So many bariatric patients are asking if the keto diet is the proper diet for them. Note that I am not a nutritionist or a doctor. I am not an expert. For me, the keto diet does not work. I honestly feel that it’s a fad and, as bariatric patients, we should concentrate on eating the healthiest, best food possible since we’re so limited. Having said that, there are many good things about keto that you can apply to a bariatric life. If you want to do keto, I’m not here to judge or stop you. I want you to educate yourself further and be informed. I would also suggest that you don’t follow the normal keto diet, but one that has been adapted specifically for bariatric patients.
So, what is a keto diet?
A keto, or ketogenic diet, is basically a low-carb, moderate protein and high fat diet that is supposed to put your body into ketosis.
What is ketosis?
Ketosis occurs when you’re body is using fat as energy (ketones) and not carbs. Your liver will create ketones instead. Acetoacetate is the most common ketone. It’s created from the breakdown of fatty acids. Acetoacetate is then broken down into BHB or Acetone. The Acetone can account for the bad breath and smelly waste during your beginning phase of the keto diet.
What can you eat on a keto diet?
You are encouraged to eat low-carb foods like:
- Greens like kale, arugula, swiss chard, etc.
- and Broccoli.
You can also eat high-fat foods like:
- Sour Cream
- Olive Oil,
- and Marrow.
What about water?
You should drink plenty of water (between 40 – 68 oz a day at least) especially when you are in the early stages of ketosis. Alcohol and soda, including diet, is not encouraged, which should be fine for most bariatric patients. We’re not supposed to have carbonation. It can stretch the stomach. Some coffees and teas are okay, but sweeteners are not.
Now, bariatric keto plans are even more restrictive. You generally have to limit your calories to around 1,000 per day. You should get your 60 – 75g of protein and avoid really high-fat foods so you don’t dump. If you do decide to follow the keto plan, please get some assistance from a bariatric keto professional or support group.
Don’t attempt to go it alone.