5 DAY POUCH TEST
Days 1 & 2: Liquid Protein
low-carb protein shakes, broth, clear or cream soups, sugar-free gelatin and pudding. Carb Monster Soup Mixes.
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.
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.
Feeling nauseated? Try sipping some freshly brewed warm green tea. You can add fresh ginger juice to further ease the symptoms of stomach distress and nausea. The nauesea may be the result of a switch from carbohydrate slider foods to richer proteins and the ingredients in the protein shakes.
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Day 3: Soft Proteins
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.
Cottage cheese is a good protein and you can include it on Day 3. I didn't have it on the list because it is considered by some to be a slider food. To firm it up a bit you could add a chopped hard cooked egg to your cottage cheese. And yes, during the liquid phase chicken boullion with added protein is great.
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Day 4: Firm Protein
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.
Encouraging Words from Kaye
There are two things I know about human nature. First, nobody ever wakes up and declares, "Today is the day I will relax my enthusiasm and get off track." Second, nobody ever wakes up and gets back on track without first saying, "Today is the day I get back on track and I have a plan." Falling off track happens without a plan or script. Getting back on track requires a conscious decision, a carefully designed plan and the determination to make it happen.
Why do we fall off track? There are hundreds of reasons: stress, complacency, happiness, grief, celebrations, devastations, distractions and reactions. Nobody wants to fall of track, but life is full of twists and turns that disrupt our focus. It makes me sad when people talk about shame and failure when they have left the weight loss surgery track for a myriad of reasons. This is not a cause for shame or failure, this is a fact of humanity and indeed of living. But human nature is also resilient and powerful. We have the ability to recover from set backs time and time again.
While you are doing the 5 Day Pouch Test I encourage you to create an inner storm of enthusiasm and hope and energy. Go back to those pre-op and early post-op days and live that moment over again. Read motivational articles and visit the Neighborhood forum. Talk to pre-ops and newbies. Look at your before and after pictures. You can go back and you can use this surgical tool to lose weight, become healthier and feel good about yourself.
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Day 5: Solid Protein
Protein Recommendations: white meat poultry cooked dry and lightly seasoned, beef steak (if tolerated) grilled or broiled.
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.
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.
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