Question:
Scrambled egg test...

I did the scrambled egg test this morning. First, I must say that I only like to eat eggs on MY terms...meaning, I have to be in the mood for them. I was not in the mood for them this morning, but wanted to do this test. Second, I should say that I am 13 months postop and down 170 pounds. I made 3 eggs scrambled and when measured it was 1 cup. I ate all of them in the span of about 15 minutes. I did have to stop after 10 minutes and wait a minute or two before finishing them. I am not stuffed, but do not feel hungry either. Is this normal? Also, within 5 minutes of finishing them, I was in the bathroom with diarrhea. What are your thoughts there? I had my gallbladder out in March and I know things tend to "run through" people more than they did before gallbladder removal, so I don't know if it is related to the gallbladder removal, or the fact that my pouch couldn't tolerate that many eggs. I remember when I was 2 months postop and could not even finished ONE scrambled egg. I probably could eat something else right now if I wanted to, even after having eaten 3 scrambled eggs, but now after having eaten them I feel sick--like they are stuck in my throat. Not the same kind of sick I used to feel right after postop, but still sick nonetheless. And it has been my experience that when I have diarrhea, i.e. "dump", I seem to be ready to eat again right away. Is that normal? I'm just so afraid I've stretched out my pouch. Any help would be appreciated! Thanks.    — ALafferty (posted on August 26, 2008)


August 26, 2008
I have read that people with the pouch are not only sensitive to sugars but also to fats. Eggs have fat. Also, I believe the volume of eggs might have been an issue even though you measured them. If you still have one, it might be time to consult a nutritionist.
   — cydthekid50

August 26, 2008
You were pushing through the eggs and that is the reason you feel like they are in your throut. The real amount of eggs you ate without the air is what the three eggs measured before you cooked them and that was less than 1/2 cup. I will give you the information here for the 5 day pouch test, if you want to try to get back to the right after surgery feeling on your pouch and slow down the amount you can eat confortably. 5-day Pouch Test 5-day Pouch Test I beleive was developed by a WLS patient by the name Kate Bailey and used to determine if her pouch was working and go back to that tight newbie feeling we all had right after surgery. As a bonus to this plan, it helps one get back to the basics of the weight loss surgery diet and it triggers weight loss. Also, it is not difficult to follow and if you are in a stage of carb-cycling it will break this pattern. Sounds pretty good, right? Here we go! Days One & Two: Liquid Protein The first two days are all liquids. You can have as many low-carb protein shakes as you like to satisfy hunger or cravings. In addition drink at least six 8-ounce glasses of water each day. The purpose of all liquids is to break any snacking, grazing or processed carbohydrate habits. In addition the liquids will work to cleanse your system and prepare you for the following three days. Try to reduce your caffeine intake as well, but do not stop caffeine cold turkey or you will feel sick and frustrated potentially losing the desire to continue with the pouch test. If you notice symptoms of carbohydrate withdrawal you can eat a small piece of melon or an orange. You can also try a dose of Emergen-C which should reduce headache, dizziness or cramping from carbohydrate withdrawal. The next three days you get to eat as much as you want as often as you want! Ahhh, but there's a catch: it has to be solid protein and you only get 15 minutes each time you sit down to eat. Day 3: Soft Protein Protein Recommendations: canned fish (tuna or salmon) mixed with lemon and seasoned with salt and pepper, eggs cooked as desired seasoned with salt pepper and/or salsa, fresh soft fish (tilapia, sole, orange roughy), baked or grilled, and lightly seasoned. This starts your program with "soft" protein. Measure your portion (1 cup volume or 4-6 ounces weight) and eat only until you feel full, not overfull. Remember, no water for 30 minutes before or after you meal, and no fluids with your meal. We are going back to the beginning and fluids will prevent you from feeling the pouch. If you need to add a bit of Miracle Whip or mayonnaise to the canned fish I understand, but keep it to a minimum so the meat is not too moist. One reason we lose the sense of tightness in our pouch is that we eat "slider foods" - foods that are too moist and do not stay in the pouch very long, they slide right through the stomach. Day 4: Firm Protein Protein Recommendations: ground meat (beef, turkey, lamb) cooked dry and lightly seasoned, shellfish, scallops, lobster steamed and seasoned only with lemon, salmon or halibut steaks, grilled and lightly seasoned. By now you should be experiencing that familiar tightness that will reassure you that your pouch is working. Remember to drink plenty of water between meals. Take some time to meditate and rediscover the wonder of your pouch. Often we do not like that uncomfortable tightness of the pouch, which is why we gradually move toward slider foods that don't make us uncomfortable. It is always my preference to eat moist protein so I do not get uncomfortable, but this allows me to consume more than I should. Rediscovering the pouch with this 5-day plan reminds us of how the tool really works. Hope by now you are rediscovering your tool and enjoying the hope and excitement because your pouch still works. A word about constipation: A shift to high protein diet often results in constipation. To relieve this you may try adding a fibrous fruit snack to your morning and a fibrous vegetable snack in the afternoon. Fruit suggestions are apples, berries, apricots, cantaloupe or oranges. For vegetables try leafy greens, zucchini, cucumbers, spinach, summer squash or string beans. Day 5: Solid Protein Protein Recommendations: white meat poultry cooked dry and lightly seasoned, beef steak (if tolerated) grilled or broiled. Remember to chew chew chew. Measure your portion (4-6 ounces) and eat only until you feel your pouch tighten. Remember, only 15 minutes per meal, so you will have to work fast to chew your food completely. By now you should be out of any carb cycle you were in and perhaps you have lost a pound or two. You will have new confidence in your pouch and your ability to work the tool for your health and emotional well being.
   — William (Bill) wmil

August 26, 2008
I think the fat in eggs is what got to you...Fat gets dumped like sugar for many of us. Unfortunately though your body grabs on andholds the calories though! So eating lean is a double benefit! After the honeymoon period it's easy to continue eating beyond your limit. The trick is to NOT do that! If you aren't gaining weight, don't worry so much...Just keep track of what you eat. Now might be a good time to start weighing your portions so you know that you don't "need" more and it's just head hunger. Keeping a food journal also helps keep you in line. If you know what your eating habits are...you will see where you can cut back if you need to...It's often just a few hundred calories to tweak your diet and stay in a good maintenance place. When I eat from a bag or box...I always measure one serving and put in a bowl or plate and put the box away...If I took the box with me and ate out of it...I have NO control. I don't know where to stop...Taking one serving often proves to be a PERFECT amount and I know how many calories are in whatever i just ate.These are good habits that keep the bad ones in check! Don't eat til you are full...but pay close attention to when you are satisfied or no longer hungry...After your 30 or more mintes pass...drink a large water or SF drink and you'll be quite content...If not just pour another water or have a small fruit or salad with Low cal dressing...Salad Spritzers are WONDERFUL for 1-2 calories a spray! I was quite surprized that a low cal spray could pack all that flavor! AMAZING! Good stuff! I love Ken's Lite dressing's too...Lite Asian is sooooo good...as well as the lite Balsamic...
   — .Anita R.

August 26, 2008
Thanks to those who answered. Bill--thank you for your lengthy response; hoewver, I feel it was in vain since I read the "day 1" pouch test. I will NOT under ANY circumstances drink protein shakes!!!!! I HATE THEM! I did not even really drink them immediately postop. I think they are the most DISGUSTING thing ever invented!!!! I was torn about doing the scrambled egg and/or cottage cheese test too because I really do not care for either of these either! I wish there was another way to do these tests with some more appealing foods and/or drinks. Thanks again for the replies!!
   — ALafferty

August 26, 2008
Anya, I know you say that you hate protein shakes and I do not want to waste your time if you're not willing to try ... But I have a suggestion ... I am not a fan of protein shakes, either. I like Muscle Milk, but only the pre-mixed shakes and they're too expensive. The other day a friend suggested that I try almond milk instead of soy (I don't like soy, for one thing, and the other problem is that it's apparently very chemically altered and not always very good for you). So I bought the almond milk and a canister of Designer Whey chocolate protein powder (only $11.99 at Trader Joe's) ... I *love* this combination! It tastes incredible with the almond milk. My only suggestion is to add about an extra ounce of the almond milk - it thins out the shake a bit and makes the consistency a little easier to get down.
   — lauren_marie

August 27, 2008
I do the cottage cheese test. It was created by Dr. Latham Flanagan. He was also my surgeon, so I have the test and how to do it, if your interested, let me know. With the cottage cheese test, your only eating for the first 5 minutes. Anymore time than that and your already digesting the food, and it's not an accurate result.
   — Pamela C.

August 27, 2008
Regular eggs make me sick too. I use Egg Beaters and they go down much easier without the after effects of nausea. I also eat a piece of dry toast with mine. I am 4 months post-op & I can hold one single serving container of Egg Beaters, which is suppose to be equal to 2 eggs. I had my gall bladder removed several years ago and I had diarrhea constantly for many, many months. It now comes & goes but this is a common issue with the removal of the gall bladder. Good Luck!
   — AprilJM

August 28, 2008
All of the food based "tests" are notoriously inaccurate and largely useless. If your pouch is stretched, then you would need to practice greater portion control or have it surgically repaired-- but only an endoscope could really determine that. If your pouch is not stretched, then testing its limits doesn't serve any purpose either, particularly because given your great results you are obviously following your program and practicing remarkable portion control and wise food choices. As for your concern about the "test" stretching your pouch, it is almost impossible that one experience as you describe could cause stretching, especially after more than one year after surgery. The best advice I'd give is to forget about testing your pouch and see your surgeon if you have symptoms to suggest that it might be stretched.
   — SteveColarossi

August 28, 2008
I'm a little over 2 yr. out from RNY surgery. I can eat most any of the foods I've always liked (in MODERATION now, of course) except scrambled eggs. For some reason, I will experience the dumping syndrome soon after eating scrambled eggs. Other egg preparations are OK but scrambled is O-U-T for me. Just one of those things. I can live on happily without scrambled eggs in my life anyway. BTW, "taking a dump" (diarrhea) is not the same thing as "dumping" that gastric bypass people experience.
   — [Deactivated Member]

August 31, 2008
Had my gallbladder out too, can't handle much fat, and 3 eggs is a lot of fat. The gallbladder stores bile, then when we eat fat it releases bile to digest the fat. without the gallbladder, the bile has lost it's regulator, and we have a limited amount available at any time, so we can only handle limited fat at a time. and it doesn't matter whether it's "good" fat or "bad" fat, fat is fat and too much of it gives me diarrhea - sometimes not until the next morning which makes it fun trying to get to work on time.
   — Susan C.




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