Judith Meeks-Hakim

You will be fine; it will be over before you know it. I have had three in my life; I'm 62. At 10A I was in O.R. and back to my room at noon and home to watch General Hospital at 1P. Take care

You will be fine; it will be over before you know it. I have had three in my life; I'm 62. At 10A I was in O.R. and back to my room at noon and home to watch General Hospital at 1P. Take care

Hello Dtrain84: I have not had surgery but in June is the planned date. Whole-heartedly I know what you doing as far as not telling anyone; my family members are the only ones that knows my journey. It is between GOD, my family and I. The best way I would approach this concern of family asking you about the drastic weight lost; if they knew you were in hospital, you can tell them that you have decided to seriously eliminate the foods that were harmful to you. Basically, you took a new approach on your eating habits and got rid of the foods causing your body to retain the weight or gain weight. Now having control has made you be medically well and your journey of good health is your focus. Some of my co-workers know that I have taken control of my new eating habits and they know of me having surgery; however, not bariatric surgery. So by me being off work for five weeks to heal and them knowing that I will have to drink liquids to prepare self and heal properly; coming back will be a shocker to them but they know how I was before leaving to have surgery "on a journey to a healthier me." I hope this will help you and most of all it is your business and if this makes you feel comfortable, there is nothing wrong with keeping it all to your along with your wife. Take care and GOD bless and I pray all will work out fine with your family. Thanks for sharing; I enjoy this web-site.
Judith

Hello Dtrain84: I have not had surgery but in June is the planned date. Whole-heartedly I know what you doing as far as not telling anyone; my family members are the only ones that knows my journey. It is between GOD, my family and I. The best way I would approach this concern of family asking you about the drastic weight lost; if they knew you were in hospital, you can tell them that you have decided to seriously eliminate the foods that were harmful to you. Basically, you took a new approach on your eating habits and got rid of the foods causing your body to retain the weight or gain weight. Now having control has made you be medically well and your journey of good health is your focus. Some of my co-workers know that I have taken control of my new eating habits and they know of me having surgery; however, not bariatric surgery. So by me being off work for five weeks to heal and them knowing that I will have to drink liquids to prepare self and heal properly; coming back will be a shocker to them but they know how I was before leaving to have surgery "on a journey to a healthier me." I hope this will help you and most of all it is your business and if this makes you feel comfortable, there is nothing wrong with keeping it all to your along with your wife. Take care and GOD bless and I pray all will work out fine with your family. Thanks for sharing; I enjoy this web-site.
Judith

I've been obese for about half of my life and I have an extensive medical history. I had my surgery April 11th and I decided before the surgery not to tell anyone. Only my wife knows and she is aware of my wishes to keep my surgery secret. Right now I am trying to figure out how to respond when my family members inquire about my rapid weight loss? Has anybody kept surgery a secret and how is it working out so far?

Thank you! Good luck to you also!

Hi , praying for your success; each day will get easier. I have to make this same journey at the end of May been preparing since February. Take care and don't even think about it being long days; your reward is ahead of you.

Best of luck! I start tomorrow
It is happening. It is such a mixture of anticipation and nerves. It is all positive, but when I look at my liquid diet all set up for the day, it is a bit scary.

First day on pre-op diet wasn't so bad. I hope the next 13 loooong days will be the same. Wish me luck! 😉

Hello friend, alcohol consumption is very bad for health and can cause a lot of problems related to health issues. So always try to avoid alcohol.

This is great information, I drink once or twice a year and since my drinking alcohol is very low for a year; I can do without it! Hey way to go Judith! Thanks SweetPeas

The endocrinologist, psychologist, nutritionist, and surgeon all told me not to drink alcohol. They said that this would be a "forever" lifestyle change (and their program requires you not drink during the pre op phase or they won't approve you for surgery). They very explicit that "moderation" isn't an option and noted that there is evidence that WLS patients have higher rates of alcoholism post op. They all had a lot of research and statistics and related the issues with Vitamin absorption, dumping, weight regain, and told me about a couple of patients that had not heeded the warning and spiraled out of control with alcohol (DUIs, losing their jobs, etc.). I would consider myself to have been a social drinker- a glass of wine at dinner maybe twice a month but after what the WLS team told me I wouldn't even consider touching it now.

I know I said my next article was going to be on causes of obesity, but I got carried away tonight doing some investigating about the professional medical guidelines for alcohol use after weight loss surgery. In summary, the gist of the recommendations are: “Patients undergoing bariatric surgery should be screened and educated regarding alcohol intake both before and after surgery… patients should be made aware that alcohol use disorders (AUD) can occur in the long term after bariatric surgery.” (From: http://asmbs.org/resources/alcohol-use-before-and-after-bariatric-surgery.)


Bariatric Realities – Medical Professionals’ Guidelines about Alcohol Use & WLS
I know I said my next article was going to be on causes of obesity, but I got carried away tonight doing some investigating about the professional medical guidelines for alcohol use after weight loss surgery. In summary, the gist of the recommendations are: “Patients undergoing bariatric surgery should be screened and educated regarding alcohol intake both before and after surgery… patients should be made aware that alcohol use disorders (AUD) can occur in the long term after bariatric surgery.” (From: http://asmbs.org/resources/alcohol-use-before-and-after-bariatric-surgery.)
Well, now. Those are some non-specific medical recommendations by medical professionals who are the predominant leaders and caregivers of the surgical weight loss population. Education and awareness. Hey – I am all about education and awareness. Great things, education and awareness.
And yet, I’m gonna say that as a recommendation, that is a very “PC” non-recommendation recommendation, when one considers that we are talking about 1) ALCOHOL and 2) WEIGHT LOSS SURGERY patients.
Consider these educational nuggets and facts I found that WLS patients really ought to be aware of:
Psychologist Stanton Peele, writes, “readers now know that scientifically, it's not alcohol that causes people to live longer, but it is simply being with others and that they are less socially isolated when they drink that prolongs their lives. After all, alcohol is a toxin.” (italics and bold added) (From https://www.psychologytoday.com/blog/addiction-in-society/201011/science-is-what-society-says-it-is-alcohols-poison.
My comments: Yes – alcohol is a toxin, and that means POISON. Those of us in the medical field really ought to know that people are not supposed to ingest poison. But the recommendations do not say, “Do NOT ingest the toxin, alcohol.” No, no, no… they say be educated and aware.
Dr. Charles S. Lieber, M.D., M.A.C.P., in a publication for the National Institute on Alcohol Abuse and Alcoholism, writes, ““A complex interplay exists between a person’s alcohol consumption and nutritional status,” and … alcohol and its metabolism prevent the body from properly absorbing, digesting, and using essential nutrients” (italics added.) Dr. Lieber does indeed, educate us about the nutritional value of alcohol: “Alcohol would not fall under the category of an essential nutrient because not having it in your diet does not lead to any sort of deficiency. Alcoholic beverages primarily consist of Water, pure alcohol (chemically known as ethanol), and variable amounts of sugars (i.e., carbohydrates); their content of other nutrients (e.g., Proteins, Vitamins, or minerals) is usually negligible. Because they provide almost no nutrients, alcoholic beverages are considered ‘empty calories.’ Therefore, any calories provided by alcoholic beverages are derived from the carbohydrates and alcohol they contain.” (italics added)
My comments: People who have weight loss surgery (other than the band) experience absorption issues to one degree or another. Nutritional deficiency is one of the concerns the medical professionals monitor in the months and years following WLS. We stress to patients the importance of taking Vitamin supplements for the rest of their lives to help ensure proper nutritional balance.
And yet, rather than saying, “Alcohol use is unwise after WLS,” or “Don’t drink alcohol after WLS,” the governing body of health professionals for bariatric surgery recommends being “educated” and “aware.”
Is that happening? Are the physicians and surgeons and nutritionists and mental health professionals educating patients and making patients aware that ALCOHOL IS A TOXIN THAT CAN INTERFERE WITH VITAMIN ABSORPTION – and it should not be consumed after weight loss surgery? I can’t answer that, although I know we do this at the programs I work with. If it’s not happening, why not?
Having a background in direct sales, which, ironically, was incredible education for my later career as a psychologist, I was taught to “anticipate the objections.” Many health care professionals may be pooh-pooh’ing the vitamin deficiency issue associated with alcohol, stating it’s only those who drink heavily who are at risk for this type of vitamin deficiency. That information, to the best of my knowledge, is relevant for persons who have not had weight loss surgery. What’s more, we don’t know the extent to which people are drinking many years after WLS. Most of the research, as noted in the ASMBS Guidelines/Statements entitled ASMBS position statement on alcohol use before and after bariatric surgery, states, “The existing studies do not present a uniform picture regarding the overall prevalence of lifetime or current alcohol use disorders (AUD) in patients seeking bariatric surgery. The vast majority of the existing literature is retrospective, with small sample sizes, lack of control groups, and low response rates. There are also varying definitions of alcohol disorders (“high-risk” versus “misuse” versus “abuse/dependence”) in the bariatric surgery literature.” In other words, this research does provide some information, but remember, we don’t really know that much because there isn’t enough research on enough people over a long enough period of time. We don’t then, know the actual affect that alcohol use has on vitamin absorption for WLS patients. We DO know that vitamin deficiency is a concern, so WHY aren’t we telling people not to drink?
Not only is alcohol a toxin for our bodies, “Alcohol is actually classified as a drug and is a known depressant. Under this category, it is the most widely used drug in the world. According to the National Institute of Alcohol Abuse and Alcoholism (NIAAA)” (italics and underling added). http://www.medicinenet.com/alcohol_and_nutrition/article.htm
My comments: I am literally chuckling now at the absurdity of this situation. The situation being the medical professionals, all having a code of ethics that reflects the “do no harm” sentiment, ignoring potential harm for their patients. Please note that we would all consider alcohol as being “empty calories” and having sugar/carbohydrates and certainly no Protein.< /p>
PLEASE let it be the case that the mental health practitioners around the world who deal with surgical weight loss patients are telling them, “Don’t eat empty calories. Eat a lot of protein. Limit the simple carbs and sugar. And refrain from consuming your calories from liquids. NO STARBUCKS. BUT, HEY - GO AHEAD AND DRINK THOSE SUGAR/CARB LADEN, EMPTY, NUTRITION-ROBBING TOXIC CALORIES IN ALCOHOL, THAT ARE, BY THE WAY, THE MOST WIDELY ABUSED DRUG IN THE WORLD.”
Honestly, that sentence should be the entire article.
But WAIT! There’s MORE!
I really love this last tidbit I’ll share with you. It’s so much nicer for me when I can find it online so it’s not that mean, alcohol-hating Dr. Stapleton being the one to blame!
“The truth is that no one needs alcohol to live, so regardless of what you've heard or want to believe, alcohol is not essential in our diets. Did you know that a glass of wine can have the same calories as four cookies? How about a pint of lager – surprised to hear it’s often the caloric equivalent of a slice of pizza? You do not need to be an alcoholic for alcohol to interfere with your health and life.”
https://www.drinkaware.co.uk/check-the-facts/health-effects-of-alcohol/appearance/calories-in-alcohol
Do you hear this, people in the medical profession? Are you giving the OK for your patients to eat four Cookies “now and then,” or “in moderation,” or “not for the first six months, or year after surgery?” Do you realize that you may be DOING HARM by giving your patients “permission” to drink alcohol?
“But our job is not to be the watchdog or decision-maker for people.” Another potential objection to my dismay about the recommendations being for “education” and “awareness,” rather than a direct, “SAY NO TO ALCOHOL” stance. I agree that no one can make the decisions about what people can or cannot do, or what they will or will not do. People in the medical field do tell people things like, “Don’t get that wet or you could get an infection,” “Keep the splint on for the next six weeks if you want to heal properly.” There ARE dos and don’ts that are educational and increase awareness. What’s the real issue that medical professionals don’t take a hard stance on alcohol after WLS? I don’t know. I do know that I did my dissertation on medical doctor’s attitudes toward addiction. Turns out it is much like that of their attitudes toward obesity: many don’t know that much about it, very many do not feel comfortable working with it, and most don’t care about/understand it.
To top it all off, HERE’s the real kicker… Not only do the medical AND some of the WLS organizations not tell people, “Don’t drink alcohol,” THEY PROVIDE ALCOHOL AT THEIR EVENTS!
I can’t say any more.
Connie Stapleton, PhD
connie@conniestapletonphd.com
Facebook: Connie Stapleton
Twitter: @cstapletonphd
LinkedIn: Connie Stapleton, Ph.D.

What do you think about juicing? I use it to replace some meals now (I'm pre-op) and to get more veggies in. The main difference is that there isn't as much insoluble fiber as there would be in a smoothie (so not as much volume). I feel like it would be good for a bariatric patients who can't consume large amounts of foods. Opinions?

Hey guys.
I just wanted to share this with you all. My surgeon recommended the ProCare chewable vitamins because it's one a day and only other thing I'll need to take is a Tums a couple hours later.
I was advised to try some ahead of time to be sure I liked the taste. While looking on their site and getting ready to order... I saw they have a disclaimer to "try before you buy". No refunds/returns on opened bottles if you don't like the taste.
Nowhere did it say click here to request sample so I went to their "contact us" page and entered the required info and told them I was wanting to request a sample. They messaged me back the same day and in less than a week I had a package of several samples.
Just wanted to share if anyone was looking into ProCare supplements.
https://procarenow.3dcartstores.com/crm.asp?action=contactus
That is the link to the contact page.
I took a pic but I don't know how to upload it in the app. I'll try to get on the website and post it in the comments.

DISCLAIMER: This FAQ is in no way intended to replace or undermine the advice of your physician. Every person is different, every surgeon has different guidelines, and no two situations are identical. Therefore if any of the answers below are unclear or contradict your physicians’ instructions, always follow your physicians’ instructions. The responses given are a compilation from multiple sources and references.
How do I embed the weight loss ticker? Click on the liquid stage? During your clear liquid stage you can have anything that you can sip through a straw that is translucent, meaning see through. For instance: Water, juice, broth, sugar free popsicles, sugar free Jello, Isopure Protein Drinks, Gatorade, Powerade, Decaf tea just to name a few. Once you move on to full liquids you may add liquids that are not translucent. For instance: creamed Soups, soups with the chunks strained out, milk, Protein shakes etc…
When do I start mushies/purees? Every surgeon has different guidelines for the progression of your post-op diet. The majority of post-op diets progress as follows:
Day 1-7 Clear Liquids
Day 8-14 Full liquids
Day 15-21 Purees
Day 22-50 Mushies
What’s the difference between mushies and purees? The major difference is that purees are anything that has been blenderized/pureed to a baby food consistency and has no chunks. These should not be watery, but instead a thicker pudding like consistency. Mushies are soft foods that have not been pureed.< /p>
Should I be counting calories or carbs or both? Both. Again, every surgeon is different, but the majority of sleevers will be on a 600-1000 calorie/day diet with carbs kept at 60-80g or less. The general guideline is this: When eating, protein is always first, veggies are second, and if you have room carbs/starch last. The majority will rarely have room for the carbs.
How much protein should I be getting per day? The recommended protein intake may vary from 55 to 100g per day, depending on your individual needs and the bariatric diet provided by your surgeon or dietitian. The generally accepted minimum protein requirement for women is about 50 to 60g per day and men need at least 60 to 70g of protein per day.
How much liquid do i need for the day? About 60-80oz
When can I eat salad? Once you reach the point where you’re on normal solids you can try salad. Start with a small amount and see how your sleeve tolerates it as it can be difficult to digest.
Best Protein Shakes? This one depends on your particular tastes, however most seem to enjoy powders? utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury.

What else counts as a liquid? Anything that can be sipped through a straw or that will reduce back to a liquid. For example: Jello, sugar free popsicles, frozen yogurt/ice cream (these are generally no no foods)
How long will my surgery last? Typically about 45mins assuming there are no complications or other procedures (ie: hernia repairs) being done at the time of your surgery. Every surgeon is different so for a more accurate answer you should consult your respective surgeon.
Why can't I tolerate plain water, is this normal? It’s called water nausea and it is completely normal. This is very common during the first few weeks following surgery and should eventually subside.
What is sliming/slimes? Sliming or slimes occur when you eat or drink something and then regurgitate a slimy, foamy, saliva like substance, usually when belching.
What is grazing? Grazing is when instead of consuming your standard 3 small meals and 2 small Snacks per day, you simply munch all day grabbing a handful here or a bite there. The rule is that your meals should take you 20-30 minutes to eat and should be about 3 hours apart with only fluids in between.
What do all these acronyms mean?
In no particular order:
WLS – Weight Loss Surgery
NSV – Non scale Victory (ie: smaller clothes, compliments, climbing a flight of stairs etc…)
NUT – Nutritionist
PCP – Primary Care Physician
VSG – Vertical Sleeve Gastrectomy
TOM – Time of the Month
SF – Sugar Free
WFL/WFD – What’s for Lunch/Dinner
How much did you lose at 1 month etc.? How much can I expect to lose in what time frame? Everyone’s body is different and so is everyone’s journey. There is no set amount you should expect lose in a set amount of time, and you should never compare your journey or your progress to someone elses. As long as you’re sticking with the program and following your surgeons guidelines, the weight will come off.
What is a stall? How long does it last and how do I break it? A stall is a point at which the scale stops moving for a period of time. The length of the stall varies from a few days to a few weeks and sometimes a few months. Non VSG’ers typically call it a plateau. Stalls are perfectly normal and to be expected. As we lose weight so dramatically, our bodies need time to catch up physically - this typically happens during a stall. While the scale may not be moving, you may notice an increase in compliments. This is because while the number on the scale isn’t getting any smaller, you are physically getting smaller. There are many tips and tricks for breaking a stall (increase your fluids and protein, increase your activity, up your calories…) but the reality is it will break on its own.
When can I have sex? When you’re ready. Keep it simple for the first few weeks post-op and don’t attempt any tricky positions. Be careful until you’ve been cleared by your surgeon for strenuous activity.
When can I start exercising? Typically right away, though the types of exercises you can do will be limited. Most surgeons restrict weight training/resistance training for about 3-4 weeks after surgery, but you should be walking/speed walking at least 30-45min daily starting from the day you get home.
What do I do with flabby skin? What's the best exercise etc.? The severity of the flab will vary based on many different factors. While there’s no way to tell how bad it will be or whether it will even be bad, there are a couple of proactive measures you can take. Make sure you’re using a moisturizing lotion with Vitamin E and Keratin several times daily. The vitamin E will help add elasticity back to your skin and the keratin will add moisture, both of which may help your skin bounce back as the weight falls off. The best exercises to target your problem areas are resistance and strength training in order to tone and build muscle to replace the fat. Lastly, be patient. Just as your weight stalls while your waist catches up to it, your skin will sag until it gets the signal to shrink. While it probably won’t ever be as tight as you’d like, it will shrink.
Will I lose hair? How much? What causes it? When does it return? Do Vitamins help? The truth is, yes, you probably will lose hair. Because of the drastic changes going on that are caused by the extreme reduction in protein and vitamins coming in as well as the hormonal fluctuations caused by the rapid weight loss, it takes our bodies a while to adjust. Don’t worry, as our hormones level out and our bodies get used to the new us, it will come back. There is no set time frame for it to do so however.
I’m constipated - what is it okay to take, especially in the beginning when newly sleeved? Will it get better? Worse? In the beginning a simple stool softener like Colace should do the trick. You don’t want to take a laxative or anything that may irritate your new sleeve. While you’re in the liquid/puree stage, Constipation shouldn’t be an issue, but as you reintroduce solids you may have to go back to your stool softeners. If you do find that stool softners are only offering temporary relief, try increasing your fluids and Fiber and decreasing your cheeses.
I’m having very loose bowel movements, is this normal? Totally. You do need to monitor stools of this consistency to ensure they contain no blood, but very loose stools, even watery stools, are completely normal for a few weeks post-op. When in doubt – ask your surgeon.
Will I feel fatigue? Will fatigue go away? Yes and yes. Your body has just undergone major surgery and it needs to heal. While it’s healing you will feel more fatigued than normal. Subsequent to having such a large portion of your stomach removed is the fact that you can no longer take in as much food (read: fuel) and therefore your body has to adjust and find a new fuel source. Your body will eventually begin to burn fat for fuel and some of the fatigue will subside. Your surgeon should also prescribe a B12 supplement which will also help with energy.
When can I go back to work? How much time should I take off? That will be entirely up to your surgeon. Most return to work within 2-3 weeks.
How many days in the hospital? Your hospital stay will depend on your recovery. When you are able to keep down liquids, are up and about and walking as directed, and your surgeon and nursing staff are confident there are no complications, you’ll be released. Your surgeon should be able to give you an expectation of the length of your stay.
Do the staples dissolve? No. The staples used to close the stomach are titanium and do not dissolve. The stomach tissue will eventually grow over the staple line. Your staples do not make metal detectors go off or make you ineligible for an MRI. They are completely benign.
Why am I always hungry? The most likely culprit is either head hunger or reflux/heartburn. Head hunger is a false sense of hunger triggered by boredom/emotions/the clock or any number of things which make you think you’re hungry when you’re really not. Heartburn is the most common culprit of constant hunger. Even though you may not feel as though you have heartburn, you may find that a simple antacid will eliminate that constant hungry feeling.
What is a stricture? A stricture is what happens when scar tissue builds up in your esophagus (sometimes caused by reflux) that causes your esophagus to narrow and makes swallowing difficult.
What is a leak and what are the symptoms? A leak is an opening along the suture line of your sleeve that allows bile and other digestive fluids to leak into your abdominal cavity. The symptoms of a leak vary but the most common symptoms are pain radiating across the abdomen, fever, rapid heart rate, shortness of breath, dizziness, vomiting, nausea, fatigue, and abdominal cramping. It is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Can you get a leak any time after surgery? Or is it just immediate? Most leaks happen very soon after surgery, but there is still a risk for about 4-6 weeks after. Again, it is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Some of my incisions are oozing - is this normal? If they’re oozing a green or yellowish Fluid, absolutely not. Green and yellow are the colors of infection and should be reported to your surgeon immediately. If your incisions are oozing a pinkish or clear watery fluid it’s your body’s way of keeping your incisions clean and isn’t usually a concern. When in doubt, ask your surgeon.

I'm wondering about that too, it nice to get the fibre, but I'm sure you can juice and still be ahead in the nutrients. We make a juice 3-5 mornings a week, I think I will continue with that. It's a way to ensure you get your veggies.

It’s March! Trees are leafing out and the green of St. Patrick’s Day celebrations surrounds us. This brings to mind that instead of wearing green, we should be eating more greens…and yellows, oranges, reds and purples. Include the colors of the rainbow in your veggie choices. Veggies have Vitamins, minerals, Water, Fiber, and anti-oxidants.


Having a smaller stomach pouch after surgery makes it a challenge to get in more veggies. Veggies you can sip instead of chewing to applesauce will make it easier to get in your vegetables. Think about blending veggies with Protein Powder to help increase your Protein intake. Focus on non-starchy veggies. There are several ways you can sip your veggies.
One way is to experiment with blended smoothies. A blended smoothie has 3 main parts: fresh or frozen produce, ice cubes, and a base. The base can be water, milk or yogurt. For bariatric patients, a base can also be protein powder or ready to drink Protein Shakes. You’ll need a good blending machine like NutriBullet, Ninja or Vitamix. Look for a blender with at least 1000 Watts for best results. Next time you make a protein smoothie, throw in a handful of raw spinach or kale, cucumbers, shredded purple cabbage, frozen veggie blend, fresh herbs or something from your garden. Fruits are often a part of a smoothie, but you will need to calculate the carbs to stay in your carbohydrate goal.
Another idea is to make a non-alcoholic Bloody Mary. Stir a tablespoon of unflavored protein powder into 6 ounces low sodium V8 vegetable juice. This V8 is a blend of several vegetable juices. Throw in dashes of lemon juice and Worcestershire sauce, stir again and the pour over ice. Unflavored protein powder can be added to vegetable Soups. Sprout’s has unflavored whey protein powder in the bulk bins, which is a way you can test taste this protein without buying a large canister. One tablespoon provides 10 grams of protein. If you use whey protein isolate, remember to keep it under 140o F. to prevent the protein from curdling. Healthy sipping!

Practice listening to your heart, your intuition. Are there changes in your life you are feeling called to make? If so take action NOW.


Every time you deny you inner knowing, that small still voice within, you suffer and chip away at your self esteem, your self worth. Release the need to please others, to fit in, to go along with the crowd. Lovingly, assertively, and respectfully speak up for your self, speak your truth. When you deny your truth and ignore your feelings you can’t help but suffer: you may feel angry, sad, victimized, depressed, anxious, or overwhelmed, which often leads to engaging in unhealthy behaviors (overeating, drinking, smoking, shopping, etc) to numb the pain of these feelings. Life is so much simpler when you are authentic. You DO have the power to change your experience of your life. Don't complain. Instead FOCUS on what you DO want in your life, how you WANT to feel and what ALREADY IS GOOD... See yourself as being happy, fulfilled and loved… Keeping this vision/feeling in your heart notice the signs and follow your instincts as they will lead you to living an abundant joy-filled life… All day long check in with yourself to be sure your actions are GROUNDED IN THE ENERGY OF LOVE not fear, anger, or anxiety.

Know this: WHEN YOU LIVE IN LOVE ALL IS WELL! XO


Live in Love,
Louisa

Weight loss surgery is a life-changing event, and not something to be undergone lightly. Some weight loss surgery candidates know that weight loss surgery is for them, but many others are unsure whether it is time for them to get weight loss surgery. At best, it can help you lose weight and get your life back. At worst, it can cause complications or make you miss your old way of life.


How do you know whether weight loss surgery is for you? Will it be the weight control solution you have been searching for for years? Or will it be a decision you regret? Nobody can answer that for you, but here are some considerations as you think about whether weight loss surgery is for you.
The Qualifying Criteria
You are not a candidate for bariatric surgery unless you meet certain criteria set by your surgeon or, if applicable, your healthcare coverage plan. The standard criteria are:
Body Mass Index (BMI) over 40 or BMI 35 with an obesity-related comorbidity, such as type 2 diabetes, high cholesterol, or sleep apnea. Confirmation that your obesity is not caused by an underlying condition that would make weight loss surgery ineffective. A psychological exam to show that you are capable of sticking to the post-op diet and lifestyle changes that are necessary. Previous documented attempts at losing weight with diet and exercise. Ineffectiveness of Previous Efforts
Weight loss surgery is a last resort, not a first try at losing weight. It is for patients who have been obese for years and who have tried to lose weight using lifestyle changes, such as a modified diet plan and a formal exercise program. Many weight loss surgery patients try “every diet under the sun” before deciding that it is time for WLS. They may have had trouble losing any weight at all, or may have lost weight initially but been unable to keep it off.
Readiness to Change
Weight loss surgery is just the beginning. The way you eat after weight loss surgery determines how well you will be able to control your weight for the rest of your life. You need to be ready to change if you want to be successful with weight loss surgery. No longer will you be able to down a pizza or hit the drive-through on a whim.
Are you ready to possibly:
Give up coffee and regular and diet soda? Cut sugary treats and fried foods, especially with gastric bypass? Pass on the alcoholic offerings at home, parties, and restaurants? Count Protein, slash carbs, and measure portions? Addressing Other Issues
Weight gain does not always take place in a vacuum, and weight loss does not solve other problems you might have in your life. First, identify why you became overweight in the first place, and what is keeping you from losing the weight. Is weight loss surgery the answer, or do you need to first deal with an abusive relationship or lack of self-confidence, for example?
Emotional eating is a common reason for weight gain. If you tend to eat your feelings away, you are best off figuring out other ways to handle your feelings before you get surgery. Can you use walking as a form of therapy? Maybe you can join an in-person or online support group to turn to when you feel sad, lonely, or angry.
If your emotional eating is related to a specific problem, such as stress at work, your best bet may be to handle the problem before getting WLS. That could mean finding a healthy coping mechanism, or it could mean getting counseling to help you work through the source of stress. It could even mean finding a new job, as scary as that sounds.
Consider Replacement Addictions
Replacement addictions are common after weight loss surgery. They happen when you give up food – which can be an addiction – for a different addiction. Instead of turning to food for comfort, entertainment, or companionship, some weight loss surgery patients turn to “replacement addictions” or “cross addictions” They may take up smoking, or start to abuse alcohol. Replacement addictions can also be healthier than eating; some weight loss surgery patients become gym rats or take up gardening, sewing, or other hobbies.
As you consider weight-loss surgery, think about the possibility of food addiction being replaced by replacement addictions. What role does food play in your life now? What do you see replacing that emotional or physical role after surgery?
The decision to get weight loss surgery requires a lot of soul searching for most candidates. These points can help you work through some of the doubts you may have as you try to decide what is best for yourself.

Weight loss surgery is not easy. You need a lot of courage to get started, and a lot of persistence to get the information you need to choose a surgery and surgeon, and figure out finances. It takes a lot of discipline to give up favorite foods, to cut portions, and to work out regularly. There can also be challenges from other people who question your every decision or undermine your hard work.
You need help meeting these challenges. You need someone to speak up for you. The best person for the job? It is you. While others can help, you are the one whom you can depend on to be there for yourself and who knows exactly what you need and want. Here are some ways to be your own best advocate.


Ask Questions
Your advocate should get the information you need. Ask your surgeon how you can best prepare for surgery, what you can do to recover faster, and which mistakes he or she sees most often so you can avoid them. Find out how to contact your surgeon for post-op questions, and learn where you can go for support group meetings.
You will need to ask plenty of other questions, too! As your own advocate, don’t be shy about asking anyone about anything. Read everything you can online and on BariatricPal, then use the forums to ask about anything you’re not sure about. You are sure to get all kinds of helpful hints that you never expected!
Provide for Your Needs
Life does throw curve balls, but your basic needs stay predictable. You know which foods and fluids you will need in any given day, so make sure you have them. Plan your menu for each day and go grocery shopping for the week so you are sure to always have the food you need around.
Always keep a stash of “extras” in case of unplanned circumstances. Have instant Protein meals and other staples in your pantry for last-minute meals. Keep Protein Bars and nuts in your car, your gym bag, and at work. Have different flavors of Protein Powder for whenever you find yourself hungry and without other options.
You can also help yourself out by planning ahead. For example, if you’re going to a party, make sure you will have the foods that you will need for that time without needing to wait until after the party to eat or depending on the host to provide healthy Proteins. Stick a Protein Bar or some nuts in your pocket or purse, or bring a healthy dish to share and nibble on yourself.
Be Your Own Planner
If you were taking care of a child with certain needs, you would schedule them in, make sure your child had the materials needed, and get your child to where he needed to go. If you have children, you may keep track of their homework, take them to after-school activities, and make sure they get the nutritious meals and proper sleep that they need. You would keep healthy foods around and provide them with the pencils and sports equipment that they need for school and extracurricular activities.
Why wouldn’t you be just as good to yourself? Provide the same level of self-care for yourself as you do for your family. Keep healthy foods on hand, and schedule your own exercise and meal planning in and keep your commitment just like it was school.
Prioritize your commitments, just like you would do for your children. Your meal prep and workout time is important, but so is relaxation time with your family or friends, or by yourself. Over the long term, balancing work and play can keep you on track but satisfied.
Speak up When Necessary
Keeping quiet can sometimes seem easier or more considerate to others, but keeping a low profile can work against you sometimes. Learn when it makes sense to speak up for yourself. For example, at restaurants, the server may be willing to bring you what you ask for (like a slab of plain chicken breast or the kids’ meal), but will not even know that is what you want (and need) if you do not say something out loud. You may find that you need to explain your weight loss surgery as a medical condition to get your server to honor your request.
These are some other times when you should not keep your mouth shut:
When someone pressures you to eat something that's not on your diet. When you do not understand your surgeon’s or nutritionist’s instructions. When you need help around the house or preparing your food. Learning to be your own best advocate can pay off in a big way, as you will always have someone looking out for your best interests. It is one more thing you can do to help yourself succeed in your WLS journey.

Why Psychologists Deny Certain People for Weight Loss Surgery and How to Not be One of Them


I have worked as a psychologist, providing psychological evaluations prior to bariatric weight loss surgery for the past eight years. For the most part, people need a power tool to help them lose and keep off the weight they have lost over and over again in their lives. The gastric sleeve, bypass, and now balloon are those tools. However, every once in a while, I will encounter someone who believes these procedures are the magic bullet.
I can pick this up in five seconds when I learn that:
this person has no exercise plan to maintain their weight loss a barrage of excuses as to why they can't exercise anymore zero insight into why they are overweight ("I don't know why I am overweight, I just eat steamed vegetables and grilled chicken mostly.") a lack of motivation or understanding for why they also have to engage in behavioral modification in addition to the surgery "Why would you reveal all of this?" you ask. Aren't I giving away the keys to the kingdom to anyone who reads this and wants to pass a psychological evaluation? Perhaps- but who are you really cheating if you don't go within and face the real demons that got you here in the first place?
When I ask people about their eating styles, I tend to group them into four categories:
1) emotional eater- someone who uses food when they are bored, stressed, tired, lonely, sad, or even happy in addition to eating when they are hungry
2) skip and binger- someone who fails to think about food until it is too late, and when they are ravenous end up going for whatever is available which is usually some type of carb and calorie laden fast food
3) miscellaneous- someone who just recognizes that they eat too large of portion sizes and/or the wrong types of food
4) food addict- usually someone with a history of other addictions, trauma, and a significant amount of weight to lose. They usually have comorbid psychological diagnoses that have been unaddressed or ill-addressed.
Out of the four categories, the 4th is the most troubling for a psychologist. This particular person is most correlated with the patient who fails to address their core issues, eats "around the sleeve," or bypass, experiences dumping syndrome, comes back a year later and asks for the bypass, or a different procedure.
This is the person who, ironically, is usually the most resistant to my recommendation that they seek therapeutic support prior to the surgery. They want it done YESTERDAY. They want it NOW. It is this type of thinking that got them into trouble in the first place. The impulsivity and lack of emotional regulation.
I've witnessed people fail to address their maladaptive eating patterns and never quite get to their goal weight. I had a male that would buy a bag of pepperonis at the grocery store and snack on them all day and couldn't understand why he wasn't losing weight. This daily "snack," which was a mental security blanket, served as a veritable IV drip of fat and calories throughout the day.
I've had a woman who figured out how to ground up her favorite foods into a liquid form because she never quite let go of her attachment to "comfort foods." One of her most notable liquid concoctions consisted of chicken and Cheetos. I'll just leave that for you to chew...er swallow.
They say with drug and alcohol recovery- you "slay the dragon," but with food addiction recovery, you have to take it for a walk three times a day. If you don't fundamentally shift your relationship with this dragon, you're going to get burnt when you are walking it.
My number one tip for transforming your relationship with food is to start looking at eating the same way you do as brushing and flossing: You don't necessarily salivate at the idea of what type of toothpaste you will use, where you will do it, who you will do it with, right? You just do it twice a day because you don't want to lose your teeth and you want to maintain healthy gums.
Food has to be thought of in the same way. You fuel up. You don't use food as a place to define your quality of life. You don't use food to Celebrate. You don't use food to demarcate the end of a long day. You don't use food to help you feel less alone. You figure out healthier coping alternatives to meet these needs.
Loneliness-call a friend for support
Celebrate- get a massage
Demarcate the end of a long day- start a tea ritual and use essential oils
Another reason you must say goodbye to comfort food is that it triggers the pleasure center of the brain, which ignites our dopamine, which perpetuates the addiction. Many people think we are just telling them to get rid of the comfort food because of the carbs or calories, but there are unique and harmful chemical consequences to ingesting these types of food we know are bad for us.
If you are ready to take a modern approach to weight loss and stop dieting for good- check out my wls/vsg psychological support course here for free.
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My gastro will be doing an endoscopy on me tomorrow. Sounds wonderful. Not too thrilled with being put down. It's my first time going under. I really hope I don't end up as a viral youtube video! HAHA!