food shopping
i am 5 years out and i been bad with eating... i am going food shopping today.
can you help me with what foods to buy and what not to buy. i need help bad... my problem is i need to stay away from carbs.... thats my problem... also my
cholesterol is 243 and my medical dr told me to go on a low fat and low cholesterol diet but i dont know how to.. plus i now need b-12 shots. i did call the wls dietian but she is leaving... Anita
For me it is not going to a nutritionist, reading a book, getting tips or even the best grocery list that works. It is knowledge of course, having a plan and then TAING RESPONSIBILITY for my choices each moment!, it also involves preparation and planning, time for me! Exercise has to be part of my equation as does emotional growth work (yes therapy!) without it diets fail as they always did preop!
On 2/13 I replied with many sites to view a low cholestrrol/lowfat diet...see the link below as well as what possible sublingual B12 you may consider using (Can take in addition to injections as B12 is water soluble vits and excess is urinated out!)
South Beach is a fairly healthy lifestyle plan that works for many post wlsers...see below for overview (can either get book out of library or probably at www.half.com cheap!
This link below was my reply to you having this ? last month...
http://www.obesityhelp.com/forums/NY/3861913/low-chol-and-low-fat-diet-please/#30992914
ANY nutritionist should be able to help with the lowfat/cholesteral part you can EDUCATE them on WLS part.....
South Beach Diet Basics
Lose weight, banish cravings, shrink your belly--without ever feeling hungry.
by Arthur Agatston, M.D.
http://www.prevention.com/cda/feature2002/0,2479,s1-5345,00.html
In the mid-1990s, I became disillusioned with low-fat, high-carbohydrate diets. They didn't work for many of my patients, especially over the long haul. Being a cardiologist, my concern was not for my patients' appearance, of course: I wanted to find a diet that would help prevent or reverse heart disease.
I never found such a diet. Instead, I developed it myself.
The South Beach Diet is not low-carb. Nor is it low-fat. Instead, it teaches you to rely on the right carbs and the right fats--the good ones--so you lose weight, lower your cholesterol, reduce your risk of heart disease and diabetes, and get rid of cravings without feeling hungry.
In one 12-week study of 40 overweight people, those who followed the South Beach Diet lost an average of 13.6 lb, almost double the 7.5 lb lost by those on the strict "Step II" American Heart Association (AHA) diet. And the South Beach group showed greater decreases in waist-to-hip ratio (belly fat) and triglycerides, and their good to bad cholesterol ratio improved more. Plus, only one person dropped out compared with five in the AHA group.
By choosing the right carbs and the right fats, you simply won't be hungry all the time, and portion sizes will take care of themselves.
Caution: If you have kidney problems, talk to your doctor before starting this diet. If you have diabetes, get tested to make sure that your kidneys are not impaired before starting this diet.
Good Carbs versus Bad Carbs
Much of our excess weight comes from the carbohydrates we eat, especially the highly processed ones found in baked goods, breads, snacks, soft drinks, and other convenient favorites. Modern industrial processing removes the fiber from these foods, and once that's gone, their very nature--and how we metabolize them--changes significantly, and for the worse.
One side effect of excess weight, we now know, is an impairment of insulin's ability to do its job of processing fuel (fats and sugars) properly. This condition is called insulin resistance. As a result, the body stores more fat than it should, especially in the midsection.
Decrease consumption of those bad carbs, studies showed, and the insulin resistance starts clearing up. Weight decreases, and you begin metabolizing carbs properly. Even the craving for carbs disappears once you cut down on them. Finally, cutting out processed carbs lowers triglycerides and cholesterol.
The Right Fat
To make up for the overall cut in carbs, my diet permits ample fats and animal proteins. The low-fat regimen's severe restrictions on meat were unnecessary. The latest studies had shown that lean meat did not have a harmful effect on blood chemistry. Even egg yolks are good for you, which is contrary to what we once believed. Chicken, turkey, and fish are recommended, along with nuts and low-fat cheeses and yogurt.
As a rule, low-fat prepared foods can be a bad idea; the fats are replaced with carbs, which are also fattening. But dairy products such as cheese, milk, and yogurt that are low-fat are exceptions to this rule; they are nutritious and not fattening.
I also allowed plenty of healthy monounsaturated fats such as olive and canola oils. These are the good fats. In addition to actually reducing the risk of heart attack and stroke, they taste good and make food palatable. They're filling too.
Phase 1: Two Weeks of Restraint
This is the strictest part of the diet and is meant to last for 2 weeks only. But you could lose up to 13 lb depending on your starting weight. It allows ample portions of protein, good fats, and the lowest-glycemic index carbs needed for satisfaction and blood sugar control. By the time this phase ends, your cravings for sweets, baked goods, and starches will also have vanished.
Each day includes six different occasions to eat, so you should never feel hungry. If you do, maybe you're being too stingy with your portions. Meals should be of normal size, enough to satisfy you, but no more than that. No need to measure most things.
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Foods to Enjoy |
Foods to Avoid |
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Beef: Lean cuts such as sirloin (including ground), tenderloin. Poultry (skinless): Cornish hen, turkey bacon, turkey breast, chicken breast. Seafood: All types of fish and shellfish. Pork: Boiled ham, Canadian bacon, tenderloin. Veal: Chop, cutlet, top round. Lunchmeat: Fat-free or low-fat. Cheese (fat-free or low-fat): American, Cheddar, cottage cheese, cream cheese substitute (dairy-free), feta. Nuts: Peanut butter, peanuts, pecans, pistachios. Eggs: Whole eggs are not limited unless otherwise directed by your doctor. Use egg whites and egg substitute as desired. Tofu: Use soft, low-fat, or light varieties. Vegetables and legumes: Artichokes, asparagus, beans and legumes, broccoli, cauliflower, celery, cucumbers, eggplant, lettuce, mushrooms, spinach, tomatoes, zucchini. Fats: Canola and olive oils. Spices and seasonings: All seasonings that contain no added sugar, broth, butter sprays, pepper. Sweets (limit to 75 calories per day): Chocolate powder (no added sugar), cocoa powder (baking type), hard candy, sugar substitute (all sugar-free unless otherwise specified). |
Beef: Brisket, liver, rib steaks, other fatty cuts. Poultry: Chicken wings, thighs, and legs, turkey wings, duck, goose, poultry products (processed). Pork: Honey-baked ham. Veal: Breast. Cheese: Brie, Edam, all full-fat. Vegetables and legumes: Barley, beets, black-eyed peas, carrots, corn, pinto beans, sweet potatoes, white potatoes, yams. Fruit: Avoid all fruits and fruit juices during Phase 1. Starches: Avoid all starchy food during Phase 1, including all types of bread, cereal, matzo, oatmeal, rice, pasta, pastry, potatoes, and baked goods. Dairy: Avoid all dairy foods during Phase 1, including ice cream, milk, soy milk, yogurt. Miscellaneous: Alcohol of any kind, including beer and wine. |
Phase 2: More Liberal Meal Plans
Here's where you gradually reintroduce certain healthy carbs into your diet: fruit, sweet potatoes, whole grain bread, whole grain rice, whole wheat pasta. Start with one piece of fruit a day for lunch or dinner, and continue with some cereal or a piece of bread. Weight loss will slow a little. (A healthy average rate of weight loss is 1 to 2 lb a week over time.) Stay on this phase until you hit your target weight. If you regain some weight, switch back to Phase 1 until you lose it.
A key to success is the glycemic index (GI) that ranks carbohydrate foods by their effect on your blood sugar levels. Focus on adding low-GI foods (apples, berries, grapefruit, high-fiber cereal, whole grain breads) to your diet instead of those with a high GI (cakes, cookies, crackers, pasta, white bread).
The goal is to eat more carbs again while continuing to lose weight. If you add an apple and a slice of bread a day, and you're still dropping pounds, that's great. If you try an apple, two slices of bread, and a banana daily and notice that your weight loss has stalled, you've gone too far. Cut back, or try some different carbs.
You'll go on that cautious way as long as you're in Phase 2, eating the most beneficial carbs and paying attention to how they affect you. You should also be aware of foods that increase cravings. No two people will experience this phase the same way. Some dieters can have pasta once a week with no detrimental effects. Others have to avoid pasta but can eat sweet potatoes. You'll have to figure this dynamic out for yourself.
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