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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!!

Trying to get information for my husband who is currently 300 pounds at 6'0" tall making his basic BMI calculation 40.7. He's tried dieting so many times over the years but always ends up higher than he started. When we first married 11 years ago he was VERY fit, muscular, and broad shouldered weighing about 190. Because of work stress, life stress, and bad eating habits he's now where he is today. Low carb/keto is how he prefers to diet. Right now he's considering the lap band to force him into losing the 100 pounds. He doesn't have an eating disorder that I know of, he just needs something to keep him straight that's more than just his mind. He says he plans to follow the strict plan with eating properly and exercising and then take it out after having it a year. And then from there continuing to keep a clean healthy diet and exercise regime. Other than sleep apnea, he doesn't have any other health issues that we know of. His blood tests all look good and other than being quite over weight he's healthy. Anyone else done this? What are the downsides? I know people don't like the lap band long term, but is this a better plan? We are fortunate to live in an area where there are many, many very good doctors and the ones here still do lap band. Was hoping he could use it as a tool to get to a healthy weight and then maintain from there. We have our first consultation next week. Would love thoughts from experienced people here. Thanks in advance!

I started my journey at 397 pounds. I lost 99 pounds during my six month insurance-required pre-op diet program, weighing 298 on the day of surgery (September 28, 2016). I met my goal of 180 pounds on October 2, 2017, 1 year and 4 days post-op. I currently weigh 173 pounds. The surgery helped me, yes, but I have followed a keto way of eating since the first day of my six month pre-op diet program. I eat less than 25 grams of carbs per day and keep my calories below 2000. I plan to continue to eat that way long term. That's what has helped me to achieve my goals. Good luck!

I too thought the balloon was the answer for me...NO! lost about 30 lbs and put it right back on. I had to address my eating addiction first. I have been doing Keto for almost a year and have lost a solid 40 lbs. eating addiction is real!! Good luck, the balloon isn’t the answer and a big waste of money.

This is a question I have asked myself also. I see that studies show plant based diets are proven to be very healthy and so, I questioned basing my diet on protein. I now do plant based, low carb, but not keto low and healthy fats. I have gained about 5/6 lbs and seem to stay there as long as I don't add processed foods or sugar to my diet. My blood work #s are excellent. I am experimenting with intermittent fasting 8:16, hoping it will help me drop a few more.

I have never been more thankful for the 6 month lead up to surgery. In the past, the 6 months always caused me to give up and decide not to proceed with surgery. I was indignant about it and I let it piss me off to the point of raging against the surgery machine for 8 whole years. When I finally reconsidered, it was after my dad died. In the lead up to him dying, I put myself on the "If the people on My 600lb Life can do it, so can I liquid diet" ( not the actual name, but what I actually called it) Before I knew it, I had followed that diet for 3 whole months and at the end thought "Damn...I could be halfway to surgery." So when my dad died, I actually called the surgeon and started the process. I went on modified keto which for me was eating a 1400 calorie keto diet Monday through Friday. On the weekends, I ate what I wanted, but I stuck to 1400 calories. I also started a walking regimen which by the day of surgery I was walking 5-7 miles per day. I really made changes in that 6 months mainly because I wanted post surgery to be as easy as possible. Truth be told there were still many changes to be made post surgery. I stick to the program and I work out 5-6 days a week. I run now about 20 miles per week. I'm totally living my life now. No weight struggles. No complications. Life is about evolving. Every change you make now will have an affect on your future and you never stop changing.

As of today, I am exactly 3 1/2 months post sleeve surgery and have lost 61 pounds!!!! I can't believe it!!! I still feel like I'm fighting for every pound, but I also knew PCOS would do that to me. Still, I'm so so happy that I hit that weight. I know it's going to get tougher the more time that goes by, but the fact that I'm losing and not putting the weight back on is huge!!!! I'm so excited. My next goal is to hit 320 (that will officially put me at a lower weight than I was with keto - even though I lost 100 pounds then, and it'll only be 67 pounds now, because I went into the surgery a lower weight than I was at when I started keto). After that, my next goal is to hit 299 and be under 300 for the first time since 2005.

I swear people make you feel like that though. Like why is it a judgemental thing about how you achieve weight loss? I like to be 💯. It is so draining, being phony for me, but it’s like people want some phony mess like, oh! I ONLY did keto, cardio and strength trained or I got lipo. I guess I could NEVER be an influencer, because I can’t lie and my face tells it all even when I try. But, I really do not try to judge, but I leave some conversations like, judge unto others and you would have them judge unto you…I am a bit petty so I said, F-it I am judge they ass too.

Hey Guys, I just found this site after a hopeful search looking for someone who has or is going through something similar. I had RNY with a Minimizer Ring on the 18th of February 2020. I am 43 and 5ft 9In. My surgery weight was 296 pounds and I am now 238 pounds. A loss of 58 pounds so far. I had been planning/researching the surgery for 5 years and after my last failed attempt of maintaining, went ahead with surgery with full knowledge of what to expect (well so I thought). For full disclosure, my weight problems I think were based on years of yo-yo dieting. Mainly extreme calorie cutting and exercise to get to normal weight. However, when off the ‘diet wagon’ I would only eat a huge meal once a day after not eating all day and being starving when I got home. Usually meals were very much carb based with heavy sauces. I would eat normally on the weekend, but overly big portion sizes. I am not a sweet tooth or an emotional eater, nor am I a fussy eater. I also loved coke zero, which I have just found out is apparently a trickster. Anyways, I think I ruined my metabolism and losing weight was no longer working like it used to! What I expected: · 5-10 days of a keto kind of flu whilst my body adjusted to fat burning mode · Minimal appetite, but still some kind of signal I needed to eat · Being easily satiated with small amounts of food · Having to chew my food 20-30 times · No water 30 mins before or 60 mins after food · Protein first, avoid simple carbs What I did not expect · Persistent nausea · Aversions to all meat/poultry/fish and eggs (physically make me heave) and other random things (sour cream, mushrooms, pumpkin soup, cheese that has been grilled) · Complete and utter exhaustion to the point where my personal hygiene is embarrassing because sometimes I can’t muster enough energy to have a shower for days · Dumping sometimes trying food for the first time, sometimes after having food that did not make me dump last time (for me it is sweating, heart racing, severe cramps and diarrhoea within 30 mins of eating) · Being so uncomfortably full even if it is just water, or a couple of tiny bites of food. I get less than 1000 calories in a week · That chewing the food so many times would make most foods unpalatable and having to spit it out or throw up · The amount of times I belch, heave and bring up thick saliva……all day…..its disgusting and embarrassing! I had read many stories before the surgery, some positive and some negative and was always quick to judge people thinking they were just negative Nancy’s or hypochondriacs and like attention. So it hard to write this post knowing a lot of people will think what I did. I have had scans with contrasts and there are no issues. I have been hospitalised for dehydration, low potassium and high blood ketones. Ketones are normal due to weigh loss. Dehydration and potassium easily fixed with IV fluid. I have a gastroscope tomorrow morning to check if there is scar tissue etc causing my issues. BUT WHAT IF THEY FIND NOTHING???? WILL THIS BE MY FOREVER??? HAS ANYONE DEALT WITH ANYTHING SIMILAR OR IS IT JUST MY BODY FREAKING OUT AND TAKING LONGER THAN NORMAL TO ADJUST? Thanks if you read this far, it really means a lot. I would love to hear from you. I am open to all feedback. Best, Laura (Alice Springs, Australia)

I cannot take credit for any of the following (I copied and pasted from a few sites...): Ketosis merely means that our bodies are using fat for energy. Ketones (also called ketone bodies) are molecules generated during fat metabolism, whether from the fat in the guacamole you just ate or fat you were carrying around your middle. When our bodies are breaking down fat for energy, most of the it gets converted more or less directly to ATP. (Remember high school biology? This is the "energy molecule.") But ketones are also produced as part of the process. When people eat less carbohydrate, their bodies turn to fat for energy, so it makes sense that more ketones are generated. Some of those ketones (acetoacetate and ß-hydroxybutyrate) are used for energy; the heart muscle and kidneys, for example, prefer ketones to glucose. Most cells, including the brain cells, are able to use ketones for at least part of their energy. But there is one type of ketone molecule, called acetone, that cannot be used and is excreted as waste, mostly in the urine and breath. The description of the smell varies, but it is often described as "fruity" or like the smell of apples which are "past their prime" (or even downright rotten). The good news is that keto-breath usually doesn't last forever. Most people find it dies down after a few weeks, or at the most a few months. The reason is unclear, but it seems our bodies adapt in some way. Children on a ketogenic diet for epilepsy have been shown to have less acetone in their breath as time goes on, for example. In the meantime, there are things you can do to minimize the impact of "keto-breath": Drink more water: try 8 glasses per day to see if this helps, and then you can experiment from that point. Natural breath fresheners to try include mint, parsley or other greens, cloves, cinnamon, and fennel seeds. Some people swear by breath capsules, which are usually made from parsley oil (e.g. Mint Assure) for keto-breath. Others find they do not help. sugar-free mints or gum can be tried, but watch the carbs in them. Ammonia Breath from Protein When the body metabolizes protein, ammonia is produced. When people eat high-protein meals, there tends to be increased ammonia in their breath and/or urine. In large amounts, this can smell pretty bad. It's important to remember that we don't need lots and lots of protein in our diets. Our bodies use protein to maintain and build muscles, to make enzymes, and for other structural and chemical needs. The body will convert excess protein to energy, which is where you will get the extra ammonia (this also happens during starvation or long exercise when the body begins to rely on breaking down muscles for energy if it runs out of sources of fats and/or carbohydrates). Find Out How Much Protein Your Body Needs Sometimes people load up on protein because they are afraid to eat more fat. This is one of the reasons why it is rarely a good idea to try to eat a diet that is low in both carbohydrates and fats. The solution to "ammonia breath" for people on a low-carb diet is often to increase fats in the diet, and cut back some on protein foods. Above all, don't let problems with your breath derail you from staying with a diet that is improving your health. Instead, try to figure out the cause of the bad-smelling breath and tackle it. Body Odor There are a number of chemical changes that take place in your body when you're on a low-carb diet, some of which can cause a foul body odor. Ketone bodies have an odd odor to them; they're not unlike fingernail polish remover in their smell. Once you enter ketosis, it's common for others to smell ketone bodies on your breath and in your sweat, which can give you a foul, sickly-sweet odor.

Do you mean 800 calories? This website has a handy calculator that you can customize to figure out where you can set at: https://www.ruled.me/keto-calculator/

I googled Keto rash and it looks like what I have & it seems like it tends to show up where mine has shown up. I do hydrocortisone cream and even went to the doctor to have it looked like. Basically they said to keep doing hydrocortisone and follow up with them later...

Not exactly Baloney for everyone. I went on a protein strict diet prior to surgery and almost couldn't have surgery because I had temporary proteinuria. It didn't level back out until I started a more balanced diet. The kidney doctor told me specifically that an increase in protein, or heavy protein diet can cause temporary---leading to permanent kidney disease or damage. This happened to me. My doctor told me this. I should say, that this isn't the case for everyone I'm sure. And we all know that pre op diets and liver shrinking diets in general, are the extreme version of "Keto".

1. personal goal: Imma get to Onderland guddamit; exercise every second day; follow Keto with some IF 2. Surgery: MGB conversion from band, losing (slowly) 3. 91.5 kgs = 201.7 lbs / BMI = 32.8 4. Imma struggle with bad knees so it's gotta be easy 5. Favourite flaw: that I have or that other peeps have? Hehe mine is: I'm naively gullible. I'm like the opposite of Judy Judy - I think everyone tells the truth and is innocent. But I figure that's a kinda nice way to be (except I get terribly shocked when I do find out someone has lied to / manipulated me).

Baloney. mr fluffy and I have been Keto for about 90% of the last 18 years. Good news! We still have all our kidneys and have totes normal bun/crest levels!! Even despite my chemo and tons of contrast media! Lol. https://www.renalandurologynews.com/nutrition/high-fat-low-carb-diet-beneficial-for-ckd-patients/article/314032/

Damn i thought i replied but it never up loaded...https://www.healthline.com/nutrition/protein-for-vegans-vegetariansPea protein, hemp hearts, tofu, chia, etc. Not single source. Its going to cost you calorically but it can be done. Usually you have to plan very well and make your own foods. Example if you make falafel you can add ground hemp hearts, chia seeds, flax, pea protein, spices,etc. Stir fry mushrooms with fluffed buckwheat and quinoa. Eat with a hummus spread. You will work harder (especially if you don't like legumes) but its possible. I have come to the very real conclusion that my time with animal protein is almost over, but I'm interested in keto, I stopped by to see if I could do it for a short burst then try to vegetarian/vegan keto for a burst to break through anticipated plateaus VSG2017 HW 249 SW 238 CW 167

Planned healthy meal eating out: fam took me to Japanese and sashimi is PERFECT for halal keto bariatric diet!! Had a brilliant time and was only mildly jealous of my daughter's veggie bento box (that General Tso's tofu is SOOOOOO good)

He's a keeper my hubs. But I let him watch the sport on the telly afterwards 😆 (All Ireland Final Rematch, Dublin won). I have to say, while I enjoyed Downton Abbey it felt more like a Christmas special than a proper movie. But had a good time AND I didn't buy anything to eat and didn't even bother with the protein bar and keto crisps I brought.

That does sound good. A little keto bread and it would make a nice sausage gravy and biscuit with eggs. Yum

@Jess- we are in the same boat from a decision making stand point. I was weight stable for about 2 years and then over the holidays, I gained a few lbs and was 9 lbs (144) above my lowest weight of 135. I decided this summer to take the extra fluff off and a few more. I am currently around 133. I appreciate your sensitivity to Bella and like you, my current WL is 100% vanity, I have no "need" to lose weight. Here's my point on body composition. All WL is not created equal. I don't just want to eat at a deficit, I want to eat at a deficit that will allow me to lose fat and maintain muscle. That is why I am doing a modified Keto- I am trying to spare muscle while losing fat. I don't want to cut calories so low that I cannibalize muscle. Like you, I always have made sure to get my protein in but at least for me, a lot of my recent fluff is from letting too many naughty carbs creep in (cucumber and celery did not do this to me!). So my question to you is, is that 10-15 lb gain, fat or muscle? If like me, you suspect it's mostly fat (and water), then I suggested Keto to go into a "burn body fat for fuel" mode. With this approach, I have also temporarily cut back on my workouts again to spare muscle. If you try Keto, then based on your macros from yesterday, you need to up your fats. Even if you don't want to go Keto, most active women need more than 25 grams of fat for hormonal balance (if yesterday was a fast day, then a day or two of really low fat is no biggie). My ratio has been 1:1 (fat:pro&carbs) daily macro breakdown has been 50% fat, 35% protein, and 15% carbs (by way of comparison, traditional Keto is 3:1 or even 4:1, modified is 2:1 or 1:1). I'm averaging 1300 cals a day. For sanity, I have taken 1 mini diet break (Fri-Sun) where I exceeded my carbs, which gave me some extra energy to workout over the weekend. I am hoping to maximize these last 4 weeks to get down to 130 before I reverse out of this diet- gradually upping my carbs and bringing down my fats along with increasing my activity level. I will gain a few pounds on the scale as my glycogen stores are replenished but I should have re-comped my body to an overall lower body fat level. In your case, I am surmising you would be back to your 17%. Sorry to take your thread totally off topic, 5:2 works well for many people (talking about you @Feedyoureyes, Georgia, Daisy, etc.). I however cannot handle perceived deprivation- seriously, I would count down the minutes and obsess over what time I could eat again!

Hey August Buddies! I wanted to share my results so far in starting my mock trial liquid diet to see how well it goes for me. Basically, to test to make sure I can hit all my macros and protein, I don't put it in my mouth if it does not have some version of protein in it. So far I have felt very satisfied and not felt too hungry. If I do get hungry, then I drink more water with the Liquid Protein and it satisfies me. What my days are consisting of: Breakfast 1 cup of coffee with 1 Tbsp of cream and 1 teaspoon of Skinny mix and 1 scoop of college protein Take all my supplements and vitamins Water with Electrolytes Oikos triple zero yogurt watered down Organic Plum Stage 1 Babyfood (OMG - soooo good!) Lunch 2-ounce puck of strained Bear Creek Cheddar Broccoli soup with 2 TBSP of grass-fed Whey protein ( I also made chicken noodle soup and potato soup pucks so I have a variety) 1 Keto Chow protein shake with 1 cup Almond Milk Water with Liquid Protein and Electrolytes Snack 1 Premiere Protein Chocolate Peanut Butter Shake Water with Liquid Protein and Electrolytes Dinner 1 complete SF Jello box with Liquid Protein Water with Liquid Protein and Electrolytes My program may be completely different from yours, but I wanted to share what is so far working for me. I'm down 4 pounds since Sunday and have not been hungry and very satisfied. Average daily calories 850, Avg protein 120 grams, average net carbs 58 (primarily from yogurt and fiber carbs) I feel really good that my protein levels increased to over 50% when I implemented the liquid protein. So easy to consume with your water! Lots of Love to My August Buddies!! ❤️

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

Hi everyone! I'm a new member and my gastric sleeve surgery is scheduled for 2/18. I'm excited and terrified all at once! There is the physical aspect but this whole experience has been a real mind shift. I was just telling my husband that I am aware of how much of a complainer I am being. The liquid diet has been tough on me. I started keto/IF on 12/28 and was losing weight before it. Now this feels like torture but I know it's preparing me for what is to come, in two days, I will be in a whole other phase...looking forward to learning and experiencing this with you all.

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?