5DPT Bulletin
5DPT Lesson to Use Daily
You deserve to feel powerful and
stay on track with the basics.

July 2014

July Theme:

Traveling the bumpy WLS road Together Fighting the Disease!  
"If we truly believe our obesity is a medical condition -and by medical definition it is- then we must yesterday, today, and forever consider it a medical condition. We cannot be gut-whacked one day for the sake of saving our life and the next day abandon the dietary rules like we could a few weight loss programs back when on a whim we joined a strip mall diet program advertising Guaranteed weight loss! Join Now! Walk-ins Welcome."
~ Kaye Bailey
5DPT Owner's Manual

Many factors influence body weight-genes, though the effect is small, and heredity is not destiny; prenatal and early life influences; poor diets; too much television watching; too little physical activity and sleep; and our food and physical activity environment.
Harvard School of Public Health

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!  


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Q: What if I mess up again? I'm tired of starting over.

A.  As 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.

Day 6: Beyond 5DPT


5DPT Infographic:
Was my 5DPT a Success?

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5DPT Success Infographic
Was my 5DPT a success?

Memorize this:

"Every meal stands alone. I understand I have the opportunity to select nutrient rich food at my next meal and each meal choice is completely independent of any previous dietary selection."  

Project 2014: Season I - Unit  7 


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Four Rules Refresher

Four Rules

We lived by the Four Rules during the early weeks and months following weight loss surgery. Then we became a little more comfortable and let the rules slide a bit here and there as we tried to "get back to normal." But the fact is, our weight loss surgery will never allow us to be "normal" again. By embracing the Four Rules -- not just during weight loss, but for life -- we can maximize our weight management with the surgical pouch.

It is remarkable how many people report a renewed sense of empowerment when they return to the Four Rules because again they feel the power of the pouch and often weight loss results or weight regain is halted.

As a refresher the Four Rules are:
  Protein First
  Lots of Water
  No Snacking
  Daily Exercise

Learn More:
5DPT Featured Articles


Beat carb cravings:
Eat Soup!

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Day 4: Your New Normal Welcome back to the 5 Day Pouch Test Monthly Bulletin from LivingAfterWLS! Is it possible that we are already half-way through 2014? Six months ago did you set a goal to get back on the WLS track this year using the 5DPT as a starting point? Many of us set that goal and seeing great progress. To keep the momentum going today's Bulletin focuses on the basics of the plan and how we can use our general WLS guidelines to keep us on track to reaching our healthy weight management goals. It isn't always necessary to do a full 5DPT when we feel off track. Sometimes a few gentle reminders are all it takes to get back in focus using our tools for good health. Be sure to read  "Five Secrets to a Well-Accomplished 5DPT" and don't miss a great read, "Stop Playing the All-or-Nothing Game."  And to get your summer menu started right we've included some great information on the often overlooked benefits of dark meat chicken.

Today's Bulletin includes FAQ's people new to the 5DPT are asking. And as always the bulletin is loaded with links to further information and resources. Thanks for joining me and I wish you a spectacular Independence Day holiday. If you enjoy the 5 Day Pouch Test be sure to participate in our LivingAfterWLS Project 2014: "Uniting like minded people through education, support, and community while promoting health sustainability and weight management with weight loss surgery." Learn more here: Project 2014.
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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fiveFive Secrets to a Well-Accomplished
5 Day Pouch Test

Do it well - Do it right.

By Kaye Bailey
1. Preparation
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 Test

2. 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 another's time of need."
LivingAfterWLS Project 2014 Facebook Group

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.
Carb Monster Soup Recipes

4. Practice Kindness
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


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gameStop Playing the All-or-Nothing Game
Find peace in your middle ground 

By Kaye Bailey

Most people who undergo surgery for weight loss are expert dieters. In fact, for many of us weight loss surgery (WLS) is the last hope, the final opt  ion after years of well intentioned dieting efforts that failed to help us lose weight and keep it off.

A common denominator in failed diet programs is the extreme "all-or-nothing" mentality mainstream weight loss programs perpetuate. From the sane to the bizarre diet programs outline rigorous dietary and lifestyle changes. Often, when these programs are followed exactly we lose weight. But a return to "normal" upon leaving the program almost always brings weight gain. Over time we begin to think it is all-or-nothing when it comes to diet. If we follow a plan we lose weight, but even a marginal misstep from the plan and we are thrown off course usually surrendering to failure in the form of weight gain.

Generally speaking we in the WLS community are very good at the all-or-nothing way of thinking. We have spent a lifetime dieting this way, so why should our thought process be any different with weight loss surgery? But here's the thing, we have this tool for life and in life there are bumps in the road.

Consider another tool most of us use daily: the automobile. Say you are cruising smoothly down the road and hit a great big pot hole and bounce the "tool" (car) all over the road. Do you say "To hell with it, I've hit that pot hole, this journey is hopeless, I'm going to take this car completely off course." Certainly not. You may grumble a bit, but you put that car right back on course and proceed in your journey. You understand that when traveling the road in your car you are bound to hit a bump now and then.

So it goes with our weight loss surgery journey. As we travel we enjoy some beautiful stretches of smooth sailing, but now and again we hit a bump in the road. We adjust and get back on course without taking the time to indulge feelings of failure or blame. We simply accept the imperfections of the journey and move forward. We need to accept that now and again we will make a poor food choice or skip a workout. When we understand that small misses like hitting a pot hole are just that: bumps in the road.

Riding out the bumps and then getting back on course is empowering. And it is essential with weight loss surgery. Unlike other weight loss efforts, with surgery the body is permanently altered. We cannot simply quit weight loss surgery and move on to the next big diet plan full of hope and promise. We must learn to work with our tool, accept all the flaws and imperfections that come with it, and do our best to travel the journey in spite of the bumps.


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faqTrending Questions:
Answers to hot topic 5DPT Questions
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Shared with permission, 5DPT Owner's Manual, Pages 93-94.

How much weight can I lose?
The 5 Day Pouch Test is not a plan to lose weight, although many people who do the plan report weight loss. When we reach a point where we need to get back to basics with our weight loss surgery the 5DPT is a tool to quickly get us back on track. Closely following the plan helps us break a slider food snacking habit that may have stalled weight loss or caused weight gain. The 5DPT takes our stomach pouch through the dietary progression we followed after surgery with two days of liquid pampering and three days of advancing from soft protein to firm protein to solid protein. During the five days we focus on the Four Rules, especially Protein First. We observe the liquid restrictions and focus on the very reasons we had weight loss surgery in the first place. Most importantly, the 5 Day Pouch Test gives us a renewed sense of confidence in our surgical pouch and our personal power in following a healthy eating plan that supports weight loss and weight maintenance. Any weight loss is incidental to that and should be considered a bonus, not the foremost objective.

See 5 Day Pouch Test Plan

Will the 5DPT work for my procedure? (Lap-Band, Sleeve, RnY)
The 5DPT has been successfully completed by men and women with all surgical procedures. All case studies report returning to the high protein, low carbohydrate diet following completion of the test. Gastric bypass patients report the most noticeable tightness in the surgical gastric pouch and in achieving feelings of fullness more quickly. However, adjustable gastric banding (lap-band) patients and gastric sleeve patients report feeling full sooner after doing the 5DPT. People who have done the 5DPT consistently note that returning to liquid restrictions is the single most important action for optimizing the low-volume capacity of their gastric pouch. Again, if you feel you need to get back to the basics of your post-surgical bariatric diet give the 5DPT a try. It is only five days and you may be surprised how powerful you and your pouch are.

I had surgery many years ago. Is it too late for me?
Only you can answer this question. I know of people who had bariatric surgery back in the 1980's --when the procedure was a simple staple line down the stomach-- who have successfully done the 5DPT. Many times when people ask me if it is too late to do the 5DPT it is out of fear: fear they will learn their pouch no longer works or fear they will learn the pouch does work. The simple back to basics 5DPT will not cause harm and it is only 5 days of your life. So it is up to you to decide if it is too late.

Article: Three keys to back to basics after WLS

How soon after surgery can I do the 5DPT?
Without exception patients must follow the dietary program directed by their bariatric center for the first year following surgery. No exceptions. I do not recommend or encourage anyone in the first year post-surgery to do the 5DPT. Please, follow the plan your center prescribed specifically for you.

How often can I do the 5DPT?
If a patient is following the program outlined by their center, if they are losing or maintaining weight and feels energized and in control the 5DPT is not needed. It is a specific action to be taken when a patient needs a methodical method for getting back to the basics of post-WLS living. It is not a gimmick or a trick diet; it is a method of taking control when things are out of control. Think of it as your bariatric airbag and hope you never need to use it. But if you do find yourself in peril this airbag is there ready to be deployed.

More FAQ's: 5 Day Pouch Test


chickenTired of plain white meat chicken?
Give nutrient rich dark meat a try 
It's time to let go of the boring boneless-skinless chicken breasts for something flavorful and nutritious!
Kaye's Chicken Wings to Fly For. Cooking with Kaye page 94.
Kaye's Chicken Wings to Fly For. Cooking with Kaye page 94.
Get Recipe in this Blog Post

Chicken legs and chicken thighs are often left behind by those following the weight loss surgery high protein diet who favor the leaner lighter breast meat. For years dark meat poultry has been rejected by dieters as too high in fat to play a beneficial role in a healthy weight management lifestyle. But this nutrient dense meat has a place in the bariatric diet and in these difficult economic times dark meat poultry is an affordable choice at the market.

A 3-ounce serving of dark meat chicken, skin removed, provides 166 calories, 21 grams protein, 8 grams of fat (2 grams saturated) and 76mg of cholesterol. But meat should not be judged on its nutritional profile alone: dark meat poultry is an excellent source of the B vitamins niacin and riboflavin and a good source of zinc. And bundle packages of chicken drumsticks and thighs are ridiculously affordable too, often priced less than $1 a pound. Many nutritionists say that the benefits of the nutrient dense dark meat make it the preferred choice to white meat poultry provided the skin is removed before eating and a low-fat cooking method is used to prepare the chicken.

Weight loss surgery patients are prone to B vitamin deficiencies. In addition to B vitamin supplementation patients should regularly include foods that are rich in B vitamins in their diet. Niacin, vitamin B3, is important in the body's production of energy from food. Niacin helps keep the skin, nerves, and digestive system healthy and is required for normal growth and the synthesis of DNA. Riboflavin, vitamin B2, plays an essential role in the production of red blood cells, energy production, and growth. As we age it is believed we do not consume enough riboflavin and may become deficient in this important B vitamin.

At the market look for chicken thighs and drumsticks packaged separately. Thighs are available boneless and bone-in. My favorite piece is the whole chicken leg with the thigh and drumstick intact and the skin on. Ten-pound bags of chicken legs are available at most super-stores for around.75 cents a pound, a fine bargain when feeding a crowd. Chicken legs can be seasoned and roasted in the oven, skillet fried, or grilled outdoors. Poultry should be cooked to an internal temperature of 165 degrees Fahrenheit. A meat thermometer is the best method for testing chicken for doneness. Without a thermometer to test for doneness pierce the skin and meat with a sharp knife or skewer allowing juices to run. If the juices run clear the meat is cooked.

Serve dark meat poultry with fresh vegetables and citrus fruit. When eaten with poultry, citrus fruits, cabbage, broccoli, red bell peppers, kale, strawberries, kiwifruit will enhance iron absorption from the poultry thus promoting overall health and wellness.

Article Source: Dark Meat Chicken and the WLS High Protein Diet


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