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Bariatric surgery and keto?
lizonaplane replied to deardarkling's topic in Post-op Diets and Questions
I also was told to eat low fat after surgery, although I've found that higher fat foods keep me a bit fuller longer (I've had a lot of hunger, which isn't common). I didn't realize that was putting me at higher risk of gallbladder issues, but I don't know what else to do. I'm trying to maximize low fat protein, but while also eating low carb, there's not much in the way of flavor options. Plus, due to my job involving lots of travel, I eat out a lot, and I know eating out involves higher fat foods. I'm curious to see what answers you get from people who've tried keto. -
Bariatric surgery and keto?
Arabesque replied to deardarkling's topic in Post-op Diets and Questions
Always a good idea to get feedback from others. I was put on keto for the 2.5 weeks before surgery but that was all I did. Some will likely swear by it but personally I wouldn’t go back to it. Good to kick start a diet but not long term. Your surgery is the best kickstart you’ll ever find. The high fat intake on keto is the real issue for me. I’ve never enjoyed high fat foods & now I don’t have a gall bladder to help process all that fat. You may find your cholesterol temporarily increases while you are losing (it’s released from your fat). I believe it’s one of the reasons most surgeons & dieticians recommend low fat while you’re losing so you’re not adding to the risk. Losing large amounts of weight & high cholesterol levels also put you had a higher risk of developing gall stones. It’s why many of us end up having issues & have our galls removed post weight loss surgery. I’ve read keto can also screw with your blood sugar levels so if you have issues with diabetes it may not be your best option. Usually best to stick to your surgeon’s plan & dietician’s recommendations while you are losing. Slowing adding in new foods as you go. You’ll lose doing that & you will go into ketosis as well - bad breath & a smelly body awaits you 😉. You may find you end up developing your own eating plan which works for you & which incorporates aspects of many eating styles once you’re close to or in maintenance: keto, vegan, vegetarian, Atkins, intermittent fasting, etc. Whatever way you go it has to be sustainable & complement how to want to live your life. Good luck whatever you choose to do. -
Hey there! I was wondering if I could get some feedback from individuals who have combined bariatric surgery with the ketogenic diet, and what your progress has been with it. Specifically wondering if you've seen it maximize your weight loss.
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Check out this book and its companions. Its plan is what I intend to follow when I'm back to normal food post-surgery. I've been following this pre-surgery and have lost 50 lbs, This seems to be the most logical and nutritionally sound food plan that I've found. It's not "keto" but there are similarities. Particularly look at the Metabolic Reset (on page 20) if you are stalled. The Author's premise is to eat far more vegetables, unlimited fruit, snack only on these and nuts & seeds, and use animal protein as flavor not as the star of every meal. Matthew Weiner, MD, A Pound of Cure. He's also written The Bariatric Guide and Cookbook, and How Weight Loss Surgery Really Works. I recommend all three books, available in paperback and Kindle. The author is a bariatric surgeon.
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When I moved on from the liquid phase I started with Oikos Triple Zero yogurt, farina cereal with almond milk, sweetener & cinnamon. During the soft food stage, I added scrambled eggs. When I moved on to the modified regular diet, I had eggs with other cooking methods, high protein/ low carb bagels with light cream cheese, oatmeal with mashed banana or sweeter & cinnamon. I have also had protein waffles & pancakes with sugar-free syrup. I recently purchased the keto bread from Aldi and had that toasted with egg & cheese for the first time today. I often still start the day with a protein shake, just to make sure I get that protein in. I think I want to start making smoothies with some fruits, veggies, & added protein now that I am getting close to 3 months out. I hope you get some good ideas! It is helpful to hear what others eat!
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Mind Games (in my own mind)
Elidh replied to TinDE's topic in POST-Operation Weight Loss Surgery Q&A
I agree with what’s been said so far. One tip: you shouldn’t weigh every day, especially when those .5-2 lb gains take you on an emotional roller coaster ride. I know they did for me……in the old pre-VSG diet days (Jenny Craig, LA Weight Loss, Atkins, keto, etc etc), I would weigh myself daily, sometimes even more often. I weigh now once weekly on the day of my surgery (Thursday), and it’s a relief not to be shackled to the scale! -
I think it's good to do the pros and cons. I just had surgery a week ago and I'm hungry mentally but my body is in ketosis. I'm not very hungry from my stomach telling me. I'm definitely still healing and know it could change. I don't like veggies either. I'm going to be trying an Atkins/keto diet once I'm able to eat some normal things. Idk if I'll be able to binge again. I can see myself trying but depending on the surgery, it's for life. I'll just be uncomfortable but my weight will be in a healthier place. 37 yr in Kansas. Started journey at 320, 6 months preoperative diet for insurance, surgery was 10/6 and I'm at 276.
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I think my plan is a little different in that no foods are expressly forbidden, as long as you're getting enough protein and staying within a reasonable calorie range. I know in my dieting past that cutting out entire groups of food (for example, on keto), would lead to cravings and bingeing, so I've been trying to allow a bite of everything from time to time. For example, I've started going into work once a week on Fridays, and someone ALWAYS brings donuts. The first two weeks, I was completely uninterested. Last week, I thought I'd give it a try, found a maple bar that someone had already cut a piece off, and cut off a tiny square that was about a bite. Ate it, was shocked at how excessively sweet it was, logged 1/10th of a maple bar in my food journal, and moved on. I haven't wanted another taste since. For me personally, if this will be a lifetime change, I need to learn how to manage unhealthy foods in a reasonable way because I'm not sure it's really realistic to be able to avoid them forever. Others are certainly having different experiences and that's totally fine!
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Food cravings 6 weeks post op
ColieCallwell replied to alandk's topic in POST-Operation Weight Loss Surgery Q&A
Can you try to satisfy your cravings with healthier options? I've been having cauliflower mash and cauliflower risotto, just from the frozen food section, and it tastes sooo good. Or have the pasta sauce you want, but over zucchini noodles? There are a ton of recipes online for oven fried this and that. When I was doing keto (low carb) a few years ago, we used crushed pork rinds as breading for chicken fingers and it was delicious. Then bake in the oven or air fry. I know how hard it is to kick cravings though! It sucks! Sent from my SM-N976V using BariatricPal mobile app -
Need lap band removed revising to Gastric Bypass
Sunnyway replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
I have not had lap band but I have had two prior bariatric surgeries that failed. I am now going to have RNY Gastric Bypass revision at age 73. I have learned a lot since I started on this path 6 months ago. Good for you for moving forward toward a healthy weight. However, I'm concerned that you have not learned how to eat differently yet. Consider the possibility that you are a sugar/food addict. If you are, Keto is not the answer for you. You need to change your habits entirely. I strongly recommend some reading for you. Choose at least one book from each of these groups. Finally, conclude with Success Habits of Weight Loss Patients. Get started now. Apparently you have already had the surgery, so there is no time to be lost. -
Individual protein bars
Alex Brecher replied to cellbell's topic in Protein, Vitamins, and Supplements
The BariatricPal Store carries a huge selection of bariatric friendly protein bars at https://store.bariatricpal.com/collections/protein-bars ! Here are some of the awesome protein bar brands they carry: - BariatricPal - Built Bar - Convenient Nutrition - Dive Bar Nutrition - Epic - HealthSmart Foods - IQBar - Keto Wise - Kirkland - Muscle Cheff - Power Crunch - Proti Diet - Quest Nutrition -
Found some Keto cookies that look good. Basic choc chip. I think I would make them with Splenda. https://chocolatecoveredkatie.com/keto-cookies-recipe/
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To those who had a very easy recovery...
AngieL11282 replied to AngieL11282's topic in POST-Operation Weight Loss Surgery Q&A
I am keeping junk food out of the house as much as possible but I did buy some Quest protein chips and some Slim Fast Keto Fat Bombs. Just a few chips or 1 fat bomb will keep my sweet or salty craving at bay. I'm trying to be realistic and substitute bad food for less bad alternatives.... It's just not realistic for me to NEVER have a piece of chocolate or a handful of chips. -
I am finishing day 1 of liquid diet and it wasn’t so bad. I am kind of use to sugar free and artificially sweetners because I have done Keto on and off for awhile. I am to drink 3 shakes and 2 protein bars and unlimited broth, sugar free jello and popsicles. Oh and a boiled egg if needed. Why boiled egg I don’t know but I ate it! I haven’t felt deprived but I will prolly get bored soon. Just hoping the next 13 go by quickly! Good luck all!
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Food Before and After Photos
Elahnen replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Peanut butter protein yogurt. I am not a fan of yogurt, but every so often I buy it. I found a vanilla keto yogurt. It’s the consistency you of the Greek yogurts. I decided to try mixing it with peanut butter protein powder! It’s sooo good and helps with protein intake. It tastes like a dessert! -
Success with gastric sleeve starting with lower BMI?
ColieCallwell replied to Mandy2021's topic in PRE-Operation Weight Loss Surgery Q&A
I was like you. I started with a BMI just barely over 35, had tried keto, crossfit 6x a week, intermittent fasting. I dropped weight, but it was impossible for me to stay consistent. I am a month out from sleeve surgery and have lost a little over 30 lbs. Even in this month alone, there would have been several times when I would have fallen off a diet due to "life" but the sleeve has kept me on track. I'm slowly but surely detoxing from food, and eating for nutrition rather than comfort. It's proving to be a very useful tool. Sent from my SM-N976V using BariatricPal mobile app -
Success with gastric sleeve starting with lower BMI?
mtlmiracle replied to Mandy2021's topic in PRE-Operation Weight Loss Surgery Q&A
I understand that low ebb feeling. I have lost all motivation to restart a new diet program because I know in the end it's the same things I was doing before and it just didn't work. I also tried really strict keto and exercised a ton, like ran 4K every day, biked to work, lifted super heavy weights for a woman. I also did fasting and actually enjoyed it but it just didn't stick when life got mixed up with my routine. I just can't go through it again with that fear of failure. I need something much more permanent and long-term. A tool I could fall back on when life gets too stressful. Maybe the sleeve will be like a hard stop to overeating and provide a real-time reminder that overeating does not feel good. I hope your appointment with the surgeon goes well! I also have a consultation on October 19th. I'm not sure yet if it will be me trying to convince her or her trying to convince me lol I have a lot of concerns about reflux and want to avoid any revision surgeries. Do you have a set of questions to ask the surgeon? -
3 options: which one would you choose?
mtlmiracle replied to mtlmiracle's topic in PRE-Operation Weight Loss Surgery Q&A
I'm a 34 year old woman with a current weight of 260 height is 5'6. I have lost and gained over 60lbs at least 3 times. I was never able to maintain the weightloss for longer than 6-8 months at a time. I have done strict Keto, Fasting, and intense exercise routines multiple times in my life. I was successful in losing weight every time so it wasn't that I couldn't commit myself or apply weightloss techniques that work for me. I would just simply go back to overeating every time. I really don't know if fasting will work for me longterm if I add coaching. I certainly want it to work but I have small children and a husband who likes to eat big hearty meals so cooking and shopping for food are part of my regular daily activities. I find when I'm fasting it is really difficult to cook a hot delicious meal that I simply cannot even taste. So I end up cooking a quick meal for my family which is not the healthiest. I will keep exploring the surgery option. I really appreciate all of the feedback so far. The new ideas like searching for my own bariatric therapist and using my family doctor to do my bloodwork after surgery has given me some hope that I can do this. 😊 -
How to lose regain 2+ years post vsg
GreenTealael replied to middlet's topic in Gastric Sleeve Surgery Forums
One underrated tip I was given: Add more fiber. I was told to try to get at least the daily value (28g I think). I was nowhere close to it. So now I use clear unflavored fiber supplements that I can add to drinks because getting enough fiber from food alone can be challenging. I also like high fiber foods like L’oven Keto friendly wheat bread (Aldi brand) and higher fiber vegetables/foods (when I remember) https://www.health.harvard.edu/blog/should-i-be-eating-more-fiber-2019022115927- 1 reply
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Need lap band removed revising to Gastric Bypass
EmKat replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi. I have had a lap band for 11 and half years. I lost around 100 lbs with it but it turned me into a bulimic because I could eat whatever I wanted and just "regurgitate" it back up. It was a bad cycle to be in, but it kept my weight off. Finally last year I went to my bariatric surgeon and confessed up. He did some tests and realized my esophagus was "floppy" and dilated. He did a complete unfill of my band at the time. I was able to maintain my original weight loss on the keto diet, but after 10 months I fell off the keto wagon and the weight QUICKLY returned. I gained around 50 lbs in 4 months!! I went back to my surgeon a year later and we have decided to remove my lap band and switch to the gastric bypass. He is not a fan of the lap band surgery anymore and is not recommending them to his patients. I have my surgery next week on October 6th. I am nervous because I am 52 now and postmenopausal. Im definitely not as active as I was when I first had my lap band surgery almost 12 years ago. How many people on this forum have had the lap band to bypass? How was their weight loss compared to the first surgery? What differences do you notice with restriction? Anyone having the surgery soon? or recently? Thanks in advance! -
It feels too easy.
Arabesque replied to vikingbeast's topic in POST-Operation Weight Loss Surgery Q&A
There is no one right way to recover. There is no only one right plan or only one right calorie goal, protein goal, etc. There’s no specific minimum time frame to eat a meal or drink a cup of liquid. There are, however, generalisations, averages, some can, some can’t, etc. things. We’re all different & have different needs & are able or unable to manage different things at different stages. If your body can manage it without causing you discomfort or pain you’re ok. Your body will tell you pretty quickly what is too much, too fast, what it likes, what it doesn’t, etc. You’re following the plan your surgeon gave you so all is good. My surgeon considers each patient’s starting weight, health status, weight loss history, etc. when assigning plans. My post surgical plan & recommendations had similarities but also differences to what a friend who was also a patient of his had. Our pre surgery diets were different too - mine keto & hers shakes only. We’re not the same people so it makes sense our plans weren’t exactly the same & neither were our experiences but we both reached our goal weights. There will be times you may stall or lose more one day or over one week & less the next. As long as the general trend month to month is downwards you’re golden. -
I am an advocate of finding the food choices & way of eating that works for you.There isn’t just one totally correct way to eat eat. It may be vegetarian or meat focussed or Aitken or vegan or keto, intermittent fasting or frequent eating, etc. or include aspects of a number of eating styles. The only thing you can trust will work for everyone is portion control - eat more than you need you’ll gain weight. Once you get to maintenance you can really embrace your new way of eating but you could start to incorporate aspects while losing as long as you’re still meeting your plan’s requirements & expectations. Have regular conversations with your nutritionalist & surgeon to discuss what you could start introducing & when. Your regular blood work will influence their advice & recommendations. You may (or may not) have to make adjustments to your weight loss plan & future eating style because of your personal physiological needs. Some may be pre existing, some may arise because of the surgery or be discovered as a result of all the additional medical tests & monitoring. I’ve never been great with too fatty or too oily food. I was low fat while losing but added some more good fats from goal. I was low carb while losing too & then added some whole & multi grains carbs. Since my sleeve, rice, bread & pasta sit like lumps in my tummy so I still don’t eat them. Protein has become even more important to me since I had my gall removed 4 months ago as I don’t absorb it properly anymore. I’m a carnivore but include vegetarian meals occasionally. 40+yrs of fasting & skipping meals killed my metabolism. I feed my much faster metabolism now - 3 meals & 3 or 4 snacks a day. These things influenced how I chose to eat now & it’s been working for me. Your enthusiasm for researching & adopting a new way of eating & making the changes to take the best advantage of your surgery is fantastic. I hope it motivates others starting the process too. Good luck.
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One can fast and incorporate good fats with no problem. Many VSG patients are on the keto diet and/or intermittent fasting. Surgeons each have their own philosophy about diet after WLS and they vary drastically. The one I like the best is Dr. Duc Vuong (Ultimate Gastric Sleeve Success). I also love his YouTube channel. I'm currently reading Dr. Weiner's (Pound of Cure) so I can't remark on that one yet but others have but so far, it's really enlightening. https://www.amazon.com/Ultimate-Gastric-Sleeve-Success-Practical/dp/0615830447
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Weight Loss Stagnation 10 Months Post-Op
Paul.VDH replied to Paul.VDH's topic in Gastric Sleeve Surgery Forums
@ms.sss My GP wasn't sure, but based on my diet and weight issues, she figured that had to be the case. What little I did find about it mentioned that it's not unheard of in people who are of Belgian/Irish descent. Both locations are prone to famines, so what was a life saving trait is now a malignant one in their descendants. I've never found a name for it when looking either. I'm going to try Keto again for a week or two and see how I feel. My doc recommended it as a way to restart my weight loss, so we'll see how that goes. I really appreciate your input! -
stagnation Weight Loss Stagnation 10 Months Post-Op
Paul.VDH posted a topic in Gastric Sleeve Surgery Forums
Hey Everyone, I hope you're doing well. Here's a bit of background on me before I get into my current dilemma, if you don't care about that, skip to the TLDR at the end. I'm a 27 year old man and I got my surgery last year. I've always been heavy (the last time I was less than 300 lbs was in elementary school) and I wanted to live a longer, happier life. I talked with my doctor and she said that Bariatric surgery was the best option for me. I went to one Bariatric clinic and was basically treated as a number, so after six months of prep and almost $1k, I left them and went to a Bariatric clinic that a family friend had had good luck with. I had better luck with them and was able to get my surgery ~ 4 months after my first visit with them(vs almost a year with the first one). My finance(then GF) and I actually got COVID three months before my surgery, though it was not horrible for us. My hospital stay was fine and my recovery went pretty well. I had issues with the liquid diet following the surgery, but after that I was fine until now. Read after the TL;DR for my current dilemma. TL;DR: I'm 10 months post-op and my weight loss has stagnated. I'm prepping ~10 oz per meal, though I usually don't finish it, and have been doing that for about a month. I do about 20-30 minutes on a peddle bike (under my desk) per day. My doctor recommended Keto for me (which I tried pre-op and lost 90+lbs, though it was terrible for me psychologically) and I started it today. I was wondering if anyone had any tips to push past the wall I'm stuck on. Thanks for any advice. Paul
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