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Hi All, I had a gastric band for 8 years and I had to have it removed in September due to a port infection. I am hoping to have a gastric sleeve done, but it could be a while before I am accepted into the program due to long wait times. Since my band removal, I have followed a healthy diet (better than I didn't while having the band as I can now eat proper protein and vegetables!). But my body has metabolically repented and have gained 50lbs in 2.5months despite my best efforts. For those who were waiting for their sleeve..... what did you do before your surgery to keep your weight in check? Is there any special diet you followed or found useful? Weight watchers, low carb, keto, etc? I could really use some help.
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What is off limits after post-op diet
GeTnBackuP replied to Bary's topic in General Weight Loss Surgery Discussions
Yes, me too- Id love to find Keto books and how they relate to a WLS Post-Op eating plan but apparently there are none. Considering the success of @blizair09 and the many others here that follow this type of eating philosophy, I will be following them and learning and soaking it all in. I am really enjoying this website and all of the knowledge here, it definitely makes me feel more secure that I wont totally blow it when I start eating solid foods again! -
What is off limits after post-op diet
blizair09 replied to Bary's topic in General Weight Loss Surgery Discussions
At one year post-op, I have cut out pasta, rice, and carbonation. I will probably never have any of those things. I still follow a keto way of eating; therefore, I keep my carbs below 25 grams per day. So, I have little to no sugar. That is my choice, not my body's demands or anything. As far as alcohol goes, I have some sort of alcohol (usually vodka, water and Crystal Light Lemonade powder that I take to the bar with me) just about every weekend, and when I travel for work (60%-70% of the time), I often have a glass or two of red wine with dinner. I have found that my tolerance is now back to about where it was before the surgery. I have absolutely no issue with the alcohol whatsoever. Like @OutsideMatchInsidesaid, I just allow for the calories on days that I am going to have drinks. (Though, to be honest, I need to get my calories up some to make the weight loss stop, so I haven't been as much of a stickler about it lately.) I haven't tried beer, mostly because of the carbonation issue. And as much as I miss it, and I do, I've adjusted to drinking other things. For the record, I first had alcohol at three months post-op, and there has never been an issue. I've lost 217 pounds (from almost 400 pounds), and am happily at goal (180 pounds). YMMV. -
@@Hadenough2 I eat sausage, but I just started within the past 2 or 3 months. I had to find a way to increase my calories and I needed the fat and variety in my diet. I lost most of my weight so far just eating fish and seafood but I added pork in because it is economical and adds variety. I dont really watch my fat intake other than to keep it high enough, and I keep my carbs low. I eat more of a keto diet, which isn't that common among WLS patients. So you have to choose for yourself.
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Read through all the comments. First I want to say congratulations on your amazing progress! You are doing amazing. You should definitely be happy with your progress and also work hard to hit your goal! You can get past this stall! My nutritionist recommended the Keto diet for me. Low carb, no sugar, high protein and fat. I don’t go crazy with the fat but I also don’t buy fat free or low fat foods. I am only 5 weeks post op so I know I’m not the best person to give advice but if I were in your position I would probably try the WLS reset diet. I found it on Pinterest. It’s a condensed version of the post op diet and is supposed to help when you hit a stall.
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I wasn’t required to do the clear diet at the time but my doctor wanted me to lose ten pounds and keto wasn’t working for me so I did the liver reduction diet (shakes, clears and SF jello and popsicles) The first few days were awfully stressful and had to eat so I roasted chicken breasts and broccoli, no oil or butter. It didn’t take much and I felt better quickly. I drank lots of homemade chicken broth. Hang tight hun, you’re almost there [emoji847]
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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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Research Results: Roux-en-Y, Sleeve, Dieting
blizair09 replied to James Marusek's topic in General Weight Loss Surgery Discussions
I find all of the research and statistics to be interesting; however, I still believe that it comes down to an individual's commitment and perseverance to changing his/her relationship with food and finding a way of eating that is sustainable and that supports maintaining and healthy weight more so that which procedure he/she chooses. I weighed 400 pounds when I started my journey. I never wanted the bypass and insisted on the sleeve from the very beginning. While the NP did talk statistics, she and the surgeon were very supportive. I have lost over 100% of my excess weight (I am below goal), and have maintained for several months beautifully. There is no reason to think will regain because I have no intention of not following a keto way of eating, and I always keep my calories below 2000. In my experience the people that don't lose their excess weight and/or regain do (or don't) do so because of the choices they make around food and drink. I realize that there are exceptions to this, but that has been the case so many times on BP and is definitely the case with most of the people I know that have had one procedure or the other. Still, I do find the research interesting... -
I Lost My WLS Super Powers
chunkarella replied to Danny Paul's topic in Gastric Sleeve Surgery Forums
this is something ive been scared of since i joined this forum -- regaining weight. when i did my pre-op class, there was a woman who was going back through the process and it's .. scary. i do tend to recognize my unhealthy habits now better than before.. I managed to lose 70 lbs from keto 2 years ago and gained all, and more of it back. im almost 50lbs down from surgery, but the stalls come so easily. i know that this is a lifelong commitment.. i understand that.. and it's hard to see much further than the end of the day for me sometimes. But this forum is a good place to be reminded that life doesn't end when the weight is gone.. -
I'm kinda like you AshAsh. I just follow my program. I make most of my food homemade and love veggies, so it's lean protein first, veggies second, and a tiny bit of fat. Most of the time I choose avocado as my fat cuz I love it so much. But I also have a little EVOO and butter. Love ghee! So it just falls naturally to that keto/low carb side. But I'm not one of the modern ketoneers who go eat fat, fat, fat, fat!
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True Keto is high fat, moderate protein, extreme low carb. I have been keto for quite a while. I do very traditional Keto and use calculated macros, which are calculated according to my weight/height/ etc. I started Keto when I was struggling with regain and got some not-so-good health updates that finally kicked me into action and got the ball rolling. I have done really well, losing 40 lbs almost effortlessly. I have lost all of my regain, but I'd like to go another 20 to get to my ultimate goal. Hopefully by the end of summer I'll be there. I also incorporate Intermittent Fasting into my regimen and do this when I feel like carb creep is getting to be an issue. It works wonders and has definitely helped with my loss. My doc is all for it, and very supportive of the whole thing.
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I will be doing a variation of keto in that I have no intention of eating any fruit since I don't care for most of it and I don't want to trigger any sugar cravings. I also have gluten sensitivity and don't eat any gluten containing products (wheat/barley/rye) or the gluten free crap they sell at the store. I do make my own almond bread which I do not plan to have until much later. I love almost all vegetables and I am the queen of cauliflower. I absolutely adore chicken or shrimp fried "rice" with cauliflower as well as other recipes. I plan for this to be my ongoing weight loss diet. I do not purchase any fat free stuff and use small amounts of regular unsalted butter and/or EVOO. I did get some plain, reduced fat FAGE greek yogurt for my current postop period but not eating much of it (2-3 ounces per day) Protein sources of chicken breast, salmon, shrimp, fish, black or red beans. Not a big red meat fan. Love all types of cheese but will have very little, more like a garnish. I dislike sodas and juices so no worries there. My downfall are the candy type protein bars (atkins and others) and sugar free chocolate stuff that taste so good that it is hard to eat a reasonable portion so those are out. Swearing off all alcohol until football season at the very earliest. Hopefully by then I will not want it.
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Diet Doctor - Keto plan
DaisyChainOz replied to DaisyChainOz's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Hahaha... so true! I think I might be like your girlfriends I have previously done Paleo, Keto, generic low carb, and basically I prefer a lower fat model myself, so it's interesting what you say about not being able to eat a lot of fat after WLS, I don't think that would be a huge issue for me, bring it on baby haha. tbh... not sure I would have been able to eat lardo even now... I like my pork belly lean and always cut around the fatty bits lol Hubster not so much he loves pork fat. My bestie has suggested a surgeon who did her lap band about 8 years ago (since removed but was sucessful she lost 50+kg) who is at Greenslopes, I did contact the clinic of your surgeon, still waiting to hear back but they might be on hols... will find out info from both and go with whomever I feel most comfortable with if I do go with someone in Bris. Still debating if I should not just go with the Sydney guy who is very good/empathetic... just the Follow up situation. Frustrating that I have to delay the surgery tbh... but I really can't hit new company with "oh btw..." at this stage and they have given me a lot of other things to come on board. -
Torn between counting carbs or counting calories
Big Matty replied to KathyLev's topic in General Weight Loss Surgery Discussions
I count everything. I was diagnosed with congestive heart failure in 2022 and was put on a sodium restriction. Just two months before my projected VSG surgery date my A1C was 9.6% and I was put on diabetic meds(Metformin and Semaglutide), given a blood sugar meter with instructions to check my blood sugar twice daily, and told to cut out all sugars in my diet. Around the same time as my Type-2 Diabetes diagnosis my Bariatric Surgeon had me go on a Keto/Atkins very low carb diet prior to the liver shrinking diet due to my extremely high 71.5 BMI. That was my first time on a 'low carb' diet since I tried South Beach in 2004, and I really liked it for how it made me feel and how much easier it has become to find low-carb substitutions for common foods. So I decided to stick with it post-surgery. I am two weeks out from my surgery and I am at the point where I can eat 800-1000 calories a day, where 50% is from protein, 40% fat, 10% Net Carb, and sodium between 1,500mg and 2,000mg. I track my Daily Food Intake in an Excel Spreadsheet, listing Calories, Total Fat, Protein, Net Carbs, Fiber, and Sodium of each. I also track my fluids, noting if the beverage has any sodium. I avoid sugars like the Plague, except when it comes to fruits. I will on occasion eat fresh strawberries, raspberries, or some honeydew melon. I don't feel the Keto diet is suitable for Post-op due to the high reliance on Fats. I like a more even distribution favoring protein over fat, but still keeping enough healthy fats in my system so entering Ketosis is a possibility. My carbs are always under 25g a day, most of the time between 15g and 20g. I was only in Ketosis once for a brief few days, and it was right after surgery. I check my ketone level regularly with those over the counter 'pee' strips. I like my method of tracking my nutrition manually instead of using an App or Website, although there is a lot more work looking up nutritional labels for everything I eat, or general nutritional information for those items without labels. The plus side of it is I am amassing a database of my frequently eaten food items so logging is becoming easier. I agree with the general consensus that 'Diet' is an ill-fitting word for what we are doing. I like the term 'Lifestyle Change' much better. A diet, to me, is finite in its duration. It has a beginning and an end. A Lifestyle Change goes on indefinitely. -
Pasta and Rice substitutes
mama3beartn replied to graziellabs's topic in Gastric Sleeve Surgery Forums
I've used this before. It's high in protein.. But the spaghetti squash is the best and just add protein powder the unflavored kind to your sauce. But if interested here is the link http://www.uplateanyway.com/keto/fettuccine-low-carb-pasta/ Sent from my SM-G930V using BariatricPal mobile app -
Yep, could be withdrawal symptoms from carbs. Could be because of ketosis too. Lots of strange side effects when that starts occurring including unpleasant body odours, keto flu, etc. If the headaches persist or you can’t manage them with over the counter meds, speak with your medical team
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Questions about bariatric surgery
blizair09 replied to skyewolfe's topic in General Weight Loss Surgery Discussions
I had the sleeve surgery on September 28, 2016. My insurance required me to do a six month pre-op diet program. I began that in March 2016. I lost 99 pounds (from 397 to 298) during the six months leading up to surgery day following a keto way of eating. I have continued that keto diet post-op (even during the food stages), and I have lost an additional 105 pounds, for a 204 pound loss total. I weigh 193 right now, and I am 13 pounds from my goal of 180 at approximately 9 months post-op. I'll echo what some of the others have said -- the surgery (regardless of which one you choose) is only a tool and will only do so much for you. You have to have the grit, drive, and perseverance inside of you to win the mental game which is the really tough part post-op. There are ways to eat around any of the surgeries, and you have to get your mind in the right place to do what you need to do at all times. That is what brings success long-term. These forums are full of people who were mentally unprepared, never changed their relationship with food, and either never reached their goal or gained most of their weight back. Also, the journey is slow and arduous, full of stalls and plateaus, and requires patience and keeping the big picture in mind at all times. Good luck as you make your decision! Any of the surgeries can be life changing if you put in the hard work necessary. -
I develop a rash on my body Every Time my carb intake drops below 20 for longer than a few weeks. I have logged in MFP for years, and it correlates. Always on the trunk of my body. ( I hadn't even heard of 'keto rash' but assumed it was some sort of inflammatory body reaction). It is a rare phenomenon. If I upped my carb intake by 20 or 30 grams it would go away. I have had it multiple times. It is more annoying than anything else so I will just deal with it this year. It is now annoying than anything else and get a Costco size jar of hydrocortisone cream. I also am going to ask my PCP for a dermatology consult. Currently, I have it on my back. I have had it on my back, chest, stomach and neck. Every body is different and you should always listen to yours and be aware, note changes etc.
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Today is 1 month and 1 day since I had my VGS surgery. And I can’t tell you all how happy I am to have had this surgery. It has made all the difference in the world to my life. I have 10x the amount of energy I used to have, almost like I have a bounce in my step again. My SW: 260 My CW: 217 GW: 175-180 It just seems like it’s really working. What I wanted to share with some people that seem to be struggling with the weight loss is that I have made my diet mostly keto. I understand carbs are just as important during the recovery time, but being more keto has helped the weight come off faster. Faster than even when I was not eating much after the surgery. I am really surprised by how fast it is dropping now... I think I’ll be at my goal weight before I even know it. Because of all this new found energy, I have been able to do so much more. I want everyone to be this happy 😃
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HELP!!!!!
Navigating the Wilderness replied to Johnny1313's topic in Weight Loss Surgeons & Hospitals
Is it possible to go to a different surgeon that is covered by your insurance? 90 days is ridiculous. My surgeon required exactly 1 day of a liver reducing diet, and that was the day before surgery. If you have to lose weight and fast, you could try a liquid diet, but I was absolutely miserable when I had to do this for 2 weeks post-op, plus it is not sustainable and when you go back to solids you will gain weight, but if it was a deal where I HAD to lose weight in a short time-frame or I would lose my job I would do it. A more sustainable weight-loss program would be keto, but it may take a bit to kick in. Please let us know what is going on. -
I was put on a keto diet plan by my dietician for the 2.5 weeks pre surgery & I was ever so grateful. One friend was on 3 shakes a day for two weeks while another was on 2 shakes plus 1 high protein low carb meal for 4 weeks. Which ever plan you’re given stick to it. It starts the process of re-examining your food habits & making better food choices so you can take the best advantage of your surgery. Good luck with your surgery & on your journey.
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Aldi Zero Net Carb bread was a THING back in the fall. Quickly went out of stock due to demand (think Popeye's Chicken Sandwich). But rumor has it is is back as a regular item, but supplies are still spotty https://www.delish.com/food-news/a29520804/aldi-keto-friendly-sliced-bread/
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6 months 101 lbs down w/pics
Moving Mountains. replied to Moving Mountains.'s topic in Weight Loss Surgery Success Stories
For me when I noticed how much better I was feeling and looking it became more important than what I love, to eat. Lol. I changed the way I look at food. It is now something to keep me alive and not a crutch. Don’t get me wrong I still like to eat but I’m making better choices and keeping junk food away so I’m not tempted. Look up keto recipes there are tons of them. Plus keep easy meals on hand so if you’re ever in a hurry you don’t grab something bad for you. Hope this helps. Good luck and stay strong! -
So actually, "Nahmy" (Normy the cheers guy as said by Cliff Claven), aside from using ketones after WLS--it's a little known fact that some of the cutting edge research being done on cancer and dietary intervention today is in the area of the application of a ketogenic diet and supplementation with external sources of ketones. Turns out it may not be "full of gump" or hocus pocus. This researcher, Dr. Dominic D'Agostino is the one of the shiznits in the keto/low carb community.
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I am one to say follow your program because there are differences as well as similarities. Though I often also say, if the program isn’t working for you, speak to your surgeon or dietician. I recognise there are weaknesses in the American health system & the ridiculous power of insurance companies: If you don’t do what they say & get all the right boxes ticked you can’t have your surgery power. Through reading posts here, there also seems to be many medical practitioners who do not look at each individual case & don’t make adjustments to their program to suit the individual patient’s needs. And dieticians often seem to promote their own ideologies & current fads. I saw a documentary a few years ago that spoke about the influence of large food production corporations on the curriculum in schools & in medical courses at colleges/universities - scary stuff. Things aren’t perfect in Australia, & I’m sad to say, we’re slowly going down the US path, but my experience was much different. I’m sorry yours has been so negative. My surgeon & dietician did consider me, my needs & circumstances. For example, my surgeon puts different patients on different pre surgical diets. A friend was on all shakes while I was put keto. He said I didn’t need to see a therapist (he gave me the name of one if I wanted or needed) but he sent her for several appointments before her surgery. My dietician, though not perfect, was at least open to my preferences & needs. She advised the keto diet only for the two weeks pre surgery saying it should only be followed for the short term to kick start weight loss (something I already believed). She didn’t give me specific macros to reach (apart from protein) but only recommended low fat, low carb (multi or whole grain low processed only), low sugar. I did a lot of my own reading & discussed my thoughts & what I wanted to do. I eventually devised my own way of eating & what foods I wanted (& needed) to eat, avoid, restrict or reduce. She’d make suggestions about alternatives & things I could add to make sure I was getting in my nutrients (she always checked my blood tests). I guess the big difference was my surgeon & dietician wanted to support me & help me achieve my goals. If yours aren’t supportive, don’t listen to your needs & are simply following a genetic ‘one program suits all’, find a new team (if you can). And especially in your case, if they don’t recognise you are an intelligent, well educated & are highly knowledgeable in the medical field, give them the boot. All the best.