???????

Yes! I was reading just that about an hour ago. It seems like with traditional DS, there's a very big problem with chronic, chaotic diarrhea which doesn't sound like my idea of a fun time. If I worked from home or something, then I could probably manage, but I work in a very small quiet office with centrally located bathrooms and thin walls. I just couldn't torture my peeps (or my butt) all day like that LOL My surgeon coordinator is out on vacation so there's really no one for me to talk to over there until she gets back...just waiting. Honestly the diarrhea thing is almost a deal breaker. Thanks for being so helpful!

Thanks! Yep, she's my little shadow

Howdy! I'm visiting from the pre-op RNY side of the forum. The more I read about the DS surgery, the more appealing it sounds vs. RNY. It was never offered as an option at my surgeon's office when I had my first consult, but it's mentioned on their website so I know one of the 2 surgeons there must perform it. I like the idea of preserving the Pylorus valve and removing the majority of the stomach area that creates Ghrelin (hunger hormone) PLUS bypassing part of the intestines. I'll be reading heavily in this forum from now on to learn more, but if anyone has some words of advice, encouragement or warning that you feel should be known, please send it my way! Thanks!

Here's my little fren. Hers name is Cricket, but I call her Wicket...or Sugar Baby My parents have all 4 of her brothers. Chihuahua/Shih Tzu mix

Yep, the BP store has great prices, some lower than Amazon AND don't forget that your forum participation gains you points to use on your orders for a discount. https://store.bariatricpal.com/pages/rewards

I don't have the GAF to copy the whole definition, but we also have... https://www.dictionary.com/browse/petty

Well, there is this practice called "Carb cycling". I know nothing about it in depth, but it seems kind of similar to what you're talking about.

If I could go back and edit my comment to clarify, I would. I was explaining what I currently follow (pre-op) and how I handle calories. I did mention at the end that I don't know how pre-op keto translates to post-op since most people follow low-fat post-op. But I understand...I'll be more careful.

Right, that's why I always state I'm pre-op and I'm not sure how what I follow will translate to post-op people because a post-op person's physiology is completely changed.

One more tip...the oil is EXTREMELY greasy. I mean, slip and bust your butt on one drop on a hard floor type greasy. I've never put it in anything but eggs, hamburger meat and coffee. In the coffee, I have to use a milk frother to break it up enough to where there's not an oil slick on the top of my coffee AND I use a straw so my mouth doesn't get greasy. It has no flavor at all, but if I had to recommend anything, try to mix a tiny bit into anything hot that already has moisture. You can put in broth, soup, etc. as well as cook your meats in it.

You got it! Keep us posted

Yep! 1:1 is honestly what I hope to be able to do after surgery. And you're right....your tummy is still too new to be too adventurous. It's awesome that you've found out what works for you. It'll get easier with time to do what it takes. Definitely try some MCT. You can get a tiny 3oz bottle of Brain Octane on Amazon for $6.95 https://www.amazon.com/dp/B06ZZBJBCT/ref=twister_B07DNKZS97?_encoding=UTF8&psc=1 That way you don't have to commit to a giant size bottle that might get wasted

I'm also in an FB group and the stuff people say sometimes boggles my mind. "I can eat a cupcake, but can't eat cookies. Cookies make me dump..." WTF are you doing even tempting fate like that after you had someone come in an rearrange your guts?! I get it, people have food addictions. It's just sad. I know once I have surgery I'll be like you...by the book and also deathly afraid to veer off plan. My surgeon office seems to be somewhat lax as well, but I just know how I can be if I let myself cheat. I eat one chip, then I'll want a bowl, then a heaping bowl, then the entire effing bag. What to do I do? Never effing buy chips! LOL

The Ketovangelist way of keto doesn't have you mind your calories in that way. Check this link out https://www.ketovangelist.com/the-calorie-hypothesis/ Calories are more of a guide to make sure you don't drop below your TDEE (Total Daily Energy Expenditure). Most folks do well taking an average of their BMR and maintenance calories and using that number as a guide to create their macros. Here's an excellent TDEE calculator https://tdeecalculator.net/ (just don't let it make your macros - it's WAY off) Constantly eating below your BMR causes stalls and gains so that happy medium between your BMR and maintenance seems to prevent that and keep you burning fat and sparing muscle. Have you found an FB group for bariatric folks doing keto? There has to be one. I'm not sure how pre-op keto will translate to post-op since most post-op folks are eating low fat. I'm sure I'll eventually be seeking out a group. Let me know if you find one you like.

OMG you poor thing I think IT surely has the ability to help. Some folks are kind of sensitive to the oil and it gets your guts burbling. The only way to know is to try it out. I sure hope it can help you.

I've really never run into constipation because I use A LOT of MCT oil. At least 4tbsp in my morning coffee. And I also take electrolyte supplement capsules. They work so well I almost have too much spit in my mouth sometimes LOL You might add some MCT oil to your food if your tummy can handle it. If you're the slightest bit sensitive you'll realize it quickly and will probably have that constipation ease up a bit. Edit: Also, there are some MCT oil capsules. They're usually only about 1g fat per capsule no matter the brand.

Well said! And yes, you can totally do keto without a meter. I generally can tell when my ketones are above 1.2+...you get that "buzz". Ya know what I mean? It's an energy that you can feel from the top of your head to the bottom of your feet. It's a great feeling. Mainly bought a meter because I'm a big fan of experimenting. Sounds like you're doing an awesome job! Keto on, man!

LOL that's for sure!

@mousecat88 DUDE, OUCH!!!! That looks like hormonal acne...brewing from the inside out...this makes me sad

Could the acne possibly be a hormonal type response to the weight loss?

My dietician suggested Doc Hale unflavored protein that you can add to basically anything. I haven't needed to try it yet, but it's on my list of things to buy when the time comes. Here's the linky https://dochalenutrition.com/