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I did it!!! I just got offered a job IN MY CHOSEN FIELD!!!!! I busted my butt (finished my program early and with a 94), chased a dream I thought was lost to me (thanks to the surgery, getting my health under control, changing my diet, and believing in myself that I could actually do it), and I just got my first job in the medical field!!!!! I literally cried. I'm so so excited!!!! I start on Monday!!!!!! Even though I'm a Medical Administrative Assistant, I won't be at the front desk when you first walk into the office (checking people in, collecting payments, verifying insurance, etc). I'll be the one that comes to get you and takes your vitals, takes you to your exam room, asks you questions and updates your chart, go over any doctor's orders, and then checks you out at the "check out" desk. I'll schedule follow up appointments, handle referrals, and call in any scripts and refills. AND, they will provide the scrubs I'll be wearing. I'm in an AWESOME mood!!!!! I can't believe I really did it. I wasn't sure I could, but here I am!!! I literally cried when I got the call today. I still can't believe it!!! And after 6 months, they will pay for me to continue my training to become a Clinical Medical Assistant and get all the certifications that come with that. All I have left to do is get this last 50 pounds off and then I'm literally living my very best life

Wishing everyone a Happy New Year and a successful journey to better health. On March 1, 2023 before heading to the airport traveling to Piedras Negras, Mexico for my scheduled March 3rd VSG with Dr. Alvarez at Endobariatric; I logged my weight and recorded my measurements. I have kept a running spreadsheet, updating the stats the 1st of every month. Ten months later, I am down 75 pounds and fitting comfortably in a size 6. I am not finished. I had set my goal at 112 which in reality is too thin for me but I wanted to allow for the common 5 to 7 pound regain from the lowest weight, hopefully settling in the 117 to 118 range. I have not had one moment's regret. This is the greatest gift I have given myself and look forward to a healthier and more active 2024.

For the first time in years, I'm under 200 pounds. Woo hoo. Lost 34 pounds pre-op and now 24 post-op. Surgery was on October 2nd. Weight loss has been slower than I expected, but my nutritionist said that I have lost 48% of my excess weight and am right on track. Yay!

Finishing up my breakfast and then it's time to get ready to go back to work FINALLY!!! WooHoo!!! It's about time. I hate not working. So glad I was cleared yesterday to go back starting today. Oh, and I'm now down to 233 pounds. I'm 33 pounds away from my goal weight!!!! I started off at 421 pounds when this whole journey began. I've lost a total of 188 pounds from my highest weight. I've lost a total of 155 pounds since my surgery in May 2022 (I was 388 pounds on surgery day). Bariatric surgery, changing my relationship with food, changing my diet, working out and changing up my routines, all of it is why I'm here now. 33 more pounds to go, ya'll!!! I'm in a size 16/18 in clothes (down from 28/30), I'm in a size 6 1/2 ring (down from size 10), I'm in a size 10 shoe (down from a size 11), and I wear 18" necklaces (instead of the 22" and 24" necklaces I wore before). Yes, I've had complications. Yes, I've had several surgeries. But things were found that I never would have known about. Silent killers, they're called. Has it been annoying and painful and frustrating? ABSOLUTELY. Would I do it all again anyway? ABSOLUTELY. I've STILL gained so much more than I've lost. I have 1 more surgery (my hysterectomy) and then I'm completely done. And honestly, I'm still way way healthier than I ever was before. I only wish I would have just done the bypass to begin with and skipped the sleeve. But then again, like I said, the conditions I didn't know about wouldn't have been found without the complications from the sleeve that led to all my procedures. Everything happens for a reason. I firmly believe that. And I'm almost on the other side of all this, so I can speak into existence that nothing else will go wrong, things are looking up, and I'm getting my life back but as an even healthier and better version.

(Also my status update, btw) It's finally here!! My last day with a "normal" digestive system. Tomorrow morning I go in at 10:15am to check in, go through all the pre-flight checks (IV, vitals, sign consents, talk to anesthesia and my surgeon, etc), then into the OR I go! This process has taken what seems like forever. Way back in April of 2022, I saw a general surgeon to have a Nissen Fundoplication to deal with my (horrible!!) reflux and repair my hiatal hernia. Problem was....my weight made it so there would be a high risk of both failure after a couple years and potential complications. He then suggested I see a bariatric surgeon (which was the first time anyone had ever made that suggestion. So off I went to see bariatrics. From the first appointment, Dr. Beekley was nothing but supportive. He never once belittled me over my weight, or made me feel like I was making excuses for my health. The entire team has been awesome. They keep up with me in myChart, letting me know what Pre-op clearances I needed, or if anything extra was needed from other providers (which, given all my health issues, there was always something extra that was needed lol). But all that hoop jumping was worth it. Now I'm packing my bag and getting ready to have my life completely changed for the better. While I may be increasingly nervous the closer I get to that OR, I'm also excited beyond belief. I've been stuck in this messed up body for entirely too long, and I can't wait to start leaving it behind and meet the woman I know is inside.

There's a reason why we have to start on liquids and slowly work our way up to solid food. You have sutures that can get pieces of food stuck in them. Also, your sutures could break. Peritonitis is nothing to trifle with. Buyer's remorse is quite common. It will get better. No bite of solid food is worth your life.

I did gastric bypass + hiatal hernia repair June 6. I have had very few "issues"-- a couple of "one step over the line," one incident of the dreaded foamies, but generally, smooth sailing. I was at around 274 lbs and now am at around 206-7, depending on scale and time of day. That's crazy! I look at the stats for how much folks lose on average and this seems to be beyond the norm. I'm not complaining-- I not only walk, but got into a rigorous exercise regime with a trainer. His focus, for now, is balance, and "whole body"--I do some weights but the "balance" stuff has been a real blessing. I have checked the boxes with the M.D.s- my cardiologist has no problem with testosterone treatment as a means to build muscle mass. I need to get my surgeon to sign off on that, just to be sure. But man, this has been an amazing journey in a very short time. I'm way more mobile, fit into clothes I forgot I had (I used to buy really nice stuff, turned into a slob, and now I'm caring about my appearance again!). I'm closing in on 70 years-- and have not felt this vigorous in a long while. My taste buds have definitely changed. But it's worth the trade-off in health and fitness. And no more GERD!!!

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!). But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet. Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again. I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

The surgery went very well, and drink apparently I had a hernia that was repaired. Handsome bone broth for dinner and trying o drink my water. My doctor has his patients drink 2oz of juice diluted with 2 oz of water Luckily I don't have much pain or cramping. And I learned my sister scheduled our summer vacation justintime for me to eat more decent foods,