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Keto poop would of chaised their asses out of the operating room! Would of been pretty fun if they were shooting a video for YouTube and a turd hit the floor! Sent from my Pixel 2 XL using BariatricPal mobile app

@clementine sky i'm glad you liked paleo. You made a good point about keto, i wasn't sure how it would work if i stopped. I wasn't sure if i would re-gain or not. I think for me personally keto might be easier for me to follow than paleo. But that's just because i prefer dark meat and i can do without starchy veggies etc. i plan on trying it, not sure if i will be able to stick to it long term. My fear for either plan is what happens if once in a blue moon i eat carbs or grains, will i blow up or have a reaction? Idk. But thanks for your insight, i found it really helpful.

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.

I love doing keto. I think it gives you more food options and you feel satisfied longer. You could lower your calories eating fish instead of steak. I eat baked fish with ghee a lot.

I got a few bariatric cookbooks with my Amazon digital credits, and I wasn't impressed. You can find plenty of recipes online for free -- Pinterest is a goldmine. You don't really need special bariatric recipes (except maybe in the initial liquid/pureed/soft food stages when you can't eat "regular" food yet); just look for recipes that meet your nutritional guidelines. Some "keto" and "low-carb" recipes fit the bill, but a lot of them are way too high in fat. I usually search for "skinny" or "ww" (Weight Watchers") recipes, or adapt recipes by making substitutions like riced cauliflower for rice, spaghetti squash for pasta, sugar-free condiments/sauces, etc.

you're right - Keto isn't the best idea for RNY people. We have a high protein requirement (well, as do sleevers), and many can't handle large amounts of fat. Plus it isn't sustainable for a lot of folks. not sure if you were sort of responding to my comment above yours, but I meant I could handle MCT oil or butter in my coffee - NOT a complete Keto diet. For one thing, my protein requirements are even higher than most WLS patients' - 100+ grams a day. It'd be hard to do that - plus Keto - while staying within my calorie range. Plus my pouch doesn't like fat-laden meals.

We were told not to do Keto because the extra fat isn't healthy, and can cause more gallbladder issues as you are rapidly losing weight.

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.

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!

Ok....everytime I try to lose weight, I become addicted to the scale. I hop on at least 3 times a day to see where I am....even though I KNOW it hasn't moved. LOL When I did Atkins, I used the keto-sticks every time I pee'd to make sure they still turned pink. Does anyone else get like this? I am getting next week, and don't want the scale to run my life. I might just have to throw it away and drive somewhere to weigh myself.

You don't seem to need any advice, you've got this. I'll admit I got lucky in that my nutritionist told me at my first consult for the first month (of three) to just avoid carbs after breakfast, and that was it. I kind of took it upon myself to go full keto, keeping myself under 15g of carbs a day and it's working great, down 23 in two months. Due to what amounts to head-to-toe injuries exercise is not an option for me right now, so I can literally say I'm doing all this without breaking a sweat. I haven't felt hungry a single minute since I started and I'm chomping on a hard boiled egg right now. Like you I have no pre-op liquid diet requirement, so that certainly makes life easier. As for protein shakes, I found a giant barrel of cookies and cream flavored something or other at Costco that I mix with unsweetened almond mile. Search the boards and you'll find lots of recommendations for both powdered and pre-mixed shakes. Good luck with everything.

I use the ratio of 0.36 grams protein per 1lb body weight as a baseline and if you exercise it’s more. (I think that translates to 0.8 grams per kilogram of body weight) I think for Keto it’s suggested a baseline of 0.5 grams protein per 1lb body weight, and between 1-2 grams per lb if you are training hard. i usually get more than I need Without shakes. but I like adding protein powder to yogurt. I had trouble with shakes due to dysphasia and finding a good consistency.

Hello, I'm Tracy age 45 mom of 7, ages 30 to 1½. I'm originally from southern California and now reside in Alabama. I had the Roux en Y procedure 12/26/2001 almost 18 years ago in Whittier California at age 28, my weight skyrocketed to 407lbs at 5'2"..! Luckily with no other conditions i.e. diabetes, high blood pressure etc so I was a great candidate. My lowest weight was 148. I maintained for many years until 2006 after my 5th child and a nasty divorce and with that came my depression & over eating. In 2007, I moved to Alabama and weighed 189, got remarried in 08' and had 2 more children. After having my 6th child in 2011 my weight got up to 203 & there it stayed until January 2018, after giving birth to (my 7th baby) our precious full term daughter who sadly was stillborn at 41 weeks, and 10 months later in October, I lost my best friend/my momma to liver cancer at age 66. After the devastation, I no longer cared about anything, I didn't even care if I lived or died. I turned to eating and was on a lot of medication for anxiety, depression and a mood stabilizer which added another 57 lbs. After going to therapy, getting off all my meds, returning to my faith/church I decided 2019 would be my year!! I made that promise to my momma on her death bed! I went ahead and had my oral surgeries, another back surgery, another mammo/biopsy (I also lost ¾ of my left breast last Aug) saw my cardiologist, changed my diet to all Keto. But the 19 lbs I lost in 5 months came right back. So on June 7th I met with a local Bariatric Dr, June 27th did my pre-op tests and just 6 days ago July 2, I had my revision done to a gastric sleeve. I was 251 day of surgery and I'm at 142 lbs as of yesterday. I had zero pain except for the horrific gas pain in my upper chest, shoulders & back because once they got in there, they discovered a huge hernia behind my liver & fixed that. My first gastric bypass I was cut open 16" so having it done by laparoscope was amazing just 9 little incisions. I feel great and I'm excited for my new life & 2nd chance! Thank you for reading and God bless! Sent from my DL7006 using BariatricPal mobile app

Thanks everyone. I'm just amazed cause I had a huge appetite up until this week. Now nothing. I also don't have a typical menu but I definitely stay under 50g carbs, usually under 25, and 60-85 g Protein . On Keto I end up eating a lot of bacon, eggs, meatballs , cottage cheese, organic turkey deli meat and low lactose cheeses, salmon and broccoli or string Beans. I added sauerkraut and bone broth for GAPS. I get almost no grains and zero fruit. Amazingly I stopped craving carbs almost immediately after starting Keto... that was the first craving to go away. Now I really don't crave anything so I'm forcing myself to eat. Sent from my iPhone using the BariatricPal App

I did Atkins induction prior to surgery as per my surgeons instructions (2 weeks - with Clear Liquids the day before surgery) lost 14 lbs and surgeon said my liver was teeeny-tiny, which made me very happy. I was terrified that there would be issues with my big, fat liver lol - but the very low carb is very fast at reducing it. Atkins 72 is usually the most extreme, but most effective way to go. This is from a low-carb msg board with info from the original Atkins diet - Atkins 1972 NOTE* This is from the book, Bantam edition / September 1972 paperback... Not sixty grams of carbohydrate on this diet but zero grams Here’s how this diet is significantly different. During the first week on this diet, you cut your intake of carbohydrates down to what is biologically zero. This creates a unique chemical situation in the body, the one favorable to the fastest possible burning of your body’s stored fat. Ketones are excreted, and hunger disappears. You see, the first fuel your body burns for energy comes from the carbohydrates you eat and drink. If any carbohydrate is available, your body burns this rather than stored fat-and maintains its old metabolic pathways. But carbohydrates, as such, are not stored in the body beyond forty-eight hours. So when no carbohydrate is taken in, your body must draw upon the major reserve source of fuel-the stored fat. It is forced to take a different metabolic pathway. In this process your body converts from being a carbohydrate-burning engine. This is The Diet Revolution: the new chemical situation in which ketones are being thrown off-and so are those unwanted pounds, all without hunger. A gradual addition of carbohydrate to keep your body burning it’s fat as fuel. We must maintain this chemical situation if you’re to continue to lose without hunger. And if we add carbohydrate very gradually in tiny amounts-we can do just this… keep your body converted into a fat-burning engine. So that is just what we do. The second week you might add a few grams of carbohydrate to your diet. Every week thereafter a little more carbohydrate (around five grams) may be returned to the diet. The Rules of Original Atkins The Diet Revolution Rules (Level One) 1. Don’t count calories (so why are so many counting them?) 2. Eat as much of the allowed foods as you need to avoid hunger.(see, no limit) 3. Don’t eat when you are not hungry. 4. Don’t feel you must finish everything on your plate just because it is there. 5. Drink as much Water or calorie free beverages as thirst requires. Don’t restrict fluids… but it is not necessary to force them either.(It doesn't say anything about 1/2 your body weight in water) 6. Frequent small meals are preferable. 7. If weakness results from rapid weight loss, you may need salt. 8. Everyday take a high-strength Multivitamin pill. 9. Read the labels on “low-calorie” drinks, syrups, Desserts,. Only those with no carbohydrate content are allowed. The First Life-Changing Week, eat nothing that is not on the list. Meat: Steaks, Corned beef, Lamb chops, tongue, Hamburgers, Bacon, Any kind of meat in any quantity—except meat with fillers such as sausage, hot dogs, meatballs, most packaged “cold cuts” Fowl: Duckling, Turkey, chicken, Anything with wings, No stuffing Desserts: Gelatin with artificial sweeteners (e.g., D-Zerta ) Condiments: Salt, pepper, mustard, horseradish, vinegar, vanilla, and other extracts; artificial sweeteners; any dry powdered spice that contains no sugar Drinks: Water, Mineral water, Vichy, Club soda; Beef or Chicken broth, bouillon; sugar free diet soda; coffee*, tea, decaffeinated coffee ---------*Special note on caffeine and Diet Cola. Because most heavy people have some hypoglycemia, coffee, which contains caffeine, should be limited to six servings a day (cups). If you know you have low blood sugar, better limit it to three. Fish: All fish, including canned salmon, tuna; any kind of seafood, including oil-packed and smoked, except oysters, clams, muscles, scallops, and pickled fish Eggs: Boiled, fried, scrambled, poached, omelet – any style and without limitations(another NO LIMIT) Salads: Two small green salads a day (each less than one cupful, loosely packed) made only of leafy greens, celery, or cucumbers and radishes. Dressings with vinegar, oil, salt, dry spices, herbs, grated cheese, or anchovies. Or else a sour pickle in place of a salad. Plus… green olives. Butter & Mayonnaise Fats: Butter, margarine (head New Diet Revolution & eat no margarine with trans fatty acids), oils, shortening (not such a great idea), lard & mayonnaise (fats have no carbohydrates). Juice: juice of one lemon or lime Cheese: Four ounces a day of any hard aged cheese. No cream cheese or cheese spreads. Heavy Cream: Four teaspoons a day. (Cream has less carbohydrate than milk – so don’t use milk) Diet Revolution Salad Material: Celery, Chicory, Chinese Cabbage, Chives, Cucumber, Endive, Escarole, Fennel, lettuce, Olives (Green or Black), Onions, Pickles (Sour or Dill), Parsley, Peppers, Radishes, Scallions, watercress. What Happens After The First Week’s Diet. Most diets are fixed formulas and are therefore short-termed and self-limiting. This diet is fixed only for a week. After that – because it must be a lifetime diet, it is, as variable as are individual tastes. I’ve labeled the additions of carbohydrate that follow’ second level’, ‘third level’, ‘fourth level’, ‘fifth level’, but in fact the additions are interchangeable and flexible. You can make any of these additions any week that you choose. I am so committed to making this a livable lifetime diet that I am letting you select your own variations, within the rules set up by your biological rulebook. Put back what you’ve missed the most: The idea is simply to gradually return to your diet first what you missed most. Custom-tailor the diet to suit your carbohydrate additions to suit your lifestyle. All that matters is that you add back to your diet a little carbohydrate at a time, and that you stop adding carbohydrate when you reach your CCL. How to know when to put back a little carbohydrate: Ask yourself: Are the keto-stix still turning purple? Am I still un-hungry? Have I stopped eating at night? Do I have more energy? Am I still losing weight or inches nicely? Remember, your tape measure is a lot better friend than your scale, not only more accurate, but better able to report on the actual fat (not just temporary water) losses this diet achieves. The Second Level: Cheesecake for dessert? At each level, remember you add approximately five to eight grams of carbohydrate daily for a week and analyze the results. Most people agree the best way to handle the second level is to add cottage cheese… The Diet Revolution Vegetables (not for level one): All of the above plus; Asparagus, Avocado, Bamboo Shoots, Bean Sprouts, Beet Greens, Broccoli, Brussels Sprouts, Cabbage, Cauliflower, Chard, Chinese Cabbage, eggplant, Kale, Kohlrabi, Mushrooms, Okra, Onions, Peppers, Pumpkins, Rhubarb, Sauerkraut, Snow Pea Pods, Spinach, String Beans, Summer Squash, Tomatoes, Turnips, Water Chestnuts, Wax Beans, Zucchini Squash Sample menu, level one: Breakfast: Scrambled eggs with spicy ham, Diet revolution roll and butter, Bouillon, coffee, or tea Lunch: Cold cuts sandwich on Diet revolution Roll w/ mayo or mustard, 1 cup of salad (loosely packed), oil & vinegar, or a dressing from the recipe list, Raspberry gelatin, Diet soda, coffee, or tea Dinner: Chicken Soup with Matzoh Balls, Your favorite cut of steak, Caesar salad with Caesar Salad dressing, Gelatin, diet soda, coffee or tea Snack: baken-ets, stuffed celery, diet soda. Sample menu, level two: Breakfast: Lox and stuffed onion omelet, caraway Diet revolution Roll with cream cheese, Bouillon, coffee, or tea Lunch: Avocado stuffed with crabmeat, Tossed green salad with dressing from recipe list, diet soda, coffee, or tea Dinner: Mixed grill with garlic Butter Sauce or Béarnaise Sauce, Tossed salad with French Dressing, Gelatin Parfait with whipped cream, diet soda, coffee, or tea Snack: Assorted smoked fish, Hard cheese, Diet soda Ok, there it is 'By The Book'

I was lucky (-ish) that I only had to do it for 5 days prior to surgery. My only tips are - wean yourself off of caffeinated coffee because you won't be able to have it during recovery - drink Gatorade if you're allowed. It'll help give some energy and keep you from getting a headache - likewise, I drank chicken broth every day to help get something warm and to get some salt. You're essentially preventing a "keto flu" here. I was honestly surprised that I didn't have any headaches during those few days. - I had freezer meals ready for my family so that I wouldn't have to cook for them. My husband could just handle dinner easily. (Not that he's incompetent or something. He had to work and help with watching 3 kids. Me not having to cook was helpful.) Other than that, try and keep yourself distracted. I watched a lot of TV, played video games, and generally tried to not think about wanting to eat. It wasn't terrible but I definitely hated it. Day 2 was awful. Beyond that, things were easier to handle. Good luck! --- RNY 9/10/20 HW: 245 Day of surgery: 225 CW: 218

My surgery is feeling very real now, having just booked a taxi to get myself to the hospital on Sunday morning (April 25th). The hospital is a 1hr drive away which isn't great (largely because of the added taxi expense) but there was a 12 month wait at my nearest hospital whereas its only been 1 month since my initial phone call to this one (I'm in the UK, paying privately). I've lost 24lbs in a bit over 3 weeks of pre op diet and got a 50lb total loss from my highest weight a year ago today as I did keto for 11 months before the pre op. I've come a long way over the last year, and regularly cook, shop for and have in the house lots of foods that previously I couldn't have resisted (I'm taking about you, pizza, ice cream and biscuits) without finding it a problem. I've also happily gone through the drive through with my (slim) husband and felt perfectly content with my protein water. There was a question earlier about doubts following a successful pre op diet. For me, having lost a lot of weight in the past and losing quickly on my pre op, I'm happy to have surgery. Research shows that for many reasons including hunger hormones, metabolism and fat cell activity weight loss surgery makes it significantly easier not just to lose weight but to maintain that loss. The way I see it from my research and experience is that losing weight through diet leaves you slim but in a body that physiologically is doing everything it can to get you back to being fat. Surgery leaves you slim in a body that has in a sense been reset to being slim and is not trying to get fat again. Do it by diet and you'll be left fighting your body as well as your mind to maintain. Do it by surgery and you don't have to fight your body, just keep control of your mind. That's much more achievable. Preparation wise I've got lots of protein water and shakes ready that I know I like plus chewable bariatric vitamins. I'm feeling very settled on the liquid diet which I'm glad about as I think it'll make the post surgery transition easuer. I've treated myself to a new pair of headphones with alexa built in to make my hospital time and recovery a bit more convenient. I bought a giant cosy dressing gown for a bit of comfort. And I've sorted all my outdoor sports gear /books /maps etc which have ended up in the loft after a blissful period having lost 140lbs about 12 years ago that didn't last very long before it all came back. I've read a whole load about bariatric surgery and nutrition and have lots of self improvement books lined up to read or listen to to help me keep working on me, not just my weight and relationship with food. I'm so excited about my new life and feel very determined and prepared. Loads of waffle there... Can you tell I'm excited?! Sent from my VOG-L09 using Tapatalk

I love that you included your average macros, it made it really easy to visualize. I'm so glad that's working for you. Do you ocasionally eat certain foods like greek yogurt, beans, fruit etc? For me at least giving up those foods makes me hesitant about a keto diet. But it should still be ok for a regular low carb diet i think.

That makes so much sense. That def falls within the keto guidelines. I'm actually going to try what you're doing starting august 1st and see if A) i can maintain it, and do i lose more this way.

I'm definitely going to look into whole30. Thank you. Do you still do paleo or keto?

Have you tried keep low carb/low calorie sweets on you? I try to keep something on me, so if I get tempted I have a better option. Lily's chocolate, protein bar, protein brownie, keto cookie, something. Long term I think it is better to have replacements than just try to flat out deprive yourself. At least it is working for me

So I am required by my insurance to get with my doc and go on a restrictive diet for 6 months, meeting with her once a month for weight-ins and evaluations. I am curious if anyone who went through a similar thing has a particular diet recommendation. I had some success on Adkins back 13 years ago. I was able to stick to it more than others. I went back to eating normally though and put it back on and then some. Looking at Keto or another carb restriction diet to hopefully train me to get away from that junk before and after the sleeve. Suggestions? Sent from my iPhone using the BariatricPal 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

Hello Everyone! I have been reading all your post to this game & I think its pretty interesting! Im now 9wks post op & this morning my scale showed my weight at 188. My weight b4 surgery was 210. Im happy to loose my weight slowly so that I can stay on top of firming up my flabby skin! Anyway I started eating regular foods at 3 1/2 wks PO but I was having trouble getting my required protein in! I could no longer tolerate any flavor of premier shakes or cheese & i dont like milk. Never have. Finally I started using the Isopure protein powder mixing it in my flavored water. Now I feel much better about my protein intake. I can drink up to 48oz of water but it has to be flavored! Now that Im nearly 3 mos post op & can get more variety of foods, I would like to get my protein requirement as well as cal, carbs, fiber & fats by eating real foods & just limit my protein powder for on my workout days! Also since I still cant eat cheese( except cottage cheese), All porks & tuna, Im going Keto paleo/vegan dieting! I love avocados with my food, all healthy oils, salsas, beans & Ezekiel product are my favorites! Soo please continue to post your meal plans for me to get good ideas![emoji16] Sent from my SM-T530NU using BariatricPal mobile app

I can't stand the shakes because I'm really not a big fan of sweets. I just moved on to the soft solids stage of my diet and the hard part for me is separating liquids from meals. I reccomend Genepro protein powder because a tiny scoop is 30g of protein. You can put it in just about anything and it's amazing! And when you advance your diet there is a keto version of pretty much everything you crave. Hang in there! Sent from my SM-G950U using BariatricPal mobile app