5DPT Bulletin
Don't blame the equipment 
Just make the play
June 2013
In This Issue
June Theme
FAQ: Mistakes on the 5DPT
Bulletin Archive
Don't blame the equipment
Q&A: Days 1&2 Liquids
Recipe: Lemony Chicken Soup

"We didn't ask for obesity and we didn't ask for the fight of a lifetime to keep it under control. Treat yourself kindly. Find your personal hell-bent determination. You already know how courageous and powerful you are: you learned that when you underwent bariatric surgery. The 5 Day Pouch Test will help you find that place again through the course of five days focused on your mental and physical wellness. Pull out your strength and reserves and let's do this together."
~ Kaye Bailey

Days 1& 2: 
Key Learning Points

"Days 1 and 2 of the plan are healing days. You treat your pouch like a newborn with gentle protein fortified liquids and soups. Pouch inflammation is reduced and processed carbohydrate cravings subside.  Mental focus is on listening to and respecting your body. Your menu on Days 1 and 2 repeats the early days and weeks following bariatric surgery.  A diet of simple liquids, including protein drinks, clear broth, creamy soups, and hearty soups takes the guess work out of meal planning so you can focus on making well and making right your WLS tool."

"All meals on Days 1 and 2 are liquids as defined here.  In the 5 Day Pouch Test liquids are defined to include clear broth and creamy soups, protein fortified beverages (protein shakes/smoothies), and hearty soups made of vegetables, legumes with some animal protein and dairy. Please follow the detailed directions for Days 1 and 2 in Chapter 4. Plan your days to include some of these healthful recipes that have been tested and found effective when used as part of your 5 Day Pouch Test."

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    My goodness, have we had a rough time of our community upgrade.  Please watch your email for an exciting announcement about the return of our "Safe Haven Circle of Friends."  And thank you so much for your patience and understanding during this time of utter frustration for us at LivingAfterWLS.  


LivingAfterWLS is your premier destination for life-long support for your health and weight management with all bariatric surgery procedures. Kaye Bailey founded LivingAfterWLS in 2004 and has served the WLS community since then, all-the-while learning to manage her own health with gastric bypass sugery in 1999.



Read the words we live by:


LAWLS Empowerment Statement


Question: What is the biggest mistake you see people making on the 5 Day Pouch Test?

Kaye's Answer: Not learning and following the plan or changing the plan drastically.

Learn the plan. Read the plan in full and be sure you understand it. Read the plan completely in order to understand the progression of your diet from Day 1 to Day 5. Pay close attention to understanding the liquid restrictions and slider foods: these are the most common problem areas that lead to weight regain after weight loss surgery.  As you become familiar with the 5 Day Pouch Test compare it to the early dietary stages following your weight loss surgery. Think back to what worked for you then and imagine the same will work for you again. Remember, you already know how to lose weight using your surgical tool. The effort you put into the 5DPT will return you to that place of healthy and reasonable weight management using your tool.

5 Day Pouch Test Plan

Try not to make too many changes to the plan. Keep it at 5 Days. Don't restrict foods and go hungry. Really pay attention to what changes you are making and constantly think about the Four Rules can be your way of life, not just a temporary means of taking off a few pounds only to put it back later. This is a way of life we agreed too when undergoing surgery and it is for our lasting health. The 5DPT can help you get back to doing what works with WLS to support your lasting health and weight goals.

More Featured Articles


LivingAfterWLS Newsletter Archive

January 2013 Bulletin:
Obesity is a Metabolic Disease.
Why do we treat it clinically?
View Here

February 2013 Bulletin:
Rule #1: Protein First.
Why protein and how much?
View Here

May 2013 Bulletin:
Day 4: Your New Normal
View Here

5DPT Special Edition:
Top FAQ's of 2012-Part 1
View Here

5DPT Special Edition:
Top FAQ's of 2012-Part 2
View Here

Food for Thought:
5DPT is about Learning.
Try this for good measure 
What I've learned is that soups must be measured. Clear soups or smooth soups without solids should be measured in 1-cup servings and eaten within about 15 minutes. Soups and stews with solids must also be measured, but differently. Use a slotted spoon scoop out solids into a 1/2-cup measuring cup. Put that in your bowl, then add an additional 1/2-cup of the soup - both liquid and solids. This makes a good hearty 1-cup serving that should keep us full and satiated for a long time after the meal. Thick chili with beans and meat is best measured in 2/3-cup servings. It seems like these hearty dishes are much more filling: it is best to start with a smaller portion. Again, with hearty chili and stews avoid exceeding more than 1-cup volume for any meal.



Quick Links

Ladies and Gentlemen! Coming soon to a yard near you: SUMMER!

Are you as happy to feel the warm sunshine and good vibrations of the season  as I am?  Long days, cool nights, slower pace (I hope!), fresh vegetables, fruits, and berries; no more heavy coats, and good times all around. On top of my list for summer fun is major league baseball. And let me tell you, I am a sucker for the baseball metaphor. I don't think any other sport produces better metaphors that speak to life than baseball.  So it comes as no surprise that a commentator caught my attention when he said, speaking of a frustrated outfielder who had just tossed his mitt, "Don't blame the equipment: just make the play." How easy it is to take that and apply it our WLS afterlife. I've expanded on that theme in this month's featured article Don't blame the equipment(And in case you are curious, Go New York Yankees!)

Liquids Days 1&2: In today's issue I've also covered in detail Days 1 and 2 of the 5DPT - the liquid days. There is ongoing confusion about how liquids are defined and what the options are for days 1 and 2. Most frustrating is that many people go hungry on days 1 and 2 for lack of understanding about the liquids. I hope you find this information helpful and supportive. And of course, don't miss our featured recipe this month - soup of course. Check it out: Lemony Chicken Soup.
5 Day Pouch Test Support
Like us on FacebookSending a big shout-out this week to Marie and Lori who host a terrific Facebook group for our Neighbors interested in connecting over the 5 Day Pouch Test. Drop in and say hello and enjoy the empowering support of this blossoming group. Find them here.


"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."
--Kaye Bailey
5 Day Pouch Test Owner's Manual

Copyright Consideration:
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.

5 Day Pouch Test Owner's Manual
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The complete 5 Day Pouch Test plan including inspiration, instructions, and recipes in Kay  e Bailey's classic empowering style. 180-page easy to read paperback with hints, tips and encouragement that enables you to take charge of your weight loss surgery tool. 2nd Edition includes new guidelines from the FDA, USDA, and the ASMBS. 16 new 5DPT recipes; more FAQ's; more inspiration from Kaye. Improved format. Same great plan shared with Kaye's encouragement and enthusiasm. Same low first edition price $22.95. Get back on track with Kaye! You Can Do This!
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An Interview with Kaye Bailey



Don't blame the equipment

Don't blame the equipment

Just make the play!
by Kaye Bailey
Copyright 2013 (c) All Rights Reserved

Who wouldn't want to be a major league baseball player? Imagine it: you arrive at work and the first place you go is the Clubhouse. You get a freshly laundered outfit to wear and a cool cap. Then you go to work in the Park! And just when it can't get any better a guy yells "Play Ball" and the workday has begun. When you do something great your coworkers and thousands of others are crazy-wild-celebratory for you. Do something not so grand? Well, you get immediate feedback: no office head games or backstabbing, it's all out there.  Best of all - you get paid for this!  Who wouldn't want that?

Well, I regret I'll have to settle for being a lifetime fan of the game, the tradition, the spectacle that is baseball. And there is nothing I like more than the baseball metaphor - it doesn't take a big stretch to bend a baseball metaphor into life and specifically for our purposes a metaphor for LivingAfterWLS. So it comes as no surprise that a commentator caught my attention when he said, speaking of a frustrated outfielder who had just tossed his mitt, "Don't blame the equipment: just make the play."

How often do we find it easier to blame our WLS equipment rather than just step up to the plate and make the play? Is a grumpy pouch bad equipment or the result of how we are using it? Is weight gain the result of a broken pouch or are we choking-up on the fork too often? Eating more than we should? Maybe we aren't giving the liquids a proper time-out while we let our solid food digest?

See? It's not always an equipment error. But unlike a major league player, we don't have the luxury of a batting coach or fielding coach or a manager with a well-trained eye who can tell us how we are using the equipment improperly. That means we have to be our own coach and manager. Take a look at these ideas for when we notice the equipment is working like we know it can:

~ Refresh the Four Rules. Just like baseball, WLS has rules. And when we follow them the game is beautiful. No matter if we are rookies or veterans, the Four Rules work. Review and look for opportunities to improve. Read More

~ Avoid sliders. Sliding to steal a base or score a run at home is great in baseball. Slider foods, however, in our WLS post-op life are just a bite away from a strike out. Learn what sliders are, be honest about how you include them in your diet, and make better choices to help your equipment work for you and your goals. Read More

~ A New Game. In baseball if you win 60% of the time you're headed to the playoffs. So you lost yesterday's double-header? Big deal.  It's a new game today. Get your batting order set, plan your strategy, and go for the win! One loss does not a failure make. One new day makes a great opportunity for a win - get out there and Play Ball!  Read More

5 Day Pouch Test Featured Articles

Now, just for fun I've shared some of my favorite baseball quotes and my little interpretation of how they fit our LivingAfterWLS life - I hope you enjoy!

"I don't care how long you've been around, you'll never see it all." Bob Lemon
No matter how familiar we get with life after weight loss surgery, our bodies will never stop surprising us in what they can accomplish and what they won't put-up with. (Kaye)

"I only had one superstition. I made sure to touch all the bases when I hit a home run." Babe Ruth
I only have one superstition in weight management: I make sure to touch all Four Rules every day. (Kaye)

"I was never nervous when I had the ball, but when I let go I was scared to death." Lefty Gomez
When we take control of our WLS equipment we have nothing to fear. When we surrender control of the equipment to other forces we must be absolutely scared to death. Don't let go of the ball. (Kaye)

"If my uniform doesn't get dirty, I haven't done anything in the baseball game." Rickey Henderson
Life after WLS can be messy: Let's go for it! (Kaye)

"The best possible thing in baseball is winning the World Series. The second best thing is losing the World Series." Tommy Lasorda
It is possible, always possible, to put a positive spin on the outcome we accomplish. While some might say not winning the World Series is losing, others might say they took second place, and that's not too bad. Put a positive spin on things and everything changes. (Kaye)

"It ain't over 'till it's over." Yogi Berra
Weight Loss Surgery should not be measured from start (surgery) to finish (goal weight). It ain't over until the game (of life) is over. (Kaye)

Share your favorite baseball quote or metaphor with me on Facebook: 
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This is where I hope your find yourself after using the 5 Day Pouch Test   to get back on track. Take your knowledge and let it empower you because you are a good and worthy person. You are not your disease. I have met enough of you, my WLS Neighbors ,  to say this with complete conviction.

You deserve to be your very best - obesity be damned for getting in the way!

You Can Do This!

5 Day Pouch Test Featured Articles


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Bundle includes 6 servings herbal tea w/sweetener; 8 servings carb monster soup your choice of Hearty-Vegetable or Tomato-Basil; 6 servings Protein2Go Drink Mix; 7 servings Emergen-C; complimentary Goody Bag and helpful suggestions for using dietary support products with the 5DPT.

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Select Soup Flavor:

liquidsDays 1 & 2 Liquids:
I'm confused about the liquids

I am confused about the liquid days 1 and 2 of the 5DPT. How can soups with meat and vegetables be part of a liquid diet?   


Understanding the liquid options
Protein Fortified Beverages: Protein shakes, protein drinks, protein breakfast drinks are all protein fortified beverages. Look for ready-to-drink (RTD) beverages that have at least 15 grams of protein and fewer than 5 grams of carbohydrate per serving. Protein powder drinks are acceptable as well, providing they meet the same criterion of 15 grams protein and fewer than 5 grams carbohydrate. Homemade protein smoothies are a favorable addition to the 5DPT menu. They can be created with or without protein powder using low-fat cottage cheese, yogurt and fruit or berries. See the recipe section. Each of us has a unique taste preference when it comes to protein beverages. You are responsible for finding the protein beverage you like and using it as part of your long-term weight management diet.

Clear broth or creamy soups: Clear broth and creamy soups are a favorite comfort food for many of us. Canned commercial chicken broth, beef broth, and vegetable broth are enjoyable meals on Days 1 and 2. Look for ready-to-eat broth that is low-sodium or reduced sodium and enjoy 1-cup servings. Do not drink any liquids for 30 minutes before or after having a warm cup of broth. Again, we want the pouch to absorb the nutrients from the food and we want to feel full as long as possible. Even though clear broth is a liquid of similar viscosity to water it contains nutrients and energy from which the body benefits.

Swanson ready-to-eat 50% Less Sodium Beef Broth® is a good example of readily available commercial clear soup appropriate for the 5DPT. A 1-cup serving provides 15 calories, 3 grams protein, 1 grams carbohydrate, no fat and 400mg sodium. When shopping for a commercial soup, look for nutritional data that is comparable to this example. There are many good regional soups available at specialty food stores and larger supermarkets. Do some exploring and find something you can enjoy knowing you are feeding your body well.

Hint: A quality protein powder will add as many as 21 grams of protein to your 1-cup serving of soup. Tip: When you find a protein powder you like try including it in your meals as often as possible. Good quality protein supplementation is a terrific tool in our ongoing weight management strategy.

Creamy soups are a comfort food favorite for Days 1 and 2. Many creamy soups include dairy products such as milk, cream, sour cream, or half-and-half. For purposes of the 5DPT full-fat dairy should be used as called for in the Day 1 and 2 recipes because it improves satiation longer than no-fat or reduced fat food. Note: After the 5DPT feel free to modify the soups with reduced or low-fat dairy as you find appropriate with your ongoing weight management. The soups are very good and always a welcome inclusion in a healthy Day 6 and beyond diet. People with lactose intolerance  should avoid including creamy soups in their 5DPT and their regular diet. Select the hearty soups or clear broths instead.

Campbell's Healthy Request® Cream of Mushroom Soup is a good commercial soup that works well on the 5DPT. A 1-cup serving of soup prepared with 2% milk provides 130 calories, 6 grams protein, 5 grams fat (1 gram saturated), 10 grams carbohydrate, and 410mg sodium. For on-the-go meals try Campbell's Soup at Hand® 25% Less Sodium Classic Tomato Soup. Heated quickly in the microwave and served in the same container this convenient soup provides 140 calories, 3g protein, 0g fat, 33g carbohydrate and 480mg sodium. Use these examples to find ready-to-eat creamy soups you will enjoy including in your 5DPT and beyond.

Hearty Soups:  As I developed this plan I learned that more substantial soups made of animal protein, legumes, beans, and low-glycemic vegetables work well to alleviate the discomfort and stress of a liquid diet. These satisfying soup recipes are made of foods low on the Glycemic Index (GI), a measure of how your blood glucose levels are affected by food. That means they will stick with you without causing a rapid rise and subsequent drop in blood glucose. These great comfort soups will help keep you feeling full longer, help you achieve and maintain a healthy weight, and provide you with more consistent energy throughout the day.
When including hearty soups as part of your 5DPT menu I encourage you to cook and enjoy the recipes provided. These recipes are specific to the plan and they work very well in our five day dietary progression. An added bonus: the soup recipes offered are less expensive per serving than prepared soups or protein drinks and they are family friendly making the 5 Day Pouch Test practical to incorporate into our busy schedules. Check out the recipe section for delicious soups and smoothies and make them a part of your LivingAfterWLS way of life.

Defined - Soups vs. Sliders: It is easy to confuse soup with slider foods since both are liquids that flow more rapidly through the stoma than solid protein. The thing to remember is the soup recipes provided are nutrient dense. Slider foods such as crackers or pretzels washed down with liquids have no nutritional value nor are they satiating.  In addition, when we enjoy soup and observe the liquid restrictions our body benefits from the vitamins and nutrients in the meal while we enjoy a comforting feeling of satiation.

Helpful Hint: You may find it beneficial to add a soup flavored or unflavored protein powder to your serving of soup or broth. Please note the instructions on your protein powder: most recommend using warm water of less than 130F degrees or the texture will be affected.

Copyrighted material shared with permission from LivingAfterWLS, LLC, and Kaye Bailey. All Rights Reserved.

For more details on 5DPT and Vegetarian living see pages 43-60 of your 5 Day Pouch Test Owner's Manual, 2nd Edition.

Save 25% and build your WLS Library with quality publications! Exclusively sold at LivingAfterWLS Kaye Bailey's work is internationally acclaimed and supported by bariatric centers, nutritionists, support groups, and people just like you doing their very best LivingAfterWLS with bariatric surgery.

Bundle includes: 5 Day Pouch Test Owner's Manual 2nd Edition (2012); Day 6: Beyond 5DPT (2009); Cooking with Kaye-Methods to Meals (2012). Over 250 recipes; 600 pages of effective empowerment supporting your healthy weight management.  SKU #LAWLS-BWB3
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soup_recipeFeatured Recipe: Day 1 Hearty Soup 
Lemony Chicken Soup


Bright, fresh, satisfying soup

Featured Recipe from
Lemon Chicken Soup
Shared with permission, LivingAfterWLS, LLS (C) 2012.

I found this recipe in Prevention Best Weight Loss Recipes (Anne Rohaiem, 2011) and was intrigued with the inclusion of two eggs at the end of cooking. This method is similar to egg drop soup but I had never considered adding an egg to a more hearty soup. The result is a fresh and light chicken soup with a creamy texture thanks to the addition of eggs. Each 1-cup serving provides 25 grams protein. This soup works well in the 5 Day Pouch Test and will become a Day 6 favorite as well.

1 teaspoon olive oil
1 small clove garlic, minced
6 cups chicken broth, reduced sodium
1 rib celery, chopped
1 cup shredded carrots
½ teaspoon ground black pepper
¼ teaspoon salt
½ cup orzo* (small-grain pasta)
2½ cups frozen green peas or green beans
3 cups chopped cooked chicken
2 large eggs
3-4 tablespoons freshly squeezed lemon juice (about 1 large lemon)

Directions: Heat olive oil in a Dutch oven over medium heat. Add garlic and cook until light brown, about 1 minute. Add broth, celery, carrots, pepper, and salt and bring to a boil over high heat. Add orzo and reduce heat to a simmer. Cook until orzo is tender, about 8 minutes.  Add peas and chicken and simmer 2 minutes. (Note: If freezing portions of this soup do so at this step, before adding eggs. Add eggs to thawed soup in final stage of reheating.) Meanwhile whisk eggs and 3 tablespoons of the lemon juice in medium bowl. Temper egg mixture by slowly whisking in about 1 cup hot broth in a thin stream. Whisk egg mixture into soup and warm briefly over low heat, 2 minutes. Do not boil or eggs will curdle. Adjust seasoning to taste with lemon juice, salt, and pepper and serve.

Nutrition: Per 1 cup serving: 212 calories, 25 grams protein, 5 grams fat, 16 grams carbohydrate (2 grams dietary fiber).

Note: In Italian orzo means barley, but it's actually tiny, rice-shaped pasta, slightly smaller than a pine nut. Orzo is ideal for soups and wonderful when served as a substitute for rice. Look for orzo in the pasta aisle.

Page 108 Cooking with Kaye: Methods to Meals

5 Day Pouch Test Recipes    |    LivingAfterWLS Recipes

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Kaye Bailey, Founder
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