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So I've arranged my first dietician consult, which is interestingly done remotely via WebEx video conference (not relevant to this post, but just interesting). Any who...I was given a lengthy PDF packet to read through regarding general nutrition and as I read it, I find I don't agree with some of the information. I've been living relatively strict keto, High Fat/Moderate Protein/Low Carb for nearly 2 years and I'm afraid I'm going to get into this consult and butt heads with the poor person. Not on purpose, but I really don't want to change the way I eat because I know what happens when I eat the stuff that is considered OK. I get bloated, I gain weight, my face gets puffy, my feet get swollen...etc. My body likes keto and most "health professionals" aren't on that bandwagon. Any words of advice from anyone that's gone through their diet consults would be awesome. I know the best thing is to just smile and nod, but I know this girl is going to want active participation.
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Dietician Stuff...help me not be a jerk...
🅺🅸🅼🅼🅸🅴🅺 replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Gastric Bypass Surgery Forums
UPDATE: Yep, I was definitely overthinking things The dietician was so nice and very helpful. We talked for a good hour and a half and the best part is, she's down with keto! She said her main focus right now is to get me prepared for life after surgery like working on weaning off caffeine and mindful eating. Also, these dietician visits are free and unlimited even after surgery which is flippin' great! My mind is at ease now -
Dietician Stuff...help me not be a jerk...
🅺🅸🅼🅼🅸🅴🅺 replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Gastric Bypass Surgery Forums
That’s good to hear. It’s taken so much work to change my mindset from “eat all the things” to keto. If all I need to do is dial back my fat, I should be good. -
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 -
Whiny moment :(
erica_ozzy73 replied to Kirbykendall06's topic in POST-Operation Weight Loss Surgery Q&A
Pinterest ... vsg recipes ... paleo... keto...no carb... It's awesome Sent from my iPhone using the BariatricPal App -
How do you, personally, define a carb?
Creekimp13 replied to Little Green's topic in General Weight Loss Surgery Discussions
Like Jess said....post surgical diets are incredibly different. I think Jess's version is more common among American bariatric centers.... and all of her food is stuff I'd eat in a heartbeat...looks delicious. Biggest difference, is that I do a lot of fuit and low glycemic carbs and more plant based protein. I've always done healthy carbs. Right after protein drinks I transitioned to thin cream of wheat and oatmeal per my approved plan. Mashed potatoes and vegetarian refried beans were on my soft food approved list, too. Didn't do whole grain breads until later, they were tough for a while. I know a lot of folks do something closer to keto. My clinic serves a lot of international clients and lots of them are vegan and vegetarian culturally, so my nutritionist was delighted when I said I'd been doing Mayo Clinic Diet. She was like...Awesome, I can work with that! Here's a sample menu from early on: We're only required to do 60g of protein per day, but it's not unusual for me to hit 80-100. The big things that make my diet work (I think), are fixed calories under 1200 per day, little to no refined sugar, healthy fats, fiber, steady blood sugar, lean protein and plant based protein. I don't do much animal fat. Also, my clinic stresses exercise and writes our recommendations on a prescription pad. -
How do you, personally, define a carb?
Creekimp13 replied to Little Green's topic in General Weight Loss Surgery Discussions
When you can't admit a diet made up of 50% carbs is a "carb rich diet",,,...was logical discussion ever happening? Dude, I get it....you like Keto, you're horrified by the number of carbs I eat, and you think I eat too much. LOL It's cool...to each, their own. But to address your concerns......my carbs and calories are an approved part of a study being conducted by a major medical research hospital...and they seem to be working great. My doctor and nutritionist are delighted with my progress and compliance. And most importantly, I am, too. I love that I'm off my blood pressure meds, I love that I'm off my diuretic, I love that my legs don't swell anymore, I love that my cholesterol is low. I love that my A1C blood sugar is normal. I love that I don't have any nutrient deficiencies. I love the energy I have!!! I love that I can mow my whole yard comfortably, without getting out of breath. I love that I sleep better. I love that I haven't had a cold or flu or illness in over a year. And I love my forever diet! I don't ever feel deprived or hungry. I feel like I can do this forever...and that's the first time that's ever happened with a diet in my life. There are a lotta ways up this mountain. I wish you tremendous success no matter which path you choose:) -
I watch the Keto Twins on U Tube and they did a video using the noodles. They always give their honest opinion of the things they try. Here's a link to one of their videos : https://www.youtube.com/watch?v=Xylw6mQYq_E
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Can I have bulletproof coffee
FluffyChix replied to Marissa37's topic in POST-Operation Weight Loss Surgery Q&A
Are you morbidly obese? If that sounds like a smart ass question, it is. We are MO. Period. End of story. I can NOT think of ONE scenario where our fat bodies actually NEED an influx of the amount of exogenous dietary fat from relatively nutritionless liquids. We get almost all the fat we need from the fat liberation that is hopefully going on inside our bodies! ALL post surgery patients in the initial weight loss phases are by-proxy on VLCDs (very low calorie diets). Why would you want to sabotage those few calories you CAN have on BS liquids like bulletproof fat laced, fat bomb coffee? And btw? I'm a low carb keto proponent, but I think the latest evolution of fat obsessed ketoneers is totally loony bins crazy! We are not epileptics. And if we're MO, there is no way you need a diet 80-85% fat. I'm not fat phobic. I'm a dietary pragmatist and realist. (BTW, if you are lost in an Antarctica expedition and have 9% body fat, my response to you will be entirely different. Come talk to me then...we will discuss Ericksonn and rabbit starvation.) -
I had some regain and really struggled with losing it, but finally got back on track with Keto in November and have successfully lost all but 7 lbs. I'll hopefully be back at my low weight in about 3 weeks. However, I never officially met goal so I actually have another 25 or so to go to that. I'm struggling with persistent severe GERD and have had it my whole life. I'm looking at a possible revision to RNY which actually sort of excites me because I feel like it will help me relieve the GERD permanently. I'm still down 60 lbs of my surgical loss and feeling good, but continue to work to the goal.
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Bariatric surgery and keto?
Arabesque replied to deardarkling's topic in Post-op Diets and Questions
Always a good idea to get feedback from others. I was put on keto for the 2.5 weeks before surgery but that was all I did. Some will likely swear by it but personally I wouldn’t go back to it. Good to kick start a diet but not long term. Your surgery is the best kickstart you’ll ever find. The high fat intake on keto is the real issue for me. I’ve never enjoyed high fat foods & now I don’t have a gall bladder to help process all that fat. You may find your cholesterol temporarily increases while you are losing (it’s released from your fat). I believe it’s one of the reasons most surgeons & dieticians recommend low fat while you’re losing so you’re not adding to the risk. Losing large amounts of weight & high cholesterol levels also put you had a higher risk of developing gall stones. It’s why many of us end up having issues & have our galls removed post weight loss surgery. I’ve read keto can also screw with your blood sugar levels so if you have issues with diabetes it may not be your best option. Usually best to stick to your surgeon’s plan & dietician’s recommendations while you are losing. Slowing adding in new foods as you go. You’ll lose doing that & you will go into ketosis as well - bad breath & a smelly body awaits you 😉. You may find you end up developing your own eating plan which works for you & which incorporates aspects of many eating styles once you’re close to or in maintenance: keto, vegan, vegetarian, Atkins, intermittent fasting, etc. Whatever way you go it has to be sustainable & complement how to want to live your life. Good luck whatever you choose to do. -
I did keto for a good bit of my weight loss period (with the full support of my Surgeon). His plan was low-carb anyway, so he didn't mind when I took it to keto levels.
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Bariatric surgery and keto?
NiceAnkles replied to deardarkling's topic in Post-op Diets and Questions
I did a keto-ish diet pre-op and low carb off and on for years. Obviously they weren’t the answer for me as I did have VSG! I wanted to stop fearing carbs and have a more balanced diet. At almost 8 mo out, I have found that I can’t tolerate the higher fat foods as well. They make me feel nauseous. I do ok with butter, cream and full fat cheese so in weighed and measured amounts I still have those. -
Hi everyone, just wanted to update. I QUIT soda immediately after having some ugly medical results come back. I've been off it for about a month. I also dove in and tried keto, had great results. Now that I feel like I've got a good handle on things, i'm trying to adjust a little bit to more of a low carb (40 a day) vs keto and seem to be doing well. changing my mindset was the key and i'm definitely headed in a good direction!
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Need for tasty foods but am I moving too quickly?
Pilot my best self replied to Pilot my best self's topic in Post-op Diets and Questions
Thank you! Point taken. I am in need of some variety and am trying to find meals that are simple, tasty and on plan. But as you say, my priority is to maximize weight loss at this stage. It’s been going fairly well so far and I don’t want to disrupt the steady progress I am seeing. But I’ll keep that keto pizza in mind for some time in the future. -
1 week to go and feeling slightly lost
ummyasmin replied to elcee's topic in PRE-Operation Weight Loss Surgery Q&A
Sounds pretty good - I'd go completely keto (no sugar, carbs) a couple of days before the surgery because depleting the liver of sugar stores is what makes it flexible and easier for the surgeon. But other than that sounds good. Good luck hon!! -
It was a decent alternative, I didn't particularly care for how easy they break but it was a nice alternative. The cool ranch ones are pretty good too. In addition to the original post, I can't help with an overabundance of meals but I do eat a slice of keto bread with PB2 every morning. 7g of protein, 1.5 fat 0 sugars. Quick and easy I'm pretty basic with most of my meals. When I have a sweet tooth I usually cut an apple and coat it with cinnamon and pop it in the oven at 400 for 15-20 min.
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Broke through a months long stall. What worked and why.
perfektlynrml posted a topic in Gastric Bypass Surgery Forums
Hello. It’s been a while since I posted here but I have been busy figuring out how to get past a months long stall and some sugar addiction. First, I found out that I have lipedema which is a connective tissue disorder. It’s an abnormal collection of fat that is no longer in it’s original spongy condition. It is literally scar tissue and adhesions under the skin that do not let go of fat easily. I have huge amounts of it on the lower body and some on my arms. The change that worked for me was specific exercises using a vibration plate on the fat deposits and other mechanisms that can be found on the internet. Second, I ended up switching to healthy keto and that made a great difference in the movement of the scale. I’m down a few pounds now and I no longer have the sugar cravings. I also have gotten better about setting limits on other people monopolizing my time. I’m prioritizing myself and it is really starting to show. I’d be happy to share more if anyone is interested in the connection between stalled weight loss after Bariatric surgery and the condition known as lipedema. It’s not a broadly known condition but it is starting to get attention. I can share some of the resources that I have used in the past few months. To learn more, start here: https://lipedemaproject.org -
I drink Bang Keto Coffee Cookies and Cream and they are not carbonated. They are delicious. Can someone please tell me why some surgeons say no caffeine? Is it forever or just while healing? I was sleeved Sept 2, 2020. I have been drinking Bang for about a month. Do some surgeons think caffeine effects your weight loss?
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So what are you unable to eat now?
KarenLR75 replied to mlmx1138's topic in Gastric Sleeve Surgery Forums
REALLY? I hadn't done as much RNY research as up to a few weeks before original surgery date, I was scheduled for VSG. Ended up with an RNY and my date getting pushed back a few weeks but was so into getting thru pre-op diet that I didn't get a great deal of research done on RNY to be honest. Watch me be a 30-percenter I'm pretty hard core on the keto front although I'll have to reconsider the use of artificial sweetners down the road when I'm ready to introduce more things into my 'way of eating.... -
February 2020 Post-Op Thread
Seige replied to ResaRoo's topic in POST-Operation Weight Loss Surgery Q&A
I had my surgery 3/9, then got no support. Was stalled the first month. It was more than frustrating. I think I’m down 40 pounds, including the presurgical loss. I had hoped it would be faster. I reached out to the doctor. All he said was, Do you want to be a pile of skin?” The office support is non existent. I am using the ProTracker, Keto/calorie, free app. If I go no carb, I stall. Too much protein, I have a gout attack. Have been diligent about keeping carbs under 50, Calories under 1000. Exercise is sporadic, as I had a serious leg injury, in April. I have no desire to binge, which is a big plus, no cravings for anything. I’m doing all I can, and focus on that. A pound-a pound and a half, a week, will have to do. It’s the mystery up a pound, that’s hard to take. -
So I'm 8 months out and gone from a size 18 down to a size 6. I'm 5-3 and 135# right now. I've been consuming roughly 1400 calories per day. Pre-op testing showed that I had a very high metabolism (blessing and a curse). I don't want to trash it. I have no trouble getting in my fluids and proten. I do a combo of either walking/running, yoga, and interval training 3-5 days per week. I have struggled with hunger from very early on post-op.... real hunger. Anyway, I'm still losing about a pound per week, but am thinking I want 130 to be my new goal. So I'm thinking ahead to "maintenance" nutrition. What would a healthy, balanced macro profile look like for me? I'm thinking I should do another follow-up with the nutritionist, but wanted to solicit input here too. I am not doing keto, nor do I desire to. I run and feel that I need some carbs for energy, though I stick to whole food/whole grain carbs and way less quantity than pre-op, think black beans, whole fruits and veggies. I do oatmeal and yogurt on occasion too. Anyway, I'm wanting to tweak my macros on myfitnesspal toward maintenance. Any suggestions? I was thinking 35/35/40 carbs/protein/fat??? Does that sound reasonable? Gotta figure out what maintenance calorie count looks like at this activity level. I get 12k - 15k steps per day. My lean body mass is supposedly around 96 pounds. Oh and here are a couple pics just because. No regrets!
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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?
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?
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!
