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Dropping into ketogenesis you will go through a “keto flu” which is different for everyone, but sweats, nausea, body aches/muscle aches, fatigue and headache are common for those. It often hits between day 3-7, but everyone is different. Salt here helps. Dig out your electrolyte drinks, your salty broth, etc. with the coffee drinking you’re just adding insult to injury, losing a lot of water that way. Though withdrawal is a jerk.

I’m 3 months post gastric sleeve and I haven’t loss much weight. No I’m not very active but I changed my eating habits 100% I stopped eating meat, added more vegetables, fruit, and water to my diet. I don’t eat much anyway. Why am I not getting smaller? I don’t drink soda/juice, eat candy or chips or even pasta! I changed the way I ate but it doesn’t seem to show any difference

I differ from what SpartanMaker says, I wouldn't try any more of the options that are out there. Obviously you first need to recognize that obesity is a disease and it never goes away. You tried to starve yourself to death and the body will automatically save every morsel you put into your body and store it as fat, especially on a 300 calorie diet. Increasing the calories is not necessarily the fix either, you need to look at the foods you are eating. Is it protein heavy or are you still eating salads, which are carbs by the way? Are you thinking that a baked potato is a veggie, it is not it is a carbohydrate, then add all the stuff you put on the potato. Diet wise, you may be choosing the wrong foods. And certainly the amount. You passed out probably because your glucose levels went into the basement with such a low calorie intake. I agree with SpartanMaker, and seek out a Bariatric center that has a whole host of options. Surgery is a tool that the obese person uses and it is a life long commitment to make lifestyle changes. You may need to see a therapist and nutrition expert both to help you, and maybe they have other options other than going straight to surgery, but for certain I feel you need better education on what is an appropriate "diet", and not all "diets" are really diets but ways to spend more money that is just wasted. You obviously have the willpower and stamina to take hold of a new life, it won't hurt to inquire. I would also urge you to watch some of the YouTube videos from BariNation, they have Podcasts with bariatric physicians and other healthcare providers every week and most recently there was discussion about Obesity being a disease and using something other than weight or BMI (Body Mass Index) to determine if someone is obese. My plan has always been to go the cautious or conservative route first. In my case I jumped right in and happy for it. I had an excellent surgeon and team that all worked together to ensure I had a good experience and did. Never had any pain with my surgery, and have had good results so far and today is Post op week 3, day 1. I wish you the best in your journey to seek out further information and a good bariatric group!!

11th Jan, Last day of eating meat on Pre Op. Salad with Grilled chicken breast, Avo and a few olives. Next 3 days are 3 shakes/veggie soup and free grazing on low carb veggies only. Day before surgery I will do just the shakes.

Yes I'll do it! Send me what you think will help me build some muscle! Ty! And I had a Dexa Scan. At at nutritionist office. But stood and held handles with like cords attaching to the bottom? While it scanned.. ? She definitely called it a Dexa Scan but doesn't sound like what you described. This was way before surgery for me. Thanks for all the info! By the way I am SURE genetics has a lot to do with it for me. Nearly none of us are muscular at all. They aren't all like me, heavy since 3 yrs old, but some of my cousins have had surgery. Even if it's genetic, I am determined to be as healthy as I can while I age.

It wasn’t too hard. My appetite wasn’t 100% gone like with the sleeve but given that I was already on the low-carb for a couple weeks before and the changes it made it was quite a bit easier to stick to it. In fact, it was night and day. The surgery was so much better for me. It actually made metabolic changes that got me up and exercising and that made me feel good. I was eating 100% clean for four months. Then I had some other medical issues that have sort of just put me in the stall mode but I am going to get back to it. I’m actually not allowed to eat like I was eating. I have to maintain my weight because I am in chemo, but I’m still exercising through chemo and before surgery, I was like 100% sedentary so the surgery definitely made some changes, not just to the stomach or the intestines, but to my metabolism to make me start up my exercise again, multiple times when I’ve had to stop because I was in the hospital for 10 days with pneumonia and then I had to stop because of different scans that they didn’t allow me to exercise for a couple of days and then I had to stop because I developed hyperthyroid, and my pulse was dangerously high for a couple weeks and every time I have started up again with my exercise so it’s kind of insane because without the surgery there’s no way I could’ve done that. I really hope it’s the same for you. I mean minus the chemo, of course, but that it changes your metabolism and that it works for you for me I could tell from very early out that it was gonna work this time. I lost 75 pounds and the first four months and I was so motivated that I kept exercising and eating clean through my first month after a cancer diagnosis going to all of the doctors and PET scans and all of that stuff even traveling all around the state I still stayed on my plan. Then with chemo, they didn’t want me staying at a calorie deficit so that threw things off a little bit but I have maintained the 90 pound loss and tomorrow is actually my last chemo treatment so hopefully I will be allowed to start losing again, but we’ll see. According to my bariatric team I need to continue eating enough for radiation, but I’m gonna see what the radiation doctor says. Anyways, I’m not talking about the cancer thing for any reason other than to say there’s no way I could’ve maintained any kind of loss before the surgery because I would’ve been eating for comfort. For a situation like this and definitely used it as an excuse to not exercise. And I have had a couple of days where I’ve eaten for comfort and I’ve used it for an excuse to not exercise, but unlike before when that meant everything was out the window for good I’ve gotten right back on track. Best of luck to you. For me it has been a life changer.

Twelve days to go for me now... How are you all doing with your diets? I had to do mine for four weeks total.

I am the same. I did count a few times a week during weight loss phase, and for a whole month when I stabilized at 9.5 months out but then I ditched it. I know roughly how much I eat, and I do random checks too. When I was at my fittest I never tracked calories and that worked for me through adulthood and motherhood. I do however, weigh myself at least a couple of times a week, something I never did even while being in shape. What gets measures gets managed. Not gonna lie, the first few months are a mental challenge, while I rapidly lost weight, I was always anxious that I would stall/stop losing/gain weight. I was always worried and on edge. I know it's easier said than done, but your body will do its thing, stick to your plan and try to trust the process. I would also say that it will not always be like that. After I stabilized, I tested my body, I ate more/ate things I didn't for a while and saw if that changed anything. With time and through trial, I am much more relaxed now and my mind is at ease. That is not to say that I let go, not at all. I eat well, I workout daily but I am much more relaxed when it comes to the flexibility I allow myself. I understand my body much better and I trust myself to make the right choices with what I'm given. Another advise is, try to stick to your plan as much as possible until you've stabilized, maximize on the honeymoon phase where pounds melt off and it's easy. There will always be time to have a little bit of the things you can't now. If you haven't yet, try to find an activity you enjoy, walking, jogging, pilates, yoga, swimming, cycling ...etc. whatever it is that you can and enjoy doing, it makes all the difference. Also, freeing your mind of anxiety is the biggest gift you can give yourself. Good luck 💓

They have microwaveable heating pads that help with pain and normal ones which are a bit more cumbersome. Midol has ibuprofen an nsaid and pamperin has aspirin with Tylenol. You can always go hit the herbal tea isle for raspberry tea and pump up the antioxidants with berries and leafy greens. Don’t forget the omega 3/6 etc reductions in inflammation. Living without advil is stressful just thinking about it :/. We all are or will be In the same boat….

Something else I do is bring tuna or salmon handi-packs to lunch with a plastic fork and eat that right out of the package, and a piece of fruit. There are so many options of those handi-packages too. I have also done the 3 compartment lunch boxes with a protein, a fruit and a veggie to give me variety, you can stuff those boxes in your lunch box and have them always available for you in the refrigerator. Those boxes were a life saver for me, I just do my meal prep during the weekends or when I am off. Have a great day.

I have an appointment with my seurgeon in about 3 days time so will talk to him about it and see if this is something he has seen before.

Have you tried the unflavored powder you mix into things. I will have my surgery in a week and have allergies already the powder is easer for me to mix into things even the water if I can not stomach the flavored shakes. I like the Isopure Zero Carb 100% Pure Whey Isolate Protein Powder, Lactose Free, Gluten Free, With Vitamins, Unflavored.

I am on day two, and I was so hungry last night i ended up having 2 extra string cheese before bed, I feel bad because I did so good on day 1, but before bed i was starving. Today I am making use of my "free foods" and am going to try adding some broth, and sugar free jello as well as some extra free veggies. I had a headache yesterday but today none, I also did a modified diet for one week before my pre op started, 3 shakes during the day and then a regular meal for dinner.- my surgeon didn't mention not having the surgery if the liver was still too big but I definitely don't want to take the chance.

Thanks to the replies I received, I spoke with my Dr this morning who has referred me back to my puree stage for 2 weeks which he says should take care of the situation I'm having

I'm a London, UK based NHS patient. I've only just found your post, but I've added some hopefully helpful waffle to your original post. I don't have experience of Portsmouth hospitals (only their seaside touristy spots) but in general, I've had only good experiences with the NHS treatment I got. The psychologist visit is usually just a formality because I don't think a ten minute phone call is a really good gauge of someone's preparedness for a life altering surgery. If they NHS has already gotten you past the referral stage, I would imagine, you'll just need to wait until they can find a surgery slot. I was approved in July of 2024 and told that "unless the moons and planets all align, you will likely get your surgery Spring 2025" I guess the moons aligned because two weeks later, they called to tell me it was time to start the 12 week milk pre-op diet and I was scheduled for October 2024. You will probably not have a 12 week pre-op diet. I was told this was a test group trial for University College London Hospital and because I had NAFLD. Don't be too nervous (easier said than done, I'm sure) and congratulations! You've made it this far! You can do this! We're all here to support you!

Been back on the bariatric / keto train for a month now. Feeling much better already. Getting sugar out of my life has been a relief. Took me a couple weeks to get through the cravings. Once gone, they've stayed gone.

Hello Kirsten. My husband is a diabetic and is on Mounjaro. He has lost 3 stone with a little will power and is happy with his progress. You are doing great. You must be thrilled

Perhaps you are burping because you are gulping your fluids and getting air into your stomach/pouch. You could also be dealing with some of the air that was put into your abdomen for the surgery. Sometimes that moves into the pouch or what is left of the stomach and you will burp it out. As what SpartanMaker stated, it would be helpful to know how far out from surgery you are because if you are like 3 months out, it may be your signal that it is time to stop eating, it indicates you are full. Some people get a runny nose, burping, the foamies, etc. Everyone is different. Let us know how far out from surgery you are so we can perhaps be more helpful.

I am one week post op and an STRUGGLING to get water in. I’m not worried about food just yet, so just nibbles throughout the day, but I’m forcing water and still can not get my recommended 64. Help!!!

I am seven weeks out from my gastric band. I am going out with my two friends who don’t know I’ve had the surgery. It has been booked a while in advance and it is a wine tasting evening, (which is my drink of choice). I want to go and it will look very obvious if I don’t drink!! Any advice? I know it should be six months, but I had a sneaky glass last week and was very careful so I know that my body seems to be able to handle it but then again I don’t want to send a slippery slope! Thanks in advance!!

It's been very chilly here all week .. brrrr Sunday lunch today, tried something new, a Dish by a Cypriot Turkish descent British cook called Melizcooks on Insta, never tried this before it was delicious!! Yanyana Tavasi... Lamb and veggies, all cooked side by side! a Big hit with the family, especially those that don't eat this.. or that, serve yourself what you like! 😁

Make sure to keep up with those labs. It could take a while for you to see things deplete because we have stores of these vitamins. I honestly think it varies from person to person and what you eat makes a huge difference because if your taking adequate nutrients in from food you won’t need as many supplements. We do malabsorb a large portion of our fat soluable vitamins as a rule though so good to get labs quarterly at first and then at least yearly. I take the Pro care health SADI specific vitamin And 3 calcium chews from bariatric advantage. My 3 and 6 month labs were good but I wouldn’t call it a success until I get the one year labs back and I’m still good.

Checking back in as I am nearly at my new goal weight now. My husband and I joined a gym in November when the weather turned too cold for us to walk/hike outside. We have stuck to going nearly every day except when we are on vacation/traveling/sick. I was on a cruise 1/23-2/3 and I even went to the gym five times onboard! Unfortunately, I got pretty sick as soon as I got home and didn't make it to the gym that first full week back. All that said and done, between the cruise and being sick, I did gain one pound, but I am back on track now and will be going to the gym for the third day in a row this evening. I am back to just "overweight" instead of obese and nearly back to the weight I was when I met my husband 8 years ago.

Sometimes there are dehydration problems but if you are meeting the goals, you should be fine. You may have excess protein, but that won't last long, it is only a short time since your surgery. If you haven't talked to your doctor yet, I would wait before I get all worked up about it, this may very well be normal. My first tests are not until I am 3 months post op, so I can't say that I experienced this, but I have had kidney issues prior to surgery and my BUN and Creatinine are always a little off. Good luck!

I needed to hear this today! I'm losing around 3 lbs a week since sleeve was done Dec. 2. But went out of town to see my mom and sibs and drank her sweet tea and ate nibbles of things I normally don't now and I'm up in weight. Was 204.2 and now I'm 206.2. (On my phone right now but will change my ticker soon! 206 is better than 215! Lol!) Frustrating! I didn't eat much as I still feel extremely restricted but I think the sugar must cause inflammation and salt always makes me hold water weight. So I'm happy to be back home and working a lot and eating my grapefruit, cucumbers and protein shake, etc. daily. Hopefully I can begin going back down this week. So close to Onederland! Thanks for sharing this. Goes to show just how fast it CAN come back on us. I've lost and gained lots over the years. Hoping this surgery was the tool I needed to help me get my weight down and keep it there. At this point I'd be thrilled just to get to and stay at 199 forever. LOL! But my goal is much lower. But once I get into the 100s I know I always FEEL better. So I'm looking forward to that milestone!