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Restrict Liquids, Drink Lots of Water – HUH? Making Sense of Weight Loss Surgery Guidelines

But understanding and following the liquid restrictions plays a key role in long-term weight maintenance following gastric bypass, gastric sleeve, or adjustable gastric banding (lap-band) surgeries.

In general, bariatric centers instruct weight loss surgery patients to avoid drinking liquids for thirty minutes before a meal, during the meal, and for thirty minutes following the meal. This easily adds up to 90 minutes of no liquids three times a day: four-and-one-half waking hours. It is easy for patients to become frustrated with these restrictions because another rule of weight loss surgery is to drink lots of water, at least 64 ounces a day. Understanding why the liquid restrictions are necessary and how water intake affects weight management will increase the likelihood a patient will follow the guidelines.

When a person undergoes any of the currently practiced bariatric and metabolic surgeries for weight loss the size of the stomach is reduced significantly to restrict the amount of food which may be eaten at a given time. The size of the restricted pouch varies by procedure, surgeon and patient. What is consistent, however, is that the smaller stomach pouch fills quickly and the patient experiences a feeling of fullness and satiation, which must be sustained following the meal to avoid hunger and cravings later. This is to keep the patient from over eating. In addition, the longer food is kept in the digestive system the more opportunity the body has to absorb and metabolize nutrients. The best way to sustain this fullness is to eat lean protein and low-glycemic complex carbohydrates in a ratio of two bites protein to one bite carbohydrate.

For many weight loss surgery patients the feeling of tightness or restriction that results following eating is unfamiliar and uncomfortable. In weight loss surgery street talk these patients learn to “eat around the pouch”. In many cases that means drinking liquid with solid food which relieves the tightness as the chewed food (chyme: semi-liquid mass of partly digested food) mixes with liquids to form a more fluid liquid slurry which passes through the new stomach outlet more rapidly. The result is increased food intake because patients can eat more food during a planned meal and they are likely to eat again later because they are hungry and the slurry meal failed to satiate hunger for a reasonable amount of time.

As important as it is to follow the liquid restrictions it is equally important to drink adequate water. The body is made up of about 60 percent water. Water assists with the transport of nutrients and waste products throughout the body. Water is present in every process of human biology. Most centers recommend a minimum intake of 64 ounces a day. Others suggest morbidly obese patients drink one ounce of water for every two pounds of body weight.

Organized planning is helpful when following liquid restrictions and drinking lots of water. Begin the day with water and enjoy water between meals, which will also help keep cravings away. Keeping a glass or bottle of water at arms reach is a steady reminder to sip often and stay hydrated. Newly post-operative patients report drinking tepid or room temperature water is easier on the pouch thus making it possible to drink more.

Kaye Bailey (c) All Rights Reserved

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What foods will your picky toddler eat?

My 17 month old will (usually) eat yogurt, bananas, rice pudding, apples, pears, oranges, milk, crackers, peanut butter, applesauce, sweet potatoes, and (once in a blue moon) pasta. Fortunately I’ve discovered he also likes those organic baby fruit/veggie foods that come in the pouch – he can squeeze them himself and drink them through the straw, so at least he is getting some veggies that way. I’m at a loss of how to get him to eat anything else though – all other foods go straight on the floor.

My toddler will only eat foods in strips. Toast, chicken, potatoes. She is 18 months. Loves pasta though but is starting to push away from that. She wants things she can eat.

**And the food to floor thing is more or less for entertainment Ive found with all my kids. They love a reaction. I dont react. My 18 month doesn’t throw.

Honest Tea Drink Pouch Brigade

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Annie’s Homegrown Berry Patch Organic Bunny Fruit Snacks, 5-Count Pouches (Pack of 4) $16.56 Organic Berry patch bunny fruit snacks are a delicious mix of strawberry, cherry and raspberry flavored bunnies. Certified organic, these bunny-shaped fruit snacks are made with real fruit juice and packed with 100% daily value of vitamin C….

Navitas Naturals Cacao Powder, 16-Ounce Pouches (Pack of 2) $24.49 King of cacao. Raw chocolate – the new red wine. Cacao is increasingly being consumed for its nutritive and health enhancing properties as it has been in many cultures for thousands of years. Cocoa beans (theobroma cacao/raw chocolate) are the source for all chocolate and cocoa products. Our certified organic, raw cacao is the premium criollo variety. Theobroma literally means food of the goods – …

Navitas Naturals Maca Powder, 16-Ounce Pouches $16.25 Organic Raw Maca Powder Maca root has been used by indigenous Andean societies as a source of nourishment and healing for thousands of years. This bag contains 100% pure maca powder that is certified organic, kosher, vegan, and raw. Studies have identified four alkaloids present in maca known to nourish the endocrine system. Maca root has been used as a stress-fighting adaptogen to increase stamin…

GoGo Squeez appleapple, Applesauce on the Go, 3.2-Ounce Pouches (Pack of 48) $26.07 All Natural Squeezable Applesauce on the Go. Story has it that in the 19th century, a very loving grandfather was determined to craft a special snack for his grandson. Using delicious apples from his backyard orchard in the Val De Loire region of France, near the Chateau Chambord, Monsieur Materne created a delicious and simple applesauce, the Materne Company was born in what would become the mo…

Peter Rabbit Organics, Organic Mango, Banana and Orange 100% Pure Fruit Snack, 4 Ounce Pouches (Pack of 10) $10.01 Peter Rabbit Organics 100% fruit snacks are ideal for babies and children. They contain 100% organic fruit with no added sugar or artificial ingredients. The convenient squeezable pouch means there is no need for a spoon. The pouches are resealable which makes them a great snack for children whenever you are out and about or to feed your baby at the start of weaning. We don’t add water only natura…

Happy Baby HappyTot Organic Baby Food Toddler Meal on the go – Banana – Peach – Mango – 4.22 pouch $2.95 Age Level: 6 Months and Up Age Stage: Toddler Fruit Type: Peach, Mango, Banana Food or Drink Form: Puree Flavor: Peach, Mango, Banana Features: Ready to Eat Serving Size: 1 Pouch Preparation Details: No Preparation Needed Calories per Serving (Prepared): 60 Cal. from Fat per Serving (Prep.) 10 Good Source Of (Serv. Size): Vitamin C, Zinc, Calcium Excellent Source Of (Serv. Size): Vitami…