2. Colleen Cook 1993 / 2007 Kathryn Stitz Denver, CO Linda Dingbaum St Louis Park, MN Cheryl Miller, RN Billings MT Holly Williams Colorado Springs CO Judi Cantrell Littleton, CO

3. Repeat the values statement often Read Success Habits book chapter 3 Complete check up questions on page 97 Log you food in your workbook this week Try at least 1 new vegetable Last week’s assignments

4. Portion Control Personal Accountability I recognize that I alone am responsible for my successes and my failures. I understand the importance of satiety and listen to my body’s signals. The Success Habits of Weight-loss Surgery Patients I make good healthy food choices each day. Nutrition I drink the right amount of the right beverages at the right time each day. Fluid Intake

5. How much are you drinking? What are you drinking? When are you drinking?

6. Fluid Intake - Caffeine Increases calcium loss Interferes with iron absorption – critical to wls patients Increases adrenalin levels & stress hormones Contributes to dehydration Average american consumes 250 mgs per day Adverse effects begin at 200 mgs

7. Fluid Intake - Alcohol Consensus Statement Caution!!! Addiction transfer concerns

8. Fluid Intake - Carbonation No specific, documented research available Most struggling with weight regain have returned to carbonated beverages Bloats, distends, stretches Often accompanied by other adverse behaviors

9. Fluid Intake - Dehydration Water makes up 70% of your muscle and 75% of your brain Water helps maintain the proper muscle tone, improves skin and hair, rids your body of toxins Throughout the day we can lose up to 10 cups of fluid! Dehydration is the condition in which the body suffers from lack of water and blood salts. There are three stages of dehydration: Mild Moderate Severe

10. Meet Dee Hydration

11. Stage I Dehydration Thirsty – dry lips & mouth Constipation and Bloating Muscular Endurance Diminishes Physical Labor Declines Dizziness

12. Stage II Dehydration Concentration Drowsiness Impatience Headache

13. Stage III Dehydration Weak pulse, heart racing Body’s temperature regulation system starts to fail Cold hands & feet Possible collapse

14. Dee & his friends

15. Repeat the values statement often Read Success Habits book chapter 4 Complete check up questions on page 124 Record your weight loss Monitor your fluid intake & make positive changes This week’s assignments

16. Next week: Week 5 – Regular

17. Leading the bariatric support community; Assuring optimal outcomes since 2000 www.bariatricsupportcenter.com 800-339-9129