5 Day Pouch Test Bulletin
Is doing the 5DPT dangerous to my Health?
Relax. You are going to be just fine.

2012 Is Your Time:
Shine Like the Star You Ar
March 2012   

Today's Bulletin
Soothe a Distressed Tummy
Newsletter Archive
Perfect Protein: Take Along Egg Breakfast
Common Questions & Answers
Losing weight and staying sane in a world where
 it's easy to be fat.

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Soups to Heal a Distressed Tummy
 Talk to any gastric bypass, gastric banding or gastric sleeve patient and they will tell you occasional stomach discomfort is part of life after weight loss surgery. After bariatric surgery patients secrete fewer digestive enzymes which means the stomach has greater difficulty digesting food that has been inadequately chewed or is high in fat or fibrous carbohydrate. Poorly tolerated foods quickly cause stomach or pouch discomfort. Many bariatric patients report finding relief in gentle homemade soup sipped slowly. Consider this recipe for spinach and ginger soup if you have experienced gastric pouch discomfort from eating poorly tolerated food.

Spinach & Ginger Soup
Delicate, Soothing
and Healing

This creamy green soup is delicately flavored with ginger and onion serves to soothe stomach discomfort and detoxify the body. The spinach is a natural immune system booster. The monounsaturated fat in the olive oil will help our bodies absorb the nutrients and minerals from the vegetables making this an ideal soup for pampering the gastric system.

2 Tablespoons olive oil
1 medium onion, chopped
2 cloves garlic, finely chopped
2 teaspoons fresh ginger, finely chopped
5-6 cups young spinach leaves
4 cups vegetable stock
1 medium potato, diced
1 Tablespoon rice wine vinegar*
Salt and pepper, to taste
1 teaspoon sesame oil, optional

Heat the oil in a large 8-quart stockpot. Add the onion, garlic, and ginger and cook over low heat, stirring occasionally, for 3-4 minutes, or until vegetables are tender.

Set aside 4-6 small spinach leaves. Add the remaining leaves to the pan, stirring until the spinach is wilted. Add the stock and potatoes to the pan and bring to a boil. Reduce the heat, then cover the pan and let simmer for about 10 minutes.

Remove the pan from the heat and set aside to cool slightly. Pour the soup into a blender or food processor and process until completely smooth. Return the the soup to the stockpot and add the rice wine vinegar. Adjust the seasoning to taste with salt and pepper. Heat until just about to boil.

Finely shred the reserved spinach leaves and sprinkle some over the top. Drizzle a few drops of sesame oil into the soup. Ladle into warmed soup bowls and sprinkle the remaining shredded spinach on each, then serve the soup at once.

Serves 4, 1 cup per serving. Per serving: 38 calories, 3 grams Protein; 2 grams Fat; 2 grams Carbohydrate.


Newsletter Archive
We are so pleased to offer quality newsletters free of charge to our fellow weight loss surgery Neighbors around the world.

LivingAfterWLS Newsletter Archive 

When we disjoint our moral character, our spiritual self, and our self-worth from the medical condition we are fighting with weight loss surgery we are able to pragmatically approach the control and treatment of the condition without making it personal. We are not bad people if we relapse with weight gain and we are not bad for having this illness in the first place. 
5DPT: Liquid Restrictions - More than just rules 
One of the first places we go off track after weight loss surgery is forgetting to follow the liquid restrictions. Some centers call them water rules. In short, the liquid restrictions mean to cease drinking beverages 30 minutes before meals and refrain from drinking beverages with meals and for 30 minutes thereafter. Read the newsletter to learn more.

Four Rules Reviewed
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: Should this be Rule #5?
LivingAfterWLS Weekly Digest February 24, 2011.




Greetings Neighbors!
If you are receiving this message from me it is because you signed up to receive it and you probably already know a little bit about the 5 Day Pouch Test  and about me. Thank you.  


Recently someone wrote to say they were afraid to do the 5DPT because they read in a forum that the plan is dangerous. Dangerous how? I asked. Because it is a liquid diet, came the response.  Apparently there was some confusion about the plan as a whole. A liquid diet should only be followed under the care and supervision of a qualified health care professional. The 5 Day Pouch Test plan includes two days of eating liquid meals but the definition of liquids includes things beyond protein shakes and clear broth. Our Day 1 & 2 liquids include delicious soups made of wholesome vegetables and meat protein. It is not necessary to puree the soups as the chewing of braised meats and vegetables is a critical step in initiating the digestive process that leads to digestion and satiation. These soups are so wholesome and delicious that many people continue to enjoy the recipes beyond the 5DPT.


Soup Recipes

I am aware that some people chose to eat protein shakes exclusively for Days 1 & 2 and some even add a few extra liquid days into the plan. Once they change the plan that much they are no longer doing the 5 Day Pouch Test: they are doing a liquid diet or liquid fast and ultimately they experience disappointing results.

The 5 Day Pouch Test, with its two days of liquids as the plan defines them, is not dangerous to your health. When the 5DPT is done correctly the liquid days give your digestive system a much needed break from the off-plan foods you may have been eating such as snacky non-nutritional carbohydrates. By eating both protein fortified drinks and nutrient rich soups one achieves the greatest results, gently breaking a carbohydrate snacking cycle and relieving the intestinal inflammation that results from slider food snacking. Those who follow the plan closely report the greatest feeling of satiation and fewer symptoms of carb-withdrawal than those who eat only protein shakes or clear broth for two days.
The 5DPT as it is written and presented online and in print is an organized approach to getting back to the WLS basics both mentally and metabolically. When followed with attention to details we hear great success stories that include restored feelings of pouch tightness and satiation, lost weight, increased energy and overall improved confidence and mental well-being. 


If you are going to invest five days into getting back on track then do it all the way. Take the program as a whole and immerse yourself in doing it right. Build that storm of enthusiasm and recreate the excitement you felt leading into surgery and the days and weeks that followed. Learn about yourself. Take notes and use the 5DPT 2-page journal. Learn your strengths and weaknesses and harness that knowledge to do better on Day 6 and Beyond.


You Can Do This!

Please take a moment to read the article WLS-Split Personality Syndrome. This is our most requested article from 2011 and we have included it in full for your convenience. Quick Link

For informative and inspiring reading please visit
our 5 Day Pouch Test Articles Collection

You are our valued reader. We respect your rights and privacy by never sharing your information with a third party. Please respect our creative rights by honoring copyright laws and prevent plagiarism.
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Perfect Protein: Take Along Egg Breakfast
Breakfast for Days 3, 4 & 5 and Beyond!
Brown Eggs Considering the protein needs of a bariatric gastric bypass patient, the egg may well be the perfect food. An egg contains the highest quality of food protein known, each Grade A large egg contains 6 grams of protein. It is so nearly perfect that egg protein is the standard by which other protein is measured. The egg is second, only to mother's milk, for human nutrition.

For many years eggs have been the forbidden food of the health conscious - fear of cholesterol content staved off many would-be scramblers who feared heart disease. But new research shows that dietary cholesterol intake does not necessarily affect blood cholesterol levels. People with a low fat diet can eat one or two eggs a day without causing a measurable change in their blood cholesterol level. By having weight loss surgery you have forced upon yourself a low fat diet which should include eggs. Your cholesterol levels will be monitored in the annual blood screening required by your bariatric professional. Speak with your center's nutritionist for specific guidelines.

A large egg contains 4.5 grams of fat (1.5 of which is saturated fat) and 213 milligrams of cholesterol and it supplies 70 calories. By nature an egg is protein rich, low in sodium and contains vitamins and minerals. Eggs contain biotin, a B vitamin; calcium and cephalin. Egg yolk is one of the few foods that contain vitamin D, the sunshine vitamin. In addition, eggs are inexpensive, delicious and easy to prepare. I have enjoyed a hard-cooked egg almost every single day for breakfast since having surgery. By now I'm not sure if this is a habit or an addiction, but I just don't feel right without my morning egg.

Eggs can become a bit tedious in the after-WLS diet. Here is a great new way to fix the ubiquitous hard cooked eggs. This take along dish can be enjoyed with whole wheat crackers or a toasted whole wheat English muffin. This mixture is also satisfying served on it its own.

Take Along Egg Breakfast
4 hard-cooked eggs*, chopped
1/4 cup (1 oz.) shredded reduced-fat Cheddar cheese
2 1/2 tablespoons bacon and tomato flavored French dressing
2 to 4 toasted waffles, English muffin halves or bread slices
Thin tomato wedges, optional
Parsley sprigs, optional

In small bowl, stir together eggs, cheese and dressing until well blended. Cover and chill to blend flavors. Spread 1/2 of the mixture on each of 2 waffles. In oven or toaster oven, broil 6 inches from heat, until warm, about 3 minutes, if desired. Garnish with tomato wedges and parsley if desired. Top with additional waffles, if desired.

*To hard-cook: place eggs in single layer in saucepan. Add enough tap water to come at least 1 inch above eggs. Cover. Quickly bring just to boiling. Turn off heat. If necessary, remove pan from burner to prevent further boiling. Let eggs stand, covered, in the hot water, 15 minutes for Large eggs (about 18 minutes for Extra Large eggs and about 12 minutes for Medium). Immediately run cold water over eggs or place them in ice water until completely cooled.

LivingAfterWLS Recipes


eating_outNew in the LivingAfterWLS General Store
Eating Out Guide
What to Eat When You're Eating Out
by Hope S. Warshaw
Paperback, 800 pages
2nd edition published 2009

Valuable resource featuring nutritional counts for more than 60 of America's most popular restaurants. Learn strategies for selecting healthier restaurant meals. Get counts for calories, carbohydrate, fat, and protein; know the exchanges/choices and serving sizes for every menu item; and find complete menus from America's most popular restaurants. Also contains tips and facts for healthier restaurant eating. Great resource for eating out while trying to manage health, weight and wellness.

Publisher's Price: $10.95
Value Price: $9.95
A few more FAQ's about the 5DPT
Can I repeat the liquid days instead of going to Day 3? 
You can repeat the liquid eating plan of the 5DPT Days 1 & 2, but as soon as you do that you are doing a liquid diet; you are not doing the 5 Day Pouch Test. The intent of the 5DPT is to quickly progress through the post-op dietary stages and get us back to basics following our weight loss surgery high protein, low carbohydrate diet. Please follow the 5DPT as it is written: it was developed to help you achieve the best results with your weight loss surgery. We tested it many many times so you don't have to.
5DPT Plan

I messed up on Day 1. Should I start over and repeat Day 1 until I get it perfect?
I have never done the 5DPT perfectly and I do not know anyone who has. Rather than make the 5 days about perfection make this time about learning. Little mistakes will not stop the world from turning. So forge ahead doing your very best and forgive little mistakes. Learn from each day, make notes on your 5 Day Pouch Test Journal, and emerge on Day 6 knowing more about yourself and how to work your tool. You can do this!

The plan recommends Emergen-C but my center said no bubbly drinks. What gives? 
Most bariatric centers discourage patients from having carbonated beverages after surgery. The carbonation may cause discomfort in the pouch, may cause the pouch to expand temporarily and may cause temporary or lasting injury to the stoma (the exit from the pouch to the intestine). In addition, consumption of carbonated beverages generally means empty calories that are eaten with non-nutritional snack foods. A fizzy vitamin drink mix is bubbly due to the effervescent reaction when the minerals hit the liquid. The fizz is not the result of pressurized carbon dioxide gas being forced into a liquid. Remember, fizzy is effervescent, not carbonation. The bubbles are a natural reaction when the minerals hit the water. Emergen-C is an approved dietary supplement by most bariatric nutritionists. Some patients may allow the effervescent bubbles to dissipate before drinking the vitamin mix.
Emergen-C Energy Booster

I'm afraid to do the 5DPT because I've heard about people who binge eat after doing it. Why? 
Several people have come to me after doing the 5DPT to say they went into a period of binge eating following Day 5. As we dug deep to understand what happened we learned that consistently people who restrict food intake during the 5 days typically binge eat on Day 6. Remember, the 5DPT is not about restricting calories or fat. It is about getting back on track. As lifelong dieters we often fall in the trap of thinking less is better and we restrict calories, which paradoxically is our downfall. Follow the plan as written and eat when you are hungry. Be sure to keep notes and watch for patterns that reveal behaviors you can improve. Work very hard during the 5 Days and on Day 6 keep the momentum going; don't toss away your hard work.
Review: The Plan

Where can I get support when I'm doing the 5DPT? Support is essential when making any lifestyle change for the sake of improving our health. Enlist family and friends to help you with the 5DPT. Explain the program to them and why it is important. Avoid those who you know routinely sabotage your efforts to improve your health. Bariatric support groups are a steady resource of knowledge and encouragement, find one at your bariatric center or a non-affiliated group in your community. Online support groups offer 24/7 networking with like-minded people from nearly every corner of the globe. Consider joining our LivingAfterWLS Neighborhood, an online community we call "a safe haven circle of friends" bonding in our quest for better health and weight management with surgical weight loss.

Important Information: I am me, I am not my disease  

Link: 2011 FAQ Newsletter


The health content provided by LivingAfterWLS 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.

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