5 Day Pouch Test Bulletin
Can't get past Days 1 & 2?
Secrets to Survive & Thrive on Liquid Days!

2012 Is Your Time:
Shine Like the Star You Ar

June 2012

Today's Bulletin
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A plan to work the 5DPT
Plateau keeping you from goal?
Losing weight and staying sane in a world where
 it's easy to be fat.

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in a Fork

I always say that each fork we put to our mouth is a new decision. One bad fork does not doom us forever and each new fork is an opportunity to nurture our body better than the last fork. One fork, one spoon, one bite, one day -- take it all at one time. The all or nothing way of doing things has never worked for any of us in the battle of the bulge.

The motivation for doing the 5DPT should always be to get back on track with the WLS dietary guidelines, not to lose weight. That means we take what we learn during the 5 days and apply it to our lifestyle on Day 6 and beyond. If we do the 5DPT simply to knock-off a few pounds and then go back to the very habits that lead to weight regain we will, naturally, regain the weight and then some. When we consented to weight loss surgery we agreed that for the rest of our life we would follow certain dietary guidelines. If we have drifted from the original guidelines the 5DPT can get us back to basics. At that point we must follow the guidelines we agreed to if we wish to sustain weight loss and keep our obesity in remission. "Use this as a means to return to following the instructions you were provided by your surgical weight loss center and nutritionist. Go back to doing what worked for you when you were at your best and losing weight or maintaining weight." (page 24 - 5 Day Pouch Test Owner's Manual).
Learn About: WLS Split-Personality Syndrome.


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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.




 Note, June 22, 2012: Our normal practice is to send the 5DPT Bulletin in the first week of each month. However, with the grand flourish of human error, we sent this email to our technical support staff email list, not subscribers to the 5DPT Bulletin. Only yesterday did we realize our mistake. Please excuse our error. I do hope you find this information, though delivered late, to be meaningful and timely in your on-going pursuit of better health and weight management.
Best Wishes! Kaye

Greetings Neighbors and Happy Summer 2012!
Petals of Light by Kaye Bailey
Have you found yourself starting the 5 Day Pouch Test over and over again struggling just to get through Days 1 and 2 and wondering what in the world you are doing wrong?  Do you blame yourself for being weak and lacking will power because the liquid days are too big a burden to bear?  You are not alone. Many people struggle on Days 1 and 2: over the last five years I've worked with many of you and I have learned a lot about what makes it hard and what makes it easy to get through the liquid days.

Refresher: The Plan Days 1 and 2

This month's 5DPT Bulletin takes a look at some of the pitfalls that derail us on Days 1 and 2. I then give solutions and suggestions to avoid these pitfalls so we all may successfully get back on track with our health and weight management using the weight loss surgery tool in the manner that serves us best. Little things make a difference and I think if you give Days 1 and 2 another try a pleasant surprise awaits you come Day 3.

You are more powerful than you think and
You Can Do This!


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5 Day Pouch Test:

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5 Day Pouch Test in Progress
5 Day Pouch Test Results

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Strategies for Days 1 and 2: Liquids
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There is no doubt about it: the 5 Day Pouch Test is an enthusiasm generating phenomena. More people have done the 5DPT after hearing by word of mouth how someone else took back their WLS tool and lost some weight too, in 5 easy days. If we are struggling and don't know how to "get back to basics", if we have lost all hope, and suddenly we learn about someone just like us who got back on track in five days, it is easy to get caught up in the enthusiasm.  Just like the young child eager to ride a two-wheel bicycle without training wheels we are prone to crashes when we take off too quickly without learning the rules.

I don't consider this over-eagerness a failure: it is simply misdirected energy leading to an  unsuccessful execution of the plan
.  There are four errors of over-eagerness that I see frequently, but can easily be avoided:
  • Restricting caloric intake
  • Poorly scheduling the 5DPT
  • Lack of Planning
  • Pursuit of Perfection

Let's take a look at each point of over-eagerness and consider ways to harness the energy and excitement while taking intelligent and reasonable steps to work the plan.


  • Restricting caloric intake. Do not restrict food or caloric intake on the 5DPT. You can have as many liquid meals as needed in response to hunger or cravings. Some people are inclined to restrict food intake during the 5 Day Pouch Test: this is not encouraged because it leads to increased hunger cravings and frustration. Do not restrict food intake: less is not better. Pay close attention to the signals your body gives and when you are hungry eat something from the approved menu for the day. Soups are measured in 1-cup servings and protein drinks are measured as the recipe or package directs. Stick with these portion sizes and eat what you can in 15 minutes. After 15 minutes discard what is uneaten and take pause to experience your pouch noting feelings of fullness and satiation. Wait at least one full hour before your next serving of liquid meal. Use this time to be mindful of your body; to get in touch with your pouch. Learning to feel the pouch and listening for authentic biological hunger signals is essential to your successful weight management. If you are truly hungry after waiting one hour then have another serving of one of the approved meals. Again, take only 15 minutes to eat and continue to be alert to the signals your body sends.

Carb Monster Soup Recipes: Days 1 & 2 


  • Poorly scheduling the 5DPT.  Mark the date. Set a date and mark your calendar. Make sure you can follow the plan without the disruption of travel, social events or hormonal cycles. Enlist the support of family and friends. It is fairly common for people to schedule the 5DPT to begin on Monday and end on Friday. But many have found that scheduling Day 1 for a Saturday works more favorably for them. On Days 1 and 2 one generally needs frequent bathroom breaks, which may be uncomfortable in a workplace. Consider that as you schedule your plan. Additionally, many of us have made the mistake of completing the 5DPT on Friday only to celebrate with weekend binge eating come Saturday. If our plan starts on Saturday and concludes on Wednesday we can more easily transition to a Day 6 lifestyle on Thursday, thus avoiding the weekend binge phenomena. Consider all of this before scheduling your 5 Day Pouch Test.  Scheduling it for the right time significantly improves our chance for success.
  • Lack of planning. You must plan ahead to have the prescribed foods available once the plan begins. You must also take the necessary steps to remove trigger foods from your environment as much as possible. Before the plan begins, please make preparations: this will ensure your success. Plan your meals for all five days and do the grocery shopping before starting the 5DPT. We all know that the supermarket is temptation alley, do your best to avoid going there for these five days. Many people are surprised at the relief and empowerment they feel upon making their food plan for five days. With the menu choices made there is little to dwell upon and we have spare energy to focus on getting back on track.

LivingAfterWLS free download planning tools 


  • Pursuit of Perfection.  At least once a day I receive this question, "I messed up on Day 1: Should I start over to get it perfect?" I have never done the 5DPT perfectly and I do not know anyone who has. Rather than make the five 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, review the key learning points and make notes on your 5 Day Pouch Test Journal. Emerge on Day 6 knowing more about yourself and how to work your tool. You can do this! One of the biggest dietary mistakes we make is thinking we must be totally perfect or totally imperfect. We do not have to manage our plate with an all or nothing strategy: this has never worked for keeping our obesity under control. Start thinking about doing your best in the moment and on the day and celebrate the little moments. Our LivingAfterWLS motto embraces this: "Stop for a moment. Look where you are: You Have Arrived." Now is everything.  Never forget that perfection is not the goal in anything: doing our best on the day and in the moment is always the goal.  

Eagerness + Intelligence = Success!
Team your eagerness with intelligence as you embark on a new chapter in this weight loss surgery journey. The 5DPT is a remarkably effective tool that can have a lasting positive impact on your health and well being when you use it correctly and set yourself up for success. In so many other areas of our life - relationships, parenting, career-making, home-keeping, talent-nurturing, etc. - we go to great lengths to take the necessary measures to ensure success. Doesn't our health and weight management deserve the same attention to detail that leads to success?

Don't you deserve the best health and wellness and weight management you are capable of achieving with hard work using your tools effectively? I think you do. And I know you can do this!

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A Weight Loss Surgery Journal
Marks Progress and Healing
Saving the Memories
Butterfly Lilac by Kaye Bailey
We have heard it all our dieting life: "keep a food journal, it will keep you accountable for what you eat." That advice always failed me, the best I could ever keep a food journal was through breakfast, I did not want to leave written evidence of my eating behavior.

But there is one time in my life I kept a journal, words and feelings scribed on the page. That journal chronicled the first year following my weight loss surgery. The weight loss surgery experience is profound. It is a physical and emotional Mt. Everest. I dare say there is no other change a morbidly obese person will ever undertake that is as emotionally significant as weight loss surgery.

There are two reasons for keeping a journal: first to have a release for your thoughts and feelings; second, to have a record of your experience. For many people it is less painful to be honest about our feelings when writing them down rather than speaking them. If we write them down we don't have to hear them aloud. If we write them down we are not vulnerable to sharing with someone else. For me, writing my feelings on paper was like sweeping the floor - I could gather the debris and toss it out - I no longer had it cluttering my mind.

Secondly, as a record, your journal will become priceless. Perhaps on a daily basis we cannot measure our growth, our strengths and courage as we experience the weight loss transformation. But if we have a reference we can deliberately and honestly measure our progress. We can turn to the journal when we are feeling defeated and relive milestone moments we have recorded. One of my greatest moments during the weight loss was fitting in size 12 jeans. Imagine it: size 12! I do not want to ever forget that moment, and I will not because it is in my journal and it is a success I visit often. Record those magical moments to relive later, it is worth the time and effort.
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A journal can be a lovely bound writing book, a simple steno tablet, a computer document or even an online blog. Video journaling to share is now possible with so many free video sharing websites available. In journaling, you can commit to daily entries, or write when the mood strikes. You can share your travel log or keep it tucked away and private.

Some patients elect to keep a weight loss scrapbook and they document their transformation with pictures and captions. What an excellent pastime and celebration of the weight loss, to record in pictures and words the transformation. Others use log sheets to mark progress, specifically fitness log sheets. They begin day one recording walking distance and speed. Looking at a log sheet is an excellent measure of progress. It can be used to identify trends and spot problems. It most certainly is a place to record accomplishments and highlight new records.

Do what is right for you. This is your experience: please, do yourself the favor of recording your journey.

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2nd edition published 2009

The American Diabetes Association has given this book its seal of approval. Complete & easy-to-use fast-food guide for people with diabetes, heart disease, and weight challenges. Includes nutrition facts for calories, carbohydrates, fiber, fat, trans and saturated fats, protein, and more. Complete menus for many popular fast-food chains. Compact & easy to take with you. Make smart selections for the entire family. Paperback; 300 pages. (Publisher: American Diabetes Association)

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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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