Lifestyle is Key – Bariatric Edition

It is a delight for me when clients reach out because they are interested in starting keto.  It’s one of my favorite things to take about …. REAL FOOD!  I love food!!

Sure, in the beginning, it may be a bit of a “fad diet” that piqued their interest but I know that over time, if they adhere to the ground rules, they will feel so much better and it will turn into a long term lifestyle.

It doesn’t matter to me “why” they want to jump o the keto-band-wagon.  

What matters to me is that they will most certainly improve their health, start to feel more energy, see the scale move and have a better nights sleep.

When all these benefits are discovered, weight loss will be a side-effect of cleaning up the diet and eating real food again.

I think the proper ketogenic diet fits so well into a bariatric lifestyle and that is why I often encourage it but we need to learn and understand the fundamentals of a good ketogenic diet before we jump on the keto bandwagon.

But, I can tell you that I have many post-bariatric surgery clients who are following a ketogenic lifestyle to get to their goal weight and maintain it.

I also work on the daily with bariatric clients who have experienced a re-gain and they lose the weight again with a keto diet/ that then turns into a ketogenic lifestyle.

That is what we all should be looking for!  Lifestyle is key.

So now that you know you can eat in a ketogenic fashion, what are the rules?

You are going to need to come at it a little differently than the average person.

There are a few differences, starting with the fact that you probably can eat only small portions of food.

Some folks that eat too much fat or food at one time, may have “bathroom issues”.  It is these types of issues that prevent a lot of bariatric clients from thinking that they are able to follow a ketogenic lifestyle.

So if you have had bariatric surgery, and you want to start keto, here are some suggestions to get started!

  • Slowly reduce your carbohydrate load.
  • Slowly increase your intake of healthy fats.
  • Don’t jump into it quickly.  Ease into it over a two week period.
  • If you don’t have your gallbladder, take three weeks to ease into it.

So, let’s talk about what Keto looks like compared to a “regular diet”.

Bariatric Keto, in a nutshell, looks like this, the Standard American Diet (or SAD for short), flipped on its head.

Nuts and seeds are at the top of the pyramid, with berries.  Dairy products are below that.  Next, you will have your non-starchy vegetable category, followed by proteins and at the very bottom, you have your healthy fats.

The keto benefits start as soon as you omit the unhealthy processed carbs and you get your carbs through vegetables and low sugar berries.

The news keeps getting better because you don’t need to chow down on GOBS of fat – but you do need to restrict your refined carbohydrates.

So – if you are able to eat fat moderately, then keto may be exactly what you are looking for.

Remember, ketosis is triggered by carb restriction.  This is so important.

Now for even more good news …. 

We are going to eat some of the really good stuff that the regular keto community thrives on such as: 

  • Seafood, meat, poultry
  • lots of low carb veggies
  • Avocados
  • Eggs
  • Greek yogurt
  • Cheese
  • Nuts and Seeds
  • Berries
  • Olives
  • Olive oil
  • Avocado oil
  • Coffee and Tea
  • Dark chocolate
  • This diet works so well for bariatric clients because it gets us to stop eating refined and processed foods.  It gets us off the sugar merry-go-round.  It maximizes weight loss ad it helps us to feel satiated for a longer period of time.

Some other important points to this way of eating…

  • Eat carbs in the form of non-starchy vegetables and berries.
  • Eat protein but not too much.
  • Eat healthy fat with each meal.
  • Don’t be afraid of nuts and seeds.
  • Drink lots of water.
  • My blog next week is titled Keto-Cyborgs.  You are going to like my rant and understand how keeping it simple is the key to success.

FaceBook LIVE  3pm EST on Friday, July 12th.

 

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Insulin Resistance and YOU – Bariatric Edition

consider myself fortunate.  I am fortunate because I get to write about important issues that affect my clients and their health. I also get to educate them about the serious stuff and then offer effective solutions.  These solutions enable my clients to THRIVE and not just survive.

This is my chance to discuss INSULIN. It affects ALL of us.

Obesity is a disease, it’s not something created by lack of character. It is a hormonal disease…. and there are many hormones involved and one of the main ones is a hormone called INSULIN.

INSULIN, It’s all about insulin so let’s first understand insulin and then we can better understand WHY and HOW we should be adapting to a ketogenic diet post-bariatric surgery … 

This part really excites me because if I can explain how the hormone insulin works, it is then going to make perfect sense to you and you will know why we need to take this way of eating seriously.

This information is not only for our recent post-op individuals, but it is also for those of you who are one year, five years, and twenty years post-op.  Heck, it is for ALL of us.

Let’s allow insulin to take center stage for a few moments…

Most obese individuals are resistant to the hormone insulin.  So what does that mean exactly? To be resistant to insulin? 

Well, insulin resistance is essentially a state of pre-pre diabetes.

Insulins’ job is to drive glucose or blood sugar into the cells where it can be used.

In a nutshell, when someone is insulin resistant, they are having trouble getting blood sugar to go into those cells.  And blood sugar can’t just hang out in the blood when we eat or we would all have a diabetic crisis every time we eat.

So when someone is resistant to insulin, the bodies response to this is to just make more of it, and insulin levels will rise and rise and for a while, for years, blood sugar levels can even remain normal.

However, usually, it can’t keep up forever.  And even those elevated levels of insulin are not enough to keep blood sugar in the normal range.  So it starts to rise.  That’s diabetes!

It probably won’t surprise you to hear that most of my clients have insulin resistance or diabetes.

And if you are thinking, “phew, that’s not me”, you actually might want to think again, because almost 50% of adult Americans now have diabetes or pre-diabetes.

That’s almost 120 million people.  But that’s hardly everyone who has issues with insulin.

As I was saying, people have elevated insulin levels due to insulin resistance for years and even decades before the diagnosis of even pre-diabetes is made.

Plus, it has been shown that up to 25% of normal weight adults are also insulin resistant.  

So in case you are keeping track, this is a heck of a lot of us!

So the trouble with insulin resistance is: if it goes up, we are at great risk for developing type 2 diabetes, but also, INSULIN MAKES US HUNGRY!

….. and the food we eat, much more likely is going to be stored as FAT.

Insulin is our fat storage hormone.  So we can start to see how it’s going to be a problem for diseases like obesity and metabolic issues like diabetes.

But what if we trace this problem back to the beginning? And we just didn’t have so much glucose or sugar “hanging around” that insulin needed to deal with.

Let’s take a look at how that would look.

Everything you eat is either a carbohydrate, a protein or fat.  They each have a very different effect on glucose and insulin levels.

When we eat carbohydrates, our insulin and glucose are going to spike up fast.  With proteins, it looks a lot better.  But when we eat fat, nothing happens.  We get a flat line.

This is going to wind up super important!

I want to translate the carbohydrate, protein and fat graph for you into a real-life situation.  I want you to go back and think about the last time you ate at one of our many fast food joints.  Call it a hamburger with fries and a coke.

We all know that there are rules associated with this.  The first rules are that you are going to eat too much.  

The second rule is that you are STARVING one hour after you eat.

Why? Well, because the carbs in that meal caused glucose and insulin to skyrocket, which triggers hunger, fast storage, and cravings.

So if you are insulin resistant, to begin with, and your insulin levels are already higher, you really are hungrier all the time.

And we have this setup – eat carbs, your glucose does up, your insulin goes up, and you have hunger and fat storage.  

So what do a lot of doctors and dieticians recommend that these people eat?  Or what have they been told up to now? 

My Mother is a diabetic.  She has been a diabetic on medication for many, many, many years.  This is what her team of caregivers tell her to do (not her daughter, her “other” team).  She has been following their advice for many years also.

I am using type 2 diabetes and my Mother as an example of the bad food advice we all have been given in recent years.

My Mom is told to consume 40 to 65% of her diet in carbohydrates per day.  Guys!  That is A LOT of carbs.

Remember what is going to happen to glucose (blood sugar) and insulin – when we eat them? 

Yes, they are essentially recommending that my Mom eats exactly what is causing her problem.

It really sounds crazy and it really is crazy.  Because at its root, her diabetes is a state of carbohydrate toxicity.

We cannot get the blood sugar into the cells, and that causes a problem in the short them, but in the long term, consequences are even greater.

And going back to insulin resistance, this is essentially a state of carbohydrate intolerance.

So why is my Mom recommended to eat them? 

Diabetes Canadian guidelines specifically state that there is inconclusive evidence to recommend a specific carbohydrate limit.  But those guidelines go right on to say what we all know …. Carbohydrate intake is the SINGLE biggest factor in blood sugar levels and therefore, the need for medication.

These guidelines then go on to say, “hey look, if you are taking insulin or certain diabetic medications, you HAVE to eat CARBS, otherwise, your blood sugar can go too low.

Let’s take a look at the vicious cycle that advice just set up.  It is to eat carbs, so you have to take medication, then you have to eat more carbs, so you avoid the side effects to those medications …. And around and around we go.

Consider carbs – first, here’s a shocker for you – we don’t need them.  Seriously, our minimum daily requirement for carbohydrates is ZERO.  We have essential amino acids (those are proteins).  We have essential fatty acids (fats) but nope, no essential carbohydrates.

A nutrient is essential IF we have to have it to function, and we cannot make it from something else.  We make glucose and plenty of it all the time.  It is called gluconeogenesis.  

So we don’t need carbs, the overconsumption of them is making us very ill, yet we are continuing to see them recommended to clients (like my Mom) – to consume more than half their total energy intake every day from them.

It doesn’t make sense.

Let’s talk about what does make sense… cutting carbs – A LOT.  I teach clients to eat with carbs as the minority of their intake and not the majority.

So how does that work or what does that look like?

How does somebody eat this way? 

First, let me tell you what keto is not – low carb is not ZERO carbs… and it is NOT high protein.

These are common criticisms that are so frustrating because they are not true.

Next, if we take away the carbs, what are we going to put in? 

Because remember, there are only 3 macronutrients and if one goes down, one has to go up.

My clients eat FAT and a nice amount of it.

“What did you say? What’s going to happen if I eat fat”??

Well let me tell you …. You are going to be happy!  Because FAT tastes GREAT!  And it is incredibly satisfying.

But remember, fat is the only macronutrient that is going to keep our blood sugar and insulin levels low and that is so important.

So now I want to share some of my simple ideas for eating.

These are going to be even more important if you are one of the tens of millions of Americans who have troubles with insulin levels.

My first thought:  if it says light/ low fat or fat-free, it stays in the grocery store because if they took the fat out, they put the carbs and chemicals in.

My second thought:  Eat food.  The most important rule in low carb nutrition is that real food does not come in a box.  No one should have to tell you that real food is “natural”.  You should know when you look at it.

Don’t eat anything you don’t like.

An eat when you are hungry.  Don’t eat when you are not hungry no matter what the clock says.

And finally, a simple way to remember what we want to avoid.  NO GPS – No grains, no potatoes, and no sugar.

That’s a biggie, right? No grains?  Ya, no grains.  “But we have to have them”?

Nope – they are a carb.

“But whole grains are so good for us”?

Well, first of all, there are actually very few foods out there that are truly whole grain, even when they say they are.

Most foods that say they are whole grain are highly processed and the fiber benefit is ruined… or they are coming with highly refined flour and usually, they have both of these things.

So if you are one of the truly not insulin sensitive people, you can eat real whole grains but if you are in the enormous slice of the population with insulin issues, it is making things worse.

So what if you are not one of the insulin-sensitive people?  Can you still eat this ketogenic, low carb way?  

Of course, you can.  I am a great example.

Two years ago I decided that I would cut my carbs as low as I recommend to my diabetic and pre-diabetic bariatric clients.

Now it is not mandatory for my health as it is for theirs.  I am not insulin resistant yet.  Would this be a problem? 

No, that is just the thing.  Unless you have an exceedingly rare syndrome, then cutting carbs is going to be good for you, even if it is not necessary.

I hope that this article helped you to better understand insulin and the role it plays in obesity and metabolic issues.

When we are able to better understand how food functions in our body, it is easier to understand the recommendations of why we should be following a low carb or a ketogenic diet.

Next week we are going to continue down this path and dive more into the actually recommended foods that we all should be consuming.

I salute you for taking control of your health and wanting to learn more about this lifestyle and why it is such a perfect way of eating to improve your health.

FaceBook LIVE  3pm EST on Friday, June 28th.

 

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Keto To The Rescue – Bariatric Edition

It’s one of my favorite topics.  You already know that I am a “low carb” nutritionist and that I believe in the “low carb, ketogenic lifestyle”.

  • How many of you have tried the ketogenic diet?  
  • How many of you lost weight on the ketogenic diet?   
  • How many of you had a hard time staying on this diet?

Hopefully, after reading my article, those of you who fell off will once again gather the strength to give it another try.

I want to renew your keto-committment today. 

And there are numerous reasons why I want to light a fire inside of you and get you thinking about eating in a ketogenic fashion.

Nobody comes to me asking about keto because they want to lower inflammation in their body or prevent age-related diseases.  

They come to me to ask about keto because they have stopped losing weight or they have had a regain or because they just never met their weight loss goals.

And that’s just fine with me … as long as they want to know more about this way of eating, I am happy, because I know that the “other side effects” – not just weight loss – will change their way of thinking.

Keto may be a “fad” word right now but it is also a real way to eat, REAL FOOD where people experience fantastic results.  

What happens over time is that we stop thinking about “keto” and we start thinking “low processed carbs”.

 The more we can get this “food-like CARBAGE”  out of our diet, the better our health will be.  

When people feel better, they start to understand the amount of inflammation was in their body when eating the Standard American Diet (SAD).

Who wants to go back to feeling bloated and depressed and heavy and tired?  when they can feel happier with a flatter tummy and better energy levels….

So have I caught your attention?

Who wants to go back to being chained to the refrigerator all day long because of the inability to stabilize blood sugar levels and feeling hungry constantly?

I want to arm you with information so you remember why you wanted to start keto in the first place.

Keeping it simple is the key to success.

The ketogenic diet is not a miracle.  It is just good science.  It is the science of using food as medicine.  And this is possible when people switch from the ultra-processed industrial diet that is making them sick, to a diet of real, whole foods.

So being a Bariatric Nutritionist –

I work together with clients before and after surgery and I can tell you, these people have gone through a lot by the time they see me.  They have followed crazy diets, extreme exercise, taking weight loss pills, and beating themselves up over and over again.  Rinse and Repeat

My clients have tried everything … they are professionals at losing and gaining weight.

Who is to blame for these losses and gains?  Is it their fault? Did they do something wrong? 

If we want to put the blame somewhere, then I think that that blame belongs to a lot of BAD ADVICE that we have been given from a lot of people and it is time that we change that.

Now there is Keto-Sense and Nonsense … 

If you could read some of the emails that I receive from clients and prospective clients, the anxiety is palpable.  I can feel it radiating out of their emails. 

 And part of that comes from the fact that we have made low carb and ketogenic diets, sound so much more complicated and so much more complex, and difficult than they really are.

This way of eating – is supposed to make your life better, not worse right? 

This way of eating is supposed to make your life easier, not more difficult right?

And when we allow ourselves and others to be convinced that this way of eating is so complicated, and so difficult and has so many layers to it, then we do the opposite.  

And I really truly cannot tell you how many people I have heard from that are just paralyzed with anxiety and confusion.  I am sure you know the term “paralysis by analysis”? 

Some of the people are turning this keto way of life into something it does not need to be.

I love having a chance to set the record straight for you.

I want to put any of your fears, at rest and to put your mind at ease and help you and your friends see how easy this can be when you just “let it be”.  

How uncomplicated this can be when you allow it to be…

I want to bash a few Keto-myths. I want to bash backward and wrong information about keto.  

It is this mis-information that is preventing people from taking advantage of the beautiful, powerful benefits of this way of eating. 

What I am writing about is mostly general keto information, speaking at a high level, for most bariatric people.

You as an individual may be dealing with a unique medical situation or a unique genetic problem or some type of life circumstance by which some of what I say may not apply to you.

Please understand that I am speaking generally in the bariatric community, based on the clients that I have worked with for more than a decade, and based on my observations and understanding of the nutritional research.  I am not trying to pretend like I have all the answers. 

I don’t. 

I just want to clear up some of the facts that I do feel extremely confident about that I think are being misinterpreted in the keto world.

So where are we going to start?  With a story … 

 I wrote a blog post not long ago that was intended to remind people how easy and uncomplicated low carb really is.

I specifically used the phrase “low carb”, because I think that somewhere along the way “low carb” became a dirty phrase.  It became “passe” it was old news, old fashioned.  Everybody wants to be keto today.  All you hear is keto keto keto.

And that is great. Clearly, there is a place for a strictly ketogenic diet.  But when we tend to emphasize keto or ketogenic, rather than low carb, I really think that this is driving a lot of the confusion, fear and the anxiety about this way of eating. 

Because when you say ketogenic, that’s what makes people think that they need to measure their keytones, they need to load everything up with fat, and they need to make a deliberate effort to remain in a state of ketosis all the time, rather than just following a low carb diet.

I feel like some of the low carb and keto professionals have done this to ourselves by using that word ketogenic just a little too much and not giving enough air-time to the phrase low carb.

That blog post that I wrote, was a celebration of the Adkins Diet.  Dr. Adkins wrote his first diet book in 1972, over 40 years ago!  I said in that blog post “ I dare say, nobody has done much to improve upon it since then”.  

It is not that Dr. Adkins was right about everything, or that he covered every little nuance.  But it was perfect in terms of getting people to just get started with this way of eating. 

The Adkins diet had no limit on protein.  He celebrated people being allowed to enjoy heavy cream, butter, and fatty meat.  There was no fear of fat, but there was also no emphasis on adding gobs and gobs of extra fat to your food in order to reach some sort of high keytone level. 

The big thing with the Adkins diet was to keep carbs low – there was very little to no emphasis on loading things up with fat or deliberately restricting protein intake.

I wrote that blog because people today are so confused and so overwhelmed with conflicting information about this diet that they miss the forest through the trees. 

They are so worried about the details and the minutia, that they don’t even take the first step, which is getting the sugar and starch out of their diet.

When Adkins wrote his books, there were no at-home keytone tests, MCT oil was not commercially available. There were no fat bomb recipes available and people did great right? Just by reading one book? All that mattered, was keeping carbs low.  

I am not saying that there isn’t a place for measuring keytones or having a fat bomb.  That’s appropriate in some situations.  But nobody needs, any of that to get started or to stay on a low carb or ketogenic diet.

If you want to spend your money on that and if it makes your life more convenient, do it.  But that is not what makes this diet effective.  What makes this diet effective is low carbohydrate intake.

When we say ketogenic and people think they have to chase high keytones,  they will fast or they will eat extra fat or do “who knows what”.

For most people dealing with a metabolic issue – particularly one stemming from high insulin, whether that’s going to be obesity, type 2 diabetes, insulin resistance, cardiovascular disease, PCOS, gout, hypertension, erectile dysfunction, – the reason those things improve from a low carb diet is because of lower insulin and lower blood glucose.  Not because of the high keytones.

If you take away anything from this article, take away that.  The reason this diet is effective for most of those metabolic issues is that it corrects the chronic hyperglycemia and insulinemia.

Let’s work hard to learn about low carb eating and the ketogenic lifestyle.  Let’s learn to read labels and let’s really dig into carbohydrate counting.  That little mandarin has 12 grams of carbs – that is the equivalent to 3 teaspoons of sugar.  This is just a tiny example of how much there is to learn.

Take charge.  Take control.  Take back what belongs to you, excellent mental and physical health.

FaceBook LIVE  3pm EST on Friday, June 21th.

 

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Renewing Your Bariatric Vows – Bariatric Talk

First of all, I want to thank all of you who faithfully read my weekly blogs.  Some of you I have known for many years and others I am just getting to know.  

We are all at a different stage in the bariatric journey.  Not all of us are at that same place this very moment.  And that’s what I want to discuss today.

What happens when you are 5 years or 10 years post bariatric surgery?  Is it over?  What changes?  What is different from that first year after surgery? 

I feel like I am an authority on this topic because I work with clients who are at every different stage.  I meet you before you have surgery and we discuss the pre.op diet and surgery itinerary.  I see you cruise through your first year.  I see your weight loss stalls and plateaus.  I hear your cries when you are frustrated that the scale is not moving and I get to celebrate with you when you reach your goals.

Limbo – there is a place where a lot of us are in limbo.  We haven’t met our weight loss goals and we have become complacent.  We may have got close but then we experienced a regain.  There might have been a job loss or a death in the family or work stress?  The reason doesn’t matter.  Sometimes life gets in the way of us reaching goals.

Does that mean that it’s over?  Does that mean that our tool no longer works? What gives? 

I am here to tell you that your tool does still work.  Your tool is still intact.  It isn’t broken.  What is broken is our commitment to ourselves.   

When this occurs, we need to dig a bit deeper and work a bit hard and go back to the basics.  We need to ditch the sugar and starches.  We need to start moving our bodies again and get active.  We need to recommit to ourselves.

So how can we do this?  I often receive messages, calls, and emails from clients who are in this exact situation.  This is what I tell them… 

First of all, you’ve got this.  You are a champion and you lost a whole lot of weight.  You just need to get focused and follow this advice.

  • Pick your “re-commitment date”.
  • Make your food plan.
  • Food prep for the first week.
  • Weigh yourself.
  • Take pics.
  • Take measurements.
  • Get our your water bottle and dust it off.
  • Remove all the refined and processed carbs from your fridge and pantry.
  • Set your bedroom up for some good quality sleep. Darken the room and lower the temperature.
  • Get ready to move again – put your physical plan into action.  Walk or jog or strength train or garden or stretch.
  • Get back into your favorite bariatric forum or FB group.  Let them know that you are back.
  • Be accountable.

If this is you, (I am pointing my finger at you) then that’s okay.  If you want to reach out to me and tell me about it, I am here to cheer you on.

Limbo – don’t agree to live in this place, please.  Sure, you lost a lot of weight, but did you reach your ultimate goal?  Sure, you may have reached your goal, but did you have a regain?  Why become complacent at this point?  You promised yourself never to go back to where you started from when you made the decision to have weight loss surgery.  So what gives?  Why did your motivation give up on you?  I didn’t give up on you so I don’t expect you to ever give up on yourself.

If you never reached your goals, and you are happy where you are, then I salute you and that is terrific and this specific blog is not for you BUT, if you are one of the thousands who came and “almost” conquered then the time is NOW to get back on your weight loss horse.  Giddy Up!

Guys “limbo”  happens to the best of us.  Doesn’t mean that we are weak or bad or wrong.  It just happens sometimes.

Don’t beat yourself up.  Dust yourself off and get back in the game again.  This is YOUR game, your rules.  Make it great!

FaceBook LIVE  3pm EST on Friday, June 14th.

 

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Low Carb Bread AND Cake – Bariatric Edition

Who misses bread?  Who misses cake?  Me – that’s who!  

I don’t often talk about specific recipes or specific ways of cooking but, if you are living a low carb lifestyle, it is so important to come up with ideas to avoid falling off track.  Today is the day I want to talk about “having your cake AND eating it too”.

You see, this morning I was feeling sorry for myself because I really wanted an Egg McMuffin. I ate too many carbs on the weekend and so I was craving carbs this morning.  What’s a girl to do?  Then I remembered … I can have that Egg McMuffin!  I will just make it myself.  Low Carb Bread to the rescue!

I think that we all need to keep a stash of almond flour or coconut flour in our kitchens.  These flours enable us to make so many recipes that we cannot make if we have any sort of blood sugar issues or insulin resistance issues.  Heck, even if we are just trying to control our carbohydrates, eating regular flour is a “no, no”. 

I know that there are pre-packaged bread and cakes out there that tout the word “keto or low carb” on their label but I wanted to give you something that you can make in your own kitchen, something that is fresh and not full of artificial stabilizers or colors or emulsifiers, etc. 

When I get tired of just eggs for breakfast and I am craving a breakfast sandwich, I reach for my almond flour and make myself some low carb, 4 ingredient bread for my sandwich.  

This “bread” isn’t going to taste like regular bread. It is going to have more texture and be nuttier and eggier in flavor.  But, it is going to soak up whatever you put on it like butter, peanut butter, zero sugar jam or marmalade.  It can help you stick to your goals.  It makes a great bread substitution.

This is how it goes:  get a small ramekin bowl, melt your butter and add the following ingredients together in that same bowl.  Whisk all ingredients until smooth:

  • 1 tablespoon melted butter
  • 1 large egg
  • 1 tablespoon almond flour
  • 1/4 teaspoon baking powder
  • In a small ramekin bowl or a small microwave-safe bowl, melt the butter in the microwave.

Mix in the other 3 ingredients until it is a smooth batter.

Microwave for 90 seconds.

Let the bread cool for a minute, gently loosen the edges and place the bread onto a cutting board.

Slice the bread into two halves.  You can also toast this bread on the stove with some butter or you can eat it as is.

Add your favorite toppings (I like to add a fried egg and some cheese) and enjoy!

Now, what would happen if we take the exact same ingredients, add some cocoa powder and some stevia?  We would have 90-second chocolate mug cake.  

Let’s switch that up and take the original recipe and add some vanilla extract, stevia and top with frozen berries – voila!!  Berry 90 second mug cake.  Top with a touch of whipping cream.

I am not inventing the wheel here.  I am just reminding all of us that we can make easy and delicious recipes if we just change the way we normally cook.  Let’s think out of the box and enjoy how good real food can taste!

Treat your tastebuds to something different.  You might just surprise yourself and enjoy it more than expected. 

 

FaceBook LIVE  3pm EST on Friday, June 7th.

 

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

 

Food is Fuel Rethinking The Way We Feel About Food Post Weight Loss Surgery

My friends and family will tell you that I am passionate about nutrition, traveling and healthy living. I feel that it’s important to stay on top of the latest nutrition science and to be able to share it with all my clients.  I want you to also become passionate about nutrition post-surgery.

I am not always the healthiest I can be and not every meal that I consume consists of the ideal plate, but in my mind, I want to strive to be that person who adapts to a lifestyle where I don’t miss anything from the SAD – Standard American Diet. 

We cannot just stop eating after bariatric surgery.  We need to use food in order to drop the weight.  Food is the tool that will get us to our goal.  Food is not our enemy.  Food becomes our friend.  In order to be successful, we need to deal with our feelings about food and to understand how important it is to live our healthiest life.

We are always on a diet.  I hate to say this but most of us have a chronic history of being on a diet all of the time.  We are constantly restricting ourselves.  When I am working with a client, coordinating their bariatric surgery, one of the first questions they ask me is “what kind of diet will I be put on”.  And they are right, they will need to follow a bariatric pre-op and post-op plan but their next question is “after the post op guidelines, what kind of diet will I be on for the rest of my life”?…

Let’s talk about sustainability.  We cannot live our lives in the constant vicious circle of being on and off of a diet.  It messes with our moods and our metabolisms.  

My real goal will be to change the way my clients think about food.  What needs to be changed is the relationship with food.  What needs to be put in place is a new lifestyle where we eat real food, not the packaged stuff.  

We will always need to put the emphasis on high-quality proteins and healthy fats.  Carbs are used as quick energy but in the long run, they are not going to sustain us.  Our bodies are made in a way where we are going to first burn carbs, and then protein comes next and the last thing to burn is fat.  Our goal is to burn fat but this is the last thing that our bodies want to burn.  

My work also consists of teaching clients how to eat.  I encourage them to meet their protein goals and also their water goals.  I encourage them to think of food like fuel and to fuel their bodies correctly to get to their desired goals.  

Carbohydrates are a huge topic because I want clients to understand the difference between different kinds of carbohydrates.  When we understand how carbohydrates are processed in the body, we start to get the concept of living a low carb lifestyle.  We do not want to have our insulin levels high.  We want our blood sugars to be even throughout the day without any high spikes.  If we can accomplish this, we will feel more satisfied and less hungry throughout the day and with better energy.

Post-bariatric clients need to adapt to this lifestyle without feeling like they are on a diet.  I want them to understand that the SAD standard American diet is not a healthy way of eating and the closer they get to a whole food diet, the better they will feel and the better their results will be.  

Instead of feeling “I have to eat this way”,  I want them to say “I get to eat this way”.  Yes, they are fortunate to have a surgery for restriction and an eating plan that is sustainable, consisting of whole, live, natural, good quality food. Once they adapt to this way of eating, going back to the SAD will be disappointing.  Those types of processed and refined foods only lead to high blood sugar, high insulin levels and uncontrollable hunger with weight gain.  

Let’s all enjoy a simpler way of eating.  Let’s stick to eating real food.  Let’s continue to learn about food and what it does for us.  Let’s never get tired of trying to live a more natural lifestyle which includes more natural foods.  

Push on!  You’ve got this!

FaceBook LIVE  3pm EST on Friday, May 31th.

 

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

Control Over Your Diet Bariatric Edition

What happens when we get derailed with our diet?  What can we do to prevent falling all the way down the rabbit hole?  Isn’t it interesting how one bad meal can turn into a bad week, and then into a bad month?  

I am here to offer gentle suggestions and advice to prevent you from falling all the way down when you trip or stumble along the way.

I spend a lot of time with pre and post bariatric clients.  Actually, I spend most of my working day with them and when I am not working, I am still answering texts through messenger and on my cell phone.  I know that trouble can arise at any corner.  I know that chocolate cake takes no prisoners.  I understand the difficulty at having to sit at a family gathering or a birthday party and have to ignore all the yummy food piled all around you.

What do you do when you veer off the straight and narrow road of clean-eating? 

Carbs happen sometimes… there are moments where we just are not as strong.  We need to understand that one bad meal, doesn’t have to turn into a full-on carb-binge.  If pizza “happens”, we can go back to our regular diet the very next meal. 

I do believe that most of us have similar struggles when it comes to food.  We grew up eating one way and to change those patterns is very difficult.  Even if we know and truly understand “why” they are so bad for us, we still want to have them in our lives.  

My nemesis is chocolate milk.  This is a perfect example of something I have a very hard time controlling.  Sure, I have many comfort foods but this is a perfect example.  I see the 1-liter container and it’s almost always on sale so I buy it “for my kids”.  Am I a “kid”? No.  Is it any good for my kids to drink this stuff? No.  So then why the heck do I buy it?  I swear that stuff calls my name from the refrigerator in the middle of the night.  If I take even a sip of the stuff, I am hooked!  I want to drink the whole thing.  

If I cave in and drink the chocolate milk (which sometimes happens), does this mean that the next day I will get up and buy another liter and drink that liter also? No.  I know that it was wrong and it wasn’t good for me and that I now have the “sugar bug” but I am going to make the steps to get rid of the sugar in my system.  I am going to drink plenty of water and make my next meal a turkey salad, or chicken soup with veggies or something that is nourishing.  I am going to take a walk and I am going to try not to buy that evil chocolate milk ever again lol (insert evil laugh here). 

Let’s do this for whatever nemesis you have. Yours may be mac and cheese or it may be bagel sandwiches or sugary frappuccinos at Starbucks.  My whole point here is that whatever your nemesis is, don’t allow it to completely derail all of your efforts.  You are in charge.  You are your boss.  You choose your next meal.  You choose how you want your life to look.

If you are currently off track, try doing the following things to get back into control again:  

  Get rid of all the so-called packaged “healthy snacks”.  Those are the snacks which are boxed and have words on the label such as “high in protein”, “low in fat” etc.

  Put down the wine glass or the beer mug.  Take a break from alcohol for now.  Get your diet cleaned up before you try introducing alcohol back again.  After a few drinks, we don’t make the best “food decisions”… if you know what I mean?

  Open your cupboard and donate the following items to your neighbor: bread, pasta, rice, sugar, bagels, muffins, cookies, granola bars.  Don’t keep these things in your house right now.  They can derail you too quickly.  

So what should you be eating when trying to find your way back to your healthy and happy eating place? 

  • There is no trick here.  I want you to eat whole, live, fresh, natural, good quality “food”.  This means real food and not boxed or prepackaged foods.  
  • Eat your vegetables.  Eat them raw, baked, boiled, grilled, sautéed! 
  • Eat protein.  Eat chicken, beef, eggs, pork, fish, seafood.
  • Eat a small serving of healthy fat.  Eat avocados, nuts, seeds, olive oil, avocado oil.
  • Eat small amounts of berries. Eat raspberries, blueberries, blackberries and, strawberries.
  • Eat more mindfully.  Sit down and take the time to really think about your food.  Make a connection to it while you are eating.
  • Make your meals at home.  You have total control this way.  You will prepare your foods to be good for you and not only to taste good.
  • Sure, we all make mistakes. We all have weak moments.  We all have our nemesis.  It’s what we do after we have these moments that make ALL the difference.  I want you to dust yourself off and continue on your journey to health and wellness.

You’ve got this!!

FaceBook LIVE  3pm EST on Friday, May 24th.

 

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 high-quality specialized plant protein for bariatric patients Bariatric Expert Protein Powders

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

Mid Spring Bariatric Free Detox Menu Bariatric Edition

Detox? Why do I need a Detox?

  • Sometimes we need that little extra “push” to get back on track.  
  • Sometimes we are feeling low in energy.
  • Sometimes we are not feeling our best.
  • It’s time to shake things up and to start feeling our best. 

 

Food is medicine.  Food is our secret weapon.  Food is very powerful and the right foods can really help to create an overall feeling of wellness.  I want you to feel well, and powerful.  I want you to wake up in the morning full of energy and ready to take on the world.

This short detox plan is to help you to get back to a more natural way of eating.  It incorporates fresh vegetables, fruit, eggs, meat, fish, nuts, seeds, and healthy fats in order to cleanse your body of the packaged foods and the refined and processed carbohydrates.

You know what? You actually do not need a detox.  Detox is a “catchy” name but our body already knows how to detox itself and it does that on a 24/7 basis.  Our internal organs take care of this process and our external organ, our skin, also detoxes on a regular basis by sloughing off constantly.

When you hear the word “detox” it actually means the cleansing of our own blood.  This is when our body works hard to remove impurities from the blood.  All these toxins are processed for elimination to the liver, and we also use other organs like our kidneys and lungs for the detoxification process.

When you see me write the word “detox”, please think of it as “helping your organs out”.  You are encouraging them or giving them excellent fuel so that they have an easier job and they can do that job even better.  There are certain foods that your internal organs like and appreciate so that is what we will feed them on my 3-day bariatric detox plan.

We will eat only whole, live, fresh, natural, good quality food on the detox.  There are no prepackaged items.  If you are still feeling hungry, reach for vegetables, please.  You can eat them raw, boiled, baked, grilled or any way you like them.

By lightening up your toxic load, you are helping to remove obstacles for your body’s healing process.  We will remove cigarette smoke, alcohol, refined sugars and those things which are in the way and making your body work harder.

This is not a low carb diet. This is not a high-fat diet.  This is not a high protein diet.

This plan helps your body eliminate toxins.  Once you have completed your detox, you can move towards the food lifestyle of your choice, whether it be keto, paleo, south-beach, vegan, vegetarian, Atkins or something of your choice.  

This is a simple meal plan which includes real food.  Each day contains approximately 1,200 calories.

I want you to keep a food log and write down everything you choose to eat and drink.

  • Do not consume gum or breath mints, please.
  • Drink 64 ounces of plain water per day.
  • If you miss your coffee, you can have one cup of green tea or hot water with lemon.
  • Dry brush your skin before getting into the shower or bath.  
  • Exercise each day for a half hour minimum.  
  • Sleep 7-8 hours each night.
  • The more closely you follow this plan, the more effective it will be.

Try it and let me know how it goes – send me an email with your statistics pre and post detox.

Go ahead and download the detox HERE

FaceBook LIVE  3pm EST on Friday, May 17th.

 

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 high-quality specialized plant protein for bariatric patients Bariatric Expert Protein Powders

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

Get Serious About Your Health – Bariatric Edition

Here we are, the first week in May. We all survived the long winter and now is the time to get more active and to eat more healthy. We all go through good times and bad times when it comes to our diet but I find that most of us have an easier time during the Spring and Summer seasons. The farmer’s markets are opening up and we can find different varieties of our favorite veggies. We also have fresh seasonal veggies to choose from and the fresh fruit season is just around the corner now.

We also spend more time outdoors which means that we become more active. Our lifestyle changes and we start to see positive overall results.

Let’s take advantage this May and make it a month where we bump up our efforts to eat right and move more. Let’s look at May like a starting point where we make better choices and become serious about our daily nutrition. I know that many of you have an excellent diet and I salute you for that but there are many others who are struggling right now and they need some positive ideas and reinforcement to get out of their rut and move forward in a more positive light.

It is all connected. When we eat better, we feel better. When we move more, we feel better. Just by fixing these two things, we will also sleep better. Who doesn’t need better sleep? When we sleep better our moods are better. See how our life greatly improves! We need to find the place where we love ourselves enough that we stop thinking “I deserve that donut because I work so hard” and change that way of thinking to “I deserve to eat a salad with fresh veggies and organic chicken because I am worth it”.

Let’s make the decision to fill our fridge with whole, live, fresh, natural, good quality food. Visit your local farmers market and try this season’s latest bounty. Grab some raw nuts and seeds to snack on. Clean out all the processed foods from your pantry. Throw it away or if you feel bad about food loss, give it to a neighbor. Try some new dishes that are filled with veggies. Try new raw veggies. Treat yourself to something different. Don’t get stuck in a food rut. May is the time to expand our food repertoire.

I want you to get super serious about your diet this May. Plan on putting some thought and consideration about your latest goals and how you are going to achieve them. The weather is improving, the days are getting longer, we are moving more and we should be sleeping better.

Cheers to May and getting serious about our health and our goals.

FaceBook LIVE 3pm EST on Friday, May 10th.

 

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 high-quality specialized plant protein for bariatric patients Bariatric Expert Protein Powders

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.

Stay motivated with Bariatric Wristbands – post your results online!

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd

The Importance of Nutritional Support Post Bariatric Surgery

The journey does not end when you get home with your VSG.  The journey is just beginning.

This is a topic that is near and dear to me.  Half of my career was spent coordinating and facilitating for clients who wanted to have bariatric surgery in Mexico.  After I realized that our clients required more than just the logistics of surgery, I went back to school to become an RHN, registered holistic nutritionist.  I now do all the coordination, and logistics for our clients but I also work with them before surgery and post-surgery to ensure that they meet all of their short and long term goals.

We have an extremely well-rounded bariatric program. Our clients have all of our experience with coordination and facilitation as well as true nutritional support.  We don’t just give them a hand-out diet and tell them to follow it. We work with them on a bi-weekly and monthly basis requesting food logs and weigh-ins through emails and telephone calls.  Our clients let us know how much support they require and we work around their schedule.  

What I discovered along my 12-year journey working with bariatric clients is the importance of nutritional support.  Bariatric surgery is a wonderful thing. It is the tool that transforms lives and helps us to lose enormous amounts of weight and to get healthy again but what happens as time goes on?  How can we maintain those results? 

Once we have our weight loss tool, we need to learn how to truly use it and this is a life long journey.  The journey does not end when you get home from the hospital with your bariatric tool.  The journey is just beginning.

I know that clients can lose weight during their first year eating a diet that is let’s say “not so perfect” but what happens down the road?  I am here to tell you that if you do not make real lifestyle changes after your bariatric surgery, you will go back to where you came from.  If you continue to eat post surgery like you were eating before surgery, you will go back to where you came from.  There is a pattern here.  Real changes need to be made or you will go back to where you came from.

This is not to scare you into eating a salad but it’s to provide you with the information you need in order to reach your goals and also to maintain them. 

I want my clients to understand food.  We need to get educated about fat, protein, and carbohydrates.  We need to understand how many calories we should be eating each day. We need to learn about macro-nutrient balancing.  We need to understand portion control also.  

It’s not as easy as reading one book or reading a few blogs and deciding that you are “good to go”.  Food nutrition science is changing each day and we need to stay on top of it.  One day eggs are good for you and the next they are bad for you.  We need to take food science seriously if we plan on staying thin and healthy for the years to come.

If you are reading this blog, then it means that you care about your food decisions and that you want to learn more.  I salute you for that. It’s a very complicated arena but that is why I bring you updated blogs and videos on a weekly basis.  I want you to be able to fully understand your nutritional decisions.

We eat every single day.  We eat many times each day.  Why is it that we don’t really understand what happens to the food when we eat it and what it does inside our body?  That’s my job and intend to provide all of my clients with this type of knowledge.  “Nutrition Knowledge” is power and we need all of our power to stay healthy and happy moving forward in this journey.

Congrats on being here – you’ve got this!

 

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 high quality specialized plant protein for bariatric patients Bariatric Expert Protein Powders

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.

Stay motivated with Bariatric Wristbands – post your results online !

 

Gastric Sleeve Plush Toy Keychain $11.99usd

Gastric Sleeve Throw Blanket $19.99usd

Plush Toy Gastric Sleeve Recovery Fun Pillow $13.99usd