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Unicorns are symbols of healing and peaceful strength, but what kind of magic do you get from a Unicorn Frappuccino? It is not the magic you want as a weight loss surgery patient. Here is the truth about the drink that is less magical than it is terrifying. To set the stage, let us tell you that an actual health department warned consumers about the drink on its Facebook page! Does This Drink Make My Butt Look Big? Well, yeah, kinda. The standard 16-oz Grande Frappuccino with whole milk and whipped cream has 410 calories. That may be a third or more of your daily goal, and those calories are not from filling nutrients. Most of them are from simple sugars that spike your blood sugar levels and lead to hunger within an hour or two. Cave into your craving for the 24-oz Venti blend, and you are looking at 500 calories. they are not the filling kind. Sugar for a Day…or Week The real problem here is the sugar. The exceedingly high sugar content is no surprise when you consider that sugar is an ingredient in the drink’s combination of Frappuccino syrup, mango syrup, blue drizzle, and classic syrup. The default Grande with whole milk has 59 grams of sugar. To put this into perspective, that is about twice the maximum amount of added sugars you should have in a day according to experts including the World Health Organization and the American Heart Association. Sugar has empty calories without essential nutrients; it bumps up your blood sugar and is linked to diabetes, and it makes weight loss even harder because it leads to more sugar and carb cravings. The lowest sugar version is an improvement, but still nothing to brag about. A tall 12-oz Unicorn Frappuccino made with almond milk has 33 grams of sugar, still more than your daily maximum goal. Where Is the Protein? As a weight loss surgery patient, you are probably aiming for at least 65 grams of filling protein per day. A simple rule of thumb when choosing your healthy foods and beverages is to make sure you get at least 2 grams of protein for every gram of sugar. A Unicorn Frappuccino is not going to help much! When you get a Grande, you are getting only 5 grams of protein – so you should limit sugar to 2.5 grams, not the 59 grams of sugar that are actually in the drink! You would really need some unicorn magic to help you justify that kind of choice Beware Dumping Syndrome Unicorn horns are reputed to be powerful antidotes to toxins, but this drink might put you in search of some magical healing powers! If you are prone to dumping syndrome, especially after gastric sleeve or gastric bypass surgery, beware the Unicorn Frappuccino. Besides weight loss and cravings, there is another reason your surgeon and nutritionist suggest limiting sugar intake: dumping syndrome. If you are prone, you might want to take your Frappuccino back home before you start drinking it, because you may want to be pretty close to a bathroom! Delicious and Nutritious Alternatives Weight loss-wise, you can do way better than a Unicorn Frappuccino without feeling deprived. If you want the taste of mango, try an Aloha Mango Smoothie. Blue Raspberry Protein Drink may do the trick if you want sweet and tart. Vanilla Cappuccino can give you the sweet, creamy flavor that can take you to a fantasy land. Each of these choices has 15 grams of protein and no more than 4 grams of protein. Now that is magic!

I have worked as a psychologist, providing psychological evaluations prior to bariatric weight loss surgery for the past eight years. For the most part, people need a power tool to help them lose and keep off the weight they have lost over and over again in their lives. The gastric sleeve, bypass, and now balloon are those tools. However, every once in a while, I will encounter someone who believes these procedures are the magic bullet. I can pick this up in five seconds when I learn that: this person has no exercise plan to maintain their weight loss a barrage of excuses as to why they can't exercise anymore zero insight into why they are overweight ("I don't know why I am overweight, I just eat steamed vegetables and grilled chicken mostly.") a lack of motivation or understanding for why they also have to engage in behavioral modification in addition to the surgery "Why would you reveal all of this?" you ask. Aren't I giving away the keys to the kingdom to anyone who reads this and wants to pass a psychological evaluation? Perhaps- but who are you really cheating if you don't go within and face the real demons that got you here in the first place? When I ask people about their eating styles, I tend to group them into four categories: 1) emotional eater- someone who uses food when they are bored, stressed, tired, lonely, sad, or even happy in addition to eating when they are hungry 2) skip and binger- someone who fails to think about food until it is too late, and when they are ravenous end up going for whatever is available which is usually some type of carb and calorie laden fast food 3) miscellaneous- someone who just recognizes that they eat too large of portion sizes and/or the wrong types of food 4) food addict- usually someone with a history of other addictions, trauma, and a significant amount of weight to lose. They usually have comorbid psychological diagnoses that have been unaddressed or ill-addressed. Out of the four categories, the 4th is the most troubling for a psychologist. This particular person is most correlated with the patient who fails to address their core issues, eats "around the sleeve," or bypass, experiences dumping syndrome, comes back a year later and asks for the bypass, or a different procedure. This is the person who, ironically, is usually the most resistant to my recommendation that they seek therapeutic support prior to the surgery. They want it done YESTERDAY. They want it NOW. It is this type of thinking that got them into trouble in the first place. The impulsivity and lack of emotional regulation. I've witnessed people fail to address their maladaptive eating patterns and never quite get to their goal weight. I had a male that would buy a bag of pepperonis at the grocery store and snack on them all day and couldn't understand why he wasn't losing weight. This daily "snack," which was a mental security blanket, served as a veritable IV drip of fat and calories throughout the day. I've had a woman who figured out how to ground up her favorite foods into a liquid form because she never quite let go of her attachment to "comfort foods." One of her most notable liquid concoctions consisted of chicken and Cheetos. I'll just leave that for you to chew...er swallow. They say with drug and alcohol recovery- you "slay the dragon," but with food addiction recovery, you have to take it for a walk three times a day. If you don't fundamentally shift your relationship with this dragon, you're going to get burnt when you are walking it. My number one tip for transforming your relationship with food is to start looking at eating the same way you do as brushing and flossing: You don't necessarily salivate at the idea of what type of toothpaste you will use, where you will do it, who you will do it with, right? You just do it twice a day because you don't want to lose your teeth and you want to maintain healthy gums. Food has to be thought of in the same way. You fuel up. You don't use food as a place to define your quality of life. You don't use food to celebrate. You don't use food to demarcate the end of a long day. You don't use food to help you feel less alone. You figure out healthier coping alternatives to meet these needs. Loneliness-call a friend for support Celebrate- get a massage Demarcate the end of a long day- start a tea ritual and use essential oils Another reason you must say goodbye to comfort food is that it triggers the pleasure center of the brain, which ignites our dopamine, which perpetuates the addiction. Many people think we are just telling them to get rid of the comfort food because of the carbs or calories, but there are unique and harmful chemical consequences to ingesting these types of food we know are bad for us. If you are ready to take a modern approach to weight loss and stop dieting for good- check out my wls/vsg psychological support course here for free.

Milk that has no fat is also called skimmed, fat-free, non-fat or 0 percent fat. The USDA National Nutrient Database uses the terms nonfat, fat-free and skim as descriptors for milk with no fat. The fat content of the milk refers to the percentage of weight that the fat contributes to the serving size. It does not refer to the percent of calories the fat contributes. Each 8-ounce cup of milk, no matter how much fat, will have 12 grams of carbohydrate as milk sugar. Milk sugar is also called lactose. Each 8-ounce cup of milk will also have 8 grams of protein. An 8-ounce cup of skim milk has 80 calories. Milk with 1 percent fat is also referred to as low-fat milk and has 100 calories and 2 grams fat. Milk with 2 percent fat is also referred to reduce- fat milk and has 120 calories and 5 grams fat. Whole milk is also called vitamin D milk and has 150 calories and 8 grams fat. Most of the fat in milk is saturated, which can contribute to elevated cholesterol. Increased fat also means increased calories and a potential for dumping issues. Along with protein, milk also packs in calcium, potassium and water. There are several lactose free milks on the market if you are lactose intolerant. For those that enjoy milk, you are getting a nutrition-packed fluid. Next week’s tip will be an overview of the other milks on the market like almond and cashew milks. Stay tuned!