I also had a problem with the PatchMD patches in that I went anemic from iron deficiency while using their product. My bariatric nutritionist does not recommend them.

About half of people who have had gastric bypass will develop a thiamine deficiency according to Bariatric Times magazine. It is also common in alcoholics. I recently began taking high doses because in addition to the gastric bypass I have another medical condition that increases my risk for thiamine deficiency. Although my thiamine levels are within the normal range this is not always a good indicator as people can have subclinical deficiencies.

I think surgeons and RDNs do us a disservice by not suggesting we take a thiamine supplement. Deficiencies usually take a long time to manifest.

Have you talked with your surgeon's dietitian? That might be a good place to start.

Form there, if you aren't already, how about you start weighing, measuring, and tracking everything you eat with something like MyFitnessPal so you can see what you're consuming and what you need to change.

Keto and IF "work" because they restrict your eating. Remove a macronutrient is an "easy" way to restrict your eating. Ditto for changing the times you eat.

But.. Keto and IF are GREAT ways of eating to really **** up your relationship with food and, let's face it, your relationship with food probably isn't that amazing to begin with if you needed WLS to reach a healthy weight.

So, yeah, I'm sure it's not what you want to hear, since we'd all like an "easy" way to lose weight and some ultimate diet. Track what you eat, revisit your documentation for your post-op way of eating, figure out what you're doing that's off plan and work on getting back on track. Consider working with a dietitian and a therapist to get back to where you want to be.

Thanks!

Thanks. I really appreciate your feedback.

I'm still at the puréed stage, where everything is measured so I know I'm not eating too much. Just trying to go slower. :)