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Yep, could be keto flu. Google it & see if it’s what you’re experiencing. Plus you’re likely experiencing withdrawals from caffeine, sugar, etc. It does get better. Good luck with your surgery.

I have MCT and done the bulletproof coffee- I can't say unnoticed too much difference in energy or weightloss... I use the keto strips to stay in ketosis. The only thing I would say is remember it is an oil/fat and to think about the calories of a TBS spoon of oil- also too much MCT and you will be heading to the potty [emoji4]

I have since about 6 months post-op. I eat more stuff that is not strict Keto, but low carb a couple days a week, but on a daily basis, I am Keto. I low carbed for about 6 years before surgery to control my diabetes without insulin, so this isn't a new thing to me. I don't really associate with a post-op surgery life, but with being healthy and my body running at optimal levels. Combining Keto with WLS though, is so easy and delicious it seems like cheating If I followed a normal bariatric post-op diet. I am pretty sure I would have bottomed out in the 240-250 range. Just make sure you don't follow it blindly. Use a calculator to set your Macros and weight/measure all your food and track it.

I'm doing keto as soon as I can eat again.

yes! i LOVE keto! also an easy way to explain your diet without detailing your surgery

I think you already know many of the answers to your questions. You got out of your healthy rhythm and need to find the motivation to get back on track. I would suggest you make an appointment with the nutritionist at your surgeon's practice to discuss what's going on with your weight loss. You don't want to let it go for too long. If you think working with a personal trainer will get you motivated, go for it! Weight is lost in the kitchen, not the gym--but, working out can be a good motivator for eating healthy. Also, you can definitely do Keto after bariatric surgery. I am only 3 weeks out and I am essentially doing keto. Obviously, I am eating more protein and my macro doesn't look exactly like the ideal Keto macro, but I cut my carb intake to less than 20g of net carbs per day. I am getting my 100g + of protein a day and the rest of my calories are from healthy fats like avocado. It's been enough to put me into a state of ketosis and I think it's helping me along the way. Plus, I am very happy with the foods I am eating. For me, this is a sustainable lifestyle. If you're a carb addict, it can be hard to give up those carbs--it takes about 4 days to get through the "withdrawal" and even a little longer with keto, but it's totally doable. You can definitely do it... think about how you were able to handle the pre-op liquid diet. Keto is way easier than that!!!

The vyvanse seems to be going well for me along with the Wellbutrin so far its helping , I had to approach my Dr with something I had printed off the vyvanse site because about it being approved for BED other wise she would have never given me the med as you do have to use caution . I was running like crazy and it helped with getting weight off but only increased my appetite even more. I have been doing a lot of research into Keto way of eating and its working for me and when you get into it a lot of your carb cravings go away because you are getting your energy from fat not carbs. I don't go crazy with the exercise I have been moderate (eg walking) and the weight has been coming off.

1. personal goal: Imma get to Onderland guddamit; exercise every second day; follow Keto with some IF 2. Surgery: MGB conversion from band, losing (slowly) 3. 91.5 kgs = 201.7 lbs / BMI = 32.8 4. Imma struggle with bad knees so it's gotta be easy 5. Favourite flaw: that I have or that other peeps have? Hehe mine is: I'm naively gullible. I'm like the opposite of Judy Judy - I think everyone tells the truth and is innocent. But I figure that's a kinda nice way to be (except I get terribly shocked when I do find out someone has lied to / manipulated me).

So I'm 2 years out from gastric sleeve surgery. Last year I started eating carbs again and got way off track. I posted about this back at the end of December and I'm still trying to work the kinks out, since I have been on-and-off doing well with getting back into the healthy lifestyle that I LIVED BY before reintroducing carbs. I know that I can do it I've just been having trouble keeping myself from falling back into old habits. I've recently noticed that I almost always get sick when I drink/eat anything dairy-based AND sweetened. Whether the sweetener is artificial (no sugar added hot chocolate or protein shakes) or real (like one serving of ice cream on a cheat day). I get the sweats, that feeling of shakiness or general unease, and finally unignorable nausea until I just have to just run to the bathroom and give up. This is not something I've ALWAYS suffered from. Especially with the protein shakes since I drank them regularly for at least the first six moths or so. I think this happens more often with powdered protein mixes than it does with the pre-made premier protein shakes though, for whatever that's worth. I keep telling myself it may because I just drink it too fast, but I am not so sure anymore. I have almost a full case of premiere protein (which I think I'll TRY keep and just drink verrrry slowly) and a brand new container of EAS Lean 15 protein powder. Not sure I'll ever be able to finish that if every time I make a shake I get sick. At this point, I'm just ready to give up on protein supplements period. I am trying to maintain a high fat/protein and low carb diet (basically keto, but modified for WLS and my protein requirements) so I definitely feel like I get enough protein anyway without the supplements. I don't know. I'm really just writing this because I'm curious if anyone else has experienced the same thing.

Yes, Pinterest is a great source. There are also recipes on a site called SkinnyTaste that cater to dieters and weight loss including keto, paleo, weight watchers, vegetarian, etc. Thanks for sharing.

I’m not doing a full keto diet, but do have a focus on almost exclusively lean protein, which has worked really well. Adding in carbs now that I’m 6 months out and that has almost doubled my caloric intake (you can eat a lot more carbs).

you're very likely in ketosis. The metallic taste (at the back of the throat and sides of the tongue?) is a result of breaking down and using ketones, the by-product of which is acetyl-CoA and acetate.... dont worry about it it indicates your insulin and blood sugar levels are dropping.. also a good thing. It will resolve through the day then come back periodically. This goes away entirely for most people who enter ketosis and stay there after a few weeks. More info, look up "keto breath"

I have been doing low carb since Jan. 2. I am definitely in ketosis because I have the awful keto-breath going on. I do not count carbs, however, my daily menu consists of this most of the time... Breakfast is either 2 eggs and bacon with cheese. or an Atkins shake. coffee with heavy cream I am a USPS mail carrier, so I am pretty busy throughout the day, but I usually have an Atkins bar and then a pack of peanuts for lunch. Peanuts are 3 net carbs. Today, instead of this, I had the peanuts early, then a Hardees low carb burger for lunch. It was spectacular dinner is almost always a salad...big salad with lettuce, cheese, bacon, and whatever else I may add - ham, eggs, etc. I know I dont get a lot of carbs, but I am losing pretty well at this point.

Did you have any sort of classes with your NUT? Or get some sort of eating plan? In general, if you can eat real food, protein shakes should supplement your protein intake, not be the main source. So 1 protein shake a day if it'll make the difference between the food you eat that day and your protein goal. More if you need more protein. As a general guideline, these protein numbers are about the norm from what I've seen: absolute minimum of 40g or protein a day for women and 50g for men. As you move further out, I've seen 60g all the way up to 120g a day be the protein goal. I aim for a minimum of about 70g a day, usually surpassing it. You'll want to stay under 60g of carbs while early out. If you really really want to low carb it, people who are hardcore into keto (a diet that is high fat, moderate protein, low carb) only consume 20g of carbs in a day or less. Fat is up to you, there are so many conflicting studies out there and you'll just have to figure out what works best for your body to lose weight. If you're physically active, I found this elsewhere on the forum and thought it'd be helpful in terms of calorie progression: Months 1 through 3 = about 800 kcals/day Months 4 through 6 = about 1000 to 1200 kcals/day Months 7 through 9 = about 1200 to 1500 kcals/day By 12 months out = about 1700 kcals/day By 18 months out = 1800 to 2200 kcals/day In order to know how much you're consuming, you NEED to track your food. There are many apps for it out there including SHealth which is pre-installed on samsung phones. I personally use myfitnesspal, you can find me under the name tia_527. All you do with these apps is put in what foods you had at each meal and what amounts. You can also log exercise if you want. These apps will tell you how many calories you eat and what your macros were (how many grams of carbs vs protein vs fat you've had).

I understand that low ebb feeling. I have lost all motivation to restart a new diet program because I know in the end it's the same things I was doing before and it just didn't work. I also tried really strict keto and exercised a ton, like ran 4K every day, biked to work, lifted super heavy weights for a woman. I also did fasting and actually enjoyed it but it just didn't stick when life got mixed up with my routine. I just can't go through it again with that fear of failure. I need something much more permanent and long-term. A tool I could fall back on when life gets too stressful. Maybe the sleeve will be like a hard stop to overeating and provide a real-time reminder that overeating does not feel good. I hope your appointment with the surgeon goes well! I also have a consultation on October 19th. I'm not sure yet if it will be me trying to convince her or her trying to convince me lol I have a lot of concerns about reflux and want to avoid any revision surgeries. Do you have a set of questions to ask the surgeon?

Thank you. It was early last year when I was diagnosed with this. I was starting to pick up a lot of symptoms due to obesity and multiple comorbidities. My blood pressure was at peak in 2016 175/115, heart rate was 100-110, liver function tests were in the red and indicating severe inflammation and irritation. hba1c indicated newly diagnosed and quickly progressing diabetes (peak 7.9). A few notable side effects that should worry anyone.. - Severe edema on the legs. I'd push into the middle of my legs with my thumb and it would leave a pit indentation that would last like a full minute and the skin would return to normal. This is one indication of progressing liver dysfunction, along with other things. - Darkening of skin pigmentation (acanthosis nigricans) on my neck and armpits with a velvety texture (to the touch) as a result of extremely quickly progressing diabetes and insulin in the blood (plus insulin resistance). - Extreme accumulation of fat deposits in abdominal region resulting in distention (this is far more common with males -- females tend to distribute it around other areas, but they can accumulate it the same way as men generally indicating far worsening condition) -- my stomach was 61 inches at peak last year, pant sizes were too small at 50+ - Sleep apnea. This one's pretty obvious. On the sleep study I had roughly 55 apneas per hour, normal people have 5 or less. While I started to understand these conditions, I noticed I wasn't losing weight enough. It wasn't until my extensive pre-op diet that i learned anything significant. Normally I notice people in our WM program get 2-4 week pre-op diets like people here. Because of my weight, abdominal distention, and because I'm a male and male adipose tissue tends to be a lot more solid than females, they gave me a 3 month pre-op diet. I was given Glucerna as my pre-op diet drink that went from Feb 1st to April 20th. I tried for the first week to tolerate the stuff, changing flavors, adding cinnamon, trying to dilute the taste by having broth with drinks of it. None of it worked, I couldn't have more than 2 a day. My RD (dietitian) demanded 6 a day. I told her a few days into it that I had trouble consuming these, I was regurgitating them because the taste was so terrible and no attempts to mask the taste worked for me. She freaked out to holy hell. I saw her a few days later at my surgery prep class, she was teaching it along side a bariatric RN. I told her in person that she cannot freak out like that, and if she does, I will just lie to her.. that it isn't conducive to our relationship for her to go nuts. She apologized and it seemed she understood. Fast forward a week after that, she does a follow up call, I'm still having troubles getting up to 6 Glucerna a day, but because I'm suspicious of her now I say I'm up to 4 out of 6. She freaks out again, but this time she threatens to talk to my surgeon and halt my surgery. She wants to do a follow-up call with a new case manager the following week.. I make sure to lie to this person, and to the RD when she follows up a few weeks later. But not even a week after that last convo where she threatened my surgery I immediately started researching on these forums as well as other bariatric programs what pre-op diets they use, and why. They all pretty much turn out to be a modified keto diet, so I start this a few weeks into February and continue it all the way to surgery day, losing nearly 80 pounds from the pre-op alone. In the meantime, only a month into the pre-op and a lot has drastically changed with my body. My March 1st bloodwork shows for the first time in over a year perfectly normal liver function. My hepatologist smiles for the first time ever in an appointment, she sees those results, does a Fibroscan, which reveals at least 50% improvement in my liver stiffness (stiffness is associated with advancing liver disease, normal livers are soft), sees I've lost tons of weight already, and is thrilled with my progress. Likewise, my blood workups from early March (I have a revolving 3 month diagnostic/panel) show significantly improving blood sugar (hba1c) from 7.9 to 6.3 to 5.7 (right at the stage between diabetes and pre-diabetes, except I'm taking Metformin and Forxiga at the time). Repeated fasting glucose shows perfectly normal levels at 4.4-4.6 but because of the hba1c (which is a 3 month average given the period your red blood cells carry around the sugar) being 5.7 they elect to keep me on both them. Before surgery all my medications were as follows: - 1000mg metformin (fast acting) 2 times a day (2 tablets, each one 500mg, they're huge), for diabetes - 10mg Forxiga, fast acting, also for diabetes - 10mg hydrochlorathiazide (HCTZ), first-line treatment for blood pressure, is a water pill - 75mg metoprolol 2 times a day (beta blocker, reduces HR and blood pressure) - Prevacid and generic lansoprazole, 30mg once per day, although I preferred it every other day or every third day, PPI for reducing stomach acid - Cipralex/Escitalopram, latter being the generic and Cipralex being brand name, treatment of extreme night time anxiety caused by sleep apnea ... Post-surgery the changes to my medications were: - 1000mg metformin (fast acting) 2 times a day (2 tablets, each one 500mg, they're huge), for diabetes - 10mg Forxiga, fast acting, also for diabetes (off this completely) - 10mg hydrochlorathiazide (HCTZ), first-line treatment for blood pressure, is a water pill (off this completely) - 75mg metoprolol 2 times a day (beta blocker, reduces HR and blood pressure) - Prevacid and generic lansoprazole, 30mg once per day, although I preferred it every other day or every third day, PPI for reducing stomach acid Prescribed Pantoloc (pantoprazole) 40mg for 6 months due to surgery and prior EGD/barium pre-op showing moderate reflux - Cipralex/Escitalopram, latter being the generic and Cipralex being brand name, treatment of extreme night time anxiety caused by sleep apnea Down to 4 medications as of April 20th. Regarding the symptoms: - Edema in my legs have completely disappeared. I used to not be able to see my ankles either before pre-op, now they're back to their normal bony self, and my legs are clearly defined now by my muscles again. Pushing a thumb into my leg reveals no pits. - The darkening pigmentation on armpits and neck have receded significantly and are almost completely gone, nobody but me notices them anymore. - Sleep apnea has significantly improved. This leads to promise in terms of getting off Cipralex, but the doctors asked me if I wanted off it and I said not until my apnea is 100% gone. - My first visit to a doctor post-op last week and without hydro had a RHR (resting heart rate) of 50-60, and a normal pulse of 77 (from 100-110), blood pressure was 103/81, which is an enormous improvement. I have a blood workup (ie blood sugar/liver panel) in a little over a week from now, and I think that might decide if I stay on Metformin or if I'm off it (I expect another great improvement).. likewise with metoprolol, but because my weight is still high as of today (back and forth between 265 and 266, about 100 pounds down from my weight early this year), and second number of blood pressure still being moderately high, I might still be on it for a while, will likely be off it by the end of the year. I kind of thought against this but here is a picture of my liver on surgery day (April 20th) following my pre-op diet that I already showed another member in PM when I was discharged: The white spots I want to follow up with my hepatologist on to see if thats fatty (very good news if so, means liver is very much on its way to being completely healed) or fibrosis (not terrible but would mean I've still got improvement just not as much/fast). Nonetheless all the nurses and my surgeon on surgery day who saw my liver mentioned the livers form looks great, the color is nearly normal. What matters to me now is what my hepatologist thinks. I'll prob make an appt with her tomorrow to see her sometime shortly after my blood workup.

Since patients are happily downing meats and cheeses once they have healed without anyone warning them about "damaging their sleeves" or "having lumps formed in their stomachs" I'd go for the scare tactics. New foods need to be introduced with caution, that I definitely agree on - but there is no reason to believe that patients automatically will have problems with pasta or bread. In the end all of this "diet advice" has to be seen in context and taken with a grain of salt: carbohydrates are the "bad guys" nowadays, at least in the US and more and more also in Europe. Years ago the bad guy was "fat" and people were advised to cut out fat, including WLS patients. However, seems like neither eating low-fat nor low-carb nor keto has solved the obesity problem so far so cutting down on certain macronutrients obviously doesn't the trick. In the end it's always CICO.

I've considered Keto but I've always done better by counting carbs. Years ago I lost 40 pounds by watching my carbs but eventually gained it back then decide to have the sleeve. I do not regret it, my only regret is that I didn't do it years ago. My nutritionist told me that with my strong desire for sweets that I should have a piece of sugar free chocolate everyday. I just need to discipline myself and only eat sugar free and low carb. I have come too far to turn back now!

As everyone has said it is to support the healing of your tummy & not to stress & strain it. Remember all those sutures & staples holding your tummy together. Think how you would protect a large wound & sutures on your arm or leg & how long that would take to heal. Purées are thicker which is why they are the stage after liquids. They should still be runny but not watery like the liquid stage. With soft foods think slow cooked, fall of the bone tender, minced meats, braised, etc. Foods that needs some chewing but not a lot. Think how much work your tummy has to do to digest thicker & then more solid denser foods. Plans differ but they also have a lot of similarities too. Some surgeons, like mine, tailor the pre & post diets to their patient. Some have specific requirements based upon their experiences. The best advice is always to follow the one you were given. But of course you can ask your surgeon & dietician why your plan is as it is & you may be able to negotiate slight adjustments based upon your recovery & needs. Yes, some plans recommend avoiding certain foods & liquids to not aggravate your healing. After surgery, we tend to produce extra stomach acid, hence why many are prescribed PPIs for a period after surgery. Carbonated drinks, caffeine, etc. can stir up the acid in your tummy causing discomfort & reflux symptoms. We’re told to avoid foods like rice, pasta & bread because they tend to swell in your tummy, filling you quickly. Remember your focus is on getting in your protein & that can be challenging enough in the post surgical stages. These foods also have little nutritional value. Consuming nutritionally dense food is important while you can eat so little to ensure you’re getting in the vitamins, minerals, etc. your body needs. While losing many of us are advised to follow the rule to eat your protein first, then vegetables as you can, then high fibre carbs only if you are able. If you can only eat 1/4 - 1/3 cup of purée & soft food to begin like I was, why eat food that fills you without giving you the nutrients your body needs. It also gets you starting to think about your food choices & the quality of the food you are eating. I still follow a lot of this: protein first, nutritionally dense foods, etc. Foods like peas & potatoes are considered higher in sugar & in starch (which converts more quickly to sugar). They’re not included in keto diets. Not saying you’re on a keto diet but you’ll notice influences from lots of different diets & eating styles on your food recommendations while losing. The reason why we’re advised to avoid dried fruit is you tend to eat more dried fruit than you would eat them as fresh. We can easily eat several pieces of dried fruits but remember 2 dried apricots is 1 apricot, a prune is a plum. Their sweetness is concentrated too in their dried form so you are continuing to feed your desire for sugar. Same with juice. Honey is just another firm of sugar. This is an opportunity to break some of your food dependencies & cravings. For many of us lots of foods become super sweet & quite awful to eat too during these first months when our tastebuds become extra sensitive. Many are able to go back to eating small amounts of restricted foods while losing or in maintenance. Personally I still don’t eat potatoes, rice, bread or pasta. I find them too heavy & I feel blah on the odd occasion I’ve tried them since I lost my weight. But that’s me. The first months are the most challenging because the food you likely depended upon to comfort, soothe & make you happy has been taken away from you. So you think about & crave them more. But food doesn’t actually comfort you or make you happy you just think they do. Realising & understanding this is part of the head work we all have to do. This whole process is about breaking poor eating habits, poor food choices & establishing new habits, introducing new foods, etc. & discovering what works best for you. The most restrictive aspects of the diet are only for a short period of time & are to benefit your immediate health & recovery. The long term changes you will choose to make are to enable you to maintain a lower weight & live a happier, more active & healthier life long term. Sorry for the 10 000 word response.

Hi everyone! I had sleeve surgery in May 2013. Initially I lost about 140lbs, but then about a year and half post op I got pregnant. I gained some weight during and after pregnancy, and then lost some weight as well, and now I'm having a complication of some esophageal issues where I'm not able to swallow correctly. I have an appointment with a really great surgeon at an exceptional hospital in the Chicago area. I will have my first visit with them in April. I was hospitalized in January for Fluid build up and severe infection of my right lung. This was caused by aspirating food and fluid due to my esophageal problem. They did an esophogram and upper GI while I was in the hospital, and the gastroenterologist who was treating me in the hospital informed me that my sleeve had stretched, my stomach was nearly the size of a normal stomach. Additionally, the lower part of my esophagus where it connects to the stomach is dilated, as if my lower esophagus has been acting as a food pouch for quite some time. I was really shocked by this, as I had no issues post op from my sleeve and only stopped losing weight when I became pregnant, which I figured was to be expected. But since I had my baby in May 2015, I have struggled to lose anything. I was doing a keto diet at the end of last year and that was working, until I got sick in January. Now that my esophageal issues have been diagnosed, I have trouble eating anything solid. My weight has maintained since I was admitted in January but I haven't had any significant loss since then. Long story short, my primary focus is to get my esophagus issues figured out and fixed, but they referred me to two different docs - one that specializes in swallowing disorders, and the other is a GI/bariatric surgeon to address my stretched pouch. Since I'll likely need surgery to fix my esophagus, it would make sense to do any revision to my sleeve at the same time. I feel like I have 2 options (maybe 3) to discuss with regard to fixing the sleeve. Either re-sleeve, DS, or revise to gastric bypass. I should note that my highest weight was around 460, so even when I was at my lowest weight before getting pregnant, I was still at 306ish. I'm currently around 340-345 putting my BMI around 48. When I first started thinking of going the surgical route for WLS, something about the gastric bypass didn't appeal to me. So now I am struggling with if I should re-sleeve or go for the DS. I'm thinking since I still have so much to lose, the DS might be a better choice, but I honestly don't know enough about it to make a decision. I've read the limited info I could find about DS, I realize it's not a particularly popular surgical choice, but I want to hear from people who've had it, possibly people who had it after having a sleeve. I'd love to hear your stories and thoughts on the DS!

So I am required by my insurance to get with my doc and go on a restrictive diet for 6 months, meeting with her once a month for weight-ins and evaluations. I am curious if anyone who went through a similar thing has a particular diet recommendation. I had some success on Adkins back 13 years ago. I was able to stick to it more than others. I went back to eating normally though and put it back on and then some. Looking at Keto or another carb restriction diet to hopefully train me to get away from that junk before and after the sleeve. Suggestions? Sent from my iPhone using the BariatricPal App

In the past year, I have been on weight watchers, keto and lose it. Lost maybe 5 pounds then promptly gained it back.

Fortunately, my insurance did not make me have to lose a ton of weight prior some like plans. But I'm working on losing as much as I can prior to the surgery with a low carb keto diet

FYI for those who are unaware: Substituting ground pork rinds for bread crumbs is an acquired taste, to say the least. My wife tried it once when she was doing a keto diet and it was...not my cup of tea.

Pinterest ... vsg recipes ... paleo... keto...no carb... It's awesome Sent from my iPhone using the BariatricPal App