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Stopping ketosis? Yes and no, depending upon how one defines it. As far dropping ketones that are detectable in a urine test, that is a normal result of burning off your fat stores - which is what we are trying to do - irrespective what diet is used. All it takes is a suitable caloric deficit, so that is pretty much unavoidable if you are losing the weight that you want to lose. If one is aiming for high numbers or pretty colors on a keto stick, and gushes about how the bad breath and body odors that they are getting is a sign of burning fat, then no, that is not at all necessary. I followed a very strict "no fad diet" regimen - no Atkins, Ornish, Paleo, South Beach, Zone, Keto, etc., and had to work to stop the loss when I approached goal weight. I quite specifically avoided symptomatic ketosis (along with other classic low carb diet symptoms such as fatigue, lethargy, brain fade, hypoglycemia, etc.) by maintaining as balanced a diet as reasonably possible within our post bariatric protein and low calorie requirements, though ketones were detectable in the normal urine tests - that is normal when metabolizing the fat. One does not need to go overboard on consuming excess fats to drive one into ketosis - that is just part of the keto fad and has nothing to do with burning your fat stores in losing weight. The protein in your urine may just be a passing thing (no pun intended...) or may be indicative of something else. I have often passed detectable amounts of protein in my urine, even well before WLS, but that's just me. It can be a sign of possible kidney problems, or maybe not - it is something that we monitor. Our post bariatric diets are not so much high protein, as they are adequate protein bur low on everything else; in a year or two when you are much lighter and maintaining your weight, your protein levels should be about the same as they are now, but everything else will be higher to fill out the extra calories that you need to maintain, and to provide the nutrition that you need. If you look at bariatrics historically, you find that dietary style (low fat, low carb, keto, paleo, etc.) makes very little difference to overall weight loss, as that is primarily determined by the caloric deficit created by eating so little for that first year or so. Indeed, if you look back 20-30 years ago, patients were often advised to "eat like you always have, just less...." and it worked. Of course, what didn't work was them maintaining the loss as they never learned to eat sustainably to maintain their weight. So, it is entirely reasonable to eat a basically healthy diet that, for a time, is protein biased (we can supplement most everything else) and not worry about whatever the fad diet of the day happens to be - eat with an eye towards how you should be eating five years from now. Those who follow the fad diets have the same problem that non-WLS dieters have - learning how to eat sustainably once they have lost the weight and no long have to "diet".

Wow, did they not call and verify if you had bariatric surgery in your policy before speaking with you?

If it gives you anxiety then modify it to fit your post op general food calories and protein that your surgeon gave you. If you need to maybe see a nutritionist who specializes in bariatric patients. I know mine has always been helpful with ideas and given me loads of reassurance. You can do this. You’re worth being healthy for.

My condolences to you. I am so glad that others have taken the time to offer you support. Let's keep doing that, but honestly, Lynda, please consider getting into counseling. Grief is complicated and more so when you add our current pandemic and bariatric life all combined; a strong, effective grief counselor could offer you some much-needed support at this time.

I had RNY, not VSG, but it's similar. Your volume will be unrealistically restricted for the first few months or a year, but after that, not really. Although I eat much less than I did pre-surgery, no one would be able to tell anymore that I had bariatric surgery. I eat like my never-been-obese women friends do who are "watching their weight". At restaurants I'll usually order an appetizer and eat that - or else order an entree and take half of it home. no I could never eat half a large pizza again at one sitting like I could pre-surgery, but I can eat 1-2 pieces. But 1-2 pieces is what my mother eats - and most of my skinny friends. so to answer your question - yes, of course you'll be able to eat at weddings and when traveling abroad. You won't be stuck forever eating 1/2 C of food or 600 calories. But you'll be eating much smaller portions than what you probably atepre-surgery (or you should be eating much smaller portions - unfortunately, regain is real!! Luckily, it's easier to eat small portions and be satisfied with that after surgery)

We have Anthem/BCBS of Indiana and like others I had to have nutritional counseling, meet with behavior therapist, release from my family physician, records of previous attempts at losing weight as well as medical records from various records shared with the bariatric surgeon. My original request was denied 16 days after submitting the "packet", but once resubmitted it was pproved within 24 hours.

I don't think it's particularly normal with bariatric surgery, although some people have that issue (it's more common with the DS than the other surgeries). Can you just cut out those items that cause it?

Hi I am 15years post op & I have terrible bloating every time I eat bread brown rice pasta pizza.... I am I gluten intolerant Is really terrible smelly bowl movements normal with bariatric surgery My doc has pasted away & don't have someone to ask these questions to Sent from my CLT-L29 using BariatricPal mobile app

So glad to hear he’s coming around! I think that is a common fear with partners. Realistically the divorce rate after bariatric surgery is high, but a lot of that is people who settled for a partner now discovering options, or a person in an unhealthy relationship being willing to pull the plug.

Is there anything in particular that you are worried about? If you have specific concerns, you should talk them over with your bariatric team. They've probably heard every question under the sun and can set your mind at ease. But if it's just that general "OMG, SURGERY!!!!" feeling, I think we can all relate. There's no question this is a big step. Maybe review what led you to choose surgery in the first place. Is your next diet going to end any differently from your last diet? Are your hypertension and pre-diabetes going to improve without the surgery? How does the risk of having these conditions compare to the risk of surgery (not just now, but over time)? If your reasoning for wanting surgery was sound, then it probably still is.

Let's see, a few things: 1. You may have a few uncomfortable days when you're wondering what you got yourself into. Don't worry, it gets better quickly. 2. Being "full" will feel different after surgery and you'll want to learn to recognize that feeling quickly. Overeating or eating too fast after surgery makes you REALLY miserable. 3. You'll only be able to eat a tiny amount at first. Just getting enough water and protein in will be tough. Don't worry, you'll be able to eat more soon. 4. Stick as closely as you can to the eating plan your bariatric team gives you. 5. About a month after surgery, you might stop losing weight. It happens to almost everyone and it's called the "three-week stall" here on the forum. Don't worry, you'll start losing again. 6. Don't buy a lot of clothes as you start losing weight. You'll be blowing through sizes really quickly. Just get a few inexpensive pieces until you know what size you are eventually going to be. 7. Don't compare your progress to other people. We have a different metabolism, dieting history, lifestyle, etc. Some people will lose faster than you and some slower. It's all good. 8. You will definitely reach a point when you can have your favorite foods again, although likely in small portions and not very often. Some things might taste different after surgery. Just a few tips! Hope all goes well with your surgery. 🤗

My surgery is next Wed Dec 16 with Dr. Oconnell. Sent from my SM-N950U using BariatricPal mobile app

I was thinking of making a charcuterie board for Christmas. It will definitely have chunks of turkey but what meats and cheese do you suggest adding that are bariatric friendly? Sent from my SM-G973W using BariatricPal mobile app

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I'm only 6 weeks out from a bypass so can't really offer much advice, but could you maybe speak to a bariatric dietitian and see if they can offer advice? I think you may be right about restaurant meals, because I've worked in a restaurant before and the amount of oil they used to cook (and the cheap quality of the oil) is a bit of an eye opener. Hope you manage to resolve it.

that's a question for your insurance company - they're all different. They can probably still tell you if you call them, even though your policy doesn't take effect until January. Mine required six months, but it could be any time within the past two years, so I was able to start it before my policy even went into effect - so I got it out of the way before I officially entered the bariatric program.

Hello! My husbands insurance finally added bariatric surgery onto the insurance plan. His work is based in MA so though we are in NC, we have BCBS OF MA. Does anyone know how long of a period I have to go on a weight loss program before I can get approved for gastric bypass? 3 months? 6? The insurance doesn’t start until Jan. 1st or I’d call them and get all the info I could. Thanks in advance!

De. Eric Sommer is my surgeon. I’ve only spoken to him 3 times. Hopefully, they stand by what they say when it comes to after care, post surgery.

Is this for approval for WLS or something else? If you are just getting started the Bariatric Surgeon will give you a list of things to do including labs and it seems to very per Surgeon. If it's for pre op clearance your Primary may want to do more testing or refer you to a specialist. If for this is for Plastics it's a whole different list.

You're 12 days post-op? A lot of us were eating tiny amounts at that point because your tummy isn't even fully healed yet. But it might make your husband feel better to know that intake usually increases over time, you aren't intended to stay at 500 calories forever. Your tummy will heal, your restriction will ease a bit, your appetite will re-assert itself and you'll start eating more (almost everyone does over time). I stayed at about 600 calories for the first year and now I'm up to 800-900 calories. I have always kept carbs reasonably low (typically 50g per day) because it helps me lose faster and crave less. I am still losing very slowly (like 2 pounds per month) so to maintain I could probably eat a bit more and I'd stop losing altogether. So early in the process, my bariatric team told me to focus on getting enough hydration and protein. As long as you're doing that, I'm guessing your dietician will be pleased with how things are going.

During the first few days, I drank a lot of clear protein drinks. They're not thick like shakes, they're more like Crystal Light but fortified with protein. They were helpful because they gave me both hydration and protein. https://store.bariatricpal.com/collections/bariatric-predigested-protein-liquid-protein/products/bariatricpal-fruit-drink-15g-protein-concentrate-pink-lemonade

Noob here...first post. I am 4 days Post-Op Bariatric Sleeve (11/30/2020) and suffering through the SIP, SIP, SIP torture. I am truly amazed at the lack of residual pain. I started this journey almost 2 years ago at a massive 364 and almost 47 BMI, due to covid my original op date was pushed and this past Monday I weighed 332 (almost 43 BMI) when I laid on table. Agree that the timing really interferes with the Holiday meals, but I cannot wait to see the results.

@NotGivingUp2: I got curious so I did some digging and found the website where FluffyChix operates her accountability group: <--URL Removed--> Good Luck! ********* Edited to add: Hmmmm...after some thought, I'm not sure its allowed to promote other bariatric-type group/forums on these boards, so I took the URL out in my original post, just in case. If you are interested, direct message me and I can forward you the link. *********