On the fence about surgery, Advice?

Ahh, I see. I was hoping keeping to extremely low carb would help the low energy as oposed to cycling in and out of ketosis. I guess some people may just have to suffer through it and I should just be prepared for it in case it happens. Small price to pay I guess when you look at all there is to be gained. 

Pretty much everybody goes through it to some degree, it's to be expected when you're eating 400 - 600 calories per day at first.