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If you think about it, they're so many obese people like me with obstructive sleep apnea that have surgery. They see it all the time. As long as you have a good surgical team that you are confident in, you'll do great. That put me at ease real quick. When I went to the surgery room and got on the surgery table, they propped my upper body up and that when I first fell asleep they could quickly intubate me and get the show on the road. Looking back to two days ago, I had absolutely NOTHING to worry about because I trusted my team and expressed ALL of my fears and concerns. You'll do great. Be confident with the team you chose to perform life changing surgery on you. Good luck. You got this. Sent from my SM-N950U using BariatricPal mobile app

I'm planning on at least 3 weeks, but will take longer if needed. I'm mostly at a desk but my job has the potential to involve heavy lifting from time to time so I don't want to go back until I won't risk injuring myself.

I would talk to your insurance company first before doing anything drastic. I gained a few lbs (harder than it sounds) to meet their criteria. Then, I found out I had to have a 3 year history of bmi over 35 with comorbidities or 40 without. Plus, I couldn't drop below 35 during the 4 month supervised diet or they'd deny me. So, I basically wasted time gaining, then had to go self pay and lose what I had just gained. Sent from my XT1254 using BariatricPal mobile app

I timed mine right before the holidays so I could take an extra week and do three instead of the recommended two. I'm 8 days post-op and honestly could have gone back by now, but I do get quite tired if I am out and about for a few hours.

According to the internet: Nonalcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver disease worldwide. Treatment recommendations for NAFLD are aimed towards weight reduction, thereby reducing insulin resistance. Unfortunately, lifestyle modifications have not yielded long-term success, while durable weight loss is routinely achieved with bariatric surgery. https://www.medscape.com/viewarticle/763056 So what this summary says it that lifestyle modifications such as dieting and exercise have not yielded long-term success but bariatric surgery has. Another article says: Nonalcoholic fatty liver disease is a progressive disease with potential evolution to liver cirrhosis and hepatocellular carcinoma. Another article says: Nonalcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver disease. It encompasses a spectrum of conditions associated with lipid deposition in hepatocytes. It ranges from steatosis (simple fatty liver), to nonalcoholic steatohepatitis (NASH–fatty changes with inflammation and hepatocellular injury or fibrosis), to advanced fibrosis and cirrhosis. Studies suggest that although simple fatty liver is a benign condition, NASH can progress to fibrosis and lead to end-stage liver disease. The disease is mostly silent and is often discovered through incidentally elevated liver enzyme levels. It is strongly associated with obesity and insulin resistance and is currently considered by many as the hepatic component of the metabolic syndrome. NASH cirrhosis is now one of the leading indications for liver transplantation in the United States. I underwent RNY gastric bypass surgery because my health was deteriorating rapidly. I dieted and exercised and still could not shed the pounds but instead continued to gain the weight. I had the surgery to correct my health conditions. The surgery corrected a number of my health conditions including diabetes, high blood pressure, sleep apnea, acid reflux (GERD). It even corrected my asthma condition. If your focus is to become healthy and live a long productive life, then I would suggest the surgery. I dropped 120 pounds after surgery and my BMI went to normal. Weight loss was just a little gravy on top of health improvements. One of the factors that enter into the equation is cost. The operation is expensive and therefore it is important to have insurance that covers the operation. Therefore the guideline requirements from your insurance policy will dictate how easy it is to obtain this surgery. Many insurance policies are written very similar, so this will give you an idea: Surgical treatment of obesity (bariatric surgery) is covered only if: - eligible enrollee is 18 of age or over - clinical records support a body mass index of 40 or greater (or 35-40 when there is at least one co-morbidity related to obesity). Applicable co-morbid conditions include the following: * Type II diabetes mellitus (by American Diabetes Association diagnostic criteria). * Refractory hypertension (defined as blood pressure of 140 mmHg systolic and or 90 mmHg diastolic) despite medical treatment with maximal dose of three antihypertensive medications. * Refractory hyperlipidemia (acceptable levels of lipids unachievable with diet and maximum doses of lipid lowering medications). * Obesity–induced cardiomyopathy. * Clinically significant obstructive sleep apnea. * Severe arthropathy of the spine and or weight bearing joints (when obesity prohibits appropriate surgical management of joint dysfunction treatable but for obesity). - Documentation of failure to lower the body mass index within the last 12 months through a medically supervised program of diet and exercise of at least 6 months duration. So if your health insurance policy was similar to mine, you would not be able to qualify because of age; but the moment you turned 18, you would get a green light because your BMI is over 40. So the best advise I can give you is to dig out your health insurance policy and read the fine print.

My Rhemitoidoligist said he was dead set against getting the surgery. Mind you i was diagnosed with Rhemitoid arthritis 2yrs ago and have been on two different medicine since. I went ahead with the surgery down 36lbs and off both meds as of now. And havent missed them. I go back to him Jan 5 and hope Im down a few more pounds and see the look on his face when he reads my blood work results. Cause Im feeling great these days. And Im sure the more weight that come off, Ill feel even better. Sent from my SM-G935V using BariatricPal mobile app

If I let myself get really hungry, I have a hard time slowing down when I do eat and then I either get sick or feel sick. I try to eat small snacks between meals so I don't become famished. It's hard to remember when I get busy though. It's all a learning process, and one of the things I need to learn to do better is stop being so busy all the time and take time to take care of myself.

heavy things. have heavy things on you.

Def Biotene. And I keep a water bottle on my nightstand and sip a few times during the night. Brush your tongue before bed as well.

OMG. I haven't even had the damn surgery yet, and I have a full brush every week that has to be emptied and cleaned! I swear I'm gonna be bald as a billiard. Skinny and bald...what a way to go through life huh? All magic has a price!