Pouch Rules
POUCH RULES
1. Don't stretch out your pouch. Keep your portions to 3 oz per meal.
2. Don't go more then 3 or 4 hours without eating. It goes meal 1/2 hour after waking then snack then meal then snack then meal then snack. Snacks that are protein shakes are great. Calories are from 800-1200 depending on what you need. Only you can tell if you need to lose weight or maintain or lose.
3. Continue to get your 80-100 grams of protein a day unless you have a medical condition that doesn't allow it. It is protein that keeps the carb monster away as well as a full pouch of dense protein.
4. Keep your carb grams between 30-50grams per day.
5. Stay away from fizzy drinks, colas etc., as they do stretch your pouch.
6. At the first sign of an ulcer get prescribed ulcer medication not over the counter. You want 24/7 coverage of a hyper-acidic pouch.
7. Stay away from 3 day LPT regimens to so-called decarb yourself. Instead slowly reduce your carbs until they are in the 30-50gram range. Multiple uses of LPT can wreck havoc with your metabolism as it tricks it into thinking you are in a famine state and cravings can be increased instead of decreased.
8. You will have to be on an eating program the rest of your life for your pouch to work.
9. We are all different and the carbs that make us bloat or gain weight can actually be quite healthy like legumes. But if you are that carb sensitive which might mean you find your insulin resistance returning then avoid them. (Insulin resistance can return with as low a weight as 150 or 175 lbs)
10. Take solace in the fact that this is just the way life even for people born skinny and living most of their lives skinny. At some point the body changes, organs get older and sluggish and require an eating program to prevent illness and support maximum wellness.
11. There are specialists in Bariatrics, journals, research, etc., which can be quite informative. If you are interested research them and subscribe (they are very spendy) but they have the latest on metabolism and the bodies continued sense that something is missing once we lose a lot of weight and it looks for ways to put the weight back on. It is not hopeless but does require due diligence.
12. Exercise routinely but gently. You want to be in the fat burning zone which is a pulse under 110 for most of us older than 30. You only need to do 2 miles a day on a bike. But adding free weights or weight resistance machines exchanges fat into muscle which is something we can do to up our metabolism and maintain being a 'better butter burner'. But it is a lifetime commitment to build muscle and keep cardiac health. Doing a spin class or any other aerobic class is a good thing to shake up your exercise routine but if you make it all you do then you may change the shape of your body but maintain your size. We are all individual so this varies.
13. Just a reminder, the pouch is just a tool to take on all of the above. Use it or lose it. Good luck to us all.
~Jo~
RNY: July 8, 2008
Dr. John Price
Kansas City, MO
