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I borrowed this idea from another site. But to be fair, it's a concept that is not new to the low carb/keto community. Atkins '72 had you shoot for your daily protein goal and to keep your carbs (whole, non-net carbs) to about 10g or less per day (loosely). If you can't do <10g of carbs per day, then try to keep them as low as possible and definitely do NOT exceed 20g of whole non-net carbs. So those of you who know me, know I get bored with my same ol' same ol' routine! So I felt like mixing things up and tightening up the carb wagon a bit. I'm eating a crap ton of carbs for my body (about 50-60g per day whole which comes out to about 30-40g net after fiber subtraction). And what tends to happens when you lower your carbs is that you up dietary ketosis (aka you become a fat burning monster, especially if you've already been low carb for a while--you lose your appetite; drop water retention; and you might just lose a couple of pounds of fat in the bargain--you also return back to easy satiety). And come on...after Fatsgiving, don't we all need to adopt a little austerity? The rules of the game are simple: AMAW = All Meat All Week (Meet only for the week--but I'm gonna include eggs, egg whites, poultry, game, domestically and internationally produced red meats, etc, cured meats/jerky/biltong, et al, bone broths and stocks and also all seafood/fish in the meat category) CAMAW = All Cheese and Meat All Week (although personally I think it should be MACAW rather than CAMAW and I'm gonna include other forms of dairy + protein supplements + non-milk dairy like almond milk, coconut milk, cashew milk provided it fits into the carbs/calories scenario previously discussed, since you're already eating cheese--it just has to fit into your 10g-20g of whole carbs for the day.) Fats = Healthy Fats as much as you want/can handle (or as little) provided you stay within your daily carb/caloric goal for the day. This would not ideally include nuts/seeds/nut butters, but again, if that is the line in the sand for you, then we'd rather you play with us for the week rather than sit it out cuz you need your mother truckin' nuts. Right? Am I right? Healthy sources of fats = olive oil, evoo, evco, evpo, avocado oil, mct oil, grassfed butter, avocados, lard, tallow, schmalz (rendered chicken, duck, or goose fat), and if you choose to eat nuts/seeds/nutbutters they would also provide fat as well as protein and carbs. Water/Liquids = 100oz or more per day Vitamins = Of forkin' course, silly! Coffee = yes Tea = yes ****************************** We'll start tomorrow, Sunday December 2, and continue through Saturday, December 8. Who's with me?

Hahahaha! IKR?!!!! You are more brave than I! No way will I tell my RD about this experiment! What this is telling me is that I can do Atkins (any version), I can LC, I can Keto/Paleo/Whole30, whatevs! LOL. But I'm not cut out to be a pure carnivore. I'm a straight up, mid-hedonist omnivore! And IIIIIIIIIIII LIKE IT! Ha! I swear, I was jonesing for any veg yesterday. ANY veg. And I about cried to eat that broccoli and it was gone so dang quickly! *snort* I think the reasoning for doing this AMAW/CAMAW thing is: 1. To get back to basics of protein first and fill your pouch with dense protein. 2. Eat less (calling BS on this, cuz it made me have a meat binge last night) 3. Dump fluid. 4. Quick weight loss 5. Losing cravings/control appetite (not so much) *sigh* So far it's not helping. But maybe I'm detoxing right now? I do better when I IF. Seriously! LOL, thanks for experimenting with us though. I hope you will stick it out for the whole week? The only thing I think would be worse is the pre-op liquid diet 5 day pouch reset. OMAGERD! That would be terrible terbs!

Has anyone ordered the Keto Krate? I am looking long term for items that will be healthly and easy with my new lifestyle change... Sent from my SM-N920V using BariatricPal mobile app

Low carb, high fat Though I do focus more on protein so I'm not sure if it's true-keto. The big thing for me was watching carbs.

I don't think keto is any more a fad diet than is the diet recommended to post surgical bariatric patients. They both have specific purposes and are (or were) very effective for their original purposes. The keto diet was originally developed a long time ago as a specific treatment for severe epilepsy. At the time, before antiepileptic drugs, it worked very well in controlling symptoms. The problem is that it became popular for weight loss and it's probably not the healthiest way to eat long term. That said, I think the same thing is true for the post-surgical bariatric diet. It's a diet developed for a specific purpose and it works well for that, but it's not really a healthy way to eat for the general population. The reason we eat a protein forward diet is for a few reasons: Protein helps preserve as much muscle as possible while eating a low calorie or very low calorie diet. This helps keep your metabolism as high as possible so you burn more calories at rest. A carb forward diet (or even a more balanced diet), would cause your body to burn less fat at any given time because carbs are easily burned for energy, whereas protein is not. Protein (actually the amino acids in protein), are essential to your bodies proper functioning, whereas consumption of fat or carbs is not nearly as important. Protein is even more important when healing, thus it's critical post-surgery. The reason the medical community focuses on protein for bariatric surgery patients is due to the above. It's not because protein is actually "healthier". It's just because we are so restricted in what we can eat, thus tradeoffs must be made. I think most doctors would agree that once a bariatric surgery patient can eat more, they should not eat more protein, but instead should work to add healthy fats and carbs ASAP in the form of more whole foods. The general consensus in the medical community is that the healthiest diet is one that starts with lots of fruits and vegetables, has very little processed food, and a lot less meat than what most American or Western Europeans eat.

My surgery is feeling very real now, having just booked a taxi to get myself to the hospital on Sunday morning (April 25th). The hospital is a 1hr drive away which isn't great (largely because of the added taxi expense) but there was a 12 month wait at my nearest hospital whereas its only been 1 month since my initial phone call to this one (I'm in the UK, paying privately). I've lost 24lbs in a bit over 3 weeks of pre op diet and got a 50lb total loss from my highest weight a year ago today as I did keto for 11 months before the pre op. I've come a long way over the last year, and regularly cook, shop for and have in the house lots of foods that previously I couldn't have resisted (I'm taking about you, pizza, ice cream and biscuits) without finding it a problem. I've also happily gone through the drive through with my (slim) husband and felt perfectly content with my protein water. There was a question earlier about doubts following a successful pre op diet. For me, having lost a lot of weight in the past and losing quickly on my pre op, I'm happy to have surgery. Research shows that for many reasons including hunger hormones, metabolism and fat cell activity weight loss surgery makes it significantly easier not just to lose weight but to maintain that loss. The way I see it from my research and experience is that losing weight through diet leaves you slim but in a body that physiologically is doing everything it can to get you back to being fat. Surgery leaves you slim in a body that has in a sense been reset to being slim and is not trying to get fat again. Do it by diet and you'll be left fighting your body as well as your mind to maintain. Do it by surgery and you don't have to fight your body, just keep control of your mind. That's much more achievable. Preparation wise I've got lots of protein water and shakes ready that I know I like plus chewable bariatric vitamins. I'm feeling very settled on the liquid diet which I'm glad about as I think it'll make the post surgery transition easuer. I've treated myself to a new pair of headphones with alexa built in to make my hospital time and recovery a bit more convenient. I bought a giant cosy dressing gown for a bit of comfort. And I've sorted all my outdoor sports gear /books /maps etc which have ended up in the loft after a blissful period having lost 140lbs about 12 years ago that didn't last very long before it all came back. I've read a whole load about bariatric surgery and nutrition and have lots of self improvement books lined up to read or listen to to help me keep working on me, not just my weight and relationship with food. I'm so excited about my new life and feel very determined and prepared. Loads of waffle there... Can you tell I'm excited?! Sent from my VOG-L09 using Tapatalk

You don't seem to need any advice, you've got this. I'll admit I got lucky in that my nutritionist told me at my first consult for the first month (of three) to just avoid carbs after breakfast, and that was it. I kind of took it upon myself to go full keto, keeping myself under 15g of carbs a day and it's working great, down 23 in two months. Due to what amounts to head-to-toe injuries exercise is not an option for me right now, so I can literally say I'm doing all this without breaking a sweat. I haven't felt hungry a single minute since I started and I'm chomping on a hard boiled egg right now. Like you I have no pre-op liquid diet requirement, so that certainly makes life easier. As for protein shakes, I found a giant barrel of cookies and cream flavored something or other at Costco that I mix with unsweetened almond mile. Search the boards and you'll find lots of recommendations for both powdered and pre-mixed shakes. Good luck with everything.

Seems to be lots of variations of pre surgery diets. I was on a keto diet for 2.5weeks before with no minimum weight loss required. One friend was on 2 weeks all shakes no specified weight loss required Another was on 2 meals shakes & one meal high protein, no carbs over 4weeks with a minimum weight loss requirement. I found the diet helped get you in the new mindset in regard to eating. Good luck with your surgery.

Oh I see..is that keto a diet ? Sent from my SM-G930T using the BariatricPal App My doc said he recommends the sleeve since ryn in his opinion is too rough.. I also prefer to go for the sleeve as well Sent from my SM-G930T using the BariatricPal App

Try eating Keto, you could drop your A1C down pretty fast. You won't heal if your blood sugar is out of control which is why they don't want to do surgery on you with uncontrolled diabetes.

@TheRealSergio I felt pretty overwhelmed by the idea of being dependent on drinks/powders and not having room for anything but protein when I was your stage post-op. I'm currently 8 months out. I assure you it got easier once I was released to full foods and was able to experiment more. My husband is diabetic and decided to clean up his eating to accomodate my dietary needs as well. We've had to figure out the best ways to make the main portion of our dishes as high in protein as possible, and that has meant experimenting with spices, rubs, etc. It has been fun. I regularly hit keto, paleo, and bariatric foodie sites and message boards to explore my options. I do eat vegetables, just not very large portions, but try to combine them with a protein rich item. I don't eat bread by choice as I am one of the unfortunate sleevers who has dumping syndrome. I don't miss it and even at 8 months out, I am amazed at what I don't miss and how much my tastes have changed. There are days that I don't meet my protein goal, but I just try to do better then next day. I have had a ready to drink shake here and there while traveling as it was the most convenient and healthier option at the convenience store. Congratulations on your weight loss. I hope you'll be able to find something that works for you. Best wishes to you.

On Black Friday, I bought a Ninja Creami for my family. The Creami allows you to make your own ice cream pints. You make your liquid mix, place in it one of their plastic pints and freeze it for at least 24 hours. You put the pint in the machine, spin it for a few cycles and you get ice cream. Here is why it is great for bariatric patients: you can make delicious, high protein, low sugar ice cream. Not an exaggeration. For my first ice cream, I mixed a 16 oz Premier Protein 30g chocolate shake, a packet of Chocolate Toffee keto chow, 1 tsp of MCT oil and 4 tbs of 2% milk. I had to put that mixture into a blender to get it all mixed because it was pretty thick. But then I poured it into a plastic pint and froze it. When it was done, it tasted just like a creamy chocolate ice cream and had the following nutritional profile (per MyFitnessPal) 356 calories 9.2g of fat 5.5g of net carbs 4.4g of sugar 57.7g of protein 109% of my calcium 34% of my iron 2,135mg of potassium 27.5% of Vitamin A 26% of Vitamin C (By way of comparison, a pint of Blue Bell vanilla has 640 calories, 32g of fat, 68g of sugar and 16g of protein). The Creami is not cheap (Normally $170, bought it for $125 on Black Friday). But if you can afford it and you like ice cream, I highly recommend it. You can use protein shakes, protein powders, Greek yogurt and a ton of other bariatric-friendly ingredients to make something that tastes like ice cream that you can eat guilt free.

Oh man! I am sooo sorry. I was lucky and didn't get any during my low carb/keto run but I feel we never truly know what will set one off. My very first flare to a diagnosis was with my legs going numb and they have never fully recovered so I get that completely. I just keep thinking about when I had my son and the hormone shock afterwards put me through hell with my attacks. Hopefully with our surgeries being so close we can check in with one another. #Igotyourback Sent from my SM-N960U using BariatricPal mobile app

Do you mean 800 calories? This website has a handy calculator that you can customize to figure out where you can set at: https://www.ruled.me/keto-calculator/

The Keto fried chicken sounds like a MAJOR game-changer!!! I am SOOOOOOO going to try that! It's freakin brilliant!!

Keto is not a LOW Protein diet. It is high protein, high fat, low carb way of life. I love it! I do however watch my fat and don't do as much as they say too. But I have no cravings for carbs at all. I make all kinds of yummy food (Pinterest Keto) that the whole family loves. Want to see an actual VSG person on Keto, get on youtube and search for "watch kitty shrink" she does nothing but Keto and looks amazing! Good luck!

So CICO (calories in/calories out) isn't a purely valid concept according to the biochemistry. But let's pretend it's close enough for government work. Ok? In theory (and this is from one of the leading Keto docs who trained under Dr. A.) keto IS putting our body in fat burning state rather than being a sugar burner. There is between a 200-400calorie advantage for doing that because it takes more energy to convert energy from protein/fat than it does to burn sugar. But still..that's sorta insignificant. What keto is great at is making your feel energetic so you move more! (This is after you get past the 2 week keto flu.) Also, it's a great appetite suppressant. So the deeper into ketosis you are (ie the more ketones you are burning for fuel), the lower your hunger. AND the fewer your cravings (lower your head hunger). So by defacto, you DO end up eating less. And he said, that's what they want you to do! They want you to naturally moderate and reduce your calories! So it really isn't a "free for all" food fest. It's only EVER been intended for people to eat just to the point where hunger is abated, but not to fullness. Sound familiar? Sounds a little like our weight loss surgery rules. Yes? This is part of why I think WLS + Keto/Low Carb = Match Made In Heaven. Why not reduce your hunger as you eat healthy healthy and take in as few calories as you can without the pain of hunger?

So I am 5 years post sleeve. I managed to get within 5 lbs of my goal and slowly slipped back into bad habits. When I went for my annual PCP appointment and saw the scales were reading 175, I almost cried. I hadn't been weighing myself over this past year due to my house flooding and all my stuff was in storage for 6 months. I realized that I had been wearing stretchy leggings and hadn't tried on a pair of jeans in a year (again everything was in storage and I bought a few comfy outfits to tide me over till the home repairs were complete) I went through my kitchen and pulled all processed foods, bread, flour, sugars, root veggies, fruits, cereals, pasta and rice. I gave these things away to my neighbors. I researched diets and weight gain after sleeve procedure. I have started following a modified Keto diet. I say modified because I try to keep my protein at 80 grams a day. So basically I have replaced carbs with healthy fats. My next step back on track was to come back to this site and read the different topics. It has been 2 weeks on my version of Keto and have lost 8 lbs! I still have problems eating enough calories and know my metabolism is slow so I eat what I can and spread a meal to be a 1/2 cup meal and 1/2 cup snack 2-3 hours later. I have found some great recipes online and have bought a few books about Keto diet. I have read up on resistant starches because I have not taken beans out of my diet. They are my source of Fiber and some protein. Since I only eat a couple tablespoon full of beans, I am testing the theory about resistant starches by eating the beans cold. Apparently when certain foods are cooked and then cooled, the carbs crystalize and become resistant to digestion (but are great food for gut flora). I bought a new scale (my old one was lost in the flood) and have started keeping track of what I eat. Coming back to this site and writing my story will help me keep on track to getting back to my goal weight.

Slow and steady might not be as “fun” as fast and dramatic, but I’m going to look at this as a a chance to truly start a new lifestyle for forever. One thing the bariatric psychiatrist was adamant about reinforcing over and over is that the good habits MUST develop during this honeymoon phase because no matter what we eat, we will lose. The problem with that is that it will eventually catch up. He told us in support group that the “slower” losers actually had a better long term success rate because even in the honeymoon phase, they had to watch everything that went in. Those that are going to eat fast food or follow a non-keto diet, or who eat refined sugars are in for trouble when this phase wears off. So it sucks to only be losing 0.2 pounds daily average for now, but I refuse to give up. Eventually this body that loves to betray me will get whipped into shape. Just since last week, the scale finally started moving a smidge faster. I lost 3 pounds in 8 days and I can tell a radical difference in a pair of work pants from last week to this. Progress. Not as rapid as I’d like it, but I’ll take the progress

@melanatedqueen Macros are between 60-80 grams protein, 40-50 grams fat and less than 10 grams carbs. More fat if I can fit it in without eating too much. I don’t know if I was in a stall and it ended the same time I started introducing more fat or if it was the fat that jump started my weight loss. But I certainly didn’t go through all this to eat less than 500 calories a day and not lose weight. Much more satisfied on the keto.

I know some people here have enjoyed seeing my progress, so I wanted to do another update. I recently had my 1 year surgery anniversary from my gastric bypass. I have also reached goal and am no longer losing weight, so I figured now was a good time! I am so happy I had my bypass. I am running, hiking, and doing all the physical things that I was limited in before. I eat well and don't feel any loss or limitation emotionally. I have added carbs back in now that I am at goal, and have maintained well (even lost a little) over the past 5 months since hitting goal and going off keto. I had my 1 year follow up with my doctor, and he congratulated me for losing 100% excess weight and for doing it in less than a year! High weight: 292 Surgery weight: 247 Goal: 150 Current: 147 Height: 5'6"

My nut doesn't approve of dry cereals/granola this early out, not until I'm at least at 4mo so Kashi's out. Ketosis, other than the breath/mouth taste issue, doesn't really bother me. One of my previous diet 'attempts' was Keto, so I spent five months in ketosis...lost 30lbs, gained 35 when life happened and made things difficult. I'm wondering if the nausea/light-headedness is mostly just not eating enough. I can only get 1/4-1/2 cup at a time, depending on what it is, and I struggle to eat three times a day because of the nausea/lack of hunger. I've tried to have a string cheese or a light babybel when I can, to fill in. I'm having more 'good' days than bad this week, so hopefully this phase was just temporary. I might manage four meals today! Breakfast was a chicken sausage made with roasted garlic and gruyere. 14gms protein for one, though I could only manage half of it. I'll have the other half later. Syntrax nectar is a no-go. Three sips, waited ten minutes, and had a horrible heavy feeling in my stomach and moderate nausea to the point where I went and laid down for a while. I give up, my body has apparently declared that whey protein isolate is somehow poisonous. No issues at all with yogurt or cheeses, so who knows... I have my six week appointment coming up, if the trend of better days doesn't keep up I might ask for something for the nausea or see if they have any ideas why it's so persistent.

If you actually ever did any research or read any studies about high fat diets, you would have never even posted the first 2 sentences, because there are numerous studies not to mention several cultures through out the world that have been eating this way for hundreds if not thousands of years. Which is why I suggest readying a book by scientists and not reading bro science on the internet. Most of the studies I could link are behind educational walls. I did years of research on this before deciding on it. It isn't just a fad diet or pseudo science which is why I tell people not to even bother if they aren't will to make a life long lifestyle change or it flat out won't work for you. You can't just Keto for a while stop pounds and go back to pizza. The same way you have to make life long changes for WLS to be effective long term. I know talking about science here is kind of a non starter since 99.9% of people that post here don't even understand the difference between weight and volume. Science is beyond most people, don't even get me on understanding stats. I know everyone doesn't have a STEM degree but damn.

Thats my reasoning for this too. So many medical issues. I go up and down in weight and i was down to 178 with Keto but I don't eat red meat and do not really care so much for other meats. So my weight went back up when I went off it and my dr said I did more harm than good and was just diagnosed diabetic. So that was it for me. It really isn't anyones business, you are so right.

The withdrawal from caffeine, sugar, etc. can be awful. Headaches, shakes, cold sweats, …. and the craving for them can be greater. Thankfully the first week is usually the worst. My surgeon recommends different diets for different patients but the all shake diet is known as hell week in his office. I’d done the shake diet twice before (two shake meals & one low carb, low fat meat & vegetable/salad meal) so I was much relieved when the dietician said I was to do keto for the two weeks. No calorie requirement or macro goals just high fat, high protein, low carb, low sugar. (She also said keto was a good way to kick start my weight loss but not as a long term diet.) I lost about 5kgs.