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I disagree with with Dabeyhive and RickM's comments above. Sure, keto isn't for everyone, but it's great for many people. I love the fact that it gives me some firm rules to follow and it happens to fit my eating preferences. First, I don't believe Keto is a fad diet at all. It's been around in various forms since the 1920's and became the basis of the original Atkin's diet in the early 1970's. It works very well both for weight loss and general health benefits. The problem is that some people don't really understand the diet or follow it correctly--and that's where people into problems. Following a proper Keto diet doesn't mean you should be chowing down on cheeseburgers without the bun eating bacon with every meal. While cheeseburgers and bacon are not prohibited on Keto, those aren't recommended either. You should stick to things like organic eggs, lean organic meats and wild caught fatty fish (like sockeye salmon). Stay away from fatty meats, since the fat is bad things the animals consumed are stored. You then add healthy fats to your food, like avocado, MCT oil, extra virgin olive oil, ghee etc. The idea is to "prime the pump", so you body burns off its excess glycogen stores and then converts stored fats into ketones for energy. This is important, especially if you're insulin resistant. For me, I am really happy with Keto and I can definitely stay on keto long term. My surgeon and nutritionist are on board with my keto choices. I just had my blood work done after 2 months on Keto and everything was perfect. I am no longer diabetic (A1C dropped from 6.3 on multiple meds to 5.1 on no meds). My triglycerides dropped to 54 (they were 450 this past summer on meds). My cholesterol is 190, but my good cholestrol is 97 (which is outstanding)--so that's good. Some of these may be from the surgery, but diet and exercise are equally critical. I suggest that you don't do keto on your own, but you do with with the guidance of a doctor or nutritionist that has a lot of knowledge about keto. I personally keep my net carbs down to approximately 20g a day and close to a 1:1 ration of fat to protein. At this point, I am 14 weeks post op (99 days). I am eating between 1200-1600 calories a day. Those calories are made up of 45% protein, 45% fat and 10% carbs. The carbs I am consuming are mostly from vegetables--even green veggies have some carbs. I don't eat any bread, starches, potatoes, sugar etc. I avoid high carb fruit, but I am allowed berries. I avoid processed foods to the greatest extent I can. I also work out daily--at a high intensity (and have been since I had all physical restrictions removed 1 month after surgery). I have lost 70 pounds since my highest weigh in. My pants size has dropped from a 44 to a 32. My body fat has dropped from 28% to 16.5%. Weight loss surgery is only a tool (a good one), but I would say it gives you a head start and helps prepare balance your body's hormones and stomach so people like me (morbidly obese, with a trifecta of co-morbidities) can lose weight like a normal person without insulin resistance/diabetes and other issues that get in the way. Once I had those issues, in check the rest of it was up to me--with keto and serious exercise making the big difference in getting me to where I want to be. I'll let my pictures speak for themselves: The was me on July 4, 2018 (weighing around 255-260) : This is me on the day of Surgery (weight 235): This is me on March 23, 2019 (weighing 190): As a 45 year old man with diabetes etc., no way I could have done this without VSG. However, I really believe Keto and exercise (45 minutes moderate to high intensity cardio 5-6 times a week and 1 hour of high intensity weight training 4-5 times a week) have changed my health and my life. I can't imagine going back to the life I had before surgery, nor could I imagine not living a keto lifestyle at this point.

I love that idea!

Thanks for the input :)

So glad your ok!!

Hi all, I am almost a year on from my Gastric Sleeve (April 22 2018). Surgery went perfectly and very few immediate symptoms. I had a lot of trouble getting food down at first with hot flushes and nausea if I ate too much or too quick. It took a while to start seeing any weight loss. But it's a lot easier now. I've lost 40kg (about 90 pounds I think). With another 20kg to go for my ideal weight. About 6 months ago I started getting REALLY bad indigestion. I had never had indigestion before the surgery so it took me a while to figure out what was going on. It would keep me awake and I couldn't sit still for hours. But it would pass. Then a few months ago it started getting so bad that I was throwing up and crying etc. Last night, for example, it started at 6:30 pm and didn't stop... I was pacing when I could move, and in the shower for hours (for some reason a warm shower seems to make the pain more bearable). I hadn't slept the night before because indigestion was bad then too, though not AS bad, so I was falling asleep while walking! Sometime around 4am I was so tired I fell asleep despite the pain still being very very bad. When I woke it had subsided, though I'm achy and stiff. I had to take the day off work today, which can't be maintained. It's not all the time... maybe once every few weeks... often a couple of times in one week then nothing for a few weeks. I have tried antacids and they did NOTHING. I then did some reading that suggested it could be LACK of acid instead of too much acid so I am now taking HCL (Hydrochloric Acid) with Pepsin 650mg every time I eat. This did seem to help for 8 weeks or so, but now its back as bad as ever. I don't know if I need MORE of the HCL or if I should avoid it, cos maybe too much was the problem... I just don't know. I have a doctors appointment booked, but I'm wondering if anyone has had a similar condition and gotten to the bottom of it. Were there particular foods that triggered it? Did you work out if it was too much acid or too little and what did you take, etc? I haven't worked out a particular pattern with food. Often seems to happen when I've had dairy or salt... but then other times that I have either of those, nothing... so I'm not sure. Thank you for any advice!!! My

Ahh I am so sorry to hear, hang in there. Mine went away after the first treatment.

Does anyone know the standard protocol with H pylori? I remember being worried if I tested positive it might screw up my surgery date. My Dr did tell me some people need 2, sometimes 3 rounds of antibiotics before it clears up.

I was tested before and tested positive. I went through a cycle of antibiotics. There was not a follow up endo and biopsy to confirm it was gone. With everything that is going on I am sure it's still there. Another worry.....

You look fabulous! So motivating.😊

I got the sleeve December 28th. Successful pre-op week long liquid diet and day before clear liquids. 10.5 lb loss Successful surgery, anesthesia hit a bit hard and I didn’t end up fully waking up until middle of the night surgery night. Began walking, could hardly sip, all normal stuff. I could immediately pick myself up and didn’t require assistance in sitting up or walking around, was just extremely tired. Three days post op I began feeling what I assumed were the dreaded gas pains dead center of my abdomen. I called my doctors office, scoured the forums for advice, nothing helped. I tried the milk of magnesia assuming I was backed up, not the case. Tried gasx bc the pain latest 3 days non stop. Couldn’t hardly move, couldn’t sleep, couldn’t walk, couldn’t sit, lay, anything. So! Fast forward to Thursday (6 days post op) and I’m balling on the phone with my doctors office pleading there’s no way this is gas. So they bump my post op appointment to the next morning if I can wait. If not, they say don’t wait to go to the ER. Next morning on Friday my mother rushes me to the office, we barely get through the door and they’re sending us to the ER next door. After many tests, hours of different pain meds that didn’t work...a ct scan shows a prominent Portal vein thrombosis. A massive and extremely painful blood clot in my chest bc of the surgery. Little pre surgery info, I’m extremely healthy. I’ve never had heart burn, acid reflux, diabetes, heart problems, any issues health wise. I’ve now been in the hospital for over a week dealing with the excruciating pain, blood thinners, 6 days of NO FOOD OR WATER, not even ice chips. Talk about torture. So, just a heads up...it’s not always gas pain. This may be super rare, which is what I’ve been told, but still...it sounds like gas pains...it still may not be. If your pain is at a 10 go to the dang hospital.