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Thanks, I am typically like that too. But for some reason I have not been having any trouble following this high Protein diet for 8 months now. I don't feel hungry and don't seem to be having the uncontrollable urges that I used to have. I also am very aware that I am addicted to food and can fall off the wagon at any time. (That is why I am constantly reading BariatricPal to keep me motivated and for the support.) I wish you well on your journey. Is Keto a special program?

Quick article on plant based Keto Anyone attempting this? https://www.mindbodygreen.com/articles/vegetarian-keto-diet?mbg_p=amp&mbg_ref=search_related

Like @@LipstickLady losing weight was not the issue. The issue was doing it without feeling deprived, and keeping it off, both seemed impossible. Ultimately no one has to live in your skin but you and it is your decision. I will just share my experience. I am a good ketoer/lowcarber. I like it, I enjoy it, I can live it. I got a sugar free, clean eating lifestyle together long before surgery. I still struggled with portion sizes. Always. I'm a workaholic. I will work all day and forget to eat, then grind through a lot of calories. Surgery has allowed me to continue my keto lifestyle, and made it effortless. I have no hunger, I can easily eat correct portions (in spite of people thinking we eat very little, when it comes to Protein we are eat the normal amounts most of the time, portion sizes are out of control). food doesn't rule my life. I feel like I have a lot of food freedom, even with a "restricted" diet. Since you have already lost weight and seem to have your food under control you are going to be successful than most people. Just search here for all the people asking when they can eat xyz, and those are the people that are going to regain. Most people are not in the right head space for surgery, if you just had 80-90% of your stomach removed and your biggest concern is when you can get a kitkat or a slice of pizza, your long term success seems unlikely. You are ahead of the curve! You are really ready for surgery. Today is the youngest you are ever going to be in life. If you delay and have to go down this road again, you are only going to be worse off. Also a lot of us don't have issues. We just don't post everyday how great it is not to have a lot of the issues other people have because it seems rude. No one really wants to read how awesome someone else is doing when they are miserable.

I'm in the same boat right now. I have 2 more nutrition visits, and should be able to schedule surgery in December or January . . . BUT, I just started Keto. Cleaned sugar and carbs OUT of my house and my life. Made the decision, and realized that sugar was poison to me. I lost almost 10lbs the first week, and the weight loss has slowed down a little. I'm giving myself until December 15th to make the decision. If I'm still losing, and haven't been cheating, then I will postpone. My insurance doesn't reset until June 30, 2016 . . so I have until then for my deductible. I talked to my cousin, and asked her (she's on Keto, and had the sleeve 2 years ago) if she was me, would she have the surgery - she said YES! For her, (and for me typically), we are all gung ho on the diets for a month or two, then we fall off the wagon. I will most likely still do it, but I'm not going to rush my decision.

Sleeved 5 days ago and only my husband knows. When I was on the preop diet, coworkers were giving me unsolicited opinions daily. I told them I was trying the keto diet. Well, did I get lectured or what about why and what I was doing was wrong. Everybody suddenly became a diet expert. It made me realize I made the best decision by not telling them about the surgery. I would have had to endure lifetime lectures from them. Never mind that some of them could use this surgery too.

I agree with this totally. Many of us have experienced regain and lost the regain by getting our heads right again. It's easy to fall off track after some time and almost forget that you are a WLS patient, but that should always be part of who you are! The only true way to know if there's stretch is to have an EGD or a barium swallow. Most bariatric surgeons will tell you that a sleeve can't truly stretch because of the basic muscle type involved. I went back to my NUT, went back to the psychiatrist, went full on Keto and lost my regain. For ME, It was really about getting out of my own head, finding what I know works, and getting back to work.

I made myself some eggs and sausage for dinner tonight. 😋 Out of impulse, I grabbed the sriracha sauce out of the fridge and poured some over my meal. Looked at the bottle to check the nutrition and saw that it was loaded with carbs (which I am trying to avoid while doing the keto diet) and was pretty sad about it. Does anyone here love sriracha? Have you found a low-carb alternative? If so, do you have a recommendation (bonus points if I can get it over in the EU)?

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!

So, saying that the way these folks are living and eating will lead them to failure? My diet, during the most weight I've lost phase wasn't on point at all. I ate whatever I wanted when I was reintroduced to solid foods. I've had ice cream, candy, etc in very small portions and have lost 115 pounds in October, 90 of that since Feb when I had my surgery. I do think commenting on how other people work their sleeve and saying they'll fail is a bit over board. Just like now, I cyclical keto diet, meaning I have 12 days of minimal carbs, and then 36 hours of 2 days I eat high GI carbs, which 90% of you on here would freak out and say I'm going to fail. I do what works for me, and that's all anyone can and should do. There's no cookie cutter program. I think over analyzing the diet aspect and freaking out over macro's leads to eventual failure, especially as a larger person who has struggled with weight loss all of their lives. The way I see if, there are 2 boats, both going to the same place. One is the strict, I only eat wholesome healthy foods, and the other is the I don't want to "diet" my entire life and I'm going to still enjoy food but on a much smaller scale. Now, every once in a while, some do jump over board and swim back to the shore which can and has lead to failure, sure it happens, but not everyone who enjoys food from time to time is going to fail on this journey. Many people had dealt with judgement their entire lives. And someone who's been sleeved coming in saying "I'm concerned" is the same as judgement to them, regardless of how you saw it or what you were trying to do. It could have gone either way. You could have been more sensitive to their diet and feelings, or they could have just understood that you're concerned for their general health and only want what's best for them, and they should know what works for them and let it slide. I know what I eat isn't always the cleanest most best thing for me out there, but no major stalls, bodyfat% has dropped every month (not BMI, but DEXA scanned), and each week when I step on the scale I see a lower number.

I had this problem. 6 weeks post opp and I was forcing myself to stay at 800 calories but I was starving and had zero energy. I was also doing keto and staying below 30 carbs/day as well as working out and doing about 4-5 miles walking. I posted on here and got some great feedback. One problem was I was having lots of little 100-150 calorie meals/snacks every couple hours. If I didn’t eat every 2 hours I was literally ready to gnaw my arm off and would get light headed when I stood up. I switched things up and started eating around 250 calories per meal. That keeps me full way longer. I’ve also thrown this keto thing out the window and am bringing fruit/berries back in my diet. Also upped fat content and instead of doing fat free everything I’m eating 2% yogurt, milk and adding in avocados. Now I’m eating about 1000 cal/day give or take. These changes helped break my stall, keep away the hunger, and I have so much more energy. Everyone is different and you really need to listen to your body. Sleeved 3/12/18, HW 270, SW 253, CW 233, GW 160, 5’9”

People talk about how they gain weight immediately after surgery (not everyone, but some folks). People talk about how, when they switch from liquids to purees they gain weight (again, not everyone, and I doubt many people fall into both groups). And everyone just nods their heads and says "yes, that does happen, don't freak out, stalls are normal at this point." I think some folks even have said "that's water weight, chill." (Usually more nicely.) I think the difference has to do with whether or not your body enters ketosis before surgery -- those of us on protein drinks and no juice or anything else with sugar will almost certainly be there after a week or more of that diet* -- and when you leave it. Switching from glycolysis to ketosis comes with a steep drop in water weight. (It takes more stored water for the body to perform glycolysis.) Don't get me wrong: you also lose fat, but not all of the miraculously fast loss you see is fat; anywhere from 3-8 pounds is water. Those pounds will come back as soon as you leave ketosis. Sorry. I know that's a bummer. The upshot is, if your IV bags have any kinds of sugars in them, or if the nurses give you juice in the hospital, you'll see that regain immediately after surgery, even if you were fully hydrated beforehand. (Maybe you would, a little, anyway, as your body does what it needs to do to heal from surgery.) If that doesn't happen, but you get home and start drinking juice or normal Gatorade or something, 1) that's probably not the best possible habit for the long term, and 2) you'll get that water weight back then. Or, box number three: if you are only drinking broths and protein shakes and not getting any carbs to speak of, it'll happen when you transition to purees -- refried beans, apple sauce, yogurts, etc. will have more carbohydrates in them, and you'll get your water weight back then. In my experience with coming out of ketosis (pre-WLS), my body only actually gains a tiny bit, but it "stalls" for 2-3 weeks before it goes back to losing normally. So, I think that's at least part of what is happening with the weird post-surgical gains. Before I stop writing this already very long post, I want to point out that ketosis is NOT the same thing as ketoacidosis, and you are not in danger if you go into ketosis. The transition is unpleasant (though making sure you're extremely well hydrated and you've got enough electrolytes, including especially sodium, when you cut out the carbs will help ease it somewhat), but once you make it, you should find you aren't as hungry anymore. I don't know whether there's any special benefit to staying in ketosis for the week(s) after surgery, before transitioning to purees, but speaking only for myself, I'm inclined to try, in the hopes that I don't end up super hungry while I'm only taking in liquids. (I don't get much say about what goes in my IV bags or what the hospital tells me to eat, so it may not be up to me. We'll see.) Public Service Announcement: Please do not buy ketone measuring strips unless you need them for your diabetes. They are getting harder for diabetics to find, because keto nuts are using them up. You don't need to measure the ketones in your pee if you're dieting. It is unnecessary. (Is your breath disgusting? Great, you're in ketosis.) Spread the word to your keto friends, please. *I only say "almost," because there are apparently a lot of people who get their broth by straining chicken noodle soup and not eating the noodles or the chicken. I don't know how many starches end up in a broth that had noodles cooked in it. Also, strained cream soups are allowed on my pre-op diet, and those will have a higher carb content than your average protein shake. We're allowed to use milk in our protein shakes, too, which could be enough to stave off ketosis. Also, I think the nutritionist allows G2, and that has some sugar. So it's not definite? But it's likely.

Hi, I had a gastric sleeve done in 2013. I lost 110 lbs and was at goal. Then my mom passed unexpectedly in 2014. I gained 75 lbs back. I have struggled trying to lose it. I have tried Noom and Keto and low carb...failed all. I'm contemplating a revision or a lap band. Any insights out there?

I was able to lose 100 pounds Pre Op by going keto and eating as if I had already been sleeved. This time before the surgery will Help you get prepared for life Post Op. Keeping your protein High and your Carbs low will help you trim that 20 in a Hurry. Head Hunger is terrible but once you learn to tell the difference between it and true Hunger you will have a tool to build your future with. Good Luck

Keto is when your body goes in Ketosis and burns your fat stores instead of using your food for energy. I eat mostly Meat Dairy and Green Vegetables. I try to keep my daily Carbs under 20 a day.

I admit I'm no expert on the differences between keto and a typical low-carb diet. I think some doctors imagine a low carb diet as one eating 12 pounds of bacon a day...lol. You can still do low carb and not go crazy on high fat foods. Keeping my carbs low has always been best for me although I'm not the biggest fan of it. I seem to notice a bigger increase in weight loss if I keep it to 50g or less a day. Usually it means lots of lean protein (chicken & tuna are my main go-tos) and I stick to lower carb veggies.

For most people 1000-1200 should do it. I wouldn't go below 1000. Either follow a Keto plan or a macro plan. Macro is 35% carb (complex carbs only) 25% fat and 40% Protein. I started with keto and switched to macro. my rate of loss actually sped up when i switched to the macro plan.

Congratulations! It's a pretty amazing achievement to have lost 46 kilos. I too, am waiting impatiently to get to a double digit number on the scale. I haven't lost as much as you - yet, but I haven't been under 100 kilos since 2007, so for 15 years. I also tried keto but didn't do as well as you did. You can do this. 😁

I pick restaurants that have items I can eat. I check menus online before going. I usually order some sort of seafood appetizer. If that isn't an option a salad with grilled meat. If that isn't an option and it is a nice dinner restaurant, steak is now an option. So many people keto, low carb, eat paleo that there are lots of options on most menus especially at newer trendier resturants. I also always keep a Quest bar with me for dates and if I drive I keep a premier Protein shake in my car so if I end up not eating much, I can get my protein later. Eating at restaurants is really easy if you have control over your eating. For people still struggling I think all the options will be too much temptation.

Thanks! I have to lose 2 more kgs to go below 100. I'm so excited to see the magical 99 KG on the scale. Good luck to you also. Keto worked for me the first round and I lost a considerable weight. Not the second time though.

Thank you so much. I searched keto nut nothing came up. I'll try it again

I know this is an older post but hoping someone can help i had RNY 4 mo ths a and have been using Keto diet for 6 weeks and feel good on it But I eat 1200 cal a day and exercise 5 days a week, yet stalled for 4 weeks well only lost 1 lb and clothes not getting any looser. i still have 50 lbs to loose and cannot seem to get weight to drop again 1200 cal 100 gr protein 15 gr carb 80 gr fat aerobics for 45 min per day thanks

I'm four and a half years out. My two cents 😉 How do you get back on board? "What do you do when you lose control of your eating?" Some things to try. I understand the struggles you are describing. We already know what we should be doing. Getting back on track is a mental battle. What do I do to get back on board is detox off carbs and sugar, I accept that I will feel crappy for a short period of time. Give yourself small attainable goals to start. (Five pounds at a time) I give myself a loving kick in the @ss perspective. A person with cancer and months to live would gladly trade places for our weight loss struggles. Many reasons why people over eat. One way to manage it is to make a note in your food log when your off track and try to pin point your reasons or what you’re feeling After a year, Diet is not a one size fits all. Keto, intermittent fasting, whole foods, Going back to basics, paleo, vegan. The list goes on Whatever diet you choose, you need to know what calories and macros put your body into weight loss mode. (These numbers will be specific to you) Use your food log. Dial your calories back by 100 calories for a month, if the scale does not move dial it back again. When you are ready to maintain start moving your calories up to find the macros that stop your weight loss. I am female 5’5” I can gain on 1400/1500 calories. The numbers are different for each of us. Again, not a one size fits all. I could feel less restriction at a year out. I had to fill the extra volume with dense protein and as much veggies until I felt full. Honestly, its not hard to consume extra calories. It’s something I have to keep an eye on years out. Get rid of bars, shakes. Eating real food will keep you more satiated Dense protein Keep healthy sweet and salty foods on hand to satisfy cravings Remove temptation foods from your home Log, hydrate and get activity in Keep a veggie tray in the fridge for boredom and head hunger. Allow yourself to eat as much of it until full (I do this for night snacking) Pre – cook or meal prep. Make larger batches of foods and freeze them in smaller portions. Plan meals and try new recipes. Join a weight loss challenge. Feb weight loss on bariatric pal. Myfitness pal just give me ten days has many active participants. My dieticians’ bariatric friendly recipes https://insidekarenskitchen.com/recipes/bariatric-friendly-recipes/ Meal prep

Are you on a ketogenic diet? I use keto strips on days when I need to remind myself that my body is in fact in ketosis and I am actually losing weight (even when the scale hasn't budged). I'm really interested in trying it, which is also why I'm not sure if I should or shouldn't worry about fat. I get some healthy fats in via avocados etc., but also get in trans fats via things like meat. I wonder if heart, liver, and gallbladder health differs between people who are on various high fat/low carb/low fat/high protein diets. Thanks for your advice and I'm definitely staying away from the unnecessary carbs and pudding

I'm just outside of keto because I've been eating fruit and beans. But I'm 8 months out. I was in keto for the first few months. I couldn't take the stank mouth bad breath from keto anymore!! When I first started on this journey, I read every study I could find in my search for the ideal eating plan. I was SOOOO frustrated. There is very little hard science out there about the right way to eat for the human body. Every blogger swears they know the answer...haha, have you ever watched a paleo follower and a vegan go at it?

It's normal and called carb withdrawal or keto flu. It sucks, but is something that must be endured. I tell people, it's much better to get the pre-surgery act together and go through this hell BEFORE you're also recovering from surgery. It should get better in a week or two. Dr. Westman (low carb diet doc at Duke) says to take 1tsp MOM daily, 1-2 cups of bouillon daily, and make sure you're very hydrated. It's caused from rapid dehydration in the cells and also from switching from burning glucose to fat.