5 day pouch test (get it Here)

marymazilla
on 10/15/10 12:13 am - GARDEN CITY, MI
For those of you who asked.
5 Day Pouch Test
Days 1 and 2 :Liquid Protein:
 low-carb protein shakes, broth, clear or cream soups, sugar-free gelatin and pudding. 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. It is very important to drink a minimum of 64 ounces of water each day. This will prevent dehydration, will help curb cravings and will flush your body of toxins and fat. Sufficien****er intake improves kidney function and cell processes. 

Day 3: Soft Proteins:
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. No drinking 30 minutes before or after meals and no drinking with your food. A dry pouch will hold your soft protein longer helping your to feel full and fed longer. 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 moist condiment ( 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 doing so 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.

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.      

"When we stop running away from the situation that is scary - that is the moment we discover how strong we really are. So, acknowledge your strength...rejoice in it...and start breathing in life, as the beautiful, strong soul (being) that you truly are." - Rachna Sirtaj.......Love & Peace
       
 

    
Pam T.
on 10/15/10 1:45 am - Saginaw, MI
 IMHO - the 5DPT is nothing more than a fad diet for WLS patients. It doesn't help you lose weight, it doesn't really "test" the pouch and it can't "reset" the pouch in any way. You're better off just going back to basics and remembering the rules you were suppose to be following in the first place. Here's a list of my "Back on Track" guidelines:

http://pamtremble.blogspot.com/2009/07/back-to-basics.html


Back to Basics Guidelines

1. First, find a good in-person LOCAL SUPPORT GROUP and then … never miss a meeting. Make it a priority, put it on the calendar and don't let other stuff interfere with this important part of being successful. Statistics show that patients who attend in-person support group meetings have a higher rate of long term success in maintaining their weight loss.

2. BACK TO BASICS -- you know the rules, you know how to use your tool, so do it.

  • Protein first and always (80-100g/day). 
  • Moderation with carbs (no white stuff - focus on veggies, fruit and whole grains to get your carbohydrate needs of about 40% of your total daily calories ... and remember to get enough fiber to keep the digestive tract working properly)
  • Get enough good fats in your diet.
  • Be sure your meals are dense, not sliders. Soft foods will slide straight through your pouch and leave you hungry sooner. Dense food can stay in your pouch for up to 2 hours or until you start drinking water again. Try a meal with 5oz grilled chicken breast and a side salad. 
  • Get all your water each day - 64oz min
  • No drinking with meals or for 30-90 minutes after meals
  • Track every morsel of food that passes your lips. You can't know how to adjust your intake unless you know where you are starting from. Figure out where your calories need to be and stick to it 90% of the time. Studies show that people who track calories lose twice as much as those who don't. 
  • Plan your meals and eat on a schedule. I still follow the hour-by-hour schedule that I received in pre-op nutrition class before surgery. 3 meals, 3 snacks pre-planned and eaten at specific times during the day and water intake between to curb hunger and grazing tendencies. 
  • Be a religious fanatic about your vitamins and supplements.
  • Exercise your butt off. If you're not sweating like a pig, you're not working hard enough.
3. BREAK THE STALL -- If the scale has stopped moving - if you're in the midst of a plateau - make sure you review the list of questions to ask yourself to "Break a Stall".     4. BE SURE YOU'RE HEALTHY -- If you haven't had labs drawn recently then get that done. Here's a list.Some vitamin deficiencies can actually cause weight gain or make the scale stop moving, so eliminating that as a culprit is important.  And most importantly, make sure you're taking your vitamins. If you're not sure what to take, check out page 7 of the ASMBS Bariatric Nutrition report - this is where you need to start with the base vitamins, and adjust your doses once you get your lab results back. Also take a close look at your medications list - might any of those be causing weight problems? 

6. LEAN ON OTHERS for support when you're not strong enough to do it on your own. Eventually you will become strong enough and then you can be the support person that someone else relies on down the road. Find inspiration where ever you can and hold onto it as you grow stronger. The Nike "I Can" commercial is a good place to start for inspiration.

7. GET HELP -- if you need to deal with the "mental crap" (as I call it) -- the emotional struggles that we all face of food addiction and disordered eating and figuring out how to create a healthy relationship with food, then make an appointment with a therapist. A psychologist recommended by your surgeon's office is often the best resource - someone trained to work with weight loss surgery patients. You don't have to do it on your own.
  8. YOU CAN DO HARD THINGS -- you're worth the effort it takes to be healthy, happy and strong. Believe in yourself.  And remember the words of Winston Churchill:  "Never ever ever give in. Never give up."  You CAN do this. You can do hard things.

~Pam

My Recipe Index is packed full of yumminess!
Visit my blog: Journey to a Healthier Me  ...or my Website

The scale can measure the weight of my body but never my worth as a woman. ~Lysa TerKeurst author of Made to Crave

 

marymazilla
on 10/15/10 7:41 am - GARDEN CITY, MI
For those of you who asked.

"When we stop running away from the situation that is scary - that is the moment we discover how strong we really are. So, acknowledge your strength...rejoice in it...and start breathing in life, as the beautiful, strong soul (being) that you truly are." - Rachna Sirtaj.......Love & Peace
       
 

    
elm62
on 10/17/10 10:28 am - Clarkston, MI
Ouch! 

Mary I don't know about you but I have learned allot from Pam and appreciate the advice she gives....remember these forms are for everyone to give their opinion.

Edie

You don't have to have a lump to have breast cancer!
Inflammatory Breast Cancer

www.ibcresearch.org

Brenda M.
on 10/17/10 1:07 pm - Westland, MI
Totally agree with you, Edie. 

All of us that know how to turn on our computers know know to Google stuff and copy and paste.  For Pam to have lived and researched and spent so much of her "free" time on this and share....that is pretty awesome.

Everyone has their own opinion, and I love to hear both sides of every story.  If someone asked me how to get info. about that stupid pouch test, I would tell them the same thing Pam did.  So they would have the info they asked for, and an alternative that someone believes is a better way to go.

This whole "I know everything and you don't" is exactly why I can't handle this forum any more.  I sure hope Pam doesn't get her feelings hurt, but I suspect she won't.
Pam T.
on 10/18/10 12:20 am - Saginaw, MI
Thanks Brenda.  No, I'm not offended. I tend to post the same response to anyone who asks for the pouch test thing -- whether it's someone who is asking for it for themselves, or someone who is sharing it with others who are asking for it.

I just think that we all need to have a different mindset about how we live the rest of our lives. (I'm including myself in this comment - cuz "diet" pops into my head sometimes too... like this morning when I stepped on the scale and was faced with the reality of what my weekend of indulgence got me.) When we decided to have WLS, we also made the decision to stop the dieting-craziness --- and the 5DPT is just one more crazy diet that doesn't work.  So we, as veterans, need to be spreading the word about living a healthy life, not buying into the diet mentality.

So no, my feelings aren't hurt. I just hope that my comments were helpful to someone out there who might just be lurking or is too afraid to ask the questions out loud.

My Recipe Index is packed full of yumminess!
Visit my blog: Journey to a Healthier Me  ...or my Website

The scale can measure the weight of my body but never my worth as a woman. ~Lysa TerKeurst author of Made to Crave

 

katrn05
on 10/21/10 7:08 am, edited 10/21/10 7:10 am - Troy, MI
THE FIVE DAY POUCH TEST IS NOTHING BUT A FAD DIET. YOU SHOULD KNOW BETTER. I hate when people keep spreading around the info on it. Why bother even if they asked? 
 
garnet408
on 10/15/10 9:01 pm - Tampa , FL
Thanks so much....
 Great Tips !!!!
I think its very easy to start playing with those carbs...
Carbs  are My enemy...
You look great..
anna.

Anna

                    
dmoore1162
on 10/15/10 11:01 pm
Pam - interesting tidbit on lack of certain vitimins will stall weight loss.  Do you know what ones those are?  Just curious
Delores Moore
it's never too late
    
Pam T.
on 10/17/10 10:38 am - Saginaw, MI
Sorry, just got back to town today. Haven't been on OH in a few days. So a few different Vitamins can have some effect on your weight -- either gain or lose. Vitamin D is the main one I can think of. But there are other vitamins which a deficiency shows up as nausea or upset stomach - which could then result in decreased appetite and weight loss (this is bad if you can't afford to lose any, and these types of issues usually show up in anorexia patients). 

You can view the list of common vitamin deficiencies and what the symptoms are on my blog here: http://pamtremble.blogspot.com/2009/01/common-nutrient-defic iencies.html

My Recipe Index is packed full of yumminess!
Visit my blog: Journey to a Healthier Me  ...or my Website

The scale can measure the weight of my body but never my worth as a woman. ~Lysa TerKeurst author of Made to Crave

 

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