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Someone tell me WHY I thought it was a great idea to do keto for a while?! Keto flu is gonna kill me! The walnut bread is super dense but delicious toasted. 9g net carbs, 17g protein. 18g fat. Excuse me while I now lie on the couch and regret my life choices to reduce carb intake.

Oh, I get it! That's terrible! In my third week. Any kind of ground meat or fish. Today, dietitian let me start on mushy veggies. Soon good! Trying different ways to cook ground meat. Kind of hard to be original. Having luck finding recipes on keto diet. Very few carbs. Good luck!

Yes, I did a full liquid before attempting the clear liquid. Clear liquids aren't as satisfying, but you can also use some of your creamy soups and add more water to qualify as a liquid. My go-to proteins were several different types to keep me from being bored: 1) Keto Chow shakes made with 8 oz unsweetened coconut almond milk 2) Premiere protein shakes 3) Unflavored AGN Roots Grass-fed whey (to put in soups or smoothies) 4) Liquid protein to put into water and my SF jello 5) Power Life High Impact Whey Protein (kinda sweet, so I mix it into coffee or a SF carnation drink mix)

That's awesome! My husband decided to jump on board as well. He is doing the keto diet and he has lost almost 10 pounds. I think it is so incredible when your partner supports and helps you. Makes it so much easier. I have been making keto freezer meals for my family to have them ready while I'm recovering. I didn't want to have them bringing home stuff I couldn't eat

There are lots of different pre surgery diets. Mine was 2 weeks keto. But generally they’re either two shakes & one meal or three shakes only. With these the first week (or there abouts) seems to be the most difficult. You’re breaking lots of habits, cravings & addictions (caffeine, sugar). Plus if food was a comfort for you this is also ‘taken away’ from you so it can be more challenging because of the emotional/psychological roller coaster. It’s all so very worth it though.

Hi. I had my surgery at the Washington Spire in April and I’ve never once regretted it. As above, I didn’t experience any pain. The nausea is difficult for the first few days, but it soon passed. I’m not a massive meat eater and typically get my protein through things like lentils and other pulses, cottage cheese, yoghurts etc. In all honesty I now have no interest in food, previously it was my crutch if I was feeling down, or a reward for when something was good. Now eating is just something I need to do. I eat out but I’m careful and will order a starter or a kids portion. I eat most foods in moderation and don’t seem to have an adverse reaction to anything. I get full really quickly and tend to push the food around my plate whilst I’m waiting for others to finish. I didn’t tell anyone other than my husband and parents that I’ve had the surgery so when friends ask I’ll say ‘oh I’m on a diet’ or ‘I’m doing keto’ and because they’ve known me dieting for so long they just accept it. I’ve avoided all alcohol to date - again I just say I’m on antibiotics or something along those lines to stop any questions. I struggle with my fluid intake but gradually it’s getting better. The sips get bigger but I don’t think I’d dare guzzle. My body tells me when something isn’t right - when I’m getting full I get ‘burpy’ and my stomach starts making noises. I took the package at the spire when I had a session with the dietician before and after the surgery so if your worried about what you can eat I’d say it’s worthwhile. good luck

How are you doing on pre op diet...im drinking the protein drinks as instructed and I gained 2pds I pray this does not effect my surgery I've lost weight all along the way been doing keto so I'm not sure if I stalled...anyone have this issue also

Something to watch is while you usually have perfect cholesterol, you may find that changes while you’re losing. Like oestrogen being released into your body from your fat as you lose weight the same is true of cholesterol. My cholesterol wasn’t perfect but it wasn’t bad just over the high side of normal but it seemed to always be about that regardless if what I weighed so my doctor was okay with it. When I was losing it went up & up & up & my liver function went weird too (also common). So while the keto high fat diet may be something you consider in maintenance, the high fat aspect may be too much while you are losing. My dietician advised keto was fine in the short term & good for kick starting weight loss but it wasn’t really sustainable. (My pre surgery diet was keto.) I did some of my own reading & decided I agreed. Do I eat fat? Yes. Do I eat high fat? No. I get a lot from animal products (meat, dairy) but I don’t add a lot more (been using the same 500g pack of butter for 8 months). Some salad dressing, a little oil if cooking. But then I’ve never enjoyed fattier foods anyway. I look at it as generally a little of everything in moderation & balance. But you have to discover what works best for you in the long term.

One tip, if you haven't tried them already, is to incorporate Keto Chow shakes. They have a ton of flavors, 26g protein per shake and a ton of vitamins/minerals. They are designed to have you add the fat of your choosing to them (heavy whipping cream, butter, MCT, whatever) so that you can hit your macros. Congrats on taking charge of your nutrition!

You're right. I've been trying so hard to follow their directions to the letter that I haven't been listening to my body. I know I can't go crazy with the fats, but more than 50 per day is needed for keto. I used to hit around 100-120g of fats per day, so if I look at maybe 75g of fats per day, while still keeping my carbs very low (the bariatric diet is 50 or less carbs per day, when I did keto I stayed under 35 per day) I'll see if it works well or needs to be adjusted again. And I always stayed around 80 or so grams of protein per day. And I went on sugar free and very low sugar when I did keto to begin with and just always kept it. The fats are really the biggest difference. So we'll see how it goes. Worse comes to worst, I can just go back on the bariatric diet and do a "pouch reset" and start again.

You asked precisely the right question and they didn't have an answer for you. The nutritionist is not your mother -- "because I said so" doesn't work as an answer. Try keto, see what happens, adjust your diet based on how your body responds. I am 11 months out -- at a certain point, it becomes less about what the nutritionist says and more about you finding a healthy way to live your life.

I asked my dietician in the group zoom 3 month check in yesterday and she said "because we don't do that. It's not recommended after surgery" so I asked her "ok, but why? Will it make me sick? Will it hurt me? I know the bariatric diet says low fat but my body responds better to high fats, very low carbs, low sugar, and high protein. Is the fat going to hurt me? I don't do all eggs and bacon and all that, and my cholesterol is always perfect. What is bad about it?" and I still got the same response of "because it's not recommended for after surgery". So I never actually got a real answer for why keto isn't allowed after surgery.

Here is my considered reaction to the people who say, "You can't do keto once you have the surgery" "Says who?" I am a firm believer that in the days and weeks after the surgery, you need to listen to your surgeon and be conservative with what foods you try -- you don't want to cause any complications. But the further you get from surgery, the more you have to find a healthy routine that works for you. Now, post-surgery keto probably wouldn't look exactly like pre-surgery keto. The fats you can tolerate will be different. Your protein goals would be more important than your macros. It would be a process of trial and error. It may turn into a dirty/lazy keto diet (that's what my wife does. She eats whatever she wants as long as her net carbs stay below 20 per day). Your current way of eating like a bird and working out like an athlete isn't doing you any good. You are stuck in stalls because your metabolism is trying to account for not getting enough calories while you are burning like crazy.

As everyone has said it is to support the healing of your tummy & not to stress & strain it. Remember all those sutures & staples holding your tummy together. Think how you would protect a large wound & sutures on your arm or leg & how long that would take to heal. Purées are thicker which is why they are the stage after liquids. They should still be runny but not watery like the liquid stage. With soft foods think slow cooked, fall of the bone tender, minced meats, braised, etc. Foods that needs some chewing but not a lot. Think how much work your tummy has to do to digest thicker & then more solid denser foods. Plans differ but they also have a lot of similarities too. Some surgeons, like mine, tailor the pre & post diets to their patient. Some have specific requirements based upon their experiences. The best advice is always to follow the one you were given. But of course you can ask your surgeon & dietician why your plan is as it is & you may be able to negotiate slight adjustments based upon your recovery & needs. Yes, some plans recommend avoiding certain foods & liquids to not aggravate your healing. After surgery, we tend to produce extra stomach acid, hence why many are prescribed PPIs for a period after surgery. Carbonated drinks, caffeine, etc. can stir up the acid in your tummy causing discomfort & reflux symptoms. We’re told to avoid foods like rice, pasta & bread because they tend to swell in your tummy, filling you quickly. Remember your focus is on getting in your protein & that can be challenging enough in the post surgical stages. These foods also have little nutritional value. Consuming nutritionally dense food is important while you can eat so little to ensure you’re getting in the vitamins, minerals, etc. your body needs. While losing many of us are advised to follow the rule to eat your protein first, then vegetables as you can, then high fibre carbs only if you are able. If you can only eat 1/4 - 1/3 cup of purée & soft food to begin like I was, why eat food that fills you without giving you the nutrients your body needs. It also gets you starting to think about your food choices & the quality of the food you are eating. I still follow a lot of this: protein first, nutritionally dense foods, etc. Foods like peas & potatoes are considered higher in sugar & in starch (which converts more quickly to sugar). They’re not included in keto diets. Not saying you’re on a keto diet but you’ll notice influences from lots of different diets & eating styles on your food recommendations while losing. The reason why we’re advised to avoid dried fruit is you tend to eat more dried fruit than you would eat them as fresh. We can easily eat several pieces of dried fruits but remember 2 dried apricots is 1 apricot, a prune is a plum. Their sweetness is concentrated too in their dried form so you are continuing to feed your desire for sugar. Same with juice. Honey is just another firm of sugar. This is an opportunity to break some of your food dependencies & cravings. For many of us lots of foods become super sweet & quite awful to eat too during these first months when our tastebuds become extra sensitive. Many are able to go back to eating small amounts of restricted foods while losing or in maintenance. Personally I still don’t eat potatoes, rice, bread or pasta. I find them too heavy & I feel blah on the odd occasion I’ve tried them since I lost my weight. But that’s me. The first months are the most challenging because the food you likely depended upon to comfort, soothe & make you happy has been taken away from you. So you think about & crave them more. But food doesn’t actually comfort you or make you happy you just think they do. Realising & understanding this is part of the head work we all have to do. This whole process is about breaking poor eating habits, poor food choices & establishing new habits, introducing new foods, etc. & discovering what works best for you. The most restrictive aspects of the diet are only for a short period of time & are to benefit your immediate health & recovery. The long term changes you will choose to make are to enable you to maintain a lower weight & live a happier, more active & healthier life long term. Sorry for the 10 000 word response.

I'm on Omeprazole daily. And as of today I actually gained 4 pounds!!! Like, how?? Why??? It's so demoralizing because I didn't have these issues when I did keto. I steadily lost, I didn't have a fear of eating, I only had 1 short stall. My issue was that I couldn't keep it off once I lost 100 pounds (in 9 months). I'm finding it's 10x harder to lose weight after this surgery than it was with just doing keto. Only now I can't do keto again because I had the surgery and I have to have low fat instead of high fat (both require low carbs, low sugar, and high protein). I thought maybe if I did keto again, then it would be easier to lose and the surgery would help me keep it off. But then I read that you can't do keto once you have the surgery. So I ended up afraid to eat because it seems like everything causes weight gain....and now here we are. *sigh*

stalls are very common during weight loss. You'll likely hit several of them along the way. Make sure you're sticking to your program and try to stay off the scale when you hit them. They'll eventually break and you'll be on your way again. Keto "works" right away because carbs hold on to water, so those big drops are water weight (and over time it works because you're taking in fewer calories overall). You're taking in fewer calories NOW, too. The only thing Keto would do would be to let go of water, causing a temporary drop in weight. Water weight doesn't count. Just stick to your clinic's plan.

The scale hasn't moved in about 8 days. I haven't gained this time, which I'm very happy about, but I haven't lost either. I fluctuate between the same 2 pounds (between 343 - 341). I have PCOS, and I was told that will make it harder and take longer to actually lose the weight and keep it off. But it's REALLY frustrating and annoying. It's harder to lose the weight now than it was when I was just doing keto. I read that we're not supposed to do keto after bariatric surgery, but MAN it's tempting!!! I know this will pass, I know this is normal, but I HATE that it's normal. I'm 2 1/2 months out from surgery, so I'm not surprised I'm getting hit again. But UGH!!!!!

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!! ❤️

Had my surgery on July 7th. I am five days out and the pain slowly goes away. I still cannot sleep good as I normally sleep on my tummy, so side sleeping is stopping me from a good night's rest. I never thought I would hate water as I do now. I tried the broth and it is gross. I don't drink coffee or tea, hate jello and Popsicles are just to cold to eat still. I am super hungry and my protein drink is not helping. On the upside I have already lost 17lbs, so that keeps me going. I did keto for 3 years and only lost 15lbs. Oh and my Stitches are clearly healing because they inch so bad.

I'm glad you found it too. You're gonna do great. I lost 70 lbs on Keto at 46 and didn't have any saggy skin but now, since I had gained most of it back, My tummy is already drooping low and I've only lost 25 lbs pre-surgery.

It will get so much better! It took about 5-6 months before I completely felt back to normal, as far as doing physical things. When you resume a more normal diet, you will figure out the snacks that will tide you over between meals when you are out. for me, it is grapes, cheese sticks, and keto protein bars. Or, I use the time that I am out to take care of the majority of my fluids for the day.

Oh man, I'm so jealous of your progress!!! I lost 30 pounds in the first 2 weeks. Then I hit a 2 week stall and have lost much slower after that. In the last 5 weeks, I've lost 13 pounds. I lost weight faster when I did keto, so this has been frustrating. But congrats on your numbers!!!!

I'm looking into therapists. Not sure if it's a food issue or a trauma issue since I had a horrific childhood. My surgeon's office said not to worry about calories, also. They said to do 60-80g of protein, less than 50 carbs per day, and less than 50 fats per day. I'm more obsessive with the labels now than I was when I was on keto. It's also frustrating because in the 9 months I was on keto, I lost 100 pounds with only 1 short stall about 3 months in. It was so much easier to lose the weight back then than it is now. I'm fighting tooth and nail for every pound and hitting stall after stall. I worked out then and I work out now. But since it's such a struggle now, I'm finding I get panicky and start REALLY restricting what I eat. I've upped my work outs in both length and intensity, I religiously watch the labels and count every carb and fat in everything that goes in my mouth, and I not only don't eat junk but I don't think I even eat enough PERIOD. Yet here I am, day 4 of the same weight again. No matter what I do, I lose 5-7 pounds, then sit at a weight for a week, then lose 3 or 4, then sit another week, then lose 2 or 3 and the sit again. I have no issue with doing the work, but somehow I thought it would come a bit easier with only 20% of my stomach. It's harder to lose weight now than it was before the surgery!!!! Just freaks me out and my mind goes to not so good places.

I wouldn't worry much about it. With only a seven day diet like you describe, it doesn't seem that your program is all that concerned with the "liver shrinking" aspect of it as some programs are, that do longer and more intense diets (some surgeons are seriously intimidated by that issue while others don't care in the least.)It sounds like they are mostly working to transition you to their early post op diet. While they probably don't want fruit in there owing to sugar content, raspberries are on the benign end of the scale there (which is why you may see them on a "keto approved" list somewhere. Which is another lesson here - just because something may be "keto" doesn't mean that it is right or good for your needs. Keto is not necessarily healthy or weight loss oriented (but it can be, if done right - as with many popular diets.) There is plenty of junk food out there that is "keto approved". Most here who want to do keto do something called bariatric keto, which is basically old school Atkins because the macro ratios typically seen in most keto references don't make sense with the small amount that we are eating during our loss phase (generally too low in protein.) Not to mention the dubious nature of being in ketosis - K specifically avoided that owing to its side effects and was still working to slow my weight loss after six months, so it really isn't necessary for successful weight loss, and generally a bad habit to get into for long term health and weight maintenance.

Hi all! I have a question that I just need input on until I’m able to reach out to my nutritionist or surgeon. I think I messed up!!!! I’m on day 5 of my 7day pre-op diet. The first 5 days consists of tons of water and SF electrolytes, 3 protein shakes , 1-2 boiled eggs, cottage cheese or low-fat string cheese, a lean protein meal with non-starchy veg and non- starchy veggies, SF jello, SF popsicles and broth as snacks or to quell hunger pangs. Think Keto and in fact I have reached ketosis (i have that telltale fruity, albeit, rotten apple flavor in my mouth for 2 days and I have test strips that confirm because I once tried to follow the keto diet). The last two days are protein and then clear liquids. So here’s the thing my mind was set on “keto, keto, keto” and I completely flubbed and ate some raspberries this morning!!!! Raspberries are keto approved but….. I don’t know if they are pre-op gastric bypass approved!! I’m tail spinning. I think I totally messed up! Input please! Thank you!!