In This Issue
* Broken Cookies
* Use of Laxatives
* Vancouver Conference
* Which Side Are You On?
* Back on Track
* Recipe: Spicy Cauliflower Stew with Spinach
Story: Jerri Lynn Lyddon
Do broken cookies have calories? The
answer is a resounding, “Yes!” And how about free samples at
grocery stores? Those samples also have calories, and a lot!
I went to Costco on a Saturday
afternoon and entered the glorious world of free food. What is it
about free food that is so tempting? It is so hard to refuse it
when it is right there in front of you. The demo person is offering it, and
describing how good it is. There is also the crowd mentality.
Everyone is standing around, working their way in to get a bite.
How can you not get some for yourself?
In just one tour around the store, I
was offered chili, hot pockets, tortellini, Ghardelli triple
chocolate brownies, little pancakes with maple syrup, pita chips
with spinach/artichoke dip, bean salad with chips, chicken breast,
pears, edamame, and chicken nuggets. I have sometimes sampled
everything and said, “Well, I had my lunch,” but all of those
small bites add up to far more than lunch!
Here are some things you can do to
try to keep free-sample eating under control:
* Don’t shop when hungry
* Go through the entire store and
identify just one thing you would like to sample, and eat your
sample on your way out.
* Look at the nutritional information
for the food you are tempted to eat to fully realize how many
calories you might consume.
*Go shopping when there are fewer
samples. The worst time is Saturday afternoons. Shop much later
or during the week, and never at meal times.
I hope these tips will help you, so
that you don’t sabotage your good efforts.
Use of Laxatives
Constipation is a very common problem
following weight loss surgery. Initially it is difficult for us
to drink enough liquid, and not possible for us to get in enough
But as the months and then years pass, many
of us are still left with the problem. If you are sure you are
getting in at least 64 ounces of water per day, are eating
fruits and vegetables, and are still experiencing chronic
constipation, then it may be time to consider taking a laxative.
It is very important that you consult your
surgeon, or your doctor regarding the use of laxatives. But
here is some information regarding laxatives that you can consider
prior to seeing your doctor.
Surgeons are generally divided about the kind
of laxative that patients should take. There are osmotic, bulk and
stimulant laxatives. Here is the difference among the three.
Osmotic Laxatives such as Miralax
increases the amount of water secreted within the intestines; and
Lactose helps when microbes in the intestines are fermented
causing fatty acids that pull water into the colon. An example is
Bulk Laxatives use fiber to soften stools and stimulate
bowel movement. Examples are Metamucil, Fiberall and Citrucel.
Bulk laxatives are the safest laxative to use and can be used
longer than other types of laxatives. These laxatives contain
fiber or fiber like products. However, it is best to get your
fiber from food since food has a balance of all nutrients your
body needs. Bulking laxatives can be used for mild cases of
constipation. Use them with plenty of water so the bulking
material does not expand in your throat or cause a back up in your
colon. Using an excess of bulking products daily can cause the
problem you are trying to eliminate - constipation.
Stimulant Laxatives One thing all
surgeons agree upon is that stimulant laxatives should be
avoided. These laxatives work to speed up the muscle movement of
the colon. Examples of these are Docolax, ExLax and Senokot.
There is a real threat of dependence with stimulant laxatives.
These should be used only on a short term basis, no longer than
doctor will best be able to determine which if any laxative is
right for you.
Victoria, BC Conference
On Saturday March 28th, I will be
speaking in Victoria, British Columbia, Canada for the British
Columbia Association of Bariatric Advocates. Go to
for more information about this conference
and to register.
Hope to see you there.
What Side Are You On?
I participated in a teleseminar on March
9th regarding imposing a tax on sugar sweetened beverages. For
ease of writing this article, I will refer to this as a soda tax,
but it really is a tax on all sugar sweetened beverages.
The greatest concern regarding the
consumption of these beverages are those consumed by children. The
consumption of soda has now surpassed the consumption of milk. It
is estimated that the consumption of sugar sweetened soda
comprises 15% to 20% of calories consumed by children. This has a
definite impact on their health in terms of obesity
Caffeine and sugar in high amounts in
these beverages are addictive and are being marketed through these
sodas, directly to children. Studies have shown that liquid
calories fool the brain into thinking that you are not as full as
when you consume the same number of calories from solid food.
Therefore liquid calories are far worse than even the calorie
content would imply.
There is a proposal that is being put
forth by the Rudd Center of Yale University which is to levy a tax
of a penny per ounce for any beverage with added sugar, or to
place a limit on the amount of sugar in a beverage. The revenue
from this tax would be used for obesity prevention programs.
Studies by economists indicate that a
1 penny per ounce tax would result in a decline in consumption of
between 10% and 23%. Over 10 years this would reduce the health
care cost of obesity by $50 billion and over 10 years raise
revenue for obesity programs of $150 billion.
The beverage industry, although
recently agreeing to phase sugar sweetened soda out of schools,
continues to include logos on school score boards and vending
machines. There are product placements on TV shows (American Idol)
and social networking websites. The beverage industry continues to
market to children.
Many Local and State governments are
considering this legislation. The Yale Rudd Center has legislative
information on their website
http://www.yaleruddcenter.org. Look for Legislative Updates on
the navigation section on the left and you can search to see if
there is pending legislation in your area.
Counter arguments by the beverage industry include:
* Many things drive obesity,
not just the consumption of sugar sweetened soda. This is
true, but a reduction in consumption would help.
* A tax won’t solve the problem
of obesity. True, there are many things that have to happen, but
we can’t be paralyzed into inaction because this won’t solve it.
* Consumption is down but
obesity is up. False. The consumption of carbonated beverages is
down; however the consumption of other sugar sweetened
beverages is up.
* A calorie is a calorie.
False. Studies show that liquid calories fool the body into
thinking that it has not consumed enough.
* The science is not clear.
False. The science is clear. Studies funded by the beverage
industry are the only studies that are contrary.
* People will lose jobs, such
as truck drivers. False. The beverage industry will just start to
market beverages low in sugar and truck drivers will be just as
* How about personal
responsibility as opposed to industry responsibility. Personal
responsibility is important; however it is better for people to
exercise personal responsibility in a healthier environment.
Experts in the field caution against a tax because:
* This might be the beginning
of the “food police” and salt or fried foods might be taxed next.
* There is concern that the
obese would be blamed and resented for being the cause of this
* The tax would unfairly target
the poor since the tax would be the same for the rich as for the
* The tax could be circumvented
by people going to other communities or States.
The question is where do you stand on
this issue? Do you think that a tax on soda would reduce obesity,
especially in children? Even if the tax doesn’t improve obesity,
is the tax warranted to fund obesity programs and to reduce the
cost of produce in poorer neighborhoods or to subsidize grocery
stores coming into these neighborhoods?
Please let me know how you feel.
Email your thoughts to me at
1 tablespoon olive oil
3 tablespoons minced fresh ginger
3 cloves of garlic, minced
2 carrots, cut into 1-inch pieces
1 medium head cauliflower, cut into florets (about 6 cups)
¾ pounds small red potatoes cut into ½ inch chunks
1 cup chicken or vegetable broth
2 teaspoons Dijon mustard
6 cups coarsely shredded spinach
2 ounces crumbled feta or goat cheese
¾ teaspoon salt
½ cup plain nonfat yogurt
2 tablespoons flour
In a nonstick Dutch oven or large saucepan, heat
the oil until hot on medium heat. Add the ginger and garlic and cook,
stirring frequently, until the garlic is softened, about 4 minutes. Add
the carrots, cauliflower, and potatoes and cook stirring frequently,
until the carrots are lightly browned, about 5 minutes.
Stir in the broth and mustard and bring to a boil.
Reduce to a simmer, cover, and cook until the vegetables are tender,
about 15 minutes. Stir in the spinach, cheese, and salt, and cook,
uncovered just until the spinach has wilted, about 4 minutes.
In a cup, stir together the yogurt and flour. Stir
the yogurt mixture into the vegetable mixture and cook, stirring
constantly, until the mixture is slightly thickened, about 1 minute
longer. Divide the stew among 4 bowls and serve.
Makes 4 servings.
Nutritional value for each serving:
calories, 2.7 grams fat, 37 grams carbohydrates, 12 grams protein
If you have a recipe that you would like to share in future issues of
this newsletter, please send it to me at
I would like to thank Jerri Lynn
Lyddon for sharing her success with us. Although Jerri
didn’t qualify for weight loss surgery because of her
weight, she had the surgery to correct acid reflux. Here is
I have read your book, cover-to-cover. It's really VERY good,
and I like the way it is written in "layman's" terms,
so that I can understand it!
I have been battling acid reflux for
about 25 years. It had gotten so bad that my surgeon
recommended roux-en-y gastric bypass surgery. He stated
that by making the stomach so much smaller, there would be
far less chance of the acid reaching my esophagus. My acid
reflux had gotten so bad that no amount of medicine was
helping; and I had to sleep in a recliner!
Although I was overweight, I wasn't
enough overweight to be eligible for the surgery for
weight reduction reasons. However, the extra weight was not
helping my situation any. At any rate, I am 15 months
post-surgery and have lost 80 lbs. I started at 204 lbs and
now weigh 124. I have been at my current weight for about
two months and have had no reoccurrence of the acid reflux.
Needless to say, I am so glad I had the surgery. And, as
you well know, one of the side effects of the roux-en-y is
weight loss. I have gone from a size 18 to a size 2!! My
husband absolutely loves it, as do I. For the first time
since my children were born, I love to go shopping for
myself. It's such a pleasure to try on clothes and have
them look good.
I really enjoy your newsletters. The
success stories are so inspiring. You also have such great
tips, and the question and answer section is awesome. I
thought I would purchase your book as I do not want to gain
the weight back. I feel younger at 53 than I did at 43! I
am running 5 to 6 miles, 6 days a week, something I never
thought I would ever be able to do. I have plenty of energy
to play with my grandkids, ages 3 and 16 months. It's
amazing that 80 lbs can make that much difference in how
well I feel.
Please keep up the good work, and keep
those newsletters coming!
Jerri Lynn Lyddon
Congratulations Jerri Lynn
Permission to Reprint
|You may reprint any items
from this newsletter in your own print or electronic newsletter. But
please include the following paragraph:
Barbara Thompson’s free newsletter featuring helpful information and
research material to help patients succeed following weight loss
Did someone forward this newsletter to
you? Would you like to receive your own copy?
simple! Just go to
scroll down to the subscription form.
If you like this newsletter, please pass
it on to your friends and family and have them
subscribe to receive their own copy.
Do you want to
unsubscribe? Go to the bottom of this email and
click the unsubscribe link.
You will be automatically deleted.
If you have any problems with this
call our office toll free at (877) 440-1518.
Copyright © 2000-2013 Barbara Thompson All Rights Reserved