I would start with your dietician although, if I had to venture a guess, the dietician will not be enthusiastic about keto. I understand the attraction of keto but I'm inclined to agree with many, cutting out food groups isn't a good idea. Better to be picky about what you put in your body. Eat carbs but avoid simple carbs like the plague. Eat a little fruit but be careful, it has sugar, albeit natural sugar but sugar is sugar. You don't need bread and pasta but if you have to eat them, do 100% whole grain or substitute a sandwich with a wrap and select a low carb tortilla (I personally like Ole Extreme High Fiber tortillas). Concentrate on protein and good fats, whole foods and lots and lots of water. Avoid processed and convenience foods at all costs. Read the labels. Feed your pouch good stuff and it will serve you well.

Also, track, track, track. Even if you do decide to do keto, track. Tracking, #1 keeps you mindful of what you are eating. I personally hate to have to put in something not nutritious in my tracker, it glares at you and says, "Why did you eat that?" But, I put it in nonetheless. #2, if I see an unexpected gain on the scale, I can look back and see, "oops, so many carbs for too many days in a row, need to cut back on that" so seeing what you are eating and evaluating that helps you stay on target,

Plan, plan, plan and meal prep. If you plan what you will eat and stick to your plan, an occasional indulgence won't throw you off and you know what you are eating most of the time is healthy.

I'm sure you know most of this but sometimes, it does help to see it in black and white and from someone else.

Thanks for the advice, I agree with you that good place to start will be my dietician!

Thanks again

Hi everyone. I had gastric sleeve surgery back in 2014 and lost quite a bit of weight. unfortunately last year I gained 13pounds and I have been struggling to lose it again. I want to start the keto diet but I am not sure if it is ok to, having had this surgery. I obviously cannot eat the recommended amounts of food in almost all the keto diet plans, and do not know if intermittent fasting is a good idea for me. Any advice? thanks

Place boiling water in a bowl, and put your larger plate or bowl on top of that and food will stay warm.

I am sure you can think of more was to keep a plate hot that don't requiring getting up to reheat.

I think at this stage I'd get eat slow but not so slow that your food gets cold.

Liz