Thanks to our subscriber MK for submitting this question!

Fast food happens.

No matter how organized you have been since your surgery, there will come a day (if it has not come already!) when you forget your lunch at home or you just don’t have time to do groceries.

Since skipping a meal isn't an option, here are our best tips for ordering out.

Craving sushi?
 
You likely will not be able to tolerate your favourite sushi rolls because of the rice and seaweed wrap, however there are several other equally satisfying options on every Asian-style restaurant menu to consider.
  • Indulge in an order of tartar or sashimi. These rice-less options are easier to digest.
  • Don’t be afraid to ask if your favourite sushi rolls can be made with a cucumber wrap instead of the traditional seaweed wrap. This is often a ‘low carb’ option on sushi menus.
  • Order a side of edamame beans. These soybeans are not only a good source of protein, but they are also rich in fibre.
  • Try a protein rich Asian soup. Asian-style restaurants often have a traditional soup with eggs, tofu, chicken, and/or shrimp. Prioritize the solid pieces and leave most of the broth behind.
  • Salmon or tuna salad. Most sushi restaurants have a simple green salad with a seared piece of fish and a flavourful salad dressing.

Sandwiches & Wraps·  
  • Choose a sandwich on toasted bread. If it is a large sandwich, remove the top piece of bread. Great options include: chicken salad, egg salad, tuna salad and deli meats.
  • Wraps are also a good option. Opt for baked chicken rather than crispy chicken.

Breakfast egg sandwiches
  • Choose a breakfast wrap or a toasted english muffin sandwich. Skip the bacon and sausage.

Salad
  • Almost all restaurants now have a green salad with chicken. Again, opt for grilled chicken instead of crispy chicken.
  • Other high protein options include: taco salads, chickpea salads and bean salads.

Chili
  • Whether you choose the vegetarian or meat version, chili packs a lot of protein. They are also very easy to digest making them the perfect option if you have recently transitioned to solid food.


Here are some other helpful tips to challenge those old fast food habits:
  • Skip the combo option… yes, even if it’s cheaper!
  • Don’t order a drink. You will be less tempted to drink and eat at the same time if you don’t have a refreshing beverage staring you down during your meal.
  • Eat in the restaurant instead of in the car. If you are driving and eating, food is more likely to block. You can’t be mindful if you are multitasking!
  • Choose foods described as: grilled, baked, sautéed, broiled, steamed, boiled, etc. more often. These cooking methods are lower in calories.
  • Many corner stores and gas stations now have ‘grab and go’ options in their fridges such as sandwiches, salads, protein shakes, yogurt parfaits, etc. Next time you get gas, make a mental note of 3 appropriate meal options you could choose if you were in a pinch.

Bon appétit!

- Lisa & Monica
 
 
Have you noticed that there always seems to be a new 'it' food?

In the last couple of years we have heard a lot about kale, quinoa, maca powder and turmeric, just to name a few!

What are 2017’s ‘it’ foods?

Among our bariatric patients this year it seems to be hemp and chia seeds!

‘It’ foods are typically foods that many parts of the world have been eating for centuries but are only now being marketed in North America and other first-world countries. They are advertised as ‘good-for-you’ products with the promise of making you healthier and happier than you have ever been! Their marketing claims make you feel like you’ve been missing out and that you NEED to include this ‘perfect’ food in your diet every single day!

As dietitians, we are ALWAYS skeptical of these types of promises.

Many of our patients this year have been loading up on hemp and chia seeds to supplement their protein intake. Patients brag about sprinkling them on their oats, yogurts, scrambled eggs and even ice cream!

While these seeds do boast some great qualities, they have been misrepresented as being high in protein.

Yes you heard us right… hemp and chia seeds are NOT considered to be a good protein supplement.

Let us explain…

If you are struggling to meet your protein needs, a good protein supplement should add at least 6-15 grams of protein to your meal or snack. Additionally, you ideally want this protein source to have the least amount of calories possible.

A good way to compare how much protein you are getting for the calories is to calculate the food’s protein to calorie ratio (protein : calorie).

Let's look at the protein to calorie ratios of some common protein supplements:

What is this chart telling us?

* For every 1 gram of protein from chia seeds there are 29 calories.
** For every 1 gram of whey isolate protein powder there are 5 calories. 

This means that whey isolate protein powder can give you the same amount of protein for much less calories. More precisely, it can provide the same 6 grams of protein for 1/6th of the calories compared to chia seeds!

So does this mean I should stop using hemp and chia seeds?

The short answer is no!

Hemp and chia seeds do have many positive benefits (see below), however they should not be used to supplement the missing 20 grams of protein in your diet. 

WHY? Adding 20 grams of protein using chia seeds would mean adding a whopping 585 calories! With hemp seeds this would mean adding 320 calories, which is still quite a bit! Comparatively, adding 20 grams of protein using whey isolate protein powder would only mean adding 100 calories. See the difference?

How should I be using hemp and chia seeds then?
For those of you looking to boost your protein intake, hemp and chia seeds should not be your only source of added protein. We recommend using them in combination with other lower calorie protein supplements such as protein powders.

Adding ½ or 1 serving of seeds per day (see serving sizes in chart above) for example is very appropriate, as hemp and chia seeds contain many important nutrients that are often not talked about.

Hemp and chia seeds are…
  • Good vegan/vegetarian source of protein.
  • High in fiber. Make sure you choose whole hemp seeds (i.e. not shelled ones like hemp hearts) if you are looking for the fiber boost. In the early stages postop, adding 1-2 tbsps of these seeds into your smoothies is a great way to help fight constipation.
  • High in several important micronutrients. Hemp seeds are excellent sources of iron, zinc, magnesium, manganese, phosphorus and vitamin E, while chia seeds are high in calcium, magnesium, manganese, phosphorus, omega-3s and omega-6s.

The bottom line: 
Healthy eating is not determined by one ‘superfood’ or seed. As always, the key is variety and moderation! 

- Lisa & Monica

P.S. For those of you who are vegetarian or vegan, we recommend that you speak with your dietitian if you have questions about sources of protein.

 
 
Summer has officially started!

Summer brings not only warmer weather and longer days, but also a myriad of often challenging social events ALL centered around food!

BBQs, lively backyard parties, ice cream in town, picnics at the park, drawn out happy hours, pitchers of sangria, popsicles on the front porch, smores around a campfire, beer on the terrace and the list goes on…

Our bariatric/weight loss surgery patients often tell us that they find the summer season one of the most challenging times of the year, coming second only to the Christmas holiday season.

Why?
  • Schedules and meal times tend to be more lenient.
  • The kids are off school and in full on vacation mode.
  • The social calendar is fuller than ever. Even weeknights are no longer off limits.
  • Nostalgic summer foods and refreshing drinks seem to be everywhere and oh so tempting!

We want you to enjoy summer just like everyone else, but if your goal is weight maintenance or if you are still within 1 year postop, it is important to stay mindful.


Here are some of our TOP TIPS...



BBQs & BACKYARD PARTIES! - Hamburgers, hot dogs and ribs, oh my! 

If you’re the host, prepare marinated chicken and vegetable skewers. Skewers make perfect postop portions, but at the same time are an appropriate option for your other guests.

Have you recently had surgery? There is a high likelihood that overcooked barbecue meats may be difficult for you to tolerate (i.e. causing a “stuck” feeling along with a lot of discomfort). Untoasted buns and bread may do the same. If this is the case, prepare a ‘safe food’ for the event. This means bringing a food that you know you tolerate well. Don’t just wing it! There is nothing worse than feeling sick or vomiting at a party.

Examples of safe foods for those of you who are recently postop:

  • Legume/bean salad
  • Barbecue ready aluminum foil packets filled with marinated fish or chicken and vegetables. Encasing your foods in foil packets traps in the moisture making your foods tenderer.
  • Tuna or egg salad served with crackers
  • Hard shell tacos
  • Skewers of watermelon + bocconcini cheese + basil or mint leaves, drizzled with balsamic vinegar
  • Homemade smoothie popsicles (great option if you are only days postop!)

ICE CREAM! 
- Tis the season! 

We are often asked by our patients “How often can I have ice cream?” and “How much ice cream can I have?

Remember that all foods fit after surgery. Ice cream is no different. We recommend our patients simply be mindful of their portions and indulge every now and then as opposed to daily.

Sugar is addictive. The more you have, the more you want. If you had difficulty limiting sweets before surgery, consider limiting sweets after surgery to avoid falling back into the old habits. For example, instead of having a whole tub of ice cream in your freezer (which may be too tempting), allow yourself to have a child-sized cone once a week in town with friends.

Another important consideration is: Did you have a gastric bypass (Roux-en-Y)? 
If yes, you are at risk of experiencing dumping syndrome with sweet foods like ice cream. Limit your portions of ice cream to simply tastings (ex. ¼ cup portions) or try these lower sugar options…


ALCOHOL!

Alcohol is absorbed much faster into your bloodstream after surgery. For this reason, the effects can be intense. It is often said that 1 drink after surgery is equivalent to the feeling of 4-6 drinks before surgery! Patients often laugh about this statistic, but it is no joke.

We recommend our patients limit themselves to one standard drink per evening and to serve it in ½ portions (Ex. ½ glass of wine + ice cubes).

Never drive after drinking, regardless of the amount! Even one standard drink can raise your blood alcohol concentration above the legal driving limit.

Remember that beer is also carbonated. Carbonated drinks (Ex. soda and fizzy water) are generally discouraged after surgery because it is suspected that they can stretch out your stomach with regular consumption. Whether or not this is actually the case has yet to be proven, but carbonation aside, beer and carbonated mixed drinks contain calories, and a lot of them!

Patients often ask, “But what the heck am I supposed to drink this summer if I can’t have soda, beer, mixed drinks, fizzy water or more than 1 glass of wine!

This is a valid question. We admit that the alternatives are not super exciting.

We recommend:
  • Fruit-infused water
  • Flavoured ice cubes (Ex. http://www.marthastewart.com/356419/flavored-ice-cube-ideas )
  • Homemade iced tea – Apparently Davids Tea’s ‘La vie en Rosé’ is refreshingly close to a true rosé wine! Similarly, Teavana has a fun mixology theme to their summer ice teas this year. Flavours include Beach Bellini, Strawberry Daiquiri, Mandarin Mimosa and Pina Colada!


What are your favourite summer tips? Post below in the comments!

Wishing you all a great start to your summer!

- Lisa & Monica

 
 
Although many of the foods listed below sound like they should be high in protein, surprisingly they are not! Which ones have fooled you?

1.     Hummus. Despite being made from chickpeas, the average store bought hummus has only 1 gram of protein per tablespoon.

  • Instead, opt for homemade hummus, homemade black bean dip or homemade Tzatziki (made with Greek yogurt) as dips for your veggies. All of these dips are significantly higher in protein when made at home compared to their store-bought counterparts.

2.     Chicken broth. Surprisingly, the average store bought chicken broth has only 1-3 grams of protein per cup. For this reason, your bariatric team likely recommended you choose higher protein soups immediately after surgery (ex. milk based soups or pureed legume soups).

  • Instead, opt for more filling thicker soups, such as a curried lentil soup, a roasted red pepper black bean soup or a hearty chili.

3.     Cream cheese. Despite ‘cheese’ being in its name, the average store bought cream cheese has only 1 gram of protein per tablespoon.

  • Instead, opt for ricotta cheese (with a sprinkle of sunflower seeds and a drizzle of honey!) or peanut butter on your morning toast.

4.     Quinoa. Quinoa is a filling grain product not because of its protein content, but more because of its fibre content. While quinoa is the only grain listed as a ‘complete’ protein, it only has 2 grams of protein per ¼ cup of cooked quinoa.

  • Always top your quinoa with a true protein source such as meat, fish, legumes, tofu or tempeh to make your meal truly balanced. Quinoa should not be the main event!

5.     Almond/Cashew/Rice/Coconut milk. Despite these beverages having ‘milk’ in their name, these alternative milks contain on average a measly 1 gram of protein per cup.

  • Instead, opt for cow milk or soy milk when you are looking to add an extra splash of protein to your cereals, oatmeal or smoothies.

Moral of the story?

Don’t let misleading product names or sneaky advertising fool you! Get the facts. Always double check the nutrition facts tables on the back of your foods to learn the full story.



- Monica & Lisa

 
 
Picture
http://people.com/bodies/fit-mom-looks-drastically-different-2-lb-weight-loss/

Success is not always about the number on the scale!

We know you guys hate it when we say this, but it’s the truth… and we are about to show you the PERFECT example.

Check this out – http://people.com/bodies/fit-mom-looks-drastically-different-2-lb-weight-loss/

Adrienne’s transformation is truly incredible! Despite losing a measly 2 lbs, a quick look at her before and after picture clearly shows a dramatic change in her body composition.

What do we mean by ‘body composition’? Body composition refers to what proportion of our body is fat, muscle, bone and water. Since the weight of our bones and water stay relatively stable, it is the percentage of our fat and muscle that change when we gain weight, lose weight and, in the case of Adrienne, also when we exercise.

Unfortunately, what we measure on our home scales is simply the total weight of all of these (i.e. fat + muscle + bone + water). This means when we gain muscle and lose fat, which is what happens in the case of exercising and weight lifting regularly, our scale is not able to express these shifts in body composition.

Moral of the story: the scale does not always dictate your progress. If you are sweating your butt off in the gym, you are definitely changing your body.

It breaks our hearts when we see clients who are healthy, super fit and 3-5 dress sizes smaller, but they are still not happy with their ‘success’ because of the number on the scale. Sadly, in some of these cases, the clients were so desperate to lose more weight that they stopped their weight training to intentionally lose muscle. Crazy right? All just to see the number on the scale go down.

Remember: Success looks different on everyone.

Weighing yourself is only one measure of progress. Ask yourself the following questions if you are exercising regularly but not seeing results on the scale. If you answer yes to any one of these questions, you are most likely changing the composition of your body for the better (i.e. gaining muscle and losing fat).

- Do your clothes fit slightly looser?
- Are you less out of breath when walking?
- Are you using a smaller hole on your belt?
- Do you feel powerful at the gym?
- Is there more definition to your arms and legs?
- Do you feel stronger?

Although Adrienne’s story does not involve bariatric surgery / weight loss surgery, she is a perfect example of how you can dramatically change your body while being ‘plateaued’ or ‘stalled’ in terms of your weight.

What are your favourite non-scale victories? Post below in the comments!

Monica & Lisa

 
 
Happy Halloween friends!

Did you know that 3 to 4 small Halloween chocolate bars are equivalent to one full-sized chocolate bar?

Don’t trick yourself this year!

Here are some other reminders and tips to keep in mind over the next week.


1. Healthy eating starts in childhood. Are you helping your kids develop healthy habits? This year, have your kids fill a small to medium sized Ziploc bag with their favourite Halloween treats. Offer them $5 if they opt for giving away the rest of their candy to spend on a non-food treat of their choice. It's win-win-win! Less tempting sweets in the house for you and a lesson taught to the kids! 

2. Resist the urge to buy discounted November 1st Halloween chocolate and candy. Is your health really worth the 50% discount that the stores advertise?

3. Ask your kids if they would rather forego trick or treating this year for some other awesome non-food experience that they've been dying to try! Maybe it’s going to a local Halloween spook party, going to the movies, going bowling, or going to the amusement park on Halloween night.

4. Keep Halloween treats out of sight. Keeping them in the pantry at eye level or on the kitchen counter will only encourage you to eat more. Studies show that the less often you see a food, the less likely you are to eat it. Sounds obvious right? Try keeping your treats in a non-see-through bag in the garage or basement. You'll be less tempted this way!

Don't TRICK yourself this Halloween! Prepare yourself by planning ahead. 
What are you going to do differently this year?

Do you have any favourite tips to navigate this sugar-coated holiday? Feel free to comment below!

Lisa & Monica

 
 
Will this be your first holiday weekend since your bariatric/weight loss surgery?
If so, you are likely feeling a little bit anxious. This is totally normal!

Here are our top 5 tips for staying in control this Thanksgiving:
  1. Have regular meals and snacks the day of. --> Going to a dinner party on an empty stomach is never a good idea. When you are out of control hungry, you are more likely to overeat. Make sure to have a protein snack 1-2 hours before the party.
  2. Be mindful during appetizer hour. --> Once you have indulged appropriately, distract your fingers by holding a napkin or toothpick, position yourself with your back towards the food table, make conversation or help in the kitchen to keep yourself busy.
  3. Be picky. --> Instead of tasting “a little bit of everything”, skip the foods that are available all year round. Instead, go for the foods that are more festive or unique to Thanksgiving.
  4. Keep serving dishes in the kitchen instead of on the dinner table. --> You will be way less tempted to go for seconds when the food isn’t right in front of you.
  5. Get rid of excess leftovers. --> Send leftovers home with guests (especially those decadent desserts) and don’t be afraid to throw food out. Remember it’s Thanksgiving DAY, not WEEK!

Enjoy the weekend!

Monica & Lisa


Est-ce que cette fin de semaine sera votre première vacance depuis votre chirurgie bariatrique?
Si oui, vous êtes peut-être un peu inquiet. C’est normal!

Voici 5 conseils pour bien manger cette Action de Grâce :
  1. Mangez des repas et collations régulièrement pendant le jour. --> Ce n’est jamais une bonne idée d’aller à un souper avec un estomac vide. Quand vous êtes affamé, vous êtes plus susceptible de trop manger. Assurez-vous de manger une collation de protéines 1-2 heures avant la soirée.
  2. Soyez conscient avec les hors d’œuvres. --> Après que vous en avez mangé raisonnablement, distrayez vos doigts en tenant une serviette ou un cure-dent, placez-vous avec votre dos vers la table de nourriture, faites la conversation ou aidez dans la cuisine pour vous tenir occupé.
  3. Priorisez vos choix. --> Au lieu de déguster « un peu de tout », sautez les aliments qui sont disponibles toute l’année. Optez pour les aliments qui sont plus festifs ou uniques pour l’Action de Grâce.
  4. Gardez les plats de services dans la cuisine au lieu de sur la table à manger. --> Vous serez moins tenté de prendre des deuxièmes portions si la nourriture n’est pas juste en face de vous.
  5. Débarrassez-vous des restants excédentaires. --> Donnez vos restants à vos invités (en particulier les desserts décadents) et n’ayez pas peur de jeter la nourriture aussi. Rappelez-vous que c’est le JOUR de l’Action de Grâce, et non une SEMAINE!

Bonne fin de semaine!

Monica et Lisa

 
 
We would like to thank our reader BG for suggesting we post a healthy Thanksgiving dessert recipe! Like many of you who have had the gastric bypass (RYGB), BG is always on the look out for a new low sugar dessert that will impress her guests.

So here it is! Our recipe for Clafoutis. For those of you who are not familiar with the dessert 'clafoutis', we would describe it as a delicate French flan-style fruit pie. While it traditionally uses cherries or plums, you can use any seasonal fruit.

TAKE NOTE --> If you send us a blog post idea and you inspire us to write a post, you (like our reader BG), will receive a 15% OFF coupon toward any package of your choice!!! To get in contact with us, first sign up to our email list HERE.

Happy Thanksgiving to all of our Canadian clients and readers! Thank you (as always) for your support :)

- Lisa & Monica

Clafoutis

Serving size: 1/8th of the pie

Ingredients:
1 1/4 cup milk, 1% or 2%
2/3 cup granulated sugar (1/3 cup added in step 2, and 1/3 cup in step 6)
3 eggs
1 tbsp vanilla
1/8 tsp salt
1/2 cup all-purpose flour
Choose a fruit: 5 plums (sliced), 1/2 cup raspberries, 1/2 cup blueberries,1/2 cup blackberries, 1/2 cup strawberries, or 2 peaches (sliced)
Sprinkle of icing sugar (optional)

Directions:
1. Preheat oven to 350 F.
2. Add 1 ¼ cup milk, ⅓ cup granulated sugar, 3 eggs, 1 tbsp vanilla, ⅛ tsp salt and ½ cup all-purpose flour into a blender and mix on high for 1 minute.
3. Grease a 9-by 9-inch baking dish and pour in a ¼ -inch layer of batter (i.e. less than half of the batter).
4. Bake for about five minutes or until the top starts to get slightly firm.
5. Remove the baking dish from the oven and place fruit pieces evenly spaced onto the batter. Pour the rest of the batter on top to cover the fruit (some fruit might poke out, this is fine).
6. Before placing the baking dish back in the oven, sprinkle the pie with granulated sugar. If the fruit you added is sweet, add 3 tablespoons of sugar; if the fruit you added is tart or sour, add the full ⅓ cup.
7. Place the baking dish back into the oven and bake for 45 minutes (check at 30 minutes), or until the clafoutis is puffed and lightly browning. You know it is ready if a knife comes out clean from the center.
8. Allow it to cool slightly (it will collapse as it cools) before dusting with icing sugar (optional).


Enjoy!
 
 


Serving size: 1
Protein per serving: 8 grams, per 1/2 cup of
 shelled edamame peas
Time: 5 minute

This is a perfect fix for those after work salty/crunchy cravings. Not only will this protein snack tide you over until dinner, but it also packs a punch with it's fibre content (3 g per serving!), which is tricky to get enough of after surgery!
Ingredients:
1.5-2 cups frozen edamame beans in shells, loosely packed
1 tbsp lime juice
1/2 tbsp sesame oil
Pinch of salt
Pinch of red pepper chili flakes (optional, if you want an extra kick!)


Directions:
1. Defrost the edamame beans in the microwave. I find the easiest way to do this is to put them in a bowl with 1 cup of water and microwave for 2 minutes (or until no longer frozen). Stir beans after 1 minute.
2. Rinse the beans under cold water to cool them down.
3. In a bowl, sprinkle the beans with lime juice, sesame oil, salt and red pepper chili flakes. Toss the beans to coat them.
4. Eat the edamame beans by pulling the peas out of the pod with your teeth. Don't eat the pods!


Enjoy!

- Monica & Lisa


 
 
Clients who regain weight after bariatric/weight loss surgery often ask us about the ‘5 day pouch test’. This much debated ‘test’ promises to ‘reset’ your stomach and help you lose more weight. It’s so popular in fact, it has its own acronym – the ‘5DPT’. So what’s the deal, is it too good to be true?

Let’s start with a bit of background
The pouch test was ‘created’ in 2007 by a fellow gastric bypass-er named Kaye. She struggled, like many, with discouraging and disheartening weight regain after bariatric/weight loss surgery. In an attempt to recreate that ‘tight newbie feeling’ again, she developed the pouch test.

To start off the 5 day pouch test, she instructs you to ‘get back to the basics’. Or in other words, she wants you to return to the post-op liquid phase that is required in the first few days after surgery. She then recommends that you progress slowly from soft/puree protein, to firm protein and then lastly to solid protein (what’s the difference between firm and solid protein? We don’t know either...). Following this, you are supposed to feel a renewed sense of self.

MYTH...

The 5 day pouch test WILL NOT...
- shrink your stomach
- reduce hunger and increase satiety (feeling of fullness)
- ‘reset’ your body
- cut your cravings for carbs and sweet/salty foods

FACT...

We do however agree with some of Kaye’s suggestions.

1. Always delay your fluids from your solids foods.
--> Stop drinking 15 minutes before your meals/snacks and wait at least 30 minutes after eating to start drinking again. WHY? - Drinking and eating at the same time ‘flushes’ the food out of your stomach too quickly. This causes you to feel hungry soon after eating.


2. Take your time to eat.
--> Eating slowly and savouring your food without distractions increases satiety at meal times. WHY? - This gives your brain time to process that you are eating and lets you get the flavor fix you’re looking for.


3. Ask yourself if liquid protein snacks (aka ‘slider foods’) keep you full long enough (Ex. milk, yogurt, soft cheeses, cereal).
--> While these foods are nutritious and provide good quality protein, they may not help you feel as full as you felt in the first few months after surgery. WHY? - These liquid foods spend less time in your stomach which is why you maybe feel hungry soon after eating.

4. Include a high protein food at every meal and snack.
--> WHY? – High protein foods help keep you full longer.

In our opinion, the ‘5 day pouch test’ is just another diet in disguise. Anything that promises to ‘reset your system’, ‘boost your weight loss’, ‘cut cravings’, ‘kick start your metabolism’, ‘burn fat’, etc. is unfortunately wishful thinking.

There are no short cuts to healthy eating and lasting weight loss. 
There is only you, your pouch (i.e. your little stomach) and knowing how to use it!

How do I know if my pouch is still small?
Believe it or not, the majority of weight regain after bariatric/weight loss surgery is NOT related to having stretched your stomach. This is good news! In our experience, weight regain is more related to what you eat, the timing of your meals and snacks, and how you are eating. For example, if you feel comfortably full for 2-3 hours after eating the amount of food that fits on a bread plate, which includes a combination of protein, a small amount of grains, and some vegetables, your pouch is likely perfectly fine. 


We even asked one of our favourite bariatric/weight loss surgeons about the 5 day pouch test! Here is what he said:
"The major reason for weight regain is the recurrence of unhealthy eating habits and/or lack of exercise. Maintaining weight loss requires a lifelong commitment to keeping up good habits and having support from family, friends, and your health care team. 

Searching through the medical literature, I could not find any evidence or scientific papers studying and discussing the 5 day pouch test. When something is not discussed in the whole of medical literature, even as a simple case report, it leads me to believe that there is no scientific basis for this reset diet. And simply thinking about how the gastric pouch and anastomosis works, it does not make logical sense to me how a 5 day regimen of liquid and puree diet could possibly shrink the gastric pouch. The original feeling of tightness immediately after surgery is probably because of inflammation, since the stomach was cut and stapled, and also there was inflammation from the creation of the anastomosis (suturing). This inflammation resolves after days/weeks during which time the stomach is healing, and hence the original tightness feeling resolves with it". 

Dr. Simon Chow, Bariatric Surgeon, MD MSc FRCSC FACS

Need help?
If you are looking to get back on track with your weight loss and healthy eating, sign up for our Get Me Back on Track package. Whatever the cause of your weight gain, we will give you realistic strategies and tips to tackle your triggers and barriers to healthy eating. Even simple changes to your home and office environments can make a big difference.

- Monica & Lisa

Do you have a bariatric question or rumour that you have been wondering about? Post it below and we might highlight it in our next Fact or Myth blog post!