You will know it's working
The small stomach works well (when used correctly) to signal a feeling of satiation and indicate it is time to stop eating. Develop a new awareness and listen to your body.
Day 4: Firm Protein
By Day 4 the carbohydrate cycle is broken and the liquid restrictions are becoming a habit. Most people report a genuine feeling of pouch-tightness, as they emerge ready to enjoy firm protein. Our Day 4 meals and eating habits are starting to feel like the new normal. And indeed, this is the way we need to eat in order to manage our weight after surgery. Our meals should be Protein First enjoyed with small portions of well-chosen vegetables and fruits. Remember the 2B/1B Rhythm: 2 Bites Protein, 1 Bite Complex Carbohydrate. Take time to chew every bite, resting the fork between bites, and enjoy the meal. Observe the liquid restrictions in order to achieve fullness and benefit from the nutrients in our food. Avoid slider foods and snacking on non-nutritional belly-filler foods. Welcome to Day 4: Today is your new normal.
Day 4 protein recommendations: ground meat (beef, turkey, lamb, game) cooked dry and lightly seasoned; shellfish, scallops, lobster, steamed and seasoned only with lemon; salmon, or halibut steaks, grilled and lightly seasoned. Vegetarian products including tofu and vegetable burgers are acceptable. Be sure to give the Salisbury Steak recipe a try and keep it in your menu rotation well beyond the 5 Day Pouch Test.
Quick Link: Recipes for Day 4
Refresher: Your New Normal
On Day 4 and forever in your new normal the discomfort in your pouch is the signal to stop eating. This is the new normal. Concentrate today on how your pouch feels and put the fork down at the first sign of fullness. Stop short of the discomfort. This is how the weight loss surgery tool is meant to work. This is how you, the owner of the tool, can optimize the performance of the tool. I hope you are rediscovering your tool and enjoying relief and excitement knowing your pouch still works.
Check out Chapter 6 in your The 5 Day Pouch Test Owner's Manual for a detailed article explaining the biology behind hunger and satiation and how to understand it to avoid unnecessary eating that leads to weight gain. This terrific knowledge empowers your successful weight management beyond the 5 Day Pouch Test.
Kaye Bailey is the author of countless articles syndicated in several languages, and books available in print and electronic format including The 5 Day Pouch Test Owner's Manual 2nd Edition 2012, (1st Edition 2008 out-of-print, 50K copies in circulation); Day 6: Beyond the 5 Day Pouch Test (2009 – 3rd Printing January 2015); Cooking with Kaye Methods to Meals: Protein First Recipes You Will Love (2012).
Why can't I have vegetables on the 5DPT?
Answer: The 5DPT is deliberately returning us to the high protein diet prescribed by our surgeons. Vegetables are to be used only as ingredients in meal preparation, such as salsa on grilled fish or the Carb Monster Soups. By restricting vegetables and fruit (complex carbohydrates) during the five days your body is forced to go into high metabolic burn to digest the protein. This should result in weight loss. In addition, restricting complex carbohydrates and eliminating processed carbohydrates helps regulate your blood sugar (glucose) preventing cravings and energy swings.
Learn how to incorporate complex carbohydrate vegetables back into your diet after the 5DPT in our follow-up book, Day 6: Beyond the 5 Day Pouch Test.
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As recovering morbidly obese people it is important to understand the signals of hunger and satiation our body sends in order to lose weight and not become morbidly obese again. After all, ignoring these signals contributed to our obesity in the first place.
This is our new normal: the way we will eat to manage our health and weight with weight loss surgery. The Four Rules are now a way of life and a matter of habit.