Bariatric Surgery: Ketosis

Bariatric surgery success results in dramatic size altering, and life altering changes in health and diet. It is a final option in some people’s battle against obesity. It can be a life-saving procedure that comes with a slew of health benefits. However, there are some things to consider after surgery. Most commonly: ketosis.

Ketosis After Bariatric Surgery

Following Bariatric surgery, patients experience a substantial amount of weight loss, and with adherence to strict dietary guidelines to avoid muscle loss, it is primarily comprised of adipose tissue, or fat.

The process by which fat is oxidized, or burned as fuel, is an important basis upon which to develop an understanding of possible side effects of this desired outcome.

During high rates of fatty acid oxidation following bariatric surgery, a large amount of acetone is generated as a byproduct of this metabolic process.

These acidic bodies are called ketones, and naturally occur on a milder level every time a person eats, especially with carbohydrate deficient meals. The ‘keto diet’ is in fact a very popular form of weight loss, especially when combined with sustainable keto supplements that allow you to still be able to integrate small amounts of carbohydrates into your meals.

The ketone bodies generated are used as an energy source, and during prolonged fasting or carbohydrate deficiency, ketone bodies provide the heart and skeletal muscles energy to preserve the limited glucose for use by the brain.

The abnormally high level of the acidic compounds in the blood is referred to as ketosis; the acetone component can be detected as a fruity odor to the breath and urine.

Symptoms of ketosis
• fruity breath
• fatigue
• headache
• increased thirst
• nausea
• insomnia

Ketosis is expected following bariatric surgery and is not to be confused with diabetic ketoacidosis which is clinically severe increase of acetone in the body as a result of pancreatic impairment.

While ketosis is best mitigated through increased protein and water intake to flush out the excess acetone that can result in ketotic symptoms–it’s best to talk to your doctor about your expectations post-surgery. If you’re experiencing any symptoms above, reach out and get a plan.

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