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How did you figure out if you had dumping syndrome?
incredibleshrinkingnurse replied to DaisyAndSunshine's topic in POST-Operation Weight Loss Surgery Q&A
It’s really strange but I’m 6.5 years out from VSG and I get all those dumping symptoms sometimes 3-4 hours after eating. It doesn’t seem to matter what I ate, although I’ve noticed peanut butter seems to do it frequently. I’ve been eating low carb/semi-keto for months so I’m not sure why it’s happening. I’m going in for a ph and manometry screen soon, hopefully that will give some answers! -
This is terrible advice. Look, something isn't working obviously. What do you do when something isn't working? You figure out why, and change it. Start tracking and measuring. You can't measure where you need to be if you have no idea where you're at. What are your calories/protein/carbs per day? Do you know where they need to be in order for you to start losing again? Of not, experiment a little and find out. Tweak some stuff. I think going Keto is a very good start. I also think you should shock your body a bit and start moving more. If you're not doing anything currently, start. Even if it's walking. If you're already walking, walk more. If you're already exercising, start a different routine. HIIT training and weights is an amazing way to burn fat. Your body needs a jump start to get things moving again, and exercise usually is just the ticket. If you really want things to change, you'll find the change needed to make it happen. Good luck!!
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UUGGHHH, feeling so disgusted,. not looking for a pity party, just venting.. its been over a yr. since my surgery, and I'm STUCK @ abt a 50lb loss. I just reactivated this acct and see that I am up abt 5lbs since I joined in March,. I've unfollowed people/groups on IG & FB, not that I'm a "hater", (I salute & congratulate everyone)...I just don't see anything in common w them anymore.. (also my nutritionist recommended it to focus on me) my diet is usually: eggs & sausage,avocado for bkfst, lots of protein (mainly chicken) in salads or w sautéed veggies, etc. (have just started the "keto" diet) don't like carbs believe it or not, not that I haven't "cheated" & had sweets here or there, but I'm not a bread/pasta/pastry person (thank God for @ least that I guess) don't wanna go see my Dr anymore, I feel he's not helpful @ all, just recommending a book to follow. #wtf.. and the nutritionist was so/so.. have only met w her once. my low points are not drinking enough water & I'm CONVINCED I can eat too much @ one sitting. I even got a kitchen scale, haven't used it yet though. don't expect what I haven't put in, BUT I don't get why I've stalled so bad if I'm eating pretty well balanced & "clean".. what's the point of the surgery if we still have to follow a "diet" (and by that I do NOT mean I expect to still eat any & every thing that got me fat to begin with bc I don't) thx for listening....
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JUST GIMME THE DANG SURGERY ALREADY!!!
tarotcardreader replied to Suzi_the_Q's topic in PRE-Operation Weight Loss Surgery Q&A
alright so i did what alot of the other people in this thread did. i saw Dr weiner videos as well and am still researching because I can still go bypass if I change my mind from sleeve. i also took the nutrition packet and began logging my food and have begun interacting with the dietician following her instructions showing food log. we go over that in telehealth apmt. I cut out the foods already that the surgeon said to (carbonated beverages lol). i also had an apmt with nurse pract from the program and for weight they can pull it from your health records from your gp. though for my second apmt I just weighed and I am down 12lbs from the diet. i was told it usually takes 3-4 months to get into the surgery room. i was told I would be required to attend support group at least once so I went to that already, and I plan to go to the next one too as they have little food topics. I am already on their end game diet through the dietician, but I am not in hardcore mode. right now I do not have to count carbs in most veg, and I have been subbing with some keto premade snacks. It's a good time to start the diet if you haven't so you know what you r getting yourself into but also a good time to experiment with foods because no pouch size yet. its kinda like easing into diet slowly. also make sure to look at check list and complete those. mine had things like support group at least once, sleep study etc and I completed what I could and scheduled with gp already to get the others. (Im waiting on gp apmt for egd but also waiting for behavioral health referral to call me with apmt as I was approved to see them for assessment) -
Revision from sleeve to bypass
MAQ replied to lions92's topic in Revision Weight Loss Surgery Forums (NEW!)
@melanatedqueen Macros are between 60-80 grams protein, 40-50 grams fat and less than 10 grams carbs. More fat if I can fit it in without eating too much. I don’t know if I was in a stall and it ended the same time I started introducing more fat or if it was the fat that jump started my weight loss. But I certainly didn’t go through all this to eat less than 500 calories a day and not lose weight. Much more satisfied on the keto. -
Has anyone successfully kept weight loss surgery a secret?
GreenTealael replied to PHOEBE_10's topic in PRE-Operation Weight Loss Surgery Q&A
I only told two people (in case of emergency) Everyone else appeared too judgemental to me so I decided not telling them was best Other than that when people ask I tell them I eat a lot less and low carb/keto -
I met with the nutritionist at my surgeon's office and she told me for the first month of my insurance-mandated three month pre-op diet to limit carbs to just the morning and cut out carbonated drinks. Since I'd tried Aktins/Keto before I figured I'd just go with that. I met with her again five weeks later, having lost 13lb and based on my success she told me not to change a thing for month two. As for my routine: For work days I found the Kirkland (Costco) brand protein bars and have one for breakfast, then a hard boiled egg and/or string cheese for a morning snack. Lunch is spinach salad with carb free dressing, a chunk of some kind of lean meat (often leftover from the previous night's dinner), and some raw broccoli. Afternoon snack is a low carb yogurt and/or another string cheese. If I want a snack when I get home I'll have a chunk of cheddar or some pork rinds. I also bought some Carb-Quik baking mix on Amazon, it's like Bisquick but 95% fiber so very low net carbs and I'll have one or two biscuits made from that a day with butter to satisfy my bread craving. Dinner is more spinach salad, another chunk of meat/fish or a low-carb recipe like sausage and cream cheese stuffed jalapenos and a vegetable. Weekends are similar but I'll have eggs and a biscuit for breakfast instead of the protein bar and I also bought the 5lb drum of Cookies and Cream protein shake mix from Costco which I prefer to make with unsweetened almond milk instead of water. However, twice since I began I felt I ate too much the previous day so I did a full day of nothing but the protein drinks all day and a smaller dinner. Very important of course is getting the 64oz of water a day. I found boxes of 8 packets of Hawaiian Punch fruit punch and Wyler's lemonade for $1 each at a local discount store and stocked up big time to ensure I don't get tired of plain water. I'm also fortunate that my surgeon said I do not need to do a pre-op liquid diet as many surgeons recommend.
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Today, I am wondering what I have done to myself
Finding_Stacy replied to agirlhasnofluff's topic in Duodenal Switch Surgery Forum
So, here's my newbie question of the day. I read with the ds, the passing gas and pooping can stink like something fierce. Is that the only time you stink? Does this surgery make you have a bad odor in general? Also, I'm for the Atkins diet/Keto diet where eating fat isn't a bad thing. Can you eat the fat in sour cream, cream cheese, cheese, etc, or do you have to go fat free because fat signals the dumping syndrome? And lastly, my doctor mentioned there's a pill to help with the stinkiness of the new ds bowels, has anyone tried that and has it worked? -
Cholesterol Increased After Surgery
blizair09 replied to LisaE19's topic in POST-Operation Weight Loss Surgery Q&A
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... -
No , they never gave a number. Rny: low fat and very little carb. Just a lot people on maintenance found doing keto/ Paleo helpful in maintenance. Some wish they would of done this earlier. Sent from my Nexus 5 using BariatricPal mobile app
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I’ve made the fathead pizza easily about 20 times in the last couple of years while I was on keto. Can honestly say this tastes even better than original bread crust and it’s extremely filling. Highly recommend. Haven’t tried it yet after WLS, will wait until at least 6 months to make it again because it is higher in fat.
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Bari things that give you the ick
BigSue replied to kbsleeved's topic in General Weight Loss Surgery Discussions
I wonder if this bothers people because it hits a little too close to home. I used to hate when people said, "It's not a diet -- it's a lifestyle change!" (usually when referring to... a diet, e.g., keto). But now, I get it, as much as I hate to admit. I actually use that now to shut people up when they get too nosy about my weight loss (I have kept my surgery private and not told any friends, family, or coworkers). When they demand to know my secret to weight loss, I say I made a lot of lifestyle changes, and that's not what they want to hear. I see a lot of people on this forum who seem to expect the surgery to work like magic -- to make weight loss easy, instant, and permanent. Reminding people that surgery is a tool, not something that works on its own, might be a reality that's hard to face. -
I had a headache for a week after starting my pre-op diet. It was hard to get through but finally stopped. I was dizzy too and just out of it overall. I had numerous people tell me it was carb withdrawal. I did a bunch of research and there is all sorts of info online about it. Some names of it are ‘ keto flu’ and ‘ carb withdrawal’. I am 7 days into my month long pre-op and my biggest problem is that i am soooo hungry. It is making me soooo nervous that if I have this surgery and am still hungry I don’t know how I will do it! I need some advice for sure.
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anyone using Vyvance (binging med) with Lapband?
pcara68 replied to Dxx's topic in LAP-BAND Surgery Forums
The vyvanse seems to be going well for me along with the Wellbutrin so far its helping , I had to approach my Dr with something I had printed off the vyvanse site because about it being approved for BED other wise she would have never given me the med as you do have to use caution . I was running like crazy and it helped with getting weight off but only increased my appetite even more. I have been doing a lot of research into Keto way of eating and its working for me and when you get into it a lot of your carb cravings go away because you are getting your energy from fat not carbs. I don't go crazy with the exercise I have been moderate (eg walking) and the weight has been coming off. -
Keto Diet with weight loss surgery - What are your thoughts about it?
SteveT74 replied to erics300's topic in Post-op Diets and Questions
I wouldn't call my diet a true therapeutic keto diet, since I am basically doing 1:1 fat to protein. I would call it more of a keto inspired diet. It's the best I can do keto, while I am limited to about 1000-1200 calories a day at this point. Since I still have to get around 120-150g of protein to meet my daily needs (since I am working out a lot), I just can't eat enough fat and still stick to my calorie goals (and I don't want to go too high on calories this early post-op). Nevertheless, I am still in ketosis, but I get kicked out if I have too much protein in one meal. Since I am hitting my protein goals daily, I do try to prime the pump by eating some good fats first (like avocado) before I eat my protein. As for keto sticks, they aren't the most reliable tests, but if you're in your first month to 6 weeks of a very low carb diet (20 or less grams), they are helpful in letting you know if you're in ketosis. However, if you get a reading on them doesn't show acetate (which is a by product of ketosis) in your urine, that doesn't mean you're not in ketosis--so, in the sense they aren't reliable. Of course, they are only reliable in the beginning. Once you become fat adapted, you shouldn't have any acetate in your urine. The blood test is obviously the most accurate way to check, but I am just not up for spending $60 bucks for a blood meter kit and just 10 test strips, since the test strips are so freakin' expensive. The keto sticks are good enough for my purpose and there are plenty of physical signs that you're in ketosis after the 6 week mark anyway. Frankly, with or without a ketogenetic diet most early bariatric patients are going to be in ketosis anyway because they are consuming barely any calories. A ketogenetic diet essentially stimulates the benefits of a fast, without having to actually fast (although you would want to mix in intermittent fasting with keto if you want to maximize losses---if you are NOT a bariatric patient or are more than a year post-op). Also, even you are a bypass patient, you can still do keto--but you have to start a little differently by phasing in fats over the course of a few weeks rather than making sudden transition which a non-bariatric patient might do. There are plenty of resources online for bariatric patients (including bypass patients) that would like to transition to a keto diet. -
1 week post op and I feel amazing!!
DonnaGS replied to blackluxury82's topic in POST-Operation Weight Loss Surgery Q&A
Congrats to all on a fast and uneventful surgery. I'm almost 1 week out. Everyday is different. I'm very low energy but trying to stick with keto diet, at least in the beginning because I lose weight so slow normally. I have some health issues which aren't helping the low energy issue. Sometimes I'm surprised I'm hungry. I heard that generally in the first stages you aren't that hungry. The good news is having 4 oz of protein drink gets rid of the hunger. But its a good thing my refridge and pantry are emptied of anything I shouldn't be eating right now! I suspect I'm much older than a lot of people on this board. -
3 weeks post op stopped losing, gained a little????
RickM replied to calvinrn2011's topic in Gastric Sleeve Surgery Forums
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. -
My nutritionist said no to keto. Honestly, my doc's office is about eating balanced with a focus on plant-based - more Mediterranean than anything else. I don't know if Keto is good for the long-term. I do use a lot of Keto recipes because then I can add in my own healthy carbs in a controlled manner, but I try to modify the recipes so they're not so high fat.
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Keto Diet with weight loss surgery - What are your thoughts about it?
MistyRS replied to erics300's topic in Post-op Diets and Questions
I am not in Ketosis. All my Jell-O and popsicles have sugar in them and I was eating cream of potato soup just to make sure I stayed out of it. I drink a strawberry Snapple everyday as well and have since surgery. Also I should say I have left over Keto Strip that you pee on just to make sure! -
Keto Diet with weight loss surgery - What are your thoughts about it?
FluffyChix replied to erics300's topic in Post-op Diets and Questions
No it really isn't "super high fat" in the original derivation. Atkins in his original derivation had food plans that averaged between 55-75% fat. That's a "skewed" percentage cuz whenever you take 1 macro down, the others go up. It didn't equate to gobs of fat like today's modern "Dave Asprey" world where you add butter to coffee, live on fat bombs, etc. The modern LCHF which is now just called "Keto" is a minimum of 70-75% fat. So yeah, much much higher fat. And agreed it. It's only ever been "protein adequate" and can be very low carb, but can also go as high as 50-70g of carb whole, non-netted. I can eat 50g of carb with most coming from low glycemic veg and leafy veg and I will still be in ketosis all the live long day. Swearsies!!! Also, I think the definition or experience of keto differs greatly based on surgery type and amount of bypass (how much of the intestine that handles fat and sugar was actually re-routed). With VSG, you have no malabsorptive problem. So you can handle the extra fat very efficiently. I swear. I've studied this for about 18 years and read almost every book on the subject from the leaders in the fields. Congrats on losing your regain and doing so well!!!! -
Keto Diet with weight loss surgery - What are your thoughts about it?
summerset replied to erics300's topic in Post-op Diets and Questions
My thoughts about this are: "Why do so many patients seem to feel the need to go on special restrictive diets after having WLS? Aside from allergies, intolerances or ethical reasons - why make a diet more restrictive than it has to be? Especially when thinking about that neither going "keto" nor "low carb" nor "low fat" solved our weight problems." -
Keto Diet with weight loss surgery - What are your thoughts about it?
ummyasmin replied to erics300's topic in Post-op Diets and Questions
I do modified keto - cut out all sugary and starchy carbs (sugar, rice, potato, bread etc) but eat whatever fruit and veggies and legumes I like. So, not really true keto but keto-ish. Facing said that, I've just started the Jan challenge and want to keep my net carbs under 50 a day so that means no fruit most likely. Sent from my SM-G930F using BariatricPal mobile app -
Keto Diet with weight loss surgery - What are your thoughts about it?
SteveT74 replied to erics300's topic in Post-op Diets and Questions
I love eating the keto diet, but it does have some negatives. For me, it's constipation and bloating. They are constant companions for me lately. I have been getting in 75-100oz of water and have been upping my fiber consumption, but hasn't been helping much. Have you had any issues like this? -
Keto Diet with weight loss surgery - What are your thoughts about it?
FluffyChix replied to erics300's topic in Post-op Diets and Questions
So CICO (calories in/calories out) isn't a purely valid concept according to the biochemistry. But let's pretend it's close enough for government work. Ok? In theory (and this is from one of the leading Keto docs who trained under Dr. A.) keto IS putting our body in fat burning state rather than being a sugar burner. There is between a 200-400calorie advantage for doing that because it takes more energy to convert energy from protein/fat than it does to burn sugar. But still..that's sorta insignificant. What keto is great at is making your feel energetic so you move more! (This is after you get past the 2 week keto flu.) Also, it's a great appetite suppressant. So the deeper into ketosis you are (ie the more ketones you are burning for fuel), the lower your hunger. AND the fewer your cravings (lower your head hunger). So by defacto, you DO end up eating less. And he said, that's what they want you to do! They want you to naturally moderate and reduce your calories! So it really isn't a "free for all" food fest. It's only EVER been intended for people to eat just to the point where hunger is abated, but not to fullness. Sound familiar? Sounds a little like our weight loss surgery rules. Yes? This is part of why I think WLS + Keto/Low Carb = Match Made In Heaven. Why not reduce your hunger as you eat healthy healthy and take in as few calories as you can without the pain of hunger? -
Keto Diet with weight loss surgery - What are your thoughts about it?
SteveT74 replied to erics300's topic in Post-op Diets and Questions
Thanks for the tip on the MCT oil. I am going to look into getting some. It's pretty high in calories though?? Does that concern you at all? Even on keto, you still have to watch your calories.
