Gastric Bypass Barbie

FAQ: Vitamins and Supplements in the Bariatric After Life

I get a LOT of questions about the vitamins and supplements I take on a daily basis. (Probably because I comment a lot about the vitamins and supplements I take on a daily basis). Most of the questions revolve around what, how much, and why I take what I take. So, I figured I’d make it easy and just encapsulate it here. Bear in mind that I am NOT a nutritionist, doctor, nurse, medical professional, healthcare practitioner, or vitaminologist. I did my research, paid attention to people I trust, and have gleaned all of this stuff from their expertise.

What supplements do I take, and why?

Multi-Vitamin. I like Celebrate chewables the very best, but I also sometimes take Bariatric Advantage multi. Either way, I ensure that the formula includes Vitamin K. Why? Because it has been suggested that Vitamin K can prevent or treat osteoporosis and the loss of bone density. Some studies also find that it might have anticancer benefits, and indication is that it prevents hardening of the arteries, which aids in preventing heart disease and heart failure. You can get Vitamin K from many green, leafy veggies, but if you can’t get them all there (and who can?), be sure your multi-vitamin includes it.

B-12 (Sublingual)
First off, the reason you take this sublingually is, that’s the best and fastest way for the body to absorb it. Now, B12 is needed to prevent anemia and aids folic acid in regulating the formulation of red bloods cells. It helps utilize iron, is required for proper digestion, absorption of foods, synthesis of protein and the metabolism of carbohydrates and fats. It’s ideal if your B12 supplement also contains folic acid (I buy mine from Trader Joe’s).

Possible signs of deficiency: Chronic fatigue, constipation, depression, digestive disorders, dizziness, drowsiness, enlarged liver, eye disorders, hallucinations (!), headaches, inflammation of the tongue, irritability, memory loss, moodiness, nervousness, palpitations, ringing in the ears, pernicious anemia (no, not promiscuous anemia) and other stuff.

Natural sources of B12: If you are veggie (like me), you must remember to supplement religiously, because B12 is found almost exclusively in animal tissue. It can be hard to spot deficiency because your body can store B12 for up to FIVE YEARS!

Folic Acid (as part of my sublingual B12)
Brain food. Folic acid is need for energy production and formation of red blood cells. It strengthens immunity by aiding in the proper formation and functioning of white blood cells. Aids in protein metabolism and may help depression and anxiety.

Signs of deficiency: A sore red tongue is one sign, but so are anemia, apathy, digestive disturbances (heck, I’m one BIG digestive disturbance since bypass – LOL), malabsorption problems (just what we need, right?) fatigue, insomnia and other junk. Important: Eat fresh fruits and veggies wherever possible because cooking them destroys the folic acid.

B-Complex (B1, B6, B12)
Why B6? Also known as pyrydoxine, it is involved in more bodily functions that almost any other single nutrient. It affects both physical and mental health and is beneficial if you suffer from water retention. This vitamin aids in potassium balance and is required by the nervous system for normal brain function. B6 helps the body absorb B12 and plays a role in cancer immunity.

Signs of deficiency: Anemia, headaches, nausea, flaky skin, sore tongue, acne, arthritis, conjunctivitis, cracks or sores in the mouth and lips, depression, dizziness, fatigue, hyper-irritability (and you thought it was all hormones!), impaired wound healing, weak memory and other stuff.

B1 (Thiamine).
This is also known as the energy nutrient and is responsible for many cellular interactions in the body. One of the key things is that it helps your cells use oxygen to convert carbs and other sugars into energy. Without adequate levels of B1, this process slows or stops altogether (eek!)

Possible signs of deficiency: Loss of appetite (okay, that might be a bonus), tiredness or feelings of extreme laziness, indigestion, constipation, muscle tenderness (like when you get charlie horses), numbness in arms and legs. It’s hard to overdose on B1, but still, you shouldn’t megadose on it

Of note: People who are at risk for B1 deficiency include: alcoholics and coffee or tea drinkers (basically, anyone who drinks more than 3 cups of coffee per day.) Why? Since you will excrete the B1 through your kidneys, you might need 5-10x the amount of B1 as other people Hmmm…maybe I should *stop* taking my vitamins with my coffee…

Natural sources of B1 include: Sunflower seeds (raw), tuna, black beans, lentils, asparagus and romaine lettuce. However, you kinda have to eat a LOT to get enough, so…while it doesn’t hurt to get B1 through food sources, it’s most likely not enough, so you must supplement!

Calcium
Okay, I’m not gonna go into the whys and wherefores of this stuff because everyone says something different. All you need to know is this: Most people agree that the best form for bariatric folks is citrate. How much you take is really going to depend upon your doctor’s advice, your bloodwork, and your own research. Again, depending upon who you talk to, you’ll be told that you need between 1200 and 2000 mg PER DAY of this stuff, over and above the calcium you get from food sources (like greek yogurt). The most critical thing you should understand is that, unless you are a professional, you mustn’t mix your calcium with your iron; separate them by at LEAST 2 hours. Also, don’t take more than 400-500 mg at a single dose, as your body will not absorb it. We all know that calcium is critical for bones and teeth, and we bariatric people don’t absorb it easily, so we are prone to brittle bone disease, osteoporosis and other stuff. Just take it, okay?

Iron
Here’s another supplement where your mileage may vary. Ferrate sulfate, elemental? Who knows, right? The bottom line is, just take it. Do your research, figure it out, and take it — BUT, don’t do it at the same time as your calcium and…try adding Vitamin C to help absorption. Some formulations will lead to constipation; others are more gentle, so find one that works for you. That’s all I’m gonna say about that (I’m no expert!)

Probiotics
Many bariatric surgeons have finally learned that probiotics are vital to the daily supplemental regimen of their patients — but sadly, many have not. Whether your doctor agrees or not is none of my business, but I’ll just tell you that I feel it when I don’t take it.

Why? Because I get bloated, constipated (especially if I take the wrong iron), am prone to yeast infections, fatigue and low immunity. Basically, probiotics (as the name implies) are the opposite of ANTIbiotics. They help put good bacteria back into your system (intestines and gut, mostly) to promote balance and good health. Probiotics keep your intestines clean and help you absorb more nutrients from the food you eat (especially protein!)

Find a good, stable probiotic (like Bariatric Advantage Chewable, or Jarrodophilus EPS capsule). These don’t need to be refrigerated, and each contains billions of live cultures — (no, you can’t see them move! LOL) The key to stability is, you want something that will last more than a year, or it loses its efficacy.

Fish Oil (EPA/DHA)
Omega 3 fatty acids are good for your heart, because they can decrease the risk of arrhythmias, lower blood pressure (slightly) and slow the growth rate of plaque in your arteries. You get Omega 3s from eating fish, but if you can’t eat enough fish, you can take capsules. Oh, you can also get it from flaxseed (which I just so happen to add to my morning shakes!) Now, you don’t want to go crazy with the capsules, just take 1 or 2 a day. This stuff also helps your skin and hair, so it’s a good thing.

Possible signs of deficiency: There are about a bajillion signs, but my favorite is listed as “aging.” Apparently, aging is a side effect of not taking enough Omega 3s. Okay, okay, I’m pretty sure that’s not what they meant, but still, it did stand out. I think they were referring to looking older than you are (wrinkles) feeling older than you are (depression, fatigue), and being prone to lots of nasty things (like alzheimers, diabetes, chorines disease, macular degeneration, obesity — um, yes, that would count, stroke, kidney disease and even cancer.) Bottom line: Just take it.

But, I hate it when I burp fish taste after taking a capsule.

Cinnamon Extract
Not only does cinnamon extract KILL the fish burps, it’s also great for maintaining health blood sugar levels! In other words, if you take one of these with each fish capsule, you shouldn’t experience peaks and valleys associated with blood sugar spikes. Oh, and it smells really nice, too.

Vitamin D3
First of all, Vitamin D3 isn’t really a vitamin at all, but is a hormone mainly used to signal the release and absorption of calcium and phosphorous from various body tissues. If you get sun, you should be able to synthesize Vitamin D3, but you can also get it in fortified foods like milk, butter, eggs, margarine, as well as beef, veal, egg yolks, liver and fatty fish. Yes, you CAN overdose on this stuff, but it’s fairly hard for us post-ops. Experts don’t agree on exactly how much you should take, and it is often contained in your quality multi-vitamin and calcium tablet, but I just take more because it can help with my depression (since I don’t get out in the sun too often) and it protects me from prostate cancer. Oh, I don’t have a prostate? Okay, then breast cancer. Either way, it’s good for boys and girls, so just take it.

Possible signs of deficiency: Rickets. Yup. You can get rickets, which is where your bones become brittle. Not good. You can also develop osteoporosis, which you won’t be aware of until the outwards signs are readily noticeable. In other words, you might not be aware of the deficiency until you break a bone, and by then, it’s kinda late.

Okay, so that concludes our presentation of the “ordinary” vitamin supplements that you hear about every day.

Now for the extra-ordinary vitamin supplements.

Ubiquinol + CoQ10
Ubiquinol is the pre-convered, active antioxidant form of CoQ10 which, when taken in this form, is ideal for those of us who are 40 and older. If you are under 40, then you can just take CoQ10.

Why take it? Well, it contributes to cardiovascular and cognitive health, increased energy and stamina and general health and wellness. It also regenerates other antioxidants (like Vitamins C and E) and may help protect your heart from free radical damage. So, what are free radicals (and why should I care, if I’m a political conservative)? Well, politics aside, free radicals are unstable oxygen molecules that every cell produces every day. In other words, our bodies generate them. But they are also available eternally (like environmental toxins) Basically, these nasty little buggers break down our bodies as we age (and the side effects aren’t pretty). Antixoidants help combat the effects of the free radicals (which is a good thing). Essentially, I take this so I have more energy, feel better, and won’t get old. Okay, I’m kidding about that last part — but…maybe?

Natural sources of antioxidants: Blueberries, blackberries, strawberries, grapes, garlic (probably best not eaten with your fruit), and extra virgin olive oil (apparently, olive oil which merely *abstains*, but does not take a permanent vow of *celibacy* doesn’t count. Be careful here).

Milk Thistle
Why? It’s for liver health, and I had hepatitis in high school. Darn near killed me, so I do lots of things to protect my poor liver. Milk Thistle not only my liver from toxins, it also helps repair cells and promotes the regeneration of new cells. If you still have your gall bladder (which I do not), this stimulates bile flow and can help prevent and treat gallstones. It is also good for your immune system, digestive system, can help smooth the uterine muscle (thus minimizing menstrual problems), and control food and sugar craving (time to up my dosage…)

Why is liver health important and how can I be at risk if I don’t drink alcohol? I’m glad you asked. Turns out that diets which contain “excessive” protein and carbs can DAMAGE the liver. We bariatric types do eat a lot of protein, even though we don’t absorb all of it, but guess what else we do? We take VITAMINS — things like A, D, E and K can be dangerous to the liver if you take too much of them; same with iron. SO, you want to just watch your liver when you get your blood work done each year, and make sure to exercise regularly. That’s the laymen’s explanation, anyway.

Amino Acids
Basically, our bodies need amino acids to function, but our bodies don’t make all that we need. Therefore, we have to consume them in food or through supplements. You’ll typically be able to spot an amino acid because it ends in an “ine” — though not always. Now, any aminos that your body cannot produce on its own are called ESSENTIAL amino acids, and they affect different things.
These are the ones I take. There are more, but I don’t want to get crazy. Whoops, too late.

L-Glutamine (Technically, this is a semi-essential amino)
Protects muscle tissue and supports immune function; also serves as a source of fuel for cells lining the intestines. It is involved in more metabolic processes than any other amino acid and can help maintain balance during times of severe stress. Yes, I have that.

Glucosamine, Chondroitin with MSM
Promotes healthy flexible joints. I work out a lot and really trashed my joints — especially knees — when I was obese. This helps with stiffness. Some people doubt its efficacy, but I truly notice it when I don’t take it. No, not right away, but that’s because I am slow to notice sometimes – LOL.

Alpha-Lipoic Acid:
Antioxidant (hey, where have I heard THAT before?) that helps detox the liver! Again with the liver. This is one that I *don’t always take* and am *not sure I notice* anyway. I may not “renew”…

L-Carnitine:
It’s an amino acid derivative which is manufactured by the body and used in energy metabolism and for proper use of fats by transporting fatty acids into mitochondria (the powerhouses of cells). In other words, it can help you recover when you work out AND it reduces the accumulation of lactic acid (all the gain without the pain).

Benefits: Good for your heart, good for your thyroid, good for your kidneys, good for immune problems, cardiomyopathy and a bunch of other stuff. Most people don’t need it, however, people with a history of liver disease (hey, that’s me – again!) seem to benefit from therapeutic use

Quercetin with Bromelain Enzymes
Allergy support that maintains the proper functioning of the body’s histamine response. Brings natural sinus support. Quercetin is an antioxidant (there’s that word again) that supports the body’s inflammation response and histamine processes, while bromeliad increases the absorption of quercetin. The ‘ole 1-2 punch It is also a powerful inflammation response supporter AND (wait for it) protein-digesting enzyme! Hey, we need that. I take it because I am allergic to everything. Simply everything. My throat likes to swell and then I cough and gag — nice. This helps.

That concludes our presentation of vitamins and supplements in Gastric Bypass Barbie’s Bariatric regimen.

SO. How much of all this stuff should you take, and do you need it all?

I can’t answer that question; only you and your healthcare professional can make that determination. What I would suggest is this: If you are taking the vital supplements as outlined by the bariatric surgery guidelines, and still don’t feel “quite right,” look into adding some supplements (responsibly), based upon your medical history and particularly symptoms. I’d recommend adding slowly, doing your research, and monitoring your blood work closely. It is important to determine the proper dosage for your body, and also recognize that you can take too much (or too little) of something to derive the benefit, so be educated.

I hope you found this information to be useful, but if you didn’t, that’s okay too. You don’t need to ask me why I take all of this stuff, and you don’t need to tell me I shouldn’t be taking it, and you don’t need to tell me I misspelled “rickets”, or something.

After a year and a half of studying it, I KNOW why I take it, how much to take, and how to spell it — LOL.

GOOD LUCK AND GOOD HEALTH!

AS MUCH CALCIUM AS A GLASS OF MILK!

(So proclaims the packet of Swiss Miss Hot Chocolate)

What’s your first impression when you read that? If you’re like MOST people, it’s: “Hey, it must be healthy! As much calcium as an entire glass of milk?! Who knew?”

Right.

So, here’s how my little brain works now (because it is skeptical and questioning of EVERYTHING):

1. How BIG a glass of milk? 8 oz.? Too much for me.
2. What TYPE of milk? Skim? Whole?
3. How MUCH calcium is actually in that glass of milk?
4. How much calcium do I NEED each day?

Now, understand that I would never dream of using this product — aside from the fact that it is loaded with sugar, it’s nothing I need — but my point is, in my Bariatric After LIfe™, I have learned to apply the same healthy logic to ALL products — EVEN those targeted directly to us bariatric types!

I guess it’s funny that, in this “sound bite” world where we all have the attention span of fleas sometimes, marketers have learned to whisper nonsense into our ears, and we believe it! Case in point:

• Fat Free! (Not sugar free)
• Low-Calorie! (Not fat free)
• No Added Sugar! (But has sugar)

If there is one thing I hope for all of us, it’s that we learn to ignore the headlines and go immediately to the fine print. Read the “second-to-the-last” paragraph of the article; turn the page; do whatever it takes to get the FULL story. Our bariatric bellies do not forgive us for ignorance of the law; when it comes to our bodies, we will GET exactly what we GIVE.

As much Calcium as an entire glass of milk? Who cares? I take Calcet Bites or chew my Celebrate wafers and do just fine (thank you).

Just some random thoughts for a Wednesday hump day afternoon. Now, off to my mani-pedi.

I Can’t

Lots of people have “bucket lists” that they write before they have weight loss surgery. On it, are things that they WILL be able to do, once they lose the weight. They don’t really talk about the things they WON’T be able to do after surgery, so I decided to make a list here.

I think it’s important to realize what you will be agreeing to, once you trade OBESITY for HEALTH, so here’s my list. Of course, given time, I’m sure I could double it. (I am so “limited” now…)

Since Gastric Bypass Surgery, I Can’t:

• Take the elevator, if the stairs are available
• Go outside in 65º weather without a jacket
• Sleep without covers (because I am always cold)
• Chug-a-lug a Big Gulp from 7-11
• Wear clothes that are too big (because I look stupid in them)
• Eat and drink at the same time
• Reach the pedals and steering wheel with the seat all the way back
• Eat fast
• Drink carbonated beverages
• Eat meat. Any.
• Pass a size 4 or 6 anything without wondering how cute it would look on me
• Go to Trader Joe’s without buying Greek Yogurt
• Look at Meat Tenderizer the same way I used to
• Remember what it felt like to fear exercise
• Keep quiet when someone says that Weight Loss Surgery is cheating
• Stay silent when someone says they take Flintstones Chewables and Tums
• Ooze through the armrests in an armchair.
• Rest my breasts on the table in a booth at the restaurant
• Walk by a mirror or window without looking at myself in the reflection
• Wear flats
• Hide when someone is holding a camera
• FInd more than three “before” pictures in the photo box
• Wear a size 30
• Leave the house without packing for the entire day (with protein redundancy!)
• Order/eat food from a drive-thru restaurant
• Stomach the idea that I ever ate as much as I did
• Not look at an obese person and WISH that they could choose WLS
• Take anything for granted, leave anything open to interpretation, or just “play it by ear” where food is involved.
• Eat at Hometown Buffet and get my money’s worth. All I can eat is worth about a buck…
• Picture myself being obese again
• Not drink a protein shake for breakfast
• Understand how anyone would think I took the “easy way out.”
• Plan my funeral (because I don’t plan on dying anytime soon)
• Walk down a hall without wanting to skip
• Visit a sporting goods store without wanting to try out the treadmills, ellipticals and bikes
• Stand still
• Ignore my vitamins
• Take blood work for granted
• Sit back and say nothing if I see a fellow WLSer making a horrible mistake
• Eat bread, pasta or rice
• Get out of bed in the morning without singing for joy at the miracle of WLS
• Not help someone who asks me for help in the Bariatric After Life™
• Fathom how I ever ate as much junk as I did
• Say “no” when an old friend I haven’t seen wants to get together
• Sleep-in past 9 AM
• Imagine living my life in any other way

How about you? What does your “Can’t List” look like?

Hey guys, so I’ve been doing this Youtube stuff for a month now, and today was a momentous day. Apparently, a bunch of people watched my review of Revival Soy bars, then decided to buy them at bariatriceating.com, and bought out the entire inventory! Can you stand it?

I guess I’ll have to warn people before I review their stuff, right? (Uh, just to make sure they don’t sell out in 1 hour, I mean!)

Hey, life is good!

Keep watching and keep buying! It’s good for ya!

Comment & Win: CHOBANI GREEK YOGURT

Okay, most of you know what I ran a little contest to dovetail with my Gastric Bypass Barbie table at the WLS Vegas Meet ‘N Greet (February 19-21, 2010). All you had to do to be entered, was visit me at the event and sample one (or all) of the items I was taste-testing, and then come to my site and leave a comment.

Today, I’m announcing the winner of the CHOBANI GREEK YOGURT prize. I guess you’ll have to watch the video to know who won (but, isn’t that the whole point?) Drumroll, please….

Congrats to Paula Yenerall!

Here’s what she wrote:
I attended the Las Vegas WLS ‘meet and greet’ with my daughter, Sheri Burton who had the lap band procedure. Even though my own insurance will cover WLS, it requires me to be at least 100 lbs. overweight. I have the choice of, let’s see, gaining another 25 lbs. or trying to lose on my own. So, right now I am trying to lose on my own.

I was very excited to see such great results there were and how happy people were to be there.

I enjoyed everything right along with my daughter.

I tasted only the yogurt but found it to be terrific. I kept asking her, is this really something good for you because it tastes too good. Texture was wonderful and the creaminess and thickness of the yogurt very different than the runny ‘diet’ ones I am used to.

I am going to buy some and include that in my regimen to lose weight.

Thank you to Cari De La Cruz for bringing this product to sample and to all of the organizers and guests and speakers at this event.

You’re welcome, Paula, and THANK YOU for your kind comment.

To collect your prize, send me an email with your address so Shari Lawrence at Chobani can send you your loot.

WE HAVE A WINNER!

For those of you who attended the 1st Annual WLS Meet & Greet in Las Vegas, you know that I was giving samples of three, amazing products: Jarrow Whey Protein Shakes, Chobani Greek Yogurt, and Protein Blitz Sports Drinks. I asked people who tried these protein-rich foods leave a review on my site, and they’d be entered to win a fabulous prize.

Now, before I announce the first winner (and tell you what she’s won!), let me tell you how the product testing went, and what people were saying — even if they didn’t come back here to leave a comment!

We began the morning by blending thick and creamy JARROW WHEY protein shakes. Super Dave and MexiKEN were busily whipping up three, tasty flavors, using nothing more than a Vanilla base powder and some Jello SF Instant Pudding mixes in Pistachio, Banana Cream or Cheesecake flavors, while Maid Marian Michele skillfully worked the room with a big tray of little cups on her shoulder and a smile on her face.

The banana cream was an easy hit — after all, everyone knows what banana tastes like, right? So, those went down easy. We reminded people that they could easily use the banana cream for their chocolate peanut butter shakes, or as part of any fruit-flavored shake, and the gears started turning as they began to fantasize about the myriad ways in which they could add a banana to their morning drink — without using a real banana!

The raspberry cheesecake was equally popular, and all agreed that the surprise addition of the no sugar added raspberry preserves from Trader Joe’s made it extra-tasty. I think more than a few people said they planned to have it on-hand to keep their morning routine fresh and tasty.

But, hands down, the FAVORITE and most SURPRISING taste sensation of the morning was DEFINITELY the pistachio! Why? Because most people think they don’t like pistachio. Maybe it’s the green color, or maybe they have memories of eating too much pistachio ice cream when they got their tonsils out? Whatever the case, I was hard pressed to find one person who didn’t really love it — especially Melinda (RecoveringFatty.com). She was a fellow “swagger and exhibitor” at the event (here table was right across from mine), and at one point in the morning, she started to feel dehydrated, and really crummy. Fortunately, Super Dave was their to save the day, and whipped her up a full serving of Protein-Packed Pistachio goodness. She reports that she has become a certified pistachio freak, and was on a real pistachio jag for awhile there.

Well, soon enough, Maid Marian Michele had run out of little sample cups on her tray, and everyone was “full” — so we decided to wrap up that product taste test and prepare for mid-morning snack.

Without further ado, I’m pleased to announce that the winner of a 2 lb. tube of JARROW WHEY PROTEIN is: T2NASHVILLE aka Tammy!

Here is what she said:

I was present at the Vegas WLS Meet & Greet and had the opportunity to visit your booth and taste test the products there. Thanks so much for all you did in making those products possible for us to sample.

Jarrow Vanilla Protein Powder – Barbie had several different flavors of icy protein shakes to try, all made with the Vanilla version of this product. I asked to “smell” the jug of powder – no nasty protein smell at all! Didn’t even really have a vanilla smell, which I often have to “get past” in a lot of powders. I tasted the pistachio shake and the raspberry cheesecake shake – both were equally delicious! Barbie also had a banana flavor available, but I’m not a banana fan. I must say that I was impressed by the quality and taste of the product. Today, I researched the stats on the powder. While it doesn’t have as much protein as most powders, it does have less calories and more absorbent protein. I really wish Jarrow sold their products on their own website, but they rely on local suppliers or other online stores to sell it. I’m still comparing pricing to try to find the best deal, and I plan to visit my local Vitamin Shoppe to see if they carry it. All in all, a big thumbs up for me on this product!

Thanks, and CONGRATULATIONS TAMMY! I’ve forwarded your comments to the company, and maybe they’ll take your suggestion into consideration In the meantime, you need to decide which flavor you want: Vanilla, Caribbean Chocolate or Unflavored.

Tomorrow: I announce the winner of a case of Chobani Greek Yogurt!

Product Review: Kay’s Naturals Cookie Bites

Legal Disclaimer: I received (2), FREE 5 oz. Boxes of Kay’s Naturals Cookies Bites (Cinnamon/Almond Filled, and Honey/Almond Filled) from my good friend, Gene Carbonell at Bariatric Food Products so that I could taste and review them. I was not paid for this review, and the foregoing is 100% truthful. I did eat the product discussed in this review…the whole…two…boxes. They were dangerously yummy, but that’s all I’m gonna say about that here in the disclaimer. Read more for the details of my taste test.

A little about Kay’s Naturals: Kay’s is dedicated to bringing a better alternative to traditional snacks and cereals to the health and fitness conscious consumer. Our products are delicious, made with all-natural soy protein and high-fiber. These products can help to sustain energy, manage weight loss, and stabilize blood sugar. They are an option for all ages and lifestyles and for anyone seeking sources of protein in their diets, including people with diabetes, bariatric patients, body builders, vegetarians, the elderly, and children. They are ideal for the office, sports, on the road, and at home.

A Little Background:

Those of us in the bariatric community have known about Kay’s Naturals for a very long time, having eaten (and loved) their pretzel sticks and cereals as part of our protein rich/carb balanced diets — almost since we were able to eat solid foods (at least that’s MY guess.) Anyway, last year, they brought out a tantalizing new product called: PROTEIN+ COOKIE BITES. These little pillows ‘o goodness pack an impressive 10g of protein per serving and only 3g of sugar. You do have to watch those carbs @ 15g, but for a snack treat, that’s not a bad number at all.

I loved both the Cinnamon AND the Honey flavors and wouldn’t be able to pick a favorite if you paid me. They are both quite yummy. Too yummy, maybe, because I really couldn’t stop at ONE SERVING. And that brings up a little problem for me: My samples came in a BOX which contains 5 servings. Now, this can be a deal-breaker for me, as I do struggle with…um…er..…portioning stuff like this. If it’s in its own little bag, it’s not such a big deal, but something about counting out those happy little buggers spelled T-R-O-U-B-L-E for me this time around. Now, in the interest of full disclosure, I understand that they do not normally come like that, and are instead sold in single serving (1 oz) bags, which I think would be safer. I’d me more likely to buy them to have for a special treat, if they were safely confined to one ounce packages.

Oh, that reminds me, these tasty little treats are great with a little Rice Dream or Almond Breeze on them — you know, like a bowlette of cereal

Here are the product specs:

Barbie’s Bottom Line: I am a snack-o-holic and a binger, so these treats are kinda dangerous for me. However, if you DON’T have a problem with things called “cookies,” and can limit yourself to a single serving at a time, then this is your product! They are tasty, healthy and a great alternative to junk food. So, from a Bariatric point of view, I find these to be POUCH-PERFECT. From Barbie’s own point of view, they are pretty much “Danger, Will Robinson” for me and probably should NOT be in my pantry, unless I only get one bag at a time!

Now, here’s the cool news: You can buy these at lots of online retailers, but the great thing about Gene @ BariatricFoodProducts.com is, he sells them BY THE BAG! For only $1.50, you can buy a bag, instead of buying the entire carton. Then you can see if you like it

According to his website: These new Cinnamon Flavored, Almond Filled Cookie Bites from Kay’s will help you maintain a nutritional balance without giving up satisfying flavor. Get energized with these nutritious, protein plus Cookie Bites. There are only 100 calories in these handy 1 oz bags and each 1 oz serving has the protein of 2 eggs.

We recommend these luscious little gems as a great way to fill the gap with a snack that has a healthier balance of great taste, low calories, no trans fats, no cholesterol, lean soy protein, zero cholesterol, lower carbohydrates and a good source of fiber. These Cinnamon Flavored, Almond Filled Cookie Bites are made with all natural ingredients, they are gluten free, and are based on the science of the Low Glycemic Index.

Well, shucks! I think that’s a nice way to end the review, don’t you? I mean, what could I possibly add?

Now, excuse me while I go lick my finger and try to clean-up the bottom of the empty cookie bites bag…

Product Review: Bariatric Advantage Chewable Probiotic

About a month ago, my friend Ed (from Bariatric Advantage) and I were chatting about their product line, and he mentioned that he’d love to send me a bottle of their new Strawberry Flavored Chewable Probiotic to use and review.

Now, before I go any further, there are a few provisos, a couple of quid pro quo…

Ahem (Clears Throat):

FORMAL LEGAL DISCLOSURE

This disclosure officially follows the new guidelines set for the the FTC concerning the use of endorsements and testimonials in advertising (effective December 1, 2009).

1. By definition, I am (apparently), an “expert” because I am the reviewer and got FREE product from Bariatric Advantage
2. I did not receive any money for this review, but I did receive (2) Bottles of Bariatric Advantage Strawberry Flavored Chewable Probiotic (90 Capsules per bottle; 2.4 Billion CFU) The reason I got two bottles is that the first one was lost in the mail stream for, like, 2 weeks. So, Edward rushed me out another bottle, so I wouldn’t have to wait to try the product. About a week after I got the replacement bottle, my new bottle rolled in. So, effectively, I’m reviewing TWO bottles of the product.
3. I am currently a bona fide user of the product. As a matter of fact, because I had something containing milk earlier today, I am a little gassy, so I just chewed a tablet to help aid in my digestion. My husband will appreciate my use of the product — trust me.
4. I have no connection to the company, and am not related to Ed. In fact, the only two things we (me and the company, not me and Ed) have in common, are a) the fact that I live in southern California, and b) have the word ‘Bariatric’ in my name, too!
5. I am not selling the product or profiting from this review.
6. My review is truthful and honest. Duh. Why would I lie? It either works, or it doesn’t. Trust me — you’ll get the straight poop (pun intended.)
7. I did not ask my attorney if it was okay for me to review this product, because he doesn’t like Strawberry. I think he’ll be okay with what I wrote, though…

Okay, that is the legal stuff (I think).

On to the review!

PRODUCT DESCRIPTION:

WHY USE THIS PRODUCT?
According to the Bariatric Advantage website: The human digestive system is normally home to several kinds of healthful bacteria or “flora” that play a role in bowel health and regularity, immunity, carbohydrate fermantation and absorption and more. It is sometimes possible for this flora to be come altered due to medications (such as antibiotics or acid blockers), illnesses, or surgical procedures. Bariatric Advantage Chewable Probiotic is designed to assist in the maintenance of healthy normal flora in the digestive system as well as to support overall digestive health and wellbeing. This delicious strawberry flavored product provides 2.4 billion CFUs (colony forming units) of probiotic activity from lactobacillus acidophilus and bifidobacterium lactis – two of the best-studied supplemental forms for probiotic. It also supplies short chain fructoligiosaccharides (FOS) as a prebiotic and is Dairy-Free.

WHAT HAPPENED WHEN I TOOK THE PRODUCT?
I’ve long known about the benefits of probiotics, and had been taking another brand for some time. So, when Ed contacted me and asked me if I’d be interested in trying the BA brand, I was hesitant, and told him so. I mean, I didn’t want to waste his time if I was already pretty happy with the brand I was taken, but he persisted, because he was so confident i would love the product. Maybe it was the strawberry, or maybe I was just weak that day, but I agreed to let him send me a bottle, and promised I’d give my most honest review. In other words, if I didn’t like it, you were going to hear about it. He was cool with that — either because he knew I’d love it, or because the formal guidelines say that reviewers must be truthful, even if the review is negative.

The first thing I noticed about the BA probiotic was how good it tastes. It’s pretty yummy, actually, and that’s not a bad thing. But, I have a feeling that’s NOT why I’m supposed to take it! After about 3 days on the product, I began to notice that my bloating had gone away and I wasn’t…well..gassy. That’s just the truth. Gastric bypass people suffer from gas and it can be quite unappealing, to say the least (or, maybe it IS “appealing,” as in “you’re a-peeling the paint off the walls with your gas.”) Anyway, the next thing I noticed was my stomach wasn’t unhappy and I didn’t have any indigestion. The third thing I noticed was probably more mental than anything else, but I seriously felt like my food was being maximized in my system — that I was getting more benefit out of my protein. Again, This is probably just the “placebo effect” at play, but I went with it.

Now, for me, here’s the REAL advantage to taking chewable probiotics: You don’t need liquid, so if you just ate, you don’t have to wait! With other probiotics, you have to take them with liquid, That can be a negative, especially when you really need to get one down, but just ate.

Just to be sure about my experience, I stopped taking them for a few days and — lo and behold — the bloating and gas returned with a vengeance. So, that was enough proof for me. I believe the product works and I would buy it for regular use. I do recommend it for all bariatric patients, and wonder why more doctors/surgeons don’t mandate probiotics as part of the daily vitamin/mineral/nutritional supplement regimen. Perhaps more will catch on, but in the meantime, if you aren’t sure probiotics are right for you, why not ask your physician what he or she thinks? Then, when you get the green light, order up a bottle from the folks at Bariatric Advantage. Each 90-count bottle costs $17.95 (plus S&H — of course,  but you could just tag it in with the other supplements on your order, right?)

Barbie’s Bottom Line: 2 Thumbs Way Up. I thank you and my husband thanks you even more for this product!

Buy it, use it, be happy.

Product Review: MIMICCREME Non-Dairy Cream Substitute

I have three words for you: OH MY GOSH!

Since having gastric bypass surgery in December of 2007, I’ve developed something of an allergy to milk (which includes creme). No, I’m not lactose intolerant — I’m actually ALLERGIC to milk (it makes me itch and stuff).

Well, a few months back, whilst doing my daily scan of Protein Girl Allie’s blog, I learned about a totally cool sounding product called MimicCreme. Allie made it sound so glorious, I had to learn about it for myself, so I flocked (can one person do that all by herself, or does one need several seagulls to do it properly?) Anyway, I flocked over to the MimicCreme site and read that it is a non-dairy cream substitute that does not have soy, gluten or any sort of milk products. How good could it taste, I ask you?

Amazingly, pretty darned good. OOPS! Don’t wanna go pimping my review now…Let me back up the milk truck.

I contacted the lovely people at MimicCreme and explained my sorrowful situation to them (you know, the part about how I have a limited diet after WLS, and how I am allergic to milk and cream and everything?) Rose Anne and Vince took great pity on me and immediately whisked (punny, huh?) out some samples of their product to my doorstep so I could taste and review for myself.

Now would be a really good time for the official disclaimer:

* * * I received FREE samples of MimiCreme Non-Dairy Creme Substitute in two (2) Flavors: Unsweetened and Sweetened. I don’t think they had a sugar-free version when I contacted them originally, but they do have one now. I think I’ll have to try that next. Anyway, I did not pay for these cartons o’ goodness and they did not compensate me for my review. Let’s just say, I enjoyed many, many cups of silky smooth coffee for a couple of weeks, and didn’t pay a PENNY for the faux cream. * * *

Okay, we’re back.

Let me begin with the crack Sweetened version. This stuff is nothing short of addiction in a carton. Remember those cans of Sweetened Condensed Milk your mom always bought to make Borden’s Magic Cookie Bars at Christmas? Okay, well THAT’S what this stuff is like. I found myself sneaking teaspoonfuls of it in the middle of the night. Somehow, I do not believe that is what the product was designed for, but you will be happy to know, it works for midnight munchie marauders (like moi). Oh…let me remind you that I am a bariatric patient and have absolutely no business using the sweetened version of this product. Yes, it is made with sugar. Yes, it made me a little dumpy.

Moving on…Next was the Unsweetened version. Okay, now THIS stuff tastes good, but doesn’t cause me to binge. It has a wonderful, creamy texture and you would swear you were drinking a milk product, and not a bunch of almonds. Oh, did I mention that this stuff is made from NUTS? Yup. Almonds, Cashews, Rice Starch and Baking Soda (plus a little purified water and non-iodized salt.) The sweetened version adds sugar, maltodextrin, tapioca starch, xanthan gum and guar gum, but the sugar-free version uses erythritol, which is safer for us bariatric post-ops.

Anyway, I used the unsweetened flavor in my morning coffee and, aside from some “feathering” [The term for the appearance of cream-substitute-separation in acidic solutions is, "Feathering." Such feathering, which is akin to milk curdling and which gives an undesirable appearance to the coffee, may occur when the coffee brew is acidic and/or when the coffee brew is made with hard water containing a high proportion of calcium and/or magnesium ions. Feathering does not impart any taste-changes. MimicCreme has been formulated with an additive called Di Potassium Phosphate that prevents it from "feathering" in acidic liquids] it really was pleasant and did not change the flavor of the coffee. Of course, I add a boat load of Splenda® to everything, so THAT certainly changed the taste!

Fear not! If you can’t stand the thought of “feathered cream” in your coffee, just buy the Cream Substitute instead. Tastes the same, but won’t separate at the top of your java.

Here are the nutritional facts for each product:

As you an see, the numbers are pretty good — yes, even for the sweetened version.

Many people say they use this product for cooking and baking, but I was just too lazy to do that (LOL). I did add it to my protein shakes, and that made them even yummier. My best friend says she bakes with it and simply adores the flavor, so I think you should take her word on it. The stuff rocks.

Barbie’s Bottom line:   4 Stars

Where to Buy: Online at Mimiccreme.com or
Retail Locations: Find a Store

Price: 1 Quart = $4.59
Coffee Creamer = $2.99

Cheddar Chips

Cheesy, crispy, slightly salty snack that satisfies the need to crunch!

Just before Christmas, My new friend, (Gene Carbonell of BariatricFoodProducts.com fame) sent me a care package of lovely (ostensibly tasty) bariatric-safe snacks and shakes to sample and review. I learned about him and his online marketplace from the gals over at BariatricTV.com and was eager to learn more about his offerings — especially the snack foods (YUM). After a long and lively conversation, Gene put together a care package of what he thought would be the best food products for me to try, with emphasis on my desire for stuff that is low in carbs and sugar, but high and protein and flavor. Not an easy mission, but he took the challenge without breaking a sweat (if you can hear that sort of thing over the phone).

When my package arrived on my front porch, the very first thing I did was wildly rifle through the contents carefully separate the snacks from the sweets and the shakes. Oddly enough, the Cheddar Cheese snacks percolated right to the top and verily BEGGED me to rip the bag open and begin sampling. Not being a girl who can easily say “no” to salty, crunchy snack food items, I quickly yielded to the temptation request, and ripped open gently broke the seal on the surprisingly-large bag. Which brings me to a very important point: Serving Size. This bag was so generous, I figured it HAD to contain multiple servings — but it didn’t! According to the nutritional information, this hefty bag contained only ONE serving of crunchy delightfulness. Since I believe everything I read, it must be true!

With that comfortably established, I opened wide and tossed a chip into the gaping abyss I call my mouth.

To my surprise, the flavor was not overpoweringly cheddar-y (it’s my blog, I can make up words if I want to) OR salty. Just like the descriptor promised, the snack is a cheesy, crispy and slightly salty snack that satisfies my need to crunch! Each yummy chip is better than the last, and it’s really hard to eat them SLOWLY — which could become a problem (as someone who is easily charmed by slider carbs, such as these…)

So, now that you know I like these things, here is my official review of the product:

*** OFFICIAL REVIEW DISCLAIMER ***
I did not pay for the pleasure of indulging in this yummy bariatric friendly snack. Gene Carbonell sent it to me for the express purpose of rendering a completely unbiased, thoughtful and detailed review. Trust me when I say that my opinion was in no way influenced (not even a teensy bit) by the fact that I didn’t buy the bag with my own pennies.
Thank you for your cooperation and understanding in this matter.
Please proceed to the official review portion of our presentation.

Name: Double Bites Cheddar Chips

Description: Cheese lovers UNITE, if you like cheese you will love our Cheddar Chips. This chip is a great combination flavor of corn, cheese and just a touch of salt. This delicious, crunchy, low fat snack will satisfy your hunger with 10 grams of protein. At last, a crispy, guilt free, crunchy snack. Keep this snack in your desk for a late after noon treat or to munch on during your drive home. Try all 9 satisfying, guilt-free snacks! What?? There are OTHER flavors???

Serving: 1 Bag (1.1 oz.)

Nutritional Info:

Calories: 130
Carbs: 17 grams < A tad high for me
Protein: 10 grams < Not too bad for a crunchy snack
Fat: 3 grams

REVIEW:

Taste: Excellent! No strange “protein” after taste and not powdery or chalky.
Texture: Excellent! Like a crunchy snack SHOULD be! Individual chips are perfectly sized — not too small or big.
Serving Size: Excellent! You don’t feel cheated with this bag!
Nutrition: Not Bad. I would have preferred the carbs be lower and the proteins be higher. Of course, since this IS a snack food, it’s probably understandable — you can’t really have it all…can you?
Grade: A- (The “minus” is because of the high carbs and relatively high price, not the taste)
Price: $1.75/Bag + Shipping (when you buy a box of 12)

Bottom line: Two YUMS way up to both the snack AND BariatricFoodProducts.com. As a gastric bypass patient, I’m always looking for something that will satisfy the craving for junk food, without being junk food. This product does accomplish that — although I don’t recommend eating a bag every day because the chips are on the pricier side AND they truly are a snack. BUT, if I had exercised a bit more restraint during my taste test, I might have split the bag into TWO servings, and eaten half with a salad or with my greek yogurt. Oh well, the chip’s out of the bag…(LOL)

To purchase your own yummy bag (in one of 9 delicious flavors!!!), click HERE!!! (and tell them Gastric Bypass Barbie sent ya!)