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My surgeon says we need to have some carbs so we don't go into keto (which has says is dangerous) He just recommends healthy whole grains like oatmeal. Oatmeal makes me happy!

My surgeon says we need to have some carbs so we don't go into keto (which has says is dangerous) He just recommends healthy whole grains like oatmeal. Oatmeal makes me happy!

When I met my husband in 2007 he was 22, super fit, very muscular, and weighed 190 pounds at 6'0" tall. He was chubby as a child, raised by his dad and didn't grow up in a healthy eating household. He lost weight in high school, gained it back early college, then lost weight again at the end when I met him. Fast forward to now and over the past decade he's eaten too much bad food, drank too much beer, had too much life stress and work stress and now weighs 300 pounds (BMI 40.7 btw). He's talked for years about wanting to lose weight, he'll low carb for a little bit and have some success but then falls off the wagon and feels bad for himself and decides to 'start tomorrow' or keep putting it off. This has been frustrating for me to say the least. I've had his 3 kids, love to be active, and truly enjoy eating and cooking healthy and making good food choices. I weigh the very same I did when I met him (115 pounds at 5'3" tall) and have always cared about staying healthy. We are in a rough spot in our marriage right now because of many stressors, one of which is this weight issue. It's not so much the weight as it is the reason for the weight, the constant procrastination, the food and beer that he put ahead of our marriage for so long. I know he's unhappy, so why does he eat almost an entire pizza in one sitting tonight? He always TALKS about wanting to be healthy, but then does the opposite. I just cannot understand it. He had a protein shake for breakfast, cooked a healthy 'hello fresh' meal for lunch, and then had that pizza for dinner. I feel awful for even posting this, I know this is his journey but at the same time I have feelings too and my feelings are that I want to be with someone who has the same values that I do, cares about being healthy for his children and me in the long term, cares about his appearance, cares about his food choices. I brought up the lap band to him last week saying I thought it was something he should look into and consider, at the time I thought it was something temporary he could put in, lose the weight, and then take out when he got to where he wanted to be. Now I'm learning that's not the case and I've discouraged him from WLS. Truly if he could just do keto like he always says he wants to do, actually STICK with keto and making good choices then I KNOW he could do it, I know that if he'd just commit to the lifestyle change that he could accomplish his goal. But now he's saying he wants to do the lap band so it forces him. And I worry this is a recipe for disaster. If he doesn't have the will power to commit to keto on a daily basis I worry that something like WLS will throw him further into a depression because it's such a permanent choice. I don't know how to properly support him. I want him to lose weight because I know he will be SO MUCH happier in literally every aspect of his life. But why can't he just choose to do something like keto, stick with something. Do I support this WLS idea? I just don't know. I don't want him to be unhappy and miserable forever. And at the same time I want my healthy fit husband that I married 11 years ago. Edit: he wants the band for a year only so he can lose the 100 lbs by following the protocol to the T and then take it out and maintain by being super diligent with his diet and exercise. He says 'he's done it before' twice once in HS and once in college and knows he can, but wants the 'sure thing' with the lap band forcing him to lose that 100 lbs.

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.

I have been reading on YahooBandsters & came across this diet that a Dr. tells all his patients to follow & apparently he has a very good success rate. I thought it was interesting. Dr. Foxkin's High Protein Diet for Gastric Banding patients. It is based on a baseball diamond working together. Home plate- is getting banded and then working on getting proper adjustment. First Base- Use an appetite suppressant to relieve hunger and carbohydrate cravings. Use Phentermine or Phendimetrazine. For a month worth it was $23 self-pay. Second Base - It is a high protein/almost no carb diet. He describes it as Atkins minus the salads. He recommends patients stay on the diet until they reach goal weight, which usually takes only 9-12 months. No milk, avoid fruits, veggies, and grains. Be careful of hidden carbs in sauces or breaded products. (Anyone who is commited to a high protein diet has to follow these rules to the letter. It takes 2 to 3 days for the body to switch to fat burning. Consume a lil' carbs and you are back to a glucose burning metabolism and can lose the effect of the 2 or 3 days of fat burning. If you eat good during the week and eat normal on weekends say bye-bye to the drastic results. You can use something like Keto-stics to make sure ketones are present in your urine.) Third Base -Exercise intervention on a daily basis. They recommend Curves, Curves look-alikes, or anything aerobic done for at least 30 minutes per day. No matter what level you are at it is important to just start moving even seated exercise videos can be a great place to start. Using all the above together the next step is Home plate! Home plate - Is reaching your goal. He considers a Home Run getting to a size 9 or smaller for women. (He is known for liking his patients very skinny. He wanted me to shoot for a size 6 but I haven't been that since third grade. I was very happy at a 10/12 when I lost to goal before but we agreed I'd shoot for a size 9. Hell I'd love to get to a 9 or smaller but I don't want to set myself up for disappointment.) He says most patients will lose at least 15 lbs a month with the band adjusted right and following the Foxkin plan. He says even non-bandsters have good luck with it. He also recommends maintaining adequate protein, Vitamin and mineral levels for optimum weight loss -90 or 120 grams protein supplement (unless your doctor thinks you need more) -Vitamin and mineral supplement like the pink bottle from Vita4Life. Although he thought the GNC orange liquid multi-vitamin and mineral supplement (I think I'm going to use the orange Centrum chewables next) -Calcium Citrate 3500-4500mg

I can tell from my husband's experience.. He also had some troubles before the surgery itself and he was about to give up but I told him to not even think about. You cannot leave that big and hard road behind you just because a minor obstacle right before the final result! So, he believed in himself and had the surgery with positive thoughts only! Afterwards we had a long road of recovery with the help of https://kitodiet.me/ as he was on the keto diet. All in all, your thoughts are real and they affect the reality, so be as positive as possible!

Ok, well a month is not long, but depending on how overweight you are, you should be able to do it unless you are very metabolically resistant. Log every single bite. Measure everything. The pre op meal plan they gave me was 1500-1700 calories, which is far too high for me to lose any significant weight at my height, so you might have to play with the calories. Some people swear by keto for quick weight loss and getting that initial water off. Good luck!

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!!

Pinterest ... vsg recipes ... paleo... keto...no carb... It's awesome Sent from my iPhone using the BariatricPal App

5 years ago today was my VSG. Pre-op, I purposed myself to be THE perfect patent, to do everything as I was told to, to follow ALL the directions and do great. and, I did. I lost about 85 lbs of weight and loved life. However, I had a very gentle carb creep and hardly noticed it. Then, one night at work I thought it might be ok to have some watered down diet soda, and that was the beginning of a pretty big spiral downward. I regained in the neighborhood of 35 lbs. It took a pretty major health scare to get me back on track about 20 months ago. I got back on track, went strict Keto, and have lost my regain. I've still got about 25 lbs to go before I'm ready for my plastics, but what a 5 year journey it has been. I left my career path, took a completely new position in my field, went to night shift, went back to grad school, graduated, changed jobs again, went back for post-grad studies, lost a parent, and have come full circle with my career. What a journey. I am forever grateful that I had my surgery. People often ask me "if you lost weight on Keto, why didn't you just do that in the first place"? But they have no idea of my health pre-op, or the battles I faced without my surgery. I would do it again in a blink. I still consider myself a WLS patient, and will ALWAYS identify as a WLS patient. I talk to others about it, and I wanted to share my journey with you.

Update. Have now finished 3 weeks on sax and have lost 8.4kg since 1st jan (two weeks on keto pre sax). I have just gone up to 2.4mg and hope to stay at this dose potentially but we will see. Sticking to about 800 cal, low carb high protein. Appetite is greatly reduced. I definitely fell tired and lacking energy but hope that will reduce once I am on my ongoing dose. Very happy overall and hoping that this keeps working. I have lost as much in a month on this that I did initially over 2 months with my esg. Mel x

My nut doesn't approve of dry cereals/granola this early out, not until I'm at least at 4mo so Kashi's out. Ketosis, other than the breath/mouth taste issue, doesn't really bother me. One of my previous diet 'attempts' was Keto, so I spent five months in ketosis...lost 30lbs, gained 35 when life happened and made things difficult. I'm wondering if the nausea/light-headedness is mostly just not eating enough. I can only get 1/4-1/2 cup at a time, depending on what it is, and I struggle to eat three times a day because of the nausea/lack of hunger. I've tried to have a string cheese or a light babybel when I can, to fill in. I'm having more 'good' days than bad this week, so hopefully this phase was just temporary. I might manage four meals today! Breakfast was a chicken sausage made with roasted garlic and gruyere. 14gms protein for one, though I could only manage half of it. I'll have the other half later. Syntrax nectar is a no-go. Three sips, waited ten minutes, and had a horrible heavy feeling in my stomach and moderate nausea to the point where I went and laid down for a while. I give up, my body has apparently declared that whey protein isolate is somehow poisonous. No issues at all with yogurt or cheeses, so who knows... I have my six week appointment coming up, if the trend of better days doesn't keep up I might ask for something for the nausea or see if they have any ideas why it's so persistent.

a type 1 diabetic you would have different needs than me so I do not presume that my way would would work for anyone actually. everyone needs to follow what works for them. but i will add that saturated fat does not cause heart disease (there was actually no evidence of this - documented in Big fat surprise by Nina Teicholz) and i am carb sensitive so try to stay under 50 carbs and 25 sugar grams. i do not go full keto though i use its guidelines. I am sure a true keto person would think I am not on program. skipping meals does not slow metabolism when you actually get plenty of good nutrients when you do eat. not eating for 16 (and sometimes 22) hours actually gives the pancreas and liver a break and lowers the demand for insulin. a lot of that time i am sleeping so it is not dangerous for me who is not on glucose lowering meds. people should research and do what works for them. some people can tolerate more carbs and some cannot. for me this was the solution. 1) don’t put sugar in, 2) eat real food including real fats not processed vegetable oils and 3) time restricted eating. otherwise known as intermittent fasting. I am not perfect in any way but for those who have gained weight back, i recommend giving up snacking between meals and watch added sugar. that was my first step. i know people who have gained much more back than I did so i posted this to give hope to those looking to get back on track and / or stop the craving and stop the gaining. good luck!

Thank you so much for posting your experience with Intermittent Fasting. I read Jason Fung's book the Obesity Code and watched many of his you tube videos as well as Dr. Berg's IF / keto / Insulin resistant videos. They have been very informative. I am insulin resistant as well and carb sensitive. I am 26 months out and up 4 to 8 lbs, depending on the day. My diet is very good, but I believe insulin is my issue as well. I was eating all day long. Great stuff, but never letting my insulin levels drop enough to burn fat. Can't store and burn at the same time. I have experimented with IF and am on 8:16 right now. It does make a difference for me as well. Just started a few days ago for the 2nd time, so I need to give it more time, but please keep us posted on your progress. Not sure I will do the 24 hour fasting, but we'll see. I see a lot of people who have gained and want to take it off, but not many who haven't really gained, but are 2+ years and want to loose more. I still have a good 50-60 lbs before I would be at a normal weight, so I don't feel like I'm done yet, but at 10 months my weight loss stopped and there it has been for the past 15 months. Keep up the good work!!

https://keto-calculator.ankerl.com/ That is the one with the pie charts and projected weight loss Here are a few others so you can compare. https://www.ruled.me/keto-calculator/ https://ketogains.com/ketogains-calculator/

Hello! Thank you for talking about Keto diet! B4 my surgery i bought a keto diet cookbook but i only tried some of the smoothie recipes. I am now a 7 wk post op sleever. I still love to have my cup of decaf coffee with flavored non dairy creamer. I use International Delight. But in order to get my protein in first thing i added 1 scoop of Isopure zero carb protein powder in my coffee with a Tsp of coconut oil (ie: Rocket Fuel). Im unable to drink it everyday just on the days I dont go to the gym. Thats because the coffee is like a laxative for me! I like the keto diet idea but measuring Macos or calculating my fats & calories seems so confusing! I think the easiest thing for me to do is just to follow the recipes in the Keto for beginners cookbook & log what I can eat on my FitnessPal App & let it do the macos thing for me! By the way my 1 of my daughters started doing the Keto diet again @ 5 months post op & is doing great with her weight loss! She had the Gastric Sleeve also! I would like to continue following this topic to learn more about keto dieting after WLS! Thanks again for opening up this disscusion! Sent from my SM-T530NU using BariatricPal mobile app

Its quite normal to go off foods. I think its the Keto diet that changes the foods tastes. Two years on, I still am unable to stomach cooked salmon, mussels and lamb. Strangely enough, they were my most favourite foods pre surgery. It does get better once real foods are back on your menu, I promise. Just eat what you can now because this stage of having little appetite doesn't last for everyone. What you are doing is great

lots of people have gone through that (luckily, I only have 10 lbs that I'd like to re-lose, but even that's been a bear!!). Are you still tracking your food intake? If not, I'd start there. And go back to following the rules - as in eating the way we were supposed to be eating once we were a few months out - focusing on protein and non-starchy vegetables, with an occasional small serving of fruit or whole-grain carb. if you're a calorie counter, then track what you're eating now (without making major changes yet) for a couple of weeks to figure out what your average daily calorie intake is. Then cut back by 100 calories or so for a couple of weeks. If that's not working, then cut by another 100 calories. Rinse and repeat until the scale starts heading downward. But know that with only 35 lbs to lose, that scale is going to move pretty slowly. You could also try drastically increasing your activity instead - or in addition - to cutting calories, although that method is usually a lot slower. a lot of people have had luck with formal programs like Weight Watchers, Keto, or intermittent fasting - so those are options as well... good luck with it - it's not easy, although it's good you're catching it now while it's still not really out of control!

I’m not doing a full keto diet, but do have a focus on almost exclusively lean protein, which has worked really well. Adding in carbs now that I’m 6 months out and that has almost doubled my caloric intake (you can eat a lot more carbs).

I follow a cyclical keto diet and have had great luck with it again after surgery. I've used it quite a bit to prepare for powerlifting meets and such and started using it again, have had good luck so far.

Screw the insurance companies! they approve drugs that cause suicidal thoughts, seizures and death. Medicine is experimental by nature, it is always possible for different people to have different reactions. Do we know why some people are successful and some not, do we know exactly how the nerves and chemicals are affected after a VSG is performed? We don't even have long term data on 20 year VSG success yet, we are literally the guinea pigs. Although keto seems to be the way to go, there isn't even a standard post op diet that is being recommended by bariatric surgeons. Don't get me started on diabetes, obesity, autisim, BPA, high fructose corn syrup, artificial sweeteners, vaccines etc... WE ARE THE GUINEA PIGS!! End rant

I love your replies to my posts, man! It's a relief to know the issue can subside after a while. That motto holds true for the keto world too....never trust a keto fart! I'm mostly fartless now though and have been for a while, but if I change my MCT products to a new brand or something, the gurgles can hit unexpectedly. Usually one Imodium will calm it down in about 30 min. Since you're so helpful, what's your take on pills...literally? How soon, if ever, can someone begin to take capsules or tablets? I take an anti-depressant daily and the tablet is about the size of a piece of couscous, very tiny. Also, I take electrolyte salts in capsule form to ward off kidney issues and muscle cramps from keto. They're your standard size capsule and I'm usually taking 3 at a time twice a day. I also have a liquid electrolye supplement that you can squirt into about anything, but you don't quite get the same dose as the capsules of salts plus it makes your drinks extra salty tasting. For future bariatric vitamins I'm looking into the Tespo thing for the all in one shot option, but what about everything else?

It was like pulling teeth to get my OB/GYN to prescribe me Metformin, as she said it wasn't meant for use outside of fertility and because of my weight, she couldn't give me the treatment. However, I found a ton of medical studies, kept pestering her, and she ended up caving. She gave me a 3 month supply of Metformin (which runs out next month, so we will have to discuss getting more soon.. Hopefully it won't be so hard for me this time). I assume the Metformin is the reason for such rapid weight loss (besides going on a mostly-keto diet since starting it). However, not too much else has changed -- I haven't even had a period in over 130+ days at this point. Thank you for the recommendations!! I was dancing for 30 mins a day to get my exercise in, but that has stopped since I came back from the states. I need to get back on it. It was a lot of fun and definitely got me to work up a sweat.

Me. Mine was 7/9/20 and I've lost 50 pounds? Started out at 213 5'5" and although my nutritionist wants no less than 1200 calories a day and just 81-90g of protein, I've eaten less, done a reset and exercised. I haven't binged or emotionally eaten but... I have a glass of wine now and then and don't adhere to keto or 500 calories a day. I hesitate to come here because although I find it helpful, my surgeon's approach is not typical and I read about super fast weight loss and feel bad. I'm now worried about meeting goal by 1 year. And I know there are people here with similar stats to mine that are now 115 pounds. But as my surgeon says, this is for life. It's not a race. I'm in my late 30's and sure, I can up my workouts to twice a day and starve like I have in the past but that's not why I did self-pay surgery. I do worry but on the bright side, I'll have less saggy skin and hopefully the changes in skin won't age me so harshly. You're not a failure! Just focus on small things like meeting protein and water goals and it will come off.

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!