Enjoying Dessert Post-Surgery

After bariatric surgery, you may wonder if dessert is still an option, especially given all the information on limiting sugar intake. This surgery includes many changes in our eating habits, though it doesn’t necessarily reduce our desire for sweets. So, can we have our cake and eat it too? Well, yes—but with some adjustments. Choosing the right type of sweetener—whether natural, artificial or somewhere in between—is key to satisfying that sweet tooth without sabotaging your progress.

Natural Sweeteners

Natural sweeteners, like honey, agave syrup, or even fruits, can seem like the healthier, “cleaner” choice, as they aren’t created in a ‘lab.’ However, after bariatric surgery, it’s essential to remember that these sweeteners are still high in sugar, which can lead to an unpleasant side effect called dumping syndrome in gastric bypass patients. This occurs when sugar rushes into your small intestine too quickly, causing nausea, cramps, and diarrhea. Natural sweeteners like honey and maple syrup, while minimally processed, contain fructose and glucose, which could trigger this reaction. Note: dumping syndrome isn’t as common after sleeve gastrectomy.

That said, not all natural sweeteners are off the table. Stevia, a plant-based sweetener, is a popular option. It doesn’t raise blood sugar levels and has zero calories, making it an option after bariatric surgery. Some studies show that Stevia may help manage blood sugar levels without the risks associated with other high-sugar natural sweeteners like those above.

Artificial Sweeteners

There’s been a lot of controversy surrounding artificial sweeteners since their accidental discovery in the late 1800s. Are they unhealthy? Do they cause weight gain or increase the risk of cancer? Fortunately, most recent research has shown that artificial sweeteners, while not perfect, aren’t the dietary villains they were once thought to be.

The best and perhaps most common examples are aspartame and sucralose (the stuff found in Splenda). Studies have shown that, in moderation, these sweeteners don’t raise blood sugar levels and aren’t directly linked to the health issues they were once blamed for. In fact, for bariatric patients (and/or those with diabetes), artificial sweeteners can offer a way to enjoy sweet foods without the blood sugar spikes or extra calories.

You may have also heard these sweeteners can increase your risk of cancer. This link was first proposed in the 70s and led to a panic that these sweeteners caused bladder cancer. However, this study was done in rats and was incredibly dose-dependent: a human would have to drink hundreds, if not thousands, of cans of sodas daily to have an equivalent dose. No recent studies have found a causative link that these sweeteners impact human cancer risk.

However, moderation is key. Overconsumption of artificial sweeteners could lead to gastrointestinal issues like bloating or gas, which no one wants to deal with. Just because we don’t think they cause cancer doesn’t mean they’re “good” for us; we just don’t have enough solid evidence yet. Choosing products that don’t rely solely on artificial sweeteners is important. Combining artificial sweeteners and healthier, high-protein ingredients can help create more balanced desserts.

High-Protein Desserts

Protein is critical after bariatric surgery. High-protein, low-sugar desserts offer a win-win by satisfying your cravings while supporting your nutrition goals. These can come in protein shakes, puddings, or baked goods made with protein powders. A study published in the American Journal of Clinical Nutrition found that higher protein intake can help preserve lean muscle mass while promoting fat loss. This is especially important after bariatric surgery!

Many brands now offer high-protein ice creams and desserts to support healthy weight maintenance. These typically have lower sugar content and often use a mix of natural or artificial sweeteners, making them ideal for post-surgery snacking. Remember, dessert after bariatric surgery doesn’t have to be off-limits. It’s all about making mindful choices that fit your new lifestyle and dietary needs.