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I’m 5 years out & maintained since my weight first stabilised. I’m also one who finds some carbs sit more heavily in my tummy & are too filling. Specifically simple carbs like the rice, pasta & bread were advised to avoid while we’re losing. It’s not a big loss even though I used to love eating them before surgery. But I don’t consider myself to be low carb. Lots of carbs in fruit & vegetables. I eat a good two serves of whole or multi grains a day sometimes a little more if I say throw barley or lentils in what I may be cooking too. I usually say I’m lowish carbs, lowish fats. I also think the quality of these food types are an important consideration too like the whole/multi grain, less processed complex carbs vs white, more processed, simple carbs. Same with fats like good fats vs bad fats. One of the big learnings I had was that you have to work out a way of eating that works for you. That is it allows you to maintain your weight, complements your lifestyle so you don’t feel like you’re missing out or making sacrifices and is sustainable. It may be high fat or low fat, high carb or low carb, paleo, keto, vegan, vegetarian, carnivore or a mix of eating styles. Just what works.
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Well It’s not super easy to do both if I’m being honest. I had the SADI and I was supposed to be good to do a diet similar to KETO but they took my Gallnladder out so I can’t do high fat now. I am early out still so I don’t know exactly how much fat I can have without issue but I’ve been looking at recipes and there isn’t a whole Lot that actually looks good and doesn’t have one or the other. I have more of a reason to do it now though. I have to keep from trashing my liver so I guess I will just have to get used to it if I am one of the many that fat does cause issues for.
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Just had an odd experience
ShoppGirl replied to Bypass2Freedom's topic in Gastric Bypass Surgery Forums
I found a Keto terriaki sauce on Walmart to ship that has 7g carbs but no added sugar and 1g fat per serving. Haven’t tried it yet but it’s called hungry squirrel if anyone is interested. I’m really hoping it is good. -
Weakness and physical symptoms during pre-op diet
CrazyDog&CatLady replied to CrazyDog&CatLady's topic in PRE-Operation Weight Loss Surgery Q&A
Hmmm... 'keto flu' (I mutter as I Google the term) yup, that definitely seems to be what I'm dealing with. Thanks for that! Sometimes it just helps to know what it is, y'know? 😊 -
Weakness and physical symptoms during pre-op diet
MrsFitz replied to CrazyDog&CatLady's topic in PRE-Operation Weight Loss Surgery Q&A
It could be something similar to ‘keto flu’. You feel lethargic, fatigued, have a headache that just won’t quit whatever meds you try and just generally feel like rubbish. The good news is that it does pass, your energy levels will improve and your headache will go. Just make sure that you’re drinking enough water as you will probably have lost a lot which does contribute to how you’re feeling. -
Liquid diet.
SleeveToBypass2023 replied to ShoppGirl's topic in PRE-Operation Weight Loss Surgery Q&A
Yes, liquid diet is HARD and makes you feel like crap. But if your surgery is Wednesday, it's just right around the corner!!! You might be going into ketosis, known as the "keto flu". It's not a real flu, so no worries there. But yes, you'll feel like a$$. At least you're almost there!!! Did you ever settle on a surgery?? I can't remember if you did or not. -
Two weeks is the usual length of the pre surgery diet. But there are difference in what format the diet actually takes. Some are all liquid like yours (can be shakes or milk based drinks or other liquids) or two shake meals & one meal. Mine was keto. It, as @ShoppGirl said, can be influenced by your staring weight & how much weight they want you to lose to reduce the size of your liver before the surgery. It may be your general health status. It can also just be your surgeon’s preference. My two friends & I were each on a different pre surgery diet but all were two weeks long (2 of us had the same surgeon .) Each of us were in different places (health, weight) when we began.
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Need suggestions please!!!
Hiddenroses replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I can absolutely understand where you are coming from - I have a friend going through this about a year past her Gastric Bypass and it is one of the reasons I opted for the SADI instead (not that I know this will make a difference in terms of weight loss!) I'm a bit worried about getting to this point myself, where the weight keeps coming off - but then again, I seem to always need SOMETHING to worry about. My surgery is Monday morning. There are a lot of knowledgeable people who have commented here and I'm taking notes on their suggestions! That said - it kind of sounds like you might be remaining in ketosis from being so low sugar / low carb and I wonder if that's what is causing your continued significant weight loss? When I went shopping for all of my sugar-free items for my liquid diet I noticed there were keto versions and low-carb versions of some items. The advice given to add a small serving of potatoes or healthy fats like avocado sounds really smart and might help with that. I bet it also gets tiring hearing people comment on your weight loss. Has that been hard? Just curious - and honestly, even if you aren't right where you want to be atm - congratulations! It's a HUGE accomplishment to have reached this point and know what weight you LIKE your body at, and I hope you give yourself lots of pats on the back! -
Lets talk about food!
Hope4NewMe replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I bought a ninja creami machine and I get the keto chow mix and I make a yummy protein ice cream. I tend to use milk or water instead of heavy cream because of the calories but it still turns out ok. I also love just fruit in it too, my favorite is pears. Coffee with a protein shake also makes great ice cream. It's fun to throw in weird things and see what happens lol. -
What conversation to have with PCP?
Alisa_S replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
Sleevetobypass2023 - I've mentioned it a little & I have months and months of weight charts on my Carb Manager account. I used to track all my meals there when I was doing Keto & Low carb. I got tired of tracking all the meals and started just tracking my weight on there a couple times a month. I think I'll print that out and take it to my PCP. Can't hurt I guess. I did hCG diet back in 2010 (too long ago). In the 90's I did fenphen / phenfen - whatever it was, & dang near got a divorce because I got really mean. Tried just the phentermine about 6 years ago & it affected the same (my boss finally asked me if I wanted to work somewhere else-I quit taking it that day). Been fooling with keto or low carb off & on for the last 8 years. sigh. Through it all I just keep losing and gaining the same weight, over & over. Gosh I'm tired of it. WEIGHT LOG.pdf -
What conversation to have with PCP?
SleeveToBypass2023 replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
Have you ever mentioned to your doctor, in the past, the things you did to try and lose weight? I have BCBS and they had the same requirement. But I had mentioned to my pcp that I did keto, weight watchers, calorie restriction, and the mediterranean diet. When I mentioned this, she put it in the notes that went to the insurance company and they accepted it and that took 6 months off the process. My pcp was very supportive and was happy for me to do the surgery. I gave her all the requirements from my insurance company (I needed to pass a ekg, her form stating what I've tried to lose weight, my comorbidities, etc...) he jumped right on that and got it done asap. By the time I went to my 1st appt w/ my surgeon, she had already sent all of this to their office. So I was 3/4 of the way finished on day 1 of seeing my surgeon. All I had left to do was the psych eval, blood work the surgeon needed, and then waiting for it all to be submitted and approved by insurance. My first appt with the surgeon was Feb 28th, 2022. My psych eval was March 7th. Everything was submitted to my insurance on March 10th and I got my approval on March 14th 2022. The longest part of this was honestly actually getting to the surgery date because I couldn't have it until May 3rd due to the surgeon's schedule. So honestly, the better prepared you are, the more you do behind the scenes, the faster the whole process will go. -
Now that I've made the decision to have WLS & am waiting for my appt with my PCP my mind won't shut up! I know my insurance requires a 6 month supervised diet, but what if I lose weight on the diet and my insurance decides that I don't NEED to have WLS to lose weight since I was (theoretically) able to lose weight for this requirement? I was told after a colonoscopy that I have sleep apnea and need to have a sleep study done & that I should really be on a cpap, but what if sleep apnea is a reason to deny me the surgery? I take omeprazole for acid reflux because I have a hiatal hernia. What if that prevents me from having the surgery? What if they just say NO? After making up my mind to do this, I just don't think I could take it. I'll be 60 in Oct & I'm 5' 8" - used to be 5' 9" - & I weigh 338 lbs. On my own I have fooled with hCG diet, keto, low carb, etc, etc, etc for sooooo many years. I lose weight & gain it back. I know what I'm supposed to do, but can't stick with it. I need this. Period.
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I have never tried it but if you haven’t already I would strongly suggest telling your doctor that you are on this diet or even a strict keto diet and ask them to do the appropriate labs to monitor things. There is a book called Brain Energy by Dr Christopher Palmer that talks about the Keto diet and how it can help with mental illness. I found this very interesting so I listened to a podcast on which he was a guest and he cautioned that the keto diets should always be under the care of a physician. He named off a number of things that need to be monitored while on the diet. Some of the things that need to be monitored can be quite serious if left unchecked.
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Don’t think the small amounts you eat in the beginning is how much you’ll eat forever. After surgery your stomach muscle is very tight so it can’t tolerate much. But as it heals, and you start to introduce more foods, it slowly starts to soften (not stretch) & is able to tolerate more. I was told, though I began with 1/4 - 1/3 cup from the puree stage, by about 6 months I’d be up to about a cup. Which was pretty accurate for me. I’m 5 years out & from about 2 years, I was pretty much eating a recommended portion size. Check the nutrition panel of processed pre prepared foods and google recommended portions of other foods or ingredients to give you an idea. Generally about 3-4ozs of protein & a cup of vegetables, 2 eggs, a small apple, etc. Some days I can’t/not interested in eating that much, other days it’s the perfect portion. The liver shrink diet is not to actually shrink the liver but the fat around the liver. This is to allow your surgeon to have better vision of & access to your tummy during the surgery. This diet does differ surgeon to surgeon, patient to patient. Generally it’s two weeks of a shake three times a day. However, some are four shakes, others two shakes & one lean protein & steamed vegetables meal. Others are only for a week or a couple of days. Mine was keto for two weeks (I started a couple of days earlier). Some people lose seemingly a lot of weight, others only a few pounds. It’s one of those things linked to how much weight you carry. It can be tough as you may experience withdrawal like symptoms (from stopping/reducing sugar, carbs, caffeine) for about 5 days. Apparently my surgeon’s patients who did the two week all shakes called the first week hell week. While tough, remember it is only for two weeks and the big picture benefits & wins makes it so worth it. All the best with your surgery.
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What’s for dinner? The non cooks version.
ShoppGirl replied to ShoppGirl's topic in Food and Nutrition
I love salad. My husband usually barbecues a few times a week and I just ask him to make a couple chicken breasts and I can add whatever to make it a meal. Fruit and Chicken salad or “Market Salad” and low carb ceaser salad wraps are both in the rotation. I haven’t tried fish on salad. I don’t like salmon that much sadly. I know it’s so good for me but I think I will try it with mahii. I really hope that I can tolorate salads post SADI. Someone told me that they cannot post DS. That and the ones that say they can’t do a lot of fruit scare me a little. In terms of healthier food, they are my faves. With the sleeve I didn’t have any foods that gave me issies though and the sleeve part is already done so fingers crossed I will be okay with them. I never thought of looking for keto homey. I eat it so rarely. Thanks for the idea. -
What’s for dinner? The non cooks version.
NickelChip replied to ShoppGirl's topic in Food and Nutrition
My favorite no-cook meals are salads. I like to start with a salad of baby spinach, matchstick carrots, fresh edamame, chickpeas, beets, feta or goat cheese, a sprinkling of sliced almonds, and top with a drizzle of balsamic vinegar. It pairs well with chopped chicken breast (buy rotisserie to avoid having to cook it), smoked salmon, or thawed pre-cooked shrimp. Regarding the honey in your recipe, I would start by cutting the amount in half and see if you like the flavor of the glaze like that. Depending how you feel about artificial sweeteners, you might also try one of the no-sugar keto "honey" substitutes that are out there. -
The start of my new healthy life
Theweightisover2024🙌💪 posted a topic in Gastric Bypass Surgery Forums
I have been overweight my whole life. My highest weight was 284 back in October of 2022. I have tried many weightloss directions including keto, fasting, tracking calories, appetite suppressing drugs, and even weight watchers. I start off good and end up just spiraling downward and stop. I really think this tool is going to be my key to success. -
Had an appt with my Dietician and I am so peeved!
SleeveToBypass2023 replied to AmberFL's topic in Gastric Sleeve Surgery Forums
I think in the last 2 years I talked to my nutritionist 3 times. And that was because I had to. It was included with the surgeries and she worked in my surgeon's office. She's nice and helped me come up with some cool recipes, but that's really it. I stayed mostly within the surgeon's dietary recommendations, but as time went on, I learned what my body likes and dislikes. For example, I'm extremely sensitive to carbs but not at all to sugar. I still stay away from sugar for the most part, but I'm not afraid of it like I was. I won't turn something away if it has sugar, but I typically go sugar free as much as I can. As for carbs, I use to do keto, so I was ok with low carb meals (I would have maybe 60-80 carbs per day). Now, though, I can't have more than 25 without feeling sick. On heavy workout days, I tend to go higher (45-50) but I pay for it because, again, I'm SUPER sensitive to them now. I respond well to high protein, moderate healthy fats, and high fiber foods. I'd say just do what you're doing, ignore the nutritionist, and keep kicking ass and taking names. You're doing AWESOME, so don't worry about the rest of it. -
Adding my info! 1. Pre op weight, BMI or measurements 249-250 lbs BMI of 44 2. Surgery type VSG in 2017 then RNY in 2019 3. Lowest post op weight, BMI or measurements and when it occurred 150lbs BMI 27 around 1 year post op 4. Maintenance weight, BMI or measurements and when it occurred 155 lbs BMI 27 around 18 months post op 5. Bounces (up or down) in weight, BMI or measurements and when they occurred I can bounce up and down 5-10 lbs depending on the season but my lowest was a 20 lb drop during an E.Coli infection 6. Methods used to maintain and what has/has not worked What works for me: Weighing daily/weekly, spot checking calories, low cal/keto substitutes, 90% disciplined eating and 10% debauchery. What does not work for me: gym membership as motivation, unsustainable diets and GLP-1 meds (as of now) 7. How your life has changed (losing vs maintaining perspective) During the losing phase I was very rigid almost never went off plan, now everything I want can be worked into my plan and I’m more relaxed. 8. Words of wisdom/cautionary tales/stories of beating the odds Cautionary tale: Don’t suffer in silence with reflux, push for answers and relief. Absolutely never compare yourself to anyone else. Don’t guilt spiral after a little weight gain, try to correct it as soon as you notice. A small gain is very likely in our population after reaching your absolute lowest weight. I remember when I first joined there was a some chatter about being absolutely perfect or you’ll gain it all back and it made me really anxious. Don’t be afraid to ask for help and other tools from your team. We are not quite the same as the never obese population so our bodies may play by different rules. Word of wisdom: Document your journey if you can. I don’t really remember what it was like to be in my obese body anymore, I only vaguely remember feeling bigger. Have other goals apart from losing weight. Once the newness of WLS wears off you may want to continue the momentum of achievement. If you want plastics (and there are no obstacles beside fear) definitely go for it. The recovery can be tough but it completed the journey for me and others I know.
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When did you start indulge or give yourself a "cheat meal"
SleeveToBypass2023 replied to AmberFL's topic in Gastric Sleeve Surgery Forums
I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals. -
February 2024 Surgery Buddies?
gracesmommy2 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Ty for the links @NickelChip and yay on the weight loss! Woohoo! I have a major sweet tooth also and have made these brownies twice and think they are pretty good. My twig of a hubby likes them also 😂. I mean they’re not as good as “real” brownies but honestly you get used to it if you stay away from “real” sugar which I do. (Mainly bc I know I’ll go overboard if I try eating sugar again so I just avoid it all together.) I also try to eat and cook mostly keto/very low carb most of the time. This website has some pretty good recipes and directions for freezing and stuff. I’ve tried a few recipes from another website also that I’ll link for you. i don’t make my food separate. My hubby eats whatever I cook for me, just more of it and when my kiddos (20 and 24) were here a couple of weeks ago, they ate what I made for myself also. 😉 of course I try to make stuff I knew they wouldn’t hate 😂. Try these https://thebigmansworld.com/best-fudgy-keto-brownies/ Made these a couple of nights ago https://thebigmansworld.com/keto-stuffed-peppers/ I’ve also made this and so has my daughter and she likes it too, I’ve made it once as written and then doubled the recipe once using lean ground turkey and ground pork. https://www.eatyourselfskinny.com/chicken-egg-roll-in-a-bowl/ plus I’ve made a couple of other recipes on this last website that were good also just trying to mix stuff up…..I hate eating the same crap all the time. oh and we eat the egg roll in a bowl with cauliflower rice 😉 -
OMG OMG OMG I DID IT!!!!!!!
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Thank you!! I thought about changing my highest weight, but that's not what I was when I had my surgery and I wanted to track my progress from my surgery weight. I did keto to lose the weight my doctor wanted me to lose, and it was amazing for that short amount of time. Taught me a lot about watching calories and especially carbs. Also taught me about making some better choices with the alternative foods that are out there. So I'm glad I did it. And it allowed me to lose the weight I needed to rather quickly. I needed to lose 30 pounds and I lost 33. -
Food Before and After Photos
GreenTealael replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Breakfast bagel: This keto bagel was drier than I remember so it took me 35 mins to eat it. I usually don’t eat anything for that long (I give up from boredom) but I wanted to actually eat a real meal at an appropriate time today. Last night my BF asked if I was on my cycle already because I was eating jalapeño kettle chips at 11pm 🤣. The problem was I delayed breakfast to 2pm because I was busy and it extended my meals late into the night… so no more of that! -
I have experimented with making my own low carbohydrate breads using primarily eggs and almond flour. Here is a go-to recipe for making a little at a time; I scale it up if I am meal prepping. 1 egg 1 Tablespoon olive oil 3 Tablespoons Almond Flour 1/2 teaspoon baking powder Combine all the ingredients in a small bowl and pour into a microwave-safe bowl or ramekin. Microwave for 90 seconds. Flip out and slice in half. It's not exactly bread, but paired with a veggie sausage patty, it's a very filling grab-n-go breakfast. For convenience, I have purchased Healthy Life Keto Bread at supermarkets. It has 35 calories per slice, 9g of carbohydrates, 8g of fiber, and 5g of protein. My serving size is usually one piece toasted, with avocado, tomato, and nutritional yeast on top.
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Insomnia After Being Sleeved?
Bari and blessed replied to happy1957's topic in POST-Operation Weight Loss Surgery Q&A
Okay the insomnia is so bad, I take 6 pills to go to sleep including narcotics all prescribed by my dr. and still cannot sleep, I wake up so much at night and have to take 6 more pills in the middle of the night to get back to sleep. The medicine I take could knock out a horse, but not me. I take melatonin also. I slept great before the surgery with my meds. And I only took 4 meds at that time on a keto diet. I take a total of 12 meds at night just to sleep. And I am still waking up every hour. Does anyone have advice or good news that this is only temporary. I was sleeved 29 days ago.