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A 4-Week Preoperative Ketogenic Micronutrient-Enriched Diet Is Effective in Reducing Body Weight, Left Hepatic Lobe Volume,and Micronutrient Deficiencies in Patients Undergoing BariatricSurgery: a Prospective Pilot Study https://link.springer.com/epdf/10.1007/s11695-018-3145-8?shared_access_token=U5XTBvHCYDFkcmtcIH5xY_e4RwlQNchNByi7wbcMAY7LsxKiiE0_47-eKFj1eRCM7ih4vy8AskvlMnoPYNoGdvL5Q6ojVwq1k642qMP8KRraGqXRFhZ3eO3enCQRN3Jl6S_7QZy2U4MqogZ2D3KNnxoXH72W-sVy1LTYtJr95KI%3D
On 17 Feb I commence Optifast as the pre-op diet for WLS for the second time in my life. The first time was hellish but somehow I managed to stick with it. This time I have no idea about how I am going to cope with it all - all I can do is take it one day at a time. In the meantime I am very much in to 'last supper' mode. KFC for dinner tonight, pizza last night, roast dinner tomorrow night, Subway on Wednesday night (Wednesday night is always Subway night in my house), next Saturday I am attending the local picnic races, and next Sunday I am planning on going to my new favourite restaurant and enjoying (for my very last supper) a pulled pork sandwich. Holy crap I have packed on so much damned weight over the last 5 weeks it is ridiculous! but the underactive thyroid diagnosis has at least explained my persistent fatigue, etc. I am looking forward to starting Optifast because it signifies so much for me, a transition from my old life of obesity, being a slave to food, feeling so out of control and unable to manage my weight...it is like a rite of passage from my old life to my new life. I am looking forward to not having to worry about what my next meal will be...I am looking forward to shifting some water weight and a little bit of fat as well. I am looking forward to counting down the days until my operation...I am looking forward to having my very last optifast before my big day (I will do what I did last time and count out my optifasts and keep them in a container). I am also looking forward to getting my blood test done 4 weeks post op to see what a difference optifast and WLS has made to my insides. I am looking forward to no longer being obese, to using this wonderful tool that I have the opportunity to access in helping me to achieve my dreams and reach my goals. While I feel 'fat and frustrated' now, I do also feel like am a very lucky person to have this opportunity.