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Bear in mind how long it took to gain the weight you are trying to lose. You didn't gain 20, 30, 40lbs in 1-2 months and the weight will come off in fits and starts. I was really successful with keto a few years ago and lost 100lbs by eating a diet of baically all red meat and some salad. I did a keto adapted preop plan and modified my post op plan for keto (I still only ate approved foods for each stage, but I cut out all carbs from the approved foods list). Now I am doing a full keto, and some intermittent fasting days. I don't plan my fasting days, but organic. I do not force myself to eat and just concentrate on drinking lots of Water.
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Willpower and "Decision Fatigue"
Hammer_Down replied to gpmed's topic in General Weight Loss Surgery Discussions
If making the decisions later is difficult, make the decision earlier when your willpower is intact. Pack lunch. Leave your wallet home and just bring your license to the gym. Never grocery shop hungry. In terms of food, I'm the opposite of what is described: the longer i make healthy food selections (for me, that's keto) the easier it is to keep making the right selections. Cravings are nil and weight loss is a steady reward and so I have no desire or incentive to cave. -
Diabetes prevented me from surgery so far
OutsideMatchInside replied to laGata15's topic in Gastric Sleeve Surgery Forums
@@laGata15 Keto is a diet. High fat, moderate Protein, low carb @@chicken Lady My diabetes is cured with the sleeve. -
Diabetes prevented me from surgery so far
laGata15 replied to laGata15's topic in Gastric Sleeve Surgery Forums
Oh I see..is that keto a diet ? Sent from my SM-G930T using the BariatricPal App My doc said he recommends the sleeve since ryn in his opinion is too rough.. I also prefer to go for the sleeve as well Sent from my SM-G930T using the BariatricPal App -
Diabetes prevented me from surgery so far
OutsideMatchInside replied to laGata15's topic in Gastric Sleeve Surgery Forums
Try eating Keto, you could drop your A1C down pretty fast. You won't heal if your blood sugar is out of control which is why they don't want to do surgery on you with uncontrolled diabetes. -
Do I tell or say nothing.
OutsideMatchInside replied to bossportsgal's topic in Gastric Sleeve Surgery Forums
@@bossportsgal I am a strong supporter of not telling anyone. One of the reasons why is because you will always be that person that had surgery to people. Even when you are years post-op surgery effects are gone and you will still be that person that had surgery. At almost 1.5 years I really don't feel like a surgery patient. Sure I have smaller capacity than other people but I can easily eat around my sleeve if I choose to. So I still have to make good choices like anyone else. I know a lot of people always feel like weight loss patients but I really don't. I feel pretty normal other than suffering the affects of losing a ton of weight, and the things that come with that, but I have friends that lost weight on keto that have the same issues and didn't have surgery. I would hate to be stuck with the surgery label for the rest of my life and have people watching everything I eat forever. That is what I have seen happen with everyone that has surgery, people watch what they eat, and comment on it, either to the persons face or behind their back. As far as people that will tell you that people will suspect when you lose weight. I have lost almost 1/2 my body weight and no one suspects surgery. The reason is because I have totally changed my entire life style. I am more active, and I eat differently, even when eating out. So if you live a healthy life, people won't question how you are losing weight since most people think diet and exercise are the key to losing weight anyway. They will assume you just finally got it right. People are sheep, them bah. -
Can't imagine being full
Hammer_Down replied to sill21's topic in PRE-Operation Weight Loss Surgery Q&A
Before surgery, I was missing that thing that tells me "hey, not hungry anymore so stop eating". I ate mostly keto, or super low carb, but it seemed like once a week or once every two weeks I would binge on off plan foods. The occasional dalliances were enough to stop my weight loss from a week or two of good eating. I'd lose 10 lbs then gain it back over 1 or 2 days. This went on for 2 years. I seriously never felt full. I could eat a 24oz steak, finish all my potatoes and salad and still drink 2-3 diet cokes on top of it. I could eat 12 tacos in a sitting and not walk away feeling full. My father is much the same way, except that he has more self control and spends a lot of time feeling hungry. I'm now in my 6th week post op and I have no hunger whatsoever. I won't eat just for the sake of eating, and I'm usually eating 1 meal a day now. A meal is a couple of bites of meat or salad. On liquids, pre and post op I was still feeling hungry. On full liquids I could drink quite a lot of broth or creamy Soup, certainly more than a few mouthfuls like solid foods now. -
When do you stop feeling like a wls Patient
OutsideMatchInside replied to chynadoll619's topic in General Weight Loss Surgery Discussions
Hmm, this is a complicated and good question. I have been low carbing off and on for like 15 years. I eat Keto now. It is kind of second nature to me. Most WLS don't eat keto, so this isn't really a WLS patient diet. Since I ate like this before, it doesn't feel like a diet and it doesn't feel related to WLS it just feels like I am finally successful at it. It is easy for me and doesn't feel like a diet, it is just a way of life. I took Vitamins before surgery and I take the same vitamins I took before just with the addition of B-12. So that doesn't seem different to me. I think at one year I felt pretty normal. I say one year because I had enough capacity and the ability to eat wide enough variety of things that I can eat out with people and eat normally. I can eat a normal dinner salad because salad greens are a slider basically for me, so I can eat a whole salad and the sorry little 2 to 3 ounces of meat they give you, no issue. I can eat a normal fish portion. I can do decent damage to a 6 oz steak etc. I can chug Water, not at pre-op levels but I can drink 16 ounces of water in about 3 minutes if I am standing. Before surgery I could drink 16 ounces of water without taking a breath. I really didn't want to feel like I was on a diet or a weirdo for the rest of my life and I don't feel like that. Most of my friends low carb, keto, or paleo. It is pretty common so my friends understand that I don't eat xyz because they don't either. Even if they aren't currently, they have in the past. Having a wide variety of college educated urban friends, almost everyone is doing some kind of special eating, no one cares. I think it is important to feel normal, because it helps with acceptance. If I felt like I was on a diet and had to watch everything I ate all the time, I would probably relapse. That doesn't mean I eat junk food or fast food. My attitude towards food and what I eat is completely different. My guilty pleasures are grilled nuggets from ChickFilA or an Oh Yeah One bar. Those are my off plan eats. I try to just eat clean food I cook at home, so anything processed or out is an off plan meal to me, even if it still probably eating cleaner than most people. This is normal to me. -
13 years out and gained back almost all
OutsideMatchInside replied to Jes's topic in General Weight Loss Surgery Discussions
Eat dense Protein. Liquids aren't going to satisfy you or sustain you. Reset your pouch with grilled steak or chicken. 13 years later your RNY benefits are basically gone. Why not try a different way of eating like Keto? There are lots of Keto groups on facebook that will help you get started. -
Stalls-Please share your experiences
OutsideMatchInside replied to jilani's topic in Gastric Sleeve Surgery Forums
Your questions are long and over thinking something that is pretty simple. Most long term successful people don't care about stalls and don't focus on them, so expect a lot of newbie responses that are going to be basically useless. My weight loss has gone in different stages. At first I lost every day or every other day. Besides the 3 week stall, no stalls until 5 months. I stall at significant numbers. My body is trying to defend it's set point, eventually as long as I keep doing the same thing, my body has to give up and lose. I was over 300 pounds for 18 years. When I got under 300 I stalled in the 290s gaining and losing for a month. Then boom huge weight loss and I was basically 275 in a couple weeks. Then at 250ish I stalled out and kept gaining and losing then I was 240. Same at 230. I was stuck at 220 for 2 months and I maybe it was over, then I lost 12 pounds in a week. Then I slowly lost 10 pounds over like 4 weeks. Now I am stuck at 199. I know it is a stupid pointless stall and I expect when it is over to wake up 195 or 194 or something one day. Because I am still shrinking. I lost like 5 inches totally off my upper torso in 2 weeks but stayed the same weight so I know the weight is coming off. Stalls for me, mean losing inches, lots of inches. I used to stress about them but by the 9 month mark I realized how they worked and I don't care that much any more. It is just an annoyance. Now I also stall a lot because I do not take any kind of hormonal birth control. I have a non hormonal IUD. For most of 2016, I have had a period every 2 to 3 weeks so those make up a lot of my stalls. Weighing myself everyday at the exact same time (wake up, urinate, weigh) has allowed me to better understand my weight fluctuations. At 16 almost 17 months, I don't care about stalls. If you want to properly track your loss measure every week and track it in a spreadsheet along with the scale. I am also a big fan of regular quarterly DEXA scans. I broke a stall this summer playing pokemon. I walked 20 miles in like a 48 hour time period and broke a stall. That was accidental not on purpose. When I got tired of being stuck at 220, I did a fat fast to drop weight. I eat Keto normally, and a fat fast is something people on keto do to break a stall. If I stay at 199 another week, I might try it again. The only reason I want to rush a drop is because I want to have plastics late summer, early fall and I need to get to a 30/31 bmi and hold it ASAP. -
Experts, when does the big drop happen?
blizair09 replied to show1980's topic in POST-Operation Weight Loss Surgery Q&A
I thought ketos were bad for us - all those empty carbs and fake cheese. -
Experts, when does the big drop happen?
LittleBill replied to show1980's topic in POST-Operation Weight Loss Surgery Q&A
I thought ketos were bad for us - all those empty carbs and fake cheese. -
Experts, when does the big drop happen?
Hammer_Down replied to show1980's topic in POST-Operation Weight Loss Surgery Q&A
Same here! I had great success with keto a few years ago, and so far I am replicating that success. I had to modify my plan a bit (everything I eat is approved, but I don't eat everything that is approved). I have lost 18% of my total body mass in 6 weeks. As a big meat eater anyway, it's a natural fit for me. -
Experts, when does the big drop happen?
OutsideMatchInside replied to show1980's topic in POST-Operation Weight Loss Surgery Q&A
Way of eating, I eat Keto -
Nervous and my Dad is NOT helping matters any
Hammer_Down replied to Anna Nim's topic in PRE-Operation Weight Loss Surgery Q&A
@@RJrocks I have a few links here that discuss the various mechanisms involved: On the process and mechanics of weight regain after loss: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371661/ On the ever advancing field of epigenetics, or how gene expressions are altered by diet, weight loss and excercise: http://www.nature.com/articles/srep14841 http://clinicalepigeneticsjournal.biomedcentral.com/articles/10.1186/s13148-015-0101-5 http://m.advances.nutrition.org/content/5/1/71.full Regarding the claim that there is a 3-4 year period before your genotype adjusts towards that of a non obese person, I learned that from a podcast with a bariatric physician who treats 15,000+ patients per year with a ketogenic diet. I will try to find which episode it was, the podcast is called Keto Talk if you're interested. -
How do you break the habit?
MowryRocks replied to JaneDarcy's topic in General Weight Loss Surgery Discussions
I started out with a specific plan. I decided to do a 1200 calorie diet. I did a 1200 calorie modified ketogenic diet Monday through Friday and on the weekends I still did 1200 calories, but if I wanted something specific on the weekend, I had it and kept within my calories. I did this for the first three months of my 6 month medically supervised diet before going full keto for the last three months. I ate the same thing everyday for Breakfast and lunch. Breakfast: 2 eggs, any style and a Oikos Triple Zero yogurt (any flavor) For lunch I had a Premier Protein shake and a Sargento Balanced Break. For dinner, I had 2-4oz of meat, with a steamed vegetable. Since the diet was high in protein, it made it easier because I wasn't hungry as often. It really kept me satisfied. If I felt like I needed a snack, I had one. Typically sugar free Jell-O or Sugar free pudding. I also stopped caffeine right away. I figured why prolong the inevitable. Good Luck finding the right thing for you! -
Why do you think Drs are so different?
theantichick replied to Ssze1109's topic in POST-Operation Weight Loss Surgery Q&A
Ditto what dairymary said. I had an extensive knee surgery and researched it extensively. One of my questions to my surgeon was about which physical therapy protocols he follows. Every doctor formulates his protocols based on his training and experience. I had the same questions for my WLS surgeon, especially since I can't do keto. I didn't want to be at odds with my surgeon and her recovery protocols. sent from mobile device -
Does anyone regret having surgery?
shedo82773 replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
(putting nurse educator hat on) just wanted to clarify this. Ketosis or ketogenesis (sometimes called keto) is the state when you are eating low carbs (generally below 50g/day) and your body starts using protein and fat as fuel instead of carbs (sugar). You do not have to eat high fat to be in ketosis. This condition is not dangerous to most people, and in fact there is a large number in the medical community who think this is the best state to stay in, unless you have a medical condition that makes it a problem. You can "burn fat" without being in ketosis, many of us do. I get very ill in ketosis, and generally am eating between 80 and 100g of carbs a day. I'm losing weight and the SECA scan shows that most of it is fat tissue. Ketoacidosis or diabetic ketoacidosis (DKA) is the condition diabetics move into when their sugars get too high, and it is life threatening. DKA happens mostly in Type 1 diabetics. Generally speaking, people without diabetes cannot get to DKA just by eating low carb. You will show ketones in your urine for both ketosis and ketoacidosis. The levels indicate how far along you are toward ketoacidosis. Here's some more information http://www.healthline.com/health/ketosis-vs-ketoacidosis#Diagnosis7 It's confusing because all of these words sound the same, but it's important to understand the distinction, especially if you want to be on a ketogenic diet. My husband is Type 2 and he throws Ketones a lot. His blood sugar wasn't that high when it happened. When he went to bed before me and I opened the door to our bedroom I could smell them real bad!! I understand what you wrote (nurse's hat) I just don't write as well as you. Thank you for clearing it up tho. -
Does anyone regret having surgery?
theantichick replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
No, I don't, and my surgeon agrees. She says that her experience is that people love keto while they're losing, but eventually a lot of them start letting carbs creep in and they don't stay on it for the long haul. She thinks a more moderate approach is the most sustainable. She agrees that sugars and simple carbs are absolutely problematic when trying to lose weight, but complex carbs are good for most people to eat. The scientific data shows that the program that works is the one you'll stick with. There are a number of reasons it appeals to people. Some find that eating carbs, especially the breads and grains, is a slippery slope and they have to avoid it entirely. Some find that shifting to a paleo/keto diet feels really good for them. They might have a slight gluten sensitivity that they are treating by shifting their diet away from grains. Some find that it just works incredibly well for them in terms of weight loss and that keeps them motivated. So I don't want to slam keto. A *LOT* of bariatric programs push low-carb/keto, and you'll find a LOT of proponents here for it. I get what most people recognize as the "carb flu" but instead of being over in 3-5 days like most people, I stay in that miserable state and it doesn't seem to ever resolve. Granted, I've never been able to last more than 2 weeks in ketosis (and that was post-op) but it definitely seems that my body hates it. So I have to find what works for me, and so far that's complex carbs in the 80-100g/day range. We'll see if it works long term, I may have to tweak that. That was exactly what I was feeling. The "carb flu." I would rather avoid it if possible. Sent from my iPhone Most people get over it in just a few days, so it's worth it to them. At this point we don't know if I would EVER get over it. So I am going down a different path, and my surgeon is cool with it. -
Does anyone regret having surgery?
RNMomof4 replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
No, I don't, and my surgeon agrees. She says that her experience is that people love keto while they're losing, but eventually a lot of them start letting carbs creep in and they don't stay on it for the long haul. She thinks a more moderate approach is the most sustainable. She agrees that sugars and simple carbs are absolutely problematic when trying to lose weight, but complex carbs are good for most people to eat. The scientific data shows that the program that works is the one you'll stick with. There are a number of reasons it appeals to people. Some find that eating carbs, especially the breads and grains, is a slippery slope and they have to avoid it entirely. Some find that shifting to a paleo/keto diet feels really good for them. They might have a slight gluten sensitivity that they are treating by shifting their diet away from grains. Some find that it just works incredibly well for them in terms of weight loss and that keeps them motivated. So I don't want to slam keto. A *LOT* of bariatric programs push low-carb/keto, and you'll find a LOT of proponents here for it. I get what most people recognize as the "carb flu" but instead of being over in 3-5 days like most people, I stay in that miserable state and it doesn't seem to ever resolve. Granted, I've never been able to last more than 2 weeks in ketosis (and that was post-op) but it definitely seems that my body hates it. So I have to find what works for me, and so far that's complex carbs in the 80-100g/day range. We'll see if it works long term, I may have to tweak that. That was exactly what I was feeling. The "carb flu." I would rather avoid it if possible. Sent from my iPhone -
Does anyone regret having surgery?
theantichick replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
No, I don't, and my surgeon agrees. She says that her experience is that people love keto while they're losing, but eventually a lot of them start letting carbs creep in and they don't stay on it for the long haul. She thinks a more moderate approach is the most sustainable. She agrees that sugars and simple carbs are absolutely problematic when trying to lose weight, but complex carbs are good for most people to eat. The scientific data shows that the program that works is the one you'll stick with. There are a number of reasons it appeals to people. Some find that eating carbs, especially the breads and grains, is a slippery slope and they have to avoid it entirely. Some find that shifting to a paleo/keto diet feels really good for them. They might have a slight gluten sensitivity that they are treating by shifting their diet away from grains. Some find that it just works incredibly well for them in terms of weight loss and that keeps them motivated. So I don't want to slam keto. A *LOT* of bariatric programs push low-carb/keto, and you'll find a LOT of proponents here for it. I get what most people recognize as the "carb flu" but instead of being over in 3-5 days like most people, I stay in that miserable state and it doesn't seem to ever resolve. Granted, I've never been able to last more than 2 weeks in ketosis (and that was post-op) but it definitely seems that my body hates it. So I have to find what works for me, and so far that's complex carbs in the 80-100g/day range. We'll see if it works long term, I may have to tweak that. -
Help! Headache in preop diet!
Lanie.Schroder replied to dccarite's topic in PRE-Operation Weight Loss Surgery Q&A
Can you do the keto diet while on the liquid Pre-op Diet? I have been doing keto for 3 weeks with much success but my liquid diet is only supposed to be 800 calories per day. I was hoping to do my bulletproof hot cocoa and a couple other keto-esque things LOL. My liquid diet starts on 11/25 for 2 weeks. -
Does anyone regret having surgery?
DeletedMember replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
(putting nurse educator hat on) just wanted to clarify this. Ketosis or ketogenesis (sometimes called keto) is the state when you are eating low carbs (generally below 50g/day) and your body starts using protein and fat as fuel instead of carbs (sugar). You do not have to eat high fat to be in ketosis. This condition is not dangerous to most people, and in fact there is a large number in the medical community who think this is the best state to stay in, unless you have a medical condition that makes it a problem. You can "burn fat" without being in ketosis, many of us do. I get very ill in ketosis, and generally am eating between 80 and 100g of carbs a day. I'm losing weight and the SECA scan shows that most of it is fat tissue. Ketoacidosis or diabetic ketoacidosis (DKA) is the condition diabetics move into when their sugars get too high, and it is life threatening. DKA happens mostly in Type 1 diabetics. Generally speaking, people without diabetes cannot get to DKA just by eating low carb. You will show ketones in your urine for both ketosis and ketoacidosis. The levels indicate how far along you are toward ketoacidosis. Here's some more information http://www.healthline.com/health/ketosis-vs-ketoacidosis#Diagnosis7 It's confusing because all of these words sound the same, but it's important to understand the distinction, especially if you want to be on a ketogenic diet. So...you don't think maintaining ketosis is necessary for major weight loss? I do not like the way ketosis feels. Doesn't make me sick I just don't like it. Good info you posted. Sent from my iPhone It's not necessary, no. I have not followed a ketogenic diet and have lost 177lbs over the last 9.5 months (333lbs to 156lbs) Not saying you should or shouldn't, just saying it was definitely not necessary for me. I should mention I avoid ALL refined carbs. I eat no bread, Pasta, rice or sugar. All my carbs come from fruits, vegetables, Beans and legumes. -
Does anyone regret having surgery?
RNMomof4 replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
(putting nurse educator hat on) just wanted to clarify this. Ketosis or ketogenesis (sometimes called keto) is the state when you are eating low carbs (generally below 50g/day) and your body starts using protein and fat as fuel instead of carbs (sugar). You do not have to eat high fat to be in ketosis. This condition is not dangerous to most people, and in fact there is a large number in the medical community who think this is the best state to stay in, unless you have a medical condition that makes it a problem. You can "burn fat" without being in ketosis, many of us do. I get very ill in ketosis, and generally am eating between 80 and 100g of carbs a day. I'm losing weight and the SECA scan shows that most of it is fat tissue. Ketoacidosis or diabetic ketoacidosis (DKA) is the condition diabetics move into when their sugars get too high, and it is life threatening. DKA happens mostly in Type 1 diabetics. Generally speaking, people without diabetes cannot get to DKA just by eating low carb. You will show ketones in your urine for both ketosis and ketoacidosis. The levels indicate how far along you are toward ketoacidosis. Here's some more information http://www.healthline.com/health/ketosis-vs-ketoacidosis#Diagnosis7 It's confusing because all of these words sound the same, but it's important to understand the distinction, especially if you want to be on a ketogenic diet. So...you don't think maintaining ketosis is necessary for major weight loss? I do not like the way ketosis feels. Doesn't make me sick I just don't like it. Good info you posted. Sent from my iPhone -
Does anyone regret having surgery?
theantichick replied to katragina's topic in POST-Operation Weight Loss Surgery Q&A
(putting nurse educator hat on) just wanted to clarify this. Ketosis or ketogenesis (sometimes called keto) is the state when you are eating low carbs (generally below 50g/day) and your body starts using protein and fat as fuel instead of carbs (sugar). You do not have to eat high fat to be in ketosis. This condition is not dangerous to most people, and in fact there is a large number in the medical community who think this is the best state to stay in, unless you have a medical condition that makes it a problem. You can "burn fat" without being in ketosis, many of us do. I get very ill in ketosis, and generally am eating between 80 and 100g of carbs a day. I'm losing weight and the SECA scan shows that most of it is fat tissue. Ketoacidosis or diabetic ketoacidosis (DKA) is the condition diabetics move into when their sugars get too high, and it is life threatening. DKA happens mostly in Type 1 diabetics. Generally speaking, people without diabetes cannot get to DKA just by eating low carb. You will show ketones in your urine for both ketosis and ketoacidosis. The levels indicate how far along you are toward ketoacidosis. Here's some more information http://www.healthline.com/health/ketosis-vs-ketoacidosis#Diagnosis7 It's confusing because all of these words sound the same, but it's important to understand the distinction, especially if you want to be on a ketogenic diet.
