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I count everything. I was diagnosed with congestive heart failure in 2022 and was put on a sodium restriction. Just two months before my projected VSG surgery date my A1C was 9.6% and I was put on diabetic meds(Metformin and Semaglutide), given a blood sugar meter with instructions to check my blood sugar twice daily, and told to cut out all sugars in my diet. Around the same time as my Type-2 Diabetes diagnosis my Bariatric Surgeon had me go on a Keto/Atkins very low carb diet prior to the liver shrinking diet due to my extremely high 71.5 BMI. That was my first time on a 'low carb' diet since I tried South Beach in 2004, and I really liked it for how it made me feel and how much easier it has become to find low-carb substitutions for common foods. So I decided to stick with it post-surgery. I am two weeks out from my surgery and I am at the point where I can eat 800-1000 calories a day, where 50% is from protein, 40% fat, 10% Net Carb, and sodium between 1,500mg and 2,000mg. I track my Daily Food Intake in an Excel Spreadsheet, listing Calories, Total Fat, Protein, Net Carbs, Fiber, and Sodium of each. I also track my fluids, noting if the beverage has any sodium. I avoid sugars like the Plague, except when it comes to fruits. I will on occasion eat fresh strawberries, raspberries, or some honeydew melon. I don't feel the Keto diet is suitable for Post-op due to the high reliance on Fats. I like a more even distribution favoring protein over fat, but still keeping enough healthy fats in my system so entering Ketosis is a possibility. My carbs are always under 25g a day, most of the time between 15g and 20g. I was only in Ketosis once for a brief few days, and it was right after surgery. I check my ketone level regularly with those over the counter 'pee' strips. I like my method of tracking my nutrition manually instead of using an App or Website, although there is a lot more work looking up nutritional labels for everything I eat, or general nutritional information for those items without labels. The plus side of it is I am amassing a database of my frequently eaten food items so logging is becoming easier. I agree with the general consensus that 'Diet' is an ill-fitting word for what we are doing. I like the term 'Lifestyle Change' much better. A diet, to me, is finite in its duration. It has a beginning and an end. A Lifestyle Change goes on indefinitely.

Music is my go-to to manage all different kinds of emotions. I have playlists that I have for times when I'm sad and want to sing along and cry it out, angry music when I feel frustrated and want to scream it out, soothing when I'm anxious, etc. Some people write it out, walk it out, clean it out, talk it out.....

I'm middle of the road I guess. Try as I might, I can't drink coffee without creamer. No sweetener unless it's a cold brew. Here's one I saw earlier and oddly enough reminds me of you @ms.sss since you mentioned taking pole dancing classes post op for exercise. LOL

1. Basics: Female, 35, 5’7”, Hawaiian, RNY 2. Pre-op weight lost: 40 lbs 3. Day of weight: 355 lbs 4. 1 month post-op: 321 lbs 5. 3 months post-op: 284.8 lbs 6. 6 months post-op: 250 lbs 7. 12 months post-op: 199.8 lbs

About the funny thing, it may be he no longer has the situations or comments as a larger person. Also, I know I am more grumpy right now adjusting and learning about what my body wants and needs at six Weeks out..

I might have done that on purpose last week lol. I wore a shirt that is 2 sizes bigger than my current shirts to the office. I got a ton of comments from my colleagues which was nice haha. I think I missed people's commenting on my weight loss which has stopped for a while now.

I realized I continue to wear clothing that is getting too big for me. I think it's because it makes me feel good knowing I've dropped weight. Kinda like people who enjoy their loose skin.... 🤭

That's so worth smiling about. I can't wait till swelling in my feet and ankles is completely gone and find out what shoe size I will eventually end up with.