5DPT Bulletin
Stop the Comparison!
Weight Loss is Not a Competition
Even with Surgical Help

Bonus Bulletin: October 2013
In This Issue
October Theme
Infographic: Was my 5DPT a Success?
Bulletin Archive
It's all about what you gain
Two Recipes for Meatball Soups

October Theme:
A Journey
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

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!  


Key Learning Point

"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


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5DPT Infographic:
Was my 5DPT a Success?

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5DPT Success Infographic
Was my 5DPT a success?

Soft Carb Snacking

Snacking on Soft Carbs. Over the last 10 years countless bariatric patients have told me,  "It seemed harmless at first to eat a few pretzels (crackers, chips, cookies, etc.) but pretty soon I was eating them all day and the weight started coming back." This is a common mistake made by weight loss surgery patients that eventually leads to regaining some weight previously lost with weight loss surgery.

Link to Full Article


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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

June 2013 Bulletin:
Don't blame the equipment, just make the play
View Here

5DPT June Special Edition:
Top FAQ's January - June 2013
Questions & Answers to improve your 5DPT Experience
View Here
5DPT July Bulletin:
WLS Secret Revealed
View Here

5DPT August Bulletin:
Get back to basics fast with the 5 Day Pouch Test
View Here

Quick Links

Thank you for joining me for this Bonus edition of our 5 Day Pouch Test Bulletin. I've watched and participated in the WLS community now for many years observing patterns and trends as they come and go. One pattern that has held consistent is the uptick in competitive weight loss come the fall season. While it may be unpopular for me to say so - matters of health are not competitions.

Matters of health - including weight management - are personal initiatives necessary to improve one's own quality of life and wellness.

I understand the drive to join challenges promoting weight loss or fitness accomplishments. And when used to strengthen bonds between people with like-minded goals these organized pacts are powerful motivators. But when challenges become measures of success or failure based on another person's weight loss compared with our own weight loss the benefits turn to detriments that ultimately cause feelings of failure or inferiority.

Because the competitive talk is so loud this time of year I invite you to take a look at this topic I first addressed in 2011. Please thoughtfully consider the role competition is playing in your weight loss and weight management efforts. You have the right to include in your life things to support and promote your health and discard the things that derail your health. I am your champion in doing the best you can to live well after weight loss surgery. 
I hope you enjoy this bonus bulletin and I wish you the best today and always!  Sincerely,


Kaye Bailey

"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

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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.

Weight Loss is Not a Contest
No Contest
Maybe it's the fall sports season that has so many of us in the competitive mood lately. Seems like things have really heated up on the weight loss surgery scrimmage lines where it is more popular than ever to compare and compete with one another in our weight loss. And while some healthy competition can be a great motivator the comparison of weight loss can lead to utter discouragement. I see it even with the 5 Day Pouch Test that people are making comparisons in how much weight is lost in the 5 days and if they do not meet that superficial standard they consider their 5DPT effort a failure.  It is not.

Unless you pound-for-pound and fork-for-fork competitively gained weight with another person you have no business competing to lose weight. Contrary to popular culture, weight loss is not a contest. Weight loss is a life saving initiative owned by the one taking action.

By all means we should compare our experiences. Let's share recipes and exercise tips. Let's give reminders to drink our water and take our supplements. But let's leave the competition to the amateurs. As weight loss surgery patients we understand that our lives were in danger from obesity and we took medical action to change the course. We are much wiser for it. Few people who join their positive energy forces in a united effort for better health ever feel burdened by not living up to an artificial contest.

If you are feeling beaten by the competition I invite you to download and print the copyrighted poster above. You can get it here. Please let it serve as a reminder the grand purpose of this weight loss surgery experience. You deserve to be healthy and pursue many prizes that far exceed the dot-marks on a weight loss ticker.

Remember, we are all in this together and we are here for you.  Please be sure to take a look at some of the free download worksheets LivingAfterWLS has available for you. These free tools are designed to support your best efforts for improved long-term health with weight loss surgery. Download Tools

For more informative and inspiring reading please visit

5 Day Pouch Test Owner's Manual 
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5DPT Manual 2nd Edition
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



It's not about what you've lost: It's about what you've gained
 How much HEALTH have you gained?

This is an old article, one of my syndicated articles from 2005. Even today I'm still uncomfortable talking about pounds and inches. I would love to get a real movement going where our weight loss is acknowledged with the question, "How much HEALTH have you gained? Isn't that the idea in the first place?

I had lost nearly fifty pounds before anyone mentioned my weight loss. Then, all of the sudden, everybody noticed! As soon as they noticed the questions began. The most often asked: "How much weight have you lost?" People who I barely knew asked me this question as if it were their right to know. I was never sure of the motive for the question? Did they want to celebrate my weight loss? Did they want to gasp knowing just how fat I was?

How much weight have I lost?  I have shared the answer with very few people - it's nobody's business. I know many weight loss patients who are proud of this number and I admire them. I wish I had more confidence in myself. But truthfully, I'm embarrassed  by how fat I was and how much weight I had to lose.

These days when I'm asked this question, with a curious tilt of my head I ask back, "Why do you want to know that?"  Never has anyone answered my question with a valid response.  This data, the number on a scale, means nothing to anyone but me. I don't care to give someone an opportunity to marvel at just how huge I must have been that I could lose that much weight.

Most of the time when I ask in return, "Why do you want to know?" the busybody retreats. In general, we know when we've crossed the line - sometimes it just takes a gentle reminder. If, however, they persist, I say I prefer not to share that information. Only on one occasion has a nosy person continued to pester me, at which time I said I wouldn't answer a rude question.

I admire the courageous patients who openly and proudly answer this question.  Patients who are comfortable sharing this number must by all means include others in their weight loss celebration. We are all different and whether our approach private or public we have only have to answer to ourselves.

Copyright 2005 Kaye Bailey - All Rights Reserved.

Helpful Article:
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

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LivingAfterWLS is pleased to announce that our publications by Kaye Bailey are available in eBook format for your portable reading and reference pleasure. Check them out in the LivingAfterWLS General Store. Or with one of our eReader Partners: Amazon Kindle; Barnes & Noble Nook; Kobo ; iTunes Store, Google Play and Primedia eLaunch Bookstore. eBooks are an excellent option for our readers outside of the United States! *Prices may vary by store,  please select the best buying option for your needs. 




Recipe: Day 6 Meatball Soup 
Featured recipe from Day 6: Beyond the 5 Day Pouch Test, page 144.
Shared with permission, LivingAfterWLS, LLC (C) 2012.

Comforting on Day 6 and Beyond  

In today's Bulletin are two very good quick soup recipes that take advantage of pantry staples and ready-made fully cooked chicken meatballs from the freezer. When serving food that includes liquids and solids remember to measure about one cup of solids - or in this case suggested 5 meatballs - and add a lesser amount of liquid. The more solids we eat the longer they will stay with us providing both comfort and nourishment. We want to give our body a good opportunity to absorb as much nutrition as possible. And as always, even with soup, follow the liquid restrictions at mealtime. ENJOY!

Chicken-Meatball Mexican Soup
1 package fully cooked chicken meatballs (from the freezer case)
1 tablespoon olive oil
2 medium onions, chopped
4 garlic cloves, minced
2 (4-ounce) can green chilies, chopped
2 (15-ounce) cans Italian-style stewed tomatoes, chopped, reserving the juice
8 cups chicken stock
1 tablespoon chili powder
2 teaspoon ground cumin
1 teaspoon hot sauce or to taste
salt and pepper to taste

Chopped cilantro
low-carb tortilla strips
Avocado cubes
Sour cream
Pickled Jalapeno
Monterey Jack cheese

Preheat oven to 425. Arrange meatballs in single layer on a cooking sheet sprayed with non-stick cooking spray.  Bake for 10 minutes.

While meatballs bake heat olive oil in a 4-6 quart stockpot. Brown onion and garlic.  To the onions add the green chilies, stewed tomatoes, chicken stock, chili powder, cumin, hot sauce.

Simmer the soup for 15 to 20 minutes.  Stir in the cooked meatballs and bring soup back to a simmer. Serve soup with garnishes.

WLS patients should eat 3-5 meatballs topped with a modest serving of liquid.

5 meatballs contain 13g protein, 11g fat (3 saturated), 6 grams carbs.

Chicken Meatball & Ravioli Soup  



Soups & Stews




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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.


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Kaye Bailey, Founder
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