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Agreed, with the caveat that some clinics' prescribed plan IS low-carb. My surgeon's plan is one of those - not quite low enough to be keto but definitely on the lower end of the spectrum. It stayed that way during weight loss and gradually introduced higher carbs as maintenance approached. OP, IF this early does seem like overkill, given how little most of us can eat when we're just a month out. Maybe save IF for later when your weight loss has slowed down? Just a thought.

I agree. At this point, you should be following your clinic's plan. There are WLS patients who do follow Keto, but they're quite a ways out from surgery. stalls are a very normal part of a weight loss journey. If you stick to your eating plan, they WILL break.

Did surgery 24th Feb 2021, weight stalled on second week, by third week i enrolled for PT coz my energy level was really low. And wow!! Did my recovery accelerate, am 2h gym daily now of course supervised by my PT, started swimming lightly 3 days ago and and my wounds are officially dried( there was a puss between wk2-3). Am happy to share this and cant wait to discover the new me. Oh yeah will be starting keto soon and now researching about food and wow i had most of my understandings wrong about food.. https://www.healthline.com/nutrition/14-foods-to-avoid-on-low-carb#TOC_TITLE_HDR_15 Have a great journey everyone. I was 98kg before surgery and almost a month later, now at 91kg, slow drop but there is downward movement.. Take care Sent from my CPH1923 using BariatricPal mobile app

i resemble your experiences, barb. i was sleeved dec 2011. lowest wt was 188. starting 425. kept wt around 190 til recently: fractured knees, ankle, severe arthritis, torn tendons, rotator cuffs shot, and now, heart disease. (huffpuff) wt is 209. in caridio rehab but very unstable moving actually afraid to move sometimes. am really isolated, lost most support people from 'natural causes' over the years...still trying to cling to Keto. never went back to simple carbs. wish u the best. oh, i was 67 when i had my surgery...that doesnt help. i know we cant do it til we are ready...but waiting too long is a luxury we cant afford.

Check out this site https://www.dietdoctor.com/low-carb/keto/recipes

your pouch is probably fine. Supposedly it takes work to stretch it - as in chronic overstuffing. You're probably just used to eating more, and it's hard to cut back once you've been eating at a higher calorie level. Regain is pretty common - but I know a lot of people who've managed to lose it. Some have gone to Weight Watchers, some start counting calories again, some do Keto, some do Intermittent Fasting - whatever works. But I would get on it now before it really gets out of control. It'll be a lot easier to lose 20 lbs than 50... If you're a calorie counter (I am...), then track your intake for a week or two to figure out what your current average calorie intake is. I find it hard to drastically cut mine, so I just try to cut it by 100-ish calories at first, then after a week or two, I'll cut another 100 calories - and so on if you hate calorie counting, then go back to following the rules we all followed the first year - protein first, then non-starchy veggies, and then if you have room, a small serving of fruit or whole grain carb. Or find a program that you like and can stick with for awhile (like Keto or WW), and try that...

I haven't had the surgery yet but while I'm getting all my pre-testing and whatnot done and waiting on my surgery date, I decided to put myself back on Keto for the time being. Only this time, because my nutritionist wants me to, I'm adding in more of a variety of veggies (that's usually not considered Keto friendly) and also some fruits. So, while back on Keto with these new stipulations, if I feel the need to snack, my go to's are............ Celery w/peanut butter or dipped in Ranch Raw veggies (grape tomatoes, celery, cucumbers, etc) alone or dipped in PB, Ranch or Cream Cheese Cucumber slices mixed with a little olive oil, vinegar, salt and pepper Cucumber slices with cream cheese sprinkled with Everything But The Bagel seasoning String cheese Slice of various hard cheeses Pepperoni or hard spicy salami slices Hard boiled eggs Greek Yogurt (with or without a small amount of Lily's chocolate chips/salted caramel chips) Small bowl of berries with sugar free whipped cream Sugar free Jello/Pudding with or w/o sugar free whipped cream Anyway, you get the idea.

Just made breadingless chicken cordon blue:) I don't do keto, but I think this one could work for you:) Smash chicken breasts flat with hammer sprinkle on a few blue cheese crumbles top with slice of ham Add chunk of swiss Roll this up tight, secure with a toothpick salt and pepper (if you want to bread some for your family, just roll in italian bread crumbs and leave some plain for you...that works great...my family just likes them plain) bake at 350 for about an hour Terrific flavor profile, all protien.

Does anyone here do the keto diet and if so what are some good easy recipes?

Mine is going Ok. I am NOT on liquid only. More like Keto for 2 weeks. Lots of meat. The day before surgery is all liquid. How’s yours going?

Hello, I am 5 years out from the sleeve as well, I basically had the same issues with the acid it was waking me up in the night, and almost everything gave me heartburn! I did not experience any pain however. I had a upper gi done and they found I had schatzki ring and Haital hernia. It is circular scar tissue that causes the esophagus to narrow. They were actually surprised that I didn’t have pain, just the terrible heartburn and I also couldn’t gulp water for years, I just thought it was because of the smaller stomach🤷🏼‍♀️ They did another upper gi were they went in and dialated my esophagus. Ever since they did the procedure in September I have been 💯! Before this they were talking about having to convert me to the bypass surgery because of the gerd, which I wasn’t looking forward to. I also went completely low carb/keto type diet to try and relieve some of the gerd, which also helped!

My husband is not considered obese. Just slightly overweight. I think for someone of his height, 6 foot, his highest weight shouldn't exceed something like 196 lbs. Just a few weeks ago he weighed in at his highest weight ever at 216. So, last Monday we both started back on Keto (but with keeping the fat down) and he is now down 5.8 lbs and I'm down 9.4. I stuck to the plan with no cheating thus far and he's had some beer and wine several nights this past week and also ate some snack cakes at work. We both did Keto in the past and I lost 40lbs and he lost 30lbs. We both gained it all back over two years time because we stopped Keto and totally indulged in food and drink we shouldn't have during the entire time. Anywho, once I started the WLS process I told him we were both going back on Keto because it wouldn't hurt me to lose some weight BEFORE surgery and it wouldn't hurt him either. He is totally game for whatever. As he says, since I'm the one who cooks for the two of us, he'll pretty much eat what I make. He's not one to complain. LOL I of course take his likes and dislikes into consideration but he's totally for whatever it is I need to do. As far as I see it's all beneficial for the BOTH of us. Even though he has a very high metabolism as compared to me. After surgery I will just continue us on the same type of diet/way of eating. High protein, low fat, low carbs, low sugar. I'll adjust and alter if and when needed.

I'm kinda with Greater Fool on this, in that almost anything will work at this point, and even for the next few months. 20-30 years ago, it was not uncommon for bariatric programs to tell their patients to "just eat like you always have, just less..." and they lost weight just fine eating the same way that got them fat in the first place. At least they did for the first few months to year and then they started gaining again because they never learned how to eat sustainably. It is not unusual to see people come into these forums after having failed at (insert favorite fad diet here - Keto, Paleo, IF, Atkins, Zone...) and they continue eating that way and gee, all of a sudden that's the only diet that will work with your WLS. I did much the same thing, too, adopting a basically balanced nutrition oriented diet that I could do forever - worked on evolving that for several years before surgery, then tailored that for the lower post op intake and continued with that as the intake naturally increased over time; still doing that ten years later. IF works like most of those diets - by forcing a reduction in caloric intake. Some cut out fats, some carbohydrates, IF cuts out time, but they all are a mechanism for reducing caloric intake, which you really don't need at this point as you can't eat much to begin with. As noted, stalls will come and go, and there are as many personal experiences and hypotheses as to how to "break a stall" as there are people. I really have no input on how to break a stall as I never really had much of one, even at the dreaded three week point. Chalk it up to better diet, stronger underlying metabolism, not worrying about them - who knows. As to your experience, consider that you have a data set of one - and it's real hard to establish a trend with a single data point. Just go with the flow! Good luck

So I just started the process the end of February. Have done all my blood work, taken certain classes and quizzes online, did my EKG, chest x-ray, H-pylori test, and visited with the cardiologist. All I have left is a visit with the dietician, pulmonologist, and the mental health specialist. Oh and one more visit with the surgeon. That's providing nothing else comes up that needs to be done/taken care of. But so far.......... Things I'm doing to prepare................. Taking a daily multivitamin (as suggested by dietician) Started Keto again (but not extreme this time, this time I'm eating fruits as suggested by the dietician, and keeping fats low) Stopped drinking Diet Pepsi and now consuming 64 oz (as suggested by the dietician) or more of water ONE cup of coffee a day (sometimes I would drink 2 or more a day) Tracking my food on Cronometer and in a separate journal that also asks about my mood energy, activity, sleep, etc each day Trying to eat 3 times a day and 1 snack (as suggested by the dietician) Adding in exercise at least 15 min a day, 3 days a week to START with a goal of 60 min a day, 5 days a week (also suggested by the dietician) What I need to work on............ The 30-30-30 rule as given by the dietician (no drink 30 min before a meal, eat the meal within 30 min, no drink for 30 min after) Slowing down my eating/chewing/making my meal stretch out over 30 min

I wanted to introduce my self since I view these forums daily and they have been more than helpful in my young journey so far. A little about my path, at my highest weight late 2019 I found out my scale does not go past 340. Of course, I have yo-yo dieted trying everything from Weight Watchers to Keto but as usual the weight loss happened then came back plus some. I started this latest adventure in September 2020 weighing in at 314 at the start of my required 6-month medically monitored diet and classes. Once completed I was down to 304 at the start of my pre-op liquid diet in preparation for a February 1st, 2021 VSG. On surgery day I was down another 10 pounds to 294. The surgery went fine and so far, recovery equally easy with three realizations. The first realization was that constipation is real and boy figuring out how to manage that one aspect is occupying my daily thoughts. I have tried everything from MiraLAX to Enema’s. So far, the latest attempt to control this seems to be working and that’s 12 teaspoons of Benifiber through out the day and 2 Colace twice daily. But nothing works like a good old fashion cup of coffee in the morning to start things flowing 😊. The second realization has been the mood swings and emotions from the hormones being released from rapid weight loss. Just ask my family, it seems I go from happy to depressed in a matter of minutes and back again. The final realization has been that yes, the stalls are real also. I have been locked into the same general weight for about a week and a half now and couple that with the mood swings, its enough to get you doubting your decision to have the surgery. Thankfully these forums have been a source of resolve and information that has gotten me through this far and helps me stay the course. Today I stand before this forum at 261, 53 pounds down total since the beginning and 33 pounds down since the day of surgery. Hopeful for the continued success as I walk this path and the constant adjustments to eating like knowing when I have had too much or drank too fast. There are far more benefits I have encountered already in my short time on this side of surgery but in an effort to keep a long story from getting longer I will reserve more comments for a future discussion. Thank you to all those who bring experience and honesty in there posts and replies I peruse daily and for those who are struggling earlier on then me, just know it does work if you follow the program and stay connected here.

I’m trying to drop weight prior to probable surgery, I’ve started basic,y a keto diet, per my doctor, I’m wondering what anyone’s thoughts on MCT oil is? Does it actually help, should I take it?

On Sunday I made the pork char sui for me (lean protein for the week), and chicken and bacon chowder for the husband (he eats keto). This is the last of the chowder. Not super photogenic, but very yummy and very rich 😋

I'm surprised you're drinking fruit juice on your liquid diet. Unless it's the sugarfree kind. For my group, the whole point was to eliminate carbs to shrink our livers... and whole sugar fruit juice would sabotage that. That said, I realize all plans and doctors are different! I genuinely hated my liquid diet and felt horrible all 14 miserable days. Headache, felt light headed, bad keto breath, irritable. I used to time the one food item a day we were allowed to eat an hour before I had to drive, cause I felt really foggy and had a hard time concentrating....wanted every advantage to drive safe. MOST people do not have this experience, but some do. I hope you don't.

My doctor sent me to a dietician who put me on keto for the two weeks (was actually 2.5 weeks) prior to surgery. But he sent my friend to the hospitals weight loss clinic & she was put on their liquid meal replacement program. Another friend’s surgeon put her on two shakes & one meal (small serve protein & steamed vegetables/undressed salad) per day for four weeks prior. So I guess what I’m saying is every doctor has their own ore surgery requirements, some even have different plans for different patients. You just have to do what they advise. Being more careful about what you eat prior certainly won’t hurt. oh, just noticed this was posted last month. Have you had your surgery and if so how did it go?

While doing keto I tried out Magic Spoon. The cereal smelled great, and when it initially hit my tongue it was amazing. But the taste went away super super fast and there was a fibrous consistency and aftertaste that was just really unpleasant. Given how expensive they are, I haven't ordered them again. But some people like them a lot, so would probably be worth a try if you're really craving some cold cereal and just need something to itch that scratch.

I've never been much of a cereal eater, even before surgery. If I want breakfast food, I'll usually have something like eggs (or egg bites) and chicken sausage, or Greek yogurt, or a protein bar. Occasionally protein oatmeal. There are some low-carb/keto cereals on the market with mixed reviews, so you could try those. They can be pretty expensive, though. Somebody in a keto forum recommended a brand called Wonderworks that's available at Target and Walmart.

Ok. This is just my observations based on MY experience. It may apply to you, it may not, the only real way to find it what works for YOU is to try different approaches. But the main thing to keep in mind, is to give it some time to see if it works. I read alot of people lament a strategy isn't working (or is working) after only a week or so. Change over time is the determining factor in a successful or not strategy. Results after a couple of days is not indicative of the effectiveness of a change. With that said: KETO: At first, I tried to do KETO, but I just couldn't keep up with the fat requirement percentages while aiming for 60g protein, along with my inability to take in volume of food and staying below a certain calorie level. Eventually my diet morphed into protein-forward, ultra-low carb one (max 20g NET carbs, min 60g protein, and let the fat fall where it may, staying under a certain calorie level for my current phase). INTERMITTENT FASTING: I didn't know it until I read up about it, but I was actually doing IF. I didn't/don't eat until after noon (which was normal for me even pre-op), and I didn't eat beyond 7pm..this because I had a horrible experience waking up in the middle of the night spitting up food after surgery and it was enough for me to ensure that I went to bed every night on an empty stomach. I am not yet convinced (though I'm sure others have differing opinions) that IF actually makes you burn more fat, but I do recognize that keeping eating to a limited window does make you eat less calories over all vs. eating all day, so yeah, this would accelerate weight loss. I am now 2+ years post op, and for ME I have learned that it doesn't matter at all what my macros or eating times are, all that matters is total calories, in short CICO. I stopped being ultra-low carb after weight loss phase, and have even re-introduced bread (only my homemade ones, cuz they are delicious, lol) into my diet, and it makes zero difference on my weight (all other things being equal). There was a almost a week after Xmas where my diet consisted almost solely of just desserts. No diff to my weight. I guess because my total average calories per day was still 1800. Of course, health-wise, this wasn't the best idea, but we are just talking weight here. Because of this observation, and my super-anal disposition, I am a big proponent of tracking what you eat with the conscious intention to stay within your maintenance calories the majority of the time. As well as daily weighing, if you can stand it (some cannot, and that's cool...they just have to find another way that works for them). Also, i accept that maintenance is a never-ending series of adjustments. What works for me today may not work for me tomorrow. And what weight/size I consider acceptable today may be 10 lbs heavier further down the line. In short decide what you want today, and determine if you are willing to do what it takes to get it. If you aren't, change what you want. Sorry this was so long. Good Luck! P.S. after re-reading my post, I realize I sort of went off topic, but whateves, it's still what I wanted to say! LOL. Sorry! P.P.S. Also wanted to add the while I think going low or ultra-low carb makes little difference to my weight, it does make a difference to how I look. Lower carb intake levels make me look LESS puffier/fuller, which is good for my bod, but bad for face.

I did keto for a while and it’s really hard the first few weeks but then after you get in ketosis it’s much easier. You can’t have bread at all on keto. The only carbs you should eat are green, non-starchy vegetables, which are easily under 20g of net carbs a day (net carbs=total carbs minus fiber). Focus on meat, cheese, and green vegetables. I lost a good amount of weight with keto but it gave me gallbladder and stomach problems so I had to stop and ended up 20lbs higher than I was before. So I don’t know if I’d recommend it, but that’s how to do it.

you have to find something that works for you. Some people swear by Keto, but others find it difficult to follow for more than a week or two. Others swear by Weight Watchers - or intermittent fasting - or Atkins. I usually just cut calories, watch my portion sizes, and go back to the way we were supposed to eat that first year (NOT all the way back to protein shakes - but I mean how we ate after the first couple of months post-op - protein first, then non-starchy vegetables, and then, if we still have room (and if wanted/needed), a small serving of fruit or whole-grain carb). And start logging your food again if you aren't still doing that. You may be eating more than you think you are. I stopped logging (and weighing myself) for about a month last year when I was overseas, and I came back a few pounds heavier, even though I thought I was being "good". I learned I have to monitor myself like a hawk - and probably will for the rest of my life! btw - if it's too hard to drastically cut calories (if you decide on the calorie-counting method, which I do when I want to lose a few pounds), then do it gradually. Log your food for a week or two to see how many calories you typically average. That's your baseline. Then cut it by 100 calories. If a couple of weeks go by and the scale isn't moving, then cut by another 100 calories. Rinse and repeat. Eventually you'll find the calorie level that'll get the scale moving again.

Eat the carbs in your potato, rice, and fruit. Unless your Dr. has told you otherwise. All plans are different and my plan didnt want me going full keto.