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How Many Carbs After Gastric Sleeve Surgery ?



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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.

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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

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

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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.

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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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    • 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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