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Pre surgical diets can differ a lot but the two shakes & one meals is not uncommon. (Mine was two weeks keto.) Generally eat pretty cleanly: no sauces (pre made or own), steamed vegetables (avoid starchy vegetables like potatoes) no processed foods, watch cooking methods of your meats - low fat. Portions sizes ate likely only 3-4oz protein & a cup of vegetables. But check with your team for what they recommend for you in regards calories, portions sizes & suitable foods for that meal. I’d look at getting a set of scales which measures small increments as soon as possible. They will be invaluable as will measuring cups, spoons & jugs.
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You can have potato chips again , but they're made out of of
KathyLev posted a topic in Regular foods (stage 4)
COTTAGE CHEESE !!!! Yes --- that's right - cottage cheese . I follow these 2 ladies on Utube , the Keto Twins, and they have a video on how to make them and different flavorings you can add. It's just teaspoons of cottage cheese on parchment paper in the microwave for 4ish minutes. Here's the video https://www.youtube.com/watch?v=GP_8v9Hax80 -
Agreeing with the others, stick with the plan. The first couple months you definitely do not want to put pressure on those staples and risk a leak. That's a rough surgery compared to what you just had. Infections from that can get nasty and lead to sepsis. I struggled with overdoing it myself early on, but had to remind myself that its to prevent burst staples, and that I can give it 30-60 minutes and resume eating to give it room. I've noticed I can do 8 fl oz easily if I'm not careful before my stomach starts pushing back. As for the hunger, I'm one of the unlucky few that still has the obsessive head-hunger. It takes practice, but look for signs that your stomach and body are telling you that you are full, despite part of you saying "I have to keep eating!" It took a lifetime to train that reflex, and it won't go away overnight. I'm still fighting mine daily. I've noticed I'll feel a little pressure if I'm approaching the limit, but if I keep going, I start to get a runny nose, which is my final warning before making myself sick. My goal is to prevent it from getting to that point. One thing I did to throttle my eating speed is to get disposable mini / baby spoons and forks from amazon. They're only like 1/4 of a teaspoon so you get a smaller portion per bite, which helped me a lot! It takes longer to eat, which gives your stomach more time to send the full response to the rest of your body, since that is delayed. I've had to use the disposable ones since its mentally easier for me to walk away from the food if I throw the little cheap spoon in the trash. I'd rather use the reusable ones, but I know the limits on my discipline haha. This is just anecdotal, but as a recovering Type 2 diabetic, I have to be careful with sugar and starch hidden in foods. I've eaten some over the holidays, which tasted great, but realized it made me crave more. If I went a meal without it, I would get actually angry, and I'm sure I wasn't any fun to be around. Eating desserts over Christmas would send me into constant snack cravings for 2-3 days. I told my doctor, and he said you have to power through those couple of days, but by focussing on low carb (not necessarily keto) and prioritize protein, unsaturated fats and water, those cravings go way down. I've had to use "filler foods" to hold me over between meals. My wife says its gross, but I've been eating Fage plain greek yogurt to hold me over. Single Digit carbs and 17g of Protein per serving and its more savory rather than sweet. Mentally, I've used it as a substitute for cheese, mayo, sour cream, and other things to just pretend that its a more substantial food. That and it does seem to fill me up as long as I don't have anything sweet with it. Similar with 2% fat cottage cheese. Also, some artificial sweeteners can set off a sugar craving or insulin response, which just compounds the cravings. I'm not sure which ones do, but I know the ones in the Fairlife brand protein shakes do not set it off for me, while MuscleMilk does make me crave it. Fairlife has Monk Fruit, Stevia, and Sucralose, and don't seem to set that off for me. You may want to experiment to see which ones may bother you.
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I don't know how I forgot this, but look into PB2 or other Keto peanut butter powders. It's mostly the protein and fat left behind after they dehydrate peanut butter and remove some of the carbs (not all, but enough). You mix the powder with water to get the consistency you want and can eat it like peanut butter. I've also used it in the past with non-bariatric friendly smoothies and shakes, but I'm sure there are recipes out there that are more friendly. Actually I think I'm going to look some up now!
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Helpl 16 years out - regain is REAL
SomeBigGuy replied to LMR422's topic in Duodenal Switch Surgery Forum
Congrats on the 16 years of success! As we get older, our metabolism likes to mess with us, haha, but this is common. My surgeon told me that after a while, some weight regain will occur, but the best way to restart things is to redo your pre-op diet for 2 weeks, just to jumpstart things. His plan is at least try to get 64oz of water a day, start with 2 protein shakes for the two meals a day where you typically eat less. On the "big meal" each day, try to get in 6 oz of meat/protein of your choice along with as much leafy greens/broccoli, cauliflower, celery, cucumbers as you can. Cut out breads, starchy veggies (potatoes, carrots, etc) for the 2 week duration. Target 60g-80g of protein, and under 50g of carbs per day (not quite keto levels, just reduced). Calorie target was around 600-1000 per day, but it is meant to be temporary and not long term, just a jump start. From my personal experience, sugar/starchy carbs tend to send my cravings off the deep end for up to 3 days after eating them. I'm having to avoid bread, cookies, cake, candy, tortillas, wraps, potatoes, carrots, rice, and oatmeal whenever I start to regain. Some artificial sweeteners seems to set me off too, but I am a recovering Type 2 diabetic. I haven't isolated which ones affect me yet, but I can drink Fairlife protein shakes without having that sugar craving, and it has Monk Fruit, Stevia, and Sucralose. First day is absolute hell, but after 3 days it eases up considerably. Give that a try for 2-3 weeks and see if that helps with the weight loss. After that time, start working in your normal foods again, but give them a few days to see if any are triggering the new weight gain to happen again to see what's worth keeping. Slowly increase your calories to find the amount that works best for you long term. You want the range that lets you have the energy you need without weight gain. Some people may be only 1000 calories, others 1200, and others may be closer to 1800, so there's no exact number that works for every single person. Good luck, and I wish you well on your journey! -
Am I crazy for wanting to cancel my surgery next week and just try Wegovy?
ChunkCat replied to BrooklynHearted's topic in Gastric Bypass Surgery Forums
I had the same experience as NickelChip on the GLP-1 meds. Saxenda I lost about 15 lbs on, when insurance decided I didn't lose that fast enough they stopped covering it. I gained the 15 back plus another 10 almost immediately. I then went on Victoza, no weight loss. I did Ozempic for two years, also no weight loss. And on both of them I actually gained weight until my highest weight of 320lbs. They did help my A1C levels but that was it. They all had unpleasant side effects and cost a ton. I'm 7 weeks out from a duodenal switch. I've lost 26 lbs since the surgery and while there have been tough moments I'm so glad I decided to go with surgery instead of trying more medication... I've lost 40 lbs since my highest weight! I've never lost that much weight with anything, ever, not even with keto plus the meds. Usually if I have issues with a doctor's office not returning my calls or responding to my messages, I eventually go in there and talk to the office staff in person and wait until they send a nurse out to deal with my issue. 😂 It is quite effective! I'm super nice about it, but still... I had a LOT of scheduling issues with my surgery and in the middle of it they lost their scheduler and I had to deal with some really rude staff on the phone. But it all got sorted out in the end! Hang in there!! -
Sorry to hear you're dealing with all of this, it sounds rough. I know not all seasons of life can lend itself to it, but stress will cause the body to retain fat and prevent burning it. If there's any way to unload some of the stress, either by working out, meditation, going to a "rage room" where they let you smash stuff, anything that helps, it will help the weight loss process resume. I know its not always possible, having just come out of a season of life that felt like constant stress for 8 years with no seeming end. It was like I couldn't lose weight regardless of what I did, but I was always in a state of stress. I'm definitely not living a stress free life by any means now, but after years of therapy and practice, I guess I'm a little better at managing it now. That being said, my surgeon suggested a "reset" if weight regain happens 1 year+ after surgery. It was basically go back to the pre op diet to jump start things for a couple weeks, then slowly start adding back items from your normal diet, but keep watch to see if any of those are causing a stall or regain. Focus on hydration first, then protein, then unsaturated fat, then other fats, AND THEN carbs last. I wouldn't go as extreme as keto, but try to aim for single digit carbs per serving of something, or under 50-60g per day. Carbs are easy energy for our bodies, so it prefers to burn that first, and store any excess as fat, just as a survival mechanism. Everyone is slightly different, but some people's metabolism can be thrown off by certain imatation sugars and sugar alcohols. Even though they're 0 or low calorie, they can still trigger an insulin response like sugar or starches. You may want remove the biscuits for the time being and see if those may be the trigger for your body. Best of luck to you, and hoping things improve for you from here. Stay strong!
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December Surgery Buddies!
SmoknDudette replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
Yay! Same day for my sleeve. Started my pre-op on Nov 22nd. I'm doing my best with my 2 shakes a day but their brand is wearing on me bad. I had to start adding a few drops of water flavoring to them to get them down lol. and Then getting mighty tired of bland chicken and 1 of 5 green veggies a night :(. Had my education class and my per-surgery assessment is on Tuesday and the Wed after its surgery! My surgeons office throws us into keto on the preop and its throwing off my walking bad. But I just keep the thought that I won't have to fight my body any longer. -
I too am Puerto Rican so I understand the attachment to rice. I am 8 months post-op. I personally have had rice on a few occasions. It does not cause me any discomfort, but I haven't had it in any large amounts. I had about a tablespoon of arroz con gandules and a tablespoon of stuffing for Thanksgiving. I still follow protocol of concentrating on protein first and foremost and then veg and carbs. A small taste is fine once in awhile especially for the holidays or special occasion as long as it's not a bigger trigger for you to keep going. Even before surgery, I was used to substituting cauli rice for reg rice. It took me a long time to try bread again and when I did it was a keto bread just one slice. It sits fine, but i don't eat it often at all. I prefer a mini zero carb tortilla when the mood strikes. A pack of 12 tortillas can last me a month and I've yet to go through more than 3 slices of bread from the entire loaf. Some plans can differ, some people's preferences will differ, and sometimes your tummy chooses for you as things won't sit well. I like to live in the middle ground, where I follow my plan the greater majority of the time, but don't demonize any food. I make the choice to choose foods better for me - leaner proteins, veggies, hearts of palm pasta, little to no sugar added foods, high protein low carb snacks. Fortunately now there are many more healthier options so you don't always have to go without.
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October 2023 surgery buddies
SomeBigGuy replied to Shotputqueen's topic in PRE-Operation Weight Loss Surgery Q&A
@Charlie21467 - sorry to hear you ended up with Covid, that's no fun even without recently having surgery! Hoping its a mild case and you recover quickly! I just had my sleeve last week, so I haven't moved to solid foods yet, but my surgeon and their team advised me to start small when it comes time to stepping back up to normal foods. Basically after protein water, shakes, and broth, move to lower calorie cream based soups, then greek yogurt, then pudding, then cottage cheese. Once I have those, they told me to start with finer or ground meats, like canned/pouch tuna or chicken, and try mashing it up as fine as possible first. Then work up to straight out of the can. It is more processed, but the texture is more forgiving on our healing stomach tissue. They suggested I try beef last, as it tends to have more issues with intolerance after a surgery. Try a small amount of ground beef or even puree, and if you get sick off it, wait 2 days before trying again. Once tolerated, then stair step it up to more solid textures. After all of that, then work in more fibrous vegetables. They did tell me to avoid potatoes and carrots, primarily due to the large amount of starch (carbs) that will offset the fat burning, but also because my pre-op was very low carb (not quite keto level though) and reintroducing something really heavy in starch/sugar too soon could lead to vomiting. Hope this helps, and let me know if it works for you! -
So I have come to the conclusion that I have a racer back gym shirt problem. I keep buying more shirts and they are soo cute and they make me feel cute. I am still kicking butt on my workouts and I have decided to end Keto for now. I have been stressing a lot about food and unfortunately, I hold on to weight that way. It is time to go back to just being mindful of what I eat and how much.
Although I look great in clothing, I wanted to show what my body looks like outside of it. My stomach is sagging lower than before I lost weight. My arms are sagging and my breast have deflated.
With that being said, I would not go back and change anything. I would not give up being able to jump, bike, go shopping easily and feel comfortable in clothes for anything. I would not trade this confidence or happiness. I am soo a peace with myself and my body. The aches that I feel are from soreness of pushing my body, than from being too heavy that my body cannot handle the weight.
This journey has saved my life in more ways than I could ever imagine. I do not hide from the world anymore. I do not hide from people. I go out and want to explore. I meet new people. I have been freed from the burdens my weight had placed on me mentally and physically.
With being said, "I LOVE MY IMPERFECTLY PERFECT BODY!!"
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@Newme17 You are right. When it came to Keto, I was stressing out a lot about carbs. That was the hardest part and I noticed that I started feeling anxiety when shopping for foods. Especially, since I stay away from cakes and cookies. I need my fruits and I was limited there as well. Even though I stopped Keto, I will keep some great aspects from it. I have completely cut out bread and flour tortillas. Rice is only a 1/4 cup once every 2 weeks.
I am with you. If for some reason, I cannot pay to have the skin removed when I am ready to cross that bridge, then so be it. My skin is my journey. Each tiger strip or roll is my badge of honor.
Yes. It is now time for me to enjoy my life. Just enjoy brining able to move easily and effectively.
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@Thejeweledsleeve I just tried to hit the reply button, or what I thought was the reply button, and hit the report button instead. Geez. Anyway, I was laughing at your needing to pull your leg up using your pant leg to tie your shoes. I can so relate to that situation. I also relate to struggling with the keto diet. I miss having fruit. I think as long as I keep my calories under 1000, I should be able to add a peach here and there.
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My doggy is now back home in his cute little splint and cone. He is soo adorable and annoyingly smart. He figured out how to push the cone back so he can bite at the splint. He also is running on 3 legs but walks on all 4 (Except in the dirt lol).
My stall is finally over. I moved 1 lb on the scale on Sunday. I finally moved. I have been bouncing between 203 - 205 lbs for the longest. I am finally 202 lbs. I think its over. I have been sticking to my Keto and meal prepping. I cannot believe that I look like this. I feel amazing. I look amazing and although I have a long way to go, I am soo proud of the progress that I have made. I am almost to my second goal of being under 200 lbs. I have made the decision that I want to bring in the New Year at 155 lbs. That is an average of 9 lbs over the next 5 months. I can handle that. I have already prepared my Keto weeks and the grocery lists. I just want to reach that third goal by the end of the year and I believe that I can.
My ex-bf has been texting me and calling me a lot. Honestly, I really do miss the fool. I just do not want his insecurities destroying my progress. I am highly conflicted. I know he is a great person and I truly love him a lot. I just do not understand why he has any insecurities. The man workouts and is built. He is very handsome and extremely intelligent. As of now, he is being supportive. Sending me work out routines to try, new recipes and even went as far as to get me a class doing Aerial Silks (Something I have showed extreme interest in). I really need to have a one on one with myself regarding our relationship.
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Yay for broken stalls! 😊 I wouldn't know but I will celebrate with you.
I do think you need to have a serious one on one with yourself. Also, have you talked to him about his behavior and insecurities? Maybe he needs to hear it and so he'll reflect on hisself and change. You don't strike me as the kind to not say anything, but maybe you didn't??? I actually broke up with my hubby as we were dating. I was ready to get out of the club, partying scenes and he wasn't. Told him he has to change for hisself and not me. So I told him to leave. Not long afterwards we're back together. lol. But he did change (slowly) and he did listen to me. Now I've got a great man, a husband who will move mountains for me, regardless of what I look like. He's secured in himself enough to not project what little he may have, if any, on me. I usually puff him up with compliments though, so that helps. Lol. So anyway, I hope it works out for the way you get blessed, whether it's with him or not. But until you know which way, enjoy taking care of YOU and your cute adorable little doggy.
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Sleeve1stFitNext reacted to this
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7/8 - Extremely healthy keto day.
7/9 - Halo Top 1/2 Cup Chocolate Mocha Chip (I am in heaven!!). Healthy keto day. Weighed in at 208.4 lbs. Gained 1.4 lbs
7/10 - Hung out at Coney Island with my Mom, little Brother and my dog Buddy aka Rasta Scoobs. At Nathans Philly Chicken with no bun. The guy gave me the nasty look when I ordered it. (It was like really, you are going to come here and want to eat healthy at Nathans?). With a nasty tone, he says, "It's going to be the same price and the same amount of meat." So in an even nastier tone, I said, "Did I ask about the amount of meat or the price? No. I asked for a Philly Chicken with No Bun. Thank you." He just placed my order and my brother says, "Don't be surprise if you find some special sauce or a hair floating around in it lol."
7/11 - Keto Day. Decided to step on the scale and weighed 205.4 lbs. I was like WTF!!! What is going on? At this point my weight is fluctuating up and down. I think I maybe starting stall soon and my body is warning me. It could also be water weight.
7/12 - Another Keto Day. Went out to eat with my mom and brother and I was upset because I could have the Tacos of Bell. My mom keeps saying, "Oh you have your meal prep and you have been doing so good on your diet. Taco Bell is not good for you." I was like then why are you eating it. She says, "I'm grown and your mama. Do as I say and not as I do." She is right but sooo annoying sometimes.
7/13 - My day was healthy. Received two new Hidrate Spark bottles. Gave one to my mom and brother. They are in love and I set them up on their phones.
Breakfast: 2 egg whites boiled with salt.
Snack: 2 pickle slices
Lunch 1 - 2 : 2.1 oz of turkey with a tomatoes, a little cheese, romaine lettuce and my special dressing. (Broken up into 2 meals)
Snack: 21 olives.
Dinner 1 - 2: 4 oz of ground beef, a little cheese, romaine lettuce, tomatoes, sour cream and salsa. (Broken up into 2 meals)
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@Newme17That is her favorite saying. Other than, "I am not your friend. We will become friends when you pay a bill in this household." Oh that one makes me laugh because I will look at her like...really....I pay bills....yeah....we friends now...lol. I bring my bottle everywhere but I have been slacking in getting about 40 oz lately.
@Meryline I have an insulated bottle that I use for the gym. I will take those ounces and it to the Hidrate manually. However, I used the Hidrate for when I am at work. During that time I will not drink much of anything because I am busy working.
@Apple1 I really am running on autopilot at this point. I think every mom has said that line lol.
@Sweet as Peaches It is okay. The stalls will happen. I am not stressing it. I have come so far and I will continue to move forward. There is always bumps in the road and we have to jump over them. I just wanted him to understand that just because I am heavy does not mean that I do not want to watch what I am eating. Like do not judge a book by its cover. My little brother is just like my mother.
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I haven't been on in quite a while, so I thought I would check in. My weight is down to 173, 7 pounds below goal. I held at 175 for almost 2 months and randomly dropped 2 pounds a couple of weeks ago. I had my year follow-up appointment, and my labs were perfect. Once again, I know that this journey was one of the best decisions of my life, and that I never would have been successful had I not committed myself 100% to changing my relationship with food. I still follow a keto way of eating and keep my carbs below 25g per day. I wish everyone the best. Happy holidays!
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Nostalgia and emotional burdens
Kerensky18 posted a topic in General Weight Loss Surgery Discussions
Hello, First of all, I'm new to these forums and I'm glad to have your support. I'm pre-op awaiting insurance approval to be scheduled. I have a lot of emotional baggage over my hobby. I've been brewing and drinking (new) beers for the past 4 years. I like to go to festivals and new breweries and try their beers. In the pursuit of this, I've acquired or have been gifted brewing equipment, beer signs, steins, and glassware. Some of which I've only received at Christmas this year and haven't had time to use. I'm full of guilt that my family has bought me equipment and limited edition steins that I won't be using for a long time if ever. Does anyone have any suggestions? I don't like the feeling that people wasted money on gifts And I also want to keep my steins and use them for other liquids. I may return to the hobby and brew for the enjoyment of others, I have a friend who owns a microbrewery and does Keto so he rarely partakes in his wares outside of quality samples. Sorry for the rambling posts, I'm not good at explaining how I feel :S Jason -
Progressing okay n starting on IF
Jaelzion replied to jadore's topic in POST-Operation Weight Loss Surgery Q&A
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. -
Feeling of indigestion 5 no the post op rny please help if you can
lf1227 replied to lf1227's topic in POST-Operation Weight Loss Surgery Q&A
Okay, do you have time to elaborate? I've seen that many people go keto here post op and my surgeon never spoke against it. Not questioning you but if you have some feed back i want it. Sent from my SM-G950U using BariatricPal mobile app -
There are a few bariatric keto plans out there..... What I've been told is for keto do High protein 60 -80g or whatever your doc recommends. Moderate healthy fats and low carb and lower calories. Just search for bariatric keto truth and groups like that on facebook Sent from my SM-G965U using BariatricPal mobile app
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I've used 3 since before surgery. I still love and use the same ones after. My tastes never changed. I think cuz I was already very keto adapted and most are not until after surgery. 1. Premier Protein (RTD) Drinks - 11fl oz = 30g protein (Choco, Vanilla, Bananas & Cream) 2. Isopure Powder - 1scoop = 25g protein (Unflavored, Choco, Vanilla, Bananas & Cream) 3. Synthrax Nectar Lemon Iced Tea Powder - 1scoop = 25g protein (Iced Tea)--the Fuzzy Navel is also delish but I'm out of it now. Also the grapefruit is excellent!
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10th Month: How many calories?
OutsideMatchInside replied to OutsideMatchInside's topic in POST-Operation Weight Loss Surgery Q&A
@@Munecagirl85 I have a lot of muscle mass and I want to keep it and I want my hair to grow, so I increased my Protein. I eat 4 to 5 times a day and I try to get 20g of protein or more whenever I eat. Also once i got past 6 months, I had an appetite and I didn't have one at all before. I need the protein so I am satisfied and not hungry. I eat Keto also, but I rarely eat enough fat, its hard to get the fat in, since I mostly eat lean Proteins to get my protein in without eating too many calories. I like Keto but it is a hard balance with a limited amount of calories to work with. -
Many people do follow keto long term and are happy. I'm not one of them. My preferred diet is a diet rich in fruits, veggies, legumes, seeds, nuts and whole grains with at least half of my protein coming from plant sources. Lot of different paths up the mountain. Know the benefits and risks of whatever plan you choose. Best wishes.
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What to do about the ketosis "pooh pooh" breath?
Heather Meyer posted a topic in PRE-Operation Weight Loss Surgery Q&A
Okay..confession! I brush my teeth twice a day and use mouthwash and i chew gum a lot...and yet my poor hubby has been complaining that my breath smells....GROSE! No matter what i do..ever since the second day of this pre op diet.. i have had the nastiest taste in my mouth and my breath smells like i was a dog in my past life... So how do you deal with this Keto breath? Any thoughts on what to try? Short of chewing gum till my jaw hurts. -
I feel like I have mono- 3 weeks PO
allwet replied to Unclechaz's topic in Gastric Sleeve Surgery Forums
You have "Keto flu" most people dont realize but the weeks after surgery are the same as someone who does keto in that since you cut out the carbs and sugar your body switches to fat burning. the transition is different for everyone but the "keto flu" is a common reaction. it does pass as you Fat Adapt and your body moves to using all those millions of fat cells for energy. Hang tough and watch that fat melt away as your body becomes a true Fat powerhouse. After i reached the Fat Adapted stage i had so much energy it was scary. I couldnt sit down, i was always pacing and felt i needed to keep moving and doing something anything. -
127lbs before surgery date!!!!
ALFxRNY replied to Sparkle36703's topic in PRE-Operation Weight Loss Surgery Q&A
Keto really does work from what I hear. Only complaint I’ve heard is with the making sure your body stays in ketosis but other than that, people seem to love it. Keep us posted on how it works out [emoji846]
