Long-term Bariatric Diet - What NOT to Eat

| Posted in | Posted on 9:52 PM

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First, let’s talk about what not to eat.

You’ll notice the term “trigger foods” throughout our site. This refers to foods that upset your digestive system (cause digestive issues such as difficulty swallowing, vomiting, diarrhea or constipation).

As you transition into your long-term bariatric diet, certain foods will need to be put on the back burner until your stomach is ready for them while others may upset your stomach forever. You may be able to avoid the trigger by reducing their amounts, but there is also the chance you will need to give the food up altogether.

According to the American Society for Metabolic and Bariatric Surgery1, following are the foods may or may not be okay depending on your body and the type of surgery you choose…

Carbonated beverages
Soft “doughy” bread
Pasta
Rice
Tough, dry, red meat
Nuts
Popcorn
Other fibrous foods
Caffeine in moderation
Alcohol in moderation

The following foods should be eliminated from your diet forever…

Sugar, sugar-containing foods and concentrated sweets
Fruit juice
High-saturated fat
Fried foods

So, what should you eat?

Eat healthy

Healthy bariatric eating has two angles… what you eat and how you eat. Here we focus on what you eat. We’ll get into the “how” further down the page.

The creative packaging in the supermarket can make it difficult to distinguish between the healthy and unhealthy foods. In general, your bariatric diet should only consist of FOG foods…

Farm – The food is raised on a farm (i.e. chicken, turkey, eggs, dairy products)
Ocean – It comes from the ocean (i.e. fish)
Ground – It is grown in the ground (i.e. fruits, vegetables, nuts, whole grains) (click here for a great resource about starting a garden and organic gardening)
When possible, avoid anything that was modified by humans in any way. A good rule of thumb can be applied by reading the label… if there are more than 3 to 5 ingredients or if there are any ingredients that you can’t pronounce, don’t buy it.

How you prepare your food is as important as what you buy…

When cooking, bake, grill, poach or broil…don’t fry.
Use skim milk instead of whole milk.
Use chicken or vegetable broth instead of oil.
Replace oil in recipes with applesauce or yogurt.
Add spices or lemon juice to add flavor instead of olive oil or butter.
We know, we know… how boring, right?

Give it a shot. Not only will you eventually get used to the change, you will probably start to be turned off by not eating this way.

Many patients have said that after a while they actually became repulsed at the thought of unhealthy food because of how it made them feel compared to their new bariatric diet.

In addition, many patients’ taste for unhealthy food changes after surgery.

Here is a list of good diet books for Post Surgery Patients:

http://amzn.to/1AkVrpz

Losing 650 Pounds, and Preparing to Shed a Reminder of That Weight

| Posted in | Posted on 11:24 PM

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ORANGE, Mass. — Once weighing 980 pounds and a contender for the dismaying title of world’s fattest man, Paul Mason lost an astonishing 650 pounds after gastric bypass surgery five years ago. But he was left with a cruel, perpetual reminder of the person he had once been: 100 or so pounds of loose skin that enveloped him like a living shroud.
It is still everywhere: hanging from his arms, draping in folds over his midsection, encircling his thighs, frequently becoming infected, and so cumbersome that it puts him in a wheelchair most of the time. “It’s like carrying around a couple of children,” Mr. Mason said.
Mr. Mason, who is 54, could not find a doctor willing to remove the extra skin in England, where he lived until recently. But through a combination of strong will, good fortune, leaps of faith and the kindness of many strangers, he is now living here deep in the Massachusetts countryside and preparing for the first of a series of skin-removal surgeries in New York City.
See more here





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Diet recommendations after gastric bypass surgery

| Posted in | Posted on 8:55 PM

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Diet details

Diet recommendations after gastric bypass surgery vary depending on where the surgery is performed and your individual situation.
A gastric bypass diet typically follows a staged approach to help you ease back into eating solid foods as you recover. How quickly you move from one step to the next depends on how fast your body heals and adjusts to the change in eating patterns. You can usually start eating regular foods about three months after surgery.
After gastric bypass surgery, you must be careful to drink enough fluids to avoid dehydration, and to pay extra attention to signs that you feel hungry or full.

Liquids

For the first day or so after surgery, you'll only be allowed to drink clear liquids. Sip slowly and drink only 2 to 3 ounces (59 to 89 milliliters) at a time. Once you're handling clear liquids, you can start having other liquids, such as skim or low-fat milk.
Liquids you can have during stage 1:
  • Broth
  • Unsweetened juice
  • Decaffeinated tea or coffee
  • Milk (skim or 1 percent)
  • Strained cream soup
  • Sugar-free gelatin or popsicles

Pureed foods

Once you're able to tolerate liquids for a few days, you can begin to eat strained and pureed (mashed up) foods. During this phase, you can only eat foods that have the consistency of a smooth paste or a thick liquid, without any solid pieces of food in the mixture.
To puree your foods, choose foods that will blend well, such as:
  • Lean ground meats
  • Beans
  • Fish
  • Eggs
  • Soft fruits and cooked vegetables
  • Cottage cheese
Blend solid foods with a liquid, such as:
  • Water
  • Skim milk
  • Juice with no sugar added
  • Broth
It's important that you don't eat and drink at the same time. Wait about 30 minutes after a meal to drink anything. Also keep in mind that your digestive system might still be sensitive to spicy foods or dairy products. If you'd like to eat these foods during this phase, add them into your diet slowly and in small amounts.

Soft foods

After a few weeks of pureed foods, and with your doctor's OK, you can add soft foods — in the form of small, tender, easily chewed pieces — to your diet.
During this stage, your diet can include:
  • Ground or finely diced meats
  • Canned or soft fresh fruit (without seeds or skin)
  • Cooked vegetables (without skin)

Solid foods

After about eight weeks on the gastric bypass diet, you can gradually return to eating firmer foods. But foods must still be chopped or diced. Start slowly with regular foods to see what foods you can tolerate. You may find that you still have difficulty eating spicier foods or foods with crunchy textures.
Even at this stage, there are foods you should avoid because they may cause gastrointestinal symptoms, such as nausea, pain or vomiting.
Foods to avoid:
  • Nuts and seeds
  • Popcorn
  • Dried fruits
  • Carbonated beverages
  • Granola
  • Stringy or fibrous vegetables, such as celery, broccoli, corn or cabbage
  • Tough meats or meats with gristle
  • Fried foods
  • Breads
Over time, you may be able to try some of these foods again, with the guidance of your doctor.

A new healthy diet

Three to four months after weight-loss surgery, you may be able to start eating a normal healthy diet, depending on your situation and any foods you may not be able to tolerate. It's possible that foods that initially irritated your stomach after surgery may become more tolerable as your stomach continues to heal.

Throughout the diet

To ensure that you get enough vitamins and minerals and keep your weight-loss goals on track, at each stage of the gastric bypass diet, you should:
  • Eat and drink slowly. Eating or drinking too quickly may cause dumping syndrome — when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, dizziness, sweating and eventually diarrhea. To prevent dumping syndrome, choose foods and liquids low in fat and sugar, eat and drink slowly, and wait 30 to 45 minutes before or after each meal to drink liquids. Take at least 30 minutes to eat your meals and 30 to 60 minutes to drink 1 cup (237 milliliters) of liquid.
  • Keep meals small. During the diet progression, you should eat several small meals a day and sip liquids slowly throughout the day (not with meals). You might first start with six small meals a day, then move to four meals and finally, when following a regular diet, decrease to three meals a day. Each meal should include about a half-cup to a cup of food. Make sure you eat only the recommended amounts and stop eating before you feel full
  • Drink liquids between meals. Expect to drink at least 6 to 8 cups (48 to 64 ounces, or 1.4 to 1.9 liters) of fluids a day to prevent dehydration. Drinking liquids with your meals can cause pain, nausea and vomiting as well as dumping syndrome. Also, drinking too much liquid at or around mealtime can leave you feeling overly full and prevent you from eating enough nutrient-rich food.
  • Chew food thoroughly. The new opening that leads from your stomach into your intestine is very small, and larger pieces of food can block the opening. Blockages prevent food from leaving your stomach and can cause vomiting, nausea and abdominal pain. Take small bites of food and chew them to a pureed consistency before swallowing. If you can't chew the food thoroughly, don't swallow it.
  • Focus on high-protein foods. Immediately after your surgery, eating high-protein foods can help you heal. High-protein, low-fat choices remain a good long-term diet option after your surgery, as well. Try adding lean cuts of beef, chicken, pork, fish or beans to your diet. Low-fat cheese, cottage cheese and yogurts also are good protein sources.
  • Avoid foods that are high in fat and sugar. After your surgery, it may be difficult for your digestive system to tolerate foods that are high in fat or added sugars. Avoid foods that are high in fat (such as fried foods, ice cream and candy bars). Look for sugar-free options of soft drinks and dairy products.
  • Try new foods one at a time. After surgery, certain foods may cause nausea, pain and vomiting or may block the opening of the stomach. The ability to tolerate foods varies from person to person. Try one new food at a time and chew thoroughly before swallowing. If a food causes discomfort, don't eat it. As time passes, you may be able to eat this food. Foods and liquids that commonly cause discomfort include meat, bread, raw vegetables, fried foods and carbonated beverages.
  • Take recommended vitamin and mineral supplements.Because a portion of your small intestine is bypassed after surgery, your body won't be able to absorb enough nutrients from your food. You'll likely need to take a multivitamin supplement every day for the rest of your life. Talk to your doctor about what type of multivitamin might be right for you and whether you might need to take additional supplements, such as calcium.





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Mixed experiences, challenges common 6 years after gastric bypass surgery

| Posted in | Posted on 1:04 PM

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Patients who undergo laparoscopic gastric bypass surgery report negative effects in the years after the procedure, including personality changes, social challenges, physical limitations and a constant focus on food, according to research in Bariatric Surgical Practice and Patient Care.

In a mixed-methods study of Danish adults who had gastric bypass surgery, participants reported greater self-esteem and significant weight loss 6 years after the procedure, but also admitted to struggling with their new image, reported bodily pain and fatigue and, in some cases, resorted to substance abuse, according to researchers.

Jytte Heidman, MSN, and Mette GrĂžnkjaer, PhD, of the clinical nursing research unit and the clinic for internal medicine at Aalborg University Hospital, Denmark, analyzed data from a quantitative study with 71 participants who had bariatric surgery from 2006 to 2007. Participants answered questions in 2013 from the SF-36, a commonly used questionnaire measuring quality of life in bariatric surgery patients. Questions assessed physical functioning, bodily pain, general health, vitality, social functioning, role-emotional and mental health, as well as demographic conditions. Researchers used a scoring algorithm to transform the sum of the SF-36 items’ score within each domain to a scale ranging from 0 (poor health) to 100 (good health).

Researchers also analyzed data from a second qualitative study conducted in March 2013 that included 12 participants who completed the first questionnaire. The participants were divided into two focus groups of six participants each (4 women in each group) and completed more in-depth, in-person interviews regarding their experiences 6 years after gastric bypass surgery.

Participants reported an overall decrease in their health-related quality of life, with negative changes in physical functioning, bodily pain, general health, vitality and mental health when compared with the general Danish population.

“The possibility of living a more physically active life was considered important for participants’ [quality of life],” the researchers wrote. “At the same time, participants reported massive fatigue as a complication 6 years after [gastric bypass], which posed limitations to their physical abilities.” 
Participants also reported greater self-confidence and self-esteem while still struggling with their new image and the social challenges of trying to fit in after previously feeling unaccepted, according to researchers. Participants also reported unsightly skin folds as a result of weight loss, which limited them both physically and emotionally.

“Although weight loss had influenced their [quality of life] positively, participants still experienced that it was difficult to relate to and accept their body 6 years after [gastric bypass],” the researchers wrote.

Many participants also reported surprise that a focus on food had remained after surgery, according to researchers.

Clinicians should promote realistic expectations of the operation and subsequent quality of life to their patients, the researchers wrote, and said further study and a rehabilitation program may be helpful.

“Additional research should focus on the content of such a rehabilitation program and what is needed to support long-term changes to eating behavior,” the researchers wrote. – by Regina Schaffer




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Dr. Cooper: Gastric bypass often not a permanent fix

| Posted in | Posted on 8:42 AM

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Joyce Taylor talks with Dr. Emily Cooper about why it's not uncommon for people who've had bypass surgery to gain the weight back.

Dr. Cooper: Most patients do lose a lot of weight initially but long-term studies found that 10 years after bariatric surgery, 85% are in the obese weight range. Although most patients maintain a portion of their initial weight loss, 25% regain nearly all the weight and 10% gain even more.

Doctors may not talk about these facts, so like Karen, patients are devastated when this occurs.

Joyce: Why does this happen? Are there tests that might help predict a better outcome?

Dr. Cooper: One predictor of weight regain is high ghrelin. As we've discussed before, ghrelin is the hormone from the stomach that tells the brain the body's hungry. Not only was Karen's ghrelin level elevated by 800%, another key hormone, leptin, that tells the brain the body has enough body fat, was depleted. She also had low blood sugar reactions after eating. Together these faulty signals told her brain she was starving causing her body to store fat. So no matter WHAT she did, it wasn't going to be possible for her to MAINTAIN any weight loss she had achieved…

(Dieting, lack of sleep and underfueled exercise have been shown to increase ghrelin and suppress leptin-- Karen's lifetime of dieting and her depleted nutrition from surgery only made her metabolism weaker.)

Joyce: And these surgeries are not without risk!

Dr. Cooper: While the risk of death is very low, there is a 10% complication rate which increases with each additional surgery. The surgeries limit absorption of nutrients like starches, proteins, fats and vitamins and minerals.

Karen was over 300 lbs before her first surgery but she was actually really healthy – her cholesterol, BP, glucose levels were all excellent. Now she is dealing with health issues and fatigue. So it's always a good idea to get to the bottom of what's wrong before undergoing an invasive procedure. But it's hard to find the information because doctors are only now starting to understand that obesity is about more than calories in calories out.

Joyce: If Karen's body won't absorb nutrients, that seems just like another deprivation diet – so why would it have worked long term, when all the others didn't?

Dr. Cooper: You would think that surgery works by restricting food intake or calorie absorption, but actually, bariatric surgeries influence metabolism hormones and neurotransmitters. And often surgery can be life changing in a good way because especially at first it radically improves metabolism function. But since it doesn't permanently fix the underlying problem for many patients, the weight can come back. Now with medical treatment we will address the underlying issues so she can be as healthy as possible and her metabolism can function as normally as possible.




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The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass Surgery

| Posted in | Posted on 9:52 PM

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http://amzn.to/1QQRLQp

The roux-en-Y gastric bypass surgery, or RNY, can be your weight loss solution after years of struggling with obesity. Thousands of patients have successfully lost weight and kept it off after RNY, which is the most well-known kind of bariatric surgery.

Weight loss surgery is life-changing, and the best information can help you succeed. The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass Surgery! provides the information and tips you need to make the most out of this chance to overcome obesity forever.

How is the RNY procedure performed? How can it help you lose weight? Is the gastric bypass surgery your best option for weight loss? What should you look for when choosing a surgeon? What will your diet be like? How can you reduce complications and side effects?

This book is for you if you are just starting to consider weight loss surgery, if you know you want the RNY in particular or if you are already a gastric bypass patient. The book is a great gift option and also a great choice if you are supporting a gastric bypass patient. Learn all about:

• Average weight loss after Roux-en-Y gastric bypass (RNY)
• Choosing a surgeon and paying for surgery
• Safely preparing for and recovering from surgery
• All about the RNY diet for weight loss and health
• Health benefits and risks of the gastric bypass
• Embracing life as a RNY patient

This complete guide covers the entire RNY journey – don’t be left behind!

Click here to check it out.



7 Bariatric Surgery Benefits Besides Helping You Lose Weight

| Posted in | Posted on 7:57 AM

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You’d probably eat less if you felt full after eating a small amount of food. That’s exactly what bariatric surgery does and why it helps people lose weight.

Bariatric surgery enhances weight loss in obese people who have not achieved long-term success with other weight loss attempts. Bariatric surgery reduces the stomach’s storage capacity, which limits food intake and helps you feel full much sooner than normal.

But there’s more than one type of bariatric surgery. Options include gastric bypass, sleeve gastrectomy, gastric banding and gastric plication. Your physician can help determine if you’re a candidate and, if so, which option will work best for you.
 
“If you have a body mass index (BMI) of 35 or more, this means you likely need to lose over 65 pounds,” says bariatric surgery nurse Karen Schulz, MSN, CNS, CBN. Without making changes, you could develop serious health issues because of the excess weight. Almost all people with a BMI of 40 or more are candidates for the surgery.

Dietary adjustments after bariatric surgery

With their smaller stomachs, people who have had the surgery need to eat very slowly and take tiny bites. “One of the hardest adjustments for patients is that they cannot drink liquids while eating. Patients should drink their fluids at least 30 minutes before or 30 minutes after eating, but it doesn’t take long for most people to adjust,” Ms. Schulz says.

Those who have had the surgery also take vitamins and supplements recommended by a nutritionist who counsels patients after the procedure.

Weight loss only one health benefit of many

Bariatric surgery offers people significant and sustained weight loss.

“Most people who need to lose 65 or more pounds have tried multiple times to lose the weight on their own. While they may have some success at first, less than five percent of people keep the weight off for five years or more,” says bariatric surgeon and Director of Cleveland Clinic’s Bariatric and Metabolic Institute Philip Schauer, MD. In fact, he says they usually gain the weight back in less than a year.

Losing the weight and gaining it back does nothing to mitigate the potential health problems associated with obesity. You must keep the weight off for a minimum of five years to consider the loss a success and one that can result in a happier, healthier you.

Benefits of sustained weight loss through bariatric surgery include:
  1. Long-term remission for type 2 diabetes. “A recent Cleveland Clinic study suggests that bariatric surgery causes long-term remission of difficult-to-control type 2 diabetes. The results of this study show the procedure is highly effective for obese patients with type 2 diabetes, allowing almost all patients to remain free of insulin and adjunct medications for at least three years post surgery,” says Dr. Schauer.
  2. Improved cardiovascular health. Weight loss surgery decreases a person’s risk of coronary heart disease, stroke and peripheral heart disease. “Blood pressure and cholesterol levels can return to normal, or near normal after surgery, reducing these risks and improving overall well-being,” Ms. Schulz says.
  3. Relief of depression. Many obese people feel depressed because of poor body image and social stigma. Even younger people who carry significant excess weight find it difficult to participate in activities they might otherwise enjoy, leading to social isolation and depression. Losing this excess weight can improve emotional health in these patients.
  4. Eliminate obstructive sleep apnea. Achieving and sustaining a normal weight range often allows people with sleep apnea to stop using a CPAP machine at bedtime.
  5. Joint pain relief. Carrying around excessive weight puts a lot of stress on your weight-bearing joints, often causing chronic pain and joint damage. “The significant and sustained weight loss that occurs after bariatric surgery relieves the stress on joints and often allows people to stop using pain medications and enjoy much more mobility,” Dr. Schauer says.
  6. Improve fertility. Weight loss surgery can also improve fertility during childbearing years.
  7. Alleviate other medical conditions. Weight loss surgery can alleviate metabolic syndrome, pregnancy complications, gallbladder disease and more.
With obesity and its associated health complications rising at an alarming rate in America, bariatric surgery certainly represents a powerful tool for providing sustained relief for overweight people.
Dr. Schauer warns that it’s important to choose a facility with extensive experience in performing these procedures. “Bariatric surgery is very safe and, when performed by a knowledgeable and experienced team, comes with no more risk than a knee or gall bladder surgery,” he says.

The best facilities have a team of experts to help guide people through pre-surgery counseling and give ongoing support afterward.

“Patients have the best chance of success when supported by an experienced medical team that includes surgeons, bariatric medical physicians, nurses, psychologists, endocrinologists, and dietitians,” says Ms. Schulz.





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Weight Destroyer
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The Three Week Diet