Thursday, March 31, 2016

SUGAR IS 8 TIMES MORE ADDICTIVE

SUGAR IS 8 TIMES MORE ADDICTIVE THAN COCAINE


The average American consumes about 152 pounds of sugar a year. The average American man weighs 195.5 pounds, the average American woman weighs 167lbs. In the 1960s the average American man weighed in at 167lbs and the average woman at 141lbs.

That is astounding.

152 pounds of sugar a year roughly translates to 22 teaspoons per day. And kids consume about 34 teaspoons every day, making nearly 1 in 4 teens pre-diabetic. Refined sugar and flour cause inflammation, raise blood sugar levels, and have no nutritional value that can’t be gotten elsewhere.
In a Harvard study scientists found that a high-sugar milkshake spiked blood sugar levels, insulin production, and the sugar craving centers in the brain. In a brain scan, the sugar lit up the addiction center like fireworks on the First of July.

The Big 10

600 people tried out Mark Hyman, M.D.’s diet and lost 4,000 pounds in 10 days. When was the last time you lost 7 pounds in less than two weeks? And how hard did you work? The diet promises no cravings, no bland foods or boring diets, no deprivation – simply rewire the way you think about food.

10-Day Detox Diet

Here are the top 10 big ideas for detoxing from sugar and refined carbs that will work for you in just 10 days.

Cold Turkey

There is one way to stop physiological addictions: just stop. An alcoholic cannot have “just one drink” – the trick is to go cold turkey. Stop eating all forms of sugar, all flour products, and all artificial sweeteners – as they slow metabolism, spike cravings, and store fat. Ideally, for 10 days you will avoid any foods that come in a box, package, or can that have a label. Instead stick to real, whole, fresh foods.

Don’t Drink Your Calories
“Any form of liquid sugar calories is worse than solid food with sugar or flour,” says Dr. Hyman. It’s like mainlining sugar straight to your liver. Juices, sodas, sports drinks, and sweetened teas and coffees are the biggest source of sugar calories in most people’s diets.
One can of soda a day increases a kid’s chance of being obese by 60 percent and a woman’s chance of type 2 diabetes by 80 percent.

Protein Power

Protein helps balance blood sugar and insulin levels by being a “carb-free” source of energy. Start the day with whole farm eggs or a protein shake. Use nuts, seeds, eggs, fish, chicken, or grass-fed meat for protein at every meal. Protein helps you stay fuller longer because it breaks down more slowly while delivering the energy we need. 4-6 ounces – about the size of your palm – is the average serving size.

Unlimited (Good) Carbs

Did you know that a lot of veggies are carbs? You can eat all of them you want – just not the starchy ones like potatoes, sweet potatoes, winter squash or beets. But feel free to eat as many greens, broccoli, cauliflower, kale, asparagus, peppers, green beans, mushrooms, zucchini, tomatoes, and artichokes you like for 10 days.

Fight Sugar With Fat

Fat doesn’t make you fat, it makes you full. Plus it balances blood sugar and is a necessary part of your cellular structure. Good fats at every meal, like nuts and seeds, extra virgin olive oil, coconut butter, avocados, and fish are a good way to keep your mind off of sugar.

Prepare For Emergencies

A maze of fast food joints and vending machines will have anyone’s head spinning, especially when blood sugar levels are dropping. Dr. Hyman weighs in:
“You need an Emergency Life Pak. I have one with me all the time, filled with protein, good fats, and good snacks so I never have to make a bad choice. Here’s what’s in mine: Packets of Artisana nut butters and coconut butter, almonds, walnuts, pumpkin seeds, salmon jerky or turkey jerky, a can of wild salmon or sardines and unsweetened wild blueberries.”

Distress or De-Stress?

Cortisol, the stress hormone, makes you hungry, causes belly fat storage, and can lead to type 2 diabetes. Some studies show that taking deep breaths activates the vagus nerve which shifts metabolism from fat storage to fat burning, and quickly moves you out of your stress state. Just follow Dr. Hyman’s Five Deep Breaths exercise:
“Simply take five slow deep breaths – in to the count of five, out to the count of five. Five times. That’s it. Do this before every meal. Watch what happens!”

Douse Inflammation

Inflammation triggers blood sugar imbalances, insulin resistance, and type 2 diabetes. Gluten and dairy are two hidden food sensitivities that most people have. Unfortunately most people crave these allergens. They may be tough to quit, even for just 10 days, but give it a shot and you’ll see you have renewed energy and relief from cravings.

Sound Sleep

In studies, college students were deprived of just 2 of the recommended 8-hours of sleep. This led to a rise in hunger hormones, a decrease in appetite-suppressing hormones and huge cravings for refined sugar and carbs. When you don’t sleep you look for energy, and reach for high-sugar products that give you a boost, and a crash. Sleep is the best way to ensure cravings are kept at bay.


Stay Tunes ~ Nat
Mind/Body Under Construction




Monday, March 28, 2016

WLS THE GOOD GUIDE TO PORTION SIZE

WLS THE GOOD GUIDE TO PORTION SIZE

The Bariatric Guide to PORTION SIZE
How much do I put on my plate?
One of the most common discussions in our Online Support Group forum is about Portion Size. People have a lot of trouble judging how much food to dish.
The Pouch Rules
The answer will surprise you because it’s more about choosing the right food and how to eat, not necessarily how much is on your plate. Learn to rely on food choices and your pouch rather than your measuring cup. IF I went for it, I could easily overeat Macaroni & Cheese but Chicken notsomuch because it is self limiting. Use the pouch as a tool by filling it with protein and using that fullness as an ally.
By the way, for this to work, no bread, no potatoes, no tortillas, no rice, no rolls, no pasta, no high carb foods. Do not drink with your meals. If you have been drinking with meals. STOP IT.
Hunger Games
Consider the ten point scale below for judging from hunger through fullness. Imagine the way each level feels as you slowly read through its description and think about how you feel right now. You will recognize the progressions. As I ate supper this evening, it suddenly clicked that I was eating past Level 6 right into 7 and it helped me to stop so abruptly my husband asked me what was wrong. Right now, several hours later, I am watching tv at a level 4, it’s 10pm and I am fighting night eating.
There is a small sweet zone at Level 4 where your body goes to its stored fat for energy and that is where you want to be as much as possible! If you are always feeding, your body doesn’t burn what it has stored.
This list is to encourage thinking about how you feel while eating instead of mindlessly consuming an entire measured amount or focusing on cleaning your plate. Think about these levels as you eat and soon you will be able to stop right where you need to be. 
Hungry
level 1 – weak, headache, confusion, slow movements, low blood sugar
level 2 – very uncomfortable, light headed, irritable, unable to concentrate
level 3 – uncomfortable hollow feeling, stomach rumbling
level 4 – slightly uncomfortable, just beginning to become aware of and feel hunger
level 5 – comfortable, you are satisfied but could eat a little more
level 6 – happily comfortable, satisfied. Many emit a signal, usually a hiccup, sniffle or sneeze at the back edge before moving to level 7
level 7 – full and feeling that you don’t really want another bite. This is just a little beyond where you want to be
level 8  – not wanting to swallow the chewed food in your mouth where you must spit it out, uncomfortable
level 9 – overfull, very uncomfortable, regret in having eaten too much, pouch pain, hoping to regurgitate for relief. Feeling this way normally initiated by foods that go down easily but swell such as rice, pasta, bread
level 10 – stomach pain, chills, regurgitating of food, followed by intense fatigue
Overfull
Protein First Works
It doesn’t matter how much is on the plate if we use ‘Protein First’ and ‘Vegetables Second’ as our portion control and only eat until we are comfortable and satisfied, somewhere between Bariatric Level 5 and 6.
As a guide, fix your plate with 4 to 6 ounces solid protein with salsa or sauce and 1/2 cup lower carb vegetable or chopped salad. A good example would be 2 small chicken thighs braised in pasta sauce with broccoli, tomato cucumber salad, or sautéed spinach.
Eat 1/2 of your Protein First, 1/2 the Vegetable Second then go in for small alternating bites of protein and vegetable until you recognize you are at a soft fill level of 6. Then stop. Thinking about levels 5 through 9 while eating is very empowering.
Grazing: not just for cows anymore
Those who don’t achieve satiety are always hungry and often graze by eating small amounts throughout the day. This somewhat fills the pouch but never to satisfaction, which is the strongest feeling we can create for ourselves. I know post ops who only take three bites of food but repeat it over and over – they lose weight – but live in fear and have no comfort that they have a safety net.
The feeling of satiety, which by definition is the complete absence of hunger, lasts a very long time once it has been tripped.  Those who don’t use the pouch fill mechanism are often hungry as they never trigger their own response.
If you are a scared measurer who stops eating before fullness, or a plate loading over filler, learn to rely on your food choices and listen to your pouch. Have confidence to use your surgical pouch as the power tool it was made to be and experience the lasting fullness that has escaped you. It has been there all along!


Stay Tuned ~ Nat
Mind/Body Under Construction

Saturday, March 26, 2016

MARCH 20 - MARCH 26 2016 (where my levels are at)

MARCH 20 - MARCH 26 2016

SUNDAY:

Today I was thinking about how the scale has NOT moved much and I am okay with it. YES it sucks, but at the same time I have already come so far, that I am not worried. I will get to where I wanna go...where ever that is. I will meet and pass my goals. When you think about it, the reality is I never thought I would be where I am now, having lost what I have, feeling as good as I do, and motivated to do more.

I mean, really when I think of where I was a year ago, and how I felt deep inside about myself, and how wonderfully proud I am now, it makes me smile. A time where I don't see chips in my life, bread or crabs...who would of thought it. If someone had told me I would be so in tune with my body, and know what I need instead of want I would of laughed at them well I grab another slice of pizza.


MONDAY:
I have a love hate relationship with my sleeve.
Never before have I been so dedicated to something, to following through on something and to make sure I am confident in this process. However I am up-chucking daily after each meal, and it is so unpleasant. People from the support group suggest that this gets easier, that your will get used to the puking, and at some point will take comfort in it. They say you know your sleeve is working, and it will feel good to puke. ARE YOU FRICKEN KIDDING ME. This is the norm????
WTF?
I don't want this to be normal, I don't want to be okay with getting sick, and I sure don't want this to be my new path. I have tried everything, eating 1oz instead of 2-3oz, switching back to liquids, adding and decreasing foods, liquids etc. I cant win. I love my sleeve that it is working. And I know I'm doing okay, but its also jaded by worry that I'm not getting enough in or going to get dehydrated. I love Chris so much and I love him even more as each time I run to the bathroom, he is there rubbing my back. Saying encouraging things to me and reminding me of the process and what this is for. My future, and that I knew what I was doing. Small price to pay for health...etc etc etc.






TUESDAY:

I am very aware for the first time what my stomach can handle. I set out this week to see if I could not get sick to my stomach and it is a 50/50% win/lose, but better than 100%lose so I will take it. I started to know when I should stop eating and for me right now it is at approx. 2.5oz so that is good for prepping foods right now. I try to get in about that much each hour. My sugars have still maintained a fabulous level, and I am so excited about how quickly this DIABETES is becoming controllable. Its really fabulous. My whole goal was to be healthy and its working.
WEDNESDAY:
I found fiber vitamins which have been very helpful and started to get stuff moving again. I know lot of information but remember I am being open so that others can learn from the trails and errors we go through. The things that people don't share are a lot of times the things people fear most about these type of surgeries. So again, here is what I am currently taking for my daily vitamins:
Chewable Omega 3
Chewable Vitamin C
Chewable Multivitamin
Chewable Vitamin D with Calcium
Chewable Fiber
Chewable and or Liquid form Vitamin B
(liquid if I make a shake / chewable is I have a premade shake)
Biotin
* I am still taking the prescribed antacid from my surgeon. Not sure how long I continue to take this but will find out.

STAGE: SOFT-SOLID: I have started to eat/try a few different things which is so good. I am getting so sick of the regular foods. Here are some things I have been eating now (5 weeks out)
-Ham (they have pre portioned ones at Costco which last for 2-3 servings (2.5oz)
-Cheese - I eat lots of cheese (pre portioned variety of kinds from Costco)
-Premier protein shakes
-Lean Fit Whey protein
-Chicken, Tuna, Ground Beef
-Guacamole, sour cream, refried beans, cottage cheese.
-Soups, broths, chilli,
-Cheese Krisps (Costco) amazing
-Greek Yogurts, SF puddings, SF jello, SF popsicles
*NOT HAPPENING- Eggs (still get sick from them), Mayo and Salsa.
*Tried tomato yesterday and it sat okay, so will venture to try some veggies this week.


 THURSDAY:
Went for lunch yesterday with a friend. I find that everything you do right now you just have to be prepared. Don't be afraid to go out to a restaurant or with a friend for coffee just do prep work. I always check the menu out online before venturing out to make sure there is something I can eat, or a food I can ask to have modified. I have not run into an issue as of yet, and the bonus is you get to take most of it home with you after. As soon as you state to the waitress you just had surgery, they are more than accommodating.
I ordered a Grilled Chicken Burger (no bun)
With soup as my side and asked then to package that up right away.
I ate about 1/4 of the chicken breast, cut the rest up and put it into the to go soup (a broth based soup) which I will have today for lunch. Win Win.
The best part of this whole experience is the $$$ you save. Before I never would of thought twice about spending $20 on a meal, but now that $20 goes so much further.
And I don't think about oh gosh will this fill me up, is there gonna be enough food, should I order an appy, should I get the add on salad. Thinking about food so differently. What does my body need...right PROTEIN first. How much Protein do I have left to get in. Its hard from a Pre-Op side of things to really understand how this mental shift will work, as I struggled with it pre-op. I thought there is no way I'm not going to be hungry, what if this doesn't work, how can they (post oppers) not eat what they want to eat, not hungry my ass. But the truth is, you are mentally hungry. I go into a coffee shop with the smell of muffins, and pastries, and I think OMG 1 wouldn't hurt right?!?!?! my belly growls at the thought of Bread, and its hard to walk past the chip aisle, BUT you really have conversations with yourself. You remind yourself you need protein first, that your body wont work without it, that you cant get carbs in and get your requires Protein for the day. You just do it, because that is your job right now. To become a better you. And it does get easier, and you do make better choices each day your training your body to function in the way it is suppose to. The mental hunger will always be there, and it will always trip you up, BUT you really are not hungry anymore. You have gone through the hardest part of your journey getting you belly healthy, having the surgery, eating basically nothing, and now your just don't want to eat. I have to remind myself to eat, I have to set up a schedule each day for how much I am going to get in, make sure I have the foods ready and take constant inventory of what I have left to get in by the end of the day.

FRIDAY:
I use Myfitnesspal.com for tracking.
My daily Focus (trying to achieve) at this point is as follows:
*800 Calories (I am still sitting at approx. 500-600)
*2 liters of liquids (I am @ approx. 1.5 give or take)
*Protein 100g of daily intake (I am sitting at between 90-120)
*Carbs 20g of daily intake (I usually am way under)
  (I don't count Vitamins as anything or your carbs would be through the roof)
*Fat 30g of daily intake (good fats like olive oil, avocados)
Other things I measure just for myself is Iron, Calcium & Sugar

I am heading out of town for Easter and I am excited to have some rest, some change and time with my extended family. Packing and prepping for this is a nightmare. SO worried about not packing enough food, or the rights food. Ive got so much prepped but its still makes me nervous, not to mention being about and around foods all weekend. BUT I got this, I can do this and I will have a blast so I must concentrate on that. I cant wait to get out in nature and enjoy the time with people I love xox
HOPPY EASTER everyone!



Stay Tuned ~ Nat
Mind/Body Under Construction

This Made me laugh so hard

Monday, March 21, 2016

No Sugar Pumpkin Spice Bread

No Sugar Pumpkin Spice Bread


Ingredients
  • Nonstick vegetable cooking spray
  • 1¼ cups flour
  • 1 cup almond flour
  • 1 teaspoon baking soda
  • 1 teaspoon baking powder
  • 1½ teaspoons pumpkin pie spice
  • ½ teaspoon salt
  • ½ cup Truvia Brown sugar replacer
  • ½ cup butter, softened
  • One, 15 ounce can Libby's pure pumpkin puree
  • 1 teaspoon vanilla extract
  • 2 large eggs
Instructions
  1. Preheat oven to 350 degrees. Spray a loaf pan with cooking spray and set aside.
  2. Combine the flour, almond flour, baking soda, baking powder, spices and salt in a small bowl. Set aside.
  3. Beat the butter and Truvia on high speed with an hand or stand mixer for 1 to 2 minutes, until light and fluffy.
  4. Add the pumpkin and vanilla, then beat in eggs, one at a time.
  5. Add the flour mixture and stir until just combined.
  6. Spread the batter into the prepared loaf pan and bake until a toothpick inserted near center comes out clean, 45 to 50 minutes. Cool on wire rack for ten minutes then remove from pan and cool completely before slicing.

SOFT FOODS - Recipes to try


SOFT FOODS - Recipes to try. HIGH PROTEIN / LOW CARBS

*CAULIFLOWER FRIED RICE
http://aseasyasapplepie.com/quick-easy-cauliflower-fried-rice/



 
                             *Small Bites: All foods made in Muffin tins, bake zip lock, freeze. grab and gos
http://fancy-edibles.com/breakfast/24-awesome-muffin-tin-recipes

*Weight Loss Surgery Foodiehttp://www.bariatricfoodie.com/

Mashed Cauliflower

Ingredients
  • Medium-sized head of cauliflower, chopped into florets (about 1½ lbs.)
  • 1 head of garlic cloves peeled
  • 1/4 cup skim milk
  • 1 teaspoon fresh thyme leaves plus some for sprinkle on top
  • 1 teaspoon fresh chives, chopped
  • salt and pepper, to taste
  • 2 tablespoons parmasean cheese
Preheat oven to 400 degrees
Instructions
  1. Fill a large saucepan with about an inch of water, and insert a steamer basket. Bring the water to a boil, and add the cauliflower florets and garlic. Reduce the heat to a simmer and cover, allowing the cauliflower to steam for 6-8 minutes, or until fork tender.
  2. Drain the steamed cauliflower, and transfer to the bowl of a large food processor. Add in the seasonings, and process to your desired texture.
  3. If additional liquid is needed to facilitate blending, feel free to add a splash of skim milk, and adjust the seasonings to your taste. I ended up using about a teaspoon of fine sea salt for this particular batch, but each batch may vary, so be sure to start with less than you think you need, and add more as you go.
  4. put into a oven safe dish and sprinkle parmasean cheese and a few more sprigs of thyme on top.
  5. Bake until lightly browned about 15 mins.
  6. Serve warm and enjoy!
Notes
This mashed cauliflower dish makes a great base for any of your favorite add-ins. If you prefer cheesy mashed potatoes, try adding 2-3 ounces of creamy goat cheese, or a sprinkling of nutritional yeast for a vegan variation. You could also add in some extra chives and a few spoonfuls of plain goat yogurt for a "sour cream & onion" flavor. The options are endless! Also, be sure to note the serving size on this recipe. One medium head of cauliflower only made enough to serve two people in our house-- we love to heap it onto our plates! If you're serving a bunch of mashed potato fans, you may want to double or triple this recipe, to be on the safe side.

 


*CAULIFLOWER PIZZA CRUST
https://www.pinterest.com/pin/264656915575542361/



**Chicken cordon bleu

Ingredients:
One 5-oz. raw boneless skinless lean chicken breast cutlet
1 wedge The Laughing Cow Light Creamy Swiss cheese, room temperature
1 oz. (about 3 slices) 97 - 98% fat-free ham slices
salt and black pepper, to taste
Directions:
Preheat oven to 350 degrees.
Put chicken in a large sealable plastic bag, squeeze out as much air as you can, and seal. Using a meat tenderizer or a can, carefully pound chicken through the bag until it is about 1/4-inch thick. Remove chicken from the bag, and season to taste with salt and pepper on both sides.

Lay the chicken flat and spread the cheese wedge over it. Evenly layer the ham slices on top of the cheese. Starting with one of the longer sides (or any side, if it's square), tightly roll up the chicken breast cutlet, and secure with toothpicks.

Place chicken roll in a baking dish lined with foil and/or sprayed with nonstick spray, and then cover the baking dish with foil.

Bake in the oven for 20 minutes. Carefully remove the foil covering the dish. Continue to bake (uncovered) for an additional 15 minutes, or until chicken is cooked through. Enjoy!
MAKES 1 SERVING

Serving Size: 1 chicken cordon bleu (entire recipe)
Calories: 222
Fat: 4.5g
Sodium: 692mg
Carbs: 2g
Fiber: 0g
Sugars: 1g
Protein: 40g

*ZUCCINI CRUSThttps://www.pinterest.com/pin/233553930651364550/

*CAULIFLOWER TORTILLAS
https://www.youtube.com/watch?v=T0kWVbJ_LZ0

*Cauliflower Tots

 
Servings: 4 • Size: 8 tots • Old Points: 3 pts • Points+: 4 pts
Calories: 148 • Fat: 5 g • Protein: 10 g • Carb: 16 g • Fiber: 3 g • Sugar: 2 g
Sodium: 397 mg (without salt) • Cholesterol: 47 mg

Ingredients:

  • 2 cups cooked cauliflower florets, finely chopped 
  • 1 large egg
  • 1 large egg white
  • 1/2 cup onion, minced
  • 3 tbsp minced fresh parsley
  • 1/2 cup reduced fat sharp cheddar cheese, grated
  • 1/2 cup seasoned breadcrumbs or other low carb substitute 
  • salt and pepper to taste
  • cooking spray

    Directions:
    *to cook the cauliflower florets, steam a little over 2 cups raw cauliflower florets in a little water covered for for 4 to 5 minutes or until tender but not mushy, then drain well and dry on paper towel, then using a knife finely chop and set 2 cups aside.

    Preheat oven to 400°F.  Spray a nonstick cookie sheet with cooking spray.
    Put everything In a medium bowl, and season with salt and pepper to taste.
  • Spoon 1 tablespoon of mixture in your hands and roll into small ovals. Place on the cookie sheet and bake for 16-18 minutes, turning halfway through cooking until brown


*Chicken Crust Pizza

Recipe type: Low Carb Pizza
Prep time:  5 mins
Cook time:  30 mins
Total time:  35 mins
Serves: 4
Ingredients
1 Pound of Ground Chicken
  • ¼ Cup Parmesan Cheese
  • ¼ Cup Shredded Mozzarella Cheese
  • ¼ Teaspoon Black Pepper
  • 1 Teaspoon Italian Seasoning Blend (or just a bit of Oregano and Basil)
  • Sauce and toppings of your choice. I used BBQ sauce, Cheddar Cheese, Bacon and Red onion.
Instructions
  1. Pre-heat the oven to 400*.
  2. In a medium bowl combine the ground chicken, cheeses and spices. Line your pizza pan or cookie sheet with parchment paper sprayed with non-stick cooking spray.
  3. Place the ground chicken mixture onto the pizza pan. Then Place a piece of parchment paper or plastic wrap on top of the chicken mixture. Evenly press the mixture into the pizza pan. If you want you can even use your rolling-pin to get it nice and even. Remove the parchment/plastic wrap once done.
  4. Bake in the oven for 20 min or until the crust is golden.
  5. place whatever sauce, toppings and cheese you like on the chicken crust then return to the oven to bake for an additional 10 min until the cheese and toppings are melted heavenly goodness.
For a thin and crispy crust divide the 1lb of ground chicken and use 2 cookie sheets.  flatten out the chicken using a saran wrap.  Get as thin as you can and put in the oven at 400 for roughly 20-25 minutes. Very crispy!!!! 


*RICCOTA BAKEhttps://www.pinterest.com/pin/69524387976414962/
 

Ricotta Bake
Makes (4)  1/2 cup servings
8 oz of Ricotta Cheese
1/2 cup grated Parmesan
1 large Egg, beaten
1 teaspoon Italian Seasoning
salt & pepper to taste
1/2 cup Marinara Sauce
1/2 cup shredded Mozzarella Cheese
Mix ricotta cheese, Parmesan, beaten egg, seasonings together and place in a 2 cup oven proof dish or 4 half-cup ramekins (spray really well with non-stick cooking spray prior to filling) . Pour marinara on top and top with mozzarella cheese. Bake it in the oven @ 450 for about 20-25 minutes until brown and bubbly.
Jill’s Version:  I used part skim ricotta and mozzarella cheese for less calories.  My way is to mix the mozzarella into the ricotta mixture, press into your dish(es), top with sauce and sprinkle 1-2 Tablespoons of Parmesan I reserved from the original 1/2 cup that was stirred into the ricotta mixture.  (Later, when I’m up to solid foods, I will add some mini turkey pepperoni’s to this or Italian flavored turkey sausage.)
MyFitnessPal Nutritional Stats: on MY version with the part skim cheese is 181 calories per serving, 10 grams fat, 9 grams of carbs and 13 grams of protein.
Eggface’s Spark People Nutritional Stats:full fat version (written as is) 227.5 calories, 13.3 grams fat, 5 grams of carbs and 15 grams protein.
Super close stat wise between the two different nutritional sites.  /shrug/  It’s delicious regardless of which version you do!  Hope you enjoy!


PROTEIN SWEETS. treats without the guilt.
https://lookaside.fbsbx.com/file/Protein%20sweets.docx?token=AWyu5i061OZTR8cIs048tNBjCXFjjEDAQePNd7WpoxQ04s3fBA8PMdgiRUVvh15xFnajxB3HCflpBxBfXhWNQbdqqthlleGzn7YApuOadxtnZRwPvK0N6MrVa_aYo29CCOBqgy7kDXU0uwx5hwAVZI6A












Stayed Tuned~ Nat
Body/Mind Under Construction

ROSIE O'DONNELL'S WLS (Sleeve)

Rosie O'Donnell's Weight Loss (Sleeve)


As she walked the red carpet on eldest son Parker's arm earlier this week, Rosie O'Donnell was beaming – and looking slimmer than ever after losing more than 50 lbs.

The talk-show host – out in New York Monday for the Rosie's Theater Kids gala, benefiting her namesake nonprofit – spoke candidly on The View about the stressful side of watching her own body change so drastically. But she also shared with PEOPLE the upside of her weight loss.
O’Donnell joins growing list of celebrities to undergo gastric sleeve surgery for overall wellbeing
While attending a sponsored American Heart Surgery Association luncheon on Valentine’s Day, Rosie O’Donnell announced that she underwent weight loss surgery. After a severe heart attack in 2012, the 5-foot-7-inch comedian was prompted to undergo bariatric surgery. She had the procedure in July 2013.
O’Donnell was considered pre-diabetic by doctors and suffered from high blood pressure and cholesterol. She said that she turned to gastric sleeve surgery after limited results in weight loss and overall health with diet and exercise alone.
With gastric sleeve surgery, about 80 percent of the stomach is removed. This immensely limits portion size, while increasing the patient’s chances for significant weight loss. In just over six months, O’Donnell dropped from 230 to 190 pounds. Doctors still recommend that she lose another 40 pounds.
"In my opinion, [this surgery is] something that needs a little more attention for people who have suffered with morbid obesity their whole lives," she said of the vertical gastric sleeve surgery she had in July 2013. "This has really, really helped me"
While acknowledging some people think surgery is a shortcut to weight loss, or an easy way out, O'Donnell, 52, said the experience is far from a breeze.

"Everyone has to approach it in a way that feels right with them, [but] once you have the surgery, it's not a magic pill," she said. "It's still hard. You have to risk your life, and you're in severe discomfort for a couple of months, and it forces you to modify your behavior when you haven't been able to before."

After suffering a heart attack in 2012, she now says the operation is helping to save her life.  "I think, for me, always having a weight issue and struggling with weight my whole life, to the point I had a heart attack that almost killed me and [until] the doctor said, 'You have to do this,' I don't think I would have done it ever," she said.

Another benefit, hopefully: less bullying, something she says she fell victim to a few years ago when she and Donald Trump verbally sparred in the media.
"Probably the Trump stuff was the most bullying I ever experienced in my life, including as a child," she said. "It was national, and it was sanctioned societally. Whether I deserved it is up to your own interpretation."
The 51-year-old comedian follows a healthy diet and takes walks regularly, while hoping her bariatric surgery will inspire others to lose weight and overhaul their diets and exercise. Since heart disease is the number one killer of women, with victims often experiencing less life-threatening signs, O’Donnell wants women to be aware of heart attack symptoms and be vigilant about their health.
“You are worth it, take care of yourself, and know the symptoms of America’s leading killer of women and men,” O’Donnell said.
O’Donnell joins the growing list of celebrities to undergo weight loss surgery, including, Al Roker, Lisa Lampanelli, Randy Jackson, and others. The burgeoning popularity of bariatric surgery is due to its success in patients who can’t lose weight or increase health with just diet and exercise. This surgery gives these patients the head start they need to lose weight and get on the right track towards better health. 
Stay Tuned~ Nat
Body/Mind Under Construction

Saturday, March 19, 2016

MARCH 13 - MARCH 19 2016 Graphic Details

MARCH 13 - MARCH 19 2016.

Fabulous Flowers my Work Sent me. So gorgeous, and brightened my day.


MONDAY
SOFT FOODS, the start of this soft foods process has been rough. My body is completely rejecting food of any kind. The first meal, chicken and mashed potato's (protein first) was a disaster, and I mean the truth of the matter is I had 4 or 5 bites and I had stuff coming out all holes by an hr later. There is a thing that happens, that I had been dreading which is described as a foaming that starts coming up in the form of throw up. It isn't throw up consistency as you don't have much in you, but its like a thick flem, and you burp constantly as it works its way up and out. Now I'm not entirely sure if this is a result of the food, eating too much or just a reaction to solids?!!? Time will tell, I will keep you all posted as apparently this keeps up for some time...which sucks.
My breaky ever morning. A shake and a bowl of vitamins! yum


TUESDAYCONSTIPATION is the one thing I wasn't expecting. I have not had a bowel movement in forever. Its killing me esp. since you cant have any meds. Its dreadfully painful. In fact I am not even sure if in this whole month if I have had maybe 5 bowel movements. Its kinda a side affect from taking Carbs & Fiber out of your diet I guess. I asked my doctor and a few others from his support group and they suggest fiber supplements to help get me through the next little bit while my body reacts to the changes.
FOOD, I had been able to eat a few bites of real food, so that is fun. I went to Costco and prepped up on all the stuff I would need during this stage. Was there for so long reading all labels, finding the highest protein contents so I could get all my proteins in.
I find that eating real protein gives me more energy which I am thankful for.
I have finally got over the stall with my weight that I was at. The last 3 days I have lost 1lb a day, and I'll take that. I have been able to get my calories up to 600 which is awesome. Not sure if they still count if you are puking some of them back up?!?! Not sure on that, I must ask. Hopefully I keep the nutritional parts down. Once I am able to have a bowel movement I'm sure I will lose about 10lbs...lol
Prep Work: Soft food shopping. PROTEIN PROTEIN PROTEIN

Prep Work: Soft food shopping. PROTEIN PROTEIN PROTEIN

Prep Work: Soft food shopping. PROTEIN PROTEIN PROTEIN

Prep Work: Soft food shopping. PROTEIN PROTEIN PROTEIN

OMG Those WHISPS are amazing.
Today I took Chris mom, and my niece and nephew out for a walk, and we walked and walked. We did almost 4km which was a long walk. But it felt fabulous.


WEDNESDAY
Today I went to the pool, and did a water fit class and just didn't over do it. I took it slow, didn't bounce a lot but went hard n my legs. I came home and made Turkey Pumpkin Meatloaf which is high in Protein, and low in Crabs. Oh gosh it smelled good. Cant wait to eat it.


 
1.5 lbs of Ground Beef, Ground Turkey, Ground Chicken.
1 cup of Pure Pumpkin Puree
Onions, Carrots (didnt add because of sugar), Peppers, garlic, sage, salt/pepper, 1 egg white, 1 cup of bread crumbs (but I subbed 1/4 cup of panko).
I added 3 scoops of protein powder.
Mix together and bake at 375 degrees for 45min if small muffin tins.


THURSDAY
I have had an emotional week and was quite proud of myself for really concentrating on my eating, working out, and paying no sense to my feelings. A few months ago, I would have stopped at an fast food place and got a thing of fries by now, picked up chips on the way home, and drowned myself in a puddle of useless carbs. Looking back on it now, that's all I knew, get upset eat food that is bad for me. I not only didn't do it, but I have been in McDonalds, Dairy Queen, and several other fast food locations with the kids this week (Niece and nephew up for visit), and didn't even flinch. I brought my Protein shake with me. So getting back to the week. I have struggled emotionally this week. Everything that cold be wrong, or go wrong has. I am still frustrated that I am still bleeding....since surgery I have had my menstrual cycle which is hard enough with cravings, but when you physically cant eat it sucks. I still have not had a successful BM, which hurts now, I had a friend disappoint me, a mother in law upset me, my injuries from accident are so painful, and I am so over this puking after each meal. I know that all of the above body issues are normal at this stage, but just frustrated. The struggle is real, the fight to do the right thing is hard, so hard, and the emotional part of this sucks. I have been pretty optimistic but its just getting to met this week. I know I will recover, and get back to the happy me, and it to will pass, but I just need a moment. I have a counselling appointment today so that should help. Bill will lead me to the water fountain, and I will drink! On a positive note our Niece and Nephew were up this week staying at Jackie's house (Chris Mom), and I have got to spend a bunch of time with them, and it has been delightful. I had not really had time with them before so I really enjoyed the visits, getting to know them, and jus feel apart of their lives.

Bill (Counsellor):
Today at counselling we talked about a few things. My sleeve, the affects of the sleeve, my frustrating week, my accident and the emotional/physical toll on me, my stomach discomfort, my pain levels, my migraines, calm down exercises, breathing, and a few other things. I really had a rough week, and I knew he would make me see things differently. I am exhausted in so many ways. My body isn't getting enough which makes me weak, my mind is over active, and my pains from accident make it hard to concentrate. We worked on some ways to lesson the anxiety I am having, the worrying I'm fixated on, and pain tolerance. It was a good session.



Eating from sm side plates is so odd. Baked Sole/1 slice of cheese/1.5oz of apple sauce
2 oz Chicken Thigh/1/4 avocado/ Ricotta cheese


2oz of chicken thigh/2oz of Ricotta baked w/cheese
SATURDAY:
Today I have been working on getting all my water in. 2liters is a lot of Liquids. I had broth today to add water but seriously, how do you get it all in. I'm still way below my expected calorie count, need to get in all my PROTEINs and WATER. It doesn't seem there are enough 1/2 periods in the day to eat, wait, drink, wait, eat  etc etc.

I'm finding if I concentrate on one the other is lacking for the day. Yesterday I wanted to get more calories in, so I ate extra proteins like chicken, but in order to do so, I had to do it in several sittings...but then trying to get the water intake in...OMG its crazy. Full time job figuring this all out. So I know I didn't get enough water so today I am focusing on it, yet, am nowhere close to the Protein levels I need to be at. Anyways that is my rant for the day.
Most times as I have clearly stated before I am in such control over my life, who's in it, what I'm doing, how I feel etc, so to be so out of control with this whole new change it kinda annoying. Every once in a blue moon and opportunity comes around and makes you think about thing differently, way out options, look at all side of things, and hopefully have a sense of what is the right direction to go forward in. I am at a crossroads rationally knowing what I need to do to get to the end result, but full of doubts on wither or not I can get there. Sometimes being so mentally weak takes its toll, and you miss out on important things. You over think things trying to find the rational thought of what's right and wrong. All I know is I am sticking to this and going to give myself the chance to succeed and be the best me possible.
~Until next week xx



Stay Tuned ~ Nat
Body/Mind Under Construction




Thursday, March 17, 2016

WHY WE NEED MORE PROTEIN

WHY WE NEED MORE PROTEIN



When new to bariatric surgery almost every discussion seems to revolve around protein and vitamins. I have news for you… ten years later we are still talking about protein and vitamins! This is not small surgery and the changes made to the GI tract are serious enough where we need to supplement for what is unable to be eaten or serious problems arise. Here is a little bit of science. I find that if I know WHY my arm is going to fall off, I get the increased importance.
When you eat a food containing protein, whether meat fish eggs or dairy, the digestive enzymes in your mouth go to work as a first step in the digestion process. In the stomach more enzymes plus acids are added to deconstruct the protein into base units called amino acids.
There are 22 different amino acids that are critical to your health and life; luckily we are able to make 13 of those on our own, but the others we must get from our food. There is no other way.


When the stomach has broken down the food, the amino acids are then recombined by the body to make the proteins it needs at the time to maintain and build muscles, bones and blood.

Heres a visual: Imagine protein as a long gemstone necklace with each stone a different amino acid. The enzymes and acid breaks the strands of the necklace into loose beads so the body can then redesign the jewelry, placing the beads into new color and size combinations needed for various functions.
Therein lies the problem with bariatric surgery and why we suffer terrible deficiencies. With a bariatric procedure, the stomach has been made into a tiny pouch; there is no large handbag sized organ to physically churn the food plus there are little or no enzymes or acid to break it down chemically into the amino acid and nutrient particles. The food moves along from the bariatric pouch in bits much too large to be smuggled into the body through the openings in the intestinal wall. It is much worse in the case of a gastric bypass as the main portion of the intestine where most of the absorption or normally takes place is no longer hooked up, meaning not only is the food no longer deconstructed into amino acids but no longer passes through the smuggling zone of the tunnel.
While this is the means by which massive weight loss takes place, if we do not take in good protein and high nutrient foods in forms that are easily digested and absorbed, it will not be available to make the essential combinations needed by the body.
This is why those who have had weight loss surgery face serious nutrient deficiencies and complications that get worse as the years pass.
It is critical for anyone who has had a bariatric procedure to understand that what we’ve done to our system must be addresses by food and supplement choices. We don’t know how this will play out in thirty or forty years. Some of us won’t make it to find out.
With fast food restaurants on nearly every corner and our time so scarce, eating a well-rounded diet can be challenging. However, protein is one nutrient that your body can’t really go without. Protein is needed to help your body:
  • Build and repair tissues.
  • Keep your bones, muscles, skin, and cartilage healthy and strong.
  • Make chemicals like hormones and enzymes.
In addition to this, protein is a part of almost every cell that makes up your body and your hair and nails are almost entirely made out of this nutrient alone. In order for your body to stay in tip-top shape, it is essential that you are constantly getting enough protein in your diet.
What Are the Benefits?
Not only will a protein-rich diet ensure that your body is performing to its highest capacity, but it also comes with a variety of other benefits. Getting enough protein also ensures that you don’t lose as much muscle during periods of inactivity, and that you are able to gain muscle and get toned much easier.
Protein can also be used as a tool for effective and long-lasting weight loss. Protein creates satiety and when you have enough protein in your diet, you will be more likely to maintain a healthy weight and keep hunger and cravings at bay between mealtimes.
How Can You Get More Protein in Your Diet?
Unfortunately, getting enough protein is difficult unless you eat like a carnivore at every meal. To make getting a sufficient amount of protein in your diet easier, protein drinks and powders provide an easy and delicious way to accomplish your goals. Another great thing about protein supplements is that they can be easily taken on the go, so there is never an excuse to not eat right.
If you feel like you aren’t getting enough protein, or you want to increase your body’s general well-being, check out the various types of powders and protein drinks that online retailers have to offer.



Stay Tuned ~Nat
Mind/Body Under Construction

Wednesday, March 16, 2016

TOP 10 Tips for Before & After

TOP 10 Tips for Before & After

Before Surgery:


Liquid Only Diet1. Change your diet. Because a gastric sleeve is such a serious procedure, it is a good idea to prepare the body for living this way. Approximately two weeks before surgery (this timing can change depending on your doctor/starting weight) you need to start an all-liquid diet, in order to shrink your liver and make surgery safer.

2. Change your grocery list. Making sure you can make protein-rich liquid meals for before and after your surgery; it can take a long time before you are able to eat solids. You'll need a lot of clear soups and broths, skim milk, sugar-free clear jello, and Popsicles.

3. Stop smoking. Quit smoking up to a month before your surgery; it will ensure your post operative recovery is sped up and your risk of surgery-related complications will be reduced. If you do not quit smoking your doctor may refuse to perform the surgery altogether.

4. Ensure your wardrobe is suitable. This type of surgery will leave your body very tender. Loose clothing is a must and slip-on shoes can really help too. It's also a good idea to ensure you have some "transition" clothing, which will fit you at various stages as you lose weight. You will lose weight rapidly in the beginning so it's cost-effective to use old clothes that don't fit right now or to buy some from a charity shop.

5. Prepare your hospital bag. Gastric sleeve surgery requires an overnight hospital stay, so pack anything you think you may need to be comfortable.

6. Prepare your support group. It's important to educate your friends and family and make sure you have people around to help out during your healing process. You will need both mental and physical support throughout this journey. Your doctor may also encourage you to join a support group, either in person or online, such as RealSelf.

7. Arrange transportation and bring a pillow. Make sure you have transportation arranged for going home. You shouldn't be driving that soon after your operation and it will be painful. Take a pillow for the ride home and place it over your abdomen. Holding it somewhat tightly will help stop the pain from going over uneven surfaces and bumps in the road.

8. Get prepared. Get prescriptions early if possible, make sure the house is cleaned, laundry is done, meals are cooked and frozen ahead of time, and things like over-the-counter medication and stool softeners have been purchased.

9. Know the facts. Make sure you find out from your surgeon what a gastric sleeve surgery entails so you know exactly what is about to happen. Talking in detail with your doctor can reduce fear and anxiety associated with the procedure.

10. Protein, protein, protein
. You'll need protein after surgery, so get used to it pre-op. Take the period before surgery to find out which protein powders you do and do not like. Find out which protein-rich foods you'll be able to incorporate into your diet without adding too many extra calories and stock up your pantry!

After Surgery:


1. Follow the diet stages set out by your doctor. If  you try to eat solid foods too soon or begin to eat foods high in sugars and fats, you could risk harming yourself or damaging your stomach. You will certainly experience some uncomfortable side effects such as nausea, vomiting, and stomach cramps.

Wait to Go Back to Work2. Do not go back to work until you are ready
. The recovery time will vary, but it generally takes two weeks after after gastric sleeve surgery before a person is healed enough to work. You should also take on light duties only when you first return to work. Walking around is good exercise, but no heavy lifting. Up to 8lbs for the first month...leading up to 20lbs the second month and gradually more.

3. Never miss your check-ups
. Make sure you see your physician long into your recovery period to ensure you are healing correctly. It will also keep you on the right path with diet, exercise, and your weight loss goals.

4. Exercise when you can
. It may take some time before you can exercise fully, but it is important to strengthen your muscles and get back to walking as soon as possible. This will help your body strengthen and begin to cope with having less of a daily caloric intake while still remaining functional. No activity using stomach muscles until at least 2 months after surgery and progress slowly.

Read New Cookbooks5. Continue to educate yourself
. Find new recipes you can make so that food doesn’t become boring after your surgery. Your tastes will change, so try new things or even things you once disliked; you may love them now. Your body will be a great educator, you just need to learn to listen to it.

6. Know when to ask for help
. During the initial recovery phase it can be difficult to move and get things done. Make sure you get plenty of rest and have a good support network during these times.

7. Follow your prescription
. Do not try and wean yourself off of medication early. Be sure to follow your prescription and let your doctor know if you're feeling any discomfort. If you have diseases such as diabetes or high blood pressure, it may be that this surgery cures you. However, let your doctor make that decision.

8. Take multivitamins regularly
. Before you get into a routine, it can be tough to get all of the nutrition you need from food alone. Take multivitamins to ensure you are getting the right nutrients. Your doctor will be able to specify which particular vitamins you need. This should be a lifelong habit that you form, so start early.

Food Journal9. Track your calories
. Keeping your total calories at about 600-800 per day will ensure your weight loss is a success. Make sure you aren’t ingesting foods which are high in calories, sugar, or fat. Always make sure you speak to your doctor about how many calories you need each day. They'll know you and your body and will give you a specific target catered to your particular needs.

10. Don't drink your calories
. Only drink low-calorie drinks such as water, sugar-free juices, and unsweetened ice tea. Don't drink any form of soda (even diet) — which can stretch your new pouch because of the gasses — and never drink alcohol after surgery.

These tips will help anyone who is preparing for, or recovering from, gastric sleeve surgery. They are not meant to supersede any advice your doctor gives you, but will push you in the right direction when starting the journey to a healthier you. 
Stayed Tuned~ Nat :)
Body/Mind Under Construction

Tuesday, March 15, 2016

Shrimp Scampi with Zucchini Pasta

Shrimp Scampi with Zucchini Pasta
 
 
 
I broke down and bought a veggie spiral gadget. It's a giant pencil sharpener for zucchini. The strands are super tender and easy to eat. This a really tasty dish as the sweetness of the shrimp, toasted garlic lemon and seasonings coat the veggie pasta, yum! It comes together fast, so make sure that you have everything out before you start cooking.
Ingredients
  • 4 garlic cloves, sliced
  • 2 tablespoons olive oil
  • Juice of ½ lemon
  • ½ cup white wine or chicken broth
  • ¼ teaspoon crushed red pepper
  • 1 teaspoon Tuscan Seasoning or Italian Seasoning, to taste
  • Sea Salt and black pepper
  • 1 pound medium shrimp, peeled and cleaned
  • 2 medium zucchini, cut using a spiralizer or gadget into long spaghetti type noodles, pat with paper towels to remove liquid and set aside (do this just before cooking)
Instructions
  1. Cook the garlic in the olive oil in a deep wok or skillet over medium high heat until toasted and golden, 2 to 3 minutes. Remove to a medium bowl and set aside.
  2. Turn heat to high, add the shrimp and toss until just turning pink, 1 to 2 minutes. Remove to bowl with the garlic.
  3. Add the lemon juice, wine, crushed red pepper, Tuscan seasoning, ½ teaspoon salt, lots of freshly ground black pepper to the hot pan and boil until slightly thickened and reduced, 3 to 4 minutes.
  4. Add the zucchini pasta and toss until well coated and softened, 1 to 2 minutes.
  5. Add the shrimp, garlic chips and give a final toss to combine.

Monday, March 14, 2016

THE EASY WAY OUT~ Doctors point of view.

THE EASY WAY OUT


FROM A WLS DOCTOR
I was at a social function earlier this week and a woman asked me what I do for a living.
“I’m a bariatric surgeon,” I replied.
To which she said, “What do you think about that?  You know, people just taking the easy way out and having surgery for their weight.”
Whenever I tell people what I do for a living, the issues of self-control, discipline, and exercise come up.  I have people judge me as an enabler, and judge all of my patients as weak-willed.  Sometimes, it can be so frustrating that I don’t want to disclose any information about my career.  Then I think about my patients. My patients are hard-working, caring, sensitive, intelligent individuals that are battling a disease.
Should I ask people at parties to tell me from what diseases their grandparents or parents died?
“Your mother had lung cancer?  She shouldn’t have worked in that factory.  Your father had a heart attack?  He should have checked his cholesterol.  Your sister died of breast cancer? She should have gotten screened earlier. “
People that label bariatric surgery as the easy way out just don’t understand the disease process.   My patients have each tried dozens of diets. They have lost hundreds of pounds through aggressive medical weight loss programs, only to gain all the weight back and then some.  It’s not just a simple issue of discipline and a diet.  Obesity is a disease,  just like cancer, diabetes, heart disease, and stroke.  Those diseases don’t go away with discipline and diet either!  Our own American/Canadian Medical Associations officially declared obesity as a disease earlier this year.
Obesity has genetic components, well documented in the medical literature.  There are socio-economic factors involved.  Many of our patients have an abuse history, and sub-consciously shroud themselves from unwanted physical attention through their weight; hence, obesity has a psychological component.  There are numerous metabolic issues at play, such as diabetes, hypo-thyroid issues, poly-cystic ovarian syndrome, and leptin insensitivity.
Now consider the thought process involved in undergoing surgery.  Patients need to admit to themselves and their families that they have a disease that is so profound that they need to see a doctor to treat it.  Then they have to see a mental health provider, to evaluate them for untreated mental illness and coping skills.  Next they have to see a dietitian, and may need to undergo 6 months of medically supervised weight loss, depending on their insurance.  Then they have to have a major surgical procedure.  Granted, it’s typically performed laparoscopically, but they still need to undergo general anesthesia, and have someone operate on them in order to help fight this disease.  They may incur significant expense, loss of time from work, and/or time away from school.  Finally, they have to take vitamins for the rest of their lives, and they have to follow up with a mean surgeon (me) forever!
Does that sound like the easy way out?  How do I explain to a woman at a party that, without surgical intervention, only 30% of my patients would live to see their 65th birthday?  How do I explain the humiliation involved in asking for a seat belt extender on an airplane?  To not be able to go to a movie, or an amusement park.  To have to have a family member do your toilet care because you simply cannot reach?  To not be able to run after your child when he or she is in danger? To have people judge you as lazy and slovenly before even shaking your hand?  To be discriminated against when applying for a job, just because of the way you look?
Obese people are the last population that folks think of as socially acceptable to ridicule.  Yet, over 30%-50% of Americans/Canadians are considered overweight.  While I’m thrilled that it has been declared obesity a disease, how long until the rest of society recognizes that ruling and stops discriminating?
To my patients:  I will continue to fight on your behalf. Your bravery, your willingness to take control of your health care, and your dedication to a constant battle makes me proud to be your doctor.  Keep up your efforts, and let’s work together.



Stay Tuned~ Nat
Mind/Body Under Construction

THE EASY WAY OUT~ Articles

THE EASY WAY OUT~ Articles

Weight Loss Surgery: The Easy Way Out?
Are you frustrated with diet and exercise? Feel like it’s too much effort for little to no payoff? Is weight loss surgery something to consider? Probably not. Why? The qualifying criteria for surgery is strict; the lifestyle changes required are extreme, and after surgical healing is complete… a healthy, low calorie diet must be followed. And exercise? That doesn’t go away either. In fact, the recommendation is about an hour every day.

Weight loss or bariatric surgery has become more common in the U.S. / Canada / Mexico as surgical techniques and outcomes have improved and most insurance companies are covering it. As a bariatric dietitian, I see patients before, after and many years out from surgery. Sadly, there’s a common misconception that patients who choose to have surgery are taking the easy way out. Short story: going under the knife is copping out.

I find this comment uninformed and hurtful. I have never seen a patient who hasn’t carefully considered the risks of surgery or what they will have to incorporate and eliminate from their lives afterward. Proactively choosing a surgical tool, when all other measures have failed, is a courageous example of taking personal responsibility for one’s health…not a stroll down Easy Street.

Bariatric surgery is not for those with 10, 25 or even 50 lbs. to lose. Surgeons will only operate on patients with a body mass index or BMI that is 35 or greater. If a patient has a chronic disease as well as obesity, the qualifying BMI drops to 30 since the health urgency is even greater.
When an individual meets the BMI minimum and has had no luck with a long series of diet and exercise plans-- weight loss surgery could be the tool helping them regain their health.

Ironically, there’s a lot to gain from bariatric surgery but it comes with a high price. In Canada the cost is waved if your doctor supports your decision, however wait times of several years could count against you. Always start by asking yourself if your considering surgery if you are prepared to do the following….permanently.

· Never drink with meals again
· Give up smoking, carbonated drinks and severely restrict if not outright eliminate, alcohol
· Exercise an hour per day 6+ days per week
· Take a minimum of 5 vitamin/mineral supplements throughout the day
· Chew food at least twenty times per bite

And there’s little margin for error. If patients push the limits of their new stomachs, they pay for it with intense physical pain including nausea and vomiting.

The journey after weight loss surgery is exciting, scary, motivating and hard. As more weight is lost, confidence grows but new challenges appear. Relationships can be tested; self-esteem may soar or sink. It’s no surprise that support during this journey is essential. Research repeatedly shows patients receiving professional, non-judgmental support after surgery lose the most weight and keep it off. Since surgery is only step 1 in the weight management marathon, it’s clear to me, patients choosing this option aren’t slackers at all—more like superheroes. Easy way out is the furthest thing from the facts. 
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Article #2
A common comment people who have had weight-loss surgery hear is: “So, you took the easy way out.”
Speaking from personal experience, I can say that those who utter (or think) this miss the mark by a mile.
People who turn to weight-loss surgery do not do so on a whim. Doctors and insurance companies frequently require verified previous attempts at weight loss. Counseling sessions are scheduled and dietician meetings held. There’s psychological testing. Blood work. Cardiac clearance. You need to stop smoking.
All of this before you are cleared for the operating room.

Weight-loss surgery is major, involving significant changes to the gastrointestinal system. While it is mostly now completed laparoscopically, some weight-loss surgery patients know before surgery that it will be completed via a major, open incision while others learn that the operation was converted to an open procedure when they wake up in recovery.
After surgery, the possible side effects are endless. Pain. Dehydration. Nausea. Gas. Fatigue. Hair loss. Dumping syndrome (that's when undigested contents of your stomach move too rapidly into your small bowel; symptoms often include cramping, diarrhea and nausea). Sliming (a white, foamy discharge from the mouth). These are considered minor setbacks that patients may suffer.
The Hardest Part
So there is nothing easy about weight-loss surgery. I don’t say this looking for sympathy. I say it because the so-called easy way is hard.
You are on a liquid diet for 14 days prior to surgery. Five protein shakes at 160 calories each — 300 calories per day. That’s about one-fourth of what I typically consumed.
The hardest part? No carbonated beverages. None. I was a Coke junkie. I loved Coke. Craved it. I’d have at least eight cans a day.
I was also a connoisseur. I knew that McDonald’s Coke was the best. Better than cans. Better than bottles. Better than any other fountain Diet Coke at any other store or restaurant. And I knew why, too. Because McDonald’s invests more in water filtration, so it has better water, and because it chills both the water line and the syrup line, making its blend of Coke have more bite than any other I found.
Gone. My beloved Coke was gone. I began weaning myself in June and had my last one around my birthday at the end of July.
And no beer either. I don’t drink much, but beer was my favorite. It, too, is carbonated. It, too, was gone.
I’ve not had any caffeine since my last Diet Coke. I can’t say that my body misses it, but my brain sure does. (And yes, it is ironic that drinking zero calorie pop can make you fat.)

A New Way Of Eating
The gastric sleeve reduced the size of my stomach by about 75 percent. It’s no surprise that I needed to learn a new way of eating.
Immediately after surgery, for Phase 1, what I had to eat made the pre-operation protein-shake diet look like a Las Vegas buffet. Clear liquids. Oh sure, you can have protein, as long as it is in a clear liquid, which means it tastes awful. This lasted several days post-op.
Phase 2 was the return of the protein shakes for two more weeks wit purees.
Phase 3 was pureed/soft foods, basically anything rich in protein that you could put in a blender or food processor before eating. Blended cottage cheese. Blended eggs.

Phase 4 was soft/hard foods, high in protein and easily digestible. This lasted two more weeks.
On Oct. 13, 2014, I reached Phase 5: regular foods.
That’s the plan for the rest of my life: eat protein first, followed by vegetables. Avoid carbs. Avoid sugars.
I have averaged 800 to 900 calories per day since reaching Phase 5. I track my food on an app on my phone. I drink at least 64 ounces of water each day. No bread. No dessert. No refined sugars.
The surgery helps me feel full faster. It helps me achieve the dietary goals I was unable to achieve for the past 30 years.
A Tool Vs. a Cure
But weight-loss surgery is not a cure. As surgeons commonly and rightly state, it is a tool, and not a perfect one.
There are legions of stories of people who have figured out how to eat around the surgery. While the sleeve limits my ability to eat large quantities of food at one sitting, I suppose I could graze all day on ice cream and consume enormous quantities of calories without upsetting my new, much smaller stomach.
But I won't do that. Part of my motivation for writing this blog is to achieve a level of self-accountability that might help me succeed.
My New Exercise Regimen
In addition to significant dietary change, exercise is my new normal. My goal is for my cardio workouts to last 180 minutes per week. I try for light strength training three times per week.
Exercise is very important to prevent the loss of muscle mass during rapid weight loss. It also is starting to make me feel better for the first time in many, many years.
My previous attempts at exercise made me sore and tired. The weight loss from the surgery has made exercise more pleasant, though I am still waiting for the endorphin high that people claim to get from it.
I hope my long-term outcome does not include a route toward a new unhealthy eating pattern. I have lost 90 pounds since my surgical consultation in May 2014 — 76 pounds of that since the surgery in August. I am within 30 pounds of my goal after not quite four months.
The window of time to lose weight in a rapid manner lasts six to 12 months, according to the literature and the people who've been so brave and caring to share their stories and advice with me.
Now, all of this writing about dieting and food is making me hungry. I'll drink more water and go for a short walk. It’s a new life after all. It wasn't so easy getting here.





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Stay Tune~ Nat
Mind/Body Under Construction