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No judgment, Glad you are asking for help Gains can happen to any of us. (I’ve had one) Weight loss mode and maintaining is work. None of this is easy, right? Reality is its not going to be easy. But you can do some things to turn this around. Therapy and counseling may help you address your relationship with food, why your discipline is lacking and getting back on track. Your surgeon can talk to you about all your options. Doing this on your own or with help is a mental battle. Except that you will feel crappy and have cravings while you detox off the extra calorie’s carbs and sugar. Many go back to bariatric basics, keto paleo vegan. Log your food is the only way you will know if you are eating your weight loss calories and macros. Joining a weight loss challenge can help you stay on track. Keep us updated. Your battle with this is going to help others dealing with the same situation. Many come here looking for solutions and then disappear from the site. I hope you stay around and give people insight from your experience.

If you're only eating 6 or 700 calories a day and almost all of that is coming from protein, it sounds like you're not eating enough calories to support a healthy nutritional balance. You're also eating so much protein that you're excluding important micronutrients. I am a big believer in going ultra-low carb (love Keto), but to cut out carbs AND fat is definitely going catch up with you. You can live without carbs (except for fiber, which we really need a lot of), but fats and protein are both essential. Protein is very important--particularly in the month or two after surgery when you're recovering since amino acids are required for tissue growth, neurological repair and growth, hair growth etc. However, you can't really live long term on protein alone. First off, your body will convert protein to glycogen to compensate for the reduction in available glucose that you might ordinarily get from carbs. Protein molecules can be converted to glucose by your liver in a process called glyconeogenesis. It's an inefficient way to create glucose--which is a good thing in most instances since it means that your body consumes about three time the amount of energy to create glucose from protein than it does from carbohydrates. However, this process also creates a lot of unpleasant by-products and waste that needs to be processed by your liver and kidneys. If this is your primary/only source of energy for a long enough period of time, your going to risk liver and kindney damage and possibly failure. This is one of the things your Surgeon is checking for when they do your blood work every three months (it shows up in your creatine, thiamine and protein level reports). This will tell him or her if you're eating to little or too much protein. Second, you need to have fats in your diet. I am not talking about cheese burgers and bacon. We can all live without that crap. However, healthy fats are very important for neurological function, heart health, liver function and hormone production etc. You need to also be eating the right kinds of fats from things like avocado, fatty fish oil (wild caught sockeye salmon), extra virgin olive oil, ghee etc, nuts (pecans, macadamia, brazil nuts--all great). These are all great sources of omega-6 fatty acids, which are also very important for your immune function and will help you suppress free radicals and mutations that can cause cancer and other health issues. Third, even though I am a Keto evangalist, you do need to some carbs in your diet. Those carbs need to come mostly in the form of fiber along with some nutrient rich foods that will help improve your micronutrient profile. Sure, we can take supplements but most of those pills only mimic the vitamins we would otherwise get through a healthy diet. There not one in the same. That said, 20 net grams of carbs is more than enough to live on---but your total carbs (including fiber and sugar alcohols does not require any limitation). Depending your choices though, you can certainly have more than 20 net grams of carbs and still be very healthy and lose lots of weight. You just have to monitor your calories a little more carefully. Finally, even with your tiny tummy, you can easily get your calorie (nutrient) consumption up to 1000 to 1200 a day if you add in fats. A small handful of brazil nuts, macadamia nuts, pumpkin seeds or pecans will get you plenty of healthy fat, protein and fiber to fuel you through the day. Sure, these are calorie dense foods, but if you can't eat food in quantity, you should still try to get your calorie consumption up near 1000k a day. It's not going to really change your rate of weight loss significantly (it might slow things a tiny bit), but it will help you prevent regain to get yourself to a point where you can eat a sustainable amount of calories daily. You don't want your body to adapt to 600 calories a day and base your new set point on maintenance at that level. That's not a recipe for long term success.

Thank you for your reply! Yes, since weight has been a focal point in my life, I’ve been weighing myself daily on every single plan I’ve ever done, from HCG, to Keto etc. I started my current journey many months ago when I was going through the 6 month approval process. I weigh myself each morning, naked…after using the bathroom and before consuming anything to eat or drink. I was completely baffled when it said 226.6 this morning when the last two days it has said a solid 225. Im going to have faith this is just for today lol! The only thing I changed is I added some more calories thinking that would help break the 225 stall. The only other thing that has changed is that for the last few days, I’ve went for 20-30 min walks.

Vent away. It's a right of passage. Totally sucks big ones. But gosh, aren't you glad you are going through the "keto flu" now instead of during surgery recovery? That would totally stink!

Here are some of my questions. I will see him next and will post the answers to these as well as any other questions I think of between now and then. Bariatric Advantage Vitamins (1 pill,4x a day) When should I start birth control How long before I can work out? Weight training? Kick boxing or Strength Training? Can I do Rugged Maniac in May or November? Is the Keto diet a good plan to follow after surgery ( High protein, High fat) or should I stick to high,lean protein and good fats only in moderation? Can we have lemon/lime juice (Fresh)and when? *For teas and to flavor water* Can I use Proteu water (Lift) instead of propel? Is it possible to have a Binder for recovery?

@@Steph~L~16 i don't track calories. never have. i eat keto. no carb no sugar high fat. for me increasing my fat is what got me out of my big stall. its usually about eating more rather than less or more often. everyone is different but that's what worked for me. good luck!

I did keto a while back and had the keto flu for about a week. The bariatric diet and keto are actually the same except bariatric diet wants your fats 50 or less per day and keto wants HEALTHY fats higher. I did the bariatric diet for 2 1/2 months and my body hated it. I would stall over and over. I decided to switch to keto again and I haven't had a stall in the month I've been doing it and have steadily lost. No keto flu this time, tho. But it's normal and goes away. I keep my calories between 1000-1150 per day (I work out and need the extras so my body doesn't think it's starving and hold on to everything). I keep my carbs between 25-35 per day. My protein stays around 75-85 per day. My fats are usually around 70-80. And I'm completely sugarfree or very low sugar (such as certain fruits or veggies). I work out for 45 minutes per day, and I generally take in around 75-90oz of fluids (depending on the type of workout I did that day).

i do not have a surgery date yet, but have been trending down my carb count to prepare for my 3 week low carb/keto diet (50 total carbs a day). Figure it will help me loose more weight before surgery and be more psychologically comfortable and ready for the whole process. i have finally got myself mostly down under 50 carbs a day (6/7 of the last days under 51) and am starting to feel the “keto flu”. I have had a lot of dreaming at night, which is unusual.. headaches the last few days and today general body aches. no fever or cough etc. anyone else experienced this with cutting carbs?? how long did this last?? did the keto actually help loose more weight ? thank you for sharing!

Hi there please can you give me your diet plan for keto , ie what you eat for meals and snacks and portion size please. Thanks Sam

Hey guys!! I haven't logged in here in forever! I had surgery 4 years ago (surgiversary was on the 8th) . My highest was 280.4 , I dipped down to 193 and then got pregnant. I didn't gain much through out my pregnancy, i breastfed after, and lost all the weight and then some. i got to 184.4 i think . Then i don't know what happened. I got back up to 220.2. On may 23rd i started trying to lose weight, I went to a weight loss doc and got put on phentermine . It curbs my hunger for sure but i went from doing the 5 bite diet, to counting calories, to low carb, to keto. 5 bite was good i was losing but it was hard and i kept cheating. counting calories was good but i wasn't losing a whole lot and felt like i needed more structure. Low carb was good but i felt like i needed more than that. so i tried keto. which im on now. I like it but i have someone helping me that hasn't had WLS and doesnt understand it. It's still hard to get in a lot. Like Protein still makes me super full , super fast. so i feel like im forcing myself to eat. I started on aug 2 at 202.4 i think it was. so 11 days later im hovering between 200.6 and 199.6 . i feel like EVERYONE is losing faster than I am, and i had WLS. So....has anyone that had the sleeve ever done keto? I'd like to continue doing it but is it ok to cut back my macros? what should they be at? can anyone help me????? Thanks in advance!!

If you have been cutting for a while already you aren't going to see the big drop that people see on keto if they are coming from a high carb diet. Most of their initial loss is liver shrinking, and fluids. You also are already close to your bottom weight so you aren't going to drop a ton fast. What is your inch loss like? I am in a lot of Keto groups on Facebook and one thing I notice is a lot of people are losing inches and not pounds. I think people on keto diets maintain more muscle than other diets but that is just my theory and a few things I have read support it. How are you calculating your macros for keto? I use this calculator http://keto-calculator.ankerl.com/ As a WLS patient you have a huge advantage over most people doing keto. You can easily control calories and do keto. Most people on keto eventually go nuts on calories because most don't track them, they just track fat etc. Not that you have to go crazy with calorie counting with Keto, but it matters. Do you log your food? What does your typical day look like for you?

I am a type 1 diabetic so I am not sure if this can happen type2's or not. Anyway, alot of type 1's that have had gastric bypass surgery(DS & RNY) have experienced this and it could happen w/ lapband as well I would guess. If you are still taking all your meds but are not getting any carbs or very little carbs you could actually be having DKA(diabetic keto acidosis). What happens is the liver thinks you are starving to death and as a way of keeping the body alive it will release stored glucose from the liver. This causes 2 problems. 1. that your blood sugar will skyrocket and 2. that when your liver does this it also produces a byproduct called keatones which can be harmful to your body,kind of like a posion. I would check your carb intake and if it is deed very low that maybe you can get some carbs. in liquid form(if you are still on liquids). Please call your doctor (not to scare you, just to keep you informed) because this can be a very serious condition which can result in hospital time(even ICU if not taken care of). Again I am not sure if this is what is going on. Please call your doctor and make it a issue! God luck and take care. God bless, Donna(Punkin')

I've been here the entire time. I took off a while post surgery but after I had my regain and got refocused, I came back. I do still post but SO many that were here are long gone. Sadly. In reading many threads over the last couple years I feel like so many pre op and fresh post op people are looking for shortcuts, secrets to manipulate their surgery and ways around the 'work' of being a patient. It is a LOT of work. And yes, six years later I still have to put in the work every day. There are SO MANY foods I haven't had since before my surgery. I was NEVER the person who could go back to eating everything in small amounts. I know some surgeons are ok with that, but not mine, and FOR SURE not my body! Overall, I'm doing great. I am maintaining weight loss. As many here know I had some regain and had a bit of a health crisis. My child goes to a huge national keto clinic for epileptics and under the supervision of a physician there I went hard core keto a few years back. I lost all my regain and more. I am at a bit of a plateau right now after working with a registered dietician and attempting to increase my carbs. I bumped upward a few pounds and put an end to that effort. Back in ketosis now, I'm back on track. I continue to move my weight downward and STILL there are numbers I strive for. It took me FIVE years to get the confidence to join a 'tribe' of exercise folks that I loved. After 2 years of bouncing around different places, attempting stuff at home etc., I finally found a CrossFit box that I love. I go a few days a week. I really enjoy it and will use some variation of this modality for as long as I can because it really works for me. I still do, and will ALWAYS identify as a WLS patient. I am proud of what I went through. I am focused and dedicated. I am positive that I wouldn't be seeing my upcoming 45th birthday had I not had the surgery. I had a massive health issue that was spiraling out of control and I didn't even know it was there until after surgery (after I had some regain and some testing that investigated symptoms I thought were related to regain)...Had I continued to gain weight and skipped surgery, I would be dead now. It's sobering and makes me that much MORE thankful for this option. I don't take it lightly.

Hello, I got my surgery back in Dec 2017. Starting from 96Kg, going down to 76 going back to 90 I am 3 years out and despite I gain back most of the weight I still thinking that without the surgery my situation could be much worst. Till 3 months ago I did get any type of downside from my surgery, but starting from March I started to get a lot of problems with my stomach. I need your help to figure what's going on. 1) Despite I am obliged to eat a very small portion and small bites, after every meal (does not matter the type of food, dry or wet) I feel like I have a huge block over my stomach. Take up to 2 hours before I start to get better. Never had before this type of problem, was able to eat an entire Big mac without any problem 2) Often after the meal a start to have premature atrial contractions that persist for the entire day plus a strong tachycardia. 3) I woke up in the middle of the night with strong pain in my chest back and front due to reflux that is getting so worst that I need 40mg of Omeprazole plus 2-4 pills of Gaviscon every day. 4) I have constant pain in the liver area associated with nausea and diarrhea. So, all these symptoms are getting worst day after day making me impossible to eat anything without feeling miserable. In the past week, I can eat only liquid food So, I have been in the ER a couple of days ago due the strings tachycardia, that performs some exams and heart is totally fine. Hypothesis: Stress, Ernia, or something related to digestion. Do you have some suggestions? My problems start usually after the meal (but3 months ago never happen) The night reflux happens if I eat after 7pm and go to bed around midnight (never happen before either) The liver pain came up after 3 months on Keto, so I have stopped that since I am inclined to have metabolic syndrome. Till 3 months ago I was eating very spicy food with no problems, but I stopped doing that because if I am eating spicy food now, I could die. So, what's going on? Please help me!

Hey, I'm getting sleeved at the end of the month and just wanted to hear from a few of you that have been sleeved already. My diet is awful. It's incredibly carb heavy! I know that I will be changing my diet forever now to keto style. Did any of you find this really hard? I'm worried I don't have enough will power. Anytime I have tried keto before I have never been able to stick to it. I'm worried that I'm gonna lose the weight and put it straight back on again as I always have [emoji22]

I have felt hunger since having the surgery. I also have gastric reflux which I think makes it feel more pronounced but I am losing so I am happy with my progress. It is all so odd because it is not like anything I have ever experienced. I read what is posted but know that our experiences may be different. I am trying to find the right balance because I do want bread, rice and pasta and I have tasted it so I know I can eat it but I dońt want to undo my progress so I found thejoeduff on YouTube and he has a lot of great keto recipes. I learned to make toast and some pancakes.The funny thing is that now my kids eat MY leftovers and it used to be the other way around! So usually my first meal of the day goes down rough and Ím burping and its all so noisy. I also find I get hungry later in the day. I was doing IF before the surgery so I dońt know if I became used to eating more later in the day in that window of time. Anyway, my point is for me this has been a lot of trial and error. Someone posted earlier to practice mindfulness and to listen to your body which I think is the best way to approach it. If something doesn’t feel right, listen to the cues and monitor what you can. If you get off track, forgive yourself and get back on. Wishing everyone health during the difficult time!

Keto was very successful for me pre-op last year. But low fat, low carb is the new life. Your body and metabolism will completely change post-op. Give it a chance. Sent from my SM-G930R4 using BariatricPal mobile app

@whitesale Sounds like you are doing all the right things. Im going on three months post op and have had no less than 4/FOUR crazy long stalls. That's crazy, right! It happens. Trust me it will get better. I did the Keto diet starting at about a month ago to jumpstart weight loss again after an almost three week stall. It's not for everyone but it works for me. I was hungry as hell everyday until last week now I've suddenly lost all hunger. The one thing I've learned is that your body will react to this sleeve differently from week to week. If you stay on your plan you will progress eventually! I promise. I'm going to start working out on Tuesday and can't wait!! Sent from my iPhone using the BariatricPal App

You have to kind of figure it out for yourself, because everyone is different. However you nutritionist should be able to give you a meal plan. If you are paying them, fire them, they are useless. Most long term successful people eat low carb. I eat keto. I use a calculator to set my macro requirements. I eat foods I like that fit my macros and the keto way of eating. Once you are healed how you eat is up to you. Still your nutritionist really makes me angry. They should be able to give you real suggestions. That is their job

I am just in the initial stages for pre op my surgeon appointment is on Tuesday but as I go grocery shopping I want to fill my fridge with the pre op diet foods, and have read most doctors diet pre surgery is keto. I have been doing the whole30 and have lost 30 pounds in the past 3 months and can transition to keto if that's what I'm going to be put on, in my research I'm seeing that keto is listed as the worst diet of 2017 and whole 30 was right with it. My bariatric may require 3 months dietician, exercise and weight loss. My insurance doesn't, Just failed attempts and need. I'm curious about keto diet recommendations, how much weight are you suppose to lose before surgery? How many carbs do you eat to be in ketosis, how do deal with the side effects? Thank you

I have done a lot of research on diets (as most obese ppl have, I suspect) and what I find is, from Keto to Vegan to Paleo to Weight Watchers they all have something in common: 1) avoid sugar 2) avoid refined grains and other highly processed carbs 3) avoid processed food and fake food even if it has no carbs (hot dogs, diet soda, etc) 4) eat whole food as close to nature as possible 5) eat your veggies! Beyond that there is a ton of variations and different things work for different people

Sounds like ketosis, the metallic taste is a dead ringer. Ketosis is the state of your metabolism switching from Ironing glucose as a primary fuel source to burning fat. It can be burning stored fat, or dietary fat and most likely a mix of both. Your body contains approximately 300g of glucose "on hand" stored in your muscle tissue. Once you cut your carbs, those stores get depleted and your body turns to an alternate fuel source, fat. Your liver generates 280g of glucose every day for brain function and cellular functions every day regardless of your diet, so there is no danger to remaining in ketosis. When fat cells are burned, there are by products called "ketone bodies" or ketones created. There are 3 types of ketones, and you can buy urine strips that will test for 1 of them. When you first start ketosis, your body sucks at using ketones and so that "spill" over into urine. The longer you remain ketogenic, the more efficient you become at burning them. Beta-hydroxybuterate is one of the ketone bodies that has been shown to have very beneficial results on the heart, and is a preferred source of fuel for the brain. While initially in carb withdrawal and your body can't uptake ketones properly, there is a syndrome known as "keto flu". But after the initial withdrawal subside and your body adapts to using ketones as well as fats for energy and fuel, there is evidence of increased mental clarity and acuity as well as dramatic improvement in heart conditions. Sorry if this is more info than you wanted, just chewing the fat, so to speak.

The gas pain was only for about an hour. I have some soreness in the area where the hernia was repaired, but that's not very bad. Nothing Tylenol can't keep at bay. I'm allowed to eat pureed foods, but I'm really not hungry. Ate some mashed potatoes & gravy yesterday, it tasted good, but I only ate it because I thought I should not because I really wanted it. Drinking 1/2 a low carb slim fast now. I guess knowing I can have other stuff makes it less desirable. LOL. I haven't really been hungry since I started the pre op Clear liquids. I think when the ketones kick in the hunger wanes. After my surgery I could actually smell my keto breath. Yuck!

I've been following a ketogenic diet for the last 3 months and have been pretty successful. My surgeon originally wanted me to lose about 30 pounds and I have lost 25 and he has been happy with me so far. My nutritionist did not suggest keto, I kind of just took it in my own hands to follow keto instead of the high protein low fat diet they recommended. My main question here is, if you followed keto up until you got close to your surgery date what did you do when you got close to surgery? Did you go back to high protein low fat, or follow keto right up until the pre op liquid diet? I'm not sure what I wanted to do. My surgery isn't officially scheduled yet but I'm probably looking at early October. High protein low fat and actually eating carbs is going to be so weird for me and I'm afraid I'll gain or stop losing if I start eating carbs. I know it isn't likely but when you do keto for so long you understand. So please anybody with any advice or peace of mind to give feel free!! Tell me what you did when your surgery date got closer and if you began following keto at maintenance after surgery or if you did not go back to keto. Thanks!

Very odd. A few different thoughts on this. With the smaller volumes of food you are eating now, I am wondering if it could be related to the proportion of sugar vs. other nutrients. Conversely, I did keto a few years ago and my A1C went up. My NUT said very low carb diets can increase insulin resistance and cause increases in blood sugar. It is probably a good idea to discuss with your surgeon and NUT. Please keep us posted on what they say. 💕 I was diabetic pre-WLS with a 6.5 A1C. I have only had one set of labs since surgery, at about 2.5 months and my A1C was down to 5.6. I stopped my metformin when I started my pre-op diet. I am super happy to no longer be diabetic and will be interested to see what my numbers are now.