HELP! Need some diet suggestions!!

(deactivated member)
on 5/15/09 5:07 am, edited 5/15/09 5:10 am - Kirkwood, NY
Good Afternoon Everyone!!! Yeah I am a late person to get up!! I have a weird schedule and actually not one at all!! So which means I need some help with that. I think I need to get myself on a better schedule before surgery!!! Today did some exercising wit the hubby. I am having a hard time with losing the ten pounds I have to before Thursday's Pats!!! I had lost 5 lbs after my Consult which was Way back in December and was able to keep it off..however..NOW...I went to the drs last week and well..I gained it back...so I am where I was at to start with...Oh Lord and then to lose the ten pounds and keep it off until my surgery JUNE 17th!!! What do I do? Okay well. I asked this question before..and I was going to do the Slim Fast diet..HOwever...Slim fast has lots of sugar in it!! And as far as I know we have to stay away from sugar 2 weeks before our surgery...So what the heck did everyone eat? I know they gave me a sample diet thingy to loook at..but some of the foods on there I do not like!!! Plus, I am hurting for cash and have no money...so..Slim Fast is wayy to expensive for me as I am noticing anywayss..because I was told about the Slim Fast that is only 1 g of sugar for the low carb kind!! UUMM hellooo!!! I went to Wal-Mart..to find this..and well..4 cans of that stuff is like 6 dollars!!!! Okay so If i were to drink 2 a day...that is 84 dollars a week of Slim Fast!!! UUmm way out of my budget...LOL.. Me and my Hubby only spend 40 dollars a week on Food. That is our Budget. We live off of Cereal, eggs, bread, and sandwich meat and lots of chicken because its cheap...mostly...and raman noodles..and well anything we can get for 40 dollars. I see that this surgery and the diet is going to kill us money wise because all this stuff I have to buy is so expensive!!!! Has anyone else had this problem and what did you eat to lose your weight when you are on a budget??? HELPP!!!
jamiecatlady5
on 5/15/09 11:16 am - UPSTATE, NY
WT LOSS BEFORE SURGERY/MOTIVATION/AVOIDING THE LAST SUPPER SYNDROME
In our program we are required to loose 10% of our body wt before surgery....
Loosing weight pre-op is required by many surgeons & for many reasons... and I am so happy I did!
1.. to show motivation,
2.. ability to adhere to a plan (as we will need to for life!), if you can't be mindful and able to follow restrictions pre-op how will you do it post-op?
3.. to increase your health even a modest 5-10% wt. loss is very helpful, the National Institute of health has even researched this...(hence why weigh****chers is so focused on the 10% wt loss)
4.. decreases surgical complications (by exercise and decrease wt your heart and lungs are in better shape for surgery, anesthesia and healing!)...
5.. Also psychologically it is tough going from a super-sized big Mac meal to clear liquids for 2 weeks post-op!
6.. ***MAIN ONE FOR PROTEIN SPARING or MEDIFAST DIETING***It helps shrink the liver and this eases their surgical procedure and decreases chance of nicking it....
7.. exercising before helps you continue after!
8..The more you lose pre-op the less you will have to lose post-op and the closer to an ideal body-wt you will attain!

I lost the weight by doing the food pyramid. That's it, I was eating so bad (fast food daily, large portions, consuming every high-fat/sugar thing imaginable and NOT exercising that just cutting down and walking 2 miles a day helped!

For ME, it was "no one" was going to stop me from having this operation, it was my decision and all that was asked of me was to loose 30 lbs, I figured this is a small price for such a wonderful gift I would be given and the opportunity to have a healthier happier longer life....! I was so motivated/psyched; I dropped 30 pounds in 30 days and went on to drop 15 more before surgery! (Although this took me 2 months, as it got harder and I had a few last meals, we all do but you can't let this ruin your opportunity!) I believe it is what allowed me to get to a normal BMI as well! And it is not unheard of for surgeons to postpone or cancel surgeries if one gains weight!!!

Exercise was another key; I faithfully walked 2 miles everyday..it helped that my mom went with me a lot! (a buddy is so helpful!) I followed the food pyramid given to me by clinical nutritionist Dr. Boham...I also wrote everything down (Many find www.fitday.com helpful for this) that went in my MOUTH!!! Or you can get food pyramid/bullseye version at: http://www.xenical.com/hcp/1400_Am_Beye.pdf


I also had to remind myself how BAD I wanted this! Everyday it was/had to be more important to me to change my bad habits and lose weight to have this surgery than to continue to slowly kill myself with food/keep myself from the only hope I had!. I also told everyone about my plans and they helped support me, my friends/family and coworkers! I really can't give you any more guidance than this, it really had to come from within, it was a mindset with me, and I wanted this BAD real bad and I knew it was my last resort/chance! I felt invigorated and motivated by the end results...the long-term had to outweigh the short-term gratification of eating bad choices or overeating! It was a learning opportunity for me to change my habits and practice chewing well, not drinking with meals and eating smaller portions, giving up sugar/caffeine/carbonation/alcohol (if any of those are your issues, carbonation/caffeine/alcohol weren't issues for me)!

So a few weeks/months of healthy habits to lose pre-op wt is not a lot if you frame it right! IT IS NOT FOREVER and it is about starting this journey!
Take Care,
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!"
jamiecatlady5
on 5/15/09 11:24 am - UPSTATE, NY
Hello,
glad you are looking preop at the possible challenges and barriers to your longterm health and wellness and success.
A routine will help, vs mindless grazing after surgery due to not having one....

You will be eating less food esp for 6 mo or so cost doesnt have to be the issue we think it may.
The cost of not eating health can far outweign the cost of in the longrun with medical issues, loss of work etc...

I dont recommend slimfast but instead have you ever doen a low carb high protein plan like soutbeach? This is how we should eat postop..
Noodles, pasta, rice may not be ever tolerated after surgery, I havent touched em and hey used to live on it and am fine and thinner for it! Bread well I can eat it and it is my nemesis and 20# regain cause at 6 1/2 yrs postop!


Exercise is key also to longterm success start now practice as a dress rehearsal. I fee we can lose wt preop and if we dont it may truly be a signal we are not quite ready for surgery..I have seen folks nee to lose 100# first due to issues, I have seen them do it and excel, I have seen foks take 2 yrs to lose 30# but they although frustrated never gave up and stated they were more prepared after the wait than 2 yr prior....

THerapy is also a great tool, the emotional stuff doesnt go away! It can and usually compounds as we cant eat to soothe out rmotions and as we lose wt...

I tell folks if you can not afford to be healty after surgery please do not have it trading morbid obesity for malnutrition both are deadly

WLS is expensive the medical copays, the gas to go to mds apt for life, the special vits and protein and of course better foods.....

Think fresh fruits and veggies, lean protein (chicken is ok) fish etc. Stay clear from bread, rice, potatoes and pasta..Wt drops off me when I do that esp when I drink lots of water 16 cups a day and exercise at least an hour aday!
You can do it if you be;ieve and well you wont do it if you beieve you cant!
Mindset!
Take Care,
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!"
jamiecatlady5
on 5/15/09 11:25 am - UPSTATE, NY
When The Surgeon Quits
I received an email the other day from a reader *****cently had been taken to surgery only to have the surgeon abort the case before completion of her gastric bypass. She expressed her concern, anger and disappointment and could not understand why the surgeon would abort the case. After a lengthy discussion the reason was quite clear, her liver was so large and diseased that it required the surgeon to make a medical decision, continue the case with possibility of losing the patient or quit. The decision was to abort and allow the patient to recover followed by having a liver specialist become involved in her care.
The patient also revealed to me that when she had last been examined in the surgeon's office four weeks prior to her surgery she was told that she must lose more weight to soften her belly. Instead of following the advice, over the next four weeks she gained an additional 20 lbs. She had eaten every meal after she left the surgeon's office as if it would be her "Last Supper". Had the surgeon lost this patient her meals would have been just that, they would have been the last she would ever eat again. I asked her, "How serious were you about having weight loss surgery?" She never emailed me with a reply. I assumed she was now angry with me.
This was not the first nor will it be the last time a patient would go on an eating frenzy prior to surgery. Sometimes I do not believe we make the point very clear that it is important to lose weight prior to surgery to lessen the weight around the heart and lungs. During any procedure with anesthesia the heart and lungs and kidneys have to work harder during the recovery process. To add more weight around these organs virtually adds insult to an already injured body. Our practice has now established the 'one pound and you're out' rule. It is a rule we make very clear to the patient. The last time the patient is weighed in our office that weight is sent ahead to the surgery department. If the patient weighs one pound more the morning of surgery the procedure can and likely will be postponed. If they gain weight we question how serious is this individual about having weight loss surgery? Will they be compliant after surgery with all of the lifestyle changes they must go through? This is serious life threatening surgery and I commend any surgeon for knowing when to say 'no'. No you cannot go to surgery until you go though medical clearance. No, you cannot have surgery until you attend support group meetings to help educate you for what lies ahead. And no I will not continue with this surgery because you may die.
The lady whose surgery was aborted could only blame the surgeon. I guess that is easy enough for any patient to do if something goes wrong. Actually, come to think about it, if anything goes wrong in our lives it is always easier to blame someone else as opposed to taking responsibility for our own actions. I had to tell her that I would congratulate the surgeon for saving and not taking my life. It was definitely not what the surgeon wanted to do. Surgeons want to operate, they want to save lives or in the case of bariatric surgeons they want to help a life begin.
Sometimes surgeons quit doing surgery altogether. They are tired. Tired of fighting with insurance companies and all of the criteria demands. They are tired of the malpractice crisis that is hovering over the medical profession creating exorbitant malpractice insurance rates. In the January 2005 issue of Beyond Change, Dr. David Greenbaum discussed this very critical problem. He states, "You don't have to commit malpractice to be sued. All you have to do is have a complication. That, along with an unhappy patient and a trial attorney who sees the possibility of a large payout - and viola- a suit begins. Never mind that bariatric patients can develop some of the most challenging problems to care for. Never mind that you spend hours discussing the various risks and potential problems with each and every patient. Never mind that despite giving verbal and written instruction in great detail, some do not follow them. Never mind that your overall results are excellent. All that matters is that one patient had a less than wonderful result and you may find yourself in the middle of a lawsuit. Then, even if you win the lawsuit, your malpractice premiums go up because you had to have the insurance company pay a lot of money to defend you. So, you lose even if you win." Some of these surgeons are paying in excess of $200,000 a year, a sum that is unimaginable for most people to comprehend. It would make surgeons want to quit and many have done just that.
There is nothing more rewarding in our business than to see patients do well. For the few complications that arise, it only takes the success of so many others to reinforce why we stay in business doing what we do. None of us want to quit doing what we do because of the sense of satisfaction we receive from our work but each of us may have to realize our limits one day. If the pressures of the business, financial as well as emotional become so overwhelming, then we may cease being effective to those we treat. If that day comes then we have no other choice then to quit.
For the individuals who have suffered with the disease of morbid obesity for so many years their decision to have surgery is based to a large extent on their diminished quality of life. If they do not lose weight and improve their health they will die or worse yet their quality of life will continue to decline. They have surgery because they refuse to quit. They refuse to give up on life. What they must understand is that surgery is not the easy way out, it requires a lot of work, emotional and physical and that work begins the first time an appointment is made with the surgeon. The woman who was disappointed about not having her surgery may still have surgery one day once she receives clearance from the specialist and after she works to lose the weight her surgeon had originally suggested for her to do. Perhaps she will then become one of the most successful patients the surgeon ever had.
Jacquelyn K. Smiertka, RN
has been a bariatric surgical clinical coordinator for over eighteen years. She is a member of the ASBS Standards Committee and a member of IFSO and has presented at both national and international conferences on obesity.
http://www.beyondchange-obesity.com/editorsNotes/whenTheSurgeonQuits.html
Take Care,
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!"
jamiecatlady5
on 5/15/09 11:27 am - UPSTATE, NY

South Beach Diet Philosophy

 

Learn about the delicious, foolproof plan for fast and healthy weight loss...for life!

by Arthur Agatston, M.D.

 

 

The South Beach Diet is not low-carb. Nor is it low-fat.

The South Beach Diet teaches you to rely on the right carbs and the right fats--the good ones--and enables you to live quite happily without the bad carbs and bad fats. As a result, you're going to get healthy and lose weight--somewhere between 8 and 13 pounds in the next 2 weeks alone. Here's how you'll do it.

Phase 1
You'll eat normal-size helpings of meat, chicken, turkey, fish, and shellfish. You'll have plenty of vegetables. Eggs. Cheese. Nuts. You'll have salads with real olive oil in the dressing. You'll have three balanced meals a day, and it will be your job to eat so that your hunger is satisfied.

Nothing undermines a weight-loss plan more than the distressing sensation that you need more food. No sane eating program expects you to go through life feeling discomfort. You'll be urged to have snacks in the midmorning and midafternoon, whether you need to or not. You'll have dessert after dinner.
You'll drink water, of course, plus coffee or tea if you wish.

For the next 14 days you won't be having any bread, rice, potatoes, pasta, or baked goods. No fruit, even. Before you panic: You'll begin adding those things back into your diet again in 2 weeks. But for right now, they're off-limits.

No candy, cake, cookies, ice cream, or sugar for 2 weeks, either.

No beer or alcohol of any kind. After this phase you'll be free to drink wine. It's beneficial for a variety of reasons. Not a drop during the first 2 weeks, however.

Now, if you're the kind of person who lives for pasta or bread or potatoes, or if you believe that you can't get through a day without feeding your sweet tooth (three or four times), let me tell you something: You're going to be shocked at how painlessly 2 weeks will pass without these foods. The first day or two may be challenging; but once you weather that, you'll be fine.

It's not that you'll have to fight your urges--during the first week the cravings will virtually disappear.

I say this with such confidence only because so many overweight people who have already succeeded on this program tell me so. The South Beach Diet may be new to you, but it has existed for several years--long enough to have helped hundreds of people lose weight easily and keep it off.

Phase 2
After the first 2 weeks, the strictest part of the diet, you will be somewhere between 8 and 13 pounds lighter than you are today. Most of that weight will come off your midsection, so right away you'll notice the difference in your clothes. It will be easier to zip your jeans than it's been for some time. That blazer will close without a bulge.

But this will be just the noticeable difference. You won't be able to see that during those 2 weeks you'll also have changed yourself internally.

You will have corrected the way your body reacts to the very foods that made you overweight. There's a switch inside you that had been turned on. Now, simply by modifying your diet, you'll have turned it off. The physical cravings that ruled your eating habits will be gone, and they'll stay away for as long as you stick with the program.

The weight loss doesn't happen because you're trying to eat less. But you'll be eating fewer of the foods that created those bad old urges, fewer of the foods that caused your body to store excessive fat.

As a result of that change, you will continue losing weight after the 14-day period ends, even though by then you will have begun adding some of those banished foods back into your life. You'll still be on a diet, but if it's bread you love, you'll have bread. If it's pasta, you'll reintroduce that. Rice or cereal, too. Potatoes. Fruit will definitely be back.

Chocolate? If it makes you feel good, sure. You will have to pick and choose which of these indulgences you permit yourself. You won't be able to have all of them, all the time. You'll learn to enjoy them a little differently than before--maybe a little less enthusiastically. But you will enjoy them again soon.

You'll remain in Phase 2 and continue losing weight until you reach your goal. How long it takes depends on how much you need to lose. In this phase, people lose, on average, a pound or two a week.

Phase 3
Once you hit your target, you'll switch to an even more liberal version of the program, which will help you to maintain your ideal weight. This is Phase 3, the stage that lasts the rest of your life. When you get to that point, you'll notice that this plan feels less like a diet and more like a way of life. You'll be eating normal foods, after all, in normal-size portions. You can then feel free to forget all about the South Beach Diet, as long as you remember to live by its few basic rules.

As you're losing weight and altering how your body responds to food, a third change will be taking place. This one will significantly alter your blood chemistry, to the long-term benefit of your cardiovascular system. You will improve invisible factors that only cardiologists and heart patients worry about. Thanks to this final change, you will substantially increase your odds of living long and well--meaning you will maintain your health and vitality as you age.

You may start on the South Beach Diet hoping just to lose weight. If you adopt it and stay with it, you will surely accomplish that much. But you'll also do a lot more for yourself, all of it very good. I'm not exaggerating when I say that this diet can, as a fringe benefit, save your life.

A Day in the Life
I've described, in a nutshell, how you would pass the initial weeks on the South Beach Diet. Now I'll back up and tell you in greater detail how a typical day will go.

Let's start with the first day of Phase 1. You've no doubt treated yourself to a memorable meal the night before, but whatever carb-driven cravings you prompted came as you slept, with no further damage done. By the time you wake up today, your bloodstream is a relatively clean slate. The immediate goal is to keep it that way. We will accomplish that simply by not introducing any bad carbs into your system.

We'll begin with a two-egg omelet fortified by two slices of Canadian bacon, cooked in a spray of olive or canola oil. You may yearn for your usual toast or bagel, but if you can get your mind off bread, the rest of you will follow.

This will be your first test of the new regimen. It may take a few days to wean yourself from the customary morning dose of carbs. But it's our goal in Phase 1 to begin reversing your body's likely inability to process sugars and starches properly, the condition at the root of most weight problems.

To accomplish this, we must cut off all carbs but the healthiest ones. This means we'll allow those highest in fiber and nutrients and lowest in sugars and starches--vegetables and salads only, in other words, at least for these 2 weeks.

This morning's combination of proteins (the eggs and Canadian bacon) and good fats (the oil and the bacon, which is leaner than its American cousin) will keep your stomach full and occupied with digestion. You won't have to contend with hunger pangs now or later this morning.

It didn't have to be the Canadian bacon omelet--we could have gone with two eggs and some asparagus, broccoli, mushrooms, or peppers. That would have introduced some good vegetable fiber to the mix. An omelet with ham or low-fat cheese would have been fine, too.

With this meal you can have coffee or tea if you like, with low-fat milk and sugar substitute. There are many to choose from nowadays--I prefer one that's actually derived in part from a form of sugar, although it has no calories. Some diets prohibit coffee or tea because caffeine does intensify cravings somewhat. But you've got enough changes to contend with without having to give up your morning coffee, too.

A phenomenon I've noticed when dealing with overweight people is how many of them skip breakfast altogether--especially women, for some reason. It's not even necessarily an attempt to save on calories. They say they just don't like eating first thing in the morning.

The problem is that this allows blood sugar to drop and hunger to increase over the course of the morning, resulting in powerful cravings for a lunch that includes carbs of questionable value--the very kind guaranteed to keep you overweight. So, skipping breakfast is a bad idea, especially if you're trying to fight off obesity.

Planning Your Meals
The array of breakfasts, even in the strict first phase, is varied. There's a frittata made with smoked salmon, for instance, and something we call Vegetable Quiche Cups To Go, which are made with eggs and spinach and, for the sake of convenience, can be prepared in advance and then microwaved at mealtime.

We make liberal use of eggs for breakfast, which will alarm some people who have been taught to avoid them due to cholesterol concerns. It turns out that eggs contain no saturated fat and raise the good cholesterol along with the bad. The yolk is a good source of natural vitamin E and protein, too. So eggs are permissible.

By the second phase of the diet, we'll begin to reintroduce carbs, even whole grain toast and English muffins, along with high fiber cereals. Fruit, too.

Whether you feel the need for a midmorning snack or not, you should be ready for one by 10:30 or so. Wisely, you remembered to pack a part-skim mozzarella stick.

Cheese and yogurt are the only low-fat foods I recommend for dieters, because they're the only ones that don't add bad carbs to replace the fats. The sugar is limited to lactose--milk sugar--which is an acceptable component of the South Beach Diet.

You can find cheese sticks in most supermarkets--they've become a favorite snack for children. They're convenient and they taste good. Most important, they do the job of filling you up with good fats and proteins. That means you won't arrive at the lunch hour feeling famished.

When lunch rolls around, you may have a salad--lettuce and tomato mixed with grilled chicken or fish, dressed in a viniagrette made with olive oil. You'll also have water or a beverage containing no sugar. Another day you might choose grilled shrimp over a bed of greens, or a tomato stuffed with tuna salad. Niçoise salad is great, too.

All these dishes can easily be made at home, and, thanks to the trend toward fresh, healthy dining out, can usually be found in restaurants, too.

Don't even think about limiting the amount you eat--the point of this diet is to eat well. Food is one of life's dependable pleasures, and it can be a wholesome one if you're eating the proper foods. Accomplish that and you'll be free to indulge in the improper treats from time to time.

I hope you are beginning to see the pattern of these meals: They're all combinations of healthy carbohydrates, proteins, and fats. They are normal, everyday dishes intended to fully satisfy your hunger while depriving your system of the low-quality sugars and starches that have wreaked such havoc on your blood chemistry.

You may have noticed that we're not discussing calorie counts, fat grams, or portion sizes. The South Beach Diet is designed so that you don't pay attention to any of that. One hallmark of this program is its simplicity--life is complicated enough without having to overanalyze your food before you eat it. If you're eating the right foods you don't need to obsess over how much of them you eat.

Since fats and proteins create the sensation of satiety much more efficiently than refined carbs do, you won't sit in front of the TV all night popping bites of steak into your mouth, though you can easily imagine snacking for hours on potato chips or cookies!

Through this diet, you'll understand the principles of metabolism--not as a matter of academic interest but in a practical, nuts and bolts way that will give you a basic understanding of how foods affect your blood chemistry and how that, in turn, determines what you weigh. You'll actually learn how to control your blood chemistry and your metabolism through food choices.

Knowing how individual foods affect your internal workings will help you lose weight and maintain the loss. In the future, if you ease up on the diet and find you've gained a few pounds, you'll know how to undo the damage.

Changing Your Thinking
Okay, by now it's midafternoon, typically the first dangerous time of day, dietwise. This is when you might normally crave a sugar fix, owing to the natural dip in blood sugar and consequently, energy, that takes place about this time. This is when people tend to run to the coffee shop, the candy counter, or the vending machines.

Instead, you'll have nuts--let's say plain almonds (not salted or smoked). Nuts contain good, healthy fats, and they fill you up. It's possible to have too many of them, however, and undermine your weight loss. I recommend counting out 15 almonds or cashews or whatever you choose.

Some people have told me they prefer pistachios, in part because they're so small that you can allow yourself 30 of them. Cracking and eating 30 pistachios makes it a more elaborate, and therefore more satisfying, snack.

Now it's time to begin thinking about dinner. Recent trends in fine food have brought us all toward something close to the South Beach Diet way of thinking--fresh vegetables, fish, and lean meats are the staples of dinner on our program. So Phase 1 features dishes such as grilled salmon with lemon, roasted eggplant and a salad, chicken made with balsamic vinegar, or even marinated London broil and mushroom caps stuffed with spinach.

You could happen upon any of these on the menu of a good restaurant and be happy with them. And this is the strict phase of the diet! As you'll see, in the meal plans for Phase 1, we rely on chicken, fish, lean beef, and plenty of vegetables and salads to go with them.

We strongly recommend that you have dessert after that meal. The second dangerous time of day is between dinner and bedtime. This is when all good intentions and strong resolve are challenged.

Partly it's just the normal nightly routine--you unwind with a book or in front of the TV, perhaps in the company of friends or family, and the communal snacking habit kicks in. If you've got children, as I do, you've almost certainly got lots of temptations around the kitchen. Or it may just be that you've trained yourself to expect something sweet after a savory dinner.

In any event, we've come up with two basic strategies for dessert during Phase 1. The first, and simplest, is to have some sugar-free gelatin. For people who love fruit, it may even make up for the loss of fresh fruit flavors during these 2 weeks.

The other suggestion makes ample use of low-fat ricotta cheese. You can use it as the basis for a number of delicious, permissible desserts. This one is reminiscent of the Italian delicacy known as tiramisu, which combines cheese, chocolate, espresso, and ladyfingers.

Instead, you take a half-cup of low-fat ricotta and stir in a few teaspoons of unsweetened cocoa powder, some slivered almonds, and a packet of sugar substitute. It tastes great, and I guarantee that when you're done you'll feel as though you've had a real dessert.

We've tried a number of variations on this--using vanilla or almond extract, lemon zest, or even topping the ricotta with sugar-free chocolate syrup and then baking it.

And that's day one on the South Beach Diet! By the time you finish the last bite of mocha ricotta, you will have already begun ridding yourself of the cravings that pushed you into the growing (in every way) ranks of the overweight in America.

Your blood is different from the way it was 24 hours ago: it's healthier. Get through another day this way and you'll be even closer to your goal of weight loss, and my goal for you, of better overall health.

 =========================================

Take Care,
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!"
jamiecatlady5
on 5/15/09 11:29 am - UPSTATE, NY

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.

 

Phase 1 Sample Meal Plan

  

  

Breakfast
Tomato juice, 6 oz
Scrambled eggs with fresh herbs and mushrooms
Canadian bacon, 2 slices
Decaf coffee or decaf tea with fat-free milk and sugar substitute

  

  

Midmorning Snack
Part-skim mozzarella cheese stick

  

  

Lunch
Chicken Caesar salad (no croutons)
Prepared Caesar dressing, 2 Tbsp

  

  

Midafternoon Snack
Low-fat cottage cheese (½ cup) with ½ cup chopped tomatoes and cucumbers

  

  

Dinner
Mahi mahi
Oven-Roasted Vegetables
Arugula salad
Low-sugar prepared dressing

  

  

Dessert
Lemon Peel Ricotta Crème

  

 

Foods to Enjoy

Foods to Avoid

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.

  

Phase 2 Sample Meal Plan

  

  

Breakfast
Berry smoothie (8 oz Dannon Light 'n Fit fruit-flavored yogurt, ½ cup berries, ½ cup crushed ice, blended)
Decaf coffee or decaf tea with fat-free milk and sugar substitute

  

  

Midmorning Snack
1 hard-boiled egg

  

  

Lunch
Lemon Couscous Chicken
Tomato and cucumber slices

  

  

Midafternoon Snack
Dannon Light 'n Fit yogurt, 4 oz

  

  

Dinner
Meat Loaf
Steamed asparagus
Mushrooms sautéed in olive oil
Sliced Bermuda onion and tomato with drizzled olive oil

  

  

Dessert
Sliced cantaloupe with 2 Tbsp ricotta cheese

  

 

Take Care,
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!"
jamiecatlady5
on 5/15/09 11:32 am - UPSTATE, NY

Foods You Can Eat Again

Foods to Avoid or Eat Rarely

Fruit: Apples, blueberries, cantaloupe, grapefruit, grapes, mangoes, oranges, peaches.

Dairy: Milk (light soy, fat-free, or 1%), yogurt.

Starches (use sparingly): Bagels (small whole grain), bran muffins, bread (multigrain, bran, whole wheat), cereal (high-fiber, oatmeal [not instant]), pasta (whole wheat), pita, rice (brown, wild).

Vegetables and legumes: Barley, black-eyed peas, pinto beans, sweet potatoes, yams.

Miscellaneous: Chocolate (bittersweet or semisweet, sparingly), pudding (fat-free).

Starches: Bagels (refined wheat), bread (refined wheat, white), cookies, cornflakes, dinner rolls, matzo, pasta (white), potatoes (white baked, instant), rice cakes, rice (white).

Vegetables: Beets, carrots, corn, white potatoes.

Fruit: Bananas, canned fruit, fruit juice, pineapple, raisins, watermelon.

Miscellaneous: Honey, ice cream, jam.

Phase 3: The Rest of Your Life

This is the maintenance phase: how you'll eat for the rest of your life. It's the most liberal stage. You can continue to eat snacks if you need them, but most people find that they are satisfied without them.

There will always be times when you overindulge a little even after years on the diet. Those are the times when you'll switch back to Phase 1 for a week or two. You'll get back to where you were, and then you'll return to Phase 3.

  

Phase 3 Sample Meal Plan

  

  

Breakfast
½ grapefruit
Tex-Mex eggs (2 eggs scrambled with shredded Monterey Jack cheese and salsa)
Whole grain toast, 1 slice
Decaf coffee or decaf tea with fat-free milk and sugar substitute

  

  

Lunch
Roast Beef Wrap
Nectarine

  

  

Dinner
Grilled salmon with tomato salsa
Tossed salad (mixed greens, cucumbers, green bell peppers, cherry tomatoes)
Olive oil and vinegar to taste or 2 Tbsp low-sugar prepared dressing

  

  

Dessert
Chocolate-Dipped Apricots

  


Don't Forget (All Phases)
1. Drink at least eight glasses of water or decaf beverages (club soda, unsweetened flavored seltzers, decaf tea or coffee [no sugar], decaf sugar-free sodas) per day.
2. Limit caffeine-containing beverages to 1 cup per day.
3. Take a daily multivitamin and mineral supplement.
4. Take a daily calcium supplement (500 mg for men of all ages and women under 50, 1,000 mg for women over 50).

Take Care,
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!"
Ambibamz
on 5/22/09 4:53 am
My surgery date is the same day as yours!  I have to lose 30 pounds before my surgery ( only 4 more to go).  What I've been doing is trying to eat now the way I'm supposed to eat after surgery.    I've had the slim fast shakes, and they're more expensive than some other brands.  I'm on a tight budget too, so what I've been doing is buying the EAS advantedge shakes at walmart.  They're a couple dollars cheaper than atkins or slim fast, and they have a lot less fat...3g. instead of 9g.  They aren't as filling, but just drink them very very slowly and it's just as good.   Sometimes if I"m broke, I'll even just have 1/2 the shake, and put the other half in the fridge for lunch.   For dinner, I generally just have some chicken and non-starchy veggies.  Eggs are good for you too, so you can eat those (I do that for breakfast on the weekends).  If you're having trouble with the shakes, and you feel like you need real food to eat (which I do sometimes) I get the diabetic friendly yogurts at walmart...i forget what brand they are.  But they're really good, and very low carb, and have a decent amount of protein.  You can also get the small sized low fat cottage cheese cups, and if you don't like cottage cheese, add a little bit of sugar free jello powder to it to make it taste a little better.   And if you have a sweet tooth, the sugar free jello and sugar free popsicles always curb that craving for me.  As far as exercise goes, I hate the gym, so I've been trying to find other things to do.  I've been doing TONS of yard work, and walking the dog a lot, and painting my house. I feel a lot more energetic than I used to already, so I can't wait to see how I feel after surgery.  I hope all this helps and good luck!!

 
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