Huh?

Ketosis is when your body switches from using carbs as energy to using stored fat as energy. ketosis is usually triggered by eating low carb and high protein. You have to really like eating low carb (< 20 g) or it may drive you crazy. Some side effects are bad smelling breath and urine. Some say ketosis is harmful to your liver. Bad breath is not a deal breaker for me. I can do very low carb and i have no issue with it. my wife hates low carb. You probably do not want to be in ketosis as a long term strategy forever if there is a harmful impact on your liver. I stayed in ketosis for about 6 months post op and believed it helped in dropping most my excess weight from 360 to 180.

There is no evidence whatsoever that ketosis is harmful to your liver or any other body system. You can find articles in the press by dietitians etc, repeating the myth that someone has told them but if you do searches on pubmed, you won't find that in the medical literature.

Low carb eating is not for everyone. I've been on low carb for 13 years. The first time that I tried was about 15 years ago, and I didn't last two days on it because my sugar cravings were so strong. I spent a while cutting back on my sugars and carbs and the next time I tired it, it was easy.

The breath from ketosis is often thought to be bad, but if you actually smell it, it has a fruity smell, not bad. It is true that when you first start a low carb diet, you can develop a bad taste in your mouth for a while, but this goes away, and does not make your breath smell bad.

There are two major types of low-carb diets. One is the more traditional Atkins diet where you might get up to 50 grams of carbs per day, and the other is a ketogenic diet which strives to generate a maximal level of ketones in the body, so perhaps around 20 grams of carbs per day. Either one would work great for losing weight after being sleeved, but the Atkins type diet would be easier to sustain for most people.

I started out eating about 20-30 g carb for first 5 months and then increased it to 50-100 once starting to run daily between month 5 and 7. After that I stopped counting carbs because of my fitness routine. However, do know the carbs I eat now are complex variety and are still controlled in the sense I only get carbs if I am planning on eating them with a meal (I have had the occasional carb slipup, but it is short lived). I would say my diet is still "low carb" because if you are an athlete or lifter, you should be eating massive amounts of carbs. I do not. Nor do I eat bread, fruit or dairy. Carbs come from veggies and grain food like steel cut oats and quinoa.

Also want to add that I was a huge fan of the Atkins diet. Lost 100 lbs on it without much struggle back in 2005. I think my body is made to get by with low carb. Atkins is super if you can successfully transition into long term. Unfortunately, I could not and dived off the deep end when the weight dropped, just because I could, without seeing immediate increases on the scale, until it was too late.

That is what I love about the whole vsg process. It teaches you life habits during the honeymoon phase so you don't dive off the deep end when passing out of the honeymoon phase. That is key. Take advantage of when you cannot eat much and cannot eat bad food to put a life plan of good nutrition in place. Fitness will follow after the weight begins to drop.