Wednesday, March 11, 2009

My 5 Day Pouch Test

Tomorrow I'm embarking on the 5 day pouch test - which is a plan designed for weight loss surgery patients to get back to the fundamentals and in a lot of cases kick start weight loss again. I'm not really sure what to expect from it, but just getting some control back over what I'm eating is a win... and detoxing from all the simple carbs out there too. Any weight loss would be a bonus, and I'm trying really hard to not put to much hope and expectation on the actual loss of pounds at this point.

This plan can be found in its entirety over at the Living After WLS website.

The 5 Day Pouch Test should never leave you feeling hungry. You can eat as much of the prescribed menu as you want during the day to satiate hungry and prevent snacking on slider foods and/or white carbs. You must drink a minimum of 64 ounces of water each day. A reduction of caffeinated beverages is suggested, but do not stop caffeine cold turkey.

Weight loss is not the intent of the 5 Day Pouch Test, however, many who have tried this plan report a significant drop in weight. More importantly they celebrate a renewed sense of control over their pouch and eating habits and easily transition back to a healthy post-surgical weight loss way of eating.

Days 1 & 2: Liquid Protein
low-carb protein shakes, broth, clear or cream soups, sugar-free gelatin and pudding.

Recipes for Days 1 & 2

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. Sufficient water intake improves kidney function and cell processes.

If you notice symptoms of carbohydrate withdrawal you can eat a small piece of melon or an orange. You can also try a dose of Emergen-C which should reduce headache, dizziness or cramping from carbohydrate withdrawal.

Day 3: Soft Proteins

Recipes for Day 3

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

Recipes for Day 4

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.

Day 5 Recipes

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.

Day 5 Poultry Recipes

Don't go hungry! Remember, you can eat as often as you want as long as it is solid protein, consumed without liquids and measured in 4-6 ounce portions.


That is the plan that I'm starting in the morning - I've got my mygrasticks ready for the carb withdrawl... and hot tea for the little bit of caffeine that I'll allow - just to take the edge off if needed.

I found several recipes on her links that I'm going to try, so when I find things that I really like - I'll put them up over on Kim's Cuisine and let you know to check them out. There are a couple for Day 3, 4 and 5 that I think will become staples in our house as we go forward.
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