Whatever else you have on your mind,
Wherever else you think you're going,
Stop for a moment and look where you are:
You Have Arrived!
I believe in you.
You deserve to be healthy.
You deserve to be kind to yourself.
You deserve to achieve your greatest level of success with weight loss surgery when you harness your inner resources.
5 Day Pouch Test Owner's Manual
2011 Refresher Course Archive: The Four Rules
Rule #1 - Protein First:
LivingAfterWLS Weekly Digest January 20, 2011
Rule #2 - Lots of Water
LivingAfterWLS Weekly Digest February 2, 2011
Rule #3 - No Snacking
LivingAfterWLS Weekly Digest February 9, 2011
Rule #4 - Daily Exercise
LivingAfterWLS Weekly Digest February 18, 2011
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!
Understand the Four Rules of WLS Before Going Under the Knife
Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife.
Link to Article
The Nurse Warned Me,
But I Gained Some Weight Back Anyway
Kelly MarcaNorthern Ohio
Thank you for the Day 6 book. I guess I am one of "those people" - had the surgery and lost and then it came back, the weight. My WLS nurse warned me I could regain the weight and I didn't take her serious or maybe I thought I was more determined than everybody else or smarter or something. I wish I had asked her what would cause me to gain the weight back. I'm not sure that back in 2007 I ever heard of slider foods or liquid rules or anything like that. I just knew WLS was the answer for me. So now I'm up 48 pounds and want to stop it before it gets to 50 pounds and all of the sudden another 50 and I'll be back where I started. Thanks for explaining so many things in the Day 6 book. I wish I read this book before I even had the surgery, maybe I wouldn't be one of "those people" or at least not a 48-pound-regain one of those people.
This is the first time I have hope since the re-gain started.
Printed with Permission.
Because we are all "One of those people" who have or could regain our weight.
Day 6 by Kaye Bailey
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Another Reason for WLS Patients to Take B-Vitamins:
Delay Onset of Dementia
For weight loss surgery patients who may already be deficient in B-Vitamins there is now one more reason to take those Vitamin B shots and supplements prescribed by bariatric nutritionists: Vitamin B may very well delay the onset of dementia and ultimately Alzheimer's Disease according to recent reports.
New findings in the field of neurology suggest that increased supplementation of B-Complex vitamins by injection may slow the symptoms of dementia in older patients. The findings are the result of a two-year clinical trial conducted in England which suggests the high dosage administration of Vitamin B Complex slows the shrinkage of the brain therefore stalling the symptoms of dementia that routinely manifest during early onset Alzheimer's disease.
It is believed the B-Complex Vitamins react with high levels of the amino acid homocysteine which is linked to an increased risk of developing Alzheimer's disease. Dr. Gustavo C. Román, medical director of the Alzheimer & Dementia Center at the Methodist Neurological Institute in Houston, said he has seen the impact of these B vitamins in his patients and found that injections of B-complex vitamins are more effective than oral supplements. He added, "I'm not saying that everyone who takes B vitamins will prevent dementia, but in the right dosage and for the appropriate patients, the vitamin B-12 treatment could be a step toward modifying disease progression."
Medical experts predict that in the next decade Americans are facing a health care crisis as 78 million baby boomers reach the age of Alzheimer's onset. To date there is no known cure for Alzheimer's disease in spite of hundreds of clinical trials and millions of dollars spent on research. Alzheimer's Disease takes a toll on the victim, 60% of whom are women, and on the caregiver, most often family members. It is estimated that over a lifetime Alzheimer's care per patient is about $58,000 and rising.
Patients recovering from morbid obesity with weight loss surgery such as gastric bypass or adjustable gastric banding are advised to compliment their diet with a vitamin B complex supplement taken daily by sublingual tablet or monthly by injection. The supplementation is to correct for inadequate absorption following gastric surgery and annual blood tests will indicate if a patient suffers from vitamin B deficiencies. Patients should always follow the supplementation protocol prescribed by their bariatric surgeon, nutritionist and general practitioner.
The B vitamins are eight water-soluble vitamins essential for cell metabolism. In nature they are found in whole, unprocessed foods. A B-Complex supplement will contain: B1, Thiamine; B2, Riboflavin; B3, Niacin; B5, Pantothenic Acid; B6, Pyridoxine; B7, Biotin; B9, Folic Acid; B12, Various Cobalamins. Without adequate B vitamins the body lacks energy, for it is the coenzyme process of B vitamins that releases energy from the nutrients: protein, fat, and carbohydrate.
Kaye Bailey (c) 2010 - All Rights Reserved.
Article Source:Another Reason for WLS Patients to Take B-Vitamins: Delay Onset of Dementia
|LivingAfterWLS Weekly Digest|
The Four Rules:
Should "Daily Vitamins" be Rule #5?
February 24, 2011
|Greetings!|Last week we concluded our four-part Weekly Digest series refresher course of the weight loss surgery Four Rules. You know them by heart: Protein First; Lots of Water; No Snacking; Daily Exercise. I have long wondered, as many of you have, why taking our vitamin supplements is not part of the near-sacred list that is used almost universally by bariatric centers around the world. After all, we are instructed at length about our need for vitamins supplementation after a gastric weight loss surgery, particularly if we have undergone an malabsorptive procedure. So in keeping with our review of the daily activities that support and sustain our health after surgery today we look at Vitamin Supplements . Join me in making this your unwritten Rule #5 for good health and wellness after weight loss surgery.
As with all things related to our weight loss surgery, your specific vitamin supplementation prescription should be made by your bariatric surgeon, bariatric nutritionist and/or general care physician. Annual blood tests will determine deficiencies which can be treated with supplementation. So please, be informed about your vitamin and mineral intake and visit candidly with your health care team to ensure your best health. You deserve to be your nutritional best. In this digest we have included articles and links to help you be better informed about nutritional supplements and the impact they have on our wellness.
To review the Four Rules featured in our previous newsletters take a look at the links in the left hand column under 2011 Refresh Course Archive.
Happy 2011 - We are all in this together!
A Collection of Neighborhood Recipes
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Edited by Kaye Bailey
300 Recipes for weight loss surgery patients BY weight loss surgery patients. Quality spiral bound cookbook features Appetizers & Beverages, Protein Breakfasts, On the Go Protein, Healthy Snacks, Condiments & Sauces, Soups & Salads, Vegetables & Side Dishes, Main Dishes, Sensible Desserts and Healthy Grains. Nutritional data included on most recipes.
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Weight Loss Surgery Patients Can Never Be Nutritionally Healthy
A common claim from obesity surgery detractors is that after surgery patients can never be nutritionally healthy and they must take daily vitamin supplements just to survive.
It is a mistaken notion that weight loss surgery patients cannot lead a nutritionally sound life. The assumption is due to the restrictive and malabsorptive nature of the surgery it is impossible to eat a nutritionally sound diet. However, when healthy food choices are combined with a solid vitamin and mineral supplement program bariatric patients do enjoy sound nutritional health. In fact, after surgery, most weight loss patients are more nutritionally healthy than before surgery.
Furthermore, evidence suggests most Americans should take vitamin and mineral supplements to ensure nutritional wellness. In the 2005 Dietary Guidelines published jointly by the Department of Agriculture and Department of Health & Human Services the government concedes that dietary supplements are a useful source of nutrients when nutritional needs are not being met through diet.
Here's the quote: "A basic premise of the Dietary Guidelines is that nutrient needs should be met primarily through consuming foods. . . In certain cases, fortified foods and dietary supplements may be useful sources of one or more nutrients that otherwise might be consumed in less than recommended amounts."
In most cases Americans, even those criticizing gastric bypass, don't meet their RDI of vitamins. Furthermore, most Americans do not know the specific guidelines are for vitamin and mineral intake. Even more alarming, because Americans do not consistently have annual check-ups and blood work, many do not know the state of their nutritional health.
WLS patients who return annually to their bariatric centers undergo blood tests to screen for nutritional health. Most patients meet with a nutritionist to assess vitamin and mineral needs and make adjustments for better health. Gastric bypass patients are on top of the nutritional game when they follow the program.
Bariatric patients who desire optimum health and nutrition will take dietary supplements daily. Combined with wise healthful food choices they can meet their body's nutritional needs.
The Food and Drug Administration considers vitamins, minerals, herbals and botanicals, animal extracts, amino acids, proteins, concentrates, and teas dietary supplements. The FDA governs the labeling and intake recommendations for dietary supplements. The following are FDA terms for describing dietary and nutritional needs:DVs: Daily Values
- Daily values are two sets of references: DRV's and RDIs.DRVs: Daily Reference Values
- a set of dietary references that applies to fat, saturated fat, cholesterol, carbohydrate, protein, fiber, sodium, and potassiumRDIs: Reference Daily Intakes
- a set of dietary references based on the Recommended Dietary Allowances for essential vitamins and minerals and, in selected groups, protein. RDI's are essential to our health.RDAs: Recommended Dietary Allowances
- a set of estimated nutrient allowances required daily to maintain good health - established by the National Academy of Sciences. It is updated periodically to reflect current scientific knowledge. RDA's set the minimum intakes of vitamins and minerals and protein needed for the average person to stay healthy.
© 2005 Kaye Bailey - All Rights Reserved.
B Vitamins: What Are They and Why We Need Them
Weight loss surgery patients are advised to compliment their diet with a vitamin B supplement often taken in sublingual tablet form or by monthly injections. Some surgical procedures for weight loss inhibit absorption of the B vitamins which may result in deficiency. In addition, the low calorie high protein diet following bariatric surgery does not provide adequate dietary intake of B vitamins. Patients should follow the specific directions of their bariatric center when taking B vitamin supplements. Annual blood tests are needed to ensure deficiencies are quickly identified and treated.
The B vitamins are eight water-soluble vitamins that play important roles in cell metabolism. B vitamins are found in all whole, unprocessed foods. B vitamins play a key role in supporting and increasing the rate of metabolism; maintaining healthy skin and muscle tone; enhancing the immune and nervous system; promote cell growth and division; including that of the red blood cells that help prevent anemia; and may reduce the risk of pancreatic cancer.Continue to Full Article
Magnesium Deficiency Causes Personality Change and WLS Patients are at Risk
Have you ever felt like you were completely losing your mind? Like the world was swallowing you up and little things were out of your control and unmanageable? Like you were confused, tired, out of sorts and simply wanted to collapse? Has everyday noise become intolerably loud in your head?
That's how I was feeling a few months ago. I was confident I'd lost my mind and suffered a serious change of personality (for the worse, I may add).
My husband noticed my personality change too. He's a good and wise man and quietly did some research. This is what we learned and how we set about correcting my "problem."
As we know the gastric-bypass patient is at risk for vitamin and mineral deficiency. I religiously take my supplements. However, I was not taking the RDI of Magnesium which is 400 milligrams/day. Magnesium rich foods are raw rice bran, raw wheat germ, yellow cornmeal, corn, soybeans, soy milk, tofu, raw seeds and nuts, leafy greens, yellow vegetables and fruits, whole cereal grains, milk products & seafood. Meat and poultry are not particularly good sources of magnesium. Clearly, a weight loss surgery patient will not meet their magnesium requirements through diet.
From Dr. Bernard Jensen's Guide to Body Chemistry & Nutrition" I quote:
"I want to point out here that the classical deficiency symptoms for magnesium include neuromuscular signs, such as tremors, weakness, muscle spasms and irregular heartbeat; gastrointestinal signs such as nausea and vomiting; and personality changes that display confusion, apprehensiveness and depression. In the "old days" people with magnesium deficiency were often (mistakenly) taken to mental institutions because they acted so radically different that they literally seemed to be mentally ill."
In other reading we learned magnesium deficiency leads to a hyper-sensitivity to sound:
"It is well established that nutritional effects may result in hypersensitive hearing. Many individuals who are deficient in magnesium suffer from sound sensitivity, and they often experience an improvement after receiving magnesium supplements. A suggested 20 milligrams per each 10 pounds of body weight per day, is an appropriate amount of magnesium. Improvement would occur within a few days if the cause of the sensitivity is a magnesium deficiency." This statement appeared in The Sound Connection, 1998, Vol. 5, No. 3.
I started immediately taking a magnesium supplement and within a few weeks I felt like a new woman back to my old self again. The hyper-sensitivity to sound diminished and life did not seem so overwhelming. Case in point - exactly two weeks after beginning the magnesium supplement my stepsons and their children arrived unexpectedly at our home for dinner. To make matters worse, we had the kitchen disassembled for a minor remodel project. I happily adapted and cooked dinner for 7 without having a breakdown. That's when I knew the magnesium was working.
Patients should talk with their bariatric center if they experience these conditions or concerns. Annual blood tests will indicate if a patient is deficient in magnesium and other essential vitamins and minerals.
LivingAfterWLS Library: Diet, Nutrition, Vitamins
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Special Vitamin Formulas Help Slow Hair Loss
TThe question of hair loss comes up all the time in the LivingAfterWLS community. Is there anything we can do to prevent hair loss or at least decrease the severity of it?
Some bariatric centers say there is nothing to be done, that patients have to just live with the hair loss as part of the gastric bypass experience. Other centers say a diet of 70g. protein a day will prevent hair loss. Still other centers recommend taking a daily multi-vitamin and supplemental vitamins intended to improve hair health. I believe in taking a supplemental vitamin that contains biotin and silica (horsetail extract) which is known to improve the health, texture and volume of hair.
Hair loss usually occurs in the fourth of fifth month following weight loss surgery. During the phase of rapid weight loss, caloric intake is marginal. This puts the body in a state of panic called starvation. A healthy body normally sheds ten percent of hair follicles at any given time. When a body is starving roughly thirty to forty percent of hair follicles are sacrificed as the body channels nutrition to more vital areas. During this phase hair loss is dramatic, often patients find clumps of hair on the shower floor. Remaining hair becomes drab and lifeless.
I knew hair loss was a potential result of weight loss surgery, but because I'm a "cup-half-full" person, I didn't believe that hair loss would happen to me! That just happens to other people, I told myself! Imagine my surprise when my blonde locks were littering the bathroom floor like hair saloon
The hair loss is a transient effect of your gastric bypass surgery and will be resolved when nutrition and weight stabilize. Many patients report favorable results from taking a nutritional supplement that contains calcium, magnesium, zinc, boron, betaine and horsetail extract. Usually this vitamin and mineral supplement is marketed under the "healthy skin, hair and nails" category at vitamin stores and discount stores.
This is a large vitamin - I call it "the big ugly" and for new post-ops it will be nearly impossible to swallow. The pill can be split with a sharp kitchen knife or purchase a pill splitter at the drugstore. As always, check with your bariatric center if you are newly post-op before taking any nutritional supplement or medication.
In the Neighborhood: Diet, Nutrition, Supplements
Try Rainbow Light Nail, Hair & Skin Connection formula to improve the health of your skin, hair and nails. "Nutritive Support- with emphasis on key B vitamins to support protein repair and cellular health, with biotin, shown to increase nail thickness and hair health."
Find it online at Soap.com
Your Safe Haven Circle of Friends
9,716 Neighbors - 160,584 Posts
The LivingAfterWLS Neighborhood: an online compassion driven social space evoking feelings of comfort, understanding, knowledge, warmth, acceptance, trust and happiness for those who have undergone gastric bypass, lap-band or any type of weight loss surgery or those struggling with weight control. LivingAfterWLS Neighborhood: Ad-Free, Spam-Free, Privacy Protected. Don't trust your weight loss surgery life to anyone else.Introductions
Come in and tell us about yourself! We love meeting new Neighbors and everyone is welcome here in our little community.Introduce Yourself!
Want to join the Neighborhood, but not sure where to start? Tell us in this Volume 4: What brought YOU to the Neighborhood? Everyone is welcome - Can't wait to meet you!Start HereWeight Loss Surgery Chat
All things weight loss surgery. Find your procedure peer in our gastric banding, gastric sleeve forums. Or talk to veterans of weight loss surgery. Learn about diet, nutrition, exercise and more after weight loss surgery.5 Day Pouch Test Forum
Always a popular destination the 5 Day Pouch Test Forum is your place to connect with others who are using this popular plan to get back on track with their weight loss surgery tool.
See how Sareena & Debbie Jean did last week:Take a Look!Day 6: Beyond the 5 Day Pouch Test
Harness the momentum of your 5 Day Pouch Test and continue forward with a positive effort at Day 6 Living. Great support from others, like you, who are trying their best to live healthy happy lives with weight loss surgery.The You Have Arrived Alumni Club
Connect with others who had weight loss surgery the same year you did and share the journey! From the Pioneers of the 1980s to our newbies of 2010, everyone has a place in the Alumni Club to call home.The Picket Fence
A place to stop and share the things in our daily lives beyond weight loss surgery. A neighborly place of support and friendship.Fun FridayCommunity KitchenNeighborhood Cookbook
What Vitamin Supplement is Best
for Surgical Weight Loss Patients
The multi-vitamin market is rich with choice. It's also very confusing. There are mega's, potents, super all-day's, vegetarian formulas, geriatric formulas, athlete's formulas, recipes for men and women and teens! There are some things gastric bypass patients must consider when selecting a multi-vitamin supplement.
The weight loss surgery patient must first ask, "Can I swallow this with a small amount of water?" The next question, "Will it absorb quickly enough for my short circuited system?" Adult chewable tablets are available, but the taste is often unpleasant. However, these may be used during the first few months after surgery. Capsules and gels are a good choice because they are more likely to absorb quickly. Time released tablets should be avoided, they dissolve slowly, that's what makes them timed release. They will pass through the shortened intestine before absorbing into the body.
There is no right or wrong form of supplement, just make sure to select a form you will take routinely.
Choose a gender and age specific formula. The more that is learned about nutrition, the more obvious are men and women's different dietary needs. For example women need more calcium and iron in their diets. Men, particularly over 50, must be careful to limit iron intake. Geriatric vitamins often included chelated minerals for better absorption in addition to glucosamine to help with bones and joints and herbs to improve memory and wellness.
Finally, look for a supplement that contains most of the vitamins and minerals essential for good health - but does not exceed the U.S. RDA by more than 150 percent. (Most multi-vitamin supplements do not contain vitamin K - it is naturally synthesized by the body.) The label on the supplement bottle lists the weight in milligrams of the vitamin and minerals contained in the supplement.
The label also shows the percent of the U.S. RDA the supplement supplies. Natural and synthetic vitamins are virtually identical and most supplements are synthetic. It would require heaps of natural foods to extract enough vitamins for supplements and the cost would be prohibitive. One exception is vitamin E: the natural form is actually biologically more active and better absorbed and utilized by the body.
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The health content in the LivingAfterWLS website is intended to inform, not prescribe, and is not meant to be a substitute for the advice and care of a qualified health-care professional.