I was losing weight 42 pounds oct-December doing whole 30

Transition to keto . On 1/17, I started the 3 month required Nut diet and since then, I have not lost or gained a pound in 3 weeks. Any tips or meal plans you had while you were on the 3/6 month diet before surgery. The biggest change is the increase of protein and lowering of fat.

Nut diet is low carb, low fat, night protein

What I eat, nearly the same every day

I still have coffee but change to half caf

2 hard boiled eggs

1/2 cup of fruit apple or orange

Romaine salad with chicken, blue cheese lite balsamic dressing

Carrots

Adkins shake

100 calorie nut pack or 1oz of cashews

Mashed cauliflower with beef and center cut bacon crumbles with cheese

(Either a sf pudding, sf hot cocoa, or yogurt)

Sometimes an Adkins bar

Congratulations on the weight you lost thus far during pre-op. Generally, I think that dieting will only get you so far. The bariatric surgery will take you the rest of the way. So don't be too concerned that you have stabilized or hit a stall. Just concentrate on maintaining the 42 pound weight loss that you have achieved thus far.

Our bodies have hundreds of thousands of years of evolutionary defense mechanisms to cope with famines and bad hunting seasons. Too much weight loss, too fast, and these mechanisms kick in, our metabolisms slow...and we just have to grin and bear it. Eventually the stalls break. It's incredibly frustrating when you're dieting, and incredibly useful when you're trying to survive famine.

A possible concern I have about keto diets (I have many, actually, which is why I don't do keto) is that a keto diet can destroy the diversity of your gut microbiota. A higher ratio of Prevotella-to-Bacteroides bacteria is associated with better weight loss outcomes....and a diet high in animal protein reverses the ratio and decreases diversity.

Some ideas for you...

Each day, include a sampling of as many foods as possible, particularly those high in fiber (which helps propogate Prevotella) I'll take a quarter cup scoop and put all sorts of weird little thing in there....a bit of pepper, onion, corn, pickle, an olive, a raisin, half a strawberry, a grape, a tiny cube of potato, cheeses, whole wheat biscuit, a teenie piece of brocolli, a few chopped pecan pieces....you're not looking for volume, you're looking for diversity. Teenie bits of everything wholesome in the kitchen.

Try adding a probiotic drink or yogurt instead of your protein bar.

Add exercise.

But most of all.....just be patient....you're not gonna change evolution. You will eventually lose more weight:)