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Am I doing this right? Preop low carb diet



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I've tried low carb before and it's been incredibly difficult. Friday I started my low carb diet for my VSG and I'm worried I'm not doing it right. I'm keeping carbs right at 30g/day but I don't feel weak or tired like I usually do on a lowcarb diet. I'm also not craving carbs at all. I fear I'm doing it wrong and my liver will be fatty :scared0:

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Hi D,

I am on a pre-op diet that Kaiser has you do pretty much for months so I can get used to eating more correctly which makes the transition easier. I think it's probably close to the same thing you are on now. Anyway, I think that drinking your fluids makes a huge difference when on a low carb diet. Another thing, I constantly craved carbs (BREAD,PASTA,POTATOES!!!) and after being on this for 2 weeks so far, I pretty much don't crave them at all so time helps and ridding your body of sugar also makes a big big difference. Also, I'm sure you are excited and ready to make the change so it's not so frustrating not being able to nosh on the old standbys.

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What kind of stuff are you eating DJ ? And are you counting total carbs or net carbs ?

I've been counting total carbs and this is typically what I eat

Breakfast 3 eggs, 2 pieces of sausage, 3tbs cheese, low carb torillia = 9 carbs

lunch is a Protein (kind) nut bar 11-15 carbs depending on which one I pick

dinner Turkey or steak green Beans and salad 4-5 carbs

Snacks ceasar salads - the croutons

I weighed myself Saturday evening and I weight at 276.6 and this morning I weighed myself at 271.6. The scale is kinda crappy and the time of day is different so I just cannot believe that I would have lost that many lbs in such few days. On another note, today is my birthday and I REALLY want a starbucks yummy coffee but it has to be low carb and suggestions?

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Davinci syrups are 0 carb and come in all the good flavors that they use at Starbucks. If you can get some of that in your hands then you could get a low fat latter without any sugar and put the flavoring in yourself x

Happy Birthday

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I've tried low carb before and it's been incredibly difficult. Friday I started my low carb diet for my VSG and I'm worried I'm not doing it right. I'm keeping carbs right at 30g/day but I don't feel weak or tired like I usually do on a lowcarb diet. I'm also not craving carbs at all. I fear I'm doing it wrong and my liver will be fatty :scared0:

You will lose a LOT of weight on the preop diet, but it's all Water weight. The point of the preop diet isn't really to reduce fatty liver, but to dehydrate your liver slightly, making it easier (and safer) to manipulate during the surgery. Metabolizing carbs requires a lot of Water (I can't remember the old Krebs Cycle breakdown, but I think it's something like five waters per sugar or something like that), so naturally a shift towards carb metabolism makes you retain water, and a shift away is diuretic (it's a homeostatic mechanism).

The bottom line is that low carb "diets" don't really do much aside from help you lose water weight (plus refined white flour is very calorie dense, so it's good to avoid in the long run), but in the case of the pre-sleeve diet, water weight loss is exactly what's needed.

If you are following your surgeon/nutritionist's recommendations to the letter, you should be fine. If you have any questions, I'd give them a call, but just from reading your daily meals it sounds about right.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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