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🅺🅸🅼🅼🅸🅴🅺

Gastric Bypass Patients
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Posts posted by 🅺🅸🅼🅼🅸🅴🅺

  1. Posted

    17 minutes ago, James B said:

    There are two types of DS surgery. The SADI loop DS and the traditional DS. The Loop DS is less invasive and weight loss is still high. Very long term studies are not as extensive yet. But the current data for exisiting patients seems to be quite impressive. I chose the Loop DS because the malabsorption was less than the traditional DS. My only fear is that it may not be enought to limit weight regain in the long term. We will see. But the weight loss with the DS seems to be more successful than any other surgery. Hope this helps you. Here is a good article to read that I found to be informative. Hope this helps you.

    http://bariatrictimes.com/exploring-the-role-of-single-anastomosis-bariatric-surgery/

    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!

    Frustr8 reacted to this

  7. Posted

    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! :783_heart_decoration:

    ProudGrammy reacted to this

  11. Posted · Edited by 🅺🅸🅼🅼🅸🅴🅺

    On 1/26/2019 at 5:43 AM, mousecat88 said:

    Okay, yeah, I am def not straying from the proven path. I just didn't know if this shock your system concept was a thing or not since I had never heard of it being necessary.

    Sent from my SM-G930R4 using BariatricPal mobile app

    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.

  12. Posted · Edited by 🅺🅸🅼🅼🅸🅴🅺

    9 minutes ago, sillykitty said:

    But you responded with that advice to @SteveT74, who is post op ....

    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.

  13. Posted

    13 minutes ago, sillykitty said:

    Be cautious about making these kind of statements on a bariatric forum. This is contrary to just about every program ever posted on this forum.

    Most post op diets are very low calorie, VLC, at least at the beginning. A large caloric deficiency is the norm. This generally leads to rapid initial weight loss. And then as we heal and our stomachs naturally stretch a bit we eat more calories, and weight loss naturally slows. But there is a honeymoon period with WLS, and if someone is eating at or near their BMR is will generally slow losses, and squander this window.

    Of the thousands of posts on stalls on this forum, and others, I have anecdotally concluded that stalls start and break absolutely independently of what anyone eats or does. But for bariatric patients eating consistently below your BMR does not leads to stalls or gains, anymore than anything else causes these, like breathing, or a full moon, or who wins the Super Bowl.

    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.

  14. Posted

    3 minutes ago, SteveT74 said:

    Thanks!! I am going to order it. If it helps with the Constipation, I am all on board!!!

    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.

  16. Posted

    6 minutes ago, SteveT74 said:

    I understand that weight gain and loss (beyond the usual 10-15 pound swings most people experience) is based on insulin resistance rather than total calorie consumption. However, even with diets that are not based entirely on cutting calories--like Keto and Atkins--still place limits on total consumption and advocate weight food so you can track your macros. Ultimately, the idea is that the fat and Protein that makes up 90% of your consumption on these diets will be more satiating, so you end up eating less because you have less cravings and hunger. Regardless of how the goal is achieved, one of the goals is a reduction or moderation in total caloric intake for someone that has weight they need to lose. Keto, in particular, focuses on insulin control, but by adding in intermittent fasting (which most strict keto people incorporate at some point), you're definitely cutting calories by limiting the window for eating. You're not strictly counting calories like you would on a diet like weight watchers (probably one of the worst diets out there IMO), but the calories are cut anyway (it's just a less painful process in my experience).

    Anyway, I am happy with following a keto style diet (constipation notwithstanding). It's something I can do long term, but I can't follow a therapeutic style keto with a 4:1 fat to Protein ration or anything close that as a new sleever (6 weeks post-op). Based on my workout regimen, I need to get around 125-150g or protein in a day (even with the protein/muscle sparing qualities of Keto) and there's a limit to how much else I can eat (even with calorie dense fats like avocado). I also don't want to deviate too far from my doctor's prescribed diet at this point, so I doing a 1:1 fat to protein diet (sticking to clean, high quality fats and proteins) and I cut carbs to less than 20g net carbs. I pretty happy with this and it sets enough ground rules that I can easily decide what I can eat and how much of it---even when I am out a restaurant.

    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 :91_thumbsup:

  17. Posted · Edited by 🅺🅸🅼🅼🅸🅴🅺

    On 1/25/2019 at 6:52 PM, mousecat88 said:

    I am obscenely dedicated to this plan. I know 100% I will never deviate. I know people say it's not realistic. But I have gone through a lot of psychological issues with my weight and I am hyper-obsessive when it comes to diets and lifestyle changes.

    But regardless, eating a brownie doesn't seem like a positive thing 3 months out in an effort to shock your system. I think if you're already slipping up, there is an issue. It's just SO soon. Why would you even put something like that in your mouth if you've just gone through this major surgery to lose weight? I don't get it.

    Sent from my SM-G930R4 using BariatricPal mobile app

    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

    mousecat88 reacted to this

  18. Posted

    4 minutes ago, SteveT74 said:

    Thanks for the tip on the MCT oil. I am going to look into getting some. :) It's pretty high in calories though?? Does that concern you at all? Even on Keto, you still have to watch your calories.

    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.

  19. Posted · Edited by 🅺🅸🅼🅼🅸🅴🅺

    37 minutes ago, Frustr8 said:

    Will MCT really help that much to avoid Constipation? I'm for anything that will lubricate them rocks and large chunks of brick!💩

    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.

  20. Posted · Edited by 🅺🅸🅼🅼🅸🅴🅺

    On 1/25/2019 at 5:07 PM, SteveT74 said:

    I love eating the Keto diet, but it does have some negatives. For me, it's Constipation and bloating. They are constant companions for me lately. I have been getting in 75-100oz of Water and have been upping my Fiber consumption, but hasn't been helping much. Have you had any issues like this?

    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.

  21. Posted

    2 hours ago, SteveT74 said:

    I wouldn't call my diet a true therapeutic Keto diet, since I am basically doing 1:1 fat to Protein. I would call it more of a keto inspired diet. :) It's the best I can do keto, while I am limited to about 1000-1200 calories a day at this point. Since I still have to get around 120-150g of Protein to meet my daily needs (since I am working out a lot), I just can't eat enough fat and still stick to my calorie goals (and I don't want to go too high on calories this early post-op). Nevertheless, I am still in ketosis, but I get kicked out if I have too much protein in one meal. Since I am hitting my protein goals daily, I do try to prime the pump by eating some good fats first (like avocado) before I eat my protein.

    As for keto sticks, they aren't the most reliable tests, but if you're in your first month to 6 weeks of a very low carb diet (20 or less grams), they are helpful in letting you know if you're in ketosis. However, if you get a reading on them doesn't show acetate (which is a by product of ketosis) in your urine, that doesn't mean you're not in ketosis--so, in the sense they aren't reliable. Of course, they are only reliable in the beginning. Once you become fat adapted, you shouldn't have any acetate in your urine. The blood test is obviously the most accurate way to check, but I am just not up for spending $60 bucks for a blood meter kit and just 10 test strips, since the test strips are so freakin' expensive. The keto sticks are good enough for my purpose and there are plenty of physical signs that you're in ketosis after the 6 week mark anyway.

    Frankly, with or without a ketogenetic diet most early bariatric patients are going to be in ketosis anyway because they are consuming barely any calories. A ketogenetic diet essentially stimulates the benefits of a fast, without having to actually fast (although you would want to mix in intermittent fasting with keto if you want to maximize losses---if you are NOT a bariatric patient or are more than a year post-op). Also, even you are a bypass patient, you can still do keto--but you have to start a little differently by phasing in fats over the course of a few weeks rather than making sudden transition which a non-bariatric patient might do. There are plenty of resources online for bariatric patients (including bypass patients) that would like to transition to a keto diet.

    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!

  24. Posted

    9 minutes ago, mousecat88 said:

    Just an update on this. Was on erythromycin benzoyl peroxide cream but it didn't do anything. Saw doctor today and he prescribed Aczone and Doxycycline. The Aczone has to be special ordered. $$$! But the acne is still very bad from surgery. It's pretty embarrassing.

    Sent from my SM-G930R4 using BariatricPal mobile app

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

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