I have a question I'm about to start reintroducing carbs next week. Did any of you start gaining when that happened?

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My surgeon just informed me today that I need to be taking in the same amount of carbs a day as protein

On 6/5/2017 at 4:19 PM, Newme17 said:

But everybody is different. Others have lost having 100g of complex carbs a day....depends on A LOT of factors. Glad it works for you.

A lot of factors = a lot of exercise. If they had the kind of metabolism that would dump weight on over 100g of carbs a day while being sedentary they wouldn't be fat to begin with.

On 6/13/2017 at 0:50 PM, PatientEleventyBillion said:

A lot of factors = a lot of exercise. If they had the kind of metabolism that would dump weight on over 100g of carbs a day while being sedentary they wouldn't be fat to begin with.

Beyond activity levels, such factors include prior dietary history and genetics. There is a genetic predisposition toward diabetes, insulin resistance and genuine "carb sensitivity" that some people have, and they can benefit form low carb diets; for those without that genetic makeup it's just another fad diet.

I don't know if I was considered a big exerciser who "should" succeed with a 100g diet, but I couldn't afford the common side effects or nutritional deficiencies of low carb dieting and knew from history and experience that it has little to do with weight loss success. My wife lost 200# without regard to carb counts, and she is exercise averse. Carb counting and such severe restrictions was never an emphasis in our program an no one seems to be suffering from it (sugar, simple carbs and junk food in general, yes, but carbs as a macro, no.)

In the absence of WLS, the success rate of losing large amounts of weight and keeping it off is about 5%, whether one does a low fat diet, low carb diet, balanced, Atkins, Keto or whatever one chooses. With WLS, success rates are similar - people have been successfully maintaining massive weight loss for decades before low carb became the fad of the day.

In the fourteen some odd years that I have been involved in the bariatric world, I have never seen anyone fail because of "too many carbs". whatever magic number is chosen - 100g, 40g, 20g... Too many calories relative to their metabolism - absolutely; though those excess calories may be from carbohydrates, they can just as easily be from too much fat or protein, or more typically a combination of them all. Excessive fat consumption is often a problem in maintenace as people who adopted the "full fat everything" habit early on when their volume was severely restricted often continue it as their volume increases a few years out and they let their calories slip away from them. They may blame the carbs for "getting away from them" and exceeding the magic 40g. but then ignore the 1000 calories of fats they are consuming, with a 12-1300 cal metabolism.