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Bariatric Weight Loss Surgery News and Info

Warning: More Reasons to Eat Clean

Our food supply has changed drastically in the last 50 years. For convenience sake, it’s often packaged, shelf-stable, highly processed and ready-to-eat with minimal prep required. Food manufactures have done a great job creating foods that taste great and we have a wider variety of foods available than any time in history. Just think of what can be bought in a local grocery store–50 or so yogurt options, 100 different cereals, several bread selections, 20 brands of frozen pizza, a multitude of frozen fruit and veggies, and on and on. We can put together a dinner of lasagna (frozen), garlic bread (bakery or frozen), and salad (pre-washed and cut) with very little effort—a meal that would have taken our mothers or grandmothers hours to prepare. Quick and easy meets the demands of our busy lifestyles, but it has taken a toll on our health.

What’s the Problem with Convenience?

Unfortunately, there are lots of reasons to avoid processed foods. It’s what’s added during processing; sugar, fat, salt and additives and what’s taken away; fiber, vitamins and minerals that makes processed foods inferior to fresh, unprocessed foods. New research indicates that some of the additives, called emulsifiers, used to extend the shelf life and improve the texture of processed foods are wreaking havoc on the bacteria living in our intestines—our microbiome. This, in turn, may be having unanticipated negative consequences on our health.

Emulsifiers

Emulsifiers are substances that help give foods a smooth texture and consistency. Many processed foods contain emulsifiers to keep ingredients from separating, improve the texture and taste, and increase shelf life. Emulsifiers are found commonly in bread, cakes, margarine, salad dressings, ice-cream, frozen desserts, coffee whiteners, peanut butter, marshmallows, chocolate coatings, chewing gum, and many other processed foods.

Initially, food manufactures used egg yolk as an emulsifier. A switch to a soybean product, lecithin, was made when it was found to provide a longer shelf-life than egg yolk. Later, fatty acids in the form of mono and diglycerides were introduced. Now, a wide range of natural and synthetic emulsifiers are used extensively in processed foods.

Names of Common Emulsifiers

Polysorbate 80LecithinCarrageenanPolyglycerols
Xanthan gum (and other gums)Calcium Stearoyl Di Laciate (CSL)PolyGlycerol Ester (PGE)Sorbitan Ester (SOE)
PG Ester (PGME)Sugar Ester (SE)Monoglyceride (MG)Acetylated Monoglyceride (AMG)
Lactylated Monoglyceride (LMG)   

Emulsifiers Are Everywhere

Even if you’re doing your best to eat healthy, it is hard to avoid consuming emulsifiers. Organic, health foods, and even baby formula are not immune. Carrageenan, an emulsifier derived from seaweed is often found in nut milks, yogurt, cheese, meat products, and even infant formula.

Emulsifiers are also used commonly in cosmetics, medications, and vitamin supplements. They keep medications suspended in fluids, help improve the consistency of gel capsules, allow pills to come apart in the stomach, and increase medication absorption in the small intestine.

What’s the Problem?

These ingredients are added extensively to our food supply. They were considered safe; nontoxic. They’ve provided wonderfully smooth, great tasting foods. But now, years later, new research indicates that common emulsifiers like carboxymethylcellulose, polysorbate 80, carrageenan, and others are linked to changes in the gut bacteria that can lead to inflammation throughout the body. This inflammation contributes to a wide range of health concerns including high blood pressure, inflammatory bowel disease, metabolic syndrome, obesity, anxiety and cancer.

How Emulsifiers Affect the Gut Microbiome

Research indicates that regularly eating foods that contain emulsifiers alters the number and type of bacteria that live in the intestine. This change causes the thin layer that separates the gut bacteria from the intestinal cell wall to lose its effectiveness. The thinned out protective layer allows the bacteria to react with the cell walls which activates the immune system, causing inflammation. In addition, the compromised intestinal wall is no longer an efficient barrier, protecting our bodies from toxins. Toxins enter and travel through the bloodstream, setting off chronic low-grade inflammation throughout the body. We know that chronic inflammation is associated with many of our modern day diseases including food allergies, inflammatory bowel disease, celiac disease, obesity and related disorders, type-2 diabetes, cardiovascular disease, and liver disease.

Unexpected Consequences

No one thought that when food manufactures replaced some of the sucrose (table sugar) in ice cream, ground beef products, pasta and other processed foods with a sweetening/texturizing ingredient called trehalose it would generate an epidemic of severe C. diff. infections.

Clostridioides difficile, more commonly known as C. diff., is a common intestinal bacterium. It’s generally not a problem unless it grows out of control and causes gastrointestinal symptoms including severe diarrhea. Those taking antibiotics, over age 65, with a weakened immune system, and now apparently a diet that includes trehalose, are most susceptible. Scientists found that certain strains of C. diff. thrive on trehalose, especially when antibiotics kill off other bacterial strains that normally keep C. diff. in check. It can quickly multiply and is difficult to treat since it is resistant to many antibiotics. Thousands of people a year die from C. diff. infections.

Trehalose is hard to avoid. It can be found in baked goods, alcoholic beverages, instant coffees and teas, cheese, frozen dairy, imitation dairy products, milk products, fats and oils, gravies, sweet sauces, condiments, fruit ices, jams and jellies, processed fruits, processed vegetables, breakfast cereals, other grains, egg products, fish products, nut products, chewing gum, frosting, gelatins and puddings, hard candy, snack foods, soft candy, seasonings/flavors, and soups.

Obesity

Processed foods have contributed to the obesity epidemic for several reasons. They tend to be higher in calories and have more added sugar and fat than unprocessed foods. The high palatability, ease of prep (often opening a container is all that is needed), and wide variety of food options encourages overeating. And now there are new studies indicating that it may not just be the excess calories we are eating in all of these highly processed foods that is causing us to gain weight. The emulsifiers so common in processed foods change the gut microbiome and induce inflammation. Inflammation, in return, reduces insulin sensitivity and changes metabolism leading to metabolic syndrome, obesity and type 2 diabetes.

How to Change Your Diet

The evidence is pretty compelling that we somehow need to find the time and energy to eat clean, fresh, wholesome food. For most, going back to growing our own food and cooking from all of our food from scratch isn’t feasible, but moving away from the health dangers of a highly processed diet, will have tremendous health returns. So what’s a busy, health-conscience person to do?

Any effort towards reducing the amount of highly processed foods is a plus. The good news is that when inflammation producing emulsifiers are removed from the diet, changes in the gut microbiota occur and inflammation is reduced—at least in mice.

Don’t shoot for perfection, just improvement. Clean eating means different things to different people, but the general idea is to choose foods that are as close to their natural form as possible. So instead of boxed, bagged, or packaged foods, choose fresh, whole ones–think an apple instead of applesauce, apple juice, apple pie, or apple fruit roll-ups. Here are some ideas to get you started.

  • Make as many meals as you can at home starting with whole ingredients. Cook food in batches to help efficiency—making from scratch cooking more doable.
  • Avoid artificial sweeteners like saccharine, aspartame, and sucralose that change the microbiota. Instead use stevia, erythritol, and xylitol to sweeten foods and beverages.
  • Use antibiotics as sparingly as possible, with the advice and direction of your physician. Antibiotics destroy good bacteria, allowing C. diff. and other potentially dangerous strains to thrive.
  • Eat fresh fruit and veggies for snacks rather than processed chips, crackers and other typical snack foods.
  • Nourish the good bacteria in your gut by eating lots of specialized plant fiber (pre-biotics) that is food for the good bacteria that already live in our intestines.There are 3 main types of prebiotics:
    • The non-starch polysaccharides inulin and fructo-oligosaccharides (also known as FOS) found in asparagus, leek, jicama, onions, banana, chicory root, dandelion root and garlic.
    • Soluble Fiber. Found in psyllium, flaxseeds, cucumber, celery, carrots, oats, apples, oranges, pears, legumes, beans and nuts.
    • Resistant starch. Found in grains, seeds, legumes, potatoes, green (unripe) bananas, and plantains.

As we learn more about how the microbiome impacts our health and well-being, there are sure to be updated recommendations. It’s impossible to control all of the toxins in our environment that impact our gut and our health. But, we can work towards eating a cleaner and more wholesome diet.

Pulled Pork
from: tastesoflizzyt.com

7 ounces diced tomatoes in juice
1/2 onion diced
1 teaspoons minced garlic
1 tablespoons tomato paste
1 tablespoons spicy brown mustard
1 1/2 tablespoons apple cider vinegar
1/2 tablespoon extra virgin olive oil
1 tablespoons paprika
1/4 teaspoon cayenne pepper
1 teaspoon salt
1/2 teaspoon black pepper
10 ounces pineapple chunks, in their own juice
2 pound pork tenderloin

In a blender, combine all ingredients for barbecue sauce and blend it until smooth.

Place the pork roast in a slow cooker and pour the barbecue sauce over it. Cook on low for 6-8 hours or until the pork shreds easily with a fork.

Using two forks, shred the pork, stir the pulled pork so the sauce mixes all together with the meat. Cook for an additional 30 minutes. Makes 8 servings.

Nutrition facts per serving:  164 calories, 24 grams protein, 4 grams fat, 6 grams carbohydrate, 434 mg sodium.

Peanut Butter Cookies
from walkingonsunshinerecipes.com

1 large egg
1 cup granulated erythritol
1 tsp. baking powder
1/2 tsp. vanilla
1 cup creamy peanut butter
1 tsp. water

Preheat the oven to 350 degrees. In a mixing bowl; beat together the egg, erythritol, baking powder and vanilla for about a minute. Add peanut butter and water and continue to beat until well mixed. Batter may be dry—just make sure it is mixed well.

Spray a cookie sheet and a fork with non-stick spray. Scoop a heaping tablespoon of batter for each cookie onto the cookie sheet. Use the fork to make crosshatch indentations on each cookie. Bake 12 –15 minutes until cookies feel firm and are slightly browned. Transfer to a baking rack and cool. Makes 12 cookies.

Nutrition information per cookie: 135 calories, 5 grams protein, 11 grams fat, 5 grams carbohydrate, 6 mg sodium.

Weight loss surgery is a great tool to help you to improve your health and take control of your quality of life. The time from the consultation with your surgeon at Barix Clinics to the time of surgery can vary from a few weeks to several months. Use this time to prepare for post-surgery life and put healthy habits in place.

The Importance of Hydration

Your body needs adequate fluid intake daily to maintain a proper temperature, remove waste, lubricate joints, help muscles work, and for many more essential functions.

Dehydration can lead to health problems from headaches to life-threatening conditions such as heat stroke. Even slight changes in body water, as little as 3%, can result in an increase in heart rate and body temperature.

How Much Fluid

A general rule of thumb is to drink 64 ounces (about 4 medium-size water bottles) of fluid a day to maintain proper hydration.  For most healthy people this number is a good goal, but you may need more fluid if you are in a warm climate, doing physical labor, exercising or participating in sports. Some people are able to get by drinking less than 64 ounce a day.

Urine concentration is usually a good indicator of hydration status. Colorless or light yellow urine is a pretty good indication that you are well hydrated. Dark yellow or amber colored urine may indicate dehydration.

What to Drink

Any fluid counts towards the 64 ounce goal. Water, milk, juice, coffee, tea, pop, or smoothies—they all count. Note: we don’t count caffeinated beverages after surgery because they have a slight diuretic effect (pulling fluid from the body).

Even though all fluids help you to stay hydrated, some are better than others. In general, your body gets more satisfaction if you eat rather than drink your calories—so calorie free beverages are a good choice.

Topping the list of healthy beverages is water–it doesn’t add any calories, sugar or caffeine. If you prefer flavor in your water, you may want to infuse it with some fruits or vegetables. This method adds a hint of flavor with negligible calories.

Infusion Basics

Infused water is created by soaking fruit, veggies, herbs or spices in water. Over time, the water takes on the subtle flavors. You can use specially designed infusion pitchers, balls, or glasses or simply place your infusion ingredients in a glass or pitcher.

Cut rinds and skins off of ingredients and cut ingredients into thin slices or small cubes providing more surface area for quick dispersion of flavor. You may also want to crush some ingredients, especially fresh herbs and berries, to release more flavor. Soak the ingredients in cold water for 3-4 hours in the fridge. Remove the ingredient—strain if necessary and enjoy. After the ingredients are removed, the infused water will stay fresh in the refrigerator for up to 3 days.

A wide variety of natural ingredients works well for infusion, including:

  • Fresh herbs (crush or chop for more flavor): rosemary, thyme, mint, basil, cilantro, parsley
  • Spices: cinnamon sticks, cardamom pods, fresh ginger, cloves, vanilla bean
  • Fruit: berries, melon, tropical fruits, citrus, apples, pears, grapes, cherries
  • Vegetables: cucumber, celery, fennel, carrots
  • Tea: green tea, chamomile tea, herbal teas

You may also want to drink zero calorie flavored beverages sweetened with sugar substitutes like stevia and erythritol. These include SoBe Lifewater, Vitamin Water Zero, Bai water, Crystal Light Pure, and others.

What to Avoid

In general avoid beverages with calories, added sugar, large amounts of caffeine, ingredients that overstimulate (guarana, ginseng, or taurine). Sports drinks may be helpful if you are working out for more than an hour at a time, but choose those that are calorie-free.

After surgery, you’ll want to avoid carbonated beverages for at least 6-months after surgery. The carbonation overfills your small stomach causing discomfort. You may want to find alternatives to carbonated beverages before surgery to have one more healthy behavior in place ahead of time.

Alcohol adds empty calories and many people make poor food choices when drinking. Alcohol should be avoided for at least 6-months after surgery. It is irritating to your healing stomach and the empty calories can slow weight loss.

Tips for Staying Hydrated

If you struggle to drink adequate fluid, here are some tips that can help:

  • Keep a bottle of water with you during the day. To reduce your costs, carry a reusable water bottle and fill it with tap water.
  • If you don’t like the taste of plain water, try adding a slice of lemon or infusing it with fruits, vegetables, spices or tea.
  • Drink water before, during, and after a workout.
  • When you feel hungry, drink water. Sometimes people think they are hungry, but what they are feeling is thirst.
  • Drink on a schedule. Set your phone alarm to remind you if need be.

Take the time now to evaluate the fluids that you drink and find no-added-sugar, low calorie / calorie free, alcohol-free, caffeine-free and carbonation-free options to enjoy Finding your favorite low calorie drinks ahead of surgery can help you look forward to life after surgery, knowing how many delicious options there are.

Get Ready For Bariatric Surgery: Avoiding Added Sugars

Weight loss surgery is a great tool to help you to improve your health and take control of your quality of life. The time from the consultation with your surgeon at Barix Clinics to the time of surgery can vary from a few weeks to several months. Use this time to prepare for post-surgery life and put healthy habits in place.

Naturally Occurring Sugar
Some foods naturally contain sugar—fruits, 100% fruit juices, milk and other dairy products–even vegetables. This sugar, perhaps because it is combined with other nutrients (fiber, protein, and fat), seems to be processed differently in the body. We know this because gastric bypass patients who get sick (dumping syndrome) from added sugars generally tolerate these naturally-occurring sugars. These foods also contribute important nutrients to the diet and, in the right balance, are part of a healthy diet.

Added Sugars
Added sugar is sugar that is added to foods and beverages to make them taste sweeter. It is everywhere–from the obvious cakes, pies, cookies, ice cream and soda pop to the sugar hidden in prepared foods like ketchup, salad dressing, peanut butter, and canned fruits. Over the last 30 years, our intake of added sugar has increased a whopping 30%.

Sure, our bodies need glucose, a form of sugar, for life. In fact, we keep a constant level of glucose in our bloodstream so that every cell has access to it for the creation of energy. But, we don’t need to consume sugar, especially added sugar in our diets to maintain a healthy amount of glucose in our bloodstreams. We have mechanisms that allow us to produce glucose from the complex carbohydrates, protein and fat in our diet.

The Problem with Added Sugars
The damage to our health and well-being from excess added sugar in our diets is becoming recognized by the medical community.

  • The American Heart Association recommends that women limit added sugar to 25 grams and men 37 grams a day.
  • The 2015 Dietary Guideline Advisory Committee recommends that we keep added sugar to 10% of daily calories.
  • The World Health Organization recommends limiting added sugars to 10% of daily calories stating that reducing it to 5% would result in further benefits.

Why are these health organizations calling for a reduction in added sugar intake? Too much added sugar in our diets day-after-day and year-after-year isn’t healthy and leads to a slew of chronic health issues.

Raging Hunger.  A chronic intake of the sugar fructose can lead to leptin resistance. Leptin is the hormone that tells your body, “I’m full.” If you develop leptin resistance, you never get that full signal, and develop a drive to eat that just won’t quit. You can imagine that doesn’t fare well for weight control.

Insulin Resistance. Over time, too much added sugar in the diet (in addition to inactivity and obesity) can cause insulin resistance. Insulin regulates the amount of sugar that is in the bloodstream. One analogy is that insulin is like a key that opens the door to let blood sugar out of the bloodstream and into the cells where it can be converted to energy. When someone becomes resistant to insulin, the body produces more and more insulin in an effort to regulate blood sugar. This results in high levels of both glucose (sugar) and insulin in the blood. Insulin resistance can also result in excess fat storage in muscle and liver tissue.

Diabetes. When your body is not able to convert blood sugar into energy and the blood sugar rises to an unhealthy level, diabetes develops. Although the relationship between consuming large amounts of added sugar and developing diabetes is not completely clear, scientists have found that drinking sugary beverages is associated with the development of diabetes.

Weight Gain. Just drinking a single soft drink each day can result in a gain of 15 pounds in one year. It’s as simple as that and each additional serving increases the odds of obesity.

Addiction. Sugar, for some people, can be downright addictive. It has a powerful effect on the reward system in our brain, similar to nicotine and cocaine. Strong cravings for sugar can be hard to resist and can drive overeating.

Cavities.  Eating sweets causes the germs in your mouth to create acid. It is this acid that eats holes in your teeth, forming cavities. Frequent consumption of sweets throughout the day, especially those that are sticky or acidic (like soft drinks), bathe your teeth in acid and accelerate the formation of cavities.

Joint pain. Elevated intake of processed sugar can lead to inflammation, causing joint pain and other inflammation-related diseases.

Brain Dysfunction. A high-sugar diet is implicated in learning and memory problems, anxiety and depression.

Heart Disease. It’s not clear how sugar is related to heart disease, but it can significantly increase the risk of death from heart disease by up to 30%.

How to Limit Added Sugar

To limit added sugars, build your diet on healthy unprocessed foods as much as possible. Select low-fat protein sources (lean meat/fish/poultry, low-fat dairy, beans), fresh vegetables, fresh fruits, and whole grains. Barix Clinics recommends that you limit added sugars to 2 grams or less per serving. Do this by looking at the nutrition facts label to see how much sugar is in a serving. Then check out the ingredient listing. If the product has more than 2 grams of sugar per serving and you see an “added sugar” term within the first five ingredients listed, put it back.

Names for Added Sugar

Brown rice syrup
Brown sugar
Cane sugar
Corn sweetener
Corn syrup
Dextrose
Fruit juice concentrates
Glucose
High-fructose corn syrup
Honey
Invert sugar
Maltose
Malt sugar
Maple syrup
Molasses
Organic brown rice syrup
Organic cane syrup
Raw sugar
Sorghum
Sugar
Syrup

Tips for Reducing Added Sugar

Where to start? Once you start reading food labels and realize how much added sugar is in our food and beverages, you may feel unsure of how to start to cut back. Here are some tips to get you started:

  • If you drink beverages with added sugar, that’s the first place to start. Sugars from sweetened drinks make up about 35% of the added sugar in most people’s diet. Replace sugary drinks with water, Vitamin Water Zero, Bai water, diet iced tea, SoBe Lifewater, Mio, and Crystal Light.
  • Find some no-added-sugar sweet treats to enjoy in place of sweets. Items sweetened with sugar substitutes can help you satisfy your “sweet tooth” without the sugar. Keep an eye on calories, no-added-sugar doesn’t mean no-calories. Try low calorie no-added-sugar fudgesicles or popsicles, or no-added-sugar pudding.
  • Substitute Truvia (a combination of stevia and erythritol) or erythritol for the sugar in recipes. You’ll cut calories and avoid the damaging effects of sugar. You can find lots of great recipes on our support website: barixconnection.com.
  • Be sure to have healthy protein-rich snacks available at all times so that you have an option when hunger calls—light string cheese, light Babybel cheese, hard cooked eggs, deli meat, low sugar protein bars, 100-calorie packs of nuts, or low sugar yogurt.
  • Learn to celebrate life’s events without sugary treats. We’ve made these events about the food–try to change your perspective to focus on the people or person, rather than the cake. Although sometimes it is nice to have a treat too and you can–take a no-added-sugar treat to family gatherings, have fresh fruit and yogurt on hand for office birthdays, and enjoy no-added sugar chocolate mousse for your birthday.

Avoiding added sugars is an important behavior to help you reach and maintain a healthy weight after surgery. Start now, before surgery, to put strategies in place to help you limit added sugar and you’ll have a much easier adjustment to the post-surgical lifestyle.

Chocolate Mousse

1 1/2 cups skim milk, cold
1 pkg. fat-free, sugar-free chocolate instant pudding (4 serving size)
1 cup Cool Whip Lite®, thawed

Pour milk into mixing bowl. Add pudding mix. Beat with wire whisk 2 minutes.
Gently stir in whipped topping. Spoon into individual dishes or medium serving
bowl. Refrigerate until ready to serve. Makes 5 servings.

Nutrition Information per serving: Calories 83; Protein 3 grams; Fat 3 grams; Sodium 311 mg

 

 

 

 

 

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Start Your New Life Today

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