Im in the same boat - 42 years old, BMI 36, I can run 10k without trouble and I cycle a lot. I am 'fit' in that I exercise all the time. I have perfect BP, no co-morbidities at all except I had early menopause (fertility problem). I am SICK of FAILING at losing weight.
I am an ambitious professional in my work with a lot of determination, but when it comes to losing weight? Nope I fail all the time. Cant keep it off.
I am questioning going for the operation quite a bit. The real truth is I can lose 15-20 lbs at a time and gain it back, over and over again but I will never ever get down to a "normal" BMI range without surgery. I haven't been a single digit pant size since about grade 8.
When I told my mom I was considering this I was shocked that she was totally against it. "I just need to be more disciplined about eating". OMG. this is the lady who put me in weight watchers for the first time when i was TEN years old. Clearly, her strategy does not work for me.
I am interested in talking to someone of a similar BMI and activity level who has undergone sleeve surgery.