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Here is all the topics on KETO that people have posted on this site. I have not seen a Bypass or bariatric specific keto forum. https://www.bariatricpal.com/search/?q=keto Im not sure if you use a food log. Myfitnesspal has many keto specific forums and support.

Interesting. I never heard of keto rash before. Is it common? The mouth funk is definitely ketosis though, I noticed it after 2 days, and unless you are guzzling apple juice for your liquids you are probably in it without trying because your carbs will naturally be so low at this point. The strips aren't too expensive and can be found in any pharmacy or online.

I have been getting a small rash on my neck. It seems to go away and then comes back. I plan on asking the Dr. about it but it started around the same time that he had me start back on the blood thinners while i am home.. (I have 9 more days of that). Now yall have me wondering. I am not sure what keto rash is, but if whatever this rash is that keeps appearing and disappearing has nothing to do with the blood thinners, i will be ok with that LOL.

Welcome to the forum, You have done great. 9 pounds is easier to lose than 50, 60, 100+lbs. You are not alone; I had a gain my third year and worked it down. Many of us go back to bariatric real food stage diet. (log food, hydrate, and exercise/activity) Some things to try: Choose a food plan that works for you. Bariatric diet, keto, paleo, low carb, whole 30, vegan, intermittent fasting. whatever you choose, log your food in Myfitnesspal or baritastic . Weight loss calories are not a one size fits all. Once you know your current calories by using myfitnespal, You can lower the calories (or raise them) to see where your body loses weight. Get temptations out of the house I’m a sleeve. Years out, my surgery restriction is less. I can consume more food volume. I found ways to fill the extra space without going over my calories Sugars and extra carbs cause craving and hunger. Detox off them Keep healthy options for sweet and salty cravings on hand. Join the Sept weight loss challenge for motivation. https://www.bariatricpal.com/topic/427650-💜-sep-2019-challenge-💜/?tab=comments#comment-4808981

Ever heard of Keto!? That’s what I did and it helped me loose all my pre op weight! Some of my family and friends even tried it with similar success stories

I like xylitol in my black tea - just a little sweet and it doesn't make me crave sweets all day. My husband went hardcore keto when I had surgery and giving up his honey was tough - he used my xylitol for a week or two and then discovered pastured cream. He tried new (stronger) teas until he found a combo he likes and doesn't use any sweetener at all any more. The fat seems to help him with carb cravings, too. He's lost about as much weight as I have, btw. Sent from my iPad using the BariatricPal App

Keto is amazing, after surgery I kept at Keto for a long time, issue with it is you have to be SUPER aware of your body and how sensitive you are to carbs. One slip up and you could slip down a slippery slope (which kinda happened to me over the Holidays just now!!) The key is tapering yourself to a comfort zone where you can tolerate little carbs. Most of the problems people complain about keto is, it's amazing to lose a LOT of weight and fast, issue is maintenance. Most people can't sustain a full fat and Protein diet forever, you will eventually want and need carbs and there in lies the problem. However, every human's body is different!

Do you mean 800 calories? This website has a handy calculator that you can customize to figure out where you can set at: https://www.ruled.me/keto-calculator/

I'm not sure the "meeting your deductible or Out of Pocket" expense is part of the actual approval process or its criteria. I started in May 2017 and had to go through the blood panels, exercise evaluation, colonoscopy, psych eval, several consults with a Nutritionist, and get a letter of recommendation from my PCP, two sleep studies for apnea and of course meeting with the surgeon several times. This actually took about six months. I did the sleep study early on because I knew I had severe apnea and needed to be on a BiPap machine for at least 30 days prior to being submitted for approval. On the 3rd and last pre op visit with the doc he told me to lose 10-15 pounds then sent me to his affiliated Nutritionist who set me up with a Keto diet. I failed that because although I was in ketosis many times, I still ate too many calories. I decided to go on the Bariatric Fusion website Liver Reduction Diet. It sucked but I ended up being OK with shakes and homemade chicken stock. I lost 13.5 pounds and at my next doc visit he submitted me to my insurance and I literally was approved within 72 hours. I am in California with Anthem Blue Cross. It's end of year and my OOP will happen to be less than $500. I know it's not what you want to hear but what I'm learning here is if you're self pay, almost anything goes. If you're insured (and their rules vary wildly) we have to be patient and abide by what they tell us to be approved. I've actually taken this time to "try" to reprogram my stubborn mindset into learning another way of thinking about food and my eating habits. This site is an amazing resource and I think the most important take away is that I need to realize my life will forever be changed the moment I come out of the recovery room and I truly need to be committed to a healthier lifestyle. I'm 53 and it's my time. Watch out [emoji8][emoji8][emoji8][emoji8]

I can't help you with your questions, but I just wanted to let you know I'm on the same journey. I was sleeved in 2017, lost 100lbs and have since gained back more than half of that. After reading the forums and consulting with some surgeons, I'll be having a revision to bypass in early March. I'm hoping that that, plus following some version of a low-carb/keto/paleo type diet, that I'll be able to keep the weight permanently off.

I'm trying HFLC (Atkins/ Keto) to see what happens. I'm only 10 weeks out so maybe I shouldn't be doing that, but I was already pretty much doing it anyway, except for the high fats. I just want to make sure that I stay in ketosis and stay away from non-vegetable carbs because starchy foods have always been hard for me to eat in moderation. Today I had 660 calories/ 11 net carbs/ 32 grams of fat/ 73 grams of protein. I've been eating up to 1,100 calories most days, though. I lost 2.5 pounds in week one. I weigh again in the morning. Fingers crossed!

The Keto fried chicken sounds like a MAJOR game-changer!!! I am SOOOOOOO going to try that! It's freakin brilliant!!

Thank you. I have had success before on Keto but I wasn’t sure yet if you could do Keto post op with a sleeve or bypass.

Here is a good explanation of the early (three or third week typically) stall: https://www.dsfacts.com/weight-loss-stall-or-plateau.php The term "NUT" is a derogatory term, though many on the forums may not appreciate it, derived from the fact that many on the forums find that their RDs or nutritionists aren't prescribing the latest fad diet that can be found on the internet, so they refer to them as being "nuts" for being so "ignorant" about nutrition ("everybody" "knows" that you gotta do Atkins/Paleo/Keto or whatever is hot today, to lose weight.....) Fundamentally, this initial stall is primarily part of your body adapting to the large caloric deficit that you are imposing upon it, and has little, if anything, to do with what dietary stage you are on - liquids, mushes, softs, etc. as even those of us who started out on soft foods experience it. Also, it would not be unexpected for your loss rate to slow some once things pick up again, as once you get through this initial phase of depleting your glycogen reserves and actually start burning that stored fat, things shift a bit as glycogen (stored carbs, basically) burn faster than fats - approximately 2000 calories per pound for glycogen vs. 3500 calories per pound for fats, so you will be burning more calories to lose a pound from now on. I never had a notable stall at this point, but there was a distinct dogleg in my loss curve at right about three weeks.

I had my gastric sleeve done in October ‘16. On the day of my surgery I was 207 lbs and by July ‘17 I was 144. I loved that weight. Initially after surgery I had no hunger. I could barely consume 200 calories a day for the first 4 months. For a long time after that, I struggled to get to 800 calories. My surgeon wanted me to increase my caloric intake bc I wasn’t eating enough. And honestly I really didn’t want to eat solids. Fast forward to Spring ‘18. I was ravenous. Still am. I’m hungry all the time. I’ve had some regain. Currently I’m 160, and I’m 5’1”. Not exactly obese but not as lean as I used to be. Based on my physiological composition 135 is ideal. This took a long time for me to accept as according to the BMI chart for someone my height, my weight should be between 97- 132 lbs. 133 lbs was my goal, but I would be happy to be back at 144lbs. Any advice? What can I do to stop the hunger pangs? I’ve begun keto, but have found the dairy keeps me looking and feeling bloated. Atkins? And can we eat as much as we want until we feel full? Or do we still have to adhere to small servings like during post-op stage 4? Also, I feel so guilty I can now eat a lot more than during my first year post-op, I feel like I don’t have the restriction, and I’m scared to come to terms with this. I definitely don’t serve myself the way I did pre-op, but I’m guessing that’s just bc I’m in fear of gaining more weight. Could I have stretched out my sleeve? Any feedback from this amazing community would be so useful! Thanks everybody :)

I made some creamy based soups with cauliflower, canned chicken, cheddar cheese, and broccoli and added protein powder and then popped it all in the blender. The blender takes care of the clumping, and it's pretty tasty. I add a little extra cream for fat, but I follow a keto diet. You could omit the cream and still have a nice protein packed, "sippable" soup with less fat. Now that I'm not in pureed foods anymore, I don't blend the entire thing, just the cauli, cream, protein, and cheese, and I just add steamed broccoli and chicken.

You are doing the right thing by taking back control. Reread the information and advise you were given at surgery. Check your water intake, are you drinking enough? Be mindful of what you are eating, time, amounts and snacks. Eat tasty salads and soups for your veggies and eat your protein first. youve got this, be kind to yourself. you may also want to check in with a nutritionist, Keto/Atkins ect aren’t always good for everyone

Hi everyone! I had sleeve surgery in May 2013. Initially I lost about 140lbs, but then about a year and half post op I got pregnant. I gained some weight during and after pregnancy, and then lost some weight as well, and now I'm having a complication of some esophageal issues where I'm not able to swallow correctly. I have an appointment with a really great surgeon at an exceptional hospital in the Chicago area. I will have my first visit with them in April. I was hospitalized in January for Fluid build up and severe infection of my right lung. This was caused by aspirating food and fluid due to my esophageal problem. They did an esophogram and upper GI while I was in the hospital, and the gastroenterologist who was treating me in the hospital informed me that my sleeve had stretched, my stomach was nearly the size of a normal stomach. Additionally, the lower part of my esophagus where it connects to the stomach is dilated, as if my lower esophagus has been acting as a food pouch for quite some time. I was really shocked by this, as I had no issues post op from my sleeve and only stopped losing weight when I became pregnant, which I figured was to be expected. But since I had my baby in May 2015, I have struggled to lose anything. I was doing a keto diet at the end of last year and that was working, until I got sick in January. Now that my esophageal issues have been diagnosed, I have trouble eating anything solid. My weight has maintained since I was admitted in January but I haven't had any significant loss since then. Long story short, my primary focus is to get my esophagus issues figured out and fixed, but they referred me to two different docs - one that specializes in swallowing disorders, and the other is a GI/bariatric surgeon to address my stretched pouch. Since I'll likely need surgery to fix my esophagus, it would make sense to do any revision to my sleeve at the same time. I feel like I have 2 options (maybe 3) to discuss with regard to fixing the sleeve. Either re-sleeve, DS, or revise to gastric bypass. I should note that my highest weight was around 460, so even when I was at my lowest weight before getting pregnant, I was still at 306ish. I'm currently around 340-345 putting my BMI around 48. When I first started thinking of going the surgical route for WLS, something about the gastric bypass didn't appeal to me. So now I am struggling with if I should re-sleeve or go for the DS. I'm thinking since I still have so much to lose, the DS might be a better choice, but I honestly don't know enough about it to make a decision. I've read the limited info I could find about DS, I realize it's not a particularly popular surgical choice, but I want to hear from people who've had it, possibly people who had it after having a sleeve. I'd love to hear your stories and thoughts on the DS!

My 17 year old daughter also has IIH. She notices her symotoms subside when she loses a few pounds, and come back when she gains. She is 5'5 and around 195lbs. She hasn't had surgery. I'd recommend talking with your surgeon about going on a ketogenic diet while waiting for the surgery. As long as you are losing weight you are headed in the right direction to save your vision. A keto diet will have you eating about 60g of protein and 20g of net carbs a day. Plenty of fat. Lots of meat and green veggies. You can start this TODAY as long as you aren't diabetic or have other health issues (like problems with low blood sugar or the like). With your vision on the line, I'm sure you are willing to do whatever it takes. Liquid diets also knock the pounds off quickly too. And don't worry about messing up your metabolism before surgery. Surgery will reset everything. Good luck!

I think it really all boils down to your goals and your personal mindset. For me, I have been overweight or obese (mostly obese) all of my life. I have been on dozens of diets over the years, and had temporary success (even weighing under 200 pounds for about a year when I was 21-22), only to re-gain and be miserable again eventually. Finally, I got to almost 400 pounds. Everything on me was starting to become dangerous (blood sugar, A1C, cholesterol, etc., etc., etc.). I was having trouble navigating at the airport (I travel a lot for my work); I couldn't pee without dribbling on myself because of all of the fat; I had no energy and no sex drive. There's more, but you get the picture. At that moment of harsh reality, I finally decided that food and drink wasn't worth all of that misery -- food is just food, not a way of life. And 15 months later (6 months pre-op diet program plus 9 months post-op), I weigh under 200 pounds, my labs are perfect, my health is secured, I feel like a normal person, and I look great. I am going to continue to embrace a keto way of eating long-term because I refuse to gain weight back. Being this size is more important to me than any food or drink. The early days post-op suck. There is no way around it. And things do get better pretty quickly. But it will never be the same as it was before. And, for me, that is a good thing. But you have to decide for yourself what is the most important to you and then design your life around that. It looks like you have had success with your band. And I'm sure you will have success with the sleeve as well. I wish you the best as you continue your journey.

I have followed a keto diet since six months before my surgery. My cholesterol finally fell into the normal range at my 1 year post-op appointment. It takes some time occasionally...

115 pounds lost is phenomenal. How did you do it? Did you have to adopt a different strategy for the last few pound The last pounds can be painfully slow. We have less body fat to burn. No different diet or strategy . Reaching a lower BMI was not important to me. Its just where I ended up. I wish there was less emphasis on BMI. The goal to me is healthy. You said “The final pounds of weight loss are difficult and - because of the type severe restriction to get there - are not often sustainable” I agree that severe restriction is not sustainable. I did not use severe restriction to get to my BMI. I used bariatic basics and the calories/macros that kept my body in weight loss mode. Many do Bariatric basics, Keto, intermittent fasting, whole 30. Vegan paleo Etc. These are weight loss phase diets. You said "Ketogenic diets are not really recommended long-term for bariatric patients" Maintenance phase diet is a totally different long-term food plan.(ask your office for your plan) My instructions add calories, carbs, and fats to slow/stop weight loss. It’s been sustainable for me at five years out. You said " There's a risk that if I go back to a diet with 'forbidden foods', I may start thinking about it too much again (which - for me - would be counter-productive). You may want to work with a counselor to address this issue. Restricting and thinking about food too much is counter productive. I hope you find your own balance with all this. None of this is easy, right?

I have since about 6 months post-op. I eat more stuff that is not strict Keto, but low carb a couple days a week, but on a daily basis, I am Keto. I low carbed for about 6 years before surgery to control my diabetes without insulin, so this isn't a new thing to me. I don't really associate with a post-op surgery life, but with being healthy and my body running at optimal levels. Combining Keto with WLS though, is so easy and delicious it seems like cheating If I followed a normal bariatric post-op diet. I am pretty sure I would have bottomed out in the 240-250 range. Just make sure you don't follow it blindly. Use a calculator to set your Macros and weight/measure all your food and track it.

I'm doing keto as soon as I can eat again.

yes! i LOVE keto! also an easy way to explain your diet without detailing your surgery