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Keto/VSG help please!
OutsideMatchInside replied to futureskinnypants's topic in Gastric Sleeve Surgery Forums
Actually if you use the keto calculator, you set your Protein goal first based off your lean mass. Then you set your fat goals based on how much you want to cut. You have to always base your protein off your lean mass if you want to keep your lean mass. The majority of your calories should be fat, for the entire day but you don't just ignore protein or your protein needs for your lean mass. -
Okay, I'm confused. (Not uncommon, but I thought I had this one figured out) I had my regularly scheduled meeting with my nurse at the bariatric clinic today. One of the things she commented on is that I'm not eating enough carbs... insert confused emoji here. I'm a type 2 diabetic for five years and had gestational diabetes before then, and somewhere along the way I had been told/read/somehow absorbed the idea that I'm supposed to be eating than less than 100g of carbs (net) per day. My nurse was shocked that I was trying to keep my carbs 'that low'. She wants my carbs to be 50% of my macros. I currently am striving for less than 35%. 50%, which works out to 200g (total) carbs per day on a 1500-1600 calorie diet, just feels like way too much. Am I completely off base? Have I been misinformed all this time? I'm not looking to go keto or Atkins right now, just keeping my carbs low enough to keep my blood sugars controlled and to lose the 10% that my surgeon requires. I don't get to see my nutritionist again until May. Any insight would be appreciated.
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I'm there with you (day 6); I thought it was my diabetes but then I read about what's called Keto Flu or Carb flu--it's exactly what I've been experiencing. I've felt like death warmed over and last night I thought there is no way I can keep this up. Today is a better day--not as good as normal but able to function. Good luck on your surgery! Lisa
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High fat is keto. Keto is 60-75% fat, 15-30% protein and 10--15% carbs. Otherwise w/o the high fat it is just a low carb diet. You will have to figure out what works for you and especially what works long term. That's it. And that varies by so many factors - how long you have been obese, how resistant your body is, how much sustainable exercise you do, your age, time, and on and on. Staying on super strict plans may work for some people, or strict with occasional treats, or some with mainly protein, all vegetables, and one complex carb a day. This is the journey - figuring that out, so don't get bogged down by trying to decide all that ahead of time. Follow your surgeon's/NUT's plan and take it one step at a time.
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Actually Keto is high fat, low to moderate protein. Standard ketogenic diet (SKD): This is a very low-carb, moderate-protein and high-fat diet. It typically contains 75% fat, 20% protein and only 5% carbs (1). Cyclical ketogenic diet (CKD): This diet involves periods of higher-carb refeeds, such as 5 ketogenic days followed by 2 high-carb days. Targeted ketogenic diet (TKD): This diet allows you to add carbs around workouts. High-protein ketogenic diet: This is similar to a standard ketogenic diet, but includes more protein. The ratio is often 60% fat, 35% protein and 5% carbs. https://www.healthline.com/nutrition/ketogenic-diet-101#what-it-is If you don't have room for anything after you've eaten your protein, then that sounds like a pretty optimal post WLS diet. I guess I'm not understanding what you are asking?
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If you're truly doing keto, then that isn't high protein, that is high fat/ If you are doing low carb, then that fits with most program's plans of protein first, then non starchy veggies, carbs last.
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I have relost a 40 lb regain since November using Keto. it was fairly easy but I'm still working toward goal, and actually facing a possible revision to RNY because of persistent GERD. I'm 4 years out VSG and would do it again in a second.
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Obesity Explained (Also Insulin Resistance and Diabetes Aeteology)
FluffyChix posted a topic in General Weight Loss Surgery Discussions
This YouTube by Dr. Jason Fung is one of the most fascinating and interesting theories on obesity that I've come across to date. I don't post this in order to persuade people to go "low carb" or "keto" or to being IF (intermittent fasting). I'm posting it because it explains pretty logically how we've developed the disease of morbid obesity and why insulin resistance and diabetes are a pandemic. He also gives a couple of hints about how to reverse it (in practice), but he said the longer someone has been obese, the harder it is to lose the weight and keep it off. So, uh, maybe we are victims of hormonal shananigans? What if the food industry, WHO, et al, in partnership with our hormones combined with our gut-brain axis HAVE conspired to get us and keep us fat? Will becoming aware of our conditions and the "cure" cause us to maybe take a second look at how we view food and "treating ourselves" with small portions of "everything in moderation" when it's the exact same food that led us to becoming obese morbidly obese the first time around? Is the answer in changing our relationship with food--awareness? What do y'all think? -
Hi Sleevers- We see many posts regarding weight loss stalls here. I am curious to know if most of you who have experienced or are experiencing a stall, believe that this is just a response of your body or do you believe it relates to changes in the food you are eating. Having been on the Atkins diet for many occasions in my life, and having loved it, the best part of the diet was to use Keto-sticks as a measurement device each day to know if your body is in a state of ketosis, which means you should be losing weight. Since the primary diet for weight loss surgery patients is essentially the same Atkins diet (high-protein, low-carb) our experience should be very similar to being on the core Atkins diet. My question to those of you who have problems with weight loss stalls, is if you are using the Keto-sticks to prove that your body is still in a state of ketosis. Alternatively, do the Keto-sticks show that your body is not in a state of ketosis? My interest is to find out if those of you experiencing weight-loss stalls, is your body still in ketosis, and the weight loss has paused? Or, is the situation that your carb count has risen, and your body is not in ketosis, and that perhaps is the reason for the stall? If you have experienced a weight-loss stall, and have been using the Keto-sticks, please respond here and let us know the situation. Is it your body, or is it what you're eating? -RC-
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Perhaps look into the keto /low carb /sugar free substitutes so you can still have a little flexibility and feel no guilt when you incorporate the items. Not sure if it applies but diet fatigue and burnout is real and sometimes you have to fight the battle. Good Luck 💚
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Keto and Co is a full and growing line of ultra low carbohydrate, keto-friendly foods with 1.5 grams net carbohydrates per 100 calories or less. They're now available at the BariatricPal Store.
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2 year lag in compliance, dieting again...portions?
GreenTealael replied to polly...'s topic in WLS Veteran's Forum
Perhaps try structured eating first (set meal times) then find a diet style you like (wholefoods, vegan, Mediterranean, keto, etc) then one by one substitute out low quality foods for higher ones (milk chocolate for dark, reg. icecream for halotop, rice for riced cauliflower, sugar for a zero cal sub, etc) until you can fully convert back to where the practice wants you to be. Good luck 💜 -
I am 11 months post op gastric sleeve. My highest weight ever was reached in June of 2019 and I was horrified to weigh in at 502 lbs! I didn't believe it and requested the doctor to re-weigh me. That was my first wake-up call. I was suffering from very high blood pressure, debilitating back pain/spasms, knee pain and damage, sciatica, and sleep apnea. I started doing keto and got down to 415lbs. During COVID quarantine, I gained back up to about 459lbs. In July of 2020, I finally decided to take back my life and financed a vertical sleeve gastrectomy surgery (out of pocket, since insurance would not cover it). As of yesterday, I'm down to 275 lbs. I have gone from a 6xl shirt to a 2xl. From size 62 pants, to a size 44. I still struggle to see myself as anything but fat from time to time, but it's the Non-Scale Victories (NSVs) that keep me going! My only regret is not doing this sooner. Sometimes I wish I could go back and re-do certain life experiences without the extreme morbid obesity. Here's my running list: - I’m off of all medications (including 2 BP meds). - No more seat belt extension on airplanes - Seats with arm rests are no problem. - Restaurant booths are now no problem - I can fit in an MRI machine (if needed). - I can now walk ANYWHERE without debilitating back pain. - The car steering wheel no longer rubs my stomach. - I can shop in most “regular” stores for clothes. - I no longer worry about a seat being able to hold me (those plastic white ones at weddings are even ok now). - I can use my own step ladder to do things around the house like change a light bulb. - I can sit with my legs crossed. - I can now get down on the floor. - My “love life” has drastically changed/Improved. - too many to list! Notice there is a lot of use of the word “CAN” here? All in less than a year. The little black battery operated box on the floor cannot control me any longer! Yea, it’s still important. But weight is no longer the defining characteristic of my life. Sleeved 7/23/20. HW 502, SW 459, CW 275, GW healthy
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Banded 10 Years Ago..... considering revision surgery
Skip111178 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hey guys I really need some help from "real people with real experiences", my weight is increasing despite having a lap band in and I need to do something to stop it in its tracks. I have been dieting forever but this year I have done about 7 different diets, from Keto, SW, Calorie Counting etc and I am now heavier than I was on January 1st and what worries me is what my weight will rise up to if I don't do something. My history: - Starting Weight before Lap band: approx. 17 stone (size 20) - Lowest Weight after Lap band: approx. 10 stone (not for very long, comfortable weight was about 11 stone) (size 10/12) - Current Weight: 13 stone (steadily increasing weekly) (size 14) - I had a gastric band in April 2010, everything was fine overall, but the last few years haven't been so good, I developed a pouch in oesophagus so I only have 6.25ml in my band, this isn't really providing me with much restriction at all, I do have a little reflux however. I have also suffered with constipation for about 20 years! As I said above, I really need some help from "real people with real experiences", I am considering what my options are, revision surgery from the band to: Sleeve, Bypass, Mini Bypass or anything else? I have spoken to a few surgeons this week and they have all given different advice, so it is even more confusing. My questions are: - Has anyone had a similar experiences and what did you decide to do and was it the right decision? - It worries me if I have the sleeve or a bypass, will I be in the same situation in 10 years time? - Would anyone recommend a particular company or surgeon? - Has anyone had the band deflated and maybe had the balloon? I don't know if this is even possible? I thought this would mean surgery wouldn't be needed? Any advice would be welcomed, thank you all for your time 🙂 -
4 months out and stalled all month!
Arabesque replied to DonnaGS's topic in Gastric Sleeve Surgery Forums
May be it’s the type of carbs? From purée stage I was allowed carbs: rolled oats & vegetables (not potatoes), then fruit later on. So instead of saying ditch the carbs I should have said reduce the carbs & look for more nutritious complex carbs like in multi & whole grains (low processed), seeds & vegetables. If you’re able to eat bread & pasta on your plan look for the low carb, high protein & multi grain versions. And of course leave them to last when eating: protein first then vegetables & then carbs if you can. But maybe it’s a case of discovering what works for you and it may be reduced carbs or only complex high fibre carbs. Ketosis didn’t last for my whole weight loss phase, just in the beginning. (Thank goodness - those bad body odour, bad breath, keto flu, etc. side effects are awful.) You don’t have to be in ketosis to lose weight. That’s just one way. Continuing to be calorie deficient will enable you to lose weight. I haven’t eaten pasta, rice or bread since before my surgery three years ago. I go out often including to Italian & Japanese restaurants & haven't felt like I’m missing out yet by not eating rice or pasta. Plenty of other options on the menu. As for bread - I have 7 specialty bakeries & patisseries within a 2 km strolling radius of my home. Don’t feel I’m missing out with them either. It’s just how you look at it. But that’s me. You have to discover what works for you. -
4 months out and stalled all month!
DonnaGS replied to DonnaGS's topic in Gastric Sleeve Surgery Forums
Thank you for the support! I appreciate the ideas and support. I think what I'm really whining about is that have to get rid of carbs, when I'm doing everything else right! I do walk as much as my body allows, I have physical issues which keep me from doing 3 miles a day like I'd like to. Still I'm eating very little compared to the average person. I walk everyday, plus weights, yoga, etc. I eat a small amount of carbs and throws me into non keto and I stall. I guess my body doesn't care about all this, it is what it is! So I've gotten back into just healthy eating, lots of protein! -
Weight Gain 1 Year After Sleeve depressed not enough weight loss
shalove posted a topic in General Weight Loss Surgery Discussions
I’m feeling a little depressed of lately and have been eating my emotions away.. I’m 1 year post gastric sleeve i only lost a total of 70lbs i was hoping to loose at least a 100 or more based on most people i know lost 100 or more. I only lost 70 but i know why because I’ve been eating off way off... In addition i gained like 6-7lbs i was 268 now I’m 274.i started at 243 I have to get back in track i got really excited that i can eat and been snacking on a lot of nuts plus i wanna work out more haven’t done it consistently since surgery.. i also wanna do the keto diet have anyone tried keto or intermittent fasting after gastric sleeve... I know i ‘m my own downfall when it comes to my diet!!!! I’ve been thru so much with surgery and complications i dont wanna gain it back i need some motivation and some inspiration... Feeling so defeated -
Yeah getting that water is hard, kind of like a full time job! But I will help! The reason I asked about the all protein thing. Was because people that eat a very high protein diet with very little carbs will fall into ketosis. Atkins like diets can cause "keto-breath," its caused when excess ketones in the bloodstream. one chemical component of ketones, the odor is accompanied by a foul taste in the mouth. When the body is in ketosis, urine may also take on a peculiar smell. The body's capacity to store glucose is limited, so when its reserve has been exhausted by fasting, skipping meals or strenuous exercise, it switches into ketosis mode even when you aren't following a ketogenic diet. The presence of ketones in sweat may give it an acrid, ammonia-like odor. Upping your carbs a little bit might help.
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HELP! Cant stop eating!
OutsideMatchInside replied to nn1985's topic in POST-Operation Weight Loss Surgery Q&A
I'm at about the same weeks out you are, I am probably 26 or 27. I have a lot of issues with head hunger at this point. I do not have physical hunger though, it is all in my head. Since I can eat more things with little to no discomfort, I just want to eat more. I wasn't going nuts or grazing but I realized head hunger was becoming an issue. So I restricted myself to get control. I log my food always but I log my food and I think about my goals. I think about summer every single time I want to eat something and I debate if it will help me meet my summer goal. Also drinking fluids all day will keep the hunger at bay and keep you satisfied l. I drink unsweetened hot tea in various varieties and flavors all day. It helps. Right now I am doing 2 shakes and one Protein meal a day (fish ). It has really helped me. I have a few low carb high protein Snacks. I have a chart that estimates what my weight loss will be if I stick to my plan, it is a keto calculator. I look at that and think about that goal when I think about giving in to head hunger. Not having physical hunger and being satisfied on very few calories is a luxury most people do not have. I'm not going to blow it by caving to my cravings. Think of your goals and focus on those. You can do it, you just have to decide what matters and find a way to work with yourself. Your way might not be my way, but you can do it. -
I'm very confused by both your post. They seem either irrelevent or that you have confused what the op is saying. This individual is not keto. He is a new bariatric paitent so what has that got to do with anything? Your point is don't be afraid of fat ? Why make that point that poster did not tell anyone to be afraid of fat. All she said to the guy is follow your plan as if we are meant to have protein first how is 60% of a meal being fat following the plan. She didn't say not to have healthy fat with healthy protein. But you definitely agree with the poster so what is your point then ? I am so confused your responses are like your responding to a post I can't see. Sent from my Vivo 5R using BariatricPal mobile app
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Although 800 cals isnt going to break the bank, you dont mention your protein intake. Getting too little protein can keep you feeling deprived/hungry all the time. I'd first start adding more protein (either with shakes or real food or combo of both) before worrying about upping calories/carbs. Other thing I'll say, and I'm sure to get flack over it, some interesting studies coming out suggesting a low calorie keto diet will preserve BMR (Basal Metabolic Rate) better than a higher carb intake of equal calories.
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Congrats on your weight loss so far. Feeling hungry could be from diet boredom. Is it real hunger or head hunger? Now you’re on a regular diet, can you switch up some of your food choices? I added seafood (fresh fish, prawns, etc.) to my diet, tried different vegetables & new recipes through out the weight loss phase to keep things interesting. Try some plant based proteins if you’re open. I’d check your protein intake as @Pckeys suggested. Protein will keep you feeling full for longer. You can always add a little more even if you are meeting your goal. My pre surgical diet was keto too but now in maintenance my diet is way more balanced. For example, I still avoid most root vegetables, rice, bread & pasta but do eat small serves of whole or multi grains in other forms. I keep my fat intake low. I did eat rolled oats during weight loss but that was the only obvious carb I ate except for those that occur naturally in foods like in fruit. Some of the readings I’ve done about keto is that it should be for the short term not for life. However, I believe avoiding carbs during weight loss certainly helped me reach & exceed my weight loss goal so I'd be reluctant to add more at this stage but that’s my opinion. It does take time to work out what will work for you for weight loss then maintenance. Good luck.
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Altered Taste
CrankyMagpie replied to Swanton_Bomb's topic in General Weight Loss Surgery Discussions
I just googled Fairlife, and that might be an option for me. I'll look at soy milk and rice milk, too, but iirc they're a little too high in carbs for me right now. (I've voluntarily started a low-fat ketogenic diet, so that I can reach my doctor's 10% weight loss goal for before my surgery. After the procedure I plan to be a bit more moderate in my approach to things. The irony that I'm more restricted now than I will be a month after surgery has ... not escaped my notice.) They make peanut milk, now, too, which I know literally nothing about, except that it exists. I'll also have a look at that. I vaguely recall coconut milk won't work, but I might be mixing up keto and WeightWatchers in my head? I'll look. I'm only really invested in using up the Quest powders because I have them in my house right now, you know? When I replace them I'll try something else. People seem super into the Syntrax Nectar, so that's a possibility. And I liked Muscle Milk OK in the past. (I liked Premier Protein, too, but my team won't allow it because the first ingredient isn't protein isolate. Other kinds of protein are, in their minds, inferior. Since there are so many options out there, I'm not going to fight with them about this.) Anyway, thanks for the suggestions! And also, I'm with you on avoiding Amazon! -
NO GO ON KETO just eat healthy and I disagree with the calorie increase my cause a stall - Get to you goal then mix it up You are on a good run ,,,,,,,,,,,,,,,,,,,,,,, Run forest run
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What's your story if you are keeping it a secret?
elliekay replied to Gotalose's topic in Gastric Sleeve Surgery Forums
I say I had acid reflux surgery & am doing keto Not super inaccurate. They addressed my reflux issues during the surgery and I am eating ketogenic foods.
