Welcome back to The Weight Loss Collab! In today’s episode, we’re putting the spotlight on one of the most underrated yet essential nutrients for weight loss and overall health: fiber. Hannah Schuyler, our resident dietitian, and Dr. Dovec break down everything you need to know about fiber, from what it actually is, why it matters, and how it can help you with gut health, blood sugar management, satiety, and shedding those stubborn pounds. Whether you think fiber is boring or have always connected it solely to gut health, you’re about to discover why it’s “that girl” in your nutrition plan.
We’ll dive into the different types of fiber, the best food sources (spoiler: chia seeds and beans get some major love), how to increase your intake safely, and the critical role fiber plays in keeping you fuller for longer, especially if you’ve had bariatric surgery or are on a weight loss medication. Grab your grocery lists and get ready to rethink your next meal. Fiber is having a moment, and you’ll learn how to make it work for you!
She's a doctor. Hi, I'm Dr. Dovec, and she's a
Speaker:dietitian. Hey, I'm Hannah Schuyler, and together we are
Speaker:the Weight Loss Collab. Welcome back.
Speaker:We are going to do a topic that I want to just start with this.
Speaker:If you're like, I don't know, fiber, kind of boring, I don't even want to
Speaker:be engaged. Listen, fiber, she is that
Speaker:girl. I am stealing Hannah's line on this.
Speaker:This really, truly might be the most underrated
Speaker:missing nutrient from your weight loss plan. And
Speaker:Hannah is going to really give us the deep dive into fiber that
Speaker:you didn't even know that you needed. So, Hannah, let's talk fiber.
Speaker:Fiber and more fiber. Fiber, fiber, and more fiber. Yes,
Speaker:fiber is— I don't want to say it, but I kind of do—
Speaker:like, she's the new protein. And I think that it's really
Speaker:not fair. I mean, these are obviously nutrients, so pitting them one
Speaker:against the other like truly doesn't make sense because they're both really
Speaker:important. But I think that with— I mean, in the last few
Speaker:years, um, protein obviously
Speaker:has been like top of market. It's been in all the
Speaker:products. Everything you see now is has like added protein in
Speaker:it. And I don't know if it's just that the saturation finally
Speaker:occurred that you can't add protein to anything else. And so now the food companies
Speaker:are looking to, um, you know, pivot and make
Speaker:money in a different way. So now fiber has become from marketing a
Speaker:bigger thing, but I think it's in a good way. I mean, food trends—
Speaker:there's always food trends, it's always cyclical and things. I mean, think back, gosh, what,
Speaker:a decade ago it was Brussels sprouts were like the
Speaker:vegetable of the moment. So there's always
Speaker:something. And so right now I do think it's fiber and I think it's a
Speaker:good thing. Yeah. I think
Speaker:it is too. And you've been saying this for a long time.
Speaker:You, you know, now the rest of the world is catching up to you, our
Speaker:cutting-edge nutrition expert here. Yeah.
Speaker:Well, I mean, dietitians are just always ahead of the
Speaker:curve when it comes to nutrition, but it's kind of that thing that I think
Speaker:it's like so boring to think about. about that.
Speaker:Yes, dietitians have been telling you for years to get enough fiber, but
Speaker:now because it's become trendy, it's like cool to talk about it. It's like, well,
Speaker:all right, you could have just listened to us this whole time. I know,
Speaker:I know. Well, let's just— let's go in and let's break down
Speaker:fiber. We're gonna do the who, what, when, where, how of everything you need to
Speaker:know, rapid fire. So just brace yourselves for this
Speaker:episode, you guys, because we're starting off with What
Speaker:actually is fiber? Like, what is fiber? What is fiber? So fiber
Speaker:is dun dun dun, a type of carbohydrate, which
Speaker:I think that is part of the reason too, from— for
Speaker:bariatric patients and for weight loss and all of these things. Like,
Speaker:we're so often, you know, and we recommend it too, like we recommend cutting
Speaker:back the carbohydrates in the diet. Well, fiber is a type of
Speaker:carbohydrate. Um, it's always going to come from plants. So one of the fun
Speaker:things Funny to me, because I think these things are funny, is like
Speaker:you'll see a thing and it's like plant-based fiber, like
Speaker:fiber from plants, like as if all fiber doesn't come from
Speaker:plants. It's just one of those silly marketing things, but it makes me laugh. So
Speaker:it's going to be found in our foods that contain carbohydrates, and essentially it's
Speaker:kind of like an indigestible type of carb. So it's
Speaker:gonna really transit through your body without being
Speaker:absorbed, without really being utilized like a different type of
Speaker:carbohydrate like sugar would be. Um, You don't really get
Speaker:energy from it. And so it, it is
Speaker:beneficial in that sense from like a caloric and energy
Speaker:standpoint of not providing that extra calories
Speaker:necessarily, like another type of carb would. And then it has
Speaker:all these other great benefits that we're going to talk about when it comes
Speaker:to our heart health, our blood sugar
Speaker:management, our satiety, weight loss.
Speaker:Gut regularity is always kind of the big one that people think of when it
Speaker:comes to fiber. But, you know, it all just really
Speaker:benefits from it. I know it does a lot of things. I
Speaker:think when people hear fiber, they instantly think about
Speaker:helping with constipation and just pooping and gut health and
Speaker:all of that sort of thing. And so I think people think
Speaker:Metamucil, Benefiber, And so I want to
Speaker:expand just our knowledge beyond just these
Speaker:powdered supplements. And like you said, okay, interesting, it is a
Speaker:carb. So like, where can we find it? What are the best foods? And how
Speaker:do we get creative so that it really helps us hopefully be
Speaker:regular? That's always a good thing. Yeah. But also to lose weight and feel
Speaker:fuller with, you know, less amounts of food. Right. So
Speaker:from a food perspective, so first of all, to talk about the supplements, just start
Speaker:there. Those are fine to incorporate in your diet. And I do think, especially when
Speaker:we're talking about somebody who is new post-bariatric,
Speaker:maybe starting on a GLP-1, um, somewhere in that weight loss journey
Speaker:where they're getting some outside source like, like
Speaker:medical or intervention. I think that those can be really
Speaker:helpful for a lot of people because your intake is so low.
Speaker:It's just hard to kind of meet your goals realistically from food. And what are
Speaker:those goals? So that's another good thing to point out. So for women, generally it's
Speaker:recommended about 25 grams of fiber a day, and for men it's
Speaker:31, 36. I always forget that number and I should look it up.
Speaker:But anyway, for men it's higher and that's because it's really measured on a per
Speaker:calorie basis. So it's about 12 grams of fiber per 1,000 calories in
Speaker:your diet is the goal. Okay. So for women aiming for that,
Speaker:about 2,000 calories a day on average would be about 24,
Speaker:25 grams of fiber. So that's kind of where that recommendation. So when
Speaker:we cut the calories back, we generally expect to see
Speaker:a decrease in that fiber intake because it's on that kind of per calorie
Speaker:basis. So that's where you have to be really intentional with it. in adding it
Speaker:into the diet. And so how do we do that beyond, like you
Speaker:said, kind of this, the supplementation of
Speaker:it? A couple categories. Obviously, we're not going to get
Speaker:it from our protein foods. We're not going to get it from meat. We're not
Speaker:going to get it from seafood. We're not going to get it from dairy products.
Speaker:So like, don't— those are important, but you're not going to get fiber from
Speaker:them. The top— one of the top places you can get it is from like
Speaker:seeds. So like chia seeds are really popular, I would
Speaker:say, that you can get. And 2 tablespoons of those has about 8 grams of
Speaker:fiber. in it, which is incredible. I
Speaker:mean, like, for a woman, that's like a third of your day's fiber in just
Speaker:like 2 tablespoons of something. And so
Speaker:that's an easy one that you can add in. Fruit is going to be another
Speaker:great place that we get fiber. So things like berries, raspberries
Speaker:and blueberries and blackberries especially are going to be like really
Speaker:concentrated sources of fiber. Pears,
Speaker:apples, kiwi. And then our non-starchy
Speaker:vegetables. This is another really common thing with fiber is people are like, well,
Speaker:I eat a salad. You know, with my meal. And like,
Speaker:oh, sorry, I hate to break it to you, that lettuce probably has like half
Speaker:a gram of fiber in it. Like, it's very low. What we think of
Speaker:being these like great sources a lot of times aren't, like our leafy greens.
Speaker:That's not to say don't eat them, and don't— and especially if you can get
Speaker:a decent volume of them, then it adds up, but it's not, um, a
Speaker:huge one. Carrots are a decent one though, I would say.
Speaker:Um, like, I like to eat baby carrots with meals. I think it's a really
Speaker:easy side, or like with some hummus or something. Um, which
Speaker:hummus brings me into like maybe My favorite category of fiber foods, which is
Speaker:beans and lentils. So black beans,
Speaker:white beans, kidney beans, chickpeas,
Speaker:lentils, all these things, about half of their carbohydrate comes
Speaker:from fiber. And so when you're looking at something that
Speaker:has, you know, maybe 15 grams of carbs per serving, a
Speaker:lot of times like 8 grams of that is going to be fiber. So that's
Speaker:huge if you can add in a serving of that a day. I think it'd
Speaker:be really helpful. Do you feel like this whole
Speaker:soluble versus insoluble fiber— I know hopefully you're still
Speaker:with us, you're not falling asleep— but do you feel like the
Speaker:type of fiber matters in
Speaker:that regard, maybe for weight loss? That's what we really care about here.
Speaker:Yeah. So yeah, so like the insoluble
Speaker:fiber is going to— it's not going to dissolve in water. It's
Speaker:insoluble, so it doesn't dissolve in the water. That's going to be the thing that
Speaker:really helps with the The stool. So adding bulk to the stool, moving
Speaker:through the GI tract, really dragging things down, um, and
Speaker:pulling things through. The soluble fiber dissolves
Speaker:in water, um, and that's gonna be where we lower cholesterol,
Speaker:but that's also gonna be where we really help with those blood glucose levels, which,
Speaker:you know, sometimes we see, and we're seeing probably more and more research on, of
Speaker:like keeping blood sugar management a little bit top of mind when it comes to
Speaker:weight loss, not just for diabetics, but for everybody, and keeping our insulin
Speaker:levels more regulated. So. Mm-hmm. I would say that it's both. And
Speaker:fortunately, when we look at foods that are high in fiber,
Speaker:um, most of them have both in it. So they're
Speaker:a combination of soluble and insoluble
Speaker:ones that are going to be high, for instance, in, um, in one
Speaker:versus the other. So like I mentioned, chia seeds or pears, those
Speaker:are almonds. That's a— nuts are another good source. Those are going to be higher
Speaker:in the insoluble fiber. Things like
Speaker:apples, green peas, wheat bran, those are gonna be
Speaker:more soluble fiber. And then things that are gonna fall
Speaker:right in the middle are gonna be like those berries, oatmeal,
Speaker:some of our, like our sweet potato, some of our whole
Speaker:grains, edamame. So some of those other ones that are gonna kind of
Speaker:fall that have a more even distribution of both. But even the
Speaker:ones that, like I said, like, like chia seeds that are more insoluble, they still
Speaker:have a little bit of soluble fiber in them. So it's going to be both.
Speaker:I mean, I think it's great. Yeah, it's so beneficial to your— the
Speaker:gut microbiome, which is also a hugely popular
Speaker:topic right now. And it brings us always back to poop.
Speaker:You know, constipation happens when you're
Speaker:on the diet. Like you said, protein has been it. It's always been
Speaker:about protein, high protein, low carb, little to no added
Speaker:sugar. That's the high-level overview of what we all recommend, whether you've
Speaker:had bariatric surgery or you're on a GLP-1 medication.
Speaker:Now, these 2 phenomenon, surgery and meds, they both
Speaker:induce constipation, especially after surgery. You might not
Speaker:be drinking enough fluids. So cheers. You want to always kind of start that
Speaker:regard, drinking more fluids, getting things going that
Speaker:way. But what do you think about that early
Speaker:post-op period when sometimes people
Speaker:describe like, I have so much pelvis
Speaker:Pelvic fullness. I had surgery a week ago. I have
Speaker:not had a first bowel movement yet. Should I try some of
Speaker:these things like the apples and oatmeal and berries and things like that to try
Speaker:to add more fiber to get this stool ball out
Speaker:of my rectal vault? No, I don't think that's the, the time to
Speaker:be doing it because like I said, it's gonna add bulk to the stool. And
Speaker:so you don't wanna be adding more bulk to that.
Speaker:I like that. To me, if you're that bad, it's medical intervention at that point.
Speaker:Wouldn't you agree? Like, let's get that out of there. Let's do— if we need
Speaker:to do an enema or something like that, like, get that cleared out.
Speaker:Um, because your gut just went through something completely different
Speaker:too. Yeah. So I think that's a unique time.
Speaker:Um, and there are some, some, um, disease states, just to
Speaker:point out, that a low fiber diet is the indication of treatment. So if your
Speaker:doctor ever tells you like, hey, you need to be on a low fiber diet,
Speaker:Listen to them. So yeah, no doubt about it. I mean,
Speaker:it does really control how things are moving through.
Speaker:And then the GLP-1, speaking of that, as we know, part of the
Speaker:magic on how they're working is they're slowing
Speaker:down the transit. It slows gastric emptying. So yes, things up
Speaker:top, you could get some regurgitation, some reflux, but also just
Speaker:slows down the, the GI tract, gastrointestinal tract in general.
Speaker:And so You're not going to eat as much. When you do eat, we're
Speaker:wanting you to get your protein, and then that is by default
Speaker:going to really just inadvertently be a low fiber diet.
Speaker:So I do think that this is such an important part of the
Speaker:conversation that you try to increase your fiber in any
Speaker:way, shape, and form that you can while you're doing these other methods.
Speaker:Once you're, you know, post-op and you're, you're on this GLP-1, you're rocking and rolling.
Speaker:Yeah, I agree. And I think that, you know, that does bring it to another
Speaker:point of when you are doing this. So a
Speaker:couple things. One, I think when you're starting to be with— starting to try to
Speaker:add fiber in, you do have to be really intentional with it. This is not
Speaker:something that's just gonna occur because you're willing it to. You
Speaker:have to like seek these foods out. You have to track your
Speaker:diet probably really to get a realistic expectation.
Speaker:Something I, you know, figures I've heard is between 90 to 95% of people
Speaker:are not meeting fiber needs. in the United States. Or so, like,
Speaker:you're low regardless if you've had surgery, you haven't had surgery, you're not on GLP-1.
Speaker:Anybody, you and I, probably aren't getting enough fiber in our diet. Like,
Speaker:um, you know, it's just something that you really do have to, like,
Speaker:incorporate these very high sources every single
Speaker:day and regularly. But what, what that also means is,
Speaker:like, fiber maxing. Like, I don't know if you've heard that term.
Speaker:No. Oh gosh. You're not as chronically online as I am.
Speaker:Um, so I get targeted by other things. Other things.
Speaker:Yeah. So fiber maxing is like this idea of just
Speaker:like super getting— I'm like, okay, let's just call it like
Speaker:meeting your needs. Like, let's just start with getting enough, like
Speaker:adequate fiber. But that's not— doesn't— adequate fiber does not sound as
Speaker:cool as fiber maxing. So, but if you are getting like
Speaker:You know, 5 grams a day, for instance, please don't aim for
Speaker:25 tomorrow. You are going to cause GI
Speaker:problems. You are gonna feel bloated. You're gonna either poop your pants or not
Speaker:poop for a week. Like, because the thing with fiber is like,
Speaker:it helps with constipation, but it also helps with diarrhea.
Speaker:So it kind of, it just helps with either one. So like,
Speaker:don't jump up. And then also really, so slowly increase, add a
Speaker:couple grams, do that for a few days. Like if you're getting 5, aim for
Speaker:8. And do that for a little while and then aim for, you know, 10
Speaker:or 11 and then go from there until you're kind of regularly hitting that need.
Speaker:And then also with that, you do really need to increase your fluid intake as
Speaker:you do it because it's gonna like all of the— it's
Speaker:gonna pull that through. And so sometimes too, what we see is like you increase
Speaker:your fiber and you end up constipated and you're like, I thought this was supposed
Speaker:to help with that. And it's just because it's created this really dry, hard
Speaker:bulk in your system and you can't pass it. Mm-hmm.
Speaker:Yeah, I mean, that, that's it. And then plus, after
Speaker:bariatric surgery, you now have a much smaller stomach.
Speaker:And so to try to overwhelm— just
Speaker:your anatomy sometimes can be a little sensitive. And
Speaker:you, you don't want to, like you said, jump, and you want to make sure
Speaker:that you're staying hydrated. You're very deliberate and intentional with your, your
Speaker:fiber add, but I would definitely encourage them to do that,
Speaker:um, as you're saying as well. So You already gave us some,
Speaker:some great examples of things that you would put on your shopping list.
Speaker:But can you kind of rapid fire through
Speaker:if some things that you could just like list off here? And by the way,
Speaker:you guys, we have this on a blog. She just wrote this really
Speaker:all comprehensive fiber, fiber, fiber guide
Speaker:on bodybybariatrics.com that really has a lot of this. But can you tell us just,
Speaker:all right, give me some examples of things you would throw into your cart.
Speaker:So again, the bean aisle, grab whichever kind you want. And
Speaker:there's like so many different ways to incorporate that. You can add white beans
Speaker:into pretty much anything. I just made like a stir-fry meal last
Speaker:night and it was a ready, like one I just tossed in a pan and
Speaker:I just opened a can of white beans, drained them, rinsed them,
Speaker:added them to there. So that's like an easy one. Lentils are
Speaker:also great. You can soak them, cook them, or you don't have to soak
Speaker:lentils. That's the great part about them. So you buy them dry. Cook them, and
Speaker:then you can add them into like a, um, like a red sauce. So if
Speaker:you're making, um, like a pasta sauce or something like that with ground
Speaker:meat, um, or turkey, just add lentils in there and it's— it almost kind
Speaker:of dissolves into the sauce. Almost. It doesn't, but it's gonna like not—
Speaker:your kids will eat it, stuff like that. Um, again, grab chia.
Speaker:I do think that like chia seeds or ground flax is another great option. You
Speaker:do wanna make sure it's ground. Our body can't utilize it if it's whole seeds.
Speaker:Mm-hmm. So get ground flax. Um, those are great. Add 'em into
Speaker:yogurt, smoothies. Really anywhere
Speaker:you can sprinkle onto a— sprinkle flaxseed onto a salad, you won't even
Speaker:notice that it's there. So those are great. You can make
Speaker:like chia seed pudding. Avocado. Avocado
Speaker:is a great option. So some little sneaky ones, like I said,
Speaker:berries are going to be always my go-to choice when it comes to fruit, but
Speaker:that's also just because of my preference. But you could do like a berry smoothie.
Speaker:That'd be a great way. Add some chia seeds in there and it's like double
Speaker:whammy. You could do really any fruit.
Speaker:Like I said, pears are a great one because they— pears are good
Speaker:because they have this other, I
Speaker:don't know if it's an enzyme,
Speaker:but it helps with constipation itself. So it's like a separate thing
Speaker:that will help you go to the bathroom if you're having a problem.
Speaker:Love it. Such a great— so many great examples. And
Speaker:there's a really good link and I'll make sure that we like link it into
Speaker:from the USDA. That is, um,
Speaker:that, that tells you the fiber per serving of these
Speaker:different foods. Which, that brings me to something else. When we're talking about this,
Speaker:like, you're probably— you may or may not be able to eat an entire serving
Speaker:of these foods too. Yeah. So don't let that worry you if you're
Speaker:like, well, I can't eat a half a cup of beans plus my
Speaker:meal. Like, you might only be able to eat a couple bites of it, but
Speaker:that's fine. Like, add that in. It all counts.
Speaker:Absolutely. So go ahead.
Speaker:You go ahead. I don't want to stop you. You're like on this fiver
Speaker:roll and I'm just like, yeah, just taking it in. You're here for the ride.
Speaker:So the thing too that, that really helps with is going to be like
Speaker:we— like you mentioned that gut microbiome. And so you'll hear
Speaker:the term like prebiotic, like with
Speaker:probiotics Old, old news. Everybody knows about probiotics.
Speaker:Prebiotics are the new thing. Fiber is essentially like a prebiotic. And so
Speaker:what it does is it provides like this food source for the good gut
Speaker:bacteria. And so that's another thing that as you add this
Speaker:in can cause some of this upset. You might get like, it might think I'm
Speaker:getting kind of stinky. Um, you might get some bloating and that's like,
Speaker:that's, those are good signs though. It means that that good bacteria is feeding
Speaker:in. And so I kind of feel like too, especially if you're somebody who is
Speaker:like Recently had antibiotics, um, or
Speaker:you just feel like your gut is just like— you don't do a
Speaker:lot of maybe fermented food, you're not getting a lot of those types of things—
Speaker:maybe adding in a probiotic supplement as well to get you
Speaker:started. And then you probably can stop it because once you start kind of feeding
Speaker:that gut bacteria, it can help to kind of proliferate inside you.
Speaker:But maybe adding in like a probiotic as you
Speaker:start your fiber journey as well. Maybe start one and then the other,
Speaker:but just so you can meet out which one is causing
Speaker:any issues. But that way we're able to feed that good gut
Speaker:bacteria as well. I mean, if you're not
Speaker:running and racing over to the store to get your fiber, I don't know what's
Speaker:going to convince you. And yeah, right. I
Speaker:mean, bring on the pears. Yeah, there you go.
Speaker:I don't like pears, unfortunately. I'm so particular about fruit.
Speaker:So like, I'm the worst person to ask if this is like
Speaker:Does this taste— I'm like, I don't know, I don't like it. Oh my
Speaker:gosh. Well, I love fruit, but I am so
Speaker:lazy. I never buy it, wash it, cut it, and
Speaker:so I don't eat it. And whenever I go on vacation, I do.
Speaker:You eat it. See, I'm so jealous because like my husband loves fruit,
Speaker:like loves fruit, all kinds. So does my daughter. Um,
Speaker:and I'm just like, it'd be so nice just to be able to grab an
Speaker:apple and like just eat it, which he does. Or
Speaker:I bought plums and he just eating plums.
Speaker:Yeah. And I'm like, for me, I— you're right, like I have to wash the,
Speaker:the berries. They're gonna go bad in my refrigerator. I'll
Speaker:do the frozen ones because I'll make a smoothie, but like, or my yogurt. But
Speaker:no, I just— too much work. You're right, it is so
Speaker:much. But yeah, when I go on vacation, I'm always like What is it about
Speaker:this warm tropical breeze that's getting me so regular? Like,
Speaker:no. Well, first, you're probably allowing yourself to relax, and
Speaker:second, you are eating fruit. Like, you're eating
Speaker:fiber. I think I go from 0 to like 50 grams in a day.
Speaker:Probably. Yeah, I find that with myself too. Like, I don't—
Speaker:I haven't been tracking my fiber intake, but I do feel like I probably have
Speaker:big variable shifts and it doesn't seem to bother me.
Speaker:So, you know, when we say all of that, it's like, well, do what you—
Speaker:what— do what works for you. I mean, I'm not going to stop you, but
Speaker:just know if you do increase really quickly, for most people it's going to like
Speaker:some issues. Um, exactly. Other things that
Speaker:are really beneficial with fiber— so our heart health is another,
Speaker:um, really important thing. I mean, first of all, because we
Speaker:also— one is we know that a lot of times weight loss will help with
Speaker:heart health. So like secondary benefit of weight loss is also that. So
Speaker:fiber helps with weight loss, helps with heart health, blah blah blah, all that. But
Speaker:it also is going to to really help with, um, our cholesterol
Speaker:levels. So like I said, that soluble fiber actually binds to
Speaker:cholesterol and helps to kind of grab it from your system and
Speaker:eliminate it in that stool. So you can just like really help with cholesterol. So
Speaker:if you're seeing a lot of like high cholesterol, high HDL levels,
Speaker:like let's get that fiber going, let's increase that. We see that a
Speaker:lot, I would say, for people when they get their labs done at 6 months
Speaker:post-bariatric surgery. Um, I'll see them sometimes.
Speaker:Amber, our PA, will see them, and then she'll have them see me
Speaker:afterwards, and I'll peek at their labs. And a lot of times I'm seeing that
Speaker:like higher HDL level at that point. Again, you're focused so much
Speaker:on like meat and protein that you're getting this like high saturated fat diet.
Speaker:So that's a time to really start to kind of implement some fiber
Speaker:in the diet. Um, there's also studies that really show that a high fiber
Speaker:diet helps with, um, blood pressure and reducing risk
Speaker:of stroke, which is always important. And then also just reducing
Speaker:inflammation overall. So obviously from a cardiovascular
Speaker:perspective, that's important. But like, you know, maybe it's going to help with our youth
Speaker:and looking beautiful. It's like, let's reduce our inflammation everywhere. Let's do
Speaker:it. I, I mean, I think we should do a fiber challenge,
Speaker:and, uh, I think we should all do it. Like you said, I think the
Speaker:first step To improve ourselves, we must know ourselves. And that is just to
Speaker:figure out, like, how many grams do we think we're currently
Speaker:eating? Like, go back to— if it has a label, read the label. How many
Speaker:are in this? And that's also part of—
Speaker:what do you think about, you know, calculating the net carbs, looking at the total
Speaker:carbs, subtracting sugar alcohols, but also subtracting fiber?
Speaker:Why is that? Do you know why that's part of that equation? So
Speaker:from what I kind of get from it is that because fiber is not—
Speaker:like I said at the beginning, it's kind of not being fully broken down and
Speaker:digested like other types of carbs are— is that it's not really
Speaker:providing a calorie, and it's not raising the
Speaker:blood sugar like another type of carbohydrate would.
Speaker:And so when we, we can kind of like take that out of the
Speaker:equation, you can subtract that out. Um, and so we
Speaker:use it in our practice. We do have people— I know that there's other bariatric
Speaker:dietitians, other bariatric surgeons, other practices that don't use the net
Speaker:carbs because what I would say is it's probably not the most
Speaker:studied thing in the world. So it's kind of like, you know, do we use
Speaker:it? Where I find that I think why I like that we do
Speaker:it is because ultimately people might be getting the same number of
Speaker:carbs, but it's encouraging our patients to
Speaker:get more fiber. Mm-hmm. Because they're trying to keep that net carb low
Speaker:versus somebody else who might just get 75 grams of carb, But the fiber
Speaker:isn't kind of counted in there. Like we, we might be getting kind of
Speaker:2 different things. So while ultimately great, you're gonna still
Speaker:eat more carbohydrates,
Speaker:we're doing the net. So you're gonna just, you're gonna aim for those higher fiber
Speaker:foods to really hit that target, I would say. So it's kind of like a
Speaker:little tricky way to push the fiber. I mean,
Speaker:I love that idea. So let's game it. So the first thing All right, how
Speaker:much fiber am I actually getting? Second thing, drill down even more.
Speaker:Let's look at the overall day. First, making
Speaker:sure— big time thing for weight loss, I think, is making sure you're eating
Speaker:at least 3, 3 meals a day, not skipping meals. And then
Speaker:looking at your breakfast, your lunch, your dinner, and maybe even snacks, and seeing
Speaker:of these which meal seems to be low in fiber. Like,
Speaker:where are my best opportunities to now increase the fiber
Speaker:realistically on something that I'm going to stay consistent with? Yeah. And I'm going to
Speaker:actually continue to do. Yeah, and actually, I think an easy
Speaker:place that a lot of people struggle with in general, just to
Speaker:think of things, is breakfast. So it's normally kind of our hardest meal to think
Speaker:about adding protein or adding— like, you know, usually most people aren't eating a
Speaker:lot of vegetables in the morning. Fine, whatever. Um, but maybe that's a place where
Speaker:we can add some of these kind of
Speaker:food-adjacent types of things, like the— like I've talked about, the chia seeds
Speaker:or the ground flax. Like, you could make an overnight chia pudding
Speaker:or something that's going to sit in the fridge. So in the morning, you're running
Speaker:out And you can grab that and go. It's already made for you, or you're
Speaker:doing like a high protein smoothie with fruit and some stuff added
Speaker:to it. So I think that's an easy place to add. Again, look at your
Speaker:meals. Is there a place that I can add a bean or a legume to
Speaker:this? Yes. Do it. The great thing too with those, they're so
Speaker:cheap. Like beans are so inexpensive and they add some protein. So benefit
Speaker:there. You get a little protein from those too.
Speaker:Absolutely. I love a good bean too. I'm
Speaker:obsessed. And salads. There you go.
Speaker:I know you had that picture that you just had that looks so good. I
Speaker:know the picture describing the survivor stuff. I guess on my— on—
Speaker:oh yeah, it was briefly on the blog. I took it off. Um,
Speaker:um, something else that all of this is going to do is, is to help
Speaker:with blood sugar management. So I kind of touched on that before, but You know,
Speaker:when we're thinking about— you reposted it recently,
Speaker:our reel of us saying PFF, protein,
Speaker:fat, fiber. Yeah. And so that combination really does help with
Speaker:satiety and fullness, but it helps with the blood sugar management as well. So
Speaker:fiber is going to help your— everybody is going to have a blood sugar
Speaker:spike after they eat. So like, don't be afraid if you ever check your blood
Speaker:sugar and it's higher after you eat than it was before. That's the normal
Speaker:response. What we want to prevent is very high peaks
Speaker:and very high spikes for two reasons: one, that we don't want high
Speaker:levels of circulating blood sugar of sugar in our blood, but also for a lot
Speaker:of people that causes a crash, and then it causes that crash
Speaker:causes that craving that you want to eat more. And so it's this like cycle
Speaker:that you end up in. So we want to we want to temper that.
Speaker:And so fiber is one of those things that really helps to slow that
Speaker:blood sugar rise down and keep it. It slows it down and it keeps it
Speaker:generally lower. And gives you this better, like,
Speaker:smoother response overall. So that's just another one
Speaker:of those, like, benefits of, of fiber to throw in there.
Speaker:I mean, I'm serious, I'm gonna do this challenge. I'm gonna
Speaker:figure it out. I'm gonna look where my areas are. And then when you
Speaker:reincorporate it, like, you gave us a ton of great examples.
Speaker:You got to make sure you also are staying very, very, very hydrated with it
Speaker:as well. And Maybe journal or, you know,
Speaker:jot it down or put in your notes or just take mental note. Just be
Speaker:more kind of like, again, deliberate about your thoughts on,
Speaker:am I hungry? Am I feeling cravings as much?
Speaker:Am I full and satisfied after I eat? How
Speaker:long until I kind of start getting that kind of
Speaker:hunger growling in my stomach sensation going again?
Speaker:Yeah, that's definitely one. And, and from a weight
Speaker:loss perspective, I think one of the really big benefits is it is
Speaker:just so satiating. And
Speaker:what I hear is sometimes when people follow up with us again months
Speaker:out, even a year, 2 years out from surgery, is just like,
Speaker:I just feel hungry all the time. Yeah. And, you know, I think that there's
Speaker:2 causes for that. Sometimes I think, especially early on, I think people generally
Speaker:undereat because they don't know their limits. They feel
Speaker:like Like they should, they should themselves to death. They should
Speaker:only eat 2 ounces at a time, which I don't know whoever told them that
Speaker:because it wasn't me. Um, but you know that they should only eat a certain
Speaker:amount. So that's the first thing is like eating until you're satisfied. But
Speaker:also, is it a very low fiber meal? Is it just not have like
Speaker:any kind of bulk to it that is going to keep you
Speaker:full, like to keep that satisfaction factor for
Speaker:longer? Or is it something that's going to kind of
Speaker:transit through quickly and, and then you're going to feel hungry in an
Speaker:hour? I mean, it's normal to feel hungry a few hours after you eat. And
Speaker:I think that's something else is people think that they should never feel hungry
Speaker:or just because I ate breakfast at 8 that by 2 PM, God forbid, you're
Speaker:hungry. Like, no, you're probably going to feel hungry around noon.
Speaker:But, you know, if we can kind of keep it for those 3 to 4
Speaker:hours, I would say that would be where we would start to see like that's
Speaker:kind of the normal pattern. Yeah. I agree. I think that
Speaker:fiber is the secret weapon that is, like you said, protein, fat,
Speaker:and fiber keeps you full and you need to
Speaker:reincorporate it, especially if you're stuck or you're feeling
Speaker:hunger and you're getting that kind of food noise, those obsessive
Speaker:thoughts about like, oh, I need something. You just might need to fill yourself up
Speaker:in a different way and fiber might be just that secret nutrient. Yep.
Speaker:All right. I want to do a rapid fire with you. Okay. And, um,
Speaker:we're, we're gonna go fast and furiously here. Does
Speaker:coffee have fiber in it? I was looking that up the other day.
Speaker:I need to research it. I'll come back to you on that one. Okay. Does,
Speaker:does an avocado have fiber? Yes. Popcorn?
Speaker:Popcorn does, cuz it's a whole grain. Okay. Potatoes?
Speaker:Yes. Especially white potatoes with the skin. Sweet potatoes without the
Speaker:skin have a good amount of fiber in them. Fascinating. Does
Speaker:peeling the fruit increase or reduce fiber, would you say?
Speaker:Taking that skin off? Yeah, like an apple would, a pear
Speaker:would, something that you, that you wouldn't eat the skin. Now, I wouldn't
Speaker:recommend eating like an orange peel. No, I,
Speaker:um, would definitely be taking that bad boy off. I would
Speaker:not be that lazy. That one would go in the trash. Uh, so
Speaker:beans, are they a carb? Are they a protein? Are they a fiber? Are they
Speaker:all of the above? What the hell with these I call them a fiber source
Speaker:more than anything, and then they're going to give you a little bit of benefit
Speaker:of, of some protein and some other carbs. Okay, so
Speaker:this chia seeds, you have referenced them several times. Do you believe that they are
Speaker:truly worth the hype? Yeah, I think so. Okay,
Speaker:flaxseed, whole or ground, you covered that.
Speaker:Um, so you're saying oatmeal is actually good for you?
Speaker:Oatmeal is— so oatmeal is a tricky one because it's still going to be very
Speaker:high in carbohydrates. So It really depends on where you are,
Speaker:what your goals are, but it has some, some other
Speaker:benefits of the type of fiber that it offers that can help like
Speaker:with heart health. Okay. Do you
Speaker:feel like fiber gummies are just as good as getting fiber
Speaker:from vegetables? Never. I know. And do
Speaker:you think that fiber supplements actually work? I do. Which,
Speaker:so maybe the gummies are fine. I just am, I feel like I'm biased against
Speaker:gummies. I feel like I'm biased against anything that's not just getting it
Speaker:from food, no matter what it is. Like even protein shakes. We've gone
Speaker:on with— I've said we've spoken our piece about those many, many times. If you
Speaker:can get it from a food source, get it from a food source. Always. I
Speaker:think I agree with you on that one. Yeah, for sure.
Speaker:I can answer this one. Do I need fiber every day? Yes, queen, you do.
Speaker:Of course you do. Can bariatric patients take
Speaker:psyllium? Psyllium husk. Yeah. So that's gonna be like a
Speaker:type of one of the supplements. I wanna say Benefiber maybe is
Speaker:psyllium husk. Or there's so many. I always just reference those 2,
Speaker:Metamucil and Benefiber, but there's like thousands probably of these things on the
Speaker:market. So, and then I have seen people using that as like a
Speaker:food product. I haven't tried that. All right. Now,
Speaker:if you had to pick one single favorite, I only can have one.
Speaker:What is your personal favorite High fiber food,
Speaker:your personal favorite. You can only have one. Oh my God.
Speaker:And you have to get that fiber in. We know that. I'm
Speaker:gonna say beans. I call it, call it beans. I
Speaker:just feel like it was that or out of
Speaker:left field avocado, because like I do love avocado,
Speaker:but there's only so much you can do with it. That's true. Versatility
Speaker:of beans is really what gets Yeah, the winner. Hide them
Speaker:and put them in all kinds of things. Yeah. Um, now
Speaker:you need to finish the sentence. Fiber is
Speaker:that girl because—
Speaker:She fills you up and makes you look good. Okay,
Speaker:she's that— I mean, that's what we want from all—
Speaker:from everything. There we go. So all vanity, it's all
Speaker:about vanity. We all want to look good, and that's why we're— if you're here
Speaker:to the bitter end talking about fiber, you're gonna be one sexy biatch.
Speaker:After this episode. So remember, protein first. Still,
Speaker:our stomachs are small. We need to make sure that we're getting that. Don't skip
Speaker:meals. Your fiber does matter though, and hydration always.
Speaker:Hydration always has to be the mix. Otherwise we're going to have some,
Speaker:some GI tract issues. And we don't want to— we don't want to see you,
Speaker:you know, having to get disimpacted. No, I, I
Speaker:don't want to go slow. Go slow. Go
Speaker:slow. You got this. Well, Hannah, I honest to God learned a lot.
Speaker:I did. I learned a lot of different things. You always have so many very
Speaker:creative, uh, examples. You never know what's in this little
Speaker:head. I'm always surprised. I mean, like, I know I say this all the time
Speaker:on this podcast. I'm like, oh wow, she knows so much about some
Speaker:random thing like fiber. I knew really honestly not much of
Speaker:anything, um, before coming into this conversation, but I can
Speaker:assure you that I'm going to be a much better follower of
Speaker:all fiber intake, and I'm going to incorporate it much more into my own personal
Speaker:life. Good. I hope so. Me too. Honestly, I talk about it a lot. Then
Speaker:I realize like, oh, you need to like do it. And then I feel like
Speaker:that's when I'm like, oh great, then that day I had 40 grams.
Speaker:So if you are listening to The Bitter End and you, you are
Speaker:super special because text us at our texting line.
Speaker:Uh,
Speaker:507-543-0971,
Speaker:and I will send you a very special 3-day high fiber meal plan.
Speaker:If you use the words, I'm super special and I listened to the whole podcast,
Speaker:please send me the plan or something to that effect. That's quite a long
Speaker:secret code word, but text us and I'll send that over to you.
Speaker:Don't worry if I slip into your DMs. Yeah, right. I can just, I
Speaker:can just send it to you. I'm gonna, I'm gonna look
Speaker:at it. I'm gonna do it. We're doing this thing. Well, thank you so much,
Speaker:Hannah. This is super interesting. Take us out. How people follow
Speaker:us? Follow us on Instagram at The Weight Loss Collab,
Speaker:at Body by Bariatrics, at Dr. Dovek, at HannahSchuyler.RD.
Speaker:We're on YouTube. We're on all your platforms. Give us a like,
Speaker:a follow, a 5-star review. We need some love,
Speaker:guys. So we, uh, but this was great. We're excited to
Speaker:really bring back some of our episodes and listen to some things again. And,
Speaker:you know, always send us your ideas or requests for topics. We're happy to
Speaker:do that as well. But we'll see you next time. Bye, guys.
Speaker:Bye, guys.