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I'm feeling really good today. Like I've said, every day is better than the one before. I had my follow-up visit with the doctor this morning, and he's happy with how I'm progressing and how my incisions are looking. I'm down 15 lbs according to their scale, 20 according to mine. 15, 20, whatever it is, I'm on my way. I just got back from taking my daughter Chloe for a walk to the library. Felt good to get out for a walk. I walked around the block a couple times yesterday, but it was chilly and raining so not too pleasant. Much nicer out today. Well, I bit the bullet and posted a note on Facebook about the surgery. I woke up at 5 am and couldn't sleep, and all I could think about was getting it off my chest. I spent the next 2 and a half hours working out what I would say. I created the note, then shared it to my wall with the following statement - "Dear friends, please read the attached note in its ENTIRETY before passing judgment. I hope for your support. Thank you, Joe" Here is what the note said: On Friday March 8, 2013, I had a surgery called 'vertical sleeve gastrectomy'. This is a bariatric weight loss procedure. This was not a decision that was made lightly, or hastily. I will try my best to outline my reasons for doing it, what it is, and reasons for not telling anyone. Reasons for not telling people First, I want to say that I was originally planning on only telling a very select few people about this. But I realize that this is probably not very realistic, as the changes will probably be pretty significant, and pretty quick. I've even outright lied to some people, including some of my coworkers and bandmates, which I am very uneasy about. I hope they will forgive me. Please don't be offended if you were not one of the people I chose to tell beforehand. My main reason for choosing not to tell people beforehand was that I didn't wish to invite any negativity, or have anyone trying to put doubts in my head as I had already made the very difficult decision and none of that would have been helpful to me. Every person I did choose to tell had the exact same comment - "you're not THAT big." I appreciate the 'compliment', and suppose I got pretty good at hiding it. Before surgery, I weighed 274 lbs. I'm sure this number will probably shock most of you, as that seems to be the universal reaction. Another comment I heard was "you could do that yourself". There have been times I've been able to shed decent amounts of weight, only to put it all back on, and then some. And each time I would do this, would make the next time even harder. I also REALLY didn't want to hear anyone say to me that I was 'taking the easy way out', as no doubt some of you reading this might be thinking right now. This would have done nothing but anger me, and would have jeopardized our friendship. Believe me, there is nothing easy about having surgery. I'm still recovering, and wouldn't ever want to relive the first 24 hours. It is still going to take hard work and exercise to get to my goal and maintain it. This is only a tool to help me achieve that goal. What it is There are basically three main types of weight loss surgery. There is the gastric bypass. This was never a consideration in my mind, as I view it as being a last resort for extremely overweight people, and there can be a lot of malnutrition involved. I was actually scheduled for the lap band procedure, as I know a few people who have had it done, with varying degrees of success. After hours and hours of further research, I decided against this. Basically, the lap band is a device that is implanted and placed around the entrance to the stomach. The band gets filled with saline so that it inflates and restricts how much you can eat. The 'temporary' aspect of the band (the fact that it can be removed if any issues arose), was the biggest plus to me initially. The more I read online, the more I saw people not happy with the lap band, and having it removed and getting the procedure I had, the vertical sleeve. Some issues with the band include slippage, erosion, and the long-term maintenance (you have to go periodically for 'fills' to adjust how much the band is filled). Some people just could never find what they call their 'green zone', the perfect level of restriction where they are restricting enough to lose weight but not so much that they are vomiting after 2 bites. Also, insurance concerns crossed my mind - would insurance cover the fills forever? What if I moved or had to change doctors? All of these things pointed me in the direction of the vertical sleeve. The vertical sleeve is the newest of the three types, and is basically a laparoscopic procedure where up to 85% of your stomach is removed, leaving you with a sleeve about the size of a banana. Basically, you are then restricted to eating between 3 and 5 ounces at any meal. You can eat pretty much what you did before, only MUCH less. Some people find that they don't tolerate certain foods after surgery, or don't like the tastes of some foods they liked before. It is a permanent solution. The weight loss results are comparable to the bypass, typically very good. Another benefit of this surgery is that the part of the stomach that is removed is the part that produces the hormone grehlin, the hunger hormone, so feelings of overwhelming hunger go away. People say that they go from eating extreme amounts of food and never feeling full before surgery, to having to remind themselves to eat so they can get in enough calories after. The fact that the lap band was 'temporary' and could be removed at any time, was what made it more attractive to me initially, and seemed less 'drastic'. But the more I thought about it, the more I realized that I needed a permanent solution that would help me make the lifelong changes I needed to make. Wanting something because it was reversible, enabling me to go back to the way I was, no longer made sense to me. Reasons for getting surgery First and foremost, I did this for my wife and kids. I don't want to leave them without a husband and father. Sure, I'm not happy with how I look, but looks were at the bottom of my list of reasons. I would have been perfectly happy to continue to eat 5-6 slices of pizza and being upset that there wasn't any more because I still didn't feel full, and watching my weight continue to rise every year. I 'know' what the right things and right amounts to eat are. But 'knowing' and being able to stick to it because you never feel satisfied are two very different things. I never smoked or drank or did any drugs. Food was my drug, and it was negatively affecting my health. Besides weighing 274 and growing, I had a BMI of 36, which is considered obese. I have high blood pressure, high cholesterol, erosive GERD (acid reflux), shortness of breath, a leaky heart valve, and what my doctor says is the second worst case of sleep apnea he's seen in his office. If you don't know, sleep apnea means you stop breathing for significant periods of time, which lowers your blood oxygen level, and the 'jarring' that occurs when your breath comes back could cause your heart to go into a deadly rhythm. So basically, I was a ticking time bomb that could die in my sleep at any time. I have a machine called a CPAP machine that helps me breathe at night, but I've tried it and find it impossible to sleep with it. I'm actually getting a new one today that my doctor says is easier because the air pressure level automatically adjusts based on what you need at any given moment, instead of being set at a fixed level that sometimes seems like too much and would wake me up.. I plan on giving it a try, and hopefully once I lose a significant amount of weight the sleep apnea will disappear. I also hope to be off my medications. Most people who get the sleeve are able to get off their medications and are cured of their sleep apnea. I've seen stories of people being cured of type-2 diabetes (which I thankfully did not have, yet) the day of surgery. Amazing. The apnea and medication for blood pressure, while being the result of being overweight, also become self perpetuating problems. They limit my energy level, which in turn limits my activity level, further adding to the obstacles to weight loss on my own. How I'm doing The surgery went well on Friday. The surgeon found a fairly large hiatal hernia, which he repaired while he was in there. The first day was basically Hell. I was in pain, discomfort, had a hard time taking deep breaths, and was extremely tired. All I wanted to do was sleep, not only because I was tired but because I wanted to avoid the discomfort. They pump your belly full of air during the procedure to maximize the space they have to work, and this air leads to gas pain which radiates to your left shoulder. This gas pain is no joke. Every day gets easier than the one before it. I am on a clear liquid diet for 1 week, basically limited to water or crystal light, broth, sugar free jello, and sugar free ice pops. I also need to drink protein shakes until I can start eating foods with protein. They want you to get between 60 and 80 grams of protein in every day, and if I can't get all of that in from food I will have to continue with the shakes. At first, it was very hard to get in the fluids, due to swelling. Very small sips. That is getting easier by the day. After 1 week, I progress to a few weeks of a puréed diet, eating mushy foods. A blender will be my friend for this phase. After that, I can start introducing some 'real' foods, slowly to see what I can tolerate. They still want you to concentrate on getting most of your calories from lean proteins and vegetables, limiting sugars and starches. I welcome my new relationship with food. It will no longer be something that I do for pleasure, consuming unlimited quantities. Instead it will be something that I will have to be conscious of, sometimes reminding myself to eat so that I can get in enough calories to sustain good nutrition and fuel my body. It will be a big change, for sure. I continue to feel better every day. The pain is basically gone, limited to what I would describe as a 'tightness' feeling at the incision sites. I had 7 small incisions, which should leave minimal scarring. The first step out of bed or off the couch is the hardest, because of this tightness, and my fear of twisting or stretching anything the wrong way. I'm walking well, just a bit slow at the moment. The tightness also makes it impossible to sleep on my side or stomach right now, limiting me to my back, which is the worst position for my sleep apnea. To counter this, I've found that sleeping upright on the couch with my feet up on an ottoman is the best for me. I tried piling pillows on the bed to elevate my head, but found that it was pushing my head forward, further restricting my airway. I will get my new CPAP machine today, and look forward to sleeping in bed with my wife again tonight. As of this morning, I've lost a total of 20 lbs, including 9 lbs lost during a strict one week pre-op diet. In conclusion I am a very private person, who doesn't like divulging personal (potentially embarrassing) information, as I've done at length here. I only just decided to write this after waking up at 5 am and not being able to fall back asleep. I hope for all of your understanding and support, and 'friendship'. I welcome any questions or comments, either under this post, or in a private message, or in person. I do not welcome any criticism or cruel comments or jokes (even lighthearted ones, as I might not view them this way). If that is your inclination, please refrain from commenting, or go ahead and remove me from your friends list. I apologize for ending this on such a down note like that, I just want to make it clear how serious I am about this. Thank you.' So far, I've gotten all positive comments from people, except for one person. He used to be a close friend, but we grew apart in recent years, but are still friends on Facebook. It's been years since we've talked, even on Facebook. He said he was hurt that I didn't contact him, because he had weight loss surgery also and could have helped me in my decision. I had no idea he had surgery, and told him that and asked him how I would have known. We sent messages back and forth, and he still was upset, saying stuff about how he's sick of putting himself out for other people only to get nothing back (paraphrasing). I told him that I was disappointed that he chose now, a time when I'm reaching out for support and understanding, to make it about him and his hurt feelings that our friendship isn't what it used to be. Whatever, I can't worry about that now. I need to take care of myself at this point in time.

I think I have a clot in my nose... if I take a picture can you tell me what you think I should do? Also, I ate chips and salsa in my post-op phase, do you think I hurt my band? Can you tell me what to eat? Why is my cat losing more weight than me... We eat the same diet? OMG PEOPLE... GET SERIOUS. This is not a game. I get so depressed reading this crap! I think I will take a mini vacation. I need a tranquilizer to keep this crap from driving me insane. Do these people think we are not working our butts off to do this? Who the F U C K told them it would be easy? Rant off... sorry having a bad morning... hope yours is better!

I am 16 days post op today. I have a non-scale victory to report. About eight months ago I took off the diamond ring my husband bought me for anniversary last year because it was cutting off my circulation. Once I took it off I couldn't get it back on. I was able to slip it on last night and there it stays! I have totally embrace this journey from day one of my preop diet and I don't hope that I will be successful I know that I will be successful. I'm down 22.6 pounds.

One year ago today I was Banded!! So how was my year? Well, I was very very good for about 8-10 months and then I went back to my eating ice cream, too often. I almost always have soft serve but with jimmies(chocolate sprinkles, if you're not from Boston). I was going to the gym (since December, when my husband and I joined) about 4-6 times a week. As the nice weather came, that stopped. We are going today, we are in our workout clothes!! I need to get my s**t together and start over with my new life. My eating has been for the most part great. I love my morning protein shakes. I drink hot tea and iced tea all day and night. I brew my own iced tea, so it's decaf. I enjoy my large salad about 1 hour before my dinner. I have never used salad dressing, so I know I am great in that department. I do eat bread but only in restaurants with really great bread. I do have Chinese food with brown rice and where I usually eat you can get luncheon specials all day and I bring 1/2 of it home for another meal. Use to be I ate the whole plate full and then some more. I also never have fast food. I hate it. I know what you are thinking, a fat person who hates fast food! WOW! If I did any it was maybe french fries (no salt) (hate salt) or a shake and I gave them up and don't miss them at all. My grandsons are mad I won't go to McDonald's with them. Grampie will take them but never Grammie. So as far as my pounds lost, I started my weight loss March, 2012 with replacing breakfast with shakes and lost 26 pounds before my surgery. As of this morning I am down 74 big ones!!! Could it have been more-of course. I am not perfect. It was a few pounds more but the ice cream took care of that and the less moving of the body. I go to the doctor Friday for a fill. I have a 10 band with 3 fills for a total of 1.5 I guess my doctor goes slowly with the fills and I am fine with that. Everyone is different with your loss, eating and working out. Be you and not someone you're not. We do all compare ourselves to everyone, me included. Work towards who you want to be. Have a great day! I will try. Arlene aka "Eye Candy"

OK... so most of you know me as a member of the Banded b*****s. I have been called RUDE, SNARKY, UNHELPFUL. WONDERFUL, A LIFESAVER, all in the same day. Such is life. Maybe, it would help if some of you knew more about me. I am currently 63 years old, banded at 62 on October 31, 2011. I am 8 pounds from my personal goal, but have achieved my GP, WL Surgeon, NP and Nutritionists goal of 175. I moved my own goal down to remind me that this is a life style not a short term diet. I will always keep working. I am 5'9" tall and no wear size 8 jeans, down from 20/22's My highest weight was 263, On the personal side, I am a wife (29 years with hubby # 2, # 1 and I parted ways.) I am a mother of two girls one 40 and the other 37. I am a grandmother to two gorgeous ladies, Morgan soon to be 13 and Grace 9 1/2. They belong to the older daughter. I have 2 great son-in-laws as well. I am the Godmother of two other young girls, Grace and Eva. I have been retired for almost 10 years. My hobbies are quilting, golf and traveling. My husband and I have been to all 7 continents and over 50 countries. We actually lived in Brussels, Belgium for 2 years, and still miss our favorite Neuhaus Chocolate. Good thing we are not there now, or I might have even more problems maintaining weight loss! LOL I have been an active member of LBT and really like helping newbies. My less than polite side come out when people ask what I consider stupid questions.... Like "gee do my scars look infected to you" or I went out drinking and threw op for 36 hours do you think I damaged my band." If you want positive help from me stay away from asking medical questions. We all have surgeons, nutritionists and other medical professionals for that. If you hurt take a pain pill or call your doctor. I love my LAP BAND and all the members of my private social group the Banded b*****s, so don'; pick on them either. We are all here to learn and help. I learn new things every day, and I hope a help a few other along the way. That's it for my first ever blog. I planning to go in for a fill next week, let you know how that goes. It will be my third. CHEZNOEL, AKA Princess Grammy.

I hope this will be the last part...lol Me: Really, u cant know who this is. Him: Yes, I do I dont giving my # 2 all kinds of women Me: Y me? Him: I dont kno, I was just lead 2. Me: um hum, game Him: no, seriously..I was walking by & I saw u, I thought she's beautiful but u looked so sad & I said 2 myself I would really like 2 make her day, so I did. Me: yea ok. So we talked for what seemed like hrs. Time flew by & it was time 2 go get my son, so I packed up my baby, got in the truck, picked up my son all while on the phone with HIM. I couldnt believe that I was talking 2 another man but his accent intrigued me & I just wanted 2 know more & more. Well, once I got home Josh was sitting on the couch in his usual spot, he asked me where I had been all day..I told him at my mom's & he said so u just dont give a damn if I dont have a way 2 get around or nothing 2 eat? I said no its not like that but in my head I was think hell no I dont care, I had reached my boiling point with him. We started a routine, as soon as I got in the house with the kids he would grab the keys from me & be gone until 2-3 in the morning, in my heart I knew we were done. While he was doing his dirt as he had been for 7yrs, I was developing a friendship with the "kroger's dude"...lol It wasnt about anything but convo, we would talk about my marriage, our kids, his baby moma & just life period. He was awesome, he was actually concerned about me & who I was, he would tell me if I ever needed 2 tlk I could call him, he would tell me how unhealthy my situation was..he never judged me for sticking around so long...he was my friend. One night, Josh called me & said that he wasnt coming home until the next day because of whatever reason he was giving, I was like ok um hum thats fine..I didnt put up a fight & ask 1000 ?'s like I normally would. My focus was changing. He said, whats wrong with u & I said nothing just used 2 ur lies & drama. He said, whatever bye. So after we hung up, I called HIM & he asked how I was doing, the usual stuff & this time I told him exactly how I felt, my marriage was over & I deserve better for me & my boys ect. He said, yea u do but u have 2 make sure that this is wht u want & ur not acting off of anger, I said, Im done. Josh came home the next morning, i grabbed the keys & left with the boys, dropped me oldest at school & this time I went 2 visit HIM. When I got there, I sat in the car for what seemed like hrs before I called 2 tell him I was outside, because I went back & forth in my head about, Im doing the same thing Josh done 2 me & so what he gets what he deserves. Finally, I called HIM & told him I was there, he came outside..we tlked for hrs, I had the baby with me & he asked could he hold him, I said yes & my baby was content in his arms. It was weird but he was. On the way 2 my son's school, I felt bad like I was taking it 2 far, Josh is my husband, what about my kids, everything was going thru my head. Once, I got home as usual Josh was out the door but he said, " I know u tlking 2 another man but u not bold enough 2 do nothing else." I looked at him & all that doubt/fear in my head went away & I was sure about my next move. The next morning Josh came home, I left & once again I went 2 see HIM...that also became apart of the routine before I knew it, we had spent a whole 30 days 2gether & it was wonderful. One saturday I came home, I handed the keys 2 Josh & he said, "im not going anywhere 2day, so lets tlk." I said, about wht? He said," the man u tlking 2" I said, I dont know what ur tlking about" He said, I see how rushed u are 2 leave every morning, how u give me the keys at night with no hesitation, how u hide ur phone now, how u smiling when u get a txt message, u in love with him?" I said, I dont know wht ur tlking about", he got up & he punched me in my stomach, he slapped me, he cursed me out, he pushed me on the floor all while the kids were right there watching, he told me 2 call him & tell him it was over or he would kill me & the boys. So because I feared what he might do, I called HIM & told him it was over & I was going 2 work it out with my husband..HE said,"Wow ok if thats what u got 2 do" then he hung up. I was crying but it was because, I felt like I was going 2 loose my best friend forever. Josh took my phone, he deleted HIS #, messages anything that came from HIM. That night I told Josh EVRYTHING, I told him that I didnt need him & he was I was worth more than what he thought, I even said, "u aint the only man that wants me"...I told him how I loved HIM..how he cared about me & didnt judge me, how he made me feel needed & wanted at the same time, how he held my hand for hrs & just listened 2 me...I know yall thinkin that was crazy because Josh was abusive but I didnt care, all those yrs that he made me feel unloved, unworthy, guilty, ugly, fat, like nobody wanted me but him, like I wasnt good enough for real love..I had 2 tell him why & I was ready for the fight that came with it...I didnt care. The rest of that night was queit, after I put the boys 2 bed & got in the bed..he came in the room & sat in a chair by the foot of the bed. I tired 2 stay awake becuase I didnt know what he was going 2 do but I couldnt & I actually slept the best I ever had in yrs...its crazy because he sat there watching me ALL night crying. Can u believe that he was crying, as if he had never done anything 2 push me 2 this, as if I hurt him, as if he was faithful all those yrs while I cheated, as if all those feeliings I felt he now feels...2 be honest with yall I hoped he felt the way I did for the past 7yrs. 3 days later, we had an eviction letter on the door..he left that morning then he called me around 11 saying he got a place...I said,"ok when can we move in"..he said, "I guess u didnt hear me, I got a place". I said, "what about the boys?" he said, "oh yall will find something soon." I know that we having problems but how could he turn his back on his son's & not care if they had a place 2 live? Although, I found out over the yrs who this man was, it still amazed me that he was done with his son's too. I called HIM as soon as Josh hung up & I explained 2 him what happened & y I called him 2 tell him it was over. He said, " u hurt me, I have feelings for u that I never felt for anybody else, I didnt kno if he hurt yall or what, I called ur phone, u didnt answer, I txted & no response, I cant believe that u hurt me"...I started 2 cry & tell him how sorry I was & that I had all of those same feelings for him, he told me 2 come see him but I couldnt go with the bruises on my arms & neck, so I said no..he told me that he needed 2 see me. So all that night I put ice on me, creams anything that would lighten up those marks..I didnt own any make up, so I couldnt use that. The next morning, I got up took my son 2 school & I went 2 see HIM. As soon as he seen me he started 2 cry which was so odd 2 me but he said, "I thought that I would never see u again, & then 2 see u with these bruises from him hurting u, & I was not there 2 protect u" then he grabbed me & hugged me, he wouldnt let go..he went 2 the back seat where the baby was & he got him out & held him so tight. This man must really love us, but I had no idea about what real love was so I didnt say anything, I didnt kno what 2 say. On March 26, 2009 I was moving out of that old apt 2 my sisters house until I could get things in order. While I was in the house, Josh came over...I didnt know he was coming, I didnt even know how he got there. He said he was coming 2 get the rest of his things, so I let him & I didnt say a word 2 him. When I was in the bathroom, getting things from under te cabinet..he came in & locked the door, he started choking me..he punched me & then he rapped me! All I could hear was my kids scratching & crying at the door..the worst part was I was on my cycle. He didnt care, when he was done he told me that I was still his wife & whenever he wanted me he could have me no matter where I'm at, then he left. I was disgusted & I didnt know what 2 do...I was confused & lost, he was crazy but I didnt know how crazy until then. I got 2 my sisters house, I moved all of my stuff in, within a few days I found a job, me & HIM were getting much closer..finally things were starting 2 look up in my life. Me & the boys were happy & safe. Josh called me one day & asked me could I help him get his lights back on because he was in the dark with no food. Keep in mind he didnt want me 2 know where he was staying, that same place he got & wouldnt let my boys come 2, I told him dont ever call me again, I know who u are & it took me a long time 2 get here but I'm here & I aint turning around. Over the next 7 months he called me EVERYDAY, asking can we fix our marriage & saying how he will never hurt me again ect. I told him no & I kept living my life. I am now in my own place, & have been for the last 4yrs...I havent broken NO lease, I am at a full time GOOD job, my lights have never been off, my kids are in a Private Christian Academy,me & HIM are 2gether, Im getting sleeved June 3rd., we are planning 2 buy a house next year...life is GOOD. Josh, has 5 kids with 4 different mothers, has a girlfriend that has miscarried 2 times, 2 babies 5 days apart by the same girl mentioned in part 3 Keisha & Keturah, he is currently cheating on his girlfriend with those same girls. He has had his clothes burned, been put in jail for assault of 1 of them, no car, no job & no contact with his kids, he doesnt call, help out NOTHING. I tlked 2 his girlfriend the other day & she stood out there while he was in jail, tlking 2 me about why he was in there BUT what stood out the most is that she defended him & said how she loved him so much & at that moment I saw what I looked like after all those yrs. & I told her I feel sorry for u...oh yea, I know u didnt read anything about a divorce but thats because for the last 4 yrs he wouldnt sign the papers because he said when he's done doing all this he is coming back 2 his family. Anyway, we will be in court getting divorced June 26th rather he shows up or not! It tookn alot 2 get 2 this point but I lived thru all of that for whatever reason & it was sad, it was hard, it hurt ect but WE MADE IT & thats all that matters. I needed 2 get this out before I started my NEW life, I didnt want 2 take this with me in the O.R. when I started this process I still carried this burden but 2day, I leave it all behind! (HIM :wub: ) (my babies )

I get asked this question all the time; How were you able to lose weight with Lap Band? Simple I followed the rules! I read on this web site all the time about every one hoping to get restriction and frustrated because their band is not tight enough, worried that they need more restriction. Well bandsters, the band and our weight loss is not about restriction, that is not the purpose of the band. The purpose is to slow down your eating so you eat less and become satisfied sooner. So if you are new or struggling, read below. I have lived by the rules of lapband throughout my 2 year journey. It has not always been easy and yes there were times I was hungry. This is not easy, it is a very emotional and personal journey. No two people react to the band alike and you have to have a lot of will power and want power. If you are on this site and had surgery, I know you have tried everything else and our now hoping the band is the answer to your prayers. Well it can be but it can also be the beginning of your nightmares if you do not make healthy choices. You and only you can make the band work and the sooner you figure this out the more successful you will be. I am now in my maintenance phase of this journey and living happy with lapband. I have worked hard and continue to work hard to make healthy choices to sustain everything I have worked hard to achieve. Is is easy no, but it gets easier everyday. You can be successful with lapband but you have to follow the rules. You have to become knowledgeable about the band and how it works. You have to deal with your behavioral issues surrounding food and you have to modify your behavior. If you do not do these things, you may lose weight but research has proved that successful WLS patients modify behavior. Below is an article from another site I wanted to share for all of you who are new and for those that are struggling and of course a reminder for us that have been successful. Good luck and success to all new and old, LovetheNewMe! EDIT/Addition added after original post: Just to give credit where credit is due this post came from Dr. Simpson's web site. This was a site I found very early in my band journey and have referenced it many times. It taught me things about the band that I was not aware of, it also is the site that helped me lose my last 30 lbs. this is the web address, check it out. He is one MD who coaches his patients that they can lose all of their weight. I read his book , "Losing the Last 30lbs" and it was very helpful. http://drsimpson.net/index.htm Weight loss surgery works by decreasing appetite-allowing people to eat less and utilize their fat stores more efficiently. What successful weight loss surgery DOES NOT stop you from eating anything. Whenever a patient says they don’t “feel restricted” it means they want the operation to do something that they won’t do for themselves. In this case, they want the operation to keep them from eating too much, or eating something. Successful patients DO NOT describe appetite suppression in that manner. This became clear when several groups showed that food remains above a well adjusted band for only a minute or less, not longer. It is not that the band keeps food from going through it - -it is the act of food going through the band that allows the satiety mechanism to go into effect. The study was simple – take a patient who is losing weight, and feels their band is at a good point. Give them food that they say satisfies them for a long time, and label the food with something we can see on an x-ray. We were shocked, and others repeated this experiment. But, then it all made sense. Whether they have a band, a bypass, a sleeve, or a DS – all of the operations allow a smaller amount of food to provide appetite suppression. Without that, appetite suppression does not occur. This is revolutionary in all aspects of patients – it is not “restrictive,” and having the band tight is not helpful. The bottom line is simple: solid food, slowly eaten, provides prolonged appetite suppression. This can be all overcome by: eating too fast (for band patients this leads to esophageal dilation, erosion, or slips or by drinking liquid calories, or soft food. What works for our patients who have had long term success: Measuring the food they eat Not depending on the band to tell them when to stop Not depending on the band to tell them when they are too full The Lap-band will NOT tell you when you are “full” The band will NOT stop you from eating “more” food So the latest revolution in weight loss is not in a new tool, it is in those four simple words that will keep your tool sharp: eat small portions slowly.

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Tomorrow, tomorrow, he'll sleeve me tomorrow.....it's only a day away!!! Yes, I love music.....and shoes. Funny how those 2 things seem to be the back drop of my life and memories. But for tomorrow, I am as ready as I'll be. My mother asked yesterday if I was afraid, if I was prepared. My answer was, " I don't have time to be afraid or prepare. Are you kidding me?" And that is so true. Between work (I really do love my job), my 4 kids, and 1 very pregnant daughter in law.....I am a busy girl. I laughingly told my mom "I'm really kinda looking forward to the 24-48 hours of peace and quiet!"......she just sighed. My sister calls today (she is the youngest). She is excited for me to have the WLS so she can see how much trouble it is. Honestly, why am I the guinea pig? I'm the oldest, that's why. She's obese too and knows something has gotta give.......she's just hoping that something won't be her knee! Weight, really is a ghost......haunts every aspect of your life. My kiddos are pretty pumped. The father's day card I gave their father depicted a man dressed in tails with a shapely woman in a red dress on his arm (wearing great, black, high high heels). They all laughed and said,"Dad, that'll be you and mom next year!' I laughed too cause I was thinking the same thing!! I don't have any wisdom, poignant thought at this point. I'm too busy day dreaming about really great heels.................