Month: March 2020

About the Author: Sheri Burke is a Registered Holistic Nutritionist and Bariatric Surgery Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery clients for over 10 years and especially enjoys providing nutritional guidance to pre and post bariatric clients.  In her free time, she enjoys spending time with her husband and two teens and cooking up a nutritional storm in the kitchen.

For bariatric patients Bariatric Expert Amazon Line

Time for a “bariatric expert” multivitamin?  Here is a perfect way for bariatric patients to get it now on Amazon:  Bariatric Expert MultiVitamins.

Eat Like a Bariatric Expert with our Nutrition Plans.

Feel free to share your victories and struggles in our Facebook Group. I would love to connect with you.

 

 

BUY HERE
BUY HERE
BUY HERE
BUY HERE

 

 

 

 

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Super Easy Sugar Free Snacking – Bariatric Edition

Who needs a snack right now? Man o Man, I need a snack – like a few times a day right now. 
 
What’s a girl to do? I tell you what, I have caught my hand reaching for the Frito Lays a few times a day. ENOUGH is ENOUGH.
 
I have everything in my house right now to prepare for my snack-attacks and today I am going to get prepared. What happens when I am not prepared and I feel like snacking? Popcorn happens, chips happen, cookies happen. When eating those processed snack foods, I feel MORE hungry and it sets off a chain of events. I call it the “Screw-Its”. I start to “not care” about my diet as much. The carbs creep in, my blood sugar creeps up, my insulin levels creep up, cortisol levels creep up. I don’t feel like exercising and my sleep patterns are a mess. 
 
What a disaster. 
 
Here’s what I am going to do and I want to share this with you because you may just be in the same situation right now as I am. Heck, we are all pretty much feeling the same way. I am not special or different. There are a few of us who eat less when faced with a stressful situation. Most of us eat more (stress eaters) and the choices we make are not the right ones.
 
Enter my snack plan! Here is what is on my homemade sugar-free snack menu today. 
 
  • Sugar-free gummy bears
  • Sugar-free popsicles
  • Peanut butter cookies
  • Frozen protein balls
  • Chick-Pea snackers
  • Sheri’s sugar-free smoothie
Ya, I know. There are a gazillion other snacks that we can make but for today – and just for today – I am going to make these in my kitchen and I am going to share the recipes with you. These are not fancy or complicated recipes. They are just super simple ideas that will not send you all over town looking for weird or difficult to find ingredients. 
 
Let’s get started!
 
SUGAR-FREE GUMMY BEARS
 
Ingredients:
 
  • 1 package Sugar-free jello
  • 2 packages Gelatin
  • 1 cup Hot water
  • Stevia for extra sweetness
I take the sugar-free jello and two packets of gelatin and place them in the blender. 
 
  • Add 1 cup of hot water and blend.
  • Pour into gummy bear molds
  • Set in the fridge for two hours
Enjoy!
 
+now, if you don’t have gummy bear molds or you don’t want to order them on amazon, just take a deep dish (like a pie plate) and pour the mixture into the plate to set – cut the finished product into tiny squares. They don’t have to be in “bear shapes”.
 
 
SUGAR-FREE POPSICLES
 
Ingredients:
 
  • 1 package sugar-free jello
  • 1/2 cup hot water
  • 1/2 cup milk or almond milk
  • 1/4 cup Greek yogurt
  • Frozen or fresh fruit of your choice
I mix everything together in the blender and then pour into popsicle molds. Let sit and set for a few hours and enjoy! 
 
 
SUGAR-FREE PEANUT BUTTER COOKIES
 
Ingredients:
 
  • 1 cup sugar-free peanut butter
  • 1 cup sugar alternative 
  • 1 egg
 
I mix all ingredients and space out on a cookie sheet, flatten with a fork.
Bake at 375 for 8 to 10 minutes.
Allow sufficient time to cool
 
 
NO COOK PROTEIN BALLS
 
Ingredients:
 
  • 1.5 cups of your favorite nuts/ seeds
  • 1/2 cup frozen berries or cherries
  • 2 tbsp melted coconut oil
  • 2 tbsp sugar substitute
  • Optional 2 teaspoons chia seeds
  • Optional 2 tbsp protein powder
  • Optional grated coconut to top with
 
Mix everything in a food processor. Roll into balls. Roll in grated coconut. Store in the fridge.
 
 
SHERI’S SUGAR-FREE SMOOTHIE
 
Ingredients:
 
  • 1/2 cup frozen berries
  • 1 teaspoon natural peanut butter
  • 1/4 cup plain yogurt
  • 1.5 cups almond or coconut milk (can also use regular milk)
 
Mix everything. You can add sugar substitute to make it sweeter. It makes 2 huge cups.
 
 
CHICKPEA SNACKERS 
 
Ingredients:
 
  • 1 large can of drained chickpeas
  • 1 tbsp olive oil
 
Season with salt/ pepper/ and all your faves!
Bake at 375 for 45 minutes shaking halfway through. Make sure they are crispy before taking out of the oven.
You need to eat these the same day as day two they are no longer crisp.
 
Snack smart my friends – take some time and some healthy ingredients and make yourself some snacks to feel great about.
 
 
 
 
 
 

About the Author: Sheri Burke is a Registered Holistic Nutritionist and Bariatric Surgery Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery clients for over 10 years and especially enjoys providing nutritional guidance to pre and post bariatric clients.  In her free time, she enjoys spending time with her husband and two teens and cooking up a nutritional storm in the kitchen.

For bariatric patients Bariatric Expert Amazon Line

Time for a “bariatric expert” multivitamin?  Here is a perfect way for bariatric patients to get it now on Amazon:  Bariatric Expert MultiVitamins.

Eat Like a Bariatric Expert with our Nutrition Plans.

Feel free to share your victories and struggles in our Facebook Group. I would love to connect with you.

 

 

BUY HERE
BUY HERE
BUY HERE
BUY HERE

 

 

 

 

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Pre Op Plan Post Op Bariatric Edition

Should I follow my Pre-Op Bariatric Plan to get the scale moving again?
 
I hope your days are getting a bit longer with a bit more sunny bits and that your temperatures are getting warmer. It is almost mid-March. I woke up last Sunday feeling fantabulous! I could not understand for the life of me HOW the HECK did I manage to sleep in until 10.30 am?? I stretched out, got myself a coffee and started to make “Sunday plans” in my head. 
 
It took me over an hour to figure out that the time had changed and that I missed it. I hate it when that happens. I truly thought that I was channeling my inner teenager and that I managed to sleep in super late HA. Not so. The clocks jumped forward an hour at midnight. 
 
I remember back a few years ago when the bariatric pre-op diet was a diet of liquids. How horrible! All of my clients buckled up and did their liquid diet like champions but, I think that underneath they were suffering. I can’t imagine how hard it must have been or how motivated they were to do a 2 week liquid fast. 
 
I doled out pre-op diets of 7 to 21 days. It was my job and I was doing my best to help my clients shrink their livers and get mentally and physically prepped for what was to come post-surgery. This was the famous pre-op diet from years ago: 
 
  • 3 protein shakes
  • V8 juice (one serving)
  • Broth (unlimited)
  • Sugar free popsicles (1)
  • Sugar free pudding (1)
  • Sugar free jello (1)
  • Low fat yogurt (1 serving)
  • Low fat cottage cheese (1 serving)
  • Tons of sugar-free beverages
 
Of course, my clients lost weight. Of course, they were miserable. Of course, this diet was unhealthy and hard to follow. Their motivation was their upcoming surgery and the fear that their livers would not be cleansed enough to have surgery performed.
 
I am writing this today because I still get a lot of past clients that ask me for a copy of their pre-op diet. They intend to follow it again to kick-start weight loss in their bariatric journey. They have had a regain or a stall and they feel stuck and they remember how the pre-op diet that they followed worked the first time, so it has to work a 2nd time.
 
Today I explain to them that this is NOT the best way to kick-start weight loss. Sure, weight loss will happen but it is so difficult to stay on this liquid plan that they are sure to fall off after only a day or two. The reason it worked the first time was due to their deep-fear of their upcoming surgery and the thought that it was a dangerous surgery if the liver was not cleansed before surgery. 
 
FEAR is a huge motivating factor.  
 
Nutritional science has made many advancements today. It has come leaps and bounds.  We now know that the best way to shrink the liver is not through a liquid diet. We now know that the best way to get the liver prepped for surgery is through a diet of real food. The pre-op diet is now designed to remove all the sugar, refined/ processed carbohydrates, and alcohol out of the diet. This is how the liver gets to take a break and shrink.
 
The latest liver-shrinking bariatric diet that I give to my clients is a plan that is low in dietary carbohydrate and fat that will encourage the body to use up glycogen (a sugar that is stored in the liver and muscles for energy) and fat stores to help minimize the size of the liver.
 
The latest, updated pre-op diet looks like this:
 
  • 3 shakes a day / high in protein
  • 3 servings of cottage cheese or yogurt
  • One meal a day which consists of one serving of protein and two low carb veggies
  • Unlimited broth
  • Unlimited sugar-free beverages
 
These are the basic guidelines and when I discuss one-on-one with each client during their pre-op nutrition call, I tailor the pre-op diet to suit them. 
 
For example, if they are vegan, I make their diet vegan-friendly. If they are vegetarian, we find a way to complete the pre-op diet which is in line with their nutritional beliefs. If they have food sensitivities or intolerances, I work out a plan where they are shrinking their livers without the offending foods included. If they hate specific options, I switch them out.
 
ALL of my clients lose weight on their pre-op diet. ALL of my clients have their surgery performed because their livers are small and pink and pliable. I have never had a client refused surgery due to their engorged liver. It’s my job to prep-livers and I do a darn good job of it. My clients will tell you how much weight they have lost during their pre-op stage. 
 
Now, this weight loss during the pre-op stage also has a lot to do with the fact that they are coming from a very poor diet that is based around refined and processed foods, fast foods and convenience foods or junk food and they are committing to a diet of real food. Of course, the scale is going to move very quickly and they will have a quick weight loss.
 
Today when my clients reach out and want me to share a diet plan that works to get them past a stall or to get back on track after a regain, you know what I do? I put them on a “real food” diet for a few days. I just pull out refined and processed foods (carbohydrates like bread, pasta, rice, tortillas, crackers, chips, juice, fruit, candy, chocolate bars, bakery goods, etc.) ….
 
And I give them a plan that consists of protein and vegetables. I skip the protein shake and give them two boiled eggs. I skip the protein shake and give them a chicken salad. I skip the protein shake and give them a small steak with green beans. 
 
A protein shake goes straight through the bariatric pouch. It doesn’t fill the pouch as the pouch is supposed to be used. A protein shake makes me feel ravenous only an hour after I drink it. How is that going to help me to lose weight? Why not snack on a chicken breast? Now that would fill the pouch, put it on “lock-down” and prevent grazing all day long.
 
I have never had a client gain weight or have a weight-loss stall while eating chicken breast and broccoli. The stalls or regains always happen to my clients who are guzzling down protein shakes and eating up those protein bars and snacks. As soon as we get those out of the diet and switch over to “real food/ chicken breasts for example”, weight loss starts up again.
 
Could it be that the shakes are making my clients hungrier than ever? I think so. They end up over-consuming calories because they are drinking a large part of their calories each day. Now, these shakes are only a tool. They are a tool that I use to get ready for surgery and a tool that I use immediately post-op and up to 6 weeks after surgery. The sooner we can switch to real food, the better the results will be. 
 
Yes, it will always be “real food for the win”.
 
If you feel stuck in your weight loss journey, reach out to me. Together we can make the changes that will get you past your stall and back on the Losers-Bench once again.
 
 
 
 
 

About the Author: Sheri Burke is a Registered Holistic Nutritionist and Bariatric Surgery Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery clients for over 10 years and especially enjoys providing nutritional guidance to pre and post bariatric clients.  In her free time, she enjoys spending time with her husband and two teens and cooking up a nutritional storm in the kitchen.

For bariatric patients Bariatric Expert Amazon Line

Time for a “bariatric expert” multivitamin?  Here is a perfect way for bariatric patients to get it now on Amazon:  Bariatric Expert MultiVitamins.

Eat Like a Bariatric Expert with our Nutrition Plans.

Feel free to share your victories and struggles in our Facebook Group. I would love to connect with you.

 

 

BUY HERE
BUY HERE
BUY HERE
BUY HERE

 

 

 

 

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Be a Big, Bad, Bariatric Boss – Bariatric Edition

 
What’s a “Bariatric Boss”? 
 
In my definition, it is a client of mine who decides to take over their health and learn about good nutrition, good sleep patterns, staying active, being positive AND sharing these things with our entire bariatric community.
 
I see every day as an opportunity to improve my nutrition or to improve my workouts. Not only is today about food and exercise, but it is also about sleep and my thought patterns.
 
What about that saying “we are what we eat”? I do believe this. We are what we eat. If I eat Doritos and Pizza all weekend long, I am going to feel pretty yucky by Monday morning right? But isn’t there more to it? 
 
It’s a big cascade, right? Let’s say that my diet is perfect today and I manage to get in a work-out, but tonight I only get 3 hours of sleep. How will I be feeling tomorrow? 
 
Let’s take it a step further. My diet is perfect, I manage to work-out, I get 8 hours of sleep but I fight with my husband as I am leaving for work. I allow my stress levels go through the roof. 
 
There is so much more involved as we seek improved health. There isn’t some magic finish-line to cross. It is the every-day decisions we make and the thoughts that we think and the activity that we add to our lives. It is the food that we feed ourselves with. 
 
I know people who lose a lot of weight and then find out that they are still not happy. Sure, they are certainly healthier in their bodies but it doesn’t just magically end there. We need to continue to strive and learn more and more each day. Happiness is living in a healthy body with a healthy head. How can we get there? 
 
The protein shake that I choose to drink it not going to all of a sudden make me healthy. The walk I went on yesterday is not going to change my health dramatically. The fight that I choose to NOT have with my kids is not going to change my life…… 
 
It is the build-up of all the decisions and all the learning and all the implementation that makes dramatic changes in my health.
 
It is the decision to not drink sodas and to drink plain water. It is knowledge about how to get the best night’s sleep. It is the education about the medications I am supposed to take for high triglycerides and the lifestyle changes that I could make to avoid having to take them.
 
Calories in vs Calories out. I am so tired of this saying. I used to believe that I could eat a package of 250 calorie gummy bears or a 250 calorie chicken breast and it was the same thing? How could I possibly have believed such garbage? Ya sure, today I have a thorough understanding of the “calorie myth” but my clients still struggle. They say “Sheri, this yogurt you want me to buy has 50 more calories than the low-fat one”. Yes Susie, but my yogurt is also a real food that will provide your body with real nutrition. That yogurt in your other hand, that one is not yogurt. It is a “food-like substance” or a “frankenfood” if you prefer. It is packed with artificial this and artificial that. It’s had the fat removed and replaced with sugar and chemicals. 
 
Learning to cook …. I believe this to be KEY. I know, I know, I know .. a lot of us are too busy to make food in our kitchens. To you, I say “food prep on the weekend”. I know, I know, I know… There is no time for food prep on the weekends. To you, I say “figure out how you are going to do it then”. 
 
Sorry to sound so blunt but if you give this important task to somebody who doesn’t know or care about you, they will not get it right. Restaurants prepare food to taste good. They don’t cook to keep you healthy. The pre-packaged stuff – steer clear of it. It is filled with stabilizers and emulsifiers. It’s not real food. The shakes you grab as you rush out the door? Read the labels and see what’s in them. Google those ingredients. You will get a real shock.
 
How long does it take to boil some eggs, or cut up a pre-cooked chicken? How long does it take to sauté, bake or boil some pre-cut veggies? It takes about 15 minutes. Please take a bit of time to take care of YOU. I don’t care how busy you are. You need to figure this part out. I am not yelling at you. I care about you and I want you to figure out when and how you are going to feed yourself correctly. This is so important and I want you to be a bad-ass bariatric boss. You’ve got to get this part figured out for YOU.
 
When we figure out the food part, let’s start with activity. I want you to move your gorgeous body. We don’t exercise to lose weight. Sure, we can burn 200 or 300 calories by spending an hour at the gym (those calorie counters on those machines we use are highly inaccurate)!! How quickly can we eat or drink 200 calories? QUICK, REALLY QUICK!!
 
We get active to feel better in our bodies and to feel happier in our heads. Those “feel-good endorphins” get released and we feel stronger and less depressed in our skin. Getting active doesn’t have to mean going to the gym. Go for a walk. Get outside. Ride a bike to work or dance naked in your living room. Find a yoga class or a Zumba class. Find something that makes YOU happy. Build this activity in your life. Keep those joints juiced and those muscles active. Love the skin you are in and don’t “punish it” by doing activities that you despise. Move in ways that make you feel happy.
 
Sleep – ya sleep. I know today that my sleeping patterns are so important to how I am going to feel the entire day. I no longer take sleep for granted. I give it importance today. I fight for a good night’s sleep. I go to bed an hour earlier. I set myself up with good sleep hygiene to promote a good night. For me, it is clean sheets, a cool room, complete darkness. I wear ear-plugs and a sleep mask. I make it a priority because I know that sleep is the BEST FREE MEDICINE. I see it as medicine that my body needs every night to help me live my best life. Lack of sleep is stressful and my body’s stress response is “higher levels of cortisol”. High levels of cortisol make it harder to lose weight. There are direct links between weight loss and sleep patterns. Be a bariatric bad-ass and take your sleep seriously. 
 
Thought patterns. If I run around stressed out all the time, my body produces higher levels of cortisol. Just like with “lack of sleep”, high-stress levels equal higher cortisol levels and a harder time with weight loss. Yes, it is all connected!
 
Today I understand and practice different techniques to help me stay as cool as a cucumber. I am not perfect at it yet but I do understand that getting angry at my co-workers or feeling frustrated with my husband is not going to help me achieve anything. I allow thoughts to enter my head and I decide how I am going to process those thoughts and how I am going to allow them to make me feel. Stress is not real. Stress is my response to the situation. So how can I convince myself to respond differently? This is an entire blog and if I go down this road today, my 1500 word blog will turn into 6000 words. 
 
My goal today is getting my clients to understand that weight loss is super important and it’s the ultimate goal but there is more to it than calories or macros. We need to see ourselves as a WHOLE PERSON. How are we eating, sleeping, exercising and thinking? 
 
I also know that when we start taking better care of one aspect, the other ones do fall into place with time and dedication. When we go to the gym, we tend to eat better. When we eat better, we tend to sleep better. When we sleep better, we feel better and we have more positive thoughts.
 
It all falls into place when we are open to it.
 
Be the big, bad, bariatric BOSS that I know you can be.
 
Healthy Hugs and Warm Wishes.
 
See you on my FB live this Friday, March 6th at 2 pm EST. Let’s discuss and have a conversation.
 
 
 
 
 

About the Author: Sheri Burke is a Registered Holistic Nutritionist and Bariatric Surgery Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery clients for over 10 years and especially enjoys providing nutritional guidance to pre and post bariatric clients.  In her free time, she enjoys spending time with her husband and two teens and cooking up a nutritional storm in the kitchen.

For bariatric patients Bariatric Expert Amazon Line

Time for a “bariatric expert” multivitamin?  Here is a perfect way for bariatric patients to get it now on Amazon:  Bariatric Expert MultiVitamins.

Eat Like a Bariatric Expert with our Nutrition Plans.

Feel free to share your victories and struggles in our Facebook Group. I would love to connect with you.

 

 

BUY HERE
BUY HERE
BUY HERE
BUY HERE

 

 

 

 

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd