Have I broken my pouch?
Have I ruined my tool?

These are questions many weight loss surgery post-ops find themselves asking occasionally during their journey.

Perhaps it feels like we can eat more food or we know that we are eating more food. Sometimes these questions are

asked when there has been a weight regain.

This is the 5-day plan that I have developed and used to determine if my pouch is working and return to that tight

newbie feeling. And a bonus to this plan, it helps one get back to the basics of the weight loss surgery diet and

it triggers weight loss. Also, it is not difficult to follow and if you are in a stage of carb-cycling it will

break this pattern. Sounds pretty good, right?

The 5 Day Pouch Test should never leave you feeling hungry. You can eat as much of the prescribed menu as you want

during the day to satiate hungry and prevent snacking on slider foods and/or white carbs. You must drink a minimum

of 64 ounces of water each day. A reduction of caffeinated beverages is suggested, but do not stop caffeine cold


Weight loss is not the intent of the 5 Day Pouch Test, however, many who have tried this plan report a significant

drop in weight. More importantly they celebrate a renewed sense of control over their pouch and eating habits and

easily transition back to a healthy post-surgical weight loss way of eating.

Below you will find a brief list of the menu for each day. Please click the "Read more" links for further detail

and hints and tips that will enable your success with the 5 Day Pouch Test.

Days One & Two: Liquid Protein
low-carb protein shakes, broth, clear or cream soups, sugar-free gelatin and pudding.

Days 1 & 2: Liquid Protein
low-carb protein shakes, broth, clear or cream soups, sugar-free gelatin and pudding.

Recipes for Days 1 & 2

The first two days are all liquids. You can have as many low-carb protein shakes as you like to satisfy hunger or

cravings. In addition drink at least six 8-ounce glasses of water each day. The purpose of all liquids is to break

any snacking, grazing or processed carbohydrate habits. In addition the liquids will work to cleanse your system

and prepare you for the following three days.

Try to reduce your caffeine intake as well, but do not stop caffeine cold turkey or you will feel sick and

frustrated potentially losing the desire to continue with the pouch test.

It is very important to drink a minimum of 64 ounces of water each day. This will prevent dehydration, will help

curb cravings and will flush your body of toxins and fat. Sufficient water intake improves kidney function and cell


If you notice symptoms of carbohydrate withdrawal you can eat a small piece of melon or an orange. You can also try

a dose of Emergen-C which should reduce headache, dizziness or cramping from carbohydrate withdrawal.

Feeling nauseated? Try sipping some freshly brewed warm green tea. You can add fresh ginger juice to further ease

the symptoms of stomach distress and nausea. The nausea may be the result of a switch from carbohydrate slider

foods to richer proteins and the ingredients in the protein shakes.

When we fought to get the surgery we were personally empowered. We had to be, there aren't many advocates out there

fighting on the behalf of the morbidly obese.

Yet somehow, if we get to comfortable in our post weight loss surgery life there is a tendency to lose that hell-

bent determination. Perhaps we take it for granted. Maybe we just get bored or distracted. Maybe we get discouraged

because life after surgery has not been without struggle. Any of these things can cause us to lose hope or feel

like failures. I have gone through periods of sadness and suffered feelings of failure since my weight loss

surgery. Don't we all? This despair only festers if we regain some weight or sit on a plateau for an extended

length of time.

But just like we can work a plan to test the pouch and get back on track, we can mentally train our mind to get

back to being hell-bent determined to take personal control of our health. LivingAfterWLS is here to champion you

in the cause, we are advocates who believe you deserve to be healthy, you deserve to be kind to yourself and you

deserve to achieve the greatest level of success with weight loss surgery when you harness your inner resources

Day 3: Soft Protein
canned fish (tuna or salmon) eggs, fresh soft fish (tilapia, sole, orange roughy.

Day 3: Soft Proteins

Recipes for Day 3

The next three days you get to eat as much as you want as often as you want! Ahhh, but there's a catch: it has to

be solid protein and you only get 15 minutes each time you sit down to eat. No drinking 30 minutes before or after

meals and no drinking with your food. A dry pouch will hold your soft protein longer helping you to feel full and

fed longer.

Protein Recommendations: canned fish (tuna or salmon) mixed with lemon and seasoned with salt and pepper, eggs

cooked as desired seasoned with salt pepper and/or salsa, fresh soft fish (tilapia, sole, orange roughy), baked or

grilled, and lightly seasoned.

This starts your program with "soft" protein. Measure your portion (1 cup volume or 4-6 ounces weight) and eat only

until you feel full, not overfull. Remember, no water for 30 minutes before or after you meal, and no fluids with

your meal. We are going back to the beginning and fluids will prevent you from feeling the pouch. If you need to

add a moist condiment (Miracle Whip or mayonnaise) to the canned fish I understand, but keep it to a minimum so the

meat is not too moist. One reason we lose the sense of tightness in our pouch is that we eat "slider foods" - foods

that are too moist and do not stay in the pouch very long, they slide right through the stoma.

From Amy: On day 3, is cottage cheese o.k. for soft protein? When I was first starting my wls diet, it included

cottage cheese, but that wasn't on your list. Also, when you are doing the liquid part of the diet, can you drink

chicken bouillon with protein added to it?

Kaye Answers: Amy - Cottage cheese is a good protein and you can include it on Day 3. I didn't have it on the list

because it is considered by some to be a slider food. To firm it up a bit you could add a chopped hard cooked egg

to your cottage cheese. And yes, during the liquid phase chicken bouillon with added protein is great.

Recipes for Day 3

"We MUST give the pouch a chance to do its job--and not try to get around it with our "monkeying" with the thing."

--LivingAfterWLS Neighbor SandiDay 4: Firm Protein
ground meat (turkey, beef, chicken, lamb), shellfish, scallops, lobster, fresh salmon or halibut.

I don't like canned fish. What can I have in place of the canned tuna or salmon?

Try canned turkey or chicken. We have some great recipes for Turkey and Chicken Salad that work well for Day 3 and

as part of your regular diet after the 5 Day Pouch Test.

Day 3: Turkey & Chicken Salads

For our Neighbors who do not like canned fish we suggest these turkey and chicken salad recipes for Day 3 of the

Five Day Pouch Test. You may used canned meat products or fresh. Be careful to measure your portion, 1 cup per

serving, and eat as much as possible in the 15 minute time limit.

Turkey Egg Salad
Serves 12 (about 1-cup each serving)

1 cup fat-free mayonnaise
1/2 cup vinaigrette
1/2 cup relish
1/2 cup celery, chopped
1/4 cup green onion, chopped
6 eggs, hard-boiled, chopped
6 cups turkey breast, boneless and skinless, chopped

Mix mayonnaise, vinaigrette, eggs, relish, celery and green onion seed in large bowl. Gently stir in turkey. COVER

and refrigerate at least 1 hour before serving.

Nutritional data: 247 calories. Protein, 32 grams (54%); Fat, 9 grams (33%); Carbohydrates, 8 grams (14%).

Feta Chicken Salad
Traditional chicken salad pumped-up with the flavor of feta cheese. This is satisfyingly delicious made with

freshly cooked chicken, store-bought rotisserie chicken or canned chicken. Enjoy on a bed of lettuce.

3 cups diced cooked chicken
2 large stalks celery, diced
1 red bell pepper, seeded and diced
1/2 red onion, diced
6 tablespoons mayonnaise
6 tablespoons sour cream
1 (4 ounce) package feta cheese, crumbled
2 teaspoons dried dill weed
1 pinch salt and pepper to taste

In a serving bowl, mix together the chicken, celery, and red onion. In a separate bowl, stir together the

mayonnaise, sour cream, feta cheese, and dill. Pour over the chicken mixture, and stir to blend. Taste, and season

with salt and pepper as needed. Serve immediately, or refrigerate until serving.

Question: What are slider foods?

Kaye's Answer: 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.

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

lottery win.

By the way, in my example I spoke of a slurry from graham crackers and coffee. Simple carbs, however, will slide

right through without the added benefit of a liquid. And several others can talk about cheese nip crackers,

popcorn, mashed potatoes, ice cream/yogurt etc.

Lots of times I hear, "But I don't like that uncomfortable tight feeling of solid protein in my pouch." But the

very purpose of the pouch is to signal fullness, which often comes by way of slight discomfort when we are eating

in compliance with our bariatric owner's manual. The slider foods will never ever signal fullness. They are

dangerous and in most cases non-nutritional. When I feel that full-pouch discomfort I try to mentally psych myself

up, "YEAH-BABY! The pouch is on the job!!" Silly, but whatever works.

Day 4: Firm Protein
ground meat (turkey, beef, chicken, lamb), shellfish, scallops, lobster, fresh salmon or halibut.

Day 4: Firm Protein

Recipes for Day 4

Protein Recommendations: ground meat (beef, turkey, lamb) cooked dry and lightly seasoned, shellfish, scallops,

lobster steamed and seasoned only with lemon, salmon or halibut steaks, grilled and lightly seasoned.

By now you should be experiencing that familiar tightness that will reassure you that your pouch is working.

Remember to drink plenty of water between meals. Take some time to meditate and rediscover the wonder of your

pouch. Often we don't like that uncomfortable tightness of the pouch, which is why we gradually move toward slider

foods that don't make us uncomfortable. It is always my preference to eat moist protein so I don't get

uncomfortable, but doing so allows me to consume more than I should. Rediscovering the pouch with this 5-day plan

reminds me of how the tool really works. I hope by now you are rediscovering your tool and enjoying the hope and

excitement because your pouch still works.

There are two things I know about human nature. First, nobody ever wakes up and declares, "Today is the day I will

relax my enthusiasm and get off track." Second, nobody ever wakes up and gets back on track without first saying,

"Today is the day I get back on track and I have a plan." Falling off track happens without a plan or script.

Getting back on track requires a conscious decision, a carefully designed plan and the determination to make it


Why do we fall off track? There are hundreds of reasons: stress, complacency, happiness, grief, celebrations,

devastations, distractions and reactions. Nobody wants to fall off track, but life is full of twists and turns that

disrupt our focus. It makes me sad when people talk about shame and failure when they have left the weight loss

surgery track for a myriad of reasons. This is not a cause for shame or failure, this is a fact of humanity and

indeed of living. But human nature is also resilient and powerful. We have the ability to recover from set backs

time and time again.

While you are doing the 5 Day Pouch Test I encourage you to create an inner storm of enthusiasm and hope and

energy. Go back to those pre-op and early post-op days and live that moment over again. Read motivational articles

and visit the Neighborhood forum. Talk to pre-ops and newbies. Look at your before and after pictures. You can go

back and you can use this surgical tool to lose weight, become healthier and feel good about yourself.

Day 5: Solid Protein
white meat poultry, beef steak, pork, lamb, wild game

Day 5: Solid Protein

Protein Recommendations: white meat poultry cooked dry and lightly seasoned, beef steak (if tolerated) grilled or


Day 5 Recipes

Remember to chew, chew, chew. Measure your portion (4-6 ounces) and eat only until you feel your pouch tighten.

Remember, only 15 minutes per meal, so you'll have to work fast to chew your food completely. By now you should be

out of any carb cycle you were in and perhaps you have lost a pound or two. You will have new confidence in your

pouch and your ability to work the tool for your health and emotional well being.

Don't go hungry! Remember, you can eat as often as you want as long as it is solid protein, consumed without

liquids and measured in 4-6 ounce portions.

Rediscover Jonathan Livingston Seagull by Richard Bach.

The story is a charming allegory with a profound message: push yourself as hard as you can in pursuit of your

dreams. The story of Jonathan and his friend Fletcher reveals two ordinary birds who, with passion, chose to better

themselves. They were not content to merely eat and sleep. They wanted to become extraordinarily good at what they

could do - fly.

It is easy for me to parallel the story of the seagulls with the lives of weight loss surgery post-ops. The brave

decision to take control of our health with surgical weight loss is the first step in learning to fly higher,

faster, and more beautifully than we ever have before. It is the first step in becoming extraordinary.

Near the end of the story Jonathan is in conversation with Fletcher. He asks, "Why is it that the hardest thing in

the world is to convince a bird that he is free, and that he can prove it for himself if he'd just spend a little

time practicing? Why should that be so hard?" In the world of seagulls few exceed the ordinary. The story tells us,

"Most gulls don't bother to learn more than the simplest facts of flight - how to get from shore to food and back

again. For most gulls, it is not flying that matters, but eating."

But Jonathan was different. "For this gull, though, it was not eating that mattered, but flight. More than anything

else, Jonathan Livingston Seagull loved to fly."

The elder Chiang told Jonathan, "You can go to any place and to any time that you wish to go." The trick, according

to Chiang, was for Jonathan to "stop seeing himself as trapped inside a limited body." And so should the elders of

surgical weight loss tell us the same. "Stop seeing yourself trapped in a limited body."

Jonathan's rise to perfecting flight was not without bumps and bruises. Often he faltered. The story reads, "But

way off alone, out by himself beyond boat and shore, Jonathan Livingston Seagull was practicing. A hundred feet in

the sky he lowered his webbed feet, lifted his beak, and strained to hold a painful hard twisting curve through his

wings. The curve meant that he would fly slowly, and now he slowed until the wind was a whisper in his face, until

the ocean stood still beneath him. He narrowed his eyes in fierce concentration, held his breath, forced one...

single... more... inch... of... curve... Then his feathers ruffled, he stalled and fell."

"Seagulls, as you know, never falter, never stall. To stall in the air is for them disgrace and it is dishonor. But

Jonathan Livingston Seagull, unashamed, stretching his wings again in that trembling hard curve - slowing, slowing,

and stalling once more - was no ordinary bird."

Like Jonathan Livingston Seagull, weight loss surgery post-ops are no ordinary birds.

Good luck! I believe you are going to like the results when you give this plan an honest try.

Kaye Bailey

HW 315#
1st consult 241#
Day of Surgery 228#
Current Weight 98#
RNY Surgery 8-5-10
Magic happens every second of every minute, just be open to see it in the little ways!

 Pounds lost: 217.0 
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