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Newbie waiting for ESG consultation-looking for advice
Tex Slim 66 replied to MomInCanada's topic in Endoscopic Sleeve Gastroplasty Forum
Hey MominCanada, welcome and thanks for sharing. I had an ESG in November last year in Houston. I checked out Dr. Marvin and was confident in him, you should have a good experience. Stalls, great question, we all have them and there is usually more than one in my experience. It's a large change that our bodies are going though and each body reacts differently, it's not a linear process. I had a stall for 10 days where I didn't lose any weight, gained 1 pound and then afterwards in 2-3 days lost 3 pounds. Difficult for me as an engineer to explain. Water consumption and keeping it high seems to have something to do with it, see several recent posts in ESG forum. A number of us have had stalls, gone back and increased our water intake back >60-80 ounces per day and continued to lose weight. I have a goal >> than 20% weight loss and am about half way there. I would encourage you to discuss your goals clearly with Dr. Marvin and ask his opinion with your specific body size/shape and goal is ESG the best way to go. I had this same discussion with my Dr. and concluded VSG or ESG would work (I did not want something temporary like balloons) and eventually chose ESG due to the simpler procedure and quicker recovery time. My diet is very similar to a ketosis diet (only smaller portions) and when I have my blood checked I am deep into ketosis. Typically eating 2 eggs in AM, 3 ounces of protein at lunch and dinner with 1/4 cup green vegetables and 1/4 cup brown rice or pasta. I will do a yogurt for snack in AM and sugar free chocolate pudding for snack in PM. Total 800-1000 calories/day. When I spoke with the dietician we agreed this was very similar to a keto diet. I have the same approach with sharing, other than my wife not talking about procedure with others. I have told them I'm working with a doctor on a very strict diet, with blood monitoring, etc. Diet is focused on on lean proteins and similar to keto approach. So far so good on that front. Keep the questions coming, we're here to help! Please keep sharing it can help so many others! Tex -
I'm sure they are very tasty, but they are junk food. Keto junk food is still junk food and should be avoided.
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12 years out. I had several blood transfusions after my WLS so I had big regrets. The issue was that I replaced food with alcohol (was not a drinker prior to WLS) 3 years ago I got my sh*t together and got serious about supplements and started Keto. I am now at a healthy weight 145 and plan to eventually get back down to my lowest weight (135) which was pre covid. I gained 10 pounds when the lockdown started. I don't regret the surgery as much now as most if not all the issues I had were avoidable and just really my fault for not following the post op way of life.
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When I did Keto, there was an expression that when you started you got the "Keto Flu" which was getting sick from cutting out all those carbs. They recommended vegetable broth and pickle juice to help get over it!
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Eat high protein...almost like a keto diet. Protein decreases hunger. It'll take a little bit to detox off of carbs and sugar but it's a must if you want to drop the weight. The sleeve is our tool not a magic fix. Excersize too if you can. Walking a couple miles total a day helps. HW = 360 SW = 292 GW = 220 reached 3/7/18 CW = 210 @ 6'5" 150 pounds lost! [emoji106]
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Black Coffee Water Americano Espresso Iced Coffee with Sugar Free Syrups Close to goal Tall Flat White Anything you want options for just google Low Carb or Sugar Free [whatever you are looking for] http://peaceloveandlowcarb.com/how-to-order-low-carb-keto-at-starbucks-and-10-low-carb-starbucks-copycat-recipes/
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My husband is diabetic and has chronic pain, so he did a lot of research and decided he wanted to try "The Carnivore Diet" to reduce his A1C/sugar and also reduce his chronic inflammation. He's been very supportive of my WLS and efforts, so I wanted to support him too, so I'm doing it with him. I started Sunday, he started yesterday. I'd been in a stall or had somehow ended up in maintenance for the last two months, so I'm willing to try ANYTHING to get the weight loss moving again. I've already lost 3 pounds in 2 days, so that's a good start. I was shocked because I had double the usual number of calories yesterday (1350 instead of 775) but maybe my body was in starvation mode and I needed to up the calories to lose weight. The "Carnivore" Diet is very similar to Atkins or Keto, but you basically just eat meat and drink water. It's a zero carb diet. Now I know that the ultimate answer is "all things in moderation," but I think that for the short-term, like 30 or 60 days, I can do this, maybe lose some weight, support my husband and get healthier.
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Crying on the bathroom floor
gigiinDC replied to White Sale's topic in POST-Operation Weight Loss Surgery Q&A
@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 -
I don’t feel much different!
DG725 replied to KatiT47's topic in POST-Operation Weight Loss Surgery Q&A
Okay so you and I are having a similar experience and I have to say I have been feeling super frustrated because I see people losing 40 pounds in a month and I am closer to 20 3 months out....but, I recently saw my nutritionist and she said I am drinking too much water (which I didnt even know was a possibility?) But she told me to me very strict about not xri king before or after eating for an hour....the other thing she mentioned was super important...I had been doing a keto diet pre-surgery and it was really helpful and working! But, with my new tummy, I can't stay eating the same level of fat....so, I need to watch calories, cut out that cheese I had been ingesting....I have been working out, eating healthy....taking my vitamins....but, I am taking what she said into consideration and trying my best to lower my fat, increase my protein and not drink before or after meals...and I lost 5 pounds since seeing her....but, and I know this is just supposed to be a tool and not a miracle...I have worked really hard to lose each and every pound...oh and I am going bald, not very happy about that...sigh... Sent from my SM-G930P using BariatricPal mobile app -
I am in public safety where keto is running rampant. There have been quite a few diet preachers that I have dealt with, even my best friend that was pretty unsupportive and was upset because intermittent fasting was working for him. He doesn't realize that we have different genetics. Most of his family is tall and skinny wile mine is short and overweight. I had tried most diets with short term success but he as well as those around me didn't understand that either. It was EXTREMELY aggravating and in the end I made my decision, didn't tell hardly anyone and know that I made the right choice for me. Everyone says that I look amazing and I feel amazing, you just have to know that you made the best choice for you and that it is your life not theirs!
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I could never handle the high fat part of keto. Since surgery, I definitely have fat malabsorption and if I eat too much fat, I pay for it in the bathroom. I also had fatty liver disease prior to surgery, and from what I've read, hitting the liver with even more fat is probably not a good idea. Poor liver is working hard enough to break down all the fat from the weight loss process. Maintaining a low carb approach is still a good plan, but for me the priorities are protein and then veggies, but without the high fat of keto.
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So the original "keto" as developed in the 60s and 70s by Dr. Atkins was much lower than todays' present iteration of the diet. For a normie Keto Diet based on Atkins 72, most fat % were in the 60-75% range. When I followed it as a normie, I had to be between 55-65% fat in order to lose the best. Most of the LCHF/keto docs agree that the amount of fat in your diet entirely depends on the amount of adiposity on your body. That means, that even with a keto diet, you still must operate in a caloric deficit so that you burn the fat stores in your body rather than the fat in your diet for energy. And for the most part, you must expend the energy from your diet before you tap into your fat stores. As @AZhiker and @KarenLR75 say, there is no need to inflate our fat to "today's keto" range. For most of us PO, it would be difficult due to surgical malabsorption. Even VSGers can have difficulty with higher fat. By simply reducing carbs to 20g net or below per day and putting your personal prescription for protein into the equation (given to you by your surgeon), then you can back into your target calorie goal and figure out your fat grams/percentage based on that. Any additional fatty acids you need (and the ketones produced through lipolysis) will then be able to come from the fat strapped to your booty and middle (and total body) rather than the fat bomb or MCT oil, or butter coffee -- or whatever ridiculous bolus of exogenous and unnecessary "keto bs" you consume. I knew that in order to lose I needed to maintain a range between 650-850 calories/day. I know, because when I got to 850 calories or above, I would stall out and not lose anything. I also knew from my surgeon and RD that I had a broad protein range (in the early days) of between 60-80g protein daily--with an optimal amount at 74g for my LBM and are based upon height, sex, age, physical status. Males and females of a different size will have different macros. Here are the macros I've used to lose 157lbs:
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I've used 3 since before surgery. I still love and use the same ones after. My tastes never changed. I think cuz I was already very keto adapted and most are not until after surgery. 1. Premier Protein (RTD) Drinks - 11fl oz = 30g protein (Choco, Vanilla, Bananas & Cream) 2. Isopure Powder - 1scoop = 25g protein (Unflavored, Choco, Vanilla, Bananas & Cream) 3. Synthrax Nectar Lemon Iced Tea Powder - 1scoop = 25g protein (Iced Tea)--the Fuzzy Navel is also delish but I'm out of it now. Also the grapefruit is excellent!
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Happy birthday Arual85, I am 2 days away from my bypass surgery. I've been lucky in my pre-op to be able to have some foods (more keto focused) but I finally understand that sugar and carbs are my go-to food choices. A little nervous but I think everything is finally going right. Good luck x Sent from my RMX2001 using BariatricPal mobile app
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Ash my low carb diet is the same exact amount of protein as when I was doing my prepping nut diet. 74g. Low carb/keto is only EVER originally intended to be "protein ADEQUATE." If you're upping your protein to more than you need, it's not a good thing. And it means you're not doing low carb/keto correctly.
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@sleeve23may2018 I have a sincere question. Do you think the restrictions of keto/low carb exacerbated your binge eating?
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Again ... are people saying Keto, when they mean low carb? @FluffyChix You've generously posted lots of info about your diet on here, pics, recipes, the number of calories you eat. It doesn't look like keto to me. By what you just wrote: 60 g protein = 240 calories 25 g carbs = 100 calories 60% of cals fom fat = 850 calories Total = 1190 calories The math doesn't add up to me, since you've said you keep your calories lower than that?
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Hello, I've was sleeved back in May of 2015 and was losing weight but had a stall. I started Keto on 5/30/2018 and have already lost 40 lbs as of today. I love the Keto lifestyle. I would and have recommended this lifestyle to many of my family members and even co-workers. The change in weight has been dramatic and I am always being asked how am I losing the weight. Only draw back is having to buy smaller clothes.
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I am about 5 years post-op and definitely regret it as well for mostly the same reasons as SleevedK above. Yes, I lost quite easily at first but that only lasted the first year. After that I could not lose anymore no matter what I tried. The worst thing? I am ALWAYS hungry. Before I had VSG, I had done low carb/keto for quite awhile and lost well and had a lot of energy. Part of that is eating plenty of fat which keeps you full. Unfortunately, after VSG I could not eat much fat. Protein first of course, but if I had too much fat I'd get sick. I also LOVE vegetables and can no longer eat much of them. I fill up quickly at a meal but am starving an hour later. I was told that at least in the first 6 months or so, hunger would never be a problem b/c the part of your stomach they remove is where the hunger hormones are secreted and that eventually that would come back. I was hungry from day one and it never changed. The biggest disappointment to me was that I did want the bypass. I went in for surgery and woke up to find I had nothing done. Doctor tried but could not pull my intestine far enough forward to attach it without stressing the incision. I went on a liquid diet for a month and lost 22 more lbs, tried again with the agreement that if it still wouldn't fit, he could go ahead and do VSG and that's what I woke up with. My surgeon has a very good reputation and I trust him. My body has always done weird things. Not sure if it's just all the fat in the omentum around the intestines that was the cause or adhesions from my previous gallbladder surgery, although he did say he broke down some of those. By 3 yrs post-op I'd not only not lost anymore but started regaining. The regain is totally MY fault, not the surgery, but I was so tired of fighting to lose with no results that I began eating junk food again and it crept up. All told, I lost 85 lbs and regained 28, and have been sort of stuck there. I'm now revisiting trying to do low carb since it works for me once I get past the initial cravings, etc. I had some GERD prior to surgery but it went away with the weight loss, only to return with a vengeance after i began to regain. It is MUCH worse than it ever was prior to surgery. I have not had an endoscopy to see if there is a hiatal hernia or anything yet; it's on my list to get checked out soon.
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Stalling right now
OutsideMatchInside replied to Resha's topic in POST-Operation Weight Loss Surgery Q&A
I eat Keto so I might fat fast for a 1-3 days but mainly, if you keep doing the same thing, you will lose eventually. Your body has to take breaks, you can't really make it lose if it doesn't want to unless you have been eating off plan. -
Almost 3 years out...why still high protein and low carb?
mi75 replied to ForLfKlovr's topic in WLS Veteran's Forum
I never reached my final destination of 'goal weight'. I am 4 years out and I too began slowly adding sugar/carbs back in to my diet about 2 years post op. I regained a lot of my weight and felt terrible. Last November I began Keto and have lost about 40 lbs on that- losing all of my regain except a few pounds. I'm a believer that sugar and carbs in general are not what our body needs. There have been many randomized controlled trials looking at the results between caloric deficit diets vs low carb diet and the low carb has better results, every time, hands down. Different approaches work for different folks, so find what works for you and stick to it. Good luck -
I'm two and a half years out - went down to about 114 but was really too thin. Then went up to 140 and definitely wasn't happy. My problem is very definitely sugar and carbohydrates. I'm a sober alcoholic (8 years this time out, and before the four year break (divorce + stupidity = relapse) was 22 years. Bu the point is that for me sugar is a drug and the insulin response I get from any processed carb works in pretty much the same way. So I've been working on killing sugar and processed carbs, plus grains and simple starches like potatoes, along with most fruit apart from small amounts of low GI berries over the last six months or so, trying various things. What have I learned: I can't do anything in moderation that isn't real food (by which I mean protein and fat and small amounts of carb appearing in leafy veg etc. This, alongside intermittent fasting (Dr Jason Fung is great on this) has begun to make a real change. Because it's not really about the losing weight for me now, although I want to lose about 15lbs still and it's beginning, It's about the need to be healthy, not to be constantly sickened by food, not to be constantly obsessed with food and to find a long term sustainable solution that allows me to get on with my life. Still hoping to cross addict onto exercise but that hasn't happened yet! Funnily, the post op diet which led with protein and allowed the veg and carbs in if there was room is closest to where I am now. I fast 16/8 - it varies but the average seems to be about 17/7. This is comfortable and I have loads of energy. Only been doing it a week properly and the keto for about a month but I was struggling with the macros and counting. Keeping it simple now. Be interested to hear if anyone is doing similar. What I would say is that my level of trust for something that doesn't involve someone trying to sell me special foods, vits, supplements, meal plans, exercise regimes is naturally quite high! Everything I need to do IF successfully if available for free. I like free! Actually - and again I'd be interested in people's thoughts here, I wish I'd discovered this and worked it pre-op. But hey, can't turn back time! Thanks all - this was a bit lonnnggg - sorry!
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Vegetarian saying no to keto diet
Sleeve_Me_Alone replied to imaginegirl's topic in General Weight Loss Surgery Discussions
It might be helpful to remember what a true keto diet is vs. what diet culture makes it out to be. A TRUE keto diet simply means eating few enough carbohydrates that your body enters ketosis where it is no longer using glucose as its primary fuel source. It is NOT inherently a high fat, meat only diet. That is what diet culture has turned it into. There are lots of vegetarians who follow a healthy, whole foods based ketogenic diet. Additionally, the amount of carbs that allow ketosis will vary WIDELY from person to person so unless you are testing regularly, you won't really even know if you are truly in ketosis or not. Now, that being said, most surgeons will say that WLS patients eat a keto diet simply because your primary focus will be protein and your intake will be so low that by virtue of the volume and type of foods you'll be eating you'll be in ketosis. Immediately post-op, you won't be able to eat enough beans (or anything else for that matter) to get in your full protein requirement, let alone extra grains & veggies on top. That is not, however, a requirement (generally speaking) nor is it permanent. Over time, as you're able to eat more food and a wider variety, you'll very likely see your carbohydrate intake increase. I would say, it may be helpful to revisit the conversation with the surgeon and/or dietitian to ensure they understand your needs as a vegetarian and that they are able to support you and tailor the post-op diet to your needs. If they can't or won't then it may be helpful to consult with another surgeon. Ultimately, being HEALTHY post-op is the primary concern and that requires eating a metric crap ton of protein. Can you do that as a vegetarian? Absolutely! But it will require extra support and possibly some creativity and flexibility on your part. Best of luck to you! -
Aetna, BCBS or United Healthcare???
SleeveToBypass2023 replied to AmandaD.'s topic in Insurance & Financing
I have BCBS of Illinois and they covered everything but $1500, and my secondary covered $1200 of that. So I only had $300 out of pocket. They approved my surgery within 48 hours of my surgeon's office submitting everything. From my 1st appt to my surgery date was 2 1/2 months. BCBS only required 1 pre op and 1 post op nutritionist appt, 1 psych eval, approval letter from my neurologist (because I have MS), approval letter from my PCP, having tried at least 2 methods of weight loss in the past (my PCP knew about me doing keto and also low/no calorie and put that in the approval letter). So it was a fast and painless process. My surgeon's office wanted the blood work and EKG before surgery. BCBS approved every test with no issues. -
Vegetarian saying no to keto diet
SuziDavis replied to imaginegirl's topic in General Weight Loss Surgery Discussions
I did not have to do Keto. you just need to get good protein, which is not a problem since you can get plant based protein powders.