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I know I'm in ketosis...

but I've only lost 8 pounds since the start of my pre-op diet last Friday...

Am I surely shrinking my liver?

I started out at 197 and my BMI was 39 (I'm 5ft tall).

I'm worried about my liver being too large for the surgery.:wink0:

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but I've only lost 8 pounds since the start of my pre-op diet last Friday...

Am I surely shrinking my liver?

I started out at 197 and my BMI was 39 (I'm 5ft tall).

I'm worried about my liver being too large for the surgery.:wink0:

Is it a low carb diet?

  • Author

Yes! Clear liquids and protein shakes. I had a piece of grilled tilapia last night. I just couldn't take it anymore.

I didn't lose much weight on my pre-op diet either ... however, my liver was in wonderful shape at the time of surgery. I don't know if it was of the pre-op diet or because I basically had cut out all sugar and flour - basically anything white many many months before I started the pre-op diet.

Stick with it - any little bit helps.

but I've only lost 8 pounds since the start of my pre-op diet last Friday...

Am I surely shrinking my liver?

I started out at 197 and my BMI was 39 (I'm 5ft tall).

I'm worried about my liver being too large for the surgery.:wink0:

Hello, welcome to the forum. Im in the Houston area as well. In reference to your question, anything that you do according to the doctor's orders will help with liver shrinkage. The sleeve has been performed on much larger people, so I wouldnt be too worried about your current weight. Just follow what the doc says and you will be alright.

Anyway, welcome to the VST family.

  • Author
What kind of clear liquids? Do any have sugar in them?

Well, he says I can drink grape juice, cranberry juice, and apple..but I don't. I keep everything low carb. I'm so scared! Carbs get stored in the liver as sugar..or something like that. I don't want to take any chances with high carb drinks.

  • Author

Hey, neighbor!

I live just south of Pearland on 288/SH6.

I just say Houston area otherwise nobody knows where I'm talking about! LOL

Hello, welcome to the forum. Im in the Houston area as well. In reference to your question, anything that you do according to the doctor's orders will help with liver shrinkage. The sleeve has been performed on much larger people, so I wouldnt be too worried about your current weight. Just follow what the doc says and you will be alright.

Anyway, welcome to the VST family.

Well, he says I can drink grape juice, cranberry juice, and apple..but I don't. I keep everything low carb. I'm so scared! Carbs get stored in the liver as sugar..or something like that. I don't want to take any chances with high carb drinks.

Excellent! Sounds like you are doing a great job on your diet.

One thing I do not understand and I keep harping about it is why doctors use a liquid pre op diet. What's the value? If calories and carbs are in check what difference does it make if those calories and carbs come from liquids or solid foods? At one time I went on a hunt for studies to see if there was any science behind liquid diets being superior to solid food diets and I couldn't find a thing.

Maybe someday someone will explain this to me. :tongue_smilie:

  • Author

I'm thinking he wants me to get used to liquids for my post op? Some doctors don't have such a drastic diet.

I was thinking the same thing! That's why I am going to allow myself the occasional piece of fish or chicken (grilled) until my surgery.

I checked my ketones and I am releasing a LOT today. I guess I'm finally in full ketosis

Many surgeons don't even require a patient with a BMI of 39 to do the liver shrinking diet.

In fact, if your surgeon can't get around your liver at your lower weight, I'd fire him. (But I'm sure he can.)

As for why some have you do a liquid diet, it's because they think it's easier for you to do it that way. There aren't choices where you could eat something you think is low carb or low calorie, but it isn't. I don't agree, but that's the rationale behind it...

Many surgeons don't even require a patient with a BMI of 39 to do the liver shrinking diet.

In fact, if your surgeon can't get around your liver at your lower weight, I'd fire him. (But I'm sure he can.)

As for why some have you do a liquid diet, it's because they think it's easier for you to do it that way. There aren't choices where you could eat something you think is low carb or low calorie, but it isn't. I don't agree, but that's the rationale behind it...

But how is apple or grape juice low carb? That's why I do not understand liquid diets. Creamy Soups (flour), juice (sugar) ... what's the value? If it's carb and calorie intake I just don't see the value in liquids over solid foods. Seems to me patients would be more compliant if they weren't hungry.

  • Author
But how is apple or grape juice low carb? That's why I do not understand liquid diets. Creamy soups (flour), juice (sugar) ... what's the value? If it's carb and calorie intake I just don't see the value in liquids over solid foods. Seems to me patients would be more compliant if they weren't hungry.

Yeah, I caught on quickly that it's mostly carbs I have to get rid of. Of course I researched 'liver shrinking'..blah blah blah... don't we all do that?

Gotta love the internet.

Yeah, I caught on quickly that it's mostly carbs I have to get rid of. Of course I researched 'liver shrinking'..blah blah blah... don't we all do that?

Gotta love the internet.

Cool, glad to have you here neighbor. Keep me posted on your surgery and all of that......How long do you stay on the liquid diet out of curiousity?

  • Author
Cool, glad to have you here neighbor. Keep me posted on your surgery and all of that......How long do you stay on the liquid diet out of curiousity?

I had to start 2 weeks before surgery date. I started my liquid diet on June 26. By the 3rd day it wasn't so bad. I wasn't so drained anymore.

I found that the kellogg special K kiwi strawberry protein drinks are delicious and very helpful!

But how is apple or grape juice low carb? That's why I do not understand liquid diets. Creamy soups (flour), juice (sugar) ... what's the value? If it's carb and calorie intake I just don't see the value in liquids over solid foods. Seems to me patients would be more compliant if they weren't hungry.

I don't believe in the liquid diet so I can't really answer your questions. But a lot of docs put their patients on things like Medifast. That's really easy because you just add Water to their packets and you've got the exact right mix of nutrients.

OTOH, any weight loss will shrink your liver. Low carb does it better but weight loss does it too.

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