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I feel like I'm carrying a hay bale. I have regained 30 of the 50 pounds I lost 2 years ago doing a medically supervised diet, aka Optifast. I stuck with it for 6 months, lost enough weight that I felt really good. I felt like I had the tools to continue on my own. I maintained for about a year, then I just gave up. I would eat crap and think, if I hit 200 pounds again, I'll buckle down. 200 came, then 207, then 212. I started panicking when I hit 217 and started keto for 3 weeks and couldn't sustain it. Not without quicker results. I contacted my weight loss doc and asked about WLS and was told without any comorbidities I didn't qualify with a BMI of 35. I would have to get bigger in order to have it done. What kind of crap is that? I quit my job about a month later. After sitting around, gaining another 10 pounds, I decided I'd had enough. I know I can't do yo yo dieting forever and this is for my health. My future, my children's future. I can't afford to gain more, become diabetic, have heart disease, etc. It's enough. I'm done.

I've done very well on a "keto" diet as well. I don't push myself into ketosis as I did my first year post op, but I don't need to. I am maintaining easily and eat whatever I want, whenever I want. I eat high Protein, high fat, no carbs 90% of the time. I do have an cookie or handful of M&Ms a few times a week, but I can because I am so active and occasional junk food does not "trigger" me. I don't worry about calories at all but my restriction is VERY good at 2.5 years post op and my portions are rarely larger than 1/3 cup. My typical day includes food like hot dogs (the good kind), sliced lunch meat, cheese, nuts, bacon, cheese, shrimp, seafood salad, cheese, chicken salad, deviled eggs, cheese, olives, Beans, edamame, hummus, avocado, pepperoni/salami slices rolled around cheese... High flavor, high spice, high fat. Low carbs. YUM. (Did I mention cheese?)

I respond best to this type of diet, also. If I was a little more disciplined, I would follow it even more strictly. My body also responds very well and so does my brain, I am far more alert as a ketoer. You have to play to keep your macros in line. I usually sit in my food logging app and add up different things before I eat them to make sure my macros are right. My weight loss has really increased since I started keto again, before it was dragging along barely moving. Low carb and low fat is hard if not impossible to do.

Keto is a little different than just low carb high protein because you are keeping a balanced ratio of fats, carbs and protein. The balance works better than a low fat or a low carb diet.

Yes keto diet, it puts you into a ketotis metabolic state. I also prefer that as well. I usually just called it the low carb, high Protein diet. I didn't know it had a true name ???????? although I do have fruit once or twice a week.

No I mean Keto diet/ Ketogenic diet. It is mostly referred to as Keto by people. http://www.ruled.me/guide-keto-diet/ https://www.reddit.com/r/keto/

I was a Keto before surgery, and I loved being Keto, the energy and how good you feel is like nothing else. I will be Keto forever. Unless a carb is in a green veggie I am not interested.

I chose the sleeve over the bypass knowing that the bypass had better results for diabetics. If the bypass was my only option, I just wouldn't have surgery. Touching my intestines is not an option. Prior to surgery I was already controlling my diabetes with diet mainly. Keto will keep your sugars in the normal to low range. So knowing that I could do it with just food prior to surgery, I decided the sleeve would make it easier for me too continue to do so. It is a personal choice you have to make with your doctors.

I was an emotional eater. I would eat when I was happy and eat when I was sad. I'm not one to deprive myself, so I always felt like I deserved a "treat". There are a few ways I worked myself out of it. I had to rethink what a treat is. A lipstick is $16-32, instead of getting a meal, I could get a lipstick or save that money for something bigger, a better treat. That is one thing. Gotta keep that Sephora VIB Rouge status. @@CowgirlJane Is right about your house and the grocery store. There is nothing bad here. Even if I ate any of the sweet things here, or made something with the stuff in my house, it is all keto and low carb friendly. There is no real sugar here, no flour, etc. There is almond meal, coconut flour, swerve, etc. The bad things are Quest bars, and atkins indulge, not the best choices but they won't knock me out of ketosis, and they aren't banned. There are just better choices. Cook for yourself. Cook everything. Cook your treats. I like cooking and baking, but all the prep work and time that foes into making things for one person, then just having a tiny amount, meh. Maybe I am just lazy, but even a mug cake can seem like too much work sometimes. When I think about all the steps, the pause that I take to do that lets me think about what I am going to do. Log everything you eat, even the bad, especially the bad stuff. So you can see it in print. When you see the macros on your emotional eating, it will probably turn you off, and make it less enticing. If you work out and know that even in an hour you can't work off what you ate in 5 minutes, you think differently. Everything I said before comes back to being mindful about what you are eating and why. Pause before eating anything. Think about how it benefits or harms you. Lastly surgery really helps. The pre-op diet, where you basically starve for days (some people have better plans than others) and that final day, where you have nothing basically but Water and broth, trains you. It is basically like going through detox for addicts. Then the week you are on Clear liquids and then the next week on full liquids helps. Also after surgery, at first (not forever), eating is a chore. It hurts, its hard, it can be frightening (if you eat too much or too fast). Your attitude towards food will change. The key is to try and keep this attitude long term. You have to mentally focus on your weight loss goals. I think about everything I went through to get to this point, if I am contemplating a bad choice, and that makes me stop. Also for me, I have a complete disconnect between my brain and stomach since surgery. I used to think about something I wanted, like a double cheese burger, and my body would react and my stomach juices would start flowing and I would be very hungry just thinking about something I wanted. Now I can think about anything I want, all of my favorites, and nothing happens, so the thoughts end up being fleeting. Before I would just fixate because my mind and body were working in tandem, that doesn't happen now. That is a new kind of built in willpower, that is a different feeling. I have had to work with that feeling. I can still let my brain take over and just eat even if I am not hungry, but it is hollow. You just don't get the same satisfaction. Lastly, being aware of your issues is a good first step. Also find a buddy to talk to on those rough days. Good luck

They did not set percentages. I do a keto diet tot try and prevent gallstones and I am working with a University program. 80g Protein, 20g carbs, 38g fat based on my lean body mass.

This is from /r/keto https://docs.google.com/spreadsheet/ccc?key=0Ah8MbmZepQxWdGo4bnB2QmxxMUlmTzZUTXYzMURRLWc#gid=0 It is a good guide to what is low carb.

Wow!!! What a Great Combination. Having a Gastric Sleeve and taking Keto OS Supplements. Like I mentioned, my sleeve surgery was June 24th 2015, yesterday I weighed myself and I was 231lbs. That's 44 lbs in just a few short months. If you arnt happy with how fast your weight is coming off, Check Keto OS out, you won't regret that you did!!!!

Greetings Gastric Sleevers! My name is Jay. I am 45 years old and I have been Morbidly Obese my entire Life. Here is my story. I had a Work Physical in December 2006. When I stepped on the scale I weighed 326lbs. That was the most Obese I had ever been, and enough was enough. I had had it. I needed to do something drastic to stop the weight gain. I decided to have a Lab Band. At the time I didnt want to have any physical changes to my body, and people were having very good weight loss success on the Band. In February of 2007, I had my surgery. From February 2007 to September 2007 the band worked great!!! I weighed in at 207lbs. I was extremely happy!!! But sometime in September the tubing to the band developed a kink and then the tubing cracked and the band was worthless. March of 2008 I underwent my second surgery, this time it was a port and tubing replacement. Everything seemed fine until I went in for my first fill. When they tried to fill the band they werent able to. The tubing was kinked again!!! Are you F'ing kidding me? I had enough and was just going to do my best on what the surgeon had put in the band ( I think it was 9cc's). It wasnt enough, I started to gradually put on weight. In 2012 I had enough again. I went in to have the band filled under X-Ray Fluroscopy. For whatever reason the band took in 15 cc's The band I had was only supposed to hold 12. Needless to say the band was closed off, and I couldnt eat or drink anything. Two days later I had emergency surgery to release the band. The surgery went well, but the Surgeon didnt replace the band. When I went in for a fill they put in the Max CC's of 12. Guess what? No restriction. Yup in was stretched out so much it was ineffective again! I had had enough with the Lap Band, it was nothing but a big giant headache for me. I decided to have a Gastric Sleeve in 2015. I had my surgery on June 24th 2015. The day of the surgery I weighed in at 275lbs. Today is September 11th and I am down to 240lbs. I am very happy with my Sleeve, but the adjustment to the new diet was very hard for me. I am doing 3 Protein shakes a day and I added 1 KETO OS drink a day to my diet. It has made a huge difference. My energy levels are through the roof and I feel absolutely Fantastic!!! The weight is coming off twice as fast for me ( from 2 pounds a week to 4) I took the time to research this product and it is the best decision I have made in a long time. Check it out for yourself: http://C7W6R4.pruvitnow.com

This is a concern I had/have. I have been a low carber/keto off and on for about 14 years. I lose weight but I get to a certain point, stall out and never lose more. I worry/worried that low carbing with just a smaller stomach wouldn't produce better results. Now that I am post op I can see how a vastly smaller stomach will help me long term. Even low carbing and eating keto, you can over eat, and take in too many calories. Most Ketoers don't count calories just carbs. It makes it too easy to over eat. My sleeve is a tool to help me always keep my portions in control. I am going to have to track what I eat for the rest of my life, and be very aware of what I am eating. I think my sleeve is a tool that will help me do all of that easier and not feel hungry or deprived. There is no reason to stop doing keto now, like in the past, when I had issues with being full or feeling constantly deprived. Feeling almost stuffed off a few ounces of food is a luxury you won't understand until you feel it.

I did not have to lose weight for surgery. I knew I was going to have a long liquid diet. I had all the food funerals I wanted. I am really glad that I did, because now when I have a craving, I can say to myself, " you had plenty of that", and remember when I did. It has made things a lot easier post-op. Especially when the time since I had anything to chew on seemed further away I don't know how people for 6 months of dieting, then a liquid diet, then post-op. One thing that I know now that I was sure about before surgery is that I can eat, fairly normally (for me I was already a lowcarb/keto person, I just fell off the wagon a lot), just in small portions. I do not feel deprived at all. Those food funerals were not really needed but I am still really glad I had them, because they helped me get through some dark days.

I appreciate what you guys are saying, and this is going to sound funny coming from me, since I am a marriage and family therapist as well as a pyschology professor, but the tension/hyperness I've been feeling is not emotional, it's physical. I think it might be a by product of being in ketosis, because it started right after the diet got suddenly easier on day 3. Also, I have a diabetic kid, and I was curious if I was passing ketones, so I used some keto strips and sure enough when the pee strip was reading more ketones, I was having both the easiest time on the diet, and having the weird tension/hyperness. It's not really bad. It's totally physical, and I was wondering if anyone else was getting this. Just sorta curious. Now as far as emotions go, I was so anxious and terrified before, but I haven't been at all in the last week. Just trying to get things together at work, so I could have the time off, and also really looking forward to it. Previously, I was so nervous, I wasn't experiencing the hope and happy anticipation much. Now I am. I feel like this week on the diet is actually easier than last week, worrying about the diet. LOL

You have a date! That's exciting! Not going to lie- the two week liquid diet is hard, especially the first few days. But after day 2 or 3, I got in a zone. I journal, and I think that helped me the most. Before my two week shake diet, I had to do 2 months of a keto diet. I think that was harder because I was still allowed to eat! Taking the option away was easier for me at least. I did have a "last meal" before the two weeks of just shakes. I sure didn't tell my surgeon that though! ???? You are so close! My fiancé and I were just saying, the whole pre-op process was so stressful and at times, nerve wracking. But it has been much less stressful in the past week for sure and for that, we are thankful! I haven't had complications thus far and hoping to stay that way. Has your doctor required anything else besides the two week diet? Is it a liquid diet?

This morning: 214.4. Either this keto thing is working or my body is just downright malicious with a f***ed up sense of humor :/ Broke up with my boyfriend this week. He was not reciprocating my efforts. v_v

Yep let it all hang out cowgirl, it's what we're here for My garlic mayo is just straight off Google - one egg yolk, a pinch of salt and pepper, a tsp of dijon, just enought water to thin it to your desired consistency, and a whole lot of the oil of your choice. I happened to have a garlic olive oil so I used that. The trick is to drizzle the oil in the finest thread and continuously, while whisking steadily without stopping. I have no idea how much fat I should be taking in on a keto diet but for the three days I have been doing this I have been at about 40+g and my carbs are in the 20s and my protein is between 70-90.

Well I do believe that the keto means that it will send you into ketosis - the optimal state for burning fat. I know that when I did strict old school Atkins induction (1972 Atkins - which is essentially carbs at zero) I drop weight like crazy. Of course the first 10 lbs is always the burning up of glycogen stores, and the water they require. It is a difficult state to stay in for me - I managed it pre-op for two weeks (my surgeon has his patients do Atkins for liver shrinking, no liquid diets or anything like that. I lost about 14 lbs in those two weeks. The nutritionists at my surgeons office always say there are NO essential carbohydrates - our bodies will make what it needs from other macros. Interesting that the calculator says if yo have too much protein it can send you out of ketosis - probably not an issue if you don't have a lot of excess adipose tissue to burn. I just think it might be interesting to try it and see how I fare - I know that this type of eating helps squash my sugar demons pretty effectively and I like the types of food - I have never tried to up the fat so much though, it has always been so protein focused, if the calories stay around 1200 it should be interesting to see how the scale responds and how I feel. I struggle with pretty severe eczema and allergies - getting the sugar and processed stuff down should hopefully help those issues.

Indeed you look fabulous! I love your hair - you look stunning I created a new little document to track my measurements over time - I had been entering it in a small paper journal, but have run out of room. I added a column for notes/behaviors/activity - of course the topics I usually avoid when I have fallen way to the wayside of the healthy track. Thanks for that link Kim - I am going to try the keto thing - (this honestly sounds way more fun than Whole 30 lol - my family would NOT be on board with something that austere) but meat, eggs, cheese - those are things we will all eat. I am about 197 (cringe) right now and here is what that calculator gave me for macros at a 30% deficit - which they say can be hard, but I can always adjust it down. Also set it to sedentary - I know myself and I slack on the exercise as much as I do water - so anything over sedentary is a bonus. Daily Calories 1256 20 g. carbs 90 g. protein 91 g. fat It says to maintain - my cals would be 1794 - which is right in there with what the machine at my surgeons office says, which had me at 1800 something - though I think my lean body mass was higher - this regain is astonishing in how "flabbaliscious" all the extra fat is - its like I have a new outfit filled with jello or something Hope you guys are doing well and hanging in there - love ya!

Yes supposedly too much will, but I am not sure how much because it never has for me in years of doing keto off and on.I think you have to be just consuming way too many calories period. I don't think that people can consume the fats after WLS in the way that normal people can. I just see a lot of people saying they aren't losing (not just in this thread) and their carbs are high, high in a way that can't be coming from veggies and that is about the only place you should be getting carbs from, veggies. The meal plans they suggest after surgery are not keto, not really. I went to my nutrition class yesterday and they said toast at 6 weeks. They also have people on grits and cream of wheat etc 2-3 weeks out. I know for a fact I can't lose eating carbs like that, even in tiny amounts. I was just reading about the ketosis diet, and they say too much protein can kick you out of ketosis... make up the difference with fat.

I think I might try the keto a bit - I have never upped the fat that much, sounds like an interesting concept. I checked out that thread about regain on the vets forum and this link - interesting stuff - Coops, it's interesting that a shot of olive oil could possibly shake things up a bit http://keto-calculator.ankerl.com/

http://www.ruled.me/guide-keto-diet/ Holy crap, according to the rules of the keto diet, I should be taking in ONE HUNDRED grams of protein, TWENTY grams of carbs and 1100 calories!!!! per day!!!!!! Good god I have never done that low of carbs, EVER, not even post-op ... is that why I have been such a slow loser? The lowest I've done is 30-35g...

When you eat keto (basically high protein, good fats, no carb) your body enters ketosis. Eating carbs will stop ketosis. Your body will retain water again until you re-enter ketosis. That can take a week. One cheat can stall you a week or cause water gain. If you plan a cheat, ditch the scale. For at least 2 weeks.