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Showing results for 'keto'.
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Torn between counting carbs or counting calories
Big Matty replied to KathyLev's topic in General Weight Loss Surgery Discussions
I count everything. I was diagnosed with congestive heart failure in 2022 and was put on a sodium restriction. Just two months before my projected VSG surgery date my A1C was 9.6% and I was put on diabetic meds(Metformin and Semaglutide), given a blood sugar meter with instructions to check my blood sugar twice daily, and told to cut out all sugars in my diet. Around the same time as my Type-2 Diabetes diagnosis my Bariatric Surgeon had me go on a Keto/Atkins very low carb diet prior to the liver shrinking diet due to my extremely high 71.5 BMI. That was my first time on a 'low carb' diet since I tried South Beach in 2004, and I really liked it for how it made me feel and how much easier it has become to find low-carb substitutions for common foods. So I decided to stick with it post-surgery. I am two weeks out from my surgery and I am at the point where I can eat 800-1000 calories a day, where 50% is from protein, 40% fat, 10% Net Carb, and sodium between 1,500mg and 2,000mg. I track my Daily Food Intake in an Excel Spreadsheet, listing Calories, Total Fat, Protein, Net Carbs, Fiber, and Sodium of each. I also track my fluids, noting if the beverage has any sodium. I avoid sugars like the Plague, except when it comes to fruits. I will on occasion eat fresh strawberries, raspberries, or some honeydew melon. I don't feel the Keto diet is suitable for Post-op due to the high reliance on Fats. I like a more even distribution favoring protein over fat, but still keeping enough healthy fats in my system so entering Ketosis is a possibility. My carbs are always under 25g a day, most of the time between 15g and 20g. I was only in Ketosis once for a brief few days, and it was right after surgery. I check my ketone level regularly with those over the counter 'pee' strips. I like my method of tracking my nutrition manually instead of using an App or Website, although there is a lot more work looking up nutritional labels for everything I eat, or general nutritional information for those items without labels. The plus side of it is I am amassing a database of my frequently eaten food items so logging is becoming easier. I agree with the general consensus that 'Diet' is an ill-fitting word for what we are doing. I like the term 'Lifestyle Change' much better. A diet, to me, is finite in its duration. It has a beginning and an end. A Lifestyle Change goes on indefinitely. -
Anyone's A1C (blood sugar average) raise AFTER Bypass??
WishMeSmaller replied to MaybeMeow2's topic in POST-Operation Weight Loss Surgery Q&A
Very odd. A few different thoughts on this. With the smaller volumes of food you are eating now, I am wondering if it could be related to the proportion of sugar vs. other nutrients. Conversely, I did keto a few years ago and my A1C went up. My NUT said very low carb diets can increase insulin resistance and cause increases in blood sugar. It is probably a good idea to discuss with your surgeon and NUT. Please keep us posted on what they say. 💕 I was diabetic pre-WLS with a 6.5 A1C. I have only had one set of labs since surgery, at about 2.5 months and my A1C was down to 5.6. I stopped my metformin when I started my pre-op diet. I am super happy to no longer be diabetic and will be interested to see what my numbers are now. -
HELP! FELL OFF THE WAGON
Spinoza replied to trishaaustin2001's topic in Gastric Sleeve Surgery Forums
Ah - sorry - forgot what I actually started out to say. Arabesque is right (as she usually is). If you can go back to your original programme do. Protein first, veg second, carbs third or not at all. No sugar, it's ridiculously addictive and produces insulin spikes that make you crave it more. Perhaps consider a keto week to get you started and minimise cravings - so protein and green leafy veg only? -
Forget snacks entirely unless they are protein or vegetable. They grease the slippery slope to regaining what you have lost. I speak from experience. I am approaching RNY revision and I will not make the same mistakes again. The pre-op food plan and the (clear/full liquid/puree) stages post op while we are not getting hungry give us the opportunity to establish a new way of eating. If we seek sugar-free or keto snacks we are merely making some substitutes for the OLD way of eating. It's too easy to find ourselves eating sugared and carbohydrate snacks and food when we don't happen to have the "-free" type. Just because substitute snack foods are sold on bariatric sites does not mean they are good for us. If we are wise we will ignore those products. Eat whole foods, fresh or frozen vegetables and fruits, quality poultry and meat products. Avoid sugar, sugar substitutes, wheat/flour products, and processed foods. We can get plenty of tasty food to eat with these choices. I encourage you to obtain and read these two books by Dr. Matthew Weiner: A Pound of Cure and The Bariatric Guide and Cookbook. There are lots of other bariatric cookbooks available, too, including some for Air Fryers, InstaPots, and CrockPots. These will help you learn your new way of eating.
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Any sleevers doing a ketogenic diet?
BigUtahMan replied to BigUtahMan's topic in Tell Your Weight Loss Surgery Story
Same, keto has it merits to brake the carb cravings, but diminished returns after that. -
Confused- Medicaid Vs. Managed Care Req?
boogie_badd8nt_she replied to boogie_badd8nt_she's topic in PRE-Operation Weight Loss Surgery Q&A
Hi!!! Here you go! A. The beneficiary must be between 18 and 65 years of age. B. The beneficiary has a documented body-mass index >35 and has at least one co- morbidity related to obesity. C. The beneficiary must be free of endocrine disease as supported by an endocrine study consisting of a T3, T4, blood sugar and a 17-Keto Steroid or Plasma Cortisol. D. Under the supervision of a physician, the beneficiary has made at least one documented attempt to lose weight in the past. The medically supervised weight loss attempt(s) as defined above must have been at least six months in duration. E. Medical and psychiatric contraindications to the surgical procedure have been ruled out (and referrals made as necessary) 1. A complete history and physical, documenting the beneficiaries: a. Height, Weight, and BMI; b. The exclusion or diagnosis of genetic or syndromic obesity, such as Prader-Willi Syndrome 2. A psychiatric evaluation no more than three months prior to requesting authorization. The evaluation should address the following: a. Ability to provide, without coercion, informed consent; b. Family and social support; c. Patient ability to comply with the postoperative care plan and identify potential psychiatric contraindications. Sent from my SM-G900T using the BariatricPal App -
When I did Keto, there was an expression that when you started you got the "Keto Flu" which was getting sick from cutting out all those carbs. They recommended vegetable broth and pickle juice to help get over it!
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This baffles me, how do you keep it so low? Are you doing Keto?
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I don't think it makes a difference, in the end so long as you have a calorie deficit, you will lose weight. Though it *may* take a little longer this far out. In maintenance, I had a couple times when I gained like 5-6 lbs after a period of eating too much or a period of decreased activity. The first time this happened was maybe 11 mnths post op and it took me a week to lose it. The last time it happened, it took me almost 2 months (at almost 2 yrs post op). It was much easier to go low cal before than it is now, probably cuz I'm used to eating more now? Anyhoo, its not impossible, Keto/low carb or not. Good Luck!
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To tell or not to tell..that is the question?
A_new_sara replied to nycteacher's topic in PRE-Operation Weight Loss Surgery Q&A
I'm not telling anyone in my family either, besides my kids obviously, and my boyfriend. I am telling my co workers because they'll notice the obvious with me healing, and not throwing up anymore ha ha. They are close to me and very supportive though. As for everyone else, I'm telling everyone we're going to Cabo for vacation. They all have judged me for 7 years over "failing my band" and wasting the money. I'm not dealing with it again. I've been doing keto since March and have lost 25 lbs. So after my surgery I'm going to let them think that's why I'm still losing. I will still be eating keto. Just with a better tool. -
WHOOP WHOOP!!! 4 years post op, I am finally getting the scale to move again and my regain is officially gone. I was doing some Keto type eating, but now I'm trying to cut back the fat so it's more like a 'bariatric' type eating, just a low carb, high protein thing. I had been losing nicely for a long time then the scale completely stopped. What I THINK was happening is that my body had adjusted to ketosis and I was probably taking in a little too much dietary fat so I wasn't burning my own fat. Now that I've tweaked it my regain has dropped off and I'm back 'on the move'!!!! Hoping for a good 7-10 lb loss over the next month before I have some medical testing
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I wasn't quite as big as you when I started, but I did start my six month pre-op diet program at 397 pounds. I lost 99 pounds during the six months pre-op (I was so ready to make a change, so I took the plunge into keto eating), and lost the rest of my weight down to goal (180 pounds) at one year and 4 days post-op. That would have been a total of 217 pounds total by one year and 4 days post-op. Here are my questions for you: How many calories do you take in per day? Carbs? Protein? What do you do for exercise? Do you track everything you eat and drink? I ask these questions to maybe get a better picture of your journey. Everyone loses weight at different rates, but when you start off at a higher weight, it usually comes off at a quicker pace if you are doing what you need to do. (But there are SO many factors at play...) I won't even get into the relationship thing in this post. But, I will say this -- everyone deserves to be with someone that loves them for who he or she is, not for who he or she could be...
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I do low carb, not "keto". I make that distinction cuz I am old-school. I don't do a bunch of fancy gyrations and artificial stimulation to get my fat high. My keto comes by simply doing no more and no less than dropping my carb level to <50g per day. That gets the body into ketosis. But to be fair, most of us who are eating <800cals per day are probably already in ketosis by proxy of a VLCD (very low calorie diet). So we're already producing ketones for fuel--unless you're consuming a butt load of daily carbs in that 800 or less per day diet. It's can be a good and healthy diet. I do low fat; choose low fat proteins and reduced fat dairy, but my fat still falls in about the 40% range. Anyway, it works for me. But if you over-consume carby food, you WILL see a jump from glycogen stores refilling with water and it takes 2-5 days to re-empty them. That's anywhere from a 2-8lb weight gain overnight. It can be brutal psychologically. But I truly believe this is the way that will maximize my weight loss period. For me.
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You can buy keto strips from amazon to test they you are in ketosis. Usually anything over 20 carbs A DAY will keep you from being in ketosis but with the strips you know for sure if you have wiggle room to up carbs or go lower. Unless you are exercising vigorously it’s usually 20 and under though. Hope this helps. Yo-Yo Girl from New York City
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Going back to basics, keto and weight watchers did not work for you. It may be time to seek counseling.
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I think the idea that you could never eat out again is not only unrealistic but sounds incredibly depressing. There is a social aspect to eating out that I feel is very important. It's all about making the right choices. I'm about 2 1/2 months post op with the Sleeve and I've eaten out a handful of time. I made smart, choices and focused on protein first. I follow a modified Keto diet as much as I can so when I eat out I look at different websites and try to follow their advice and guidelines. I have eaten fast food once. It was today actually. I went to Wendy's and ordered a single burger with no bun. They put it in a lettuce wrap for me but I chose to eat it with a knife and fork. I have the tomato and a little bit of mustard on it. I ate about 2/3 of the patty and had 4 of my mother's fries. I used my fitness tracker and a Keto website to figure out the nutrition facts. This will be my large meal for the day. My NUT has me on 800-1000 calories a day, 100 grams of protein and suggests my carbs stay below 50 grams but isn't steadfast on calorie counting. I'm well on track today still at under 600 calories for the day and only 20 g of carbs.
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Yep, could be withdrawal symptoms from carbs. Could be because of ketosis too. Lots of strange side effects when that starts occurring including unpleasant body odours, keto flu, etc. If the headaches persist or you can’t manage them with over the counter meds, speak with your medical team
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I ate Keto pre-op and plan to resume after I am healed. I will do low carb, high protein, moderate fat. My husband (normal weight athlete) does low carb, high fat. We will be on similar eating plans which will be a lifesaver. We can cook one meal, and he can add extra fat to his plate only. We have found this to be a sustainable way of eating. And it is right in line with my NUT recommendations.
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worry is completely natural. talk to the doctor openly and honestly about your concerns, issues and fears. A good surgeon should have answers and make you more comfortable with your decision. You CAN do this. You CAN improve your life and have a new and exciting chapter. message me anytime make a list of what you want from life. see how many of them surgery will help you achieve. The liver shrinking diet that i was given is not as bad as I thought (Dr plans vary!) and am already doing it without an exact surgery date. I am not on liquids but low carb (keto) which is doable for the short term. come here for support, ask questions or release your fears. we want tos we you live your best life!
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Keto is easy but because of the meat can be expensive but since we eat so little it won't be bad for us. I love it. I eat low carb, high protein, high fat. It's such a strange way to eat because it goes against everything I've learned but it works for me! It helps the appetite and fills me up. I am incredibly carb sensitive (thyroid issues and pre diabetic) and this way of eating curbs carb cravings. Look into it. I plan to eat this way long term!
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The STRICT ones in first year......
Lexuskela replied to Lexuskela's topic in Gastric Sleeve Surgery Forums
Yes keto diet, it puts you into a ketotis metabolic state. I also prefer that as well. I usually just called it the low carb, high Protein diet. I didn't know it had a true name ???????? although I do have fruit once or twice a week. -
The STRICT ones in first year......
OutsideMatchInside replied to Lexuskela's topic in Gastric Sleeve Surgery Forums
No I mean Keto diet/ Ketogenic diet. It is mostly referred to as Keto by people. http://www.ruled.me/guide-keto-diet/ https://www.reddit.com/r/keto/ -
The STRICT ones in first year......
OutsideMatchInside replied to Lexuskela's topic in Gastric Sleeve Surgery Forums
I respond best to this type of diet, also. If I was a little more disciplined, I would follow it even more strictly. My body also responds very well and so does my brain, I am far more alert as a ketoer. You have to play to keep your macros in line. I usually sit in my food logging app and add up different things before I eat them to make sure my macros are right. My weight loss has really increased since I started keto again, before it was dragging along barely moving. Low carb and low fat is hard if not impossible to do. -
I am about 5 years post-op and definitely regret it as well for mostly the same reasons as SleevedK above. Yes, I lost quite easily at first but that only lasted the first year. After that I could not lose anymore no matter what I tried. The worst thing? I am ALWAYS hungry. Before I had VSG, I had done low carb/keto for quite awhile and lost well and had a lot of energy. Part of that is eating plenty of fat which keeps you full. Unfortunately, after VSG I could not eat much fat. Protein first of course, but if I had too much fat I'd get sick. I also LOVE vegetables and can no longer eat much of them. I fill up quickly at a meal but am starving an hour later. I was told that at least in the first 6 months or so, hunger would never be a problem b/c the part of your stomach they remove is where the hunger hormones are secreted and that eventually that would come back. I was hungry from day one and it never changed. The biggest disappointment to me was that I did want the bypass. I went in for surgery and woke up to find I had nothing done. Doctor tried but could not pull my intestine far enough forward to attach it without stressing the incision. I went on a liquid diet for a month and lost 22 more lbs, tried again with the agreement that if it still wouldn't fit, he could go ahead and do VSG and that's what I woke up with. My surgeon has a very good reputation and I trust him. My body has always done weird things. Not sure if it's just all the fat in the omentum around the intestines that was the cause or adhesions from my previous gallbladder surgery, although he did say he broke down some of those. By 3 yrs post-op I'd not only not lost anymore but started regaining. The regain is totally MY fault, not the surgery, but I was so tired of fighting to lose with no results that I began eating junk food again and it crept up. All told, I lost 85 lbs and regained 28, and have been sort of stuck there. I'm now revisiting trying to do low carb since it works for me once I get past the initial cravings, etc. I had some GERD prior to surgery but it went away with the weight loss, only to return with a vengeance after i began to regain. It is MUCH worse than it ever was prior to surgery. I have not had an endoscopy to see if there is a hiatal hernia or anything yet; it's on my list to get checked out soon.
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How do you break the habit?
MowryRocks replied to JaneDarcy's topic in General Weight Loss Surgery Discussions
I started out with a specific plan. I decided to do a 1200 calorie diet. I did a 1200 calorie modified ketogenic diet Monday through Friday and on the weekends I still did 1200 calories, but if I wanted something specific on the weekend, I had it and kept within my calories. I did this for the first three months of my 6 month medically supervised diet before going full keto for the last three months. I ate the same thing everyday for Breakfast and lunch. Breakfast: 2 eggs, any style and a Oikos Triple Zero yogurt (any flavor) For lunch I had a Premier Protein shake and a Sargento Balanced Break. For dinner, I had 2-4oz of meat, with a steamed vegetable. Since the diet was high in protein, it made it easier because I wasn't hungry as often. It really kept me satisfied. If I felt like I needed a snack, I had one. Typically sugar free Jell-O or Sugar free pudding. I also stopped caffeine right away. I figured why prolong the inevitable. Good Luck finding the right thing for you!
