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3 months NUT diet/rny bariatric req



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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

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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.

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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:)

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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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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