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Post RNY weight regain, is the keto diet an alternative?



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Hello! I am new here and apologize if this topic is already talked about. I had my GB RNY in 2005, I lost all my extra weight and was at my lower at 55 kg, well that was nice but still too low. As we all did I gained a bit, 58 kg and was stable for 9.5 years but the last 1.5 I am regaining it again, and I am very depressed. I have a personal trainer, walk every day, and eat healthy... so lately I am reading about the Keto diet, I am curious but afraid to gain even more weight.

Does anyone here have experience with that diet?

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Thank you! We'll have you had any issues so far? I read that it takes some days to start the ketosis in your body, and only then you start to loose weight.

keep me updated and best of luck!

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4 days no luck and I'm getting sick of meat and fat. İf your going to continue I tried some Keto shake from a company called nutri keto they weren't to bad.

Sent from my Pixel XL using BariatricPal mobile app

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My husband started the Keto DIET even went thru a girl that does a month of food to prepare for the week. He really didn' like it. He said that it all tasted the same and in 2 weeks he was out of there. But he did lose like 12#'s in a week. He has had WLS. I couldn't stand the smell. But that is just me. I really think that it will work. But just like everything else you need to work for it. Good Luck

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Clinically, low carb/high fat diets such as Keto or the current interpretation of paleo are used for non-WLS gastrectomy patients who need to avoid weight loss and ultimately regain unwanted lost weight. You can figure out whether that is appropriate for your needs, but those who use these diets in weight loss attempts need to be vigilant with their calories.

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Thank you Rick! That is exactly my point, sounds too good to be true, especially with all the calories and almost no veggies or fruit...

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Who said you cant have veggies? You just need to eat lower carb veg. This is a great option for many people.

Also, it can take some people 2-3 months for their bodies to completely convert to fat burning before they start to lose weight others start losing the first week.

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On 8/25/2017 at 8:56 AM, Licia'sjourney said:

Who said you cant have veggies? You just need to eat lower carb veg. This is a great option for many people.

Also, it can take some people 2-3 months for their bodies to completely convert to fat burning before they start to lose weight others start losing the first week.

If one is severely limiting their intake of carbohydrates or fats (whichever fad one chooses to follow) they are severely limiting their nutritional potential. 20g or either doesn't leave much room for the Vitamins and minerals normally obtained from those skipped foods.

Fat burning usually starts 2-3 weeks after starting a major weight loss effort, and corresponds to when one's glycogen reserves are burned up and the body gets the idea that this caloric deficit thing is for real. Then it starts drawing from its fat reserves. This usually corresponds with the dreaded three (or third) week stall. As long as on continues a major caloric deficit, one will burn off the stored fat - whether one is on a low carb diet, high carb diet or whatever one chooses. There is a mythology promoted by some of the fad diet gurus that you need to "eat fat to burn fat", which is true to a certain extent - if one adopts a fat heavy diet, the body will adjust to metabolizing more fat, as we are an adaptable species, but if you want to burn off all that stored fat that we typically have here, it still takes a caloric deficit; otherwise all you are doing is just burning your intake and none of your stores - you can get all the "benefits" of ketosis - the bad breath and BO - without the weight loss.

If one does a more classical "balanced but less" diet, there is less chance of the nutritional deficiencies that are inherent in these fad diets. You can burn off the stored fat just as well, though the overall fat burn will be less as you are consuming less of it, but the overall diet will be healthier and more sustainable.

For the OP, CloudNL, another approach to consider is Dr. Matthew Weiner's veg first philosophy that he presents in several of his youtube videos, It is somewhat contrary to the classic "protein first" bariatric approach, but does have some merit, particularly for those of us many years out. I'm not real high on his lower Protein recommendations (which seem a bit scant for all except the shortest women) and I;m not so sure about his green smoothies, but as veg is inherently bulky and low calorie, it does make sense as the basis of a weight control diet/lifestyle. I follow something akin to it in that my diet is fairly high in fruits and veg, but doesn't eliminate Proteins, fats or starches - as they all have something to contribute to a healthy diet. It's worth considering if you are amenable to a higher plant based diet.

The other related concept, conveyed by one of the surgeons in my network, is to eat as close to dirt as possible - eat what grows in the dirt, or what eats what grows in the dirt, with as little processing and packaging in between as possible. This has a lot more merit for a long term sustainable lifestyle than any random macro counting/limiting diet.

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Keto can be a great balance of meats, fats, non-starchy veg, the occasional berry, and full fat dairy.

The unfortunate side effect that I found out is that because of the high percentage of fat (true, real keto represents about 100+g of fat a day), I had terrible stomach issues and dumping syndrome. I think the SCIENCE behind keto speaks for itself, and there IS a LOT of science out there. Tons of research has been done regarding Keto and cancer, diabetes, inflammation etc.

I feel unfortunate that it's not an option for me, I have 2 non-WLS friends who have lost 75+ lbs each on it, and they eat a pretty nice balance of foods.

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Is this the Keto food list you guys are using?? I plan on starting this plan this week.

Keto Food List

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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.
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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.
      · 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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