The Five Day Pouch Test
Is it still working?
It's been nearly two years since my gastric bypass surgery. My lowest weight was 177 pounds, but I'm currently riding a wave between 180-198 pounds.
Two years ago, I would have been upset about this. Don't get me wrong, I'm not totally complacent, but I'm comfortable, I look good, and I have tons of energy. Yet, I get scared when that number creeps back up toward the 200 pound mark.
There are days when I can definitely eat more than I could a year ago. Sometimes I wonder if my little pouch, that I named Muffy, is back to being a full-sized stomach, complete with gastric juices and bad habits.
Of course, in this Internet age, this leads to me to a Google search: Does weight loss surgery stop working?
The result: The Five Day Pouch Test.
(This post is dedicated to my good friend, Natalie, who tried this with success.Thanks, girlie!)
Get back on track!
How It Works
The point of the Five Day Pouch Test (5DPT) is not weight loss but a sense of control over the pouch. The plan should successfully give the WLS patient the feeling of a reset, and take them back to that tight new pouch feeling from the first few months after surgery.
Days One and Two
Drink at least 64 ounces of water during each stage.
Days 1 & 2: Liquid Protein
Low-carb protein shakes - I'm a big fan of the Premier brand. These shakes have 30 grams of protein per serving and they taste great. You can get more bang for your buck with the large powdered version.
Broth - I am a big fan of fresh. Have a chicken left over after getting a rotisserie? Put it in the crockpot with chopped onions and carrots, and a handful of fresh parsely. Add salt and pepper to taste. Let this simmer at least 6 hours on low. Yum!
clear or cream soups - This is easy, you can use the broth you made. Or buy your favorite noodle soup and strain out the noodles.
sugar-free gelatin and pudding - I'm a big fan of these at any stage
This is NOT a diet, so do not restrict your intake. Eat until you feel full or after 15 minutes, whichever comes first.The goal is to pay close attention to the signals your body gives you.
Soups are measured in 1-cup servings and protein drinks are measured as the recipe or package directs.
HOORAY! You made it through the tough days. Now enjoy a bit more.
canned fish (tuna or salmon) eggs, fresh soft fish, refried beans, tofu - tilapia, sole, orange roughy. I really like tuna and salmon in various forms.
You can spice it up with red pepper flakes, onion or garlic powder (or both), or a squeeze of lemon with salt and pepper.
Try scrambled eggs or tuna or salmon patties. Remember, no carbs. And always remember your vitamins.
You should be feeling some tightness again now. Again, pay attention to your pouch and OBEY THE POUCH. Concentrate on how the pouch feels. Stop eating when full, not stuffed.
ground meat (turkey, beef, chicken, lamb), shellfish, scallops, lobster, fresh salmon, cod, or halibut, tofu, and other meat alternatives.
Muffy still doesn't care much for beef in any form. It's a guaranteed stomachache for me.
Here it is, the final day. You did it, and your pouch is thanking you. Remember to chew-chew-chew, and chew some more. Measure your portion and eat only until you feel your pouch tighten. You may have lost a pound or two. You have hopefully kicked any carb addiction that may have come back.
white meat poultry, beef steak, pork, lamb, wild game - Chewing small bites is key here. Your pouch is hopefully tight again, so don't forget little bites and lots of breaking it down.
What if it doesn't work?
The possibility exists that the tightness does not return. It's definitely time for a trip to your bariatric surgeon if that is the case. Unfortunately, revisions are something that happens after weight loss surgery. Don't worry, but make an appointment.
Good luck with the test! Comment if you try it and let me know your results.