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What kind of pre-op diet are you doing? If you are doing low carb, and you have entered ketosis, that probably accounts for your breath. As far as the dry mouth goes, did they put you on Phentermine by chance? If so, that causes dry mouth in the early days until you adapt to it.

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We can take phentermine during pre op...?

Sent from my iPhone using the BariatricPal App

That's up to your surgeon. I was prescribed phentermine by my surgeon for most of my six-month pre-op diet program. I had to stop taking it 2 weeks before the surgery date.

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Sounds like ketosis, the metallic taste is a dead ringer.

Ketosis is the state of your metabolism switching from

Ironing glucose as a primary fuel source to burning fat. It can be burning stored fat, or dietary fat and most likely a mix of both.

Your body contains approximately 300g of glucose "on hand" stored in your muscle tissue. Once you cut your carbs, those stores get depleted and your body turns to an alternate fuel source, fat. Your liver generates 280g of glucose every day for brain function and cellular functions every day regardless of your diet, so there is no danger to remaining in ketosis.

When fat cells are burned, there are by products called "ketone bodies" or ketones created. There are 3 types of ketones, and you can buy urine strips that will test for 1 of them.

When you first start ketosis, your body sucks at using ketones and so that "spill" over into urine. The longer you remain ketogenic, the more efficient you become at burning them.

Beta-hydroxybuterate is one of the ketone bodies that has been shown to have very beneficial results on the heart, and is a preferred source of fuel for the brain.

While initially in carb withdrawal and your body can't uptake ketones properly, there is a syndrome known as "keto flu". But after the initial withdrawal subside and your body adapts to using ketones as well as fats for energy and fuel, there is evidence of increased mental clarity and acuity as well as dramatic improvement in heart conditions.

Sorry if this is more info than you wanted, just chewing the fat, so to speak.

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