Back to Basics
"When we had surgery most of us vowed we would never go back to the state of morbid obesity and illness that lead us to the operating room in the first place. This suggests that when we fall off the wagon of dietary compliance it is not so much about a moral breakdown or relenting to environmental pressure (think food pushers), but perhaps we simply don't remember how
bad obesity felt."
~ Kaye Bailey
"A person selects foods for a variety of reasons. Whatever those reasons may be, food choices influence health. Individual food selections neither make nor break a diet's healthfulness, but the balance of foods selected over time can make an important difference to health. For this reason, people are wise to think "nutrition" when making their food choices."
Page 5 - Understanding Nutrition by Whitney & Rolfes
"What if I regain weight? Honest Evaluation.
Assess your eating and exercise evolution and return to the lifestyle prescribed at the time of surgery. Use the 5 Day Pouch Test as a mechanism for returning to dietary and lifestyle compliance prescribed at the time of surgery."
~ 5DPT Owner's Manual page 22.
"Develop strategies for navigating in the real world. When we have surgery we changed and then we returned to the exact environment we lived in prior to surgery: the very environment that contributed to our obesity. The only chance we have to make the surgery work is to evolve strategies for navigating our new body in the old waters."
~ 5DPT Owner's Manual page 89.
"Weight regain is complicated. Remember, weight regain following weight loss surgery is not a simple matter. According to experts, "Weight regain after gastric surgery is multi-factorial and likely involves a complex interplay between a permissive psychosocial environment, nutritional habits, and a complex genetic and anatomic milieu that effect many physiological regulatory pathways controlling food intake behavior and energy metabolism after the procedure." (Barham K. Abu Dayyeh, 2011)
5DPT Manual page 22"
~ Kaye Bailey
|Was my 5DPT a success?|
Mini Zucchini Pizzas
For Day 6 and BeyondThis recipe comes together quickly and each muffin-half pizza is a perfect portion for the weight loss surgery patient. Left-over servings may be gently reheated in the microwave or toaster oven and enjoyed as a light lunch the following day. Add additional vegetables to suit the season and your taste.
1 cup chopped scallions
1 small zucchini, thinly sliced
1 tablespoon vegetable oil
1 14-ounce jar Ragú Pizza Quick Sauce
3 English muffins (whole wheat or white), split and toasted
1 cup shredded Muenster cheese
2 tablespoons grated Parmesan cheese
Preheat oven to 350 degrees F. In a large skillet, sauté scallions and zucchini in vegetable oil until tender. Spoon 1 1/2 tablespoons pizza sauce on each toasted muffin half. Evenly top with Muenster cheese, zucchini and scallions; sprinkle with Parmesan cheese. Place on baking sheet and bake 15-20 minutes or until cheese melts.
6 Servings. Per Serving: 284 Calories, 10g Protein, 11g Fat, 16g Carbohydrate, 4g Dietary Fiber.
- LivingAfterWLS Neighborhood
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
| |January 2013 Bulletin:
Obesity is a Metabolic Disease.
Why do we treat it clinically?View HereFebruary 2013 Bulletin:
Rule #1: Protein First.
Why protein and how much?View HereMay 2013 Bulletin:
Day 4: Your New NormalView HereJune 2013 Bulletin:
Don't blame the equipment, just make the playView Here5DPT June Special Edition:
Top FAQ's January - June 2013
Questions & Answers to improve your 5DPT ExperienceView Here 5DPT July Bulletin:
WLS Secret RevealedView Here5DPT August Bulletin:
Get back to basics fast with the 5 Day Pouch TestView Here
Question: What is the biggest mistake you see people making on the 5 Day Pouch Test?
More Featured Articles
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.
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.
Greetings - Thanks for joining me for our August Bonus Bulletin! Where has the summer gone? Already the kids are headed back to school and the carefree days of summer will soon be replaced with routine schedules and a focus on learning.
When I was in school I always enjoyed the first week of school where lessons focused on reviewing what we learned during the last school year; things we may have forgotten over the summer. I loved that feeling of "EUREKA" when knowledge came back and it felt so basic, so fundamental I couldn't believe I had forgotten it in the first place.
Now I'm a few decades past the good old back to school days. But that EUREKA! feeling returns when I take a new look at the rules of healthy weight management with surgery. Just today I re-learned that starting my day with protein feels really good. I wonder, "How in the world did I forget that fundamental?" So I am capturing the spirit of back to school in this special edition 5 Day Pouch Test Bulletin and reviewing the EUREKA! fundamentals that keeps this WLS working for me. I hope you'll join me in this review and take some time to go back to school - the University of LivingAfterWLS - right this way - I saved you a seat!
Weight Maintenance Success Secrets
These are some of the success secrets I have gathered over the last several years. When I hear something powerful I write it in my "Inspiration Book" and use it as yet another tool when I'm discouraged. I hope you will find these informative and inspirational:
Weight Loss Surgery is not just about the weight you lose, its about the life you gain.
Consistently maintain the eating habits that helped you lose weight.
Avoid the trigger foods that you have not been able to control. You know what these foods taste like and you know how you feel after eating them. You do not need to re-learn this over and over again. Avoid trigger foods.
Accept the four rules. Embrace them. They didn't tell us these are the rules until you get to goal weight. They said these are the rules. That meant the rules for life.
Learn smarter ways to fix your favorite foods. Use healthier ingredients, less fat, better grains, fresh veggies, fruits and herbs. LivingAfterWLS Recipes
Savor the Flavor. Treat mealtimes as an opportunity to pamper your body with good nutrition.
Water. Water. Water. When you are losing weight, there are many waste products to eliminate, mostly in the urine. A high water intake helps your body to rid itself of waste products efficiently, promoting better weight loss.
Become arrogant about the foods you put in your body, treat your body respectfully.
Plan your menus so that you are not caught off guard and unprepared without a plan. Do not leave your nourishment to chance.
Cultivate a passion for healthy living. It's much easier to overcome obstacles if you are passionate about what you are doing.
Learn what eating pattern keeps your metabolism running efficiently and follow that pattern to avoid hunger.
Continue to eat low or non-fat proteins. Following the protein first rule helped you lose weight and will help sustain weight loss.
Protein tends to turn off hunger (offers more satisfaction) the best and the effect lasts the longest. Be absolutely sure not to drink liquid with food since liquid washes food out of the pouch.
When you think you have head hunger for food redirect that head hunger with thoughts for a healthy body and all the enjoyment that comes with being healthy. Do not indulge the so-called head hunger.
I wish you the very best today and always!
Note: In case you missed it in June, we published our mid-year Special Edition of the 5 Day Pouch Test Bulletin - the most commonly asked questions so far this year. Check it out in our archive: 2013 June Special Edition Bulletin
"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
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
Customer Favorite from LivingAfterWLS
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!
Fun complimentary goody bag with every order!
View Table of Contents
Learn more about the new second edition:An Interview with Kaye Bailey
What if I mess up?
Dropped Eggs HappenAs a lifelong person struggling with the disease of obesity the all-or-nothing mentality of falling off the wagon is something that continues to perplex me. Do you know what I'm talking about? I will have good intentions to have an omelet and tomato slices for breakfast but for some reason I chose instead to have a toasted bagel slathered with cream cheese. Naturally the high carbohydrate and high fat breakfast makes me feel sluggish and miserable so I think, "To hell with it" and continue to make poor dietary choices the rest of the day. Now you know what I'm talking about, I see you nodding your head. (This still happens to me once in a while, I'll be honest with you.)
Years ago in one of the many diet programs I was following, and I am not sure which it was, a counselor talked about dropped eggs as the theory applies to the scenario above. She asked if any of us, while in the kitchen baking, had accidentally dropped an egg on the floor. We all nodded yes. She then asked if we said, "To hell with it" and proceeded to drop the remaining eggs on the floor. We all nodded no, of course not! "Then why, when you drop the metaphorical diet egg do you say to hell with it and break the diet for the rest of the day?" Great allegory!
Dropped eggs happen. We are human. We live in a difficult world. So the next time you drop the diet egg visualize getting a paper towel, wiping up the spill and moving forward. Dropped eggs happen and a great deal of life and living is all about cleaning up messes.
Shared with permission from "Day 6: Beyond the 5 Day Pouch Test" by Kaye Bailey. Copyright 2012 - LivingAfterWLS ~ All Rights Reserved. Pages 26-27.
Three Keys to Lasting WLS Success
Nearly a quarter-million people in the United States will undergo weight loss surgery this year to arrest their morbid obesity and lose weight. In spite of the drastic nature of gastric surgeries not all patients will reach a healthy weight and some may eventually regain weight they lost initially with surgery. Link to Article
Enjoy the benefits of 27 carefully selected delicious servings to support your weight loss goals.
If you already have the 5 Day Pouch Test Owner's Manual but need some additional encouragement and dietary support this bundle is for you. Improve your odds for success with this bundle of 27 servings of proven dietary support products. Our dietary supplements are carefully selected to fuel your 5DPT, promote weight loss, and help you get back on track with WLS.
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.
View in Store
Bundle Price $25.95
Select Soup Flavor:
Hunger: Don't think about the Food
Change the focus of your thoughts
Do you remember the first few weeks out of surgery when all you could eat was gelatin or protein shakes or broth or whatever your center recommended that was bland? During the post-op healing phase most of us didn't feel well enough to do anything and so it was easy to focus on the foods we loved but were now divorced from.
How did you distract your thoughts from food? Here are a few suggestions for redirecting our thoughts away from food, from what we are giving up to what we are getting.
Read fashion magazines and daydream about your new body in the season's latest fashions.
Practice accepting compliments graciously so you are ready when the cheers start coming your way.
Read a book about nutrition so you are well informed and ready to take care of your new body.
Visit gyms in your area, meet trainers and consider how you are going to exercise the minute you get released.
Read the LivingAfterWLS websites for information & inspiration. (Ok, so I had to plug my own site - SMILING!)
Network with other WLS people and share your common experience.
Begin a journal of your weight loss experience. Be sure to include statistics like weight, BMI and measurements.
Begin your walking program - most patients are instructed to start walking the day after surgery.
Enjoy yourself! This bland phase of eating is the start of your brand new life.
For more informative and inspiring reading please visit
our 5 Day Pouch Test Articles Collection
Quotes to Live By "Once a musician has enough ability to get into a top music school, the thing that distinguishes one performer from another is how hard he or she works. That's it. And what's more, the people at the very top don't work just harder or much harder than everybody else. They work much, much harder."
~ Malcolm Gladwell ~ Outliers: The Story of Success
"Practice, practice, practice. Most of us assume that Olympic athletes have incredible innate talent. It bears repeating however, that researchers across a wide array of fields have shown that innate ability has relatively little to do with why people go from being good to being truly great. Instead, greatness is all about practice. Elite performers practice hard, in a really specific way, and they practice consistently."
~ Christine Carter, Ph.D. ~ Greater Good: The Science of a Meaningful Life
More quotes in our July Bulletin
|The Strategies for Success:
5 Effective Efforts
Carb Monster Soup Recipes4. Practice Kindness
The 5 Day Pouch Test is most successful when there is considerable preparation done in advance of Day 1. First, learn the plan completely. Next, plan your meals and do your grocery shopping to avoid a stop at the store during the 5 days. Finally, create a storm of enthusiasm as you embark on this experiment. Get excited about being in control of your health and nutritional wellness. Anticipate that you will succeed with the 5DPT, that you will emerge on Day 6 with renewed confidence in your pouch and the excitement that comes from taking control over the Carb Monster.Review: 5 Day Pouch Test2. Find a Friend
Do not travel alone. The power of friendship and bonding breathes life into our heart and soul. In the Day 6 book
I wrote, "Ask for help. Often I receive letters from Neighbors who have gone missing from our online community. They start, "Sorry I haven't been around the Neighborhood, I've been struggling lately." It is an odd thing that at times when me most need help we retreat. Let me assure you, there is always someone doing well in the Neighborhood who has strength to spare. When you are struggling don't retreat, come to the safe haven circle of friends and let the collective strength buoy you in your time of need. Ask for help. In the karma of life your turn will come around to give back in a friend's time of need.
"3. Pot of Soup
Never underestimate the comforting power of a healthy well-made soup: it is your best weapon in the battle against the Carb Monster. Use any fresh vegetables that you like. Saute them in a scant amount of olive oil which will help your body absorb the nutrients and then simmer in reduced sodium chicken, beef, or vegetable broth until nice and tender Serve yourself some delicious goodness one cup at a time and feel the love.
It simply breaks my heart when I read the self-loathing talk so many of us express when we feel we have failed at weight loss surgery. I think because we are encouraged to set goals we think there is a finish line. But in this effort we are in the race for life; there is no finish line. Sometimes during the race we are full speed ahead and other times we are one foot in front of the other trudging along. I believe on most days we are doing the best we can to make it work in a world where it is much easier to be fat. So please, be kind to yourself. Treat yourself with the compassion and respect you show your dearest friend. Stop the self-loathing dialog and replace it with the generosity in your heart that you so willingly give to others. Be kind to yourself. Please?5. Focus
Practice mental presence during the 5 Day Pouch Test. Be mindful of all you eat, how you move your body and observe your energy levels and patterns. Be completely aware of yourself and identify the things that are working and helping you to feel refreshed and alive. Use the 5 Day Pouch Test journal to record your experience and focus on learning about yourself. Awareness is not selfish, it is part of the process of understanding so that we may improve our health and wellness. Carry this focus forward to Day 6 and continue to treat your body in a kind and healthy manner and avoid stepping back into the the self-loathing and unhealthy behavior that brought you here.Download 5 Day Pouch Test Journal
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
Suggested Publisher Price: $82.95
Bundle Price: $61.95 - (Save $21.00)
Recipe: Day 6 Brunch
Featured recipe from Day 6: Beyond the 5 Day Pouch Test
, page 144.
Shared with permission, LivingAfterWLS, LLC (C) 2012.
Italian Vegetable Egg Custard
Custard doesn't have to be sweet to be delicious. This savory brunch custard makes great use of fresh summer vegetables. After you have tried it with squash and tomatoes, experiment with other fresh vegetables like peppers, mushrooms, and even diced or shredded winter squash. Explore your creative Receptiveness! See page 74.
1/2 cup all-purpose flour
2 cups summer squash, shredded
1 cup zucchini, shredded
1/2 cup black olives, sliced, divided
2 Tablespoons Parmesan cheese, grated
1 teaspoon Italian seasoning blend
1/2 teaspoon garlic salt
1 medium tomato, thinly sliced
1 bunch green onions, sliced 1/2-inch thick
1/2 cup mozzarella cheese, shredded
Preheat the oven to 450°F and place the rack in the middle of the oven. Spray an 8-inch square baking pan with cooking spray.
In a medium bowl beat the eggs and flour until smooth. Stir in summer squash, zucchini and 1/4 cup olives; mix well. Spread in prepared baking pan. Place in center of oven and bake until custard is set, about 10 minutes. (see note). Remove to a warm trivet.
Mix the Parmesan cheese, Italian seasoning blend and garlic salt together and sprinkle evenly over the baked custard. Top evenly with tomato slices, remaining olives, sliced green onion and mozzarella cheese. Divide into four equal portions and serve warm.
Note: To determine that the custard is done insert a wooden skewer or toothpick into the center about two-thirds down. If it comes out clean the custard is done. If the custard is almost done turn the oven off and leave the oven door slightly ajar so the custard will finish cooking
Serves 4. Per serving: 232 Calories; 12g Fat; 13g Protein; 19g Carbohydrate; 3g Dietary Fiber.
|Food for Thought:
Strive to Learn, Avoid the "Perfection Trap"
If we complete the 5 Day Pouch Test having learned a few things about our self, our weight loss surgery and our capability in managing life and weight loss surgery in relationship to one another we have succeeded: we can deem the 5 Day Pouch Test a success. Here are some things to consider while treating the 5DPT as a learning experience:
-- What can I eat that gives my pouch a feeling of fullness? What do I eat that fails to give my pouch a feeling of fullness?
-- Have the liquid restrictions become automatic to me? Do I have heightened awareness of how I consume liquids with my meals and snacks?
Refresher: Lots of Water & Liquid Restrictions
-- Am I eating protein in a ratio of 2 bites protein to 1 bite complex carbohydrate? (2B/1B Rhythm)
Article: Why 'Protein First' helps us lose weight
-- Have I found time to include physical activity in my daily routine?
-- Am I allowing myself to feel empowered when I make choices that nourish my body and respect my weight loss surgery?
-- Am I forgiving lapses in compliance with my guidelines and moving forward to make better choices the next time?
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Thank you for being a loyal Neighbor of LivingAfterWLS. We are proud to serve you in your weight loss surgery journey.
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.
Kaye Bailey, Founder
Evanston, Wyoming 82931