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Going back to basics, keto and weight watchers did not work for you. It may be time to seek counseling.

Patience grasshoppah! I agree with Tea. Go back to do one thing at a time. Go back to your old way of eating LC or Keto or whatever you choose to call it. You are likely hungry with it cuz you're keeping fats pretty low. Maybe up your fats and see if it helps with satiety? But when I say "up" them, I'm not talking fat bombs or desserts, or lots of added dietary fat. I'm talking about: 1. Switch from boneless skinless breasts to breasts with the skin. Or switch to thighs. Or eat beef pot roast. Or eat pork shoulder. These cuts naturally have more fat in the meat and so have more calories and are more satiating. Also if you are only eating 2oz per meal (by weight) of protein, try eating 3oz. if you are eating 3oz per meal, try eating 4oz. until you hit your daily protein goal. If you hit your goal easily and go over on protein...then you may need to look at re-apportioning your protein/veggie serving size to fit your macros. I'd add a small salad with vinaigrette to each meal if that happened. I rarely eat more than 3oz per meal cuz I don't need the extra protein. 2. Eat 1-2oz by weight of al dente veggies. Add 1tsp of fat to them (avo oil, evoo, coconut oil, butter, ghee, animal fat) or add up to 1oz avocado, or 1/2oz by weight of nuts/seeds. 3. Eat 3 meals per day. Try not to snack. If you are hungry allow a snack composed of these (choose one): a. String Cheese b. Hard Boiled Egg c. 1oz dense dry protein. This will put you in ketosis big time by the end of about 4 days. You will lose 2-4lbs of water from it as your liver dumps glycogen and the attached molecules of water it holds. Then do that for a month and don't worry about it. That's your new diet. As your pouch matures, you will need to revise it to add more fat/calories to your day, or continue to choose more fat dense meats/dishes. If you are struggling with weight loss, I would stick to this and I would avoid calorie dense complex meals such as casseroles, stews, gooey, cheesy stuff. I'd stick to clean meats, healthy fats, al dente veggies. Hope that helps! Congrats on your losses!!!!! Don't stress, don't worry! For me eating in maintenance is longer than 2months with no loss on the scale or by the tape measure. For me a stall is 3 weeks without a change on the scale or by the tape measure. Other people have different definitions.

Is it possible to go to a different surgeon that is covered by your insurance? 90 days is ridiculous. My surgeon required exactly 1 day of a liver reducing diet, and that was the day before surgery. If you have to lose weight and fast, you could try a liquid diet, but I was absolutely miserable when I had to do this for 2 weeks post-op, plus it is not sustainable and when you go back to solids you will gain weight, but if it was a deal where I HAD to lose weight in a short time-frame or I would lose my job I would do it. A more sustainable weight-loss program would be keto, but it may take a bit to kick in. Please let us know what is going on.

I'm two and a half years out - went down to about 114 but was really too thin. Then went up to 140 and definitely wasn't happy. My problem is very definitely sugar and carbohydrates. I'm a sober alcoholic (8 years this time out, and before the four year break (divorce + stupidity = relapse) was 22 years. Bu the point is that for me sugar is a drug and the insulin response I get from any processed carb works in pretty much the same way. So I've been working on killing sugar and processed carbs, plus grains and simple starches like potatoes, along with most fruit apart from small amounts of low GI berries over the last six months or so, trying various things. What have I learned: I can't do anything in moderation that isn't real food (by which I mean protein and fat and small amounts of carb appearing in leafy veg etc. This, alongside intermittent fasting (Dr Jason Fung is great on this) has begun to make a real change. Because it's not really about the losing weight for me now, although I want to lose about 15lbs still and it's beginning, It's about the need to be healthy, not to be constantly sickened by food, not to be constantly obsessed with food and to find a long term sustainable solution that allows me to get on with my life. Still hoping to cross addict onto exercise but that hasn't happened yet! Funnily, the post op diet which led with protein and allowed the veg and carbs in if there was room is closest to where I am now. I fast 16/8 - it varies but the average seems to be about 17/7. This is comfortable and I have loads of energy. Only been doing it a week properly and the keto for about a month but I was struggling with the macros and counting. Keeping it simple now. Be interested to hear if anyone is doing similar. What I would say is that my level of trust for something that doesn't involve someone trying to sell me special foods, vits, supplements, meal plans, exercise regimes is naturally quite high! Everything I need to do IF successfully if available for free. I like free! Actually - and again I'd be interested in people's thoughts here, I wish I'd discovered this and worked it pre-op. But hey, can't turn back time! Thanks all - this was a bit lonnnggg - sorry!

I too am experiencing severe episodes of reactive hypoglycemia. I’ve been hospitalized 3 times in the last 2 months. My sugar drops rapidly. It’ll go from 60 to 37 in minutes. Assigned to an endocrinologist team my last hospitalization and have now been prescribed Acarbose & a told to eat 6 small meals, high protein some fat & no more than 30 grams of carbs each meal. Just started med yesterday and concentrating very hard on following diet. It’s basically the keto & I could stand to loose about 10-15 lbs so I’m eager to try this. I’m wearing a freestyle glucosemeter (no pricking) to help track sugar & bump it up before I start feeling the symptoms. I’m also carrying glucose tablets to bump it up quickly. I have an appointment next week with endo to discuss progress & decide if anything additional or different needs to be done. I pray that something can be done because living with this has turned my life upside down. I’m afraid to drive long distances; lots of confusion; no interest in usual activities and also depression has set in. I feel awful that I’ve put my family through this worry simply because I chose to have the surgery. But I would have it all over again if given the choice of being very unhealthy & obese and my life as it is now. I just have to remember that and I’ll get through this! Sorry for being long winded. I just felt if anyone would understand my feelings it would be my fellow bypass friends. Take care, I’ll keep all posted as I go thru this. 😊

Sometimes I think when people deny themselves constantly...they set themselves up for bad choices. I think you've been making some bad choices with the refined simple carbs. But I don't think the answer is to swing the pendulum all the way in the other direction and starve and create an unsustainable diet again. Something drove you to crappy choices. You need to find out what. If it's an emotional issue...therapy is a good thing. If it's a diet that's too restrictive and unlivable...don't go back there....do something new. Maybe try a moderate diet with some healthy unrefined carbs (beans/whole grains/fruit) and see if they will help control your carb cravings so you don't go overboard in an unhealthy direction with refined carbs. If I eat a carb restricted diet...I crave sugar like a lunatic. Makes me crazy. But if I eat healthy low glycemic index carbs.....I don't miss it much. I feel much better physically and want to exercise more. Different people approach this stuff different ways. Keto is the big trend and people swear by it because its' great for weight loss. But some people feel ghastly on it and it's unsustainable for them. Lot of ways up the mountain. If one path keeps getting blocked, maybe look at some of the other routes? Best wishes, and heartfelt hopes for better days ahead:)

Here are some products I've discovered recently that I really like: Aldi has Keto buns. Awesome ones. I'm not a keto person, but I love these cause of the dietary (oat) fiber they pump them up with to make them keto. For 60 little calories....you get 8g of Protien, and a whopping 19g of Dietary fiber!!!! They've got 21g of carbs, but with the fiber, net carbs of only 2g. They're a small size, so not overwhelming for the small stomach crowd. Throw 2 ounces of Aldi Chicken Breast on there with some lettuce and tomato, and you've got an excellent little sandwich with 18g of Protien and 19g of Dietary Fiber....for only 135 calories! Diet Orange Julius smoothy. This hits the spot when I'm having a desert craving. Here's the recipe...roughly...adjust to taste. Three one inch pieces frozen banana, two large frozen strawberries, half cup of orange juice, splash of vanilla, half a cup 30 calorie almond milk (or skim cow milk), sweetener of choice (I use splenda and monkfruit). Blend this in your smoothie maker, sit on the porch and enjoy this drink that'll make you think of the mall in the late 80's / early90's. Good stuff! Monkfruit, but not the commercial brands, they suck. Go on Amazon and get real concentrated monkfruit drops with no added ingredients. (I like Monk Drops). For some people, Monkfruit has an aftertaste, for some it tastes incredibly close to real sugar with no aftertaste. I'm one of the lucky ones. I never had luck with Stevia because Stevia has a horrific aftertaste for me, but Monkfruit tastes terrific. If you're one of the people that gets an aftertaste from Monkfruit I apologize in advance. But I could drink the stuff straight and find it delicious. Maple Grove Farms Sugar Free Maple Syrup. I hate most sugar free maple syrups. This one has Excellent taste. 20 calories in HALF A CUP. If you like protien oatmeal pancakes...you need this. I also pour this on my steal cut oats. Homemade fried chicken! I have never made fried chicken in my life. Recently attended a healthy cooking class where we made keto fried chicken! Again, I'm not a huge keto fan, but this chicken was so good, I'd make it anyway. To start with, only the coating is fried...the chicken itself is boiled. We boiled the chicken until it was completely cooked in salty seasoned water...think bay leaves, sage, salt and pepper, thyme. Then we cooled the chicken and put cashews through the blender to make cashew flour. Wet your chicken with milk/egg wash and roll it in cashew flour with spices and about two tablespoons of flour fry mix mixed in. Coat it a couple times if you want. Then, flash fry it in 350 degree oil. You could probably do this in the air fryer, too? (I have not tried this) I actually submerged mine in oil....only for about a minute to make it nice golden brown. Yep, you've got some fat content and calories from the oil....but it's NOT greasy. The outside is crispy crunchy and the inside is moist and flavorful. A large chicken leg prepared this way only has about 150 calories, lots of protien, and hits the spot for summer picnics. Chickpea pasta salad. Love this. Everyone has a favorite pasta salad recipe. Mine goes sorta like this... Chickpea pasta, cherry tomatos, kalamata olives, reduced fat salami, English cukes, red onion, tiny diced swiss, diced bananna pepper....Dressing is Good Seasoning Italian dressing packet with balsamic vinegar, splenda, water, extra light olive oil. My beloved Chocolate Fudge Yasso frozen yogurt bars. 80 calories of "you'll never want icecream again". 6g of protien, too. I'll admit it. When I hit that incredibly horrible day when I want to eat a half gallon of ice cream.....I've been known to get a box of fudge Yassos and eat them all. But here's the difference. A four pack of Yassos is 320 calories and 24g of protien. Even feeling like I'm drowning my sorrows in ice cream....it's not a completely horrible nutritional choice. A little high in sugar, but not world ending. It is my emotional tantrum junkfood of choice. And while I try NOT to do this kinda maniac disordered eating anymore....it's nice to have a plan for when my brain slips once in a blue moon. (and it's a hell of a lot better than eating a half gallon of blue moon for instance) LOL A shot of Mio in iced tea can be superb! Crockpot sweet carrots with spenda instead of honey. They taste terrific. Black beans with salt and pepper, corn on the cob, and a plate of tomato slices with fresh basil, olive oil and a slice of fresh mozerella. And watermelon, of course:) OH! And another favorite....this one is slightly naughty. Strawberries mashed with splenda, chunks of mango, and a splash of ameretto liqueur. Eat this like strawberry shortcake, only use oat protien pancakes instead of shortcake. Happy Summer, Folks! If you've found some especially good diet-ey foods or products, be sure to mention them to the rest of us!

I’m definitely going to have to pick up some of those keto buns! None of the healthy foods I enjoyed in my honeymoon phase post surgery seem to appeal to me now so I’m looking for new stuff. On another note, I’m glad to see you back at the forums Creek! I missed you when you left 3ish years ago.

So this is what I was thinking too.... bulky clothes and drink a ton of water beforehand BUT my next appointment (and last appointment) is with my new nutritionist before they send it in to insurance. I've been doing a diet (keto) under doctor's supervision but then my surgeon's nutritionist specifically said "I need to know that you can follow OUR lifestyle plan in order for me to sign off on you"... so then that makes me think that she needs to see that I can lose weight following her specific rules [emoji86][emoji86][emoji86] ughhhh. I'm in such a pickle. Do you think maybe if I call her and I am just transparent about it that she would be understanding of my situation? Or talk to the PA and ask them if they can send in one of my higher weights instead when sending in the approval packet? I'm not sure how morally sound it is to even ask them [emoji51] Honestly, I am desperate. This whole conversion surgery is something I've put so much time and effort into. It's been years in the making. I've changed my lifestyle because I know that it is just a tool... thinking that if I change my habits now that it will make it easier for me to adjust when I do have restriction again. It just sucks to know that that is not being taken into account

I've looked at some bariatric cookbooks and I do not think they are worthwhile. There are tons of free recipes available on the internet. After the first couple of months, you don't really need bariatric-specific recipes (but don't sleep on the ricotta bake -- it is delicious and I made it regularly during my pureed and soft food stages). I have found a lot of wonderful recipes on Pinterest. I've had the best luck searching for "skinny" and "WW" (Weight Watchers). "Healthy," "low-carb," and "keto" also have some good results; you just have to make sure they meet your requirements ("keto" recipes in particular can be a mixed bag, because some of them are very high in fat, which can cause dumping for bariatric patients).

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.

My hubby has been doing Keto to slim up so we will both be in better shape..I love him but MAN does his breath stink! Sent from my SM-N960U using BariatricPal mobile app

weight gain during year 3 is very common - with or without PCOS. Some people have had luck with Weight Watchers, intermittent fasting, or Keto. Some just go back to what they were doing in year 1 - not all the way back to protein shakes and purees, but the whole protein first, then non-starchy vegetables, and maybe an occasional serving of fruit or whole-grain carb. If you do the latter, start tracking (if you're not doing it anymore) to see where you're averaging calorie-wise, and then start cutting back from that. I find that easier to do if I cut 100 calories at a time rather some drastic cut. different methods work for different people - so just find one that works for you. You CAN lose regain - although it's much slower and harder than it was when you were in weight loss mode.

My provided diet plan is pretty vague, making t a little difficult to know how far off I am from what they might expect. I sometimes eat foods I shouldn’t but I am human and recognize those moments. I have kept it to a minimum and move on from those in a healthier fashion rather than continuing with the bad habits. I am also avoiding snacking & carbs. Those are huge triggers for me. I am not drinking liquids during meals, rather drinking liquids around my meals. No carbonated drinks. Sometimes juice but that’s like 4 oz once or twice a week. I know exercise is not as huge a factor as the dieting but I know the sedentary lifestyle has affected me tons. I am attempting a keto type diet although I know I cannot reach the required amount of calories. Lack of bathroom use also affects my weight. I am trying to keep my foods as clean and healthy as possible. HW: 286.4 SW: 267.4 CW: 234.4 GW: 150 -Charly

What does a typical day of eating look like for you? How many calories? carbs? How much protein? Do you exercise at all? Do you track everything you consume? I ask all of these questions to try to help you get underneath why you aren't losing any weight despite efforts to do so. I lost a lot pre-op myself, but I diligently followed a keto diet and exercised religiously for the entire six months...

Eat high protein...almost like a keto diet. Protein decreases hunger. It'll take a little bit to detox off of carbs and sugar but it's a must if you want to drop the weight. The sleeve is our tool not a magic fix. Excersize too if you can. Walking a couple miles total a day helps. HW = 360 SW = 292 GW = 220 reached 3/7/18 CW = 210 @ 6'5" 150 pounds lost! [emoji106]

https://www.bariatricpal.com/magazine/710-keto-and-bariatric-surgery/

That's awesome! I lost nothing on my 2 week liquid pre op. I have no thyroid either. The struggle has been real. I feel very good. THANK GOD because my job is hard and I have to make money. I'm 5'3 super short haha so I'm just a short chunk. My face has thinned out the most. I'm so happy for your loss!!! Are you feeling proud and good? So the first 3 months I sucked at eating real foods. I was content with shakes. Now I'm feeling like i have hunger and I crave more foods. I was hoping that was gone. Lol nope it's back. I have been following basically keto with 2 shakes a day. I find myself eating alot nuts and soft meats. Plus 2 premier shakes. When I crave sweets I blend peanut butter,ice and protein shake together. Holy **** its delicious![emoji23] Sent from my SM-N950U using BariatricPal mobile app

Mojitos are def going to be too sugary. My advice is to stick to classic/prohibition era cocktails; generally they have just a few ingredients, mostly clear liquors, and the mixers aren't too sweet. However, most also are based around gin, so if you're not a gin fan that probably won't do you much good lol! Whiskey's also pretty good; it's keto friendly, along with tequila. I have a friend who's doing keto and all he drinks is whiskey & tequila, on ice! But he gets the good stuff. (;

Hi folks. So it's been more than four years since I posted on this thread. Thought it was worth updating my story. So last time I posted, I was struggling with some modest (c5 lbs) regain after reaching 177lbs - which was a weight I was happy with but it will still about 12 lbs above my goal weight. Over the next four years, I gained more - getting up to 200lbs last January. Then the pandemic hit. I was working from home all day, getting no real exercise (bar a few half hearted runs in the park) and eating a lot out of boredom - with the result that I gained another 20lbs by this January. Of course there's lots of regret about allowing myself to regain 43lbs, especially as I never even got to my goal weight in the first place. But regrets don't change anything. I'm back on it now, aiming to lose c2lbs a week. I'm limiting my calories to 1750 a day, and aiming to burn between 2750 and 3000. Most days I come in under my 1750, but I allow myself one day a week where I can 'use up' any leftover calories to bring my daily calories up to a max of 2500. A few basic rules: (a) nothing is off the table - that sort of diet doesn't work for me, and I know I will fall off that particular wagon quickly; (b) back to no drinking half hour either side of a meal; (c) if I want a snack, I have to drink 500ml water first, to see if that changes whether I want it or not; (d) I measure and track everything I eat with MyFitnessPal - and my calories are built around my meals, which I pre-log so I know what I have to play around with for snacks etc; (e) no fizzy drinks during the week, only water or sugar-free cordial. There are a few tactics I've used to avoid boredom snacking. As noted above, I drink before snacking and always when I feel 'hunger' try to get in tune with whether my body is actually hungry. Where I control my virtual meetings at work (from home) I try to schedule them at peak snacking-risk times (usually the two hours before lunch, and the two hours before I finish up for the day) to make sure I have something to do that means I can't snack. I have also been doing some longish walks to avoid snacking (usually taking the dog and no money so I'm not tempted into a shop...) There was a point - maybe two years ago when I tried a pouch reset diet. I lasted about 2 days. This time around I tried Keto for two days. I've realised that the only thing that works for me is bog standard Calories In < Calories Out. Everything else will fail for me. So now I'm two and a half weeks in. I'm down from 220 to 211 and pretty happy with the results. Starting to see some very slight changes in my belly and my shoulders. Weirdly, even though the initial lockdown caused me to gain, this lockdown is helping me to lose: being at home all day gives me total freedom to make good choices, to measure everything I eat and track it. If I can get down to roughly 175lbs I'll be happy. But would ideally get down to about 165lbs.

My husband started the KETO DIET even went thru a girl that does a month of food to prepare for the week. He really didn' like it. He said that it all tasted the same and in 2 weeks he was out of there. But he did lose like 12#'s in a week. He has had WLS. I couldn't stand the smell. But that is just me. I really think that it will work. But just like everything else you need to work for it. Good Luck

4 days no luck and I'm getting sick of meat and fat. İf your going to continue I tried some keto shake from a company called nutri keto they weren't to bad. Sent from my Pixel XL using BariatricPal mobile app

Maybe best to get the strips to check. If you don’t mind my asking what are you eating that is putting you in ketosis? My first two weeks were free fluids and I found there’s not that many keto choices except the pre op shakes. I did have bad breath but it was from the protein drinks (though I had too many dairy products to be in ketosis).

Doreen0716, I completely understand. I will be a year out on the 19th of this month and I've been at a stall for 3 months as well. I try not to let it get the better of me because praise God we've come a long way from where we were. I'm down 70 pounds trying to loose the last 10 but it's a serious challenge. I workout and I try not to consume over 1000 calories. I'm going to try to reset my sleeve/body by starting over on the liquid diet and go from there. So maybe that could be a start for you also. I see alot people are doing the keto diet that had the sleeve, so maybe try a diet plan that's fit for you. But whatever the case dont get frustrated re evaluate and keep pressing. I think the process has just slowed for us all after so many months, to me it seems like when i hit the 9 month mark it slowed big time. But keep us posted on your progress.

i do low carb 50g or less daily but i don't do keto because the protein level is to restrictive for my taste. if you can meet your marco's and get your micro nutrients from those levels i don't see a problem. surgeons don't like anything that is not down the middle good for all cause they don't have time for one on one care so all the programs are designed to fit the avg. and cause the least problems. track carefully and get regular blood panels and be prepared to stop if any issues come up in your blood work. good luck and enjoy