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Do you HAVE to follow a low carb diet?
Newme17 replied to slimmingsteff's topic in POST-Operation Weight Loss Surgery Q&A
No you don't. I won't be doing low carbs either. Hate counting anything as well. And I have my reservations about Keto too. I agree with everything you've posted in regards to it, I choose not to say much about it cause then you get a some folks jumping on board, almost as if you're wrong. You're not. Do what works for you. If a Keto isn't it (definitely not me) than that's okay too. -
I've been here the entire time. I took off a while post surgery but after I had my regain and got refocused, I came back. I do still post but SO many that were here are long gone. Sadly. In reading many threads over the last couple years I feel like so many pre op and fresh post op people are looking for shortcuts, secrets to manipulate their surgery and ways around the 'work' of being a patient. It is a LOT of work. And yes, six years later I still have to put in the work every day. There are SO MANY foods I haven't had since before my surgery. I was NEVER the person who could go back to eating everything in small amounts. I know some surgeons are ok with that, but not mine, and FOR SURE not my body! Overall, I'm doing great. I am maintaining weight loss. As many here know I had some regain and had a bit of a health crisis. My child goes to a huge national keto clinic for epileptics and under the supervision of a physician there I went hard core keto a few years back. I lost all my regain and more. I am at a bit of a plateau right now after working with a registered dietician and attempting to increase my carbs. I bumped upward a few pounds and put an end to that effort. Back in ketosis now, I'm back on track. I continue to move my weight downward and STILL there are numbers I strive for. It took me FIVE years to get the confidence to join a 'tribe' of exercise folks that I loved. After 2 years of bouncing around different places, attempting stuff at home etc., I finally found a CrossFit box that I love. I go a few days a week. I really enjoy it and will use some variation of this modality for as long as I can because it really works for me. I still do, and will ALWAYS identify as a WLS patient. I am proud of what I went through. I am focused and dedicated. I am positive that I wouldn't be seeing my upcoming 45th birthday had I not had the surgery. I had a massive health issue that was spiraling out of control and I didn't even know it was there until after surgery (after I had some regain and some testing that investigated symptoms I thought were related to regain)...Had I continued to gain weight and skipped surgery, I would be dead now. It's sobering and makes me that much MORE thankful for this option. I don't take it lightly.
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Dear Tracy, All the well wishers with idiotic comments are exactly the reason I only told my husband, mom, and two close family friends since they would notice when eating meals. That being said, if we could have lost the weight under less severe measures, why would we have surgery!?! Silly question. The pre-op diet was the hardest part for me, and I ended up just doing Keto. Trust that it gets better, and a few months down the road, the hard part will be behind you. How are you doing?
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I have told a pretty good number of people. I would have to say that the reception that I have received has been mainly positive (though I'm not sure what is said when I am out of ear shot.) My husband was initially hesitant about me having the surgery. He felt that it was a drastic solution to a problem that I had been fixing previously (I lost 90lbs on keto.) But he was heavy himself. However, after he lost weight through a diagnosis of a medical condition he has - it kind of put things into perspective for him, I guess? I also researched the topic heavily and brought the information to him. I explained to him that I had a combination of factors against me and though I could lose weight on keto, it was not sustainable as a long-term solution for me. I also told him that there were scientific studies that advised that the body is so resistant to diets, that they almost always fail to maintain a long term loss (like Weight Watchers.) I explained to him that like his weight affecting his joints (he had a bad back and knees), my weight was affecting me in ways that were starting to become difficult to deal with. Now, my husband has stated that he'd love me regardless of the weight I'm at, but he wants me to be happy and healthy. He's been on board for awhile now and even went to a support group meeting with me. My brothers, who I'm close to, have been incredibly supportive as well. My mom? Not so much. But like someone mentioned previously in this chat - people are resistant to change. The only thing is that I wish people would ask me MORE questions about the surgery. I don't mind telling people that I am having the surgery, but I would like a chance to explain to them why it is a solution for me. I am also a huge medical geek and love explaining medical procedures. Thankfully, I've had a lot of support.
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What’s the skinny on “excessively malodorous flatulence”?
🅺🅸🅼🅼🅸🅴🅺 replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Gastric Bypass Surgery Forums
I aspire for my future poos and pook pooks to be like yours LOLOLOL I've been keto so long that I just about never have gas anyway. Hopefully that way of eating has paved a stink free path for the future -
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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Pre-Op almost done!
Arabesque replied to PCOS_Mama94's topic in PRE-Operation Weight Loss Surgery Q&A
I actually only lost 2.1kgs in the two weeks before surgery. So relax you’ll likely be ok especially as you were only required to do 2 weeks. I did lose a total of 5.2kgs in the 6 weeks between getting the referral from my GP & my surgery. I started to make changes straight away to start preparing for the pre surgical shake diet I’d heard about & then I only had to follow keto for the two weeks. Not complaining though 😆. -
Liquid Diet vs High Protein diet
Arabesque replied to Journeyoflove's topic in PRE-Operation Weight Loss Surgery Q&A
It’s always best to follow the diet you were given as it will be to follow their post surgical plan. As @liveaboard15 said different surgeons require different diets. My surgeon would put different patients on different diets based on the amount of weight they had to lose, their weight loss history & their medical history. So my friend was on all shakes, her friend was on two shakes & a meal & I was on keto. You can always ask your surgeon why he requires you to follow the all shake diet. The first five or so days are the hardest as you break some addictions & dependencies. You may headaches, low energy, etc. almost like withdrawal symptoms but better to get past this before surgery than after. Some people slip on their pre surgical diet. A slip is okay but regularly going off plan isn’t. The diet is required so you lose some weight to improve your health, reduce fat around your liver so your tummy can be seen more easily during surgery &, as above, break some habits & food dependencies. You can do it. It’s only two weeks. Some have to do it for three or more weeks. -
United Healthcare History/Requirements
Deemarie1221 posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi! I’m new to the forums. I am hoping to have WLS this year. Somewhat ironically, I work in Prior Authorizations for a health insurance company, so I’m very familiar with what it means to require auth. However, every company is a bit different. I’m a newlywed and my husband added me to his policy. This was planned as my previous coverage was not as good, and his plan covers bariatric surgery whereas mine did not. So we now have UHC Choice through T-Mobile. I have checked the coverage requirement thoroughly and have a couple concerns: A. They require a 5 year weight history. However my coverage before this has been fairly bare minimum. So I mostly only went to the doctor if absolutely needed. And the eye doctor, who does not weigh. How strict are they on having a five year history? Do I only need a couple weigh ins throughout that time? Or multiple a year etc? Also will they accept photo documentation or a written statement? I mostly gave up on getting help from my PCP’s previously as they’d tell me I “wasn’t trying hard enough” whenever I failed to lose weight. But I just established care with a great PCP in order to get everything checked out/ruled out prior to asking for a referral and recommendation for the surgery. B. I know when I’m ready for a consult etc. I will need to go through UHC Bariatric Resource Services through Optum. What is it like working with them? Do they actually help and guide you as if they’d like for you to get approved? thank you in advance! just to note: My BMI is over 40, and has been at least over 35 my entire adult life. I have attempted weight loss with phentermine multiple times, as well as keto, weight watchers, and CICO. I have hypertension, hyperlipidemia, exertions dyspnea, chronic back problems, and chronic muscle tension. I am active and I do watch what I eat, just fail to lose significant weight. When taking weight loss medications I lose up to 20 lbs, but then regain as soon as I go off the med even when sustaining my same lifestyle. -
I develop a rash on my body Every Time my carb intake drops below 20 for longer than a few weeks. I have logged in MFP for years, and it correlates. Always on the trunk of my body. ( I hadn't even heard of 'keto rash' but assumed it was some sort of inflammatory body reaction). It is a rare phenomenon. If I upped my carb intake by 20 or 30 grams it would go away. I have had it multiple times. It is more annoying than anything else so I will just deal with it this year. It is now annoying than anything else and get a Costco size jar of hydrocortisone cream. I also am going to ask my PCP for a dermatology consult. Currently, I have it on my back. I have had it on my back, chest, stomach and neck. Every body is different and you should always listen to yours and be aware, note changes etc.
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Sleeve Veteran researching revision to SADI
ShoppGirl replied to ShoppGirl's topic in WLS Veteran's Forum
ChunkCat. I seen on another post where to listed out your daily food log and it was super helpful. I can’t find it now but i took a screenshot and I was just looking at it. I’m hoping my log will be somewhat similar. I am wondering about the keto muffins. You said homemade. Do you mean from a box or scratch. If scratch do you have a link to the recipe by chance?! Since my appt I have been eating lower carb and I am quickly recalling that if I don’t have carbs for a few days I don’t crave them nearly as strongly. I have since told two close friends, my husband and my aunt that apparently no i can’t have just one brownie or one slice of pizza or one piece of cake even if I have this surgery and I’m doing great and please try to remember not to tempt me because it’s hard enough on my own not to have it. I honestly think I’m addicted to carbs and I have to go cold Turkey to be able to do it. I mean I had a wrap the other day and that was okay because it was still low amount I think but if I have a lot. My body screams out for them again for several days afterwards. Maybe most of you know this or maybe I’m weird but I’m hoping that if people who love me understand this about me then maybe I will have better success this time around. Ooh and my point to telling you all that is that I would love to try your muffin recipe because I am basically doing low carb now. Lol -
VSG 2017 Dr Scott Bovard NC
catwoman7 replied to Paynefulrunner's topic in Gastric Sleeve Surgery Forums
I think most of us were told to shoot for 60-80 grams of protein a day, but as far as sugar/carbs, plans vary quite a bit. Some are low carb, some are ultra low carb (almost keto-level), some don't count carbs at all and insist their patients follow a balanced plan (mine was one of the latter). I've never counted carbs, but I'm not particularly sensitive to them, either (I know some people are). That said, during my first few months post-surgery, I rarely ate more than 80 carbs a day, and never over 100 - although that was just because I ate very little in those days, and there was such a push for that 60-80 grams of protein that I didn't have room for a ton of carbs. I don't pay attention to carbs at all any more - I just watch my overall calorie level and still make sure I'm meeting my protein goal. -
I Am Not Really Seeing The Weight Loss I Was Expecting
Hey Man replied to Hey Man's topic in Gastric Sleeve Surgery Forums
I saw my doctor today and got weighed just to see if the scale is different there than at home. I am 380, which of course I am happy about - but like I said, much of that was from the Optifast prior to surgery. I am not going to focus on the scale, but like I said before I was expecting a bit more of a woosh of weight loss since having the surgery. As I said before, I lost 20 ponds in two weeks just doing keto and moving a bit more - again I know that is water weight and also that wouldn't continue, but it was a great feeling nonetheless at the time. I agree with your points about nonscale victories and a month from now, I may be singing an entirely different tune on here. I was just thinking outloud and giving my initial thoughts per this thread. Thanks for the support. HM -
Gastric Sleevr Vs. Bypass
ms.sss replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
- if both surgeries are just as easy to fail as they are to succeed, why do the research charts show this difference? Research is based on averages. The numbers you are quoting do not apply to everyone in exactly the same way....it is an aggregate of those who reach goal AND those who don’t. 1 person loses 100 lbs. Another loses 40 lbs. Average weight loss of this “control group” is 70lbs...which is no where near what each person actually lost. @catwoman7 probably explained this better than me In her earlier post, lol Second, if you need to rely on averages for your peace of mind, it may be worth your while then to look into the makeup of the studied. Age, gender, starting weight, lifestyle habits, medical conditions, genetics, etc. Daunting, yes, but more informative and contextual. But really, wanna beat the average? Stick to plan more consistently than the “average” person (barring any medical conditions of course). Also, I wanted to ask, did you get to choose the size boujie you wanted for your sleeve or know what size Dr used for you?? Doc just did his thing with no input from me. I have no idea how what size he used! Also, did you cravings and hunger completely return after 6 months or it does but slightly? My hunger levels and occurrences has not returned to pre-op levels. I can’t remember when I first felt hungry though (it was months in)...but I do remember it was a rare occurrence. Even now at 2+ years out, i still have days of just not wanting/forgetting to eat. When i do get hungry, it isn’t the ravenous kind of hunger though. And it doesn’t take much to satisfy it. Lastly, can you just do complete Keto during the first year after surgery so you stay under 20 net carbs and in ketosis? Or our body doesn't need to be in fat burning mode because of the surgery? I didnt do full-on Keto during weight-loss phase because there was no way I could get in the percentage of fat required...but I did do ultra-low carb (20 net carbs max) during that time. But number of grams of carbs consumed is no where near as important as total calories consumed for weight loss. Though going low carb does tend to make me look lean. For my body this is good, cuz i can see more muscle definition, but for my face, not so good, as I look Skelator-ish. Since I have been consuming a higher number of net carbs (anywhere in the 100-175 range) my face looks much nicer, but the bod looks “soft” P.S. sorry this was so long -
Hi all! I have a question that I just need input on until I’m able to reach out to my nutritionist or surgeon. I think I messed up!!!! I’m on day 5 of my 7day pre-op diet. The first 5 days consists of tons of water and SF electrolytes, 3 protein shakes , 1-2 boiled eggs, cottage cheese or low-fat string cheese, a lean protein meal with non-starchy veg and non- starchy veggies, SF jello, SF popsicles and broth as snacks or to quell hunger pangs. Think Keto and in fact I have reached ketosis (i have that telltale fruity, albeit, rotten apple flavor in my mouth for 2 days and I have test strips that confirm because I once tried to follow the keto diet). The last two days are protein and then clear liquids. So here’s the thing my mind was set on “keto, keto, keto” and I completely flubbed and ate some raspberries this morning!!!! Raspberries are keto approved but….. I don’t know if they are pre-op gastric bypass approved!! I’m tail spinning. I think I totally messed up! Input please! Thank you!!
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Pre-op diet query
RickM replied to IWant ToDelete MyProfile's topic in PRE-Operation Weight Loss Surgery Q&A
I wouldn't worry much about it. With only a seven day diet like you describe, it doesn't seem that your program is all that concerned with the "liver shrinking" aspect of it as some programs are, that do longer and more intense diets (some surgeons are seriously intimidated by that issue while others don't care in the least.)It sounds like they are mostly working to transition you to their early post op diet. While they probably don't want fruit in there owing to sugar content, raspberries are on the benign end of the scale there (which is why you may see them on a "keto approved" list somewhere. Which is another lesson here - just because something may be "keto" doesn't mean that it is right or good for your needs. Keto is not necessarily healthy or weight loss oriented (but it can be, if done right - as with many popular diets.) There is plenty of junk food out there that is "keto approved". Most here who want to do keto do something called bariatric keto, which is basically old school Atkins because the macro ratios typically seen in most keto references don't make sense with the small amount that we are eating during our loss phase (generally too low in protein.) Not to mention the dubious nature of being in ketosis - K specifically avoided that owing to its side effects and was still working to slow my weight loss after six months, so it really isn't necessary for successful weight loss, and generally a bad habit to get into for long term health and weight maintenance. -
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? -
Trying to get out of my head....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I'm on Omeprazole daily. And as of today I actually gained 4 pounds!!! Like, how?? Why??? It's so demoralizing because I didn't have these issues when I did keto. I steadily lost, I didn't have a fear of eating, I only had 1 short stall. My issue was that I couldn't keep it off once I lost 100 pounds (in 9 months). I'm finding it's 10x harder to lose weight after this surgery than it was with just doing keto. Only now I can't do keto again because I had the surgery and I have to have low fat instead of high fat (both require low carbs, low sugar, and high protein). I thought maybe if I did keto again, then it would be easier to lose and the surgery would help me keep it off. But then I read that you can't do keto once you have the surgery. So I ended up afraid to eat because it seems like everything causes weight gain....and now here we are. *sigh* -
Trying to get out of my head....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
You're right. I've been trying so hard to follow their directions to the letter that I haven't been listening to my body. I know I can't go crazy with the fats, but more than 50 per day is needed for keto. I used to hit around 100-120g of fats per day, so if I look at maybe 75g of fats per day, while still keeping my carbs very low (the bariatric diet is 50 or less carbs per day, when I did keto I stayed under 35 per day) I'll see if it works well or needs to be adjusted again. And I always stayed around 80 or so grams of protein per day. And I went on sugar free and very low sugar when I did keto to begin with and just always kept it. The fats are really the biggest difference. So we'll see how it goes. Worse comes to worst, I can just go back on the bariatric diet and do a "pouch reset" and start again. -
I don’t tell a lot of people either. Just stick to the facts like many others: saw a dietician, did a lot of research, changed the way I ate & had my doctor’s support. If they ask what diet (still get asked occasionally) I say keto to kick start (was my pre surgery diet so true too) but then no diet just made changes that are good for me. I don’t tell them I exercised because I didn’t & anyone who knows me would know I was lying if I said I did. LOL! I agree with @GreenTealael. The quick turn about to redirect them to themselves or a new topic is a good tactic:
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My appointments usually started with weigh in and BP. The appointments were quick and I saw a weight loss DR and a nutritionist, and we spoke about refining my diet pre-surgery. Mine put me on a 100 grams of Carbs or less/day eating plan. No calorie limit - think Keto. I had to show that I was able to lose. I dropped 26 lbs in the 3 mos prior to surgery. I am still seeing my nutritionist but now it is every other month. I have Aetna Ins.
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Pasta and Rice substitutes
mama3beartn replied to graziellabs's topic in Gastric Sleeve Surgery Forums
I've used this before. It's high in protein.. But the spaghetti squash is the best and just add protein powder the unflavored kind to your sauce. But if interested here is the link http://www.uplateanyway.com/keto/fettuccine-low-carb-pasta/ Sent from my SM-G930V using BariatricPal mobile app -
Gastric Sleevr Vs. Bypass
kelly Lake replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
I have accepted tgat my future eating habits will never look anything like my old eating and tgats how I got to 313 in the first place. Tge surgery really is just 1 tool to help you reach your weightloss goals. I don't eat a lot of carbs at all, less than 60-65 grams a day 70-75 if I exercise that day. I don't really do keto as we can't have all that high fat and its not healthy long term. I just find creative ways to satisfy my favorite food cravings and whatever I "think" I can eat I put half that on my plate. If you eat sugary starchy foods more & more gradually on the regular you will decrease the amt that tgey bother you or cause dumping thus making it easier to incorporate them daily and putting weight back on. I lose 2.7 lbs a week on avg on about 600-800 cal a day but my day is mostly Protien then veggies with healthy fats and a small amt of fruits and carbs. I have been speaking with a councelor ev 2 weeks and my Nutritionist every month to make sure I stay focused, satisfied and don't make the wrong choices destroying my chances of success. Snacking is my biggest issue, Sugar free candies, Skinny Pop corn, popsicles, beef jerky, cheese sticks etc. I had to get all snacks out of my room, car and severely limit the amt I buy myself. I can easily stall if I snack on the wrong foods.. I had an eating disorder in my 20s and I had to totally rebuild my relationship with food, its still hard but being disabled and in pain daily was harder. -
Trying to get out of my head....
Splenda replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
You asked precisely the right question and they didn't have an answer for you. The nutritionist is not your mother -- "because I said so" doesn't work as an answer. Try keto, see what happens, adjust your diet based on how your body responds. I am 11 months out -- at a certain point, it becomes less about what the nutritionist says and more about you finding a healthy way to live your life. -
Really??? LOL I actually think it's pretty darn different. The standard advice is to eat your protein (and the word "protein" in that context almost always means meat or dairy) first and then if you can fit in other healthy foods, do it. (As you mentioned in your post, fitting in 1-2 oz of broccoli around your protein, maybe, if you have room.) In contrast to this Dr. Weiner strongly emphasizes eating vegetables first and fitting in protein around that. He also recommends plant foods - veggies and legumes and fruit and raw nuts - ahead of meat and dairy and has fairly low protein requirements - about 50g compared to many bariatric plans encouraging 80-100g. (Of course he isn't vegan by any stretch and I've seen him recommend yogurt smoothies and small amounts of animal protein, etc. He even said in one video that he doesn't think that a fully plant-based diet is "necessary for the general population." So yeah, while we're claiming him he's not necessarily "ours," know what I mean? Just a good resource!) While Dr. Weiner's diet is "low carb" compared to our pre-op sugary diets, it's certainly not low carb in the bariatric sense. You can't eat many fruits and certainly not any beans and whole grains and still remain under 30-50g carbs. It's also low-fat. Difficult to be low-fat and low-carb at the same time! He also promotes eating in abundance instead of focusing on calories, a huge difference from most bariatric plans. You just need to eat your abundance from healthy plant foods (Obviously you still end up eating fewer calories because you're eating high-volume, low-calorie foods but it's the mindset that helps make a difference!) So on a spectrum with keto/Atkins on the left and veganism on the right I'd say he's definitely well across the center line to the right, while most bariatric plans are basically keto except with low-fat dairy and some wiggle room for beans. Sorry for the long post, Fluff - I am fully carbed again, having eaten an abundance of fruit, oats, and rice in the last couple of days that I've been free from my liquid diet. So I'm all peppy and ready to argue again!!! Heehee!
