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I curious if anyone had made a keto diet work with a j-pouch, mainly since it’s a high fat diet and low carbs, so I would imagine it causing loose stools. I did it with a colon and except the adjustment period, I had no issues with the high fat. But I wonder if my jpouch can manage a keto diet without having loose stools? Anyone been successful with a keto diet? Thanks!

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I try to follow a keto diet as much as possible.  I started it after being tested for celiac (I'm not) as I had horrible stomach cramping, intermittent bloating then diarrhea, joint pain and insomnia.  As soon as I cut out carbs (and sugar) I felt immediately better.  Far more energy, no more joint pain and my thinking was more clear.  I did lose a ton of weight and now have to be very very careful that I don't lose too much.  I'm now 3 years in and enjoy the occasional scone and sandwich with bread but not often.  I don't follow keto to the letter but I do what works for me.  I don't have any more trouble with my pouch than I did before I switched up my diet.  Maybe I'm just lucky?

@Jaypea posted:

I try to follow a keto diet as much as possible.  I started it after being tested for celiac (I'm not) as I had horrible stomach cramping, intermittent bloating then diarrhea, joint pain and insomnia.  As soon as I cut out carbs (and sugar) I felt immediately better.  Far more energy, no more joint pain and my thinking was more clear.  I did lose a ton of weight and now have to be very very careful that I don't lose too much.  I'm now 3 years in and enjoy the occasional scone and sandwich with bread but not often.  I don't follow keto to the letter but I do what works for me.  I don't have any more trouble with my pouch than I did before I switched up my diet.  Maybe I'm just lucky?

Great to hear! But you do notice that you are in ketosis and running off fats?

No I know I am not in ketosis as I do not eat enough fat and include too many sugars in my diet.  For example yesterday I ate  completely carb free until dinner when I had sushi.  As I mentioned I do not follow the ketogenic diet strictly as I don't need to manage my sugars.  I do it because it makes me feel terrific and when I want carbs I eat them!  Works for me.

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