October 29, 2008

Conversations on Pregnancy After Weight Loss Surgery

Filed under: Protein, Reflections, Doctor's Corner, Recipes, Nutrition — The Focus28 Team @ 10:00 am

I had weight loss surgery and now I would like to become pregnant. What do I need to know?

Most weight loss surgery programs recommend that their patients not consider becoming pregnant until they are at least one-and-a-half years past the date of their operation. The goal is for patients to be at a stable weight before conceiving. This time frame can help decrease the risk of complications for your child, while also helping you to reach a healthier weight before conceiving. Depending on the surgery you had, meeting your nutrition needs may take some time. If you had lap band surgery, you may want to discuss with your surgeon the possibility of removing some or all of the fluid from your band. You are in charge of taking care of you and your body to help create a healthy environment for your baby to grow in.

Is it safe to have a baby after having weight loss surgery?

Many women are concerned about the safety of having a baby after having had a weight loss operation. Most studies show favorable outcomes. Some studies even show that its healthier to have a baby after bariatric surgery than before, based on comparison data from women who have had pregnancies both before and after their operation. It makes sense that going through a pregnancy at a healthier weight has benefits.

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October 11, 2008

Focus 28 Weight Loss Program

Filed under: Protein, Lisa Avellino - Focus28 Fitness Expert, Nutrition, Focus28 Experts Blog — Lisa Avellino @ 9:00 am

 

Recently, I was asked “How much weight could I expect to lose on the Focus 28 program?”  And this is the answer I forwarded:

In regards to your question about how much weight should on expect to lose on the Focus 28 Weight Loss Program; the answer depends o many variables.  First, let’s consider the number of calories one must deplete themselves of to lose 1 pound….3500!  That’s a pretty scary number.

 

If of course, you exercise every day and burn 300-500 calories during your workout, and follow our program that will increase the number of pounds you will lose.  It is recommended to walk 10,000 steps per day.  However, if you are not in the habit of walking, or simply cannot do it, build it up slowly.  Generally speaking, it is recommended to lose about 2-2.5% of your total body weight per week.  If you weight 200 pounds, then you would expect to lose 4-5 pounds per week.  As you lose weight, the number of pounds lost per week is expected to go down.  Of course, there are several ways to speed up your metabolism and increase your total daily caloric output.  As you know, the basic equation is calories in, calories out.  When you do resistance training exercises, you will increase your lean muscle mass.  Remember, muscle burns calories and fat does not.

 

So, as you lose weight, you want to be sure to add basic, slow resistance training with daily walking to give your body every advantage to continue to lose, until you get to your goal weight, then, continue on your maintenance.

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October 9, 2008

Would You Like it on Wheat or White?

Filed under: Protein, Reflections, Doctor's Corner, Recipes, Nutrition — The Focus28 Team @ 9:00 am

Note: If you are early postop, you should be focusing on foods appropriate for your diet advancement stage. Grains may not be included in your diet protocol at this time. If this is the case, this information will be important for you when you introduce grains. 

In the Research section of this issue of the Silhouette, Dr. Buffington discussed the importance of consuming whole grains to assist in losing and then maintaining weight loss. So you may be wondering, where to find whole grains.

Whole vs. Processed Grains 

                   Whole Grains  Processed Grains
amaranthbuckwheatbrown rice

corn

oats

millet


quinoa

ryespeltwheat

white wheat bread

whole grain bread & crackers

whole wheat pancakes

whole wheat pasta

bagelscorn flakescrackers

most cereals

pasta

pancakes 

pretzelswhite bread                  waffleswhite rice
       

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September 29, 2008

To Snack or Not to Snack…That is the Question

Filed under: Protein, Nutrition, Focus28 Experts Blog — Sharon Zarabi @ 9:00 am

 

From apples to oranges, Cheetos to 100-calorie snack packs, protein bars to protein shakes, there are a wide array of snack items to choose from.  Many of my patients are confused when they read through their education packets that they must stick to three fixed meals per day following weight loss surgery.  This contradicts preceding weight loss tips of six small meals.  The patients come to me frantically looking for answers. 

 

The Random House dictionary defines a snack as “a small meal eaten between regular meals.”  Breaking it down even further as suggested by many research journals, the concept of snacking is not uniquely defined, and can actually fit in two classes. 

Snacks can be regarded by their quality and composition.  High quality snacks are those composed of high nutrient value, representing a good source of vital nutrients such as carbohydrates, protein, or unsaturated fats.  You might see these food items as part of the The New Food guide pyramid (www.mypyramid.gov).  Examples include fruits, vegetables, and proper servings of carbohydrates and nuts.  Low quality snacks, which account for most packaged items are low in nutritive value and higher in calories, include candies, chips and cookies.  In this case it’s what you eat, not when you eat, that is the issue. [i]

 

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September 21, 2008

Squash Into Fall

Filed under: Protein, Recipes, Nutrition — The Focus28 Team @ 9:00 am

Did you know the best produce to use is the one that’s in season? Produce in season is packed with nutrients, tastes the most delicious, and is the least expensive! A group that’s unfamiliar to a lot of us is squash. These include pumpkin, butternut, acorn, spaghetti, zucchini, and yellow squash. They are everywhere in the fall….but what do you do with them? Before trying some recipes that will make you want to “Squash into Fall,” brush up on the great things squash does for you and your patient’s bodies! Once you “Squash into Fall,” you’ll never want to return!
 

1.       Fiber…your body’s broom! Squash is packed with fiber, the nutrient shown to help lower cholesterol and fight colon cancer. Hiding pureed squash into recipes is a great way to increase the fiber without anyone knowing it.

2.       Vitamin A…gear up the immune system for winter! Pumpkin and butternut squash are especially high in beta-carotene; a precursor for vitamin A. Vitamin A can also be identified as the “anti-infection” vitamin, because it plays such a large role in boosting the immune system.

3.       Omega 3s…it’s all about the seeds! Pumpkin seeds, also called pepitas, are high in the essential fatty acid, which is good for the brain, heart, and eyes. They can be easily toasted, and flavored with any spice from cinnamon to curry. Most of us forget about this squash byproduct that’s packed with nutrition!

Cozy Curried Pumpkin Stew by Flourish
Serves: 16 – 20 (4 oz portions)

This is a favorite fall stew packed with nutrients, and brewing with flavor. To make it festive, serve it in a hollowed-out pumpkin. Bring on autumn!

1 onion, diced
1 large carrot, shredded or minced
2-3 cloves garlic, minced
4 boneless skinless chicken breasts, cubed
1 can diced tomatoes
2 cups pumpkin puree
2 cups chicken broth
1 can fat free evaporated milk
½ c frozen or fresh corn
½ c frozen baby lima beans
1 can chick peas (garbanzo beans), drained
¼ cup chopped green onions
1 Tbsp curry powder
1 tsp cumin
2 Tbsp Splenda 
 

In a large Dutch oven, combine onion, carrots, ½ Tbsp curry, and chicken on medium-high until chicken is cooked through and onion is translucent. Salt and pepper chicken after adding to Dutch oven. Add rest of ingredients in order. Heat until simmering. Salt and pepper to taste. Serve warm. If stew gets too thick, thin it out with a little more chicken broth.

Nutrition Facts: Serving Size: ½ cup; Serves: 16 – 20; Calories: 115; Protein: 16 g; Carbohydrate: 8 g; Fat: 2 g

Spaghetti Squash for Two  by Flourish
Serves: 2
The concept of spaghetti squash may seem a little odd, but it is one of our favorite lunches. There is no mess, because you eat it in its own nature-made bowl. What more could you ask for?


          1 small spaghetti squash
          2 tsp Brummel & Brown® Spread (or I Can’t Believe Its Not Butter Light®)
          1 ½ cup spaghetti or tomato sauce
          ¼ cup textured vegetable protein (TVP)*
          4 Tbsp Parmesan cheese
          salt
Cut squash in two lengthwise. Scoop out seeds and pulp. Microwave on high for 5 minutes or until squash is fork-tender. Squash should easily be pulled away with fork into spaghetti strings. While squash is cooking, heat spaghetti sauce in small saucepan on medium heat until hot. Remove from heat and stir in TVP. Season each squash half with 1 teaspoon Brummel & Brown® spread, and ½ tsp salt. Add ¾ cup of sauce mixture to each squash half, and top with 2 Tbsp Parmesan cheese each. Enjoy spaghetti squash in its nature-made bowl!What is TVP? It’s defatted, dehydrated soy flour. Sounds delicious, right? Well the best thing about TVP is its super-high in protein and fiber, making it a Bariatric superfood! It comes dry, and when you add it to a liquid, it reconstitutes and takes on the flavor of whatever it is in!Nutrition Facts: Serving size: ½ squash; serves: 2; Calories: 165; Protein: 13 g; Carbohydrate: 21 g; Fat: 4 g
 
Pumpkin Ricotta Mousse by Flourish
Serves: about 6-8 (1/2 cup portions)

Pumpkin Ricotta Mousse is a light, creamy dessert, which is good for you, of course! The Chinese Five Spice adds layers of flavor, while the addition of ricotta cheese increases the protein, and makes this dessert perfect for new post-ops, but delicious for everyone!
          1 cup low-fat ricotta cheese
          1 cup pumpkin puree (such as Libby’s®)
          2 Tbsp sugar-free, fat-free white chocolate instant pudding mix
          2 Tbsp Splenda®
          ½ tsp Chinese Five Spice
          1 tsp ground cinnamon
          1 1/3 cup frozen sugar-free whipped topping, thawed
In a food processor or blender, blend ricotta and pumpkin until smooth. Add pudding mix, Splenda, Chinese Five Spice, cinnamon, and 1/3-cup cool whip. Process until well blended and smooth. Remove from food processor, pour into medium bowl and fold in the final cup of cool-whip. Refrigerate until ready to serve.

Serve in parfait glasses; Top with a dallop of whipped topping and a sprinkle of toasted almonds and cinnamon, if desired. Tastes like fall!

Nutrition Facts: Serving Size: ½ cup; Serves: 6 – 8; Calories: 51; Protein: 3.5 g; Carbohydrate: 6 g; Fat: 2 g

By Annessa Chumbley, RD



September 12, 2008

Summer Salsa

Filed under: Protein, Recipes, Nutrition — The Focus28 Team @ 9:00 am

The warm weather is here and so are fresh ingredients to make a salsa. Salsas not only add flavor but they also add vitamins and minerals. Whether topping chicken, fish or seafood, salsa will be your trick to add moisture and zest.

Garlic Salsa with Cilantro

Servings: 8 

3 large tomatoes, cut into pieces

2 tomatillos, cut into pieces

½ small onion, cut into small pieces

4 cloves garlic, peeled and left whole

¼ bunch cilantro, chopped

½ tsp cumin

2 limes, juiced

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August 21, 2008

Fast Food Restaurants. Are They Affected by the New Laws? Or Will They Soon?

Filed under: Protein, Lisa Avellino - Focus28 Fitness Expert, Nutrition, Focus28 Experts Blog — Laura @ 9:15 am

     The other day I went out to dinner with another couple for dinner. I was really surprised when my friend said, “I just went to Starbucks and did not buy my typical drink”. She said the drink that she often orders twice a day has more than 400 calories and 30 grams of fat. Might I add that it does not have protein or fiber, it’s high in caffeine and costs more than $6 a cup. I was surprised because she was a perfect weight and height, and healthy and fit. The reason I was shocked was because she said I am not willing to give up real food for a drink I thought did not count. She said she was not willing to exercise harder to burn off the 800+ calories and that she was unaware of the caloric responsibility and commitment to such a fun beverage. So, in this case, the new law caused 1 customer to re-think the urge to splurge-just like a hot plate– hands off.  Imagine if the cup itself had a printed label that read-if you drink this you must power walk on the treadmill for 3 hours today! Ouch! That might be a hard sell. 

     So, once again, if fast food is what you desire than why not just make a different choice. Focus28 (http://www.focus28wellness.com/food-and-diet-products/) offers take along (on-the-go) packets of low calorie, high protein chocolate, vanilla and strawberry shakes (just add water), vanilla and chocolate ready to drink shakes, and for those coffee lovers, cappuccino drink, and of course a healthy protein bar, soy nuts or pudding packet are also available.  You can think of these as fast food, because it takes no time to prepare. A low calorie, high protein on-the-go snack, what better kind of fast food is that?
    Now I understand why the fast food giants lobbied to prevent the listing of calories on the big board when you order. Happy snacking everyone! Go ahead and splurge, just splurge consciously, responsibly and think and read the fine print first!!! 

Visit USA Today for article regarding fast food chains (http://www.usatoday.com/news/health/weightloss/2008-07-18-calories-menus_N.htm)

Lisa Avellino

Focus 28 Fitness Expert

www.focus28.com



April 6, 2008

Tips for Selecting a Protein Supplement

Filed under: Protein, Nutrition — The Focus28 Team @ 10:22 am

For the first six to eight weeks after surgery, your daily food intake may consist mostly of high protein sources like meat, fish, dairy, beans, soy, etc…as well as fluid. Protein intake is definitely important to help speed the healing process, maintain energy level, and prevent excess loss of lean body mass. However, as time goes on and as you are able to consistently meet your protein goals (as per your healthcare facility and dietitian), it is important to slowly introduce grains, fruits and vegetables into the mix.

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