Monday, October 14, 2013

The Four Rules

The following was taken from a newsletter that I receive from Kaye Bailey, author of the Five Day Pouch Test. Her surgery was gastric bypass but I find that the information she shares is very helpful to us sleevers as well. Her website is Be sure to sign up for her newsletter. Good stuff!!


The Four Rules:  

Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:
  • Protein First
  • Lots of Water
  • No Snacking
  • Daily Exercise  
In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules. 

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


Thursday, August 1, 2013

Ronnie - 81 lbs GONE!

Ronnie went to the doctor last week and yeah! was released. He no longer needs to go to the diabetic specialist!! He's doing so well! Weighed in on Saturday at 208 (he's 6 ft tall). Funny thing....while at the diabetic doctor, she congratulated him on losing 78 lbs. He said, no, that he'd only lost 52 lbs. She goes, no and starts flipping back through his chart to February of 2012. Showed him a copy of his picture that they had taken for his chart and showed him where he weighed 289. He sat there and that revelation that hit's almost all of us sleevers hit him. He said....I never knew I was that big. I think this is huge (no pun intended). We knew we were overweight...but....chose a blind eye to it....mostly I think because we didn't know how to fix it. We had been counting the weight he was when he had his surgery as his beginning weight but really should go back to his actual highest weight. It looks better on paper you know! HA!!
Thank GOD for this wonderful sleeve procedure! Way to go Ronnie!

Tuesday, May 14, 2013

3 Year Sleeve Update

This update is on me, Linda. May 31st is my sleeve anniversary. I'll be 3 years into this journey. My lowest weight was 134 but sadly went up to 152 where my body seamed to settle and maintained for some time. So recently I started 'dieting' again and lost 1 pound. I was so excited to be 151 and thought yea! I'm losing again. So Sunday I weigh and BAM!! 154!! and I'm like WHAT ON EARTH!!!!  Discouraged, I decide to start journaling again in an attempt to figure out what I'm doing wrong.

NOTE: I'M 3 YEARS OUT!!! I SHOULD KNOW WHAT I'M DOING WRONG! I SHOULD BE A PRO ON THIS STUFF BY NOW!! RIGHT??? Wrong. Like an alcoholic I will always have a problem with food. I should know this. But I don't. I forget. I start thinking I'm normal but I'm not. I have issues with food. I can't eat what others eat and expect to stay thin. It's not in my DNA. 

How is it that I can let my guard down so much and be totally oblivious to stuff that I ought to have down now? I found out that the Starbucks Vanilla Frappuccino's that I've been enjoying (1 sometimes 2 a day) have 37 Keurig tea that is sweetened with Stevia is 18 carbs. (Granted that's better than the McDonald's Sweet tea that I was enjoying DAILY for a while there) but still 18 carbs - add these to the regular food carbs and today I have consumed 96 carbs yet only 945 calories which just goes to prove that it's not calories that are make my body's carbs!!!! So you would think that I'd KNOW how many carbs were in something before I put it in my mouth...not wait 6 months later to look them up. But no, I forget. Today has been mentally  hard...journaling I realized how much snacking I've been doing too. I've got to stop eating between meals. I've got to stick to 3 meals a day only! I've got to go back to basics.

So why am I telling you this? Because when I went back to I was looking at my weight chart. November 2011 I was at 135. That's a year and a half after surgery and I was still losing weight...look at the chart below. And then I slacked up, stopped journaling and behaving, got comfortable thinking I wouldn't gain weight and now I'm 154. If you have been sleeved or are even thinking about being sleeved...YOU HAVE GOT TO REMEMBER that your sleeve is just a tool and you must work that tool. It is NOT FOOLPROOF!!  Get it under control now, get off the sugar carbs before you start gaining and struggling...seriously.

Wednesday, May 1, 2013

Update - 45 Pounds Down

Ronnie is a little over 2 months out and as of last Saturday he is 45 pounds down. His blood sugar, blood pressure and cholesterol are all running normal. We are hoping that when he does his next sleep study in October that he will no longer need his CPAP machine. Lookin' good wouldn't you say!

Friday, April 26, 2013

List of Slider Foods

Slider foods are actually the same foods that we should have been avoiding before surgery and most likely the reason we are (were) overweight to begin with. An easy way to define them is simply foods that never lived in the form you are purchasing them. Chips, crackers, breads, cakes, white foods like flour, corn meal and pretty much anything that is loaded with sugar or salt. White or processed carbs don't satisfy and make you just want more. (and for me, slider foods are triggers, just make me want more!!) Stick to meats and veggies and you'll get to your weight goal a whole lot faster.

This list below is sort of 'off' because it is for gastric bypass patients. SLEEVE patients have their pyloric valve left intact so we don't have the issues that they have.

Slider foods are foods that “slide through” the pouch after gastric bypass surgery.  Because gastric bypass patients no longer have a pyloric valve between their pouches and their small intestines, very wet, slippery, or liquid-like foods slide right out of the pouch.  Imagine your pouch as a funnel with a very small opening in the bottom.  If you pour something like well-chewed chicken or well-chewed beans into that funnel, it will take a while for that food to leave the funnel.  However, if you pour something like yogurt, mashed potatoes, or soup into that funnel, it will not take long at all to leave the funnel.
Since slider foods don’t stay in the pouch for long, you’ll get hungry soon after eating them.  Avoid slider foods if you want to feel full longer.
Partial List of Slider Foods
  • Yogurt
  • Pudding
  • Ice cream/frozen yogurt
  • Gelatin
  • Cottage cheese
  • Mashed potatoes
  • Cream of wheat
  • Soup
  • Chili (especially if it has much liquid/broth in it)
  • Cereal with milk (including soy milk or almond milk)
  • Smoothies
  • Applesauce
  • Pasta, if combined with a lot of sauce

Sunday, April 14, 2013

What Your Bariatric Surgeon Forgot to Tell You That Will Cause Weight Gain

A significant number of people who undergo bariatric surgery for weight loss will at some point regain some of the weight they lost initially with surgery. Patients who stray from the high protein diet prescribed by weight loss surgery nutritionists to eat simple processed carbohydrates, called slurry foods, are likely to gain weight. Learn why.

By Kaye Bailey 

This year nearly 250,000 Americans will undergo a bariatric weight loss surgery procedure that will alter the digestive system so significantly it will cause them to lose a dramatic amount of weight rather quickly as they engage in battle against obesity, the leading cause of preventable death in this country. Down the road a startling number of these same people will begin to regain weight and they will naively think the weight loss surgery has failed. In most cases the surgery has not failed: the weight gain can be blamed on excessive consumption of slurry food, something most patients were never warned about before going under the knife.

Slurry food, more commonly described as slider food,is a watery liquid food solution of simple processed carbohydrates containing scant nutritional value. The substance usually comes from crackers, pretzels, cracker snacks, popcorn, cheese snacks, potato chips or tortilla chips, or sugar-free cookies, cakes, and candy. The foods are chewed and washed down with liquids into the surgical stomach pouch where the gastric muscles churn them into slurry which slips directly into the intestine to be quickly processed and stored as body fat. Patients of all bariatric weight loss procedures including gastric bypass, adjustable gastric banding (lap-band), and gastric sleeve, are prone to weight gain if copious amounts of slurry food are consumed.

Surgeons instruct patients prior to weight loss surgery about the Four Rules of surgery. In short the Four Rules mandate a high protein diet, drinking lots of water, no snacking and following a daily exercise program. Masked between eating a high protein diet and no snacking is the unstated consequence that eating empty carbohydrate snack foods washed down with liquids results in weight gain. Bariatric surgery works to cause weight loss because it restricts the amount of energy (food) that can be consumed and in many procedures it inhibits the body's ability to absorb nutrients from food therefore disallowing storage of excess body fat. 

After surgery many bariatric patients find the restrictive feeling following eating to be uncomfortable, yet it is the very nature of the surgical gastric pouch to cause a tight restricted feeling after a small amount of solid food has been consumed. This signals the patient to stop eating. Uncomfortable with this restricted feeling, many patients turn to softer processed simple carbohydrates or junk food that can be washed down with liquids creating slurry. The uncomfortable restricted feeling never occurs and patients can eat unmeasured portions without feeling discomfort. Soon the weight loss they were enjoying has stopped and weight regain begins.

Many patients will mistakenly blame their surgical stomach pouch thinking it has stretched out or is no longer working correctly. However, patients who return to a diet of lean protein and avoid drinking liquids with meals will quickly discover the uncomfortable pouch restriction still occurs bringing feelings of fullness with small servings of food. Continued compliance with the high protein diet eventually leads to weight loss once again. 

For weight loss surgery patients protein is not always the most comfortable food choice because of the tightness that results following eating. However, for bariatric surgery to work correctly and sustain long-term weight loss and weight maintenance, a high protein diet void of simple processed carbohydrates must be followed consistently.

Monday, April 8, 2013

Protein Shakes (and more!)

If you're getting bored with your protein shakes, you might want to check out this site. Several yummy looking recipes to enjoy!