Keto after Weight Loss Surgery

Theresa, I am a little over 90 days post op and the diet that the doctor recommends is a kind of loose-KETO protein based diet. I am going in for my 4 month check-up with the dietician and will ask the question. I truly think that a nice balance will be healthy.

21 months.....WOW. Worth it?

I would just follow the traditional post-bariatric diet. It seems pretty close to low carb anyway, since the one I am familiar with is high protein, low sugar (my sister had surgery almost 2 years ago). Her foods ends up being lower on carbs, with the exception of fruit.

What did your doctor and nutritionist recommend? I assume they gave you one when you got the procedure?

I had gastric bypass about 5 years ago. I don't regret it a bit as my insulin dependency is still half what it was pre surgery. I have gained half of the weight back over the years. Recently I have been looking in to Keto and other supplements to aid in my arthritis and inflammation. Lowering carbs is supposed to help with arthritis inflammation. I have also been partaking in apple cider vinegar and lemon juice twice a day. A few drops of Stevia helps it go down easier. Do some Google searching and you will find a ton on YouTube about this.

I am only about a week in to the Keto lifestyle but enjoying it so far. Not using any fast acting insulin now. My opinion so far on Keto is it is like an expensive Italian sports car. It needs an excess of attention. I am using the My Fitness Pal application to track my macros and Fitbit Charge 3 to track activity. I am following the generic 75% fat, 20% protein and 5% carbs. I have a cast iron gut so I have had little issue with that ratio.

My other comment on Keto is all the fat makes me feel "full" and or "satisfied". I never really got that from the gastric bypass. Meal prep is a pain and eating out is pain... Getting that much fat in is harder than you think. I hope my attitude gets calibrated with time. Keto is a financial commitment as well. Quality fats, protiens and low\no carb flours and sweeteners are quite a front end commitment. Almond flour, coconut flour, grass feed butter and meat, electrolytes, green super food supplements, erythritol, stevia, .... I could keep going but do your research first. Keep in mind that electrolytes and magnesium needs to be supplemented from day one to avoid the Keto flu. Try out some of the keto dishes and such. I love Matt and Megha on YouTube. They are an amazing Keto couple.

My wife had VSG about 4 years ago. She had great success and has had two surgeries to put her body back together. Her "sharpie" (nickname for her stomach) keeps her in line. She works out most days and is doing great.

Hope this helps,
David

TheresaOrtiz3 wrote: »

Surgery was definitely worth it. I do struggle with appetite here and there. I haven’t lost weight since I was 10 months post op. I’ve been maintaining my weight. I’m very frustrated at this point. My surgeons office suggests 800-900 calories per day and to stay under 50g of carbs. It’s helping me to maintain but not lose. I’ve also tried to lower carb intake but even that doesn’t move the scale.

How are you determining your caloric intake? If you truly were eating 800 - 900 calories per day, you would *definitely* be losing weight at a dramatic pace. Do you use a food scale to weight what you eat?

How far are you from your goal weight? If you're eating less than 50 carbs a day, you might be doing keto without realizing it.

Have you talked to your doctor or a registered dietician not affiliated with your surgeon's office? They might have some more guidance beyond what the surgeon is able to help you with.

That low calories scares me a little.