nofearonlyheart

Why? Please don't get offended...but

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Why choose weight loss surgery?

Why is weight loss surgery better for you personally then dieting and exercise alone?

I am really interested to see the different reasons.

I am trying to decide if I should try dieting once again or not instead. Or understand why it is truly worth it to get wls.

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Most of us are experienced at dieting and failing. That's why I went the RNY route, I couldn't succeed without it.

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I lost 160 pounds, putting me into the healthy BMI range on three separate occasions, and I kept the weight off for about a year the third time. I've had several other weight losses in the 45-100 pound range, but regained right away without reaching goal. I was tired of just existing instead of living but (as evidenced by two false starts, despite sincere commitment to the process), I didn't have it in me to do the same thing (diet and exercise) again and expect different results. Even if I lost all the weight for the fourth time, I'd just regain it, if not next week, next month, next year, next decade, then decades from now.

I chose weight loss surgery to give myself a fighting chance at keeping the weight off long term, hopefully a lifetime. Once I made the decision to pursue surgery, I held my weight steady until my intake appointment at the bariatric practice then commenced dropping weight, 55 pounds from 3/23 to 7/7, and I've lost 30+ since.

I have no trouble losing weight. I don't need surgery to do that. But this is the long game. I did this to have a snowball's chance of living the rest of my (longer) life at a healthy weight.

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5 years ago I gained over 100 lbs in one year. Then 3 years ago I lost 50 lbs working a very physical factory job and barely eating. I left the job and gained a little back and then lost 25 lbs dieting and then gained to my highest weight 259. I have a hard time sticking to the diets more than a month and I think this last time I gained it back because I have not been woking this past year due to mental health reasons.

But I know this time I am ready to stick with it for good. I want to loose it and keep it off.

Would I still be a good candidate based on my past history?

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I'm in the small minority that was not a lifelong dieter.   I really never attempted to lose weight more then a few days at a time maybe -  don't think I ever did a "diet" for a full week even.    I did have success when they coined me pre-diabetic and I had to learn/eat the diabetic way limiting and counting carbs and such.  I lost about 40lbs when I changed my eating for that (and subsequently controlled the diabetes without meds this way as well).   Eventually I thought I had that diabetes thing kicked, not really understanding you can't ever cure it - only have it in remission, so my eating started to get farther off track.  When the diabetes clinic finally accidently caught me on the phone one day and talked me into coming back and being checked -  found the blood sugars were way back up and wanted to put me on meds.  I did not want that.  I convinced them that "its only cause I'm not eating right" so the let me go for another 2 months to get back to eating correctly and see how that faired..... it didn't.   Even with being back on plan the diabetes was no longer able to be controlled by diet alone.  I really really did not want to be on meds though so this was really the "last straw" that pushed me to WLS.

 

WLS is something I had thought about for a long time, but never felt I could afford it.  Even with a good job and insurance, I still had a 3400 out of pocket and that is still too much money for me, so I never really persued it.  I never really knew how much I weighted cause I never went to the doctor and I didn't own a scale, but I was to the point where I wouldn't go to any school functions for the kids (nieces) because I barely fit in the auditorium seats and it was too uncomfortable.  I only had, literally, about 2 inches left between my stomach and steering wheel of the car before it rub it.  When I drove my parents somewhere in their van, my stomach DID rub on their steering wheel and it was quite a humiliating feeling.   So because they wanted to put me on diabetes meds and because I almost couldn't fit in my own car -  I finally sought out the WLS.

 

I went in, at this point, knowing full well it was not a quick fix.  While I don't have the history of trying to lose weight and just not able to keep it off longterm - I still understood WLS was not the miracle cure.  Most people get this done because it is the last resort after years of trying.  I more did it because I needed something to get me started.  I was over 400 pounds and I had no gumption to keep me on a healthy path.

 

While I do struggle now years post op - maybe it is in part because I never really "tried" before.  Who can really say.   Despite the struggles and despite the regain I have -  I have still lost an entire person.  I got my "push" I needed.   I may hit stumbling blocks along the way, how many can say they don't?  Not many.  (notice I didn't say 'no one'  :P)   It has taken me almost 3 years being post op to truly understand that word "lifestyle change" - and I am only ever getting to that point because of my sleeve.  WLS wasn't the my last resort -  it was my first chance.

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Jolls you give me hope!

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The weekend before my surgery: It was Thanksgiving weekend. I had survived the feast and stayed on the wretched pre-op diet faithfully. Never strayed once, even when sitting with others as they ate Thanksgiving dinner and desserts. So Saturday night--surgery scheduled for Monday--I am feeling sorry for myself and then mad and I think, "Heck, if I can stay on this wretched pre-op diet, I can lose the weight (again) on my own. I'll eat tonight and start dieting Monday."  And the alarm bells went off. That's how every diet I ever went on ended and how I regained weight after losing a little and a lot. "I'll eat tonight and start again on Monday. I did it once. I can do it again." And the answer for yo-yo'ers is that every time you lose and regain, you make harder to lose the weight again. We who have no trouble gaining or keeping weight would have been survivors of famine or rough winters in centuries past, but I survive winters now just fine, and WLS was the tool I needed to lose the fat.

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Because I was a pre-diabetic.

Because I knew that I could lose weight but regained every single pound and more. I needed help to maintain.

Because I wanted to be a trophy wife.

Because I wanted to buy cute, trophy wife clothes.

To let the inner pieces of who I really am and pop out..

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Perhaps you should approach this from a different angle, because you sound like a lot of uninformed people regarding WLS. You sound like you think it makes us less strong or less capable or weaker or that this is a shameful choice - like we just couldn't do it on our own, by golly, so we had to take the easy way out.

 

Maybe you don't mean it that way. *shrug*

 

Having surgery does not alleviate you from having to diet. Exercise? That is always a personal choice and not imperative for weight loss. Weight loss surgery doesn't stop me from eating whatever I want to eat. Determination to be healthy is what dictates what I put in my mouth.

 

Why did I choose surgery? Because the problem was completely out of hand, and I needed the help. It was a commitment to myself, and I wear it as a badge of courage. Not everyone has the strength to choose to do Whatever. It. Takes. to get healthy.

 

Whether you choose surgery or not, any weight you lose will be done on your own. Surgery doesn't make any of us "less than." It makes us stronger.

Edited by Sleevarilla

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I didn't start off with the thought of having weight loss surgery. I initially wanted to do it on my own. I had tried a few times in the past with some success but never stuck with it. Finally, in october of 2013, I decided to give it my all and really do it.  I started a walking regimen and began a food plan of portion control and smart food choices based off the diabetic food plan. I didn't have diabetes but the nutritionist I consulted thought it would really help, and it did.  

 

I have back and knee problems, so getting started on the activity was a bit difficult. I started at 480 lbs. and am now down to 355.  As I hit the 400 mark my weight loss slowed to a crawl. I needed to get more active but my body just couldn't tolerate it. I kept up the walking and the food plan since it still kept me on track.  I started having some circulation problems in my leg, and the vascular specialist said there was not much he could do at this point, and that what I needed was to lose the excess weight.  My primary suggested I look into WLS to give me the extra tool to attain my goal.

 

I went to one of Dr. Callery's Pre-op seminars and a consultation, and I was convinced that this was the way to go.  All the groundwork I've already laid is really going to help me post-op. I've found that the physical activity is needed , but getting your head in the right place is way more important. Because if you stick with old habits and don't commit 100% you will not succeed in keeping the weight off after surgery.  

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Pcos made it almost impossible to lose weight without starving myself. And even then I wouldn't lose much.

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It occurs to me that the very phrasing of "doing it on my own" vs. having surgery is misleading. Like Sleevarilla said, we who have had surgery still lose weight on our own. Who else does it for us? And...we can certainly regain any or all of the weight we lose...again on our own.

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Pcos made it almost impossible to lose weight without starving myself. And even then I wouldn't lose much.

what is pcos short for? Edited by nofearonlyheart

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Perhaps you should approach this from a different angle, because you sound like a lot of uninformed people regarding WLS. You sound like you think it makes us less strong or less capable or weaker or that this is a shameful choice - like we just couldn't do it on our own, by golly, so we had to take the easy way out.

 

Maybe you don't mean it that way. *shrug*

 

Having surgery does not alleviate you from having to diet. Exercise? That is always a personal choice and not imperative for weight loss. Weight loss surgery doesn't stop me from eating whatever I want to eat. Determination to be healthy is what dictates what I put in my mouth.

 

Why did I choose surgery? Because the problem was completely out of hand, and I needed the help. It was a commitment to myself, and I wear it as a badge of courage. Not everyone has the strength to choose to do Whatever. It. Takes. to get healthy.

 

Whether you choose surgery or not, any weight you lose will be done on your own. Surgery doesn't make any of us "less than." It makes us stronger.

I don't think it makes anyone less at all. I don't think either way is better. It's just surgery is a big choice because of complications.

Also I said I USED to think it was the easy way out before I came to this forum and read all the posts about how much work you have to do. People who have WLS are brave. I'm trying to gage weather I am strong enough to do this surgery and I didn't know in the future it would be easy to gain back. That is scary.

I guess my real question is how does WLS help VS not using the tool of weight loss surgery by dieting alone.

I am really bad with words and I didnt mean to offend.

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Perhaps you should approach this from a different angle, because you sound like a lot of uninformed people regarding WLS. You sound like you think it makes us less strong or less capable or weaker or that this is a shameful choice - like we just couldn't do it on our own, by golly, so we had to take the easy way out.

Maybe you don't mean it that way. *shrug*

Having surgery does not alleviate you from having to diet. Exercise? That is always a personal choice and not imperative for weight loss. Weight loss surgery doesn't stop me from eating whatever I want to eat. Determination to be healthy is what dictates what I put in my mouth.

Why did I choose surgery? Because the problem was completely out of hand, and I needed the help. It was a commitment to myself, and I wear it as a badge of courage. Not everyone has the strength to choose to do Whatever. It. Takes. to get healthy.

Whether you choose surgery or not, any weight you lose will be done on your own. Surgery doesn't make any of us "less than." It makes us stronger.

This.

I promise today having lunch at my favorite local pizza place eating about half-one ounce of mozzarella, slice of tomato, and three slices of raw mushroom while my sister and daughter ate calzones and pizza and salad and rolls was all me doing what I have to do to get me where I want to be.

Edited by Raeme

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I wasn't even a little offended, sorry if you took it that way.

 

My main problem was portion control. I'd completely changed what I was eating about 9 months before having surgery, so quantity was my main issue. Surgery has afforded me a tool to control that.

 

I still have hunger, but it's completely different. Jolls describes it best (but Jolls describes a lot of things "best"). I still have cravings, but my sweet tooth has greatly diminished.

 

I felt like I needed the extra help, it's a constant reminder that I put myself through hell and I'd better not screw this up. I don't view surgery as a last resort - I think ordering tapeworms in someone's feces from Russia would be pretty close to a last resort - I view it as a conscience choice to do whatever I can, give myself every possible chance of success. The percentages for successfully keeping the weight off without surgery is less than 2% for someone of my size. The percentages for someone for successfully keeping the weight off WITH surgery is (depending on the study) 60-80%.

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Wow that is bleak and very reassuring that I am doing the right thing.

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If you can lose the weight without the surgery, then do it starting right now and then keep it off for a few years.  I could not and RNY gastric bypass surgery made my weight loss possible.  There are many reasons that a person can come up with not to have the surgery (I certainly used them to delay surgery for many months), but at some point all of us that had the surgery determined that we had to lose the weight or else, and there was no realistic other option.  Weight loss surgery is not a total solution, but it truly makes it very possible to lose 100 pounds or more and keep it off.

Weight loss surgery was one of the smartest decisions of my life.  I lost 125 pounds and have kept it off.  I feel healthy, happy and in control of my body.  Although I do not eat as much as before the surgery, I eat plenty of food and do not feel deprived of food.

Remember that each weight loss surgery patient's journal is different - some of us have it easier than others.

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Pcos made it almost impossible to lose weight without starving myself. And even then I wouldn't lose much.

I'm sorry you had to go through that. I just read the symptoms. No fun.

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Because I didn't have TIME left to diet, I was going to have a heart attack if I did not get the weight off ASAP.

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I have lost and regained in excess of 40kg (80ish lbs) seven times in the past 20 years. I have no trouble losing, I just cannot keep it off.

I don't want a reduced life expectancy and after 20 years, I have no hope that I can ever manage it on my own. I don't care if people think I have taken the easy way out, living is more important to me than people's opinions.

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I have had Diabetes type 2 for 15 years, seemingly overnight, about a year ago, it went severely out of control. My fasting blood sugars were near 300. Meds to control my sugars were reacting with an extremely important med I have to take. Changing my diet with my Nutritionist wasn't helping fast enough. I was very miserable. I thought I would have to lose weight before my Diabetes would be under control. My PCP recommended this surgery to quickly help my Diabetes.  I LEFT the hospital in full remission. My fasting blood sugars since surgery range between 80 - 105. I feel GREAT! So, for me, it was a health decision. 

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I have lost and regained in excess of 40kg (80ish lbs) seven times in the past 20 years. I have no trouble losing, I just cannot keep it off.

I don't want a reduced life expectancy and after 20 years, I have no hope that I can ever manage it on my own. I don't care if people think I have taken the easy way out, living is more important to me than people's opinions.

It's not even close to being the easy way out. Others without the experience may think so, yet they have no idea of the reality of lifestyle change every day for the rest of your life.

Edited by tmcgee

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I have lost and regained in excess of 40kg (80ish lbs) seven times in the past 20 years. I have no trouble losing, I just cannot keep it off.

I don't want a reduced life expectancy and after 20 years, I have no hope that I can ever manage it on my own. I don't care if people think I have taken the easy way out, living is more important to me than people's opinions.

People need educated. Most are ignorant in the matter including myself until a week ago.

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