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Bariatric Weight Loss Surgery News and Info

March 1st is National Peanut Butter Lover’s Day–who knew? If you love peanut better, chances are you’ll love the taste of powdered peanut butter, like PB2. It’s great to make the switch from regular peanut butter in these recipes—by doing so, you’ll save 131 calories and 15 grams of fat in each 2 tbsp. serving. Now that’s something to celebrate! Enjoy these low fat and low sugar National Peanut Butter Lover’s Day Treats!

Peanut Butter Cookies
From runningonrealfood.com

2 ripe bananas, mashed
1/2 cup applesauce, unsweetened
2 cups oats (steel cut, quick or regular)
½ cup powdered peanut butter
pinch of sea salt
a few drops of liquid stevia other sweetener to taste
1/2 tsp pure vanilla extract

Pre-heat oven to 350 degrees. Place the mashed bananas in a bowl and stir in the applesauce to combine. Add the remaining ingredients and mix well. Refrigerate dough for 1 hour.

Line baking tray with parchment paper or a silicone baking mat and drop dough by the spoonful onto the baking tray. Press down with a fork to form cookies. Bake for 16 minutes until golden brown, do not overcook—they will appear slightly underdone. Let cool and enjoy. Makes 12 cookies.

Nutrition information per cookie: 86 calories, 4 grams protein, 3 grams fat, 17 grams carbohydrate, 44 mg sodium.

Sweet Potato Protein Bars
Thehappyhealthfreak.com

2 scoops (60g) of vanilla protein powder
1/2 cup PB2 powder
1/2 tsp baking powder
1/8 tsp salt
½ c sweet potato, cooked, mashed
1 cup unsweetened almond milk
2 Tbsp melted butter
1 tsp vanilla extract
1 whole egg
1 egg white (about 2 Tbsp)
10-15 drops of liquid stevia

Preheat oven to 350F and coat an 8 x 8 inch baking dish with non-stick spray. Add the dry ingredients (protein powder, PB2, baking powder and salt) to a medium bowl and mix well. Add the remaining wet ingredients (sweet potato, almond milk, butter, extract, eggs and stevia) to a separate bowl and mix well.

Combine the wet and dry ingredients and mix until combined. The batter will be quite thick–add a bit of water or milk to thin it out if it is not spreadable. Spread the batter evenly into the baking dish. Bake for 25-30 minutes or until a toothpick comes out clean from the center. Allow to fully cool before cutting into 8 bars. Wrap bars in cellophane and keep refrigerated.

Nutrition information per bar: 108 calories, 9 grams protein, 5 grams fat, 7 grams carbohydrate.

Peanut Butter Apple Dip
From itsyummy.com

2 tbsp. powdered peanut butter
2 tbsp. water
8 ounces fat free cream cheese, softened
2 tbsp. Swerve confectioner’s sugar – sugar free alternative
1/2 teaspoon vanilla extract
1/4 cup chocolate chips, sugar free

Add powdered peanut butter and water to a small mixing bowl and use a spoon to stir until combined.

Add cream cheese, confectioner’s sugar, and vanilla extract and stir until well combined. (I used an electric hand mixer, but a large mixing spatula will also work).

Stir in the chocolate chips and serve with graham crackers, cookies, sliced apples, celery, or eat it straight from a spoon! Makes 5 servings.

Nutrition information per serving: 74 calories, 9 grams protein, 2 grams fat, 6 grams carbohydrate, 336 mg sodium.

Chocolate Peanut Butter Oatmeal

1/2 cup quick cook oats
1 cup fat free Fairlife Milk
2 tbsp. PB2
1 tbsp. cocoa powder
1/2 teaspoon vanilla extract
a pinch of salt
sweetener (stevia, erythritol, or other non-nutritive sweetener) to taste

Combine all of the ingredients except the sweetener in a medium size sauce pan over medium heat. Stir until the oats start to thicken and get soft, about 5 minutes. Sweeten to taste. Makes 1 serving.

Nutrition information per serving: 273 calories, 24 grams protein, 3 grams fat, 40 grams carbohydrates, 211 mg sodium.

Peanut Butter Chocolate Chip Cookie Dough Balls

2 cups powdered peanut butter
1/2 cup Swerve confectioner’s sugar (a no added sugar alternative)
1 tsp salt
2/3 cup water
1 cup chocolate chips, no added sugar

In a medium mixing bowl, whisk the peanut butter powder, Swerve confectioner’s sugar, and salt together. Add the water and stir until mixed – the batter will be very stiff. Fold in chocolate chips.

Scoop out 12 – 1 tablespoon portions unto a wax paper lined baking sheet and place in freezer for 30 minutes before rolling into smooth balls with your hands. Store in the refrigerator. Makes 12 servings.

Nutrition information per serving: 103 calories 8 grams protein, 4 grams fat, 10 grams carbohydrate, 314 mg sodium.

Chocolate Peanut Butter Cups

1 cup of powdered peanut butter
¾ cup water
1 cup sugar free chocolate chips
¼ cup unsweetened coconut milk, room temperature

Line a mini muffin pan with 20 mini cupcake liners and set aside. Combine the powdered peanut butter and water until smooth.

Microwave the chocolate chips for about 20 seconds. Stir and repeat until the chocolate has melted and is smooth. Gently stir in the coconut milk until the chocolate sauce is thick and smooth.

Divide half of the chocolate sauce evenly into the mini cupcake liners and let it sit for 10 minutes to set up. Top with the powdered peanut butter mixture followed by another layer of chocolate. Refrigerate for 30 minutes before removing the peanut butter cups from the muffin liners. Store in the refrigerator. Makes 20 servings.

Nutrition information serving: 39 calories, 3 grams protein, 2 grams fat, 4 grams carbohydrate, 40 mg sodium.

The right level of vitamin B 12 helps your body to function at its peak. Weight loss surgery puts you at risk for a Vitamin B 12 deficiency, causing sluggishness and even irreversible nerve damage if not treated. The good news is that it’s easy to keep your Vitamin B 12 within a healthy range with a couple of simple steps.

Download Healthful Tips: Vitamin B 12 – Essential for Good Health

What Does Vitamin B 12 Do?

Vitamin B 12 is important. It helps your body 1) turn food into energy, 2) make red blood cells, 3) protect nerve endings, 4) make neurotransmitters, and 5) replicate the genetic code within each cell.

Where Do We Get Vitamin B 12?

We need 2.4 mcg daily of Vitamin B 12. Vitamin B 12 is naturally found in animal products—meat, fish, poultry, eggs, milk, and yogurt. It is generally not found in plant foods, but some foods, like breakfast cereal, are fortified with it.

Why Does WLS Increase the Risk of Deficiency? 

The body has a very specific process for the absorption of Vitamin B 12. This process is less efficient after gastric bypass or gastric sleeve surgery, increasing the likelihood of a deficiency.

Here are the kinks in the process:

  • Less Stomach Acid. Stomach acid frees Vitamin B 12 from foods and the post-bariatric surgery stomach has less stomach acid. That means more Vitamin B 12 remains bound to food where it is unavailable for absorption.
  • Less Intrinsic Factor. Once separated from food, Vitamin B 12 binds to a compound produced in the lower stomach called intrinsic factor. It is the intrinsic factor-Vitamin B 12 compound that the body absorbs in the small intestine. Because the lower stomach is bypassed with gastric bypass surgery and mostly removed with gastric sleeve surgery, there is less intrinsic factor available to bind with Vitamin B 12.
  • Less Food. Portions are smaller after surgery and in many cases less Vitamin B12 is consumed.

Signs of Low Vitamin B 12

Symptoms of a low Vitamin B 12 may be vague or even non-existent, but can include weakness; fatigue; lightheadedness; heart palpitations; shortness of breath; pale skin; a smooth tongue; constipation; diarrhea; loss of appetite; gas; vision loss; nerve problems like numbness or tingling, muscle weakness, and problems walking; or mental problems like depression, memory loss, or behavioral changes. A deficiency of Vitamin B 12, if not treated, can lead to irreversible nerve damage—best to take steps to keep it within a healthy range.

Keep Your Vitamin B 12 in a Healthy Range

Just a few easy steps and you can be assured that your Vitamin B 12 stays within that healthy range—not too low or too high.

Step 1.  Get regular lab testing to monitor your Vitamin B 12 level. Most labs set 190 and 950 pg/mL as the reference or normal range, but these numbers vary some from lab to lab. Your Barix Clinics nutritionist will look for a minimal lab value of 400 pg/ml to insure that deficiency symptoms do not occur. Test Vitamin B 12 every 3 months for the first year and then at least once a year after that.

Step 2. Supplement as needed or as a preventative step. If your lab value dips below 400 pg/ml, supplement as recommended by your surgeon or nutritionist. Typically 500 mcg of sublingual Vitamin B 12 daily will restore levels within the reference range. This dosage can also be used to maintain levels within the reference range- a preventative approach.

Step 3. After starting or changing a supplement dosage, re-check levels and adjust as needed. If lab values exceed the high end of the reference range after starting a supplement, reduce the frequency of supplementation to once a week. Then re-check in 3 months. There is no advantage to exceeding the high end of the reference range and some negative effects of excessive Vitamin B 12 supplementation have been reported.

Choose the Right Supplement

An oral (pill) supplement of Vitamin B 12 has limited absorption following gastric bypass or gastric sleeve surgery. If supplementation is recommended, choose one of the following forms:

  • Sublingual (under the tongue) supplements are a cost efficient and effective solution. They are available over-the-counter in both liquid and dissolvable tablet forms.
  • Vitamin B 12 injections are available at your doctor’s office or by prescription.
  • A vitamin B 12 nasal spray is available by prescription.

Vitamin B 12 has many important roles in the body. Having weight loss surgery increases the risk of having a deficiency, but with a few simple steps, it’s easy to maintain a healthy range of Vitamin B 12.

If Valentine’s Day conjures up images of heart-shaped candy boxes, cupid cupcakes and other sweet treats, you are not alone. We grew up with the commercialism and the traditions of this holiday just like all the others. One of the challenges after bariatric surgery is to redefine the holidays—to shift the emphasis from food. It is freeing to lose the images of sugary treats and replace them with new images. Rather than a sense of deprivation, this transition can bring with it a deeper, more satisfying experience for you and your family. Just think of yourself as the vehicle for change—the one to impart a healthier lifestyle to future generations. Learn new traditions, give simple gifts, and increase your use of loving words and actions. Maybe your kids will automatically carry on the tradition of a Valentine’s tree (see below) with their own families rather than lavishing their children and spouses with chocolate.

Traditions

Find new ways to celebrate Valentine’s Day or challenge yourself for the entire month of February to focus on expressing love to the people who mean the most to you. Blow off the sweets and start some new traditions that build relationships and truly express your love. After you’ve redefined Valentine’s Day, you might be ready for family birthdays—how could you celebrate without the traditional cake and ice cream? I bet you can come up with some more meaningful ways to celebrate those special days.

Cut out red, pink and white hearts. Give every family member enough hearts to write one thing that they appreciate about each family member.  (They can fill out a heart for themselves too.)  Post the hearts with loving sayings on each family member’s bedroom door. You can do this for just one day, a week or each day for the entire month. Think about the environment of love this exercise can create!

Cut down a tree branch and place it in foam inserted in the bottom of a planting pot. You may want to paint the branch red/pink/white or just leave natural.  Cut red/pink/white hearts out of construction paper and punch a small hole at the top. Have family members think of words that mean love to them.  Write these on the hearts. You may want to have children decorate the one side of the hearts with glitter, ribbon, doilies or paint. Hang the hearts from the tree with yarn.

Purchase small gifts and place them in red bags with white tissue paper. Attach a heart shaped name tag on each one.

Let the love extend beyond your family by reaching out to others. It may be as simple as making a Valentine’s Day card for an elderly neighbor and delivering it as a family. You may consider sponsoring a child through one of the great established organizations (about a dollar a day).  You have the idea…it isn’t hard to find someone who has a need.

Gifts

Keep gift giving simple and meaningful this year.

Write love notes and leave them in places where they will be found throughout the day (in the car, on the bathroom mirror, on the bed pillow, in the backpack, in the purse, in the lunch bag, near the toothbrush). How about a note like, “You drive me crazy!” placed on the steering wheel?

Write down and present your Valentines with 100 reasons why you love them.

Put together a CD or playlist of their favorite songs or romantic songs.

Get a babysitter every Friday.

Create a jar or basket filled with love coupons for hugs, kisses, back rubs or foot rubs to be redeemed over time.

Words

Make an extra effort to show family members that you love them through the words you choose to use:

You mean the world to me. I like the way you handled that. Wow, you really thought out the solution to that problem. I have faith in your ability. I appreciate what you did. You are really showing improvement. I trust you. It must make you proud of yourself when you accomplish something like that. You’re special. Well done. You’re on top of it. Hurray for you! You are a valuable part of our family. I’m proud of you for trying. It is such a blessing to be your mom (or wife, grandma, dad). You did so well at that! How smart. I admire you for ….. (a specific quality or trait). If more people were like you, the world would be a better place. It’s one of my favorite things to be with you. You’re an amazing person. I believe in YOU. You’re precious. You’re a real trooper. Thanks for what you did to help me. You did a great job. You make me happy.  What an imagination. You mean so much to me. I love your sense of humor. You’re so much fun to be with. Thank you. I’m sorry. Tell me more. You can do it. How can I help? Let’s work together. How about a hug? Please. Wow! Look at that! You did it. Super. Super-duper. Now, that’s impressive. Bravo! Excellent. Nice work. Good for you. Look what you can do! Wonderful!  Fabulous.

Actions

Below are some great ways to say I love you to all of the important people in your life—that includes you.

Use only positive words when talking about your family members, in their presence or when they are not there. Listen with your full attention. Be their biggest fan and encourager. Regularly give a toast of appreciation at breakfast or dinner. Tell them how they bring love to your life. Ask open ended questions and talk about your day during mealtimes. Read books aloud together. Say you’re sorry. Recall good and bad memories. Just hang out together. Encourage mental, physical and spiritual health. Act silly together. Refrain from the temptation to compare your loved ones to others. Ask questions about opinions, feelings and thoughts. Encourage adventures. Always give a big welcome hug when they come home. Show gratitude for them.  Compliment them in front of others. Spend time together. Ask for hugs and kisses.Take vacations together. Be honest. Practice self-acceptance. Show interest in their interests.   Accept them just the way they are. Forgive. Give the benefit of the doubt. Learn something new together. Keep your promises. Laugh together. Read a story together. End the day with loving words. Have a family hug.  Eat meals together. Compliment often. Take walks together. Do a puzzle together. Send an encouraging/loving card in the mail. Make your home a fun place for everyone.

Loving Self-Talk

Love yourself by only allowing positive, loving thoughts to circulate through your mind. Make an individual list of positive affirmations. Here are some ideas to get you started. Then when you notice a negative thought creep in, say “stop” and replace that thought with one of your affirmations.

I am competent.  I am energetic.  I can grow.  I will make healthy choices.  I am strong.  I can heal.  I will reach my goals.  I am beautiful.  I am enthusiastic.  I can make it through this situation.  I am loving.  I am smart.  I can use new ways to cope.  I am generous.  I can take risks.  I can change.  I am creative.  I am talented.  I can let go of fear.  I am a good person.  I am a good mother/father/sister/friend.  I will accept myself as I am.  I can be honest with my feelings.  I will take care of me today.  I love me.  I am growing stronger each day.  I am caring.  I am courageous.  I can succeed.  I can laugh and have fun.  I can exercise.  I am becoming healthier each day.  I am terrific.  I can solve these problems.  I will get the support that I need.  I will take time to exercise today.  I will let others take responsibility for their own lives today.

Strawberry Chocolates

2 oz unsweetened chocolate bar
6 Tbsp. cocoa butter
½ cup powdered erythritol (Swerve or other brand)
11/2 tsp. vanilla extract
1 8-oz. pkg. cream cheese, reduced-fat, softened
1 cup strawberries, sliced
1 pkg strawberry gelatin, sugar-free
24 mini muffin liners

Line mini muffin tins with paper or foil liners and set aside. Make chocolate by heating chocolate bar and cocoa butter in a heavy saucepan over low heat, stirring frequently. When melted, slowly stir in powdered erythritol. Remove from heat and add ½ teaspoon of vanilla extract. Spoon ½ of the melted chocolate into the mini muffin tin. Place in freezer for 5 minutes.

Mix together cream cheese, strawberries, gelatin and 1 tsp of vanilla extract. Beat until smooth. Place in a food storage bag and cut a small hole in one corner for piping. Pipe out evenly on top of solidified chocolate. Press down with a spoon to even out.

Spoon the remaining chocolate over the strawberry filling and freeze for 5 minutes. Remove from the freezer and enjoy. Store in a covered container in the refrigerator. Makes 24 servings.

Nutrition information per serving:  52 calories, 1 gram protein, 5 grams fat, 2 grams carbohydrate, 43 mg sodium.

Chocolate Muffins

¼ cup unsweetened cocoa
¾ cup erythritol (or other sweetener)
1 ½ cups flour
½ tsp baking soda
1 ½ tsp baking powder
1 tsp vanilla extract
1 cup Oikos Triple Zero Yogurt, vanilla
1 egg
½ cup vegetable oil

Preheat oven to 450 degrees F and spray 12-count muffin pan with non-stick spray or add muffin liners. In a medium bowl, mix together cocoa, sweetener, flour, baking soda, and baking powder and set aside. In a large mixing bowl, combine yogurt, vanilla extract, egg and vegetable oil—slowly stir in dry ingredients. Fill muffin cups 2/3rds full. Bake 18-20 minutes or until a toothpick inserted in the center comes out clean.  Makes 12 servings.

Nutrition information per serving:  162 calories, 4 grams protein, 11 grams fat, 15 grams carbohydrate, 128 mg sodium.

Chocolate Peanut Butter Cheesecake Cups

24 mini sized foil baking cups
Crust ingredients
10 full sheets graham crackers
1/3 cup stevia, erythritol, or Splenda
6 tablespoons butter, melted
PB filling ingredients
1/2 cup stevia, erythritol, or Splenda
3 tablespoons PB 2 or powdered peanut butter
3 tablespoons reduced-fat cream cheese

Chocolate Filling

4 oz unsweetened chocolate
8 oz reduced-fat cream cheese
1 3/4 cup stevia, erythritol, or Splenda
1/2 cup skim milk
1/2 cup egg substitute
1 teaspoon vanilla

Preheat oven to 350 degrees F. Using a blender or food processor, crush graham crackers into fine crumbs, then mix well with 1/4 cup sweetener and melted butter. Set aside. Place peanut butter filling ingredients in a bowl and mix until well blended. Set aside.

Melt chocolate in small sauce pan over low heat and set aside. Blend cream cheese and sweetener in a small mixing bowl. Slowly add milk and mix until smooth. Add melted chocolate and stir well. Add egg substitute and vanilla and mix until blended. Set aside.

Place 24 mini sized foil baking cups on a sheet pan. Divide the crust mixture evenly between the cups and firmly press into the bottom.  Top with ½ teaspoon of the peanut butter filling. Spoon chocolate mixture on top and tap sheet pan on counter top to remove air bubbles. Bake at 350 degrees for 10-15 minutes until slightly firm to the touch. Chill for 2 hours. Serve and enjoy. Makes 24 servings.

Nutritional information per serving: 74 calories, 2 grams protein, 5 grams fat, 6 grams carbohydrate, and 75 mg sodium.

Mini Cherry Chocolate Chip Cheesecakes

From murraysugarfree.com

12 Murray Sugar Free Cookies Murray® Sugar Free Chocolate Chip
12 ounces  fat-free cream cheese, softened*
1 cup  small-curd, fat-free cottage cheese
1/2 cup refrigerated or frozen egg substitute, thawed
1/2 cup Splenda granular (sugar substitute)
2 tablespoons all-purpose flour
1 teaspoon grated lemon peel
1/2 teaspoon vanilla
3/4 cup light cherry pie filling

Line twelve muffin cups with foil bake cups. Lightly spray with nonstick cooking spray. Place one cookie in each.

In food processor bowl combine cream cheese, cottage cheese, egg substitute, sugar substitute, flour, lemon peel and vanilla. Cover and process until smooth. Spoon onto crusts. Bake at 300°F about 18 minutes or until almost set. Cool on wire rack for 30 minutes. Peel away foil cups.

Refrigerate at least 2 hours. Spoon pie filling onto cheesecakes.  Makes 12 servings.

Nutrition Information per serving:  110 calories, 8 grams protein, 3.5 grams fat, 13 grams carbohydrate, 290 mg sodium.

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