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My surgeon said to stay around 50g, but since i'm following (modified) keto/low carb, I stay around 20-25g or less.

I started eating meats in my "soft foods" stage, which was week 4 or 5 (week 5 if you are sleeve). Now, I will say that I only ate VERY tender meat with some type of sauce or gravy. I ate rotisserie chicken and lean ground beef. I eat cheese a lot now. Some people might think that cheese has too much fat, but my NUT believes in a healthy regimen of fat in your diet. I take the KETO approach when eating mostly.

Keto really does work from what I hear. Only complaint I’ve heard is with the making sure your body stays in ketosis but other than that, people seem to love it. Keep us posted on how it works out [emoji846]

Yeah I was told to start a keto diet Sent from my SM-N900V using BariatricPal mobile app

One thing I've noticed reading this board for a while, is that we've all got a lot of valuable insight. Some amazing success stories here. Some amazing works in progress. Really good people with some terrific advice. But we all have a lot of prejudices, too, about what works and what doesn't, and what would really help people if they only listened! LOL And there is nothing quite like being on a stall, or being hungry, or learning to cope without your favorite lifelong coping mechanism....to make you grouchy and indignant about why people stubbornly won't listen. Can we agree that not even the doctors have this crap figured out to any kind of consensus? Some of us have had terrific success with eating keto. Some of us eat a buttload of carbs and do great. Some of us are exercise maniacs. Some of us are working hard to get to 5000 steps a day. Some of us won't touch a taboo empty calorie treat food...because it's a slippery slope that shouldn't be tempted. Some of us feel the need to master eating taboo foods in moderation to prove that we are in control and have "conquered" food. Some of us eat 600 calories a day. Some of us eat 1200 a day. Some of us are ok with moderately consuming alcohol. Some of us are not. Some of us are horrified by artificial sweeteners. Some of us use them by the boatload. And here's the really shocking part: People in BOTH CAMPS on all of these points...have been doing really well. How cool is that? The more I listen to all the different stories, the more convinced I am that there are a LOT of ways up this mountain. (Also cool!) Here's another interesting question... What's success? For some folks, success is having a low normal BMI, and being an athlete. For some folks, success is fitting a certain size, looking a certain way, feeling attractive, getting perfect plastics and looking like a model at the end. For some folks, success is hitting some other goal. Being able to fit in an airplane seat, Being able to play with kids and be active. For some folks, success is getting diabetes and blood pressure and other health concerns under control. For some folks, success is weighing under 200 pounds and not sweating it much beyond that. For some folks, success is being mobile, being independent, going back to work, and being able to take care of themselves. There are a lot of different versions of what success looks like. And not everyone's gonna want the same thing. What your group of doctors says....I guarantee you....will not be anything like what another group of doctors says. There are no hard fast answers about what works and what doesn't. What we've got...are a lot of valuable personal experiences with a LOT of different programs. All worth sharing. But no one has THE answer for everyone:) Sometimes I hear....but what about the newbies? Don't we owe it to them to set a good example? No, we really don't. We owe them our honesty. And we owe them the credit they deserve...to do their homework, read a LOT of stuff, consider all the various opinions about everything.... and figure out what they believe and what works for them:) Just my $.02 Opinions...as always....will vary:)

It's pretty normal to hold more food after a year or two from being sleeved. Makes it a challenge to lose weight and maintain. The weight loss is also painfully slow. Cravings are tough. Once I have carbs/sugar I crave them more. I have to get my discipline back to get the scale to move. Many people go back to basics. Logging, protein and keeping calories down. This may be more information than you want - Feel free to ignore it. The calculator below helped me out. It calculates specifically to you. (sex, age, height, weight, activity level) After you enter your information you will see three tabs (maintaining) (cutting) (bulking) Click cutting to get your macros. enter the numbers into myfitnesspal or food log of your choice - Yes, you can have carbs - It will give you carbohydrate levels low moderate high. Start with moderate and see if you go into weight loss mode...If not go to low carb ratio. This works with any type of diet you are into (palo, keto vegetarian etc) https://tdeecalculator.net/

I will be 2 years 4/29. I lost the full feeling signal at about 6 months. I've been a slow loser and have gained 15 pounds since my low of 161 2/28/17. I stayed in the 160's until about November 2017 and have now bounced between 170-176. I definitely have my hunger back and have incorporated all the naughty foods back into my diet. Some days I get full quickly and other days not so much. Trying to get back on track. I'm having a hard time with finding a diet that works for me. I've tried low carb, Keto, Paleo and Whole 30. I just want to be normal and eat like a regular person. I'm sick of protein, sick of protein drinks and would love to not feel guilty every time a carb passes my lips.

I’m also going to Tijuana (Jerusalem Hospital) - my date is April 27! I will tell people I’m doing the Keto diet (which I honestly will do once I’m healed and can eat)... my close friends will know the 100% truth and the others will be on a need to know basis! Keto really works so I wouldn’t feel bad with my white lie!

My plan is high carbs, but they're low glycemic carbs with good protein content like whole grains, beans, etc. I pretty much follow the Mayo clinic diet...which is similar to Mediterranean. My group serves a diverse community of people from all over the world, lot of vegans and vegetarians...so we have a lot of options. I think high protein keto diets produce the fastest weight loss and some folks tolerate them really well. (wish I did, but I don't) My group stresses keeping the calories at 1000-1200 per day, 60+g of protein, lots of exercise, lots of water, eat simple. We do a lot of fruit and veggies and whole grains and beans.

Thanks again. I've had Keto breath before, but it was usually sweet...not like "rotten meat" as my husband described it.... Oh well. Time to up my water intake too.

Yes, it's not a surgery thing per se, but you get either what's known as "keto breath" when you are are on low calories diets where it smells like acetone or some variation on an unpleasant breath. Those dissolving breath tabs that you put on your tongue work great to fight them.

My nutritionist said I couldn't take psyllium capsules. She said due to the nature of the sleeve they could get caught outside the stomach and choke me or something like that. I did use psyllium when I did keto and they worked well though. Wish I could use them again. Anyways miralax will help keep things soft but not necessarily moving. Occasionally have to take a laxative to keep things moving.

Awww thanks (blush). Keto is too high maintenance for me. I have always done very low carb to low carb and I don’t worry about fat, don’t track it don’t eat low fat versions of things. Yes my triglycerides are low (can’t remember offhand but definitely under 100) and while my total cholesterol is “high” (in the 240’s usually) the ratio is, according to my doc, the best he’s ever seen. My “good” cholesterol (LDL) is 3x my “bad” cholesterol (HDL).

I gosh I don’tdo Keto! Just lower carb. I didn’t do it during the loss phase or now at maintenance. Way to hard to maintain the chemistry of keto... and the fat.

100%. Keto totally works for some people but not others. You definitely need to keep track of cholesterol and triglycerides and probably other things I can’t think of since it’s so fat focused. I have lots of friends who do heavy, heavy crossfit on Keto and are doing amazing!!

I don't have to. The nutritionist told me at my first consult that my insurance mandated three months of pre-op diet. Based on my profile and health she said just cut out carbs after breakfast as well as anything carbonated. So I said "Should I just do Keto?", she said yes, and that's all I've done. Down 17lb in 7 weeks so far. Surgeon also confirmed I will not even have to do a liquid diet in the days leading up to the surgery.

You might Trump my answer because I am in a stall. If cutting calories for me the next week doesn’t help, I will try cutting fat too. I love that I didn’t have to cut fat so far, but maybe that could help break the stall. I don’t do straight up keto but I do low carb.

I’ve made the fathead pizza easily about 20 times in the last couple of years while I was on keto. Can honestly say this tastes even better than original bread crust and it’s extremely filling. Highly recommend. Haven’t tried it yet after WLS, will wait until at least 6 months to make it again because it is higher in fat.

Hey pretty butterfly!!! First off hugs from Atlanta,GA. You look beautiful in all three pictures. I’ll be 9 years out this December and I will tell you WLS is a tool that does it’s job during your honeymoon phase and then after the honeymoon it’s all on you. I’ve learned that with the post WLS life, our struggles to maintain a healthy lifestyle is no different from our non WLS peers. It took me years of gaining and losing to understand this. There is no magic pill. I never subscribed to that whole pouch reset methodology. That’s mental games that we’ve continued from before surgery. Quick fixes in weightloss. In my option it’s just another diet like paleo, keto, atkins etc. What has helped me has been focusing on what caused me to overeat. Changing my thought process on food. Eating for nourishment not taste. Do I indulge, every now and then non-obsessively without guilt. It took some counseling to be truthful with myself to get to this point. But when I came full circle with that truth the light bulb went off. I’m not going to hijack your thread into my story. But the power is in you. You’re more than a number on a scale. Find someone you can be accountable to. Find one thing that you know will keep you focused on your goal other than a number on the scale. If your SO isn’t onboard that’s okay. This is your life. Accept that changing your perspective on food is hard as hell. But when you accept that the journey is easier. Accept you can live life without restriction. You have to learn control and balance. I’ve surrounded myself with people who are about healthy living and enjoying life. I’ve learned so much from them. They have the same issues as us postop. What I’ve learned since surrounding myself with them is that they don’t let one mess up derail them. They set fitness goals and commit to them. They have showed me that we’re responsible for self. A tool doesn’t hold that responsibility. To put my money where my mouth is. I was 399 before surgery. 384 the day of. Surgery got me to 210/15. I got myself up to 230. Got real with myself and now I’m down to 164. I speak from experience. DM me on IG anytime you want to chat. It’s important that you have someone in your corner who understands. Keep goal setting and grinding. Each day gets you closer. IG->@bariatricbutterfly

@charismatic I questioned this too. Especially because a 2 week diet isn’t required for everyone. From what I can tell, most doctors basically want a high protein low carb Keto diet. Keto shrinks your liver so why force liquid only version with artificial products when I can also achieve the result with real food? The only conclusion I came up with is that liquid only is a good blanket solution for everyone and has less a chance of people slipping up by eating too much, eating the wrong foods or having real food trigger a binge. With that in mind, I mixed in a small amount of real food (eggs, grilled chicken, cottage cheese) the 1st week and have been all liquid the 2nd week.

A lot of people avoid carbs. Fruit has a lot of carbs. I follow the Mayo Clinic Diet...which is a slightly modified Mediterranean diet. I eat a metric feck ton of fruits and veggies, and a lot of complex low glycemic carbs. You will find people following many different diets after surgery. You'll find that different surgeon's groups have vastly different recommendations. Find a group that will work with your preferred healthy diet. There are a lot of ways up this mountain. Keto is very very popular right now. Hands down...it will give you the fastest results. Many people feel wonderful on this diet, but I don't. I prefer to eat a mostly vegetarian diet with meat consumed only occasionally..and my group is completely on board with this. What nearly all groups will require: 60g protein per day. (I get a lot of mine from plant sources..but I get 60g daily) 64ounces plus of water per day. 1200 calories or less per day after surgery. Vitamins.

Looking for advice or recommendations. 6'1, 260 lbs. I have high blood pressure. No other documented conditions. Never had a sleep study, etc. I have anxiety and moods are up and down daily. Family has a history of being obese. I work a rotating 12 hour schedule which wreaks havoc on an eating regimen. I have tried Keto, low carb/high protein, exercise. It yoyos. I work in a control room in front of monitors for the whole 12 hours. I know it sounds crazy, but it physically fatigues me. I come home dead tired. Wife had gastric bypass 8 months ago and has done perfect and has lost 80 lbs. Father was 525 lbs and had his a few years back and is 240 lbs. now. I am tired of living to eat and would love to get to the point I eat to live. I'm just not sure if I am a candidate for WLS or am I going to be told to stick with trying different weight loss methods until I find one that works? I am going to an initial weight loss consult next week to hear about different options and not even sure if it's something that insurance would approve. I would even consider self pay in Mexico, if I was a candidate. Any advice is greatly appreciated.

I met with the nutritionist at my surgeon's office and she told me for the first month of my insurance-mandated three month pre-op diet to limit carbs to just the morning and cut out carbonated drinks. Since I'd tried Aktins/Keto before I figured I'd just go with that. I met with her again five weeks later, having lost 13lb and based on my success she told me not to change a thing for month two. As for my routine: For work days I found the Kirkland (Costco) brand protein bars and have one for breakfast, then a hard boiled egg and/or string cheese for a morning snack. Lunch is spinach salad with carb free dressing, a chunk of some kind of lean meat (often leftover from the previous night's dinner), and some raw broccoli. Afternoon snack is a low carb yogurt and/or another string cheese. If I want a snack when I get home I'll have a chunk of cheddar or some pork rinds. I also bought some Carb-Quik baking mix on Amazon, it's like Bisquick but 95% fiber so very low net carbs and I'll have one or two biscuits made from that a day with butter to satisfy my bread craving. Dinner is more spinach salad, another chunk of meat/fish or a low-carb recipe like sausage and cream cheese stuffed jalapenos and a vegetable. Weekends are similar but I'll have eggs and a biscuit for breakfast instead of the protein bar and I also bought the 5lb drum of Cookies and Cream protein shake mix from Costco which I prefer to make with unsweetened almond milk instead of water. However, twice since I began I felt I ate too much the previous day so I did a full day of nothing but the protein drinks all day and a smaller dinner. Very important of course is getting the 64oz of water a day. I found boxes of 8 packets of Hawaiian Punch fruit punch and Wyler's lemonade for $1 each at a local discount store and stocked up big time to ensure I don't get tired of plain water. I'm also fortunate that my surgeon said I do not need to do a pre-op liquid diet as many surgeons recommend.

I have followed a keto diet since six months before my surgery. My cholesterol finally fell into the normal range at my 1 year post-op appointment. It takes some time occasionally...

I think it was like keto flu. Good news is after 3 days it's stopped. Thank you for your advice everyone!! It helped a lot. Sent from my Pixel 2 XL using BariatricPal mobile app