Keto Diet.

on 1/12/18 10:42 am
VSG on 12/12/17 with

Just Curious as to how many VSGers here are on the KETO diet??? any thoughts? how soon after surgery did you switch to KETO? I never really knew about keto until recently and the more I been looking into it the more it sounds like its a good fit. I have an apt with my nutritionist at the end of the month to discuss my progress. But I was just curious how this is working out for ppl that had a VSG. I find it more helpful to hear stories form people that have actually experienced this.

Erin T.
on 1/12/18 1:09 pm
VSG on 01/17/17

I do Low-carb, high-fat but not keto. Keto generally is defined as 20g of net carbs or less per day. I normally am in the 50-80g range and have my macro set to 20% carbs (though I rarely reach that, I think it's 96g for my base maintenance calories).

I couldn't really do anything but high protein, moderate fat, and ultra low-carb until I hit maintenance. Once I hit maintenance I added in pretty much all my additional calories from protein and fat. I believe CathyH does true keto while still maintaining really low calories, so maybe she'll give her input.

I find that LCHF works nicely for me, without having to nitpick every carb I eat. I get nearly all my carbs from dairy, nuts, protein bars and veggies.

VSG: 1/17/17

5'7" HW: 283 SW: 229 CW: 130-ish GW: 145

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish

LBL/BL w/ Fat Transfer 1/29/18

on 1/12/18 2:43 pm - Jacksonville, FL
VSG on 09/29/17

I don't eat Keto per se. I eat low carb, high protein. I don't worry about fat, but try to eat more lean cuts of protein. I have been in ketosis on and off (I test with strips). I don't consume carbs from anything but vegs and nuts (with the occasional cracker or smidge of popcorn). It has worked well for me. I know there are several people on the forums who are hard core keto and would be able to answer this question a bit more completely.


VSG with Dr. Wanchick - Sept 29 2017

Age 52 Height 5'2" HW 585 (2012) Initial Consult Weight 522 SW 460 (9/29/2017) CW 350 (4/5/2018) Next Goal 325 Starting BMI 95.5 Current BMI 64.0

Pre-Op: 62 M1: 36 M2: 20 M3: 15 M4: 19 M5: 10 M6: 10 M7: ?

Maritonia R.
on 1/12/18 3:40 pm
VSG on 03/28/17

I was strict keto for short stints of time for a few years before surgery and on and off after surgery. My longest stint was 8 months - I lost 65lbs but gained it all back very quickly. Now I am very carb concious and I try to eat a high fat/moderate protein/low carb diet but I don't track my food so I don't know how often I am actually eating keto.

Height: 5'5" Pre-op 14 M1 23 M2 11 M3 13 M4 + M5 17 M6 9 Goal M7 5 M8 3 M9 3 M10-12 3

Below goal of 135 lbs in 6 months. Total 101 lbs lost, then 13 lbs regained and now losing again. New goal - maintain in low 120s forever.

on 1/12/18 8:14 pm
RNY on 07/23/14

Most people eat low carb and don't worry too much about that fat. We can have higher protein needs than non-WLS people. You will usually lose better if you are on the high end of protein.

I could do 50% fat on my macros pretty easily sometimes 60... but it was hard and I didn't really feel well. You can be in ketosis even if your fat isn't as high as long as your low carb.

Cynthia 5'11" RNY 7/23/2014

Maintaining a 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

Need to get back to Basics? The Five Day Meat Test



Cathy H.
on 1/13/18 12:02 am, edited 1/12/18 4:25 pm
VSG on 10/31/16

I have been keto since 5.5 months post op, and am now at 14.5 months post op, so keto for 9 months. I've lost 55 pounds since then. I chose to maintain for a couple of months after hitting my one year surgiversary, but just kicked back into losing mode and am doing fine (weight loss challenge at work with a $500 prize for the winner, so figured it was time to try and reach my next goals!). I still weigh, measure, and log every bite I eat for accountability. I love the keto way of eating (it's not a diet for me, it's a lifestyle), and how much more satiated and satisfied I am with high fat meals. I do not eat any grains or sugar, and keep my ratios at around 70% of calories from fat, 20% protein, and 10% carbs. When I am closest to those numbers, I lose great, and keep my calories between 1000-1100/day. When I want to maintain, I back down the fat a bit and increase my calories. Keto is more than just being in ketosis--it's also about how foods affect your body, blood glucose, reducing inflammation, and a whole food approach as well. It's not a lifestyle for everyone, but I am very happy with my decision to be keto :)

5'3", CW: 165 Ultimate Goal: 150 ............. Livin' La KETO Loca!!
134 lbs lost since surgery, 195 overall!! Initial goal reached 9/15/17, (10.5 months)!
SW*: 299 GW: 175 HW 3/2015: 360 PSW* 5/2016: 330 *PSW=Prog Start Wt; SW=Surgery Wt

M1 -31, M2 -10, M3 -15, M4 -16, M5 -8, M6 -6, M7 -11, M8 -8, M9 -8, M10 -4, M10.5 -7 GOAL

on 1/13/18 9:24 am

While I didn't check with ketostix or anything like that, I am sure I was in ketosis all of WL. I religiously tracked and carbs were typically around 20g.

I knew from past experience, that ketosis suppresses my appetite so combined with VSG it was a winning combination in terms of weight loss.

Just personally, I don't believe that low of carbs is good for MY body forever and ever.

But, it seemed like a starting weight of 360 lbs called for exceptional measures. For me, that included a ketogenic diet combined with VSG.

I now maintain with more balanced macros tho I still tend to be lower carb than most.

FYI, I have yet to meet a dietitian that thought my year of keto was a good idea. Don't get me wrong, they weren't at all judgy or anything like that. But my approach clearly wasn't what they would advise either from a nutritional standpoint or from a "learning to eat for the rest of my life" standpoint.

Best wishes!

HW:361 SW:304 (VSG 12/04/2014)Mo 1:-32  Mo 2:-13.5  Mo 3: -13.5  Mo 4 -9.5  Mo 5: -15  Mo 6: -15  Mo 7: -13.5  Mo 8: -17  Mo 9: -13  Mo 10: -12.5  11/3/2015 Healthy BMI Reached Mo 11: -9  Mo 12: -8    12/27/2015 Goal Weight Reached!

Erin T.
on 1/14/18 7:05 am
VSG on 01/17/17

This was basically how I felt too. The biggest thing (diet wise) that I have discovered with this surgery is that I feel amazing without high levels of carbs making me sluggish. I've literally felt that since I started the pre-op diet (minus a short deviation of feeling like garbage with surgery recovery).

VSG: 1/17/17

5'7" HW: 283 SW: 229 CW: 130-ish GW: 145

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish

LBL/BL w/ Fat Transfer 1/29/18

Donna L.
on 1/14/18 6:30 am - Chicago, IL
Revision on 02/19/18

I've been on a ketogenic diet for many years. I eat between 70-90g of protein and 40-60g of fat, depending, and not more than 10-15g of carbs. Pre-op I ate 150g protein, 140g of fat, and 10-15g of carbs per day. The fat percentage changed a lot post-op as you can see, and protein takes up far more percent-wise than it did before. I don't add extra fat to things, but I also never eat low fat foods. The main requirement is protein.

Most people on a ketogenic diet also don't always count calories, however I do track mine.

I also usually I eat only animal products and not really any vegetables or starches, but that's more zero carb than just a ketogenic diet.

My nutritionists haven't complained about my diet, but it's also not what they suggest. My program does carbs 130g or less I think, which I haven't come close to hitting for...a really long time.

I follow a ketogenic diet post-op. I also have a diagnosis of binge eating disorder. Feel free to ask me about either!

It is not that we have so little time but that we lose so much...the life we receive is not short but we make it so; we are not ill provided but use what we have wastefully. -- Seneca, On the Shortness of Life

on 1/14/18 11:28 am
VSG on 05/20/14

My sweet tooth craves carbs. Post op, I went Ketonic for about a month. Can't keep my carb count low enough to stay there. When I'm on track I eat about 20 to 60 carbs a day. Not worth the effort or benefit to me to lower that carb count. When I get above 100ish, I start craving carbs and I find it hard to stay on track.

5'10" Male : Consult Weight 428 1/16/14 : Pre-op m1 -3, m2 -12, m3 0, m4 -27 : SW 386 : m1 -25, m2 -22 m3 -15 4 -12: LW 278 CW 320 : Total Loss 108