I'm just over 5 months out and down 59 lbs today. 4 of those pounds came off in the past 6 days! I was at the point where I was accepting the slower weight loss when I ran out of my greek yogurt with fruit in it last week. Then the weight started falling off! Couldn't believe it, Now I believe just one yogurt a day was too many carbs. Today I noticed a metalic taste in my mouth a few hours after I ate Breakfast. I did a little research and believe that is a response to my body being in Ketosis, Which would be consistent with the lowering of my carb intake and the super fast weight loss in the past 6 days. From what I read, ketosis is not a problem if you are eating a healthy diet, not diabetic, pregnant, etc. My question is, how has ketosis helped or hurt your journey? Any adverse affects? How long did you stay in ketosis?

You can also read about it from reputable websites. Basically it happens when you eat less than 40 to 50 grams of Protein a day for several days. Your body burns more fat for energy at that point. I figure more of us are in Ketosis than we probably realize because many of us are limiting our carbs.

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http://www.m.webmd.com/diabetes/type-1-diabetes-guide/what-is-ketosis

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You and I sound very much alike, @PixelToph. I lost 99 pounds pre-op following a low carb/high protein/high healthy fat diet. And I am going right back to that once I can bring meat and veggies back into my diet. I have a carb addiction issue, and I just have to stay away from the little bastards. (And all of my labs were in the normal range at the time of surgery just from doing that.)

I feel really sorry for so many people on here who go straight from eating anything they want to a very long and difficult pre-op liquid diet to all the restrictions after the surgery. It is a very tall order. I think it is criminal that surgeons don't require people to do at least a month of a low carb diet before the liquids kick in pre-op. My pre-op diet changed my relationship with food -- and that was a necessary ingredient to my overall success in this journey. It sounds like you were the same way!

Best wishes as you continue your journey!

Thank you! We do seem to have a similar journey. It's good to see another person who started at a higher weight, since it seems RNY is more common for people with as much to lose as us. My surgeon actually had to verify my starting weight when I met with him right before surgery. He thought it might have been a typo since it's pretty uncommon to lose that much before surgery lol. When I told him it was right, he was delighted and said it really bodes well for my post-surgery success. I also didn't have to do the 2-week liquid pre-op diet, he said with the weight I lost my liver was already smaller, so it wouldn't make much difference. I just had to increase to 2 Protein shakes a day, and only a light meal the day before surgery.

@@PixelToph

Could you share some of your vegetarian keto/low carb meals?

I don't like cooking much, so I didn't do anything special. I mostly took meals I already ate and made them keto-friendly. I'm hispanic, and tacos/burritos were a common meal, so I make taco salad instead of having tortillas and skipped the rice completely. I also switched to hand seasoning instead of using those seasoning packets. They can be surprisingly carby (cornstarch added, sometimes sugar too). I saute Morningstar crumbles with ground chili powder, cumin, garlic and onion. Serve over some lettuce and top with cheese.

We also enjoy a good Indian curry, so I just made sure to check the sauces for sugar. Quorn makes a great veggie-chicken and you can get it either in pieces or cutlets, just make sure it's not the breaded version. Paneer cheese, diced "chicken" and spinach simmered in curry sauce is really tasty and a one-pan dish.

Now that I'm post surgery I don't have room for sides, but pre-surgery mashed cauliflower makes a decent substitution for mashed potatoes.

I'd like to follow this please - I'm very interested in how it effects people - I'm diabetic but believe I went into this today - well I had low blood sugar so maybe its not the same thing... anyway - I ate carbs as I felt it was what I needed at the time...

I'm diabetic too...I am a bit worried about this because of diabetic ketoacidosis, but I read that ketosis is different than that. This is an article I came across...seems legit:

content: content://com.sec.android.app.sbrowser/readinglist/0920215551.mhtml

I'll have to read the link someone shared above, as well.

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I would talk to your doctor to make sure it is safe for you. For most it is very safe but there are exceptions to that and only your doctor knows your underlying health conditions. Assuming it is safe it worked wonders for me. I got to goal weight in about 7 months. I am no longer in ketosis but most of my carbs are veggies, fruit and some potatoes. No wheat sugar or rice. I still keep my carb lower than the average person and Protein first. Beating the carb addiction has changed my life!

So good to know that beating the carb/sugar addiction is possible!

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I have been doing low carb/high healthy fat diet for 4 weeks now and have lost 22 pounds. I have not had cravings for carbs. Even on those days when my family has higher carb Snacks i can avoid them and still have no problems. My PCP is following my pre and post op care since i am having sleeve in Mexico and this is the diet she requested I be on.