Question:
Whats a 5-Day Pouch Test
— scalifemme (posted on January 19, 2009)
January 19, 2009
DAY POUCH TEST
Five Day Pouch Test
Does my pouch still work?
Have I broken my pouch?
Have I ruined my tool?
These are questions many weight loss surgery post-ops find themselves
asking occasionally during their journey. Perhaps it feels like we can eat
more food or we know that we are eating more food. Sometimes these
questions are asked when there has been a weight regain.
Today I present a 5-day plan that I have developed and used to determine if
my pouch is working and go back to that tight newbie feeling. And a bonus
to this plan, it helps one get back to the basics of the weight loss
surgery diet and it triggers weight loss. Also, it is not difficult to
follow and if you are in a stage of carb-cycling it will break this
pattern. Sounds pretty good, right? Here we go!
Days One & Two: Liquid Protein
The first two days are all liquids. You can have as many low-carb protein
shakes as you like to satisfy hunger or cravings. In addition drink at
least six 8-ounce glasses of water each day. The purpose of all liquids is
to break any snacking, grazing or processed carbohydrate habits. In
addition the liquids will work to cleanse your system and prepare you for
the following three days. Try to reduce your caffeine intake as well, but
do not stop caffeine cold turkey or you will feel sick and frustrated
potentially losing the desire to continue with the pouch test.
If you notice symptoms of carbohydrate withdrawal you can eat a small piece
of melon or an orange. You can also try a dose of Emergen-C which should
reduce headache, dizziness or cramping from carbohydrate withdrawal.
The next three days you get to eat as much as you want as often as you
want! Ahhh, but there's a catch: it has to be solid protein and you only
get 15 minutes each time you sit down to eat.
Day 3: Soft Protein
Protein Recommendations: canned fish (tuna or salmon) mixed with lemon and
seasoned with salt and pepper, eggs cooked as desired seasoned with salt
pepper and/or salsa, fresh soft fish (tilapia, sole, orange roughy), baked
or grilled, and lightly seasoned. This starts your program with
"soft" protein. Measure your portion (1 cup volume or 4-6 ounces
weight) and eat only until you feel full, not overfull. Remember, no water
for 30 minutes before or after you meal, and no fluids with your meal. We
are going back to the beginning and fluids will prevent you from feeling
the pouch. If you need to add a bit of Miracle Whip or mayonnaise to the
canned fish I understand, but keep it to a minimum so the meat is not too
moist. One reason we lose the sense of tightness in our pouch is that we
eat "slider foods" - foods that are too moist and do not stay in
the pouch very long, they slide right through the stoma.
Day 4: Firm Protein
Protein Recommendations: ground meat (beef, turkey, lamb) cooked dry and
lightly seasoned, shellfish, scallops, lobster steamed and seasoned only
with lemon, salmon or halibut steaks, grilled and lightly seasoned. By now
you should be experiencing that familiar tightness that will reassure you
that your pouch is working. Remember to drink plenty of water between
meals. Take some time to meditate and rediscover the wonder of your pouch.
Often we don't like that uncomfortable tightness of the pouch, which is why
we gradually move toward slider foods that don't make us uncomfortable. It
is always my preference to eat moist protein so I don't get uncomfortable,
but this allows me to consume more than I should. Rediscovering the pouch
with this 5-day plan reminds me of how the tool really works. I hope by now
you are rediscovering your tool and enjoying the hope and excitement
because your pouch still works.
A word about constipation: A shift to high protein diet often results in
constipation. To relieve this you may try adding a fibrous fruit snack to
your morning and a fibrous vegetable snack in the afternoon. Fruit
suggestions are apples, berries, apricots, cantaloupe or oranges. For
vegetables try leafy greens, zucchini, cucumbers, spinach, summer squash or
string beans.
Day 5: Solid Protein
Protein Recommendations: white meat poultry cooked dry and lightly
seasoned, beef steak (if tolerated) grilled or broiled. Remember to chew
chew chew. Measure your portion (4-6 ounces) and eat only until you feel
your pouch tighten. Remember, only 15 minutes per meal, so you'll have to
work fast to chew your food completely. By now you should be out of any
carb cycle you were in and perhaps you have lost a pound or two. You will
have new confidence in your pouch and your ability to work the tool for
your health and emotional well being.
— [Deactivated Member]
January 20, 2009
It's designed for wls graduates who are off track! You are a new post op
and need to be following the basics...That's all the 5DPT does for those
who've stopped following the rules...It helps them REMEMBER what/how they
are supposed to be eating and stops them from eating junk they have allowed
back into their lifestyle! YOU don't need to worry about that! :) It's
not a diet...It's an aid for post op grads!
— .Anita R.
January 20, 2009
The typical 5-day pouch test, as is often posted (by me) about it, starts
with a great concept (about being conscious of everything that is eaten)
but the devil is in its "details". For instance, unlike the
first poster's plan, the 5DPT doesn't truly emphasize low carb foods.
Secondly, it takes more than five days to re-focus on healthy food choices
and to re-connect with feeling satiety after eating measured and controlled
meals.
— SteveColarossi
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