May 2018 - Bariatric Food Expert

Bring to the table win-win survival strategies to ensure proactive domination. At the end of the day, going forward, a new normal that has evolved from generation.
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May 28, 2018by admin0

I hear a lot of chat about bougie sizes and which size is best.  Clients worry that their surgeon may have used a bigger or smaller size and this can cause a lot of anxiety and worry among the weight loss surgery community.  Bougie sizes come in these measurements/ 32, 34, 36, 38, 40, 46, 60.   The measurement is like a guide that the surgeon uses to see how tight the sleeve will be.  The bougie is placed into the oral cavity – passed through the esophagus and down to the end of the stomach where it meets the pylorus.  When the surgeon is finished with the sleeve part of the surgery, the bougie is then removed again the same way and this may be the reasoning why some bariatric patients have a sore throat when they wake up.  

Many surgeons today will do a sewing line over the staple line which can also make the sleeve a bit tighter in some cases.  You can compare the different size of the bougies to the size of a regular Bic pen to a highlighter marker.  They are both the same shape and length but the highlighter is a bit thicker.  The most standard of bougie sizes are 32.  Surgeons should be open to discuss the bougie with you and explain their rationale as to why they prefer one size of bougie over another.  The good news is that it seems that bougie sizes after 3 years don’t make any real difference.  

Before VSG surgery, a stomach will hold around 32 to 48 ounces.  That’s 4 to 6 cups of food that fits into a regular stomach.

After VSG surgery, a stomach will hold 1 or 1.5 cups of food during a meal.  That is also the amount of food a VSG patient will be able to hold many years post surgery and possibly for life.  You will not be able to stretch out your stomach anywhere close to its original size.  Of course it will be up to the VSG patient to choose their foods wisely because even with a small stomach, weight gain can occur.  It will always depend on what types of food are being introduced into the sleeve.  Crunchy, slider type foods like crackers and cookies are a sure fire way to fill up the sleeve with high caloric low nutrient foods which are high in refined carbohydrates and sugars.  This will lead eventually to weight gain.

Depending on the type of food eaten, a fully matured sleeve will be able to hold 8 – 12 ounces of food at one seating.  It’s important that the food choices you are making are based on real, live, whole, natural, good quality food.  Eat your protein and vegetables first with a small serving of healthy fat.  Don’t eat refined or processed foods. Remember, your journey to health depends always on the choices you make.  I urge you to make healthy choices in order to reach your goals and maintain them.

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 !


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May 8, 2018by admin0

What do you feel when you have had a bad week with regard to weight loss or maintenance post bariatric surgery ?

I am talking about the kind of week where the scale stays stuck or goes up by a pound ?

Probably you are like most of us and you start blaming yourself. 

You believe it’s due to missing your workout last Thursday.

Or it is because you may have cheated by having that glass of wine with your best friend.

Or it is because you just were not following the rules close enough.

When it goes like this you begin to believe that you just aren’t cut out for this and you begin to question your commitment.

If you were more committed you would be seeing better results right ?

But that just isn’t true.  My definition of commitment is sticking it out for the long run – it doesn’t matter about the results you see at this very moment.  It’s about doing something each and every day to work towards your health goals.

That means that if the scale didn’t move this week it is not because of your commitment. That commitment doesn’t depend on only results.  It is a big decision to do what needs to be done to see you healthy and happy – REGARDLESS of what the scale says today.

Some days are going to be harder than others.  That happens.

I want you to know that I know how hard you are working to reach your goals and I know how truly committed you are to this process.

Keep on keeping on and moving forward through this journey.  You are going to achieve your goals. 

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 !


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May 3, 2018by admin0

Diet culture is a system of meanings, values, and knowledge that supports interpretations of personal health choices as moral character.  Got it ?  Now let’s break it down.

Sometimes it becomes more important to talk less about what we eat and more about how important it can be to shift expectations and diet mentality post bariatric surgery to be truly content.  Sure, the body goes through a ton of change post surgery without a lot of work in the beginning but the real work is making the mental changes.  Your had your stomach operated on, not your head.  Can you get what I am trying to say ?

Now is the time to make peace with food and move forward to a place where you are not focused only on calories and macronutrients but you evolve to a place where you think more about moderation and flexibility and your new WOE *way of eating.  Making that mental change can be difficult but let’s talk about how we can get to a place where it is less complicated.

“I exercise because it makes me feel good and not only to burn calories”

If you just exercise and watch your fitbit to see how many calories have been burned instead of focusing on exercising for your health and how good it makes you feel, then you are going to burn out and hate exercise very soon.  Call your exercise time your self love time and take care of you.  Don’t make exercise a forced thing.  Move to the place where you can truly enjoy your exercise time.

“I enjoy practicing moderation and flexible dining”

Are you always counting calories? Are you always hungry ? Do you feel bad or guilty about the choices you make in the kitchen ? Are you constantly on a diet ?  If you are, you will grow weary and fatigued of the “diet mentality”.  We need to work past this place and not be at war with food.  

I know it’s not easy after a lifetime of dieting mentality but let’s make the steps today to try to be at peace with food. Breaking up is hard to do.   Don’t be so hard on yourself and remember, it’s 80/20 – 80% of the time we are working to make good food decisions and the other 20% of the time we can be “not so perfect”.  

Reach out if you have questions and congratulations for putting yourself first.

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 !