cAFFINE OR NO CAFFIENE
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CAFFEINE
You undoubtedly will receive many different answers. What I encourage you to consider is making the most educated and informed decision for yourself on what is best/safest/will work. In general bariatric programs will recommend bariatric patients, gastric bypassers in particular avoid caffeine, some say for 1 yr others say for life. Will one cup of caffeine harm you probably not, will one daily effect you possibly, the choice is yours to weight the risks/benefits. There are almost no calories in black coffee and tea. However, if a latte or double cream frappucino is more your scene, your waistline will pay a high price for your caffeinated beverage. Of course, it's not the caffeine that's the problem; it's the sugar, cream, milk, flavored syrup and other goodies that might get added to your brew. I sadly see many regain this way as they feel they cannot give up their Dunkin Donuts or Starbucks daily ‘fix’. Drinking calories can easily defeat our newly created tool.
Research into the impact of coffee on health is overwhelming: in the past few decades over 19,000 studies have been conducted into this little bean! For a while, researchers had coffee and caffeine doomed to the dregs as far as health was concerned, but despite some drawbacks, for many people a moderate amount of coffee may be more helpful than it is harmful.
***BUT WE ARE NOT NORMAL WE RNYER’s HAVE anatomical changes, which carry nutritional effects (vitamin/mineral absorption issues) as well as physical risks (ulcers, dehydration) SO there are things to consider.
Here is the info I have collected on caffeine use post bariatric surgery for your consideration. Main points on why to avoid:
- Mild diuretic; so it dehydrates your body; WLSers can be at risk for this esp. early on.
- Appetite stimulant (*Who needs that!)
- Decreases absorption of vitamins/minerals:
- The loss of calcium and potassium, which causes sore muscles and delayed recovery after exercise.
- Tannins are substances found in tea/coffee, which can bind with calcium in the intestine; therefore decreasing it's absorption increasing risk osteoporosis and fractures, which WLSers are already at risk for.
- Polyphenols in coffee and tea can interfere with iron absorption; WLSers are already at risk for anemia.
- Gastric irritant (ulcers); Partially due to tannic acid but also among the less well-known effects of caffeine are that it raises body temperature and makes your digestive system produce more acid. Ulcers in a new healing pouch can be VERY painful, VERY difficult to treat and risk of perforation doesn’t sound very good either.
- Sleep disturbance is one of the more negative effects of caffeine consumption. Some people find that as little as one cup of coffee can interfere with their sleeping patterns.
From the BSCI eNewsletter October 25, 2004
www.bariatricsupportcenter.com
Success Habit™ #4 - Fluid Intake
Lesson #2 - Caffeine and Tannic Acid
Weight-loss surgery patients are encouraged to avoid coffees and teas. While some patients do return to drinking these beverages, our Success Habits™ study shows that the most successful patients do not. There are several reasons for cautionary measures regarding these beverages.
Caffeine
Coffees and Teas contain a significant amount of caffeine.
A study by researchers at Duke University Medical Center, [reported in the Duke Medical News], shows that caffeine taken in the morning has effects on the body that persist until bedtime and amplifies stress consistently throughout the day. These results show for the first time that the effects of caffeine last considerably longer than originally thought . . . and that caffeine exaggerate stress in people who consume it every day. When the researchers compared the caffeine days to the placebo days they discovered that caffeine consumption significantly raised systolic and diastolic blood pressure consistently throughout the day and night, and adrenaline levels rose by 32 percent. The researchers found that the elevated levels persisted as the evening progressed to bedtime.
The study, which was funded by the National Institutes of Health, appears in the July/August 2002 issue of Psychosomatic Medicine.
"The effects of coffee drinking are long-lasting and exaggerate the stress response both in terms of the body’s physiological response in blood pressure elevations and stress hormone levels, but it also magnifies a person’s perception of stress," said James D. Lane, Ph.D., associate research professor in the department of psychiatry and behavioral sciences at Duke and lead author of the study. "People haven’t really accepted the fact that there could be a health downside to caffeine consumption, but our evidence – and that of other studies – shows that this downside exists and people should be aware of it in order to make the best possible health choices."
The study also showed that while caffeine increases blood pressure and heart rate, it also amplifies those effects at the times when participants report higher levels of stress during their day. The caffeine appears to compound the effects of stress both psychologically in terms of perceived stress levels and physiologically in terms of elevated blood pressures and stress hormone levels -- as if the stressor is actually of greater magnitude, he said.
"The caffeine we drink enhances the effects of the stresses we experience, so if we have a stressful job, drinking coffee makes our body respond more to the ordinary stresses we experience," he said. "The combination of stress and caffeine has a multiplying, or synergistically negative effect.
"Everyone accepts that stress can be unhealthy. Our results suggest that drinking coffee or other caffeinated drinks can make stress even more unhealthy."
Increased stress is known to contribute to unhealthy eating habits in obese individuals.
Caffeine is also a stimulant and has been known to increase hunger. Increased hunger is, of course, detrimental to weight loss and long-term weight control.
Tannic Acid
Tannic Acid is a harmful substance found in many coffees and teas. Dr. Gerald N. Goodman, Bariatric Surgeon for over 23 years, tells of an experience in medical school concerning the effects of tannic acid found in coffees and teas. He tells of having a piece of stomach lining and sprinkling on it a small amount of coffee. The coffee instantly began to ‘eat away’ at the stomach lining, causing an ulcer.
With such a small newly created stomach pouch, it is essential to avoid any harmful substance that could cause ulcers or inflict damage to the stomach.
Additionally, tannic acid in tea can interfere with iron absorption. Iron is an essential element for good health and optimum absorption is necessary for weight loss surgery patients.
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Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"