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I would like to start a thread for all those following this forum that tells others about RE-losing. So if you are a patient who LOST, then GAINED, then LOST it again, please share with us all your method of losing. Did you go back to pre-op/post-op phases? A 2 ,5,8 day pouch reset? A specific low carb type plan? Keto? Paleo? Please feel free to share as this is helpful to each of us in our journey.

I am a Creature of Habit so for me it was eggs, sausage and cheese. I also live the Keto Lifestyle now so these are a Staple of my Diet. Enjoy the Honeymoon because at 4 months out I thought that I had lost the Love for all things Bad and couldn't understand how anyone could gain back any of the weight and now I realize (1Year) that Habits are Habits and unless you truly break them for Good they will always haunt you. I hate the words or even the thought of I can have just one because I know I am a LIAR!!! One turns into 3 and then into 3 servings. HaHaHa after proofreading this I realize I must be in my Feelings this morning.

What’s keto? & thank you(:

My husband is also heavy - though not as much as me. He had been doing really well biking after knee surgery a couple years back - lost a lot of weight, getting fit - before getting totally derailed with a badly broken arm. My surgery finally pushed him into trying keto and he's been losing weight almost as fast as I have. He's also been cooking more - mostly meat and veg - and even our teenagers can't stand against a united parental front of "no junk!" We also have one of these, which is great when one person is more fit/just a stronger cyclist (we lucked out and found one on Craigslist). I'm really looking forward to using this for longer rides once my health improves! Sent from my iPad using the BariatricPal App

The Keto Diet is also know as Low Carb High Fat (LCHF). It calls for high fat, moderate protein and low carb. Google will give you lots of information. Just like any diet it has its promoters and opponents. We follow LCHF in our house b/c my husband does triathlons and he finds that way of eating benefits his athletic performance. Pre-op, I felt better on it because i wasn't eating as much processed crap - kept by carbs under 60 grams. Many on Keto recommend keeping your carbs at 30 - 50 grams. I found that very difficult to maintain. I personally did not see much weigh loss, despite feeling better. Now that I am post -op, I will resume when this type of plan when I am cleared for solids. While my husband does high fat, moderate protein and low carb, I will do high protein, moderate fat. This will allow us to cook one meal - he can add the extra fat to his serving. The plan is consistent with my NUT recommendations.

@BabySpoonsI track everything. I have a lot more protein than Carbs. Dietitians excuse is i am not having enough carbs to regulate my protein. But is when i introduced carbs into my meal that everything went belle up. I don't follow a very strict keto, as i tend to have carb substitutes or healthier carbs like shirataki and bulgur. I am doing everything right (and then some) Sadly, i cant get on Ozempic, cos it is not recommended for those who have parents or grandparents with medullary thyroid cancer (MTC) Food intake throughout the day as i measured is about 16- 18 oz on a very hungry day and it is spread across the day. predominantly protein cos those fill me up more and cos i work out quite often i am mostly always hungry but cant eat a lot as i get full easily when i have protein. I guess that is why i am also able to take a lot of water. Dietitan claim water can also be a culprit. At this point i am convinced no one knows anything and just grasping at thin air. So i am reverting back to just having full protein with a hint of carb sparingly. and see if that works. I should prob stick to what has worked for my body rather than..... It would be good to hear from someone who experience similar and know if they found the culprit

So what did your Drs advise you do as far as carbs? Mine says that they don't really limit carbs and that they believe that carbs will give you energy and then you will be more active which will then lead to weight loss. They believe that balance is the key. Looking though through threads and youtube, most of the people seem to be on a low carb diet like keto without the added fat. I do want to be successful but if I could be successful and still eat more carbs I think I would be happier. Carbs are the only thing I am craving but I'm only a month out from surgery and carbs to me seem to be a slippery slope and I'm afraid that if I allow myself to eat carbs then I'll start eating them too much and snacking on crackers or something. Since surgery I have limited myself to 40 or less carbs per day and yesterday I had my one month visit with the dietitian and he said I needed to up my carbs to around 30 per meal. So what did your plan say about carbs and if you were allowed carbs, did you lose weight fast or was is slower? The speed of weight loss I know is individual, but if it seems to be a factor I want to know.

I don't know how best to tell the story properly......so I'll just throw it how there in the sequence of events as they occurred. This is a true story. There were no animals injured in this story. There were no injuries had.....although I thought I was going to have to employ the services of a voodoo priestess to lift a curse on me. I'm a Houston Texans fan. I make no apologies for my fanhood. I love a good defense and Watt & Wilfork are my boys. I've seen Clowney play live in a couple games and was super enthused when he signed onto my Texans roster. Now, though, I'd like to kick him in the ass. If he finally shows up in full form my Texans will destroy any offense. They are currently getting punked out by Arizona. The game is painful to watch at times. I made a pro-move to improve their luck a bit and grabbed one of my Texans hats....the old worn out one. While up.....decided to get something to drink. Getting some Water from the fridge. Hat brim pulled down low........I let out a long deflated and frustrated exhale. What hit me next was was horrid. The smell. The terrible smell. Damn, dude......is your breath that rancid ??? WTF ??? Was this the ketosis breath that everyone talks about ????? How in the hell will I work around this ? The only time of the year that I could possibly get some action will be at a Halloween party and I'll have to wear a Darth Vader mask and respirator. I set my cup down and cupped my hands over my mouth & nose. Inhale..........exhale......inhale.......exhale. Again......again. Hmm. Smelled like Crest toothpaste & coffee. WTF? Turned around and saw my dogs looking up at me. Sitting there with their own WTF? look on their faces. Then the smell hit me again. Looked down and saw a fresh steaming pile of dog crap two feet from where I was standing. Fueled by Blue Buffalo Salmon & Sweet Potato dog food. I've never been so happy to see dog droppings in all my life. No keto breath. All is well........except JJ Watt has ripped his groin. Damnitman. Oh well.......there is always next season. i will be going to Houston to see them play, too !!!!!

Hey, I'm happy for you and sorry for you all in the same breath. Happy that you have no keto and it wasn't you. But I'm sorry that your boys aren't doing so well. I have to admit I had KC for this game. But I hated to see jj leave like he did. I'm the football pool lady in my circle. I run one all season, and now have a square one going for the super bowl.

I did a low carb diet for the first 6-7 months of my journey; that is when I lost most of my weight. I started with less than 30g per day then went to 50g per day as I exercised more. I can't say I was addicted to carbs but they were my go to food; I'd eat bowls of Pasta and bowls of rice, so I opted to cut them out, temporarily. I found a lot of good low carb/keto diet recipes so they really helped keep me sane. Try looking for some and see what you can find. There are thousands out there. Nowadays carbs are the least of my worries My life revolves around calories in vs. calories out and my carb count varies per day. Some days it's at 100g, other days 150g. I am mindful of them but low carb has gone out the window; I feel much better working out when I eat carbs. My weight loss has slowed, but I'm saying that's because I am almost at goal and I don't expect the weight to fall off as rapidly as it did. Also, why are you cutting out Peanut Butter? PB is a perfect protein/fat source when doing a low-carb diet, not sure why you think it can't be eaten. As for ketchup and BBQ sauce, low carb variations do exist, do some Googling and you'll find plenty Hopefully Elfie sees this post; she is the queen of low carbing.

Yes, I am pre-op. The weight I've lost was a result of 2 years strict keto....you probably saw that in my other post. I don't believe there's a set expectation for weight loss. The lady at my surgeon's office said with the meds, they expect me to lose approx. 25lbs which should put my BMI around 38.5. I gained a good 5lbs during the holidays which they're unaware of. I can lose 13.5lbs at this point and be right at a BMI of 40. I just need to get to that appointment and find out what they're wanting me to take. I'm guessing it's phentermine which I highly doubt will effect me since I used to pop Adderall like Skittles. No matter what, I'm going to make sure this surgery happens...

That's exactly how i eat too!! I did keto for a few months just as an experiment to see if it really works and it does, but i love fruit, and everything else you mentioned, and overall i just feel better when i eat the way i was before (even if the weight loss is slower) Plus the idea of cutting out multiple healthy food groups forever seems like i might have deficiency issues later on with certain nutrients.

I disagree with with Dabeyhive and RickM's comments above. Sure, keto isn't for everyone, but it's great for many people. I love the fact that it gives me some firm rules to follow and it happens to fit my eating preferences. First, I don't believe Keto is a fad diet at all. It's been around in various forms since the 1920's and became the basis of the original Atkin's diet in the early 1970's. It works very well both for weight loss and general health benefits. The problem is that some people don't really understand the diet or follow it correctly--and that's where people into problems. Following a proper Keto diet doesn't mean you should be chowing down on cheeseburgers without the bun eating bacon with every meal. While cheeseburgers and bacon are not prohibited on Keto, those aren't recommended either. You should stick to things like organic eggs, lean organic meats and wild caught fatty fish (like sockeye salmon). Stay away from fatty meats, since the fat is bad things the animals consumed are stored. You then add healthy fats to your food, like avocado, MCT oil, extra virgin olive oil, ghee etc. The idea is to "prime the pump", so you body burns off its excess glycogen stores and then converts stored fats into ketones for energy. This is important, especially if you're insulin resistant. For me, I am really happy with Keto and I can definitely stay on keto long term. My surgeon and nutritionist are on board with my keto choices. I just had my blood work done after 2 months on Keto and everything was perfect. I am no longer diabetic (A1C dropped from 6.3 on multiple meds to 5.1 on no meds). My triglycerides dropped to 54 (they were 450 this past summer on meds). My cholesterol is 190, but my good cholestrol is 97 (which is outstanding)--so that's good. Some of these may be from the surgery, but diet and exercise are equally critical. I suggest that you don't do keto on your own, but you do with with the guidance of a doctor or nutritionist that has a lot of knowledge about keto. I personally keep my net carbs down to approximately 20g a day and close to a 1:1 ration of fat to protein. At this point, I am 14 weeks post op (99 days). I am eating between 1200-1600 calories a day. Those calories are made up of 45% protein, 45% fat and 10% carbs. The carbs I am consuming are mostly from vegetables--even green veggies have some carbs. I don't eat any bread, starches, potatoes, sugar etc. I avoid high carb fruit, but I am allowed berries. I avoid processed foods to the greatest extent I can. I also work out daily--at a high intensity (and have been since I had all physical restrictions removed 1 month after surgery). I have lost 70 pounds since my highest weigh in. My pants size has dropped from a 44 to a 32. My body fat has dropped from 28% to 16.5%. Weight loss surgery is only a tool (a good one), but I would say it gives you a head start and helps prepare balance your body's hormones and stomach so people like me (morbidly obese, with a trifecta of co-morbidities) can lose weight like a normal person without insulin resistance/diabetes and other issues that get in the way. Once I had those issues, in check the rest of it was up to me--with keto and serious exercise making the big difference in getting me to where I want to be. I'll let my pictures speak for themselves: The was me on July 4, 2018 (weighing around 255-260) : This is me on the day of Surgery (weight 235): This is me on March 23, 2019 (weighing 190): As a 45 year old man with diabetes etc., no way I could have done this without VSG. However, I really believe Keto and exercise (45 minutes moderate to high intensity cardio 5-6 times a week and 1 hour of high intensity weight training 4-5 times a week) have changed my health and my life. I can't imagine going back to the life I had before surgery, nor could I imagine not living a keto lifestyle at this point.

Congratulations on your success! We are pretty similar — I had my surgery just a week before yours, and I have also lost 100 pounds since my surgery (I lost about 70 pounds before surgery). My initial goal weight was 180 pounds based on average weight loss (this was before I lost the first 70 pounds), but now I’m shooting for 150, although I honestly don’t care all that much about the number on the scale; for me, it’s all about the NSVs. When I stop and think about it, I’m in disbelief that I have lost such a massive amount of weight. I used to see people who have lost 100+ pounds and think it was impossible, and now I’m one of them. i also have the same sense that it doesn’t feel like I’ve lost as much as I have. I am literally half the size I used to be, and of course I can tell that I’m smaller, but I definitely don’t feel like I’m half my old size. I actually like to cook, and I spend a lot of time on Pinterest looking at bariatric-friendly recipes (I find a lot of recipe on keto web sites, even though I don’t exactly follow the keto diet, but a lot of keto recipes are good because they’re low-carb). One of the cool things about being a bariatric patient is that my portion sizes are so small that I get a ton of servings out of a single recipe. I made a batch of turkey meat sauce that came out to 27 portions! I have a freezer full of single-serving meals from just a few cooking sessions. I’ve really enjoyed finding new, healthy recipes that I love, and I hardly even miss the old unhealthy foods I used to eat. I recently discovered that I like spaghetti squash! And I eat cauliflower rice all the time. I hardly recognize myself anymore. Anyway, it’s great to see someone else enjoying great results from WLS. It is truly life-changing!

OK guys!!!! I started Keto 2 weeks ago and would love to have a forum of just Fellow Ketoers!! We can trade recipes, stories, question, concerns etc. Keto stuff is all over the internet...but nothing about doing it after WLS. I use My Fitness Pal to track all food/drink, calories, carbs, fats. I currently stay until 12g carbs per day, 60g protein and 27g fat. I use Ketostix every morning to make sure I stay in Ketosis ( usually a 4) but I don't feel I'm losing quick enough. What is your experience so far with Keto and your daily intake of foods? It's just so hard for me to get in enough calories and protein.

Both my kids are high functioning ASD - I know what you mean! We mostly avoid artificial/processed food, but the pre-op diet was tough. I'd already picked up a few Sucralose products during the insurance mandated diet, but went full chemical sugar free for the last few weeks of super low carb. Man, it was *nasty*. But I've seen the pictures from my surgery and my liver looked FABULOUS, so I'm pretending it helped my liver shrink and am moving on. Like elisa5150, I did use sugar free stuff the first month or so - especially the sugar free popsicles - but also Gelatin, Protein powder, and some protein hot chocolate. Now, I use flavored stevia drops for kefir or yogurt (yay live cultures!) and a little xylitol (a sugar alcohol) in my tea. Some of Protein shakes (Orgain) have stevia and erythritol (another sugar alcohol) or monkfruit and inulin (Jamie Eason Lean Body for Her). Personally, I do really well with xylitol and okay with erythritol (though their "naturalness" is highly debatable). And while current research increasingly makes it look like sucralose and other traditional artificial sweeteners are really messing with gut health, there doesn't seem to be any evidence that stevia, monkfruit, xylitol, or erythritol have much effect one way or the other. There are natural(-ish) protein powders out there - as long as you can keep the carbs and protein where they're supposed to be. (My NUT recommended youbars - they make custom Protein Bars with options for natural sweeteners.) We love grass fed butter and cheese, though I'm sticking with olive oil and coconut oil for now. I do have a tub of natural coconut oil based vegan butter spread I use every once in a while, but I wouldn't give up grass fed dairy for margarine if I had a choice. Mostly, though, my new stomach prefers savory moderate to low fat food, so I try to work with that as much as I can. When I was still eating dairy, I discovered I could mix herbs (Penzey's Fox Point seasoning) into low fat Greek yogurt and use it as a dip. Still got my protein, but didn't have to sweeten it. Which is probably for the best. I don't think living on artificially sweet or fatty things is necessarily better than living on real sweet or fatty things. So, good fats when we eat them - grass fed beef; pastured eggs; olive & coconut oil - and all in reasonable amount. If a dish is too fatty, I can't eat enough to meet my protein goal. Sort of a self limiting problem, so I don't see the need to drag margarine into it. As for sweets... research just keeps making it look like artificial sweeteners wreck your gut and make you crave more sweets. Which kind of makes sense since some "bad" gut bacteria has been tied to increased sugar consumption/desire for sugar. And sweets have gotten me into a lot of trouble in general, so I feel like this is the time to develop better habits. Thank heavens I did full on high fat/low carb Keto before surgery - I rarely had sweet things anyway and it still kicked my butt! But it really did kick the sugar cravings and I am so glad I didn't have to deal with that post surgery! It's made it way easier to explore healthy options that don't involve so many chemicals. Now to try and get back on my gut health protocol and try and get my kids onboard. Wow - sorry this is so meandering - it's the middle of the night and we have a small herd of cousins over for the first Christmas break sleepover. Brain. Fried. Let me know if you need product ideas - I feel like I've researched them all . Sent from my iPad using the BariatricPal App

I'm 7 months out and have been doing well I've lost 100lbs. The other dau I went to blaze pizza and got a keto crust pizza with no sugar sauce and smoked ham with a few veggies. Ate 1 slice (I've done this several times before) the next day yesterday at lunch i ate 1 slice then some watermelon of which I've had before. 2 hours later AT WORK my hands started to shake and my heart rate went to over 100 I felt so weak almost faint I was able to get home and I fell into the bed TERRIFIED. I never had pain, nausea, or loose stool. I laid there in a stupor for about 2or3 hours and it went away. Okay family. WTF was that? Was it the watermelon juice pushing the food thru to fast? What? Please put your thinking caps on because now I have ALL food anxiety!

First off, let me say that you should always listen to your doctor and nutritionist...rather than crazy people on the internet, myself included. But here's my rant today. And for what it's worth....this is just MY feelings on this nonsense. I'm no expert. Ya'll need to eat. Not overeat. But also NOT UNDER-EAT. Eat healthy food you enjoy. I know how it happens. Your weight loss gets sluggish and stuck and you think OMG, this isn't working, I'm Failing at this! You start to panic. And what does a lifelong self-destructive dieter DO when they start to panic? They go exteme. They go...ok, my doctor said it was ok to eat this much.....so I'm gonna try to eat HALF of that to speed up my weight loss! I'm going to work harder than anyone! I'm going to eat less! I'm going to force this weight off of my body...because this is my last chance and I'm freaking out and I can't fail at this, so I NEED to do better and cut back! Only, here's the thing. You don't need to cut back. You need to stay the course, nourish your healing body, have good energy to boost your metabolism and lose weight sensibly. Why do people do VLCDs? (very low calorie diets....1000 or less calories a day)....they do them because they show results in a hurry. And there is nothing people like better than a lower number on the scale...regardless of how they're achieving it. Or how harmfully they are achieving it. When you eat less than 1000 calories a day, did you know you lose more muscle than fat...even if you are eating tons of protien grams? When you lose muscle, you slow your metabolism, endanger your organs that have muscle (heart anyone?), and decrease your bone density. None of this is a good idea. And when you're eating starvation level calories, your body tries like hell to keep you from dying....by, you guessed it, slowing your metabolism even further. And the carb thing...can we talk about that a minute? You DO want to avoid carbs that are metabolized to sugar really fast, like sugary foods and refined white flour items because they can cause your pancrease to over-react and send too much insulin and you'll end up with rebound hunger....but other carbs, particularly ones that have good fiber content to slow the sugar can also have good protien content...and they don't do the rebound hunger thing. They give you great available energy. Why do we lose so much weight so rapidly when we do keto? We don't really....but the first five pounds is so quick and shocking that it MUST work! (except you're not losing fat, you're losing the water that your liver stores extra glucose in.....and you've stripped your liver of its emergency reserve of energy. And yeah...you can make the sugar you need from other things through gluconeogenesis....but it takes amino acids that your body is typically harvesting from your muscles.) Don't do that thing where you lose the five pounds eating keto....then eat a few carbs and go OMG, look at the weight I've gained!....and go keto again and lose the same five pounds of water. It's an illusion. (Not saying keto people can't lose weight...they do lose weight fast...but they also have about five pounds in lost water from glucose storage, no emergency stores, and their bodies may be consuming their muscles) Food for thought (literally!) Guess what organ runs exclusively on sugar? Pure glucose. Your brain. Your brain burns over 300 calories of glucose every day. At just 2% of our body weight....our brains burn about 20% of the calories we use each day! The CPU needs fuel. Lots of people lose weight rapidly with Very Low Calorie Diets after bariatric surgery. They have these amazing results that other people notice and are in awe of. They lose to goal eating very little and feel very accomplished about their self discipline and their amazing fast results. And then guess what happens? At goal...they are still people who have never learned how to eat sustainably for life. All they know is starvation and self deprivation. And starvation doesn't work long term. Please learn to eat sustainable amounts of calories. Do it early so you don't fudge your metabolism into starvation level calorie requirements. One of the best ways to have a robust metabolism...is to do exercise every day. It doesn't have to be the gym or something you find tedious. Do things you enjoy....but keep moving. It's hard to build your robust metabolism.....when you're too tired to do anything but go to work and go to bed...because you're starving yourself. Please eat. Don't overeat. But eat. Learn to eat right, not starve. Starving is not the cure and in many cases sets the stage for significant regain. Do it right, even it it's slower than other people. Do it sustainably. Learn to coexist with food, not avoid it. (easier said than done) Don't get discouraged by small losses. Just keep losing to goal with small sensible tweeks. You don't have to suffer extremes to have success. Learning to control your diet moderately...is the best skill to have when facing a lifetime of sustaining a significant weight loss. This end my rant. Totally ok if you think I'm nuts/wrong/whatever. Take what you like and leave the rest. Peace and best wishes to everyone on this crazy road.

I have a lapband, but I understand your pain. I want to tell you, failing to lose has many causes--I know, I lived on less than 1000 calories a day for years and never lost an ounce. My lapband didn't help me lose much and my first doctor wouldn't give me a fill. So I found another who did. I am practically wheelchair bound (can only hobble around the house). So I started to lose--slowly. the big help was I didn't regain what I lost. One thing I've never heard a doctor explain to me is that excessive hunger can be giving you a message. So many diets I went on ended with me lying in bed, weak and starving within weeks. What I didn't realize was that my body was telling me those diets weren't nutritionally what I needed. I've tried low fat-high fiber, low calorie, vegetarian, all raw salads, lot's of nuts, praying the weight away, self-hypnosis, bodybuilding, lots of exercise...you get the idea. All of them failed because I wasn't listening to my body. When I got so hungry I would eat nails if there was ketchup to put on them, my body was telling me I was on the wrong diet. This isn't a normal,"Gee, that looks tasty." But was more like a weak pathetic cry from my bed that I was dying and had to eat. I kept experimenting and discovered a ketogenic diet helped, but I gained everything back quickly. As I worked with the keto diet, I learned I wasn't drinking enough water, and I wasn't sleeping enough. But the high protein with lots of greens was definitely a better choice than the others. Then I got the lapband, and the slow weight loss with no restriction was discouraging. But it was a tool. And once I got restriction, I used that tool. I mostly stayed on the ketogenic diet. Lots of protein was just a necessity for me. The fat I ate made the diet more enjoyable. The lapband made me eat small bites, or I spent days puking. If I got sick, I had to reduce what I ate because sickness caused my stomach to swell, and I puked. Over the last ten years I've lived on the ketogenic diet, except for two years when I lost control, (I gained 50 pounds and found I had cancer. I believe the sugar cravings after being in control so long were a result of the cancer.) Back in control, and the 50 pounds went away. I've managed to lose 160 pounds. Not a large amount, and I still have over 100 pounds to go. But I am happy not to be the woman I was. I don't know if the ketogenic diet will help you, but I'm sharing my experience to show you have to experiment to find the right diet. And you have to sleep enough to lose weight. So, get the junk out of your house--the chips, crackers, cake mixes, candy, soda, snack food, juices (fruit juice is just liquid sugar water with a few minerals, eat whole fruit instead), and the alcohol (You can go back to 1 drink a day after you've lost weight). And start the eating pattern you feel best on. Just practice eating a healthy diet for a bit. Don't eat much at a time and keep any easy to snack on food (like grapes or nuts) in the refrigerator. Then start working your tool. go longer between small meals, see what happens when you delete starches, or what foods change how you feel. I had to stop vegetarian because beans make me uncontrollably hungry(love those beans, yumm, yumm). Your body is unique, and just because you haven't found what works for you doesn't mean you're a failure. It just means you haven't found the balance of diet, sleep and exercise that works for you. The important thing is NEVER GIVE UP. After 10 years with the band, I'm revising to a sleeve this spring. I love my band, but there is evidence it doesn't do well after 10 years or so. I feel I will do even better on the sleeve.

Most NUT and Dietitians just use the food pyramid and they don't think outside the box they are useless. I incorporate some paleo principals in how I eat, but mainly I eat Keto. I try to eat organic most of the time. Premier Protein is full of chemicals, but it is the highest protein, lowest carb ready made shake you can find. Post op, the first few weeks, you might want to use it. I live alone and I didn't have anyone around to help me with things. It was nice to just be able to grab a ready made shake that required no effort. Also since it has so much protein, it makes it easy to meet your base protein each day, which is really hard in the beginning because you can ingest so little at once. Also most mix shakes get thicker when you mix them, especially with a shaker. With a normal stomach that is nice, because you feel full. It is terrible with a tiny healing stomach. They are just a tool to get you where you want to be, using them for a few weeks won't hurt, you but not meeting your protein goals will.

I'm sure it is different for everyone, but I eat protein first, then veggies. I don't deny myself any type of food. I eat a slice of pizza if I want it but I make sure it has lots of protein on it (cheese, meat, then a few veggies). I usually only eat 1 slice but it is enough to curb my appetite. There are also several Keto recipes (chicken or cauliflower crust) that are actually great alternatives. I also eat Keto protein waffles or pancakes if I feel a weekend splurge creeping up. On days that I feel I am not managing my protein as well I have some protein gel shots that have 20g of pure protein. I mix it with 1 ounce of water but you can do just the gel if you like the intense flavor. I also try to hit 45-60 g of protein per day.

I don't do a lot of sugar free stuff. I can't remember the last time I did, actually. I eat a decent amount of vegetables and almost no fruit except a bite or two from a platter now and then. I even went off keto and upped my whole grains a bit to see if it helped to bulk up on carby fiber. No luck. Still just what my kid calls "butt water." Haha

worry is completely natural. talk to the doctor openly and honestly about your concerns, issues and fears. A good surgeon should have answers and make you more comfortable with your decision. You CAN do this. You CAN improve your life and have a new and exciting chapter. message me anytime make a list of what you want from life. see how many of them surgery will help you achieve. The liver shrinking diet that i was given is not as bad as I thought (Dr plans vary!) and am already doing it without an exact surgery date. I am not on liquids but low carb (keto) which is doable for the short term. come here for support, ask questions or release your fears. we want tos we you live your best life!

I have also gained part of my weight back. I have gone keto for normal people and the admin wanted me to consume over 1249 calories. I couldn't. I went to bariatric keto and it was more reasonable. Now the difficulty is getting back on track and cutting all the crap out. My family keep bringing it back in the house and I get angry and eat it. My bad. So now i need to pull myself back to basics. Tomorrow is my start date.

I think having any expectation around weight loss is difficult. It’s really going to depend on: - how long ago your surgery was (it’s faster right after, it definitely slows down after 6 months - age/height/gender (never ever compare yourself to a 20 something male!!) - current weight (if your BMI is very high, you can reasonably expect a higher loss) - activity levels and exercise - your diet (how closely are you following it? What are your calories/macros? Some plans target faster weight loss, eg keto, some aim for you to lose slow and steady. - other factors, eg your hormones, gut microbiome). Even then, there will be fluctuations. Some months you will lose more and some less. This is a long road for some of us. And you will stall, and then suddenly you will drop a few rounds really quickly. And it will be annoying. My advice is to be patient and honest with yourself. If it is weight loss is slow, assess how you can improve without beating yourself up!