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Hi all! So I’m in need of some info.. are we low cal, low fat or low carb? See the reason I ask is because low carb is high fat, high protein.. but I thought fat was not good for us… now that I am almost 6 weeks out (Friday makes exactly 6 weeks) I’m feeling hungrier. I eat 5 small meals, but if I actually eat I’m looking at more calories. I’ve been creeping upwards around 950 calories a day. When I used to do keto, I never looked at calories. Help!

I have been researching Bariatric Keto, and there is a specific reset. It differs from regular keto in that it is protein, moderate fat, low carb. It seems to be very successful. I suggest looking it up.

https://sweetcsdesigns.com/easy-keto-everything-bagels-recipe/

So I was sleeved on January 6th, I'm approaching my 6 month surgeriversary in three days. My starting weight the day of surgery was 303 pounds, so i've lost about 94 pounds. Since about 6/25 I've been stalled, fluctuating between 208 & 210. I've heard of a dreaded 6 month stall and I'm not quite sure what I can do to kick my weight loss back into high gear. On any given day I can eat between 500-1000 calories. It honestly depends on how much restriction I have on the particular day. Does anyone have any suggestions? I am also fairly active and workout for 45 minutes to 1.5 hours a few times per week if my schedule permits. I also stick to eating a keto-based diet and try tostay away from carbs as much as possible and I try to get at minimum 60grams of protein in per day.

This is terrible advice. Look, something isn't working obviously. What do you do when something isn't working? You figure out why, and change it. Start tracking and measuring. You can't measure where you need to be if you have no idea where you're at. What are your calories/protein/carbs per day? Do you know where they need to be in order for you to start losing again? Of not, experiment a little and find out. Tweak some stuff. I think going Keto is a very good start. I also think you should shock your body a bit and start moving more. If you're not doing anything currently, start. Even if it's walking. If you're already walking, walk more. If you're already exercising, start a different routine. HIIT training and weights is an amazing way to burn fat. Your body needs a jump start to get things moving again, and exercise usually is just the ticket. If you really want things to change, you'll find the change needed to make it happen. Good luck!!

UUGGHHH, feeling so disgusted,. not looking for a pity party, just venting.. its been over a yr. since my surgery, and I'm STUCK @ abt a 50lb loss. I just reactivated this acct and see that I am up abt 5lbs since I joined in March,. I've unfollowed people/groups on IG & FB, not that I'm a "hater", (I salute & congratulate everyone)...I just don't see anything in common w them anymore.. (also my nutritionist recommended it to focus on me) my diet is usually: eggs & sausage,avocado for bkfst, lots of protein (mainly chicken) in salads or w sautéed veggies, etc. (have just started the "keto" diet) don't like carbs believe it or not, not that I haven't "cheated" & had sweets here or there, but I'm not a bread/pasta/pastry person (thank God for @ least that I guess) don't wanna go see my Dr anymore, I feel he's not helpful @ all, just recommending a book to follow. #wtf.. and the nutritionist was so/so.. have only met w her once. my low points are not drinking enough water & I'm CONVINCED I can eat too much @ one sitting. I even got a kitchen scale, haven't used it yet though. don't expect what I haven't put in, BUT I don't get why I've stalled so bad if I'm eating pretty well balanced & "clean".. what's the point of the surgery if we still have to follow a "diet" (and by that I do NOT mean I expect to still eat any & every thing that got me fat to begin with bc I don't) thx for listening....

Has any doctor ever figured out why you gain so easily? I'm very similar, and all I ever hear is "keep trying." It's so frustrating! I've been following the keto diet for the last two months, and was finally able to start losing a little more steadily.

I'm pretty lazy with my food. I usually buy fresh meat for a day or 2 and work through that package. A day for me will be 4 oz of pork chops 4x a day every 2 hours from noon till 8 pm Black Coffee, as I want Or, 4 ounces of pork chops 6 ounces of Swai Fillet 4 ounces of pork chops 6 ounce of Swai Fillet Black Coffee, as I want This isn't just really a reset, I eat like this most of the time. If I go on vacation or have a lot of dates or something, this is how I eat after. My weight can fulucate 5-10 pounds. Eating like that after a gain, the weight just falls right off. However, I am not as far out as you, and I am keto adapted and I have never had significant regain. Hopefully someone further out than you, who has tackled regain weighs in and offers some advice.

I'm 9 months out from gastric bypass. I eat fairly simple meals because I can only eat small portions -- mainly meat and vegetables. I usually eat about 2 ounces of protein (chicken/turkey/pork/eggs/fish -- I almost never eat beef because I've heard that a lot of bariatric patients have issues with it) in a meal with a side of vegetables (usually lightly sprayed with olive or avocado oil, tossed with seasonings, and roasted in the air fryer). I eat a lot of salads with chicken and light dressing. I also eat a lot of cauliflower rice, which is funny because I have always hated cauliflower, but cauliflower rice is genius and I find it to be a good substitution for real rice. In case you don't know, most bariatric patients don't eat rice because it expands in the stomach and can be uncomfortable (not to mention empty calories and carbs). I don't miss rice AT ALL because I can eat cauliflower rice any time I want. There are some frozen cauliflower rice products available with different flavors and mix-ins (but you have to be careful to look at the ingredients and nutrition for those). I combine cauliflower rice with different meats, sauces, and veggies for variety. Examples: Taco chicken + black beans + salsa + cauliflower rice Carnitas + pico de gallo + cauliflower rice Lemon garlic chicken + air-fried asparagus + vegetable medley cauliflower rice Asian chicken + "fried rice style" cauliflower rice + green beans I love going on Pinterest to find bariatric-friendly recipes. There are some keto recipes that work, but I'm careful with those because some of them are too rich -- full of heavy cream, cream cheese, cheese, coconut oil, etc. Recipes labeled as "Weight Watchers" are often a good bet; they sometimes have rice or pasta, which aren't bariatric-friendly but easy enough to omit or substitute. I've found some good and healthy soup, chili, and casserole recipes. And I still enjoy ricotta bake (topped with turkey meat sauce -- it's like a noodle-less lasagna). These are all great to freeze in individual portions for quick meals (same goes for cooked meat). Thanks to tiny serving sizes, you can get tons of portions out of one meal. I have a freezer full of bariatric portions of various foods. When I first got to the solid food stage, I struggled to meet my protein goals, so I had to supplement with protein shakes and powders, but now I get most of my protein from meat/eggs/fish/yogurt. I still eat a daily protein bar and/or protein mug cake just because I enjoy it (I'm obsessed with Built Bars because they taste like candy bars so I can have a treat without going off my plan), but most of the food I eat is just basic, good, healthy stuff.

I love the BP store so far. And FB is stalking me with "keto" alternatives that work. Ah, FB stalky ads. In my mind.

I thought ketos were bad for us - all those empty carbs and fake cheese.

Even if you were gaining muscle weight, you would notice a change in the way your clothes fit. When my nutritionist told me to eat carbs pre-op, my Keto mind screamed no. I did it though and lost weight. But I highly limited them. If you are not tracking on an app like Bariastic. you can easily consume way more carbs or calories than what you need. Some people can drink their calories for the day before ever eating any food. I would limit those carbs and be mindful of how much you are eating in a day. I know before surgery, I told everyone I didn't eat that much till I started tracking my food intake and was shocked to find out I was overeating. Also..not sure what surgery you had but my doc told me of a sleeve patient/friend of hers that did everything right and lost only 30 pounds within the first year. She ended up putting her on Ozempic to help. So there are some people who simply don't respond as well to the surgery based on age, meds etc. But before going that route, I would examine the food intake amounts first. Good luck!!!

I was lucky (-ish) that I only had to do it for 5 days prior to surgery. My only tips are - wean yourself off of caffeinated coffee because you won't be able to have it during recovery - drink Gatorade if you're allowed. It'll help give some energy and keep you from getting a headache - likewise, I drank chicken broth every day to help get something warm and to get some salt. You're essentially preventing a "keto flu" here. I was honestly surprised that I didn't have any headaches during those few days. - I had freezer meals ready for my family so that I wouldn't have to cook for them. My husband could just handle dinner easily. (Not that he's incompetent or something. He had to work and help with watching 3 kids. Me not having to cook was helpful.) Other than that, try and keep yourself distracted. I watched a lot of TV, played video games, and generally tried to not think about wanting to eat. It wasn't terrible but I definitely hated it. Day 2 was awful. Beyond that, things were easier to handle. Good luck! --- RNY 9/10/20 HW: 245 Day of surgery: 225 CW: 218

I should add that everyone is different. I'm 45 and missing half my thyroid and underwent a partial hysterectomy (that will slow down anyone's metabolism). So for ME, restricting calories to 500-800 worked at first but if I did that now, my body would revolt and hold onto weight (I also follow a keto diet). If I go over 1500, I gain so (again for me) 1,000 with lots of exercise will get me losing and 1200 with exercise will have me maintaining.

I had some regain and really struggled with losing it, but finally got back on track with Keto in November and have successfully lost all but 7 lbs. I'll hopefully be back at my low weight in about 3 weeks. However, I never officially met goal so I actually have another 25 or so to go to that. I'm struggling with persistent severe GERD and have had it my whole life. I'm looking at a possible revision to RNY which actually sort of excites me because I feel like it will help me relieve the GERD permanently. I'm still down 60 lbs of my surgical loss and feeling good, but continue to work to the goal.

My nutritionists wanted me to do several things: 1) Focus on getting a protein as part of every meal. Ideally a lean protein, but they never balked at peanut butter on an apple as a snack. Low-sugar yogurts are good. Light string cheese is good. Eggs are good. 2) Get a fruit (up to 1/2 cup or 1 fruit) or a vegetable with each meal. 3) Switch from simple to complex carbohydrates. If you're going to have bread, make it whole grain--and after your protein. They weren't like "take away potatoes" (though they did encourage me not to count those as a vegetable :)), but they were like "switch from white rice to brown rice." 4) Take small bites, chew a lot, eat mindfully, put the fork/spoon down between every bite. No wolfing down food in the car, no open bags of chips in front of the TV. 5) Get 8 cups or more of water per day. If it has Mio in it, or it's an herbal tea or a decaf coffee, that's totally fine. Sugary beverages are a big no, and caffeinated beverages don't count. 6) Stop having carbonated drinks. (This is the one that I balked at the most, honestly. I knew I'd need to give them up post-op, but I had really planned to keep enjoying them until I had to stop.) If you really must have that diet soda, let it go flat first. And I mostly followed that -- I won't lie: at least two croissants, no small amount of Chicago style popcorn, and several servings of pizza crossed my lips over the course of the two months I mostly-followed these guidelines -- and lost 6 pounds each month. I need to lose a bit more quickly, so I've changed things around a bit -- doing a low-fat ketogenic diet which has me down near 1000 calories a day -- in order to meet my doctor's arbitrary weight goal in time to get my surgery this fall. But the rules above were pretty good, and the flexibility to break them--just a little, and only very rarely--was nice. (I hate keto. I hate that a single piece of fruit will wreck up my system for over a day. But it is a very efficient way to lose weight with mostly manageable hunger. And those refried beans in the mushy food stage will taste SO GOOD to me. I miss beans.)

So update on my preop diet to lose 20 lbs by May 6th... I've already lost 30 lbs since I started dieting 20 days ago! I really didn't think it would be this easy. I've been staying at 1300 calories a day, drinking my whey isolate drinks and I've been taking these keto pills too. I've started taking a multi vitamin as well. I can't wait to see how much I lose by the time I meet my surgeon. Sent from my G60 using BariatricPal mobile app

I personally don't have any tips, however, I am on a fb group page where people who post say this way of eating has helped them. Maybe google "Keto diet with Lupus" or something similar.

After thinking a long time, I believe the issue is this: I came off a liquid diet, and then two weeks later I had fully reintroduced solids (which was around the time this happened). I also therefore was able to put some carbs in, so I came off ketosis. (The protein drinks I was on had ~no carbs.) Also, I've been eating probably a bit more salt than I should. From previous experience, keto makes me lose about 10 lbs of glycogen weight in the starting "whoosh." 10 lbs + solid food in various parts of digestion + some water retention from salt = 15-20 lbs depending on the water retention. So it's probable that I just haven't lost nearly as much actual fat as I think I have, which is extremely depressing, but at least there's an explanation. That said, I'm about 4 inches off both my waist and my hips, so clearly something happened. Though given my consistent weight for the past 2 weeks or so, I'm probably stalled right now. I did just start up a 3x/week strenuous weightlifting program, so hopefully that puts a dent in it. My doctor is horrible at getting back to me on any kind of schedule, so I had to attack this myself. The awful part is that 240 lbs is my normal weight pre-pandemic. All that work to return to the status quo.

@Joann454 I started researching this today after your post and I found this article with links to other literature http://www.ketotic.org/2014/12/the-effect-of-ketogenic-diets-on.html?m=1 It may be that lower T3 while on. Keto diet is a good thing. I am still researching, but I wanted to share this with you.

Keto style diet drops weight quickly before surgery But balance is best long term

HelloFresh was only 27$ a week for my husband and I -although it was only 3 meals, it did include all of the ingredients so I thought it was a good deal compared to what those ingredients would cost at Walmart. Can you explain Keto to me, please?

Has anyone used them after being sleeved? I’m 6 months post op and have hit a wall

My Foods were: Chicken - I could not wait to have baked chicken that was not in broth. Tomatoes - I did not like tomatoes before surgery and then all of a sudden, I was craving them. Pears - I love pears Corn - I do not know why but I wanted corn on a cob with some butter. Watermelon - I love them but the seeds were a no go. I did not have watermelon until I was about 3 - 4 months out. Turkey - I missed having a turkey sandwich Less Healthy: Pork Bacon and Red Meat. I have not been one for bacon and red meat in general but after surgery, I wanted it like crazy. I got my fill when I tried Keto and now I am back to barely eating it.

Yes, I had what is called the Keto Flu. Electrolytes help to curb this. I drank the broth of Progresso soup (strained out the rest) and that helped significantly. Good luck and this will get better shortly.