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How Many Carbs After Gastric Sleeve Surgery ?

I am 18 days post op and haven't lost any weight for about 10 or 11 days. I know my protein and calories are right where they should be, I use myfitnesspal to track it. But where should I be on carbs? There's nothing in my paperwork to say how many carbs I should be getting and I have no clue.

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I didn't start tracking ANYthing until I got past mushies to solid food. Then I would pretty much stay under 30-40 g of carbs which was easy since I was only eating 5-700 calories. Now 8 months later, I am trying to stay under 50-60 g of carbs and about 1200 cal.

I'll be watching this post to see how others chime in.

I tracked for a little while without an actual goal for carbs and then I stopped tracking.

I experienced the same thing. At about the 8 day mark, I stopped losing all together. I think it is referred to as the Week Three Stall. I went through it early and in week 4, I lost 9 lbs. It seems as though it takes the body this long to figure out that you are going to continue feeding it less than it's use to.

Could you also be going through the week three stall? If so, just keep on doing what you're doing and it will be ok. You may see a big drop or it may just start going away again. I would wait and see if I were you.

Shae

no more than 40 grams : ) i'm very strict about this in my diet ... hope this helps ...

Some docs do a low carb diet as part of their program while others do not. Likewise, some patients choose to do a low carb diet in addition to their doc's program. It's up to you what diet you want to follow as long as it meets your doc's program requirements - some people find that the ketosis state that's induced by the ultra low carb diet helps to boost the weight loss, or rate of loss, that they are getting from their WLS while others don't find much if any difference, and some find it detrimental to their loss. I never bothered trying to keep low carb, other than minimizing the simple carbs/sugars, preferring the better nutrition offered by as balanced a diet as I could have within the volume restrictions and Protein requirements that we have and never suffered any significant stalls - I've only had one week that was not a losing week over the six months plus since surgery and am less than ten pounds from goal. Indeed, that past couple of months I have been shifting some calories strategically to complex carbs to better fuel my workouts which helps burn more calories. So, both lower carb and higher carb can work to enhance the loss performance of your sleeve - it's a matter of what works best for you.

Stalls are a normal thing, particularly around the three week mark (give or take some depending upon whether or not one was on any significant pre-op diet) and are usually broken, if not by time, then by changing something - intake levels up or down (not a lot of options there when so early out), or composition of intake or similar changes on the exertion front (also fairly limited when early in the process) or just by sticking it out. Your body is adapting to its new environment and it takes longer in some than others, but with the caloric deficits that we are running, it can't last forever.

Stalls are normal. My surgeon doesn't focus on that. Seems yours doesn't either. As a matter of fact it is my first week and I must eat 4 oz of pureed fruit a day. I prefer this approach. On this forum many have been successful both ways. Since I am not carb sensitive I hope to get to goal while enjoying carbs. I suggest you talk to your surgeon before making any changes. Best wishes on whatever you decide!

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