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I've got one person in my office that has had similar responses. She is also large and is on the keto diet now. I'm happy for her that she likes doing the keto plan, but she's in her 60s and she has yoyo dieted for years. If it was that simple, we would not have the high obesity rates we have. I just let her blather on. She means well but is misguided in thinking I am interested in another diet plan like keto.
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How bad is Gerd after Sleeve?
mi75 replied to Bariatricguy03's topic in Gastric Sleeve Surgery Forums
Well let me chime in here- I am 4 years post op!!!! I had pretty significant GERD way BEFORE my surgery, and in fact it was a huge mitigating factor in my surgery. my surgeon told me that the reduction we both expected in weight would easily eliminate my GERD, so either surgery was an option. I chose VSG in 2014. I lost about 70 lbs total and felt great. I took the occasional PPI for the first 4-6 months during that huge weight loss. Then...well about 2 years post op I regained a lot of my weight and GERD returned. I went back on a PPI. last fall I made an appointment with my surgeon who said that I REALLY had to lose all of the regain, and that if the GERD didn't resolve, I would probably face a revision. Around the same time I had an EGD and got some ugly news from my GI doc. That sparked a huge drive in me, I went full on Keto and have re-lost all of my regain!!! BUT...my GERD is still present and not getting any better. I know that I DO have a sliding hiatal hernia that may be reacting to the fat in Keto, so I just keep pushing and hope that by the time I see my GI doc in fall, it will be gone.. So yes, reflux after surgery can be and IS a real issue. for me, I honestly wish I would have just had the bypass 4 years ago, because I STILL face that option, even 4 years out!! EDITED TO ADD: I was formally diagnosed with Barrett's Esophagus in 2012 but thankfully, no other positive screens since that year. -
Hello, I am new here. I was approved for surgery last april but let friends and family talk me out of it, a year later and I am regretting it, my doctor has referred me again and I am anxiously awaiting approval. I so hope its approved again, but while I wait I am doing as much research as I can and have decided to start the pre op diet in anticipation. Is that crazy? I've been on this journey for some time and have lost over 100 lbs doing WW, keto and paleo over the past few years but I need to lose another 70 and its bein stubborn I NEED new tools. I hope to get the gasyric sleeve. Sent from my SM-G965U using BariatricPal mobile app
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Post Op diet...keto?
Screwballski replied to t_dulls's topic in POST-Operation Weight Loss Surgery Q&A
Here’s where I break from the pack. I was essentially raised Atlins/KETO. (My mom just didn’t know what it was called.). Margarine was a “fad”. Low-fat, non-fat products were a “fad”. We didn’t eat those. Never had a weight problem. (Mine manifested in my 30’s). The only manner in which I deviate from my prescribed eating program is that I refuse to use low-fat products. Now, 7 weeks post surgery, I’m not going back to KETO right away but I’m building my fats toward that end and my primary is on board. It’s not a fad, it’s yet another lifestyle. It’s not for everyone. However, some folks thrive. -
Appetite back with a vengance!
Gundy replied to BajanSleeve's topic in Gastric Sleeve Surgery Forums
Hi Bajan, Given your diabetes, none of these foods seem appropriate for you or any Bariatric patient for that matter! How could you not be hungry with these high carb foods messing with your blood sugar. The diet shows so little protein, no wonder you’re famished. If you can’t handle solid meat, eat tuna, canned chicken, rotisserie chicken or hamburger. It is so important that you change the types of food you eat. I would suggest a KETO diet to get you back on track. -
Appetite back with a vengance!
IveGotThePower replied to BajanSleeve's topic in Gastric Sleeve Surgery Forums
Just one more thing. Fruit seems like a healthy food. But look up the number of carbs in them. A banana has 27 carbs! On a low carb Keto diet, they suggest approximately 20 grams of carbs PER DAY. Even now, I am surprised sometimes at the carb count in seemingly "healthy" foods. My nutritionist told me that cutting out the fruit was something to consider to keep loosing. We have all had to re learn what "healthy" is for us. Start reading labels for everything you eat. I spend extra time in the grocery store reading labels every time I go. It is an eye opener. I am glad you posted here and are interacting. Don't give up. You will get lots of advice for what works for each person. Find what works for you. -
Appetite back with a vengance!
BajanSleeve replied to BajanSleeve's topic in Gastric Sleeve Surgery Forums
Congrats on your 93 lbs WL! I do know what I am 'supposed ' to eat. When I feel so hungry I would eat my foot or whatever is close to hand. I use the low fat Greek yogurt from Pricesmart brand which does not have much sugar or carbs at all. We have a pricesmart in Barbados I am breaking 25 years of food addiction and its been about 5 months now of changed eating. But its not easy at all. still difficult at times even after surgery.....God help me...……. When I am able to eat meats again (without blending) I will likely follow the keto diet which is what I had started to do a couple months prior to surgery -
Appetite back with a vengance!
IveGotThePower replied to BajanSleeve's topic in Gastric Sleeve Surgery Forums
I'd be hungry if I ate what you are eating too. We all have different carb tolerances. Mine is quite low. When you eat carbs your insulin goes up, then you get hungry when it goes down. Low carb keeps it from spiking. I strongly recommend you start doing research and learning about low carb foods and recipes. You will have to experiment to see how low you have to go to help with the hunger. I have been experimenting for over 2 years and am at a point where I basically do high qualilty proteins (chicken, fish, beef and veggies (a lot of greens), and some berries. I did a lot of cheese, milk, greek yogurt (watch the sugar here, plain is better) in the beginning. Now more meat and low carb veggies. Lots of eggs and egg dishes also. You can do this and enjoy it. But you have to try different foods until you find what you Love. I also recommend you check out Paleo and Keto (DietDoctor) and the book The Obesity Code by Dr. Jason Fung. -
One Month Report out on my six week transformation
mi75 replied to CowgirlJane's topic in WLS Veteran's Forum
had regain too- 45 lbs!! lost all of it on strict Keto, but just now starting some HIIT using a jump box and fitness ropes at home. Hard stuff but hoping to see some serious body changes in the coming weeks. This is a lifetime battle for us- I laugh in people's faces when they remark about surgery being the 'easy way out'.... -
I think I actually have a similar thread somewhere here in the vet's forum. I'm 4 years out and have similar struggles. I fell off program, went through HUGE life changes and had regain. I floated around regain land, eating and drinking everything I wanted- after all, my sleeve controlled the AMOUNT I eat, right??- and finally woke up when I got ugly medical results last fall. YOU GOT THIS. For me, I went hard core Keto the next day and got my crud together. But you KNOW what to do. Go back to post op. Relearn WHAT to eat. Focus on water, protein, moving every day, etc. Dig out your old papers from your clinic or doc and reread them. I do that occasionally. Don't waste time looking at various diet sites, groups, etc. As bariatric patients we know that protein, food amounts, water, movement all work for us (I did the same, I even went to a new surgeon to inquire about revision but he told me I didn't need it). Consider finding a brand new support group. Even if you have to drive a little ways, going to a new group is SO much easier because you don't have to face people who knew you when you were losing and were post op. For me, people in my new group never knew me post op, so they only met me last year and by getting my crud together, I've lost about 45 lbs (all my regain) and am back on track to FINALLY get to my actual goal. YOU GOT THIS girl, hang in there !!!!!!!
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Sleeve Veterans: What makes you successful long term?
mi75 replied to OutsideMatchInside's topic in WLS Veteran's Forum
I'm 4 years out also. In complete transparency, I fell off the wagon bad about 16 months out. I went through major life changes (moved, changed job, lost a parent, went back to grad school, graduated and went back AGAIN for a PhD, hubs changed jobs, etc.). Yes, major changes. When I fell off, it was very gradual and I hardly noticed it until I had regained almost 40 lbs and got some seriously sobering health news last fall. It kicked my butt into gear and I went strict Keto and have lost all of my regain and continue to lose even more. While I never even reached goal the first time around (I think that I had so much change during my honeymoon phase that I lost focus) I know that at this point I WILL get there and I plan to have my plastics done next year after I graduate for the FINAL time!!! For me, I don't count macros too closely, I just focus on protein, water intake, moving every day, good sleep hygiene, supplements and I TRY to manage my stress so cortisol doesn't go sky high (I get serious belly gain when my cortisol goes up, and I have it clinically monitored every few months). Yes I fell away, yes I regained, but YES I have figured it out and am making it happen. Even if I'm 4 years post op, I'm proof that it's never too late for anyone!!!- 23 replies
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ABSOLUTELY!!! Yes, surgery was THE key for me. I had tried just about everything and had even priced out having my jaw wired shut! Sad but true. I am now 4 years post op, straight Keto and have been since I had some regain about 2 years out. I'm 4 years out but I fell off the wagon for about an entire year before I got my senses straight again (plus some depression, job change, move, back to grad school, loss of parent, etc). In my new job role, people only really knew me with most of my regain on me. So to them, since I went Keto I've lost TONS of weight. In reality, I really have only last all of my regain (45 lbs). But again to them, it's a lot. They all want to know my exact plan, and my exact workouts etc. I always preface by saying "I'm a bariatric patient...", but most dismiss that as minor detail.!!!!! What gets my goat the MOST though, is when they say to me "well don't you just wish you would have skipped the surgery and done keto instead"? really? The surgery saved my life, literally. And the science behind bariatrics confirms that I would have really never had a chance at successfully losing my weight on my own, keto or not.
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I really messed up on pre diet
Gundy replied to Oceanlove's topic in PRE-Operation Weight Loss Surgery Q&A
Hey Oceanlove! Hang in there! If you can’t follow the strict liquid diet, at least get into Ketosis with a strict Keto diet. It will shrink your liver and help you drop weight. Stop all carbs right now! -
My doctor recommends a low fat diet but I am interested in trying the keto diet. Anyone try keto? I understand that my new stomach might not respond well to high fat.... I'm just 2 weeks post op and really looking forward to some soft food next week! Let me know what you think of the Keto diet! Sent from my SM-G935V using BariatricPal mobile app
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Almost 3 years out...why still high protein and low carb?
mi75 replied to ForLfKlovr's topic in WLS Veteran's Forum
I never reached my final destination of 'goal weight'. I am 4 years out and I too began slowly adding sugar/carbs back in to my diet about 2 years post op. I regained a lot of my weight and felt terrible. Last November I began Keto and have lost about 40 lbs on that- losing all of my regain except a few pounds. I'm a believer that sugar and carbs in general are not what our body needs. There have been many randomized controlled trials looking at the results between caloric deficit diets vs low carb diet and the low carb has better results, every time, hands down. Different approaches work for different folks, so find what works for you and stick to it. Good luck -
When can I Keto - 2 weeks post no loss
magpie26 replied to Fallinfast's topic in Gastric Sleeve Surgery Forums
@RickM everything is a fad it seems. I became interested in keto but I don't jump into things willy nilly. It took me over four years to finally decide on this surgery even though my mother had it almost 13 years ago. The gluten free craze is driving me nuts, but I'm a hypocrite because I've never been tested and I don't do gluten, but when I do eat gluten my arthritis in my hands and jaw KILL me, plus why eat bread or pasta when you only have 3 ounces to work with? I know there's gluten in everything, my sister in law has celiac's. I think people think ketosis is also easier than it is to achieve, it's harder that some may think. My goal or just way of eating is just high protein, little carbs and mainly only complex carbs, no gluten, very little sugar. Nothing processed anymore. I'm halfway to my bachelors degree, I've decided to switch my major to good science/nutrition which I took some of when I was "young" lol! Maybe I will finish before I'm 50. -
When can I Keto - 2 weeks post no loss
RickM replied to Fallinfast's topic in Gastric Sleeve Surgery Forums
Most of the popular fad diets over the years have some therapeutic basis - ketogenic diets are useful for epileptics, Atkins, etc. have long been used for diabetics and the insulin resistant (since long before Atkins, for that matter), gluten free is just the thing for those with Celiac disease (and some forms of non-Celiac gluten intolerance). It is when they cross the line to be promoted as all things to all people, and the latest "must diet" for weight loss that they enter the fad diet domain. So yes, keto is a fad for non-epileptics looking for the next weight loss miracle cure. The current low carb craze started with Atkins, and as the pendulum moved to greater extremes that not only are carbs bad, but fats are divine and one can't have enough of them. When the diet pendulum was last moving from low fat to low carb, courtesy of Atkins, the full fledged HFLC diets a la Paleo and keto were too extreme to be marketable at that time. From a long term weight loss perspective, these diets are no better than any other that has come and gone before (and will likely return again in time) - there is really nothing new in the weight loss business that hasn't been tried before and found wanting, often multiple times. In keeping with diet fashions, terminology becomes flexible, as those who need to be seen as doing the latest diet tend to adopt the term for whatever they are doing ("I have eliminated all fats/carbs from my diet - well, not those fats/carbs, those are the good ones....", " I'm doing XYZ diet except...") Your nutritionist's advice is sound - it is fine if you want to do that type of diet, as it isn't particularly harmful as long as one doesn't go overboard on the calories. That is the big benefit of your WLS - it doesn't care what kind of diet you use with it as it gives you this year of time, give or take, to get your dietary act together and learn what you need to do for the rest of your life. Most who go with the popular diet of the day run into diet fatigue and get lost when they never learned sustainable nutrition, or they jump to the next trendy diet when the current one becomes old. WLS gives one the chance to get off that merry-go-round if one is so inclined. -
What is a realistic WL monthly target?
LaLaDee replied to BajanSleeve's topic in Gastric Sleeve Surgery Forums
I think having any expectation around weight loss is difficult. It’s really going to depend on: - how long ago your surgery was (it’s faster right after, it definitely slows down after 6 months - age/height/gender (never ever compare yourself to a 20 something male!!) - current weight (if your BMI is very high, you can reasonably expect a higher loss) - activity levels and exercise - your diet (how closely are you following it? What are your calories/macros? Some plans target faster weight loss, eg keto, some aim for you to lose slow and steady. - other factors, eg your hormones, gut microbiome). Even then, there will be fluctuations. Some months you will lose more and some less. This is a long road for some of us. And you will stall, and then suddenly you will drop a few rounds really quickly. And it will be annoying. My advice is to be patient and honest with yourself. If it is weight loss is slow, assess how you can improve without beating yourself up! -
When can I Keto - 2 weeks post no loss
magpie26 replied to Fallinfast's topic in Gastric Sleeve Surgery Forums
Keto is (was) not a fad diet. It's effective for children and some adults with seizures and other health issues. People assume it is a fad, all the new low carb diets are based on it. My nutritionist said if you wanted to do keto at stage 4 it's fine, but I'm not keen on giving up dairy and I'm growing green beans lol! -
When can I Keto - 2 weeks post no loss
RickM replied to Fallinfast's topic in Gastric Sleeve Surgery Forums
I would give it a couple of years before resorting, or going back to, any of these fad diets. One of the greatest strengths of your WLS is that it works well irrespective the diet that you use, so there is no need to jump into one of these diets to try to "improve" your weight loss. As long as you are getting adequate protein to maintain your muscle mass (which at 65 g for an average to shorter woman, you are), and your caloric intake is low enough to provide the caloric deficit needed for burn your stored fat, you will lose. Two of the things that have been shown time and again over the decades to torpedo WLS results is consuming empty calories (calories with little or no nutrition tied to it, i.e. junk food) and drinking your calories, both of which you would be doing by adding that junk to your protein drink. You don't want your calories at a "normal" level - you want them at a deficit (though not ridiculously low - where you are at with 5-600 at this stage is just fine as that is very common at this point for successful patients. Keeping your calories "normal" is how we all got here needing WLS. As noted above, search for "three week stall" as that is very common in these circles no matter what diet is used - it is part of the normal physiological response to the sudden caloric deficit that you now have. That you may not have lost much immediately after surgery is likely just part of the normal water weight fluctuations that occur around surgery time, and if you lost a fair amount of weight before surgery, then you already have lost that big slug of water weight that we all lose when we start one of these programs - particularly if you were playing keto games then, which only accentuates that water weight loss (only to gain it back when you stop.) In short, adding empty calories isn't going to "boost your metabolism", but is a good way to inhibit your long term progress. The best long term results that I have seen over the years is to take this opportunity to learn how to eat a normal, healthy human diet balancing meats, fruits, vegetables and whole grains that that are associated with good long term weight control rather than the diet of the day, which is a good way to help ensure regain once diet fatigue sets in, or it goes out of style and a new latest diet has to be found. -
I have only lost 3 lbs in 2.5 weeks since surgery. I'm walking 4 miles a day since day 5 and eating 500-600 cals, 65 protein, 30 carbs, 30 fat a day. Can and or Should I add MCT to my premier protein 2x a day to get my cals at a normal level and to Ketosis? (I know MCT can cause stomach issues) I am worried I am hurting my metabolism with such low calories without the benefit of starvation ketosis which would boost my metabolism.
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How many calories a day should I be eating?
Creekimp13 replied to Yo-yo girl's topic in POST-Operation Weight Loss Surgery Q&A
My nutritionist and doctor are 100% on board with my diet. I'm not on my own...everything is monitored and approved. When I was selecting a bariatric surgery team, one of my criteria was to find a team that did not stress keto-only and had more flexability with people who prefer vegetarian diets. My research university serves an international population that has a lot of culturally vegan and vegetarian people.....so my dietitians are more experienced with adapting a healthy bariatric diet to different diets. Both my doc and nutritionist are enthusiastic about my choice of Mayo Clinic Diet, (they also like Mediterranean, DASH and Japanese...which are similar)...so we have a lot of options:) I think it's important to get professional input, support and help through the process. -
How many calories a day should I be eating?
Creekimp13 replied to Yo-yo girl's topic in POST-Operation Weight Loss Surgery Q&A
I get 60+ grams of protein a day, but try to get at least half from plant based healthy carbs (beans, nuts, whole grain breads, peas, lentils, seeds, protein pasta, potatoes, oatmeal) Am definately NOT a keto person and I don't count carbs. I DO, however avoid high glycemic carbs that cause rebound hunger. I eat every little sugar or processed carbs. (if I eat them...they're part of my 75 calories of "sweets"...and I don't always eat them. Nice to know they're there, though!) I keep my meats incredibly low fat. Use olive oil or avocado for almost all fat. I eat mostly fish, chicken breast and extremely lean steak if I eat meat. I LOVE a veggie burger, mycoprotein meat substitutes, etc. I'm a fruit bat. Love fruit and eat a LOT of fruit. Am particularly fond of dried figs for sweeteners in stuff lately. Natural sugar+high quality fiber is a win for me. I eat watermelon and strawberries a lot. I do fermented foods and foods with fiber like split peas...cause my microbiologist kid keeps telling me I need to build good gut microbiota. I love culinary zing. Ginger, garlic, five spice, red and green curry paste, garlic, balsamic, seseame seed oil, fresh herbs, miso, flavor! I do drink coffee, I use Splenda a lot, and sometimes I bank my 75 naughty calories for a few days and splurge on something really naughty like my mom's poppy seed bread, or something decadent when I'm out to eat with hubby. I eat my junk food out of the house, with a witness...which I know is weird, but helps me stay accountable. An almost daily staple in my diet is homemade veggie soup: -
A traditional Keto diet is high fats, moderate to low protein. "The general ratio of macros to follow is 70% fats, 25% protein, and 5% carbohydrates" https://ketodash.com/keto-diet#macros Hard to meet your protein goals and keep your calories low if you are following those ratios.
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https://kalynskitchen.com/ She has a whole section of the website dedicated to Keto recipes. Also, every recipe has nutritional info. A lot of my recipes come from this site.
