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My hair loss started at about 2 months post-op, I am 4+ months out now and think that the hair loss is in a steady state, I am lucky that I have very thick hair - the huge wads of hair I pull from head every time I shampoo is quite alarming sometimes! But then I don't have any bald spots or thin areas (except for maybe a few spots right at my temples but that may be just panicking on my part). Recently, I warned my hairstylist not to freak out when she shampooed me and she told me "oh, this is nothing honey!, I have seen much worse!" So that made me feel better. I am looking forward to noticing a decline in the loss - but one thing has me nervous. The comment in the article about iron levels, I have a genetic disease called hemochromatosis or "iron overload" disease. It means that my body holds on to too much iron and it must be removed medically. So I have one goal from my Blood Doctor and another from my Weight Loss Surgeon when it comes to iron. If iron also impacts hair loss (and I have been diagnosed for several years before my sleeve and never noticed hair loss like this), I am worried that it might taked me longer to come out of the hair loss period. Here is to crossing my fingers, because I can't take iron supplements!! My blood doctor was thrilled when I told him about getting WLS - he said, that is perfect for you! It will impact your iron levels in a good way for you!

For years, way before my surgery, my Dr.'s kept telling me to cut down, if not stop red meat altogether. Especially my cardiologist. eating meat can cause serious complications. I was told once a week, another said once a month... Plus there is the argument about added growth hormones, anti-biotics, etc etc. I read an interesting article about the difference in HS Kids today as opposed to 30-50 years ago in terms of growth, facial hair in males, etc etc... the story was in a medical journal and had much facts and statistics...all linked to the latest generations constant intake, perhaps daily, of red meat and ties to what artificial additives we are putting in our bodies unaware. Not to forget dairy products. You can get into the humane aspect in regards to how livestock is bred and raised for the sole purpose to be slaughtered. Red meat was one of the earliest things I had trouble with. My Dr. said it was to be expected... So, for myself, it was the perfect opportunity to simply abstain from it 100% Now it all fell into line with my approach to weight loss....I do not count calories, but instead, concentrate on eating healthy, nutritious foods....and giving up red meat worked out well for me. As well as cutting way back on dairy products. There are many other things WLS has made me give up also, and as it turns out none of them are that good for me in the first place...so it's all good. That was over 5-1/2 years ago. I have never felt better. Eating healthy, loosing all excess weight and body fat, becoming more active and exercising regularly....and living a life not worrying about gaining or losing weight . So when WLS forces you to make lifestyle changes, take advantage of it instead of dreading about it.

hey all, I am close to 3 months pre op I have lost about 23 lb since surgery and 44 total since September. The last three weeks I have been having "major" hair loss. I have been taking my Vitamins and have been doing well with my Proteins, has anyone else had problems and what have you done to take care of it. Thank you. peace, spiffy in Seattle:crying: This is my worried face!

And hot on the trail of my BBF Bariatric Bud Forever @ proud grammy, I'll offer my friendship also. I have only been on BP 5 months, but they have been wonderful ones. I have learned so much from Kathy and all the other veterans on here. Decided to say Hi,because we might have a few overlapping items. I am pre surg but post classes and requirements, this puts me in an uncomfortable Weight loss position, 1st program, nicest thing I can say, we no longer fit each others plans. My somewhat rueful joke- it was a case of sickness, I made them sick. it's a lot longer story, don't worry , what happened to me was pretty darn rate. You will not have it. At any rate I am now in a new program,better and better for,my in the long run. Surgery could be,May, surely early summer. I will have a RnY bypass, better for,me, I have pretty bad GERD, bypass fixes , sleeve does not. I am 72 years old, yes old enough to be everybody's mamma if not grandma, I stand 5ft8in tall, 323 lbs, srawberry blond verging on red hair, still naural, never greyed, at this point it probably never will.Widowed 6 years, 3 children,2 living, younger son still lives with me, he wants to be with me as much as I want him there. Like everyone you will meet on this website, I'm in it to win it. No fears whatsoever of surgery, more scary to continue to live as I have than step forward into a surgical future.All thus old cowgirl can get the blues I am usually pretty upbeat about life. Life is full of ironies but I intend to,love mine and live mine to the best or,my abilities. Join me on this journey for the best is yet to be😛 "Leading others to happiness is the greatest Triumph"

I wanted to join the conversation and share my story with anyone banded that's wondering "can I get mine out and be okay?" There isn't enough out there in terms of stories of people who've done it and done it successfully - and we need a better, more public conversation about this. Tonight, in the wee hours of my bed as I type this, I am 14 hours post op. I had my band removed today (well, yesterday), on Saturday June 25, 2016 somewhere between 11am and noon EST. I was banded for nearly thirteen years, since December 22, 2003. Imagine, I went into the OR to get my band having just turned 25 a few months earlier. Today I had it removed, at 37 and a couple months away from turning 38. I have had the lap band for more than ONE THIRD OF MY ENTIRE LIFE. Today is truly a new chapter for me. I sit here without my band, post-op, feeling many complex feelings but with ultimately a layer of hope and relief and some joy on top. Through it all, I feel gratitude. The uncertainty and worry and anger that I also feel will dissipate. I want my story to be out there. I wrote practically a novel this evening- not originally intended for this website, but for me, to help myself clarify my journey and feelings. I am considering if I will edit it and submit it anywhere for publication or just on a blog, somewhere that maybe if even a couple other people stumble upon it, who are banded and wondering if they can/should have their band out, it will help. Or if someone who has had their band out, can relate to it, then that too would make it all worth it. This is a VERY long essay. Like, probably a solid 20 minute read. It is the first time in 13 years I have ever really put pen to paper on my story or attempted to articulate it aloud. I understand if you scroll down and go "Lord! I am not reading all that!" But, if you have the 15-20 minutes (depending on how fast you read!) and feel this may be helpful, my story is here to share with you and hopefully provide some measure of inspiration, comfort, perspective. I wish all of you, in various stages of your journey, the very best. Whether you are considering a lap band or other weight loss surgery, currently have the band, are thinking about having it removed or already have done so - my best wishes for whatever your future has in store for you. Sitting here tonight, freshly de-banded, I cannot tell you enough how long I have waited for this, and yet, until for how recently I worried and was uncertain if I would ever see this day. It has finally arrived. This is my story of the 13 years that lead to this very evening: -PG, Brooklyn, NY, June 26, 2016 --------------------------------------------------------------------------------------------------------------------------------------------------------- When I was young(er) In the summer of 2003, I was 24 going on 25. A trim kid but chubby teen, I had climbed up above 200 lbs in high school (though wasn't fat, just "thick") and then in college really put the pounds on. Instead of the Freshman 30, I did the Freshman 50. I followed that up with the sophomore 20, the junior 20 and the senior 20. I took a year off between graduating high school and starting university, and I took five years to graduate once I started, so by the time I graduated college in May 2002, I was tipping the scales at close to 300 lbs. By then, I was 6'2 (I topped out at 6'3 when I was about 24) and so while I looked heavy like a linebacker, I could lie to myself and others about how truly big I'd gotten. But inside I was miserable. Nobody wanted to date to me, I didn't find myself attractive, I felt huge, I smoked, so between that and my weight, I was not in great shape. I wasn't one of those "housebound" obese people at 80-90 lbs overweight and certainly my youth, some good genes and a fairly active disposition helped. But ultimately I was deeply discontent and unhappy. My overeating was turning to a binge eating disorder. In college, I developed some hair raising eating habits. It started with stuffing myself in the all you can eat residence hall dorms. I would eat an enormous fast food based lunch on campus most days and found myself going with friends to Chinese buffets and American home cooking style buffets and while my other friends had a plate of food, I squeezed out two packed plates and maybe on a special day a third. After play rehearsal and social plans with friends I would stop at 2-3 fast food drive thru's on my way home and have a "feast" for dinner of 2 to 2.5 meals. Hmm, how about a few tacos from Taco Bell, ooh, but I also need some Chili from this pace, or some wings or maybe a bacon cheese burger to go with those tacos and let's get some fries and a frosty while at it. I told myself it was because I needed "options" and "variety." Because I "loved food." I did want options and variety and I do love food. But I also was compulsively overeating and nurturing my very broken spirit with food. I hung out at a dear friend's house who lived at home with her salt of the earth family that had tons of food packed in the cupboards and home cooked leftovers. I can remember eating plate after plate of their food and to this day it's a wonder they never told me to get lost and never come back for literally eating them out of house and home. I was binging and while I sort of knew that I was, like many others with eating disorders, I got really good at lying to myself. I rationalized it any which way I could: I'm stressed, I am sad, I am gay and boys don't like me. Or I am still growing (yes, I sure was). And besides: I didn't binge every day. I learned to reserve the big binges, the ones that made me sick to my stomach, for a couple times a week and justified the rest of my unhealthy eating by telling myself that it was okay since I rarely ate Breakfast and most days had "smaller" dinners and lunches - meaning, one large meal at a time instead of two. The beginning of the 13 year saga After I graduated college, I moved to NYC to pursue graduate school. In the fall of 2002 I arrived nearly obese, lonely and, coupled with the stress of starting life in a new huge city on my own and adapting to the demands of a rigorous graduate program, I coped by eating even more than in college while trying to find workouts to do and researching different popular diets but regularly starting or staying on them. Talk about cognitive dissonance. I told myself "if I were just thin, I would have a boyfriend, be so happy and successful." The more I thought that (which turned out by the way NOT to be true), the more I found myself ordering $20 Chinese, Indian, Thai, diner, Mexican, BBQ style delivery dinners. I ate all the time between the fall of 2002 and fall of 2003 in NYC. I made briskets, pastas, even my salads were ridiculous, loaded with cheeses, meats, croutons, and large amounts of full fat salad dressings. I hit my diner across the street late night and had chicken fingers, club sandwiches, fries, milkshakes. NY pizza was a regular treat. And of course I went in on Cookies, cakes, ice cream, you name it, on the regular. No control. By the time summer of 2003 rolled around I was 24 and had gained over 50 lbs in my first year in NYC. I was hanging out right around 355 and at 6'3, that put me at between 130-150 lbs overweight. I could no longer pretend I was just "heavy" or "thick." I was now obese and very large. Working out became less viable, my stomach was stretched, I was constantly physically and emotionally hungry. And then that summer I learned about the lap band. I had tried everything else, most diets whether sound or scams, didn't last for more than a few weeks before I gained back the 15 I'd lose + an additional 10 for good measure. The band seemed different. I read as much as I could online and began researching. I knew quickly it was right for me. In the fall of 2003, I went to a weekday evening seminar given by Dr. Christine Ren who ran the Bariatric Weight Loss Program at NYU Medical Center. It was filled with other large people like myself and we all seemed to share one thing in common - we were at our wits end and most of us were ready. I began the process. I filled out paperwork, I met with Dr. Ren's team of specialists, and I eventually qualified. I found out that my health insurance would not cover the procedure (this was 2003 after all, long before most insurance companies had their act together and saw it as a preemptive measure) and so the only way to have the several thousand dollar procedure would be to pay out of pocket. I had a trust fund set up, not a huge one - I'm not from that kind of money - but a modest one left by my grandparents. I think they imagined it would be used to start a life with a spouse, buy a house, maybe help with future post graduate education costs. But it was enough that I could pay for the band and have a fair amount left over and so I decided to go for it. I started attending support groups, and as my day of banding surgery drew closer, 12/22/03, I grew excited, nervous, but excited for the "new me." I was TERRIFIED at the prospect of general anesthesia and being put to sleep - not sure why - I'd never had surgery before other than my wisdom teeth. But I decided it was worth it. I did the pre-op diet and liquid fasts exactly as I was supposed to. I dropped 8 pounds before and the day before I weighed myself at home naked and I was something like 345. But on the scale the next morning at the hospital (still in my clothes), I tapped out at 349. Guess I was wearing a heavy sweater and jeans. That was what my documented day of surgery weight came in at. I rounded it up a pound to 350 ever since. I mean, heck, that was the basic reality. Joining the band The surgery was terrifying. I had to sign a release that basically said if I had any complications, including death, I would not hold the hospital liable. I was amped up and worried that I would go into cardiac arrest on the table. Can you imagine? At 25, and in otherwise perfect health, I was having such thoughts. And yet, I knew this is what I needed to do. It was the only tool or pathway that seemed at all possible to help me achieve my true inner trim self. And so I did it. I climbed up on that table and felt like I was having a panic attack and had my first surgery / anesthesia experience (of many to come). It was rough. When I came to, I was very out of it and in pain in the recovery room. I can't remember if I was held overnight. It's been many years and I have had so many other hospital stays since, it all blends together. When I did get home, I followed the post-op diet near perfectly. Clear liquids for a few days. Thicker liquids for the second part of the first week or so. Then soft foods like mashed potatoes, purees, soft boiled eggs, etc. The weight began to slip off like warm butter. When I moved into regular foods, and began the getting my band tightened phase, now into early 2004, I noticed at first blush how sensitive my lap band was, or should I say, how sensitive my body was to it. The smallest tightening and food would get stuck so easily, I would vomit at nothing. It was rough. And still - it was a novelty then which made it do-able. Plus, the weight was literally pouring off without much effort. I mean, the effort of being careful with what and how and when I ate and drank. But without having to worry about being starving - and knowing that if I overate, I would throw up and be miserable. So it sort of took care of itself. Over the next 15 months, I lost over 140 pounds. I hit 208 lbs. in March of 2005 and I was slender. Not just thinner. I was legitimately a tall, slender man. Clothes shopping became a dream come true, catching my reflection in a plate glass window sideways became a joy for the first time and wearing my shirts tucked in with belts - what a dream. But with the joy, relief and new happy discoveries, came other obstacles unforeseen. More surgeries and a little reality ahead One of these obstacles unforeseen was the large amounts of sagging skin on my stomach and even what were formerly (the ever dreaded) male breasts. By November 2004, it was clear how much skin remained and that quickly became my new preoccupation - getting rid of it. I was referred to a reputable plastic surgeon on Long Island who had done numerous tummy tucks and gynecomastia procedures on men who'd lost substantial weight. The surgery was to include both the tummy tuck procedure and gynecomastia at the same time, on March 17, 2005. I was 26 years old and I was thrilled - thought I was going to now finally at last, after just a little over a year ago obese, and now slender, going to have the body I had dreamed of. I was scared though, even more so than with the band surgery, because while the band placement took about an hour under anesthesia, this was going to take SIX to SEVEN hours under anesthesia. And - guess what? It wasn't covered by insurance - no surprise there - but I had to have it. So I ponied up that fee, several several thousand dollars - out of my trust. It didn't matter. This was my life, my body, my self-esteem. I had "worked hard" and "deserved it." And so when the day arrived, I climbed on yet another operating table, counted backwards and went under the knife. Oh my God. There aren't words to describe how much I was not prepared physically or emotionally for that type of operation. This was an operation. Not a "surgery" or a "procedure." A full scale operation. When I woke, if you want to call it "waking," my initial jumbled, drugged thoughts were that something had gone terribly wrong and that I was dying in the recovery room. Shouts of nurses telling me "Breathe, take a DEEP breath! C'mon!" along with a myriad of other calling my name over and over again, trying to get me to stay awake. I felt like I couldn't breathe, couldn't open my eyes, couldn't think properly - it felt like I'd been literally hit by a semi truck and was fighting to live. Guess what? I wasn't fighting for my life - this was normal. I was just in a lot of pain and under the effects of a TON of anesthesia and drugs. Recovery took weeks of wearing bandages and compression suits. Dealing with pains and drains. Meds. And constant check ups. About 6 weeks after, I had all the gauze, bandages and compression suit off, I stepped on the scale and weighed myself: 199.2 pounds. A buck ninety nine and 6'3. I was 26 years old and thin. Literally thin. Gaunt. Friends commented: "Yo, buddy, you look great, but maybe that's enough. Eat a sandwich, okay?" (Which of course, with how tight my band was in those days, was not a possibility, bread in fact, was something I stopped eating altogether and still to this day, though I have resumed eating it on occasion, really don't mess so much with). My friends were right. I look at pictures of myself then and I was thin, but indeed gaunt. The loose skin being removed caused me to lose an additional 6-8 pounds and I'd dropped a couple more yet still from how tight my band was at that time. For a few weeks, I hung out under and at around 200 lbs. I was so sick. I thought "I like the way that SOUNDS. I think I want to get down to 195, to have a BUFFER, to make sure I stay UNDER 200." For what? Because it was an abstract number that appealed to me? Another consequence unintended by the band - my perceptions of reality versus the reality of health or reality of other people's perspectives came into clash. They don't talk to you about this in lap band training. Not really. They might throw around a few catch phrases, but that work is up to you. And rightfully so. It wasn't easy though. And to this day, while "better," I still have to challenge my perceptions - frequently. Within weeks, I had climbed up to 205 and hung out there for a while. Eventually: 209. 210. And then a period of time where my body seemed to settle between 212 and 215. Which in retrospect was a healthy, nice weight for that time of my life. The novelty of the band, however, began to taper in the coming months and years. I turned 27, looked "good." 28, 29 brought more of the "I look good and I like what the band had done/does for me, but I'm also starting to hate the band and the lack of normalcy I realize I may never fully have" feelings. During these years, the picture I had for myself of myself at that self, often didn't match up with the earlier discussed little issue of reality. I shopped for clothes that were too tight, even though I was now "lean," they were still too small. I tried buying Medium tank tops that didn't fit me. I rationalized that a "large" was too big even though - it wasn't. My view was distorted. Men didn't start tripping over themselves to date me. I thought that would be "solved" and that being thin would get me a boyfriend. But it didn't. Nothing changed and I developed a deep hurt, a deep anger, and an even deep lack of confidence than before. At least when I was fat I had an excuse. It's not me - it's the weight! But trim, why couldn't I get men interested? Was there something fundamentally ugly about me that I was missing? Was this a curse? Why the continued lack of attention, the continued rejection? Oh once in a while I would get a guy interested and we'd date for a while, but it didn't seem to work and I secretly wondered if he was put off by my surgery scars and/or was it something else? Were my facial features not attractive? My hair cut/color? Or maybe, I started to believe that because I didn't have a six pack that was the problem. Even though I was slender, I started to realize that I was actually "skinny fat." No definition, no muscles. Just slender in clothes, lean appearing, but jiggly out of them. My stomach looked good - that came out really nice from the tummy tuck. But the gynecomastia not as much. There were these "divots" or small craters on both sides of my chest, that looked like some flesh had been scraped out with a grapefruit spoon, where the smooth contour of my breast area dipped down below the nipple into a small nook. I didn't realize it but the subcutaneous tissues had collapsed from scar tissue or bad healing or who knows what - I will never know the reason why. I've tried to get my surgeon to explain it to me, to fix it for me, but to this day it's still a mystery and yet one more thing I have come to hate about my body. The irony of finally being slim after so many years of struggle and theoretically ready to be shirtless at the beach but now not ready to be shirtless because of this random issue - of chest "divots." What? How does one even manage or fix that? The only attention that seemed possible to get from men was sexual. You know, a guy online or a guy at a favorite gay bar with friends, noticing me from a few feet away. I was never that promiscuous - and without making this story all about that - let's just say - I became more promiscuous. I wanted love, but was willing to replace love with whatever physical affection opportunities, even if temporary, presented themselves and met with some minimum standard. It's not easy at 29, to realize that being thin was not solving or satisfying all that I thought it would, when it came to attraction and love. I'd had a few boyfriends here and there in life but nothing super long-term or successful in the long run. I believed that the issue must be with my chest and began an arduous process at 27 of under going revision after revision. My plastic surgeon did the same speech and dance each time the revision didn't work as he had predicted it would: subcutaneous tissue this, skin healing that, fat alignment this, don't worry we'll make you happy no matter how long it takes that. I, young, insecure and desperate to achieve what I thought I was owed, lined up willing to under go any hurdle. Even involving anesthesia, a fear so big that I probably qualify for a diagnosis or phobia if there is such a thing. Funny that I stupidly shelled out the "cost" for these revisions, which was a few thousand a pop to factor in a reduced fee for him, surgical costs, anesthesiologist costs, etc. It's now been 11+ years since that original plastic surgery - and I'm still not happy with my chest. After my 6th revision in 10 years, completed last July 2015, one side - the left side - is finally finished to my satisfaction. I was never looking for perfection - just a normal, flat, non-divot appearance. The left part of my chest has finally achieved that. The right side still has some remnant of that divot. The surgeon, who has long ago stopped being sweet and full of promises with me, has now reluctantly agreed to give the right side alone one more go on July 21. This time to my sheer relief, no anesthesia, other than local, will be involved. He thinks it will take 40 minutes and I can be completely awake, with no sensation from the lidocaine and along with a cocktail of Versed to keep me relaxed, it should be a very simple procedure. To the plastic surgeon's credit, the right side, while still after 6 revisions is not fully there, is closer than it has been. The surgeon thinks this will be the last and final time and that it will match the left side after it's done. I know myself that it will be the last and final time because regardless, I'm done after this. I've given it my best try. From here on out, the quality of my chest appearance will have to be derived from as far as his gynecomastia + the revisions has taken it + my future weight lifting and healthier lifestyle can make it. The rest will be what I can do to accept myself and feel sexy and confident with my chest as is. It's not hideous. Some people say it looks good. The trick for me is as I get older, letting go of unrealistic dreams of lovely pecs that may never be. And that is okay. It's becoming more and more okay. ​The in-between years: Slips and sticks Years with the band passed. In 2008, a couple months shy of my 30th birthday, I was now learning to "eat around the band." I had learned some good habits with the band and made some good self discoveries about myself and how and why I ate, triggers, and in general, had begun trying to find healthier ways of eating. But the binging never completely stopped and the emotional urges to eat, triggers, all of that, while maybe slightly diminished, never disappeared. In June 2008, I noticed that I was having tremendous pain in my band and that nothing was staying down, not even Water. It was dire. At some level I knew that this was more than being too tight. In the NYU Medical Center ER, on a Sunday evening, they were initially not sure what the problem was. They admitted me overnight and the next morning I was given an esophgram - which brought about the dreaded results: slipped band AND a hiatal hernia. I was devastated and scared when they said that they were immediately prepping an OR for me and that I would be rushed into emergency surgery. Part of me had had it. I thought "I've lost the weight. I could survive without this band now." But when the bariatric surgeon on call came to speak with me, he said in no uncertain terms when I asked about taking it out and leaving it out: "Foolish. I can take the band out and not fix it, and not re-band you, but you will absolutely gain all the weight you lost back. The results are conclusive. You wouldn't have a chance to keep it off." And I believed him. And who knows, while part of me is angry for not getting another opinion or standing up to him or saying "well, screw that, tell me how I CAN fight this and live without such misery," part of me feels like "okay, maybe I was not ready then. Maybe I still did need the band." I was prepped for surgery, rushed in, quietly crying, convinced I was going to die, my usual surgery/anesthesia phobia in high gear. Final preparation happened as I was brought up on the OR table, IV inserted, versed, anesthesia, darkness, begin. I came to and was told it was all fixed and that I was successfully re-banded. I cracked jokes and way too looped up on pain meds, I told the surgical resident when he came to check on me in the recovery room after, that I loved him. He shook my hand, high tailed it out of there, and it wasn't until later that I felt more than sheepish and cursed this cycle of never ending surgeries, all from a self inflected weight gain from years earlier - that I did. I had caused. I did this to myself. Let's be honest. That is perhaps what hurt most of all. Until 25, I never knew the inside of an OR. After, I knew it frequently and had come to quake in its presence. Life continued as a lap bad patient. Time rolled forward. I tried getting filled a couple more times as my weight in 2008 started to creep up, out of the 210's and into the 220's and 230's. But I couldn't tolerate the tightness. My body was so sensitive and the pain and inability tolerate it grew with each passing month. Any restriction seemed to irritate my pouch and stoma and life became an embarrassing array of me rushing to the mens room at restaurants with friends to go throw up some stuck food, me avoiding certain foods like asparagus or meat that seemed too tough to avoid such embarrassment, me trying to eat healthy but then giving up and eating junk food that I knew would just go down easier. It became an array of pain when something I ate got stuck and it became a constant fear that I would end up having my band slip again. And yet I hung in for the long haul. By 2009, I had had most of my Fluid taken out of the band - all but maybe 0.2 cc's or some symbolic amount like that. And I stopped going into my surgeon's practice. I went on with my life with a nearly deflated band. I went up and down in my weight. By now, my daily eating ritual had devolved to eating what I wanted and especially when I was not trying, I used water or soda or other cold beverages with each meal to push food through my stoma into my pouch until I felt the "ploomp" feeling of the food passing through. That feeling became pure joy. I learned how to manipulate the band and eat around it. I no longer ever ate without pushing food through with liquid. Of course that came to backfire every once in a blue and got me hopelessly stuck. But I would sit out of the game for 12 hour or so and then be back in with full force. The band was not doing so much to stop weight gain anymore. I let it become a useless instrument. In August 2012, at 33 going on 34 and just under 9 years with the band, I was at my heaviest weight since getting it put in. 265. I wanted to be 215. That means I had re-gained about 50 of my original 140 weight loss. To me it seemed like a nightmare, but in retrospect, it was pretty amazing that I had kept the vast majority of my weight loss off for so many years and even at my heaviest, I had only regained about 35-40% of my weight loss. I immediately took action and got on Weight Watchers. I had heard so many good things about it. And now I decided to see, with a deflated band and while still not too big, if I could stop the bleeding without depending on a silicone donut to do it for me. And guess what? Pounds started melting away again but because of ME. I did the work. I started grocery shopping every weekend at Whole Foods or Trader Joe's and menu planning. I cooked healthy meals and weighed and measured my food. I educated myself on eating more whole foods and less processed foods. I still had triggers and mild binges on occasion but now when I did, I COUNTED them and owned up to them and tried to understand at least what was causing them. If I decided to say "the heck with it, I'm getting 3 glazed Krispy Kremes," then I asked myself "what's really going on here and why?" I made myself at least know why I was doing it and even if I still went through with it after- which I often did - I tried to be at least conscious about it. That was something that counted - and tangibly helped me grow further than I had up until this point previously. The very beginning of the end of the band Weight Watchers lasted for about 10 months and saw me lose a total of the 39 of the 50 pounds I had regained. I came within 11 pounds of being back at my goal of 215. Without the band. And then it all went downhill. In 2013, my dog, my beloved best friend, was diagnosed with Cushings disease and if you know what that is and what it means for a pet - the amount of work, the amount of witnessing them suffer, the amount of money spent trying everything - then you know what a toll it takes on you and your pet. Factor in that I was not the happiest in my career and in my life - and I found myself falling off the wagon of Weight Watchers for a couple weeks - which turned into a couple months which turned into I was no longer on Weight Watchers and eating whatever I wanted. Between June 2013 and early 2015, so a solid year and a half, I went down the darkest eating hill I have gone down since having the band. I caved. I ate everything and too much of it and my band didn't stop me. Other than every few weeks stuff getting stuck, causing me to be sidelined from eating for 12 hours, I was able to eat with almost the same gusto as I was before the band. Oh how the mind tricks you on weight gain. Sure, I knew I was putting weight on. But I'd say "hmm, well, it's been 6 months since I've been off WW, and while I feel a little thicker, I am guessing I have probably gained maybe 2-3 pounds a months and have put on somewhere between 15 and 25 pounds. So maybe I'm like between 230 and 240." Then: "hmm, well, it's been a year since I've went off Weight Watchers and I got very involved in the gym and working out with a trainer recently, so I think even though my eating and stress has been a nightmare, I think I've mitigated some of the damage. I am probably at like 250. After all, most of my clothes still 'fit.'" Finally, after two years of fighting to get my dog stabilized and healthy, his health took a huge nose dive in late January 2015 and over the next two weeks a hell on Earth began trying to literally save him. I lost that battle on February 15, 2015 and at a few months shy of his 9th birthday, way too young, my beloved hound mix passed away in my arms on the way to the ER vet. (His third time going there in less than 2 days). There aren't words to describe the devastation. To this day, nearly a year and a half later, it's too much. After he died, for a week, I literally stopped eating. Listen, when I am upset - I eat. But this? This was beyond upset. If I wasn't eating, this was pure devastation. But, as the initial shell shock and utter grief moved into numbness and disassociation, the cravings returned with a vengeance. I am convinced that between late February 2015 and six weeks later, in early April 2015, I put on a good 15 pounds alone. In early April, most of my clothes now didn't fit and I had been telling myself for MONTHS, "you must get back on the horse. You will wind up gaining all your weight back. You cannot let this happen." My dog had died, I was sad, but there was no longer an excuse. And so I returned nervously but full of hope to Weight Watchers and re-joined on April 15, 2015. The weigh in was crushing: 289. Nearly two years of out of control eating and I had gained from my low of 226 on WW, approximately 63 pounds. That's approximately 31.5 pounds a year. That's 2.5 pounds a month. Guess what? I was right at six months. I probably only did weigh around 240 then. It's the fact that for the first time since 2003, I had let myself not get back on the horse and had just nearly given up. I had literally regained 60% of what I lost. I was determined to STOP it now, and I did. One small note to add: in August 2014, I ate something and became so stuck by the band, that I could not eat for 24 hours and the pain became unmanageable. I went to the ER in Methodist Hospital in Brooklyn where I now lived. At 35, going on 36, I was yet again facing another lap band slip and thought "if it is, it's coming out. I will manage. I cannot live like this." They hospitalized me to get fluids in me and examine me. They did an esophogram. It showed no slip but that the band was tight and my stoma and esophagus was very painfully inflamed. An on call bariatric surgeon was paged to meet with me. His message, naturally, was the same as the other on call surgeon back in 2008: "I'll take the band out for you if you want, but just understand you'll regain all the weight." I was livid. "No! I will not! I will not let myself!" He was insistent. "Yup, you will. Not only will you gain it all back, but you'll gain extra too - you'll be bigger than you ever were before and you'll do it very quickly." I argued that a year earlier I had made tremendous progress with Weight Watchers and that my band these days was useless, it was nearly empty. His response? "Doesn't matter, the band sits on your gut and presses on nerves that reduce hunger craving hormones. Once you get that band out, your appetite will be insatiable and all your old habits will come back." Do you know what he said next? "It's your destiny to be obese. You cannot be a healthy weight with out some form of weight loss surgery." I rolled over in my hospital bed and looked at the wall trying not to break down and cry. I felt trapped. He left the room and I never saw him again. The regular doctor withdrew the remaining 0.2 cc's left in my band from years earlier, and I was released the next day after I was able to swallow a cup of water and hold down some Jello. I left that hospital defeated and continued to gain weight. I now had a COMPLETELY empty band. Deflated. Nada. Nothing left but a loose silicone band. Which made my last several months of my eating frenzy even easier. When I finally re-joined Weight Watchers approximately eight months later, for my second time, my life yet again changed drastically. Now I was back on plan with a vengeance. I started where I left off. All the good habits and learning and planning and accountability. Now I did something new: before I used to do meetings but would only attend periodically and then it became online WW until I dropped out. I now attended a meeting every single week that I was in town. I shopped, I cooked, I planned, I allowed myself some flexibility and treats and I discovered that I could really eat a lot of delicious, satisfying foods and actually felt more nourished and satisfied eating this way than I did when I was out of control. I was able to eat out, drink beer, wine, cocktails, have a lot of what I wanted - and I was losing the weight fast. By February this year, about 10 months after I restarted, I had lost 62 lbs through diet and exercise. I weighed 227 and was 2 pounds from my new, more realistic goal of 225. (Which my doctor signed off on and approved since Weight Watchers says your goal weight for lifetime membership must match the approved charts - at 225, I am pretty slender - but according to the charts, for my height and age I am supposed to be between 185 and 195. Ha! My body would never get there and even if it did, I'd look like a famine victim). I got 2 pounds from goal and then I hit a NASTY plateau. I became defeated and started slipping on plan. I gained a few, lost a few, gained a few, maintained a lot of weeks that I worked my ass off and was so frustrated. To taste it - to be that close and just miss it. But something else started happening. I chilled out. I was hanging around my 230's at this time and other than getting off plan and eating whatever I wanted for a week or two, I noticed, I was getting BACK ON PLAN, faster and completely committed. I went to Ohio in late February to visit college friends - that was one time I got way off plan and then within a week, got right back on. In late March, I went with family to the DR to an all inclusive resort. The food was amazing - yes - I got off plan. Within a week after? I was back on plan. And in late April, I went to LA for a week for the Jewish holiday and to spend time with a friend for her 40th birthday. Yes. I got way off plan. And by May, two weeks later? I was back on. Here's what I have learned that I think is crucial for us compulsive overeaters, us emotional eaters, us up and down and life long weight strugglers: We will slip. We will be triggered. Lap band or no band. The key is to try to 1.) Be aware of when you are struggling, why you are struggling, what is causing the overeating, emotional eating, etc. 2.) Challenge that behavior / mitigate that behavior WHEN you can. I have started to do this with myself now and it's new for me - I can talk myself out of a bad eating moment and replace it with healthier behavior - not all the time, not even half the time - maybe 20% of the time. But that's a BIG improvement and important! 3.) This is the most important: if you find yourself slipping, as we all will, acknowledge it and SET A DATE for getting back on the horse. That date could be in one hour, one day or one week. Heck, it could even be a month if that's what it takes. But SET THAT INTENTION and STICK TO IT. Don't let it go 4 months or 9 months or 2 years like I did when I got close last time and it all fell apart. Be accountable and aware and willing to GET UP when you FALL DOWN. I think that right there is the key to winning this weight battle and to maintaining weight loss or taking off weight. Here's where I am grateful to my lap band: I could never have lost 140 pounds on my own. I have lost 62 pounds on WW and though I've been caught in a plateau for the last few months, I'm only ten pounds up from my lowest weight back in February. I have not thrown in the towel and I will not throw in the towel. I will soon engage another weight loss cycle and I will hit my goal of 225. I know I will. And then I will work hard to maintain that on lifetime maintenance with WW as best I can. There will be literal and figurative ups and downs. But none of this, where I am at today, would be possible had it not been for the band. I was not ready for Weight Watchers and that commitment back at 24 years of age. I would have liked to have been, but I wasn't. And even so - me losing 30, 40, 50, 60, even 70 pounds on Weight Watchers is one thing but losing 140, more than twice the amount I set out to lose this past time - is another story entirely. I know I could not have done it then - and I am not sure if I would be able to even do it now, with as far as I have come. Regardless, in 2003, the band was the only tool I could find at that time that allowed me to take that kind of large scale of weight off - and effectively keep it off for a long time after. Eventually, the tool became less effective and I clammed up in seeing it and figuring out what to do about it. But in the end? I am where I am today because of that lap band. Better or worse. And I personally think even though rocky and bumpy as it was, it's better. I am better for having had it as a part of my life. Scars and all. The actual end of the band A few months ago, I started noticing that I was getting tight in my band - that was empty. I started getting stuck on foods I should not have been getting stuck on. When I had my "stuck episodes" the episodes were BAD. Violent. Out of nowhere. Rendered me unable to function. Yes, I was used to the occasional getting stuck because of my complicit misuse of my band. But this was different. This was a new kind of stuck. In addition to a full time professional career, I also teach college as an adjunct professor a couple evenings a week. During one of these classes, in late January of this year, I took a sip of water while I was teaching. Something that had not passed through earlier and was mildly stuck - but not in such a way that it really bothered me - suddenly became VERY stuck, with 20 minutes left of my lecture to go. I should have been given a Tony Award for my acting performance. I think the color drained out of my face, but other than that I managed to be all smiles and on point but inside was DYING. Trying to hold it together. I ended class five minutes early and made a beeline for the bathroom. I threw up but it was not resolved. I could not eat for another 18 hours. Imagine my horror when, in my other class that I teach, a few weeks later in February, during a 5 minute break, I got stuck on trail mix. Badly. Trail mix?? That was usually a no problem food. Not this time. I ran to the bathroom for the remaining three minutes of the break and puked like my life depended on it. I knew I was in rough shape. The waves of pain radiated up my chest into my throat. I could tell that I was so inflamed and tight that I would not even be able to get one drop of water down. I had to return to that class and continue teaching in pure misery. I couldn't stand it. I am not sure how I got through it, but it was a new low point for me. A point of no return. I couldn't live like this. In my 13th year of the band, now at age 37 (imagine, I was 24 when I started this journey!), I was starting to have had enough. And not just thinking "maybe this is enough." The uncontrollable feelings became that it "was enough. Definitely enough. Too much." I started thinking constantly about getting it out. Every time I'd have a stuck episode, and they kept coming, and the pain increased, I fantasized about pulling the plug once and for all, and GETTING IT OUT. I was approximately 120 lbs less than when I was banded, nearly 13 years later, and yes, while I'd gone up and down a few times over 13 years, I had mostly kept the the bulk of the weight off and recently, I was learning to finally be more aware than ever before about my eating and to get back on the horse when I lost my way within a couple of weeks. To hell with what these few weight loss surgeons had said to me about "you will definitely regain all the weight and then some if you take the band out." What? No, I won't. I have learned how to stop myself now. Give me a little credit as a functioning human being - I think I've earned it. Look past your statistical research and numbers and look at the individual patient, doctor. Look at ME. I began to realize that this band has not kept the weight off all these years. It helped me LOSE all the weight and initially helped me maintain it, but it is ME who has done the work to keep it off and try and maintain the bulk of the loss and the band - ? No longer really helps. I am the one, I do the work. I don't need this misery. I had far more control than I had ever previously given myself credit for and dawn was starting to break on me realizing this powerful truth. The problem was my health insurance. I had done a cursory search and had found that in 2016, my union insurance did not cover weight loss surgeries - at all - period. So, not only was I shocked that they were such dinosaurs about it, but figured "well, there goes that, cause I don't have the $8,000 extra right now or whatever it would cost, to have this safely and properly taken out." March and April passed and the episodes continues. In the middle of this past May, just five weeks ago, I had such a bad episode I almost went back to the ER. I could not eat for 24 hours - not even sip water. I was in pain. It was misery. Desperate, I finally called my surgeon's office whom I had not called in YEARS. What was wrong with me that I suffered all this time alone and in silence? I had emotionally moved beyond my band and now even resented it. Is that why I didn't have the clarity to ask for help, instead of holding it in alone? Instead of making assumptions? Was it out of fear of my insurance saying "nope, band removal not covered, you're on your own." Would that anger me so that I feared hearing that and then REALLY feeling stuck (literally and figuratively)? Was I avoiding having one more surgeon tell me "fine, I will take it out but you will regain all the weight and fast." Or was it that deep down, I believed that I wasn't actually capable of keeping the weight off WITHOUT the band? Was that what was holding me back? I suspect there were tomes of all of these thoughts that held me in chains for months and even the last few years that I was ready to take this step. But by May, after that particularly harrowing episode, something instinctively, desperately said "enough. You cannot continue like this. Ask Dr. Ren for help." And so I did. I called up for an appointment and it's like, the easiest answer all along poured out of the skies and my life took a major turn that I am so grateful for. I had an esophogram done the morning of my appointment with Dr. Ren, June 1, 2016. After swallowing the barium, the results were sent to Dr. Ren's office and upstairs to her suite I went. After meeting with the nurse and going over the situation, Dr. Ren came and met me and invited me into her office. She was wonderful in 2003 and she's wonderful today. I really hadn't seen her other than in passing over the years and we sort of both had this moment in the hallway where we realized how long it had been. We joked about how much younger we both were then and marveled at how much life had changed and thriving her practice had become over the years. She sat me down in her office and asked me what was wrong. I told her. Everything that I have written above, in so many words. And what she said astounded me. It went something like this: "You have done such a good job with your band. Some lap bands last longer than others, but many don't last for life. 13 years is a GOOD run with a lap band. That's a long time. In looking at your esophogram results, it's no wonder you're having the problems you are. I see swelling and inflammation on your lower esophagus - and not from a recent episode from the other week. This is more long term inflammation caused by the pumping your esophagus is trying to do with an irritated stoma and possibly too tight of a band. Even though it's empty! It must be so painful. It's time for your band to come out." I felt like I'd won lotto. Like every cloud ever, not just the current clouds, but the past clouds, didn't just clear - but evaporated. I felt heard. I felt vindicated. I knew it. But what about regaining weight? We had a long talk about how she normally always feels in agreement with what the other surgeons had said - that the vast majority of people having their lap bands out regain the weight. Most of it or all of it. But - that a small group does not. Some people have managed to keep the weight off through that hard type of work I have been attempting to do - yes - without much help from the band. And my dogged and determined efforts showed that I was a possible candidate for keeping that weight off. She said that if I could commit to Weight Watchers and if I could stay on it, get to maintenance and get back on that horse quickly after I fall - she didn't see why I couldn't do it. We talked about the sleeve and other newer weight loss surgeries - but I just didn't have it in me and she UNDERSTOOD and RESPECTED it. I was thrilled. Dr. Ren also told me that there was now a non-surgical weight loss doctor in her practice that she recommended I see as well. I agreed to do so. And best of all? She said "of course your insurance will cover your band removal. Your esophagus has some damage - it is reversable but it needs to get out now and that's a medical necessity. She walked me over to her billing specialist who investigated it and she said "what is your insurance? Oh! We've had a few people who have had it out with your insurance. This should not be a problem when we submit it as a medical necessity" (which it was). She said she would presubmit the claim and we would schedule the date. It all happened so fast. Dr. Ren does 1 Saturday morning a month in the OR, the rest of her surgery days are something like Mon and Wed. Monday was not great as I didn't want to have to take a whole week off of work for this or you know, half the week. And Wed sounded good but she was booked through August on Wednesdays (and this was back on June 1). The billing specialist who does her surgery calendar too said "hmm, if you'd want to come in and do it on a Saturday morning, she has her one Saturday a month this month on June 25th. I have one spot left." I scooped it up right there and then. Details got planned. I would need pre-op blood work, an authorization from my doc, she would have to make sure the claim was approved by my surgery. I would need to take the Friday before off from work (for me for self care) and the Monday after off, which was no problem, I would need to pick up some supplies, prep emotionally, arrange a family member to be with me/pick me up day of surgery, and decide who I shared this info with. I scheduled an appointment for Dr. Lofton, the non surgical weight loss doc that Dr. Ren recommended. She was highly booked and hard to get me in. They put me on a cancellation list and on June 10 they called me and said "hey, we have a cancellation on June 13 first thing in the morning, can you be here?" YUP! I made it happen. Dr. Lofton and her PA were great. They looked at my history and ultimately she recommended a medication called Saxenda, formerly used as an insulin controlling daily injectable for diabetic patients, it became marketed in 2014 as a new weight loss medication that has shown to be quite successful in diminishing appetite and feelings of satiety by reducing a hormone in the gut that causes hunger - the same one all of these bariatric surgeons were referring to when telling me "even if your band was deflated, it's been reducing a hunger inducing hormone." Hey! How about that? So - the plan was I would pick up the Rx, if approved by my pesky insurance - and keep until after the band was removed. I would spend a few weeks seeing what it felt like to be "normal" again with no intervention, get familiar with my baseline hunger and if I noticed I was too hungry or eating too much, then I would give the Saxenda a try. I will have to inject myself once daily in my gut, leg or arm and it apparently does not hurt and is easy and no big deal. I am 100% willing to try it if I need it. And after an initial denial from my insurance company citing the need for prior authorization, Dr. Lofton's team was able to get said prior authorization and last week I picked it up and brought it home and have it ready. This month of June flew by. Before long it was the eve of my surgery and I was terrified. And excited. But more terrified. 4,569 Days (12 years, 6 Months, 3 Days) I have been terrified of surgery, since I mentioned before, in 2003 when I first had the band put in. It's something about the combination of worrying irrationally that I will go into cardiac arrest on the table and never awake again - combined with the idea of being cut open, combined with the idea of what it can feel like to wake up throwing up and out of it and having people yelling at you to take a deep breath while being wheeled naked in a gown down a bright hallway to recovery - that has rendered me a frozen five year old being asked to jump off a high dive. I knew I would be terrified but until last night, I didn't realize how much. I managed to get myself into the hospital on time. Upon arriving at 9:30am for my check in this morning, there were several fire trucks parked in front and in the main lobby, the fire alarm lights were flashing while firemen rushed around. They took out all elevators and I was told, "if you want to get to the fourth floor you'll have to wait and it could be a while or you'll have to take the stairs." It's a good thing I'm relatively lean and in shape. And that it was the 4th floor and not the 14th floor. But - I of course internalized this as a sign of "you are being warned, this is an emergency waiting to happen, you are going to crash and die during surgery." I won't belabor the rest of the details of my tremendous fear. During the check in and pre-op holding area where I changed into my gown and was counseled and examined by a lovely nurse - I was practically giving myself a heart attack. I go through this near every time I have surgery now. A lovely small moment that helped was that as I was lead to a curtained cubicle with a recliner chair where I was to change and be examined pre-op, I saw a young man laying the curtained stall across from me. He seemed maybe 17 years old. He was Latino, had braces and was scrubbed up and ready of this own surgery. His parents sat eagerly next to his bedside and held his hands. A Spanish translator was speaking gently in Spanish with them and he, the young man, seemed to not be paying attention too much. He followed me with his eyes as I was seated in my stall and watched me closely. When I finally made eye contact with him, he smiled sheepishly and waved timidly at me. As if to say "I'm scared, are you? We're both about to go through this together." This young man had to see someone much older than him, but perhaps younger than his parents and the closest person who could understand what he was about to go through. I recognized it in his eyes. We kept smiling at each other every so often over the next 30 minutes, while the nurse came in and took my temp and blood pressure, and explained the surgery to me, had me confirm my name and date of birth, while his surgeon, a middle aged white man came and spoke to him and his family and translator - during this whole that they prepped both of us, we searched for each other, 20 years apart in age, but somehow totally intertwined in what we both were preparing for. I tried to send him soothing, reassuring facial expressions. His youth and kindness and desire to have but a small connection in the wake of such a frightening, uncertain trial induced me to put aside my fear for a moment and care for him, instead of perseverate on my impending death. Soon, he was wheeled away by an orderly and his parents walked away, slowly, mother crying, I heard the nurse directing them to the waiting room and saying that he would be okay. As he was wheeled away, he gave me one last glance, as if searching for clarity in what would happen next. My nerves returned, but there was a deeper force in me now, one that was rooting me on and saying "if you just get through to the other side of this procedure, you will find a freedom for which you've searched for not just the last 13 years of this lap-band, but your whole life. For 37 years. It's not that I thought, like when I got the band in, that my life was going to become AMAZING. I was simultaneously having fears about regaining so much weight and knowing how much work was going to be required. But - a feeling that I could now feel healthier, take this step on my own, get the training wheels off after more than a dozen valiantly fought years, some improvements - not perfect - but some - and that gone were the days of getting stuck and maybe now I could eat kale and asparagus and a not worry about the ramifications. Now I could be intimate with a partner and now worry about them feeling my giant port and saying "um, what is that?" Now I could go out to dinner and eat unencumbered - not meaning pig out - but just not worry "ugh, what happens if I get stuck in front of these people who know not of my situation and have to run twice to the bathroom?" After so long, I was going to be at last free of this. One way or another. Soon they came for me and it was my turn. They wheeled me away out of the pre-op staging area and brought me to a patients only elevator. I watched countless doctors and nurses walk past me, register by the look in their eyes that I was on my way to the OR and you could see the curiosity: "hmm, he's young, wonder what he's having done." My surgery nurse met me at the point of no return, double doors where scrubbed up personnel only were permitted to pass. She spoke to me for a while, had me sign some papers again and then wheeled me inside those doors. She parked me outside the OR #4 for while she walked away to find someone. I looked inside the window on the door of the OR trying to see if I could figure out if it was going to be my OR. Inside was a plasma TV screen and on it I saw a long metal wand pointed at what looked like someone's intestines, smoke wisping out of the end of it as it cauterized and made a high pitched sound I could hear through the doors. "Bzzzz." I realized they were in middle of surgery on someone and wondered if it was my 17 year old friend. I thought of his frightened face and thought about how by now he was most certainly unconscious and under way, whichever of these many OR doors he was actually behind. Soon the surgery nurse returned and wheeled me down one more door, to OR #5. I considered whether or not I liked the sound of OR #5, there seemed to be best I could tell up to 12 OR's on this floor and I decided I liked the sound of #5 and its placement, as she parked my wheelchair and motioned that we had arrived. It took all I could get to muster up every last ounce of strength when my moment came, that I had dreaded for the last several days, of climbing up on that operating table this morning. At NYU, they wheel you to the door of your OR and then you get to walk your ass in and climb up on that table. It's so clinical and sterile. No windows, no music, no TV. Just like 6 random scrubbed up people prepping instruments, the plasma screen, your table, etc. They got me on the table, tears streamed down, they tried to soothe me and work quickly. To my nurse anesthetists credit, she got my IV in no longer than 6 or 7 minutes after I got on that table and within another 2 minutes, they'd delivered a strong dose of versed. I thought about my mom who had passed away years ago that I missed and asked her and God to be with me. I asked for forgiveness. I thought of my grandmother who I had loved in her life - and I thought of even my dog! His sweet face and constantly happy disposition. His wagging butt and smiley nature - it actually made me feel better! I thought "whatever happens, God, it's out of my control and in your hands. I am letting go and trusting. And if I make it through, which I am choosing to have faith that I will, the real test will continue after, as I move forward with eating healthy and staying trim WITHOUT these training wheels." Around that moment, I was very loopy and high on versed, sleepy but I remember the anesthesiologist had suddenly appeared and vaguely was aware of him saying it was time to deliver the anesthesia and commenting "ohhh, i think I feel it coming, it feels..." That was all I remember. Like every time before. And like each time before, I was immediately aware of beeping machines and voices and a woman's voice calling my name. No real sight at first, just a strong fatigue and desire to sleep mixed with a desire to be conscious and - the very happy and grateful feelings of "oh my God! Oh my God! I did it! I'm done! I'm on the other side!" Like finishing the dreaded mile I used to run in junior high. Dreading it all day, not because I hated running it but because I hated the feeling of trying to remain in the middle of the pack, the fear of falling behind and coming in last or second to last. Knowing that I had to blend in and fight to keep pace, fight to not be made fun of for failing. At the end of the mile, stepping over the final stride, came always an exuberant elation, not because I had set any records or felt proud of my run necessarily, but joyous that I was FINISHED, it was not me who now had to dread it, it was behind and I had survived and could go on with the next order of business that preferred fare more than that. So is waking up for surgery. I didn't love it. I hated it in fact. But I survived. I was on the other side. And though I was becoming aware of pain and fighting the super high effects of Fentanyl and Dilaudid (simultaneously wonderful and frightening), I felt a constant relief that no matter what I was here now. I slept and woke and in between blurted out crazy comments to my dedicated recovery room nurse about banana pudding, banana cream pie, about how I hoped she was not voting for Donald Trump (which I would never say to a nurse I didn't know under a non-drug induced state and to which she replied "what do you think of me? Of course I would never!" I am still feeling lucky that I wound up with either a polite nurse who lied for my sake or most likely being New York City, a sensible moderate or liberal). I was brought ice

Hey Guys! I haven't made it to the Tennessee thread lately, I gotta check it more often! I live in Soddy Daisy, TN and was banded in late May by Dr. Rose in Chattanooga. Just had my first fill last Tuesday and am doing great! I have noticed some hair "shedding" the last couple of weeks. I get in my recommended protein. They say that the stress from surgery itself can cause hair to shed, along with substanital weight loss.. I've got a lot of hair, so I'm not too worried about it. Happy to talk with you guys and compare notes any time! Congrats on your weight loss everyone!

I am really glad that I found this website. It has helped me so much to face the real issues with my potential surgery. I have been researching for 2 years and I am getting banded in October. I have to say that last night my reading sent me into a panic. Here are some things that I know I can live with even if it will be hard: 1. loose skin--how much worse is that that fat, stretched out skin? 2. my abusive relationship with food. it has been a long road but the things that I have to give up are not really good for me anyway. I have done a lot of planning for this part. I am as ready as I can be for this. 3. More wrinkles, I assume some are hiding under here;-). 4. The pain of surgery and recovery. Here are some things that I don't know if I can deal with: 1. hair loss- I have already lost so much hair from Metformin (anti-diabetic drug). I know this sounds vain but I just cannot go bald here! 2. The gas!!! I am extremely conservative about this issue. I cannot be walking around passing gas all the time for the rest of my life or even the next year. I just starting going back to school and I am horrified enough being the fat, old girl in class with a bunch of 20 year olds! I cannot be the fat, old girl who passes gas in class!!! I just cannot. 3. The obsession that seems to come with surgery. I don't want to weigh myself everyday and worry that I am able to eat and not losing enough weight. I just don't want this to define me. I realize it will from now until a while after surgery but I just don't want to obsess about it all the time. I know this can be different for everyone but I am seriously considering cancelling the surgery because why don't I just eat less and exercise to lose weight. Yeah, I know, I have been doing that for 10 years without success and I have 3 small children who need a healthy, active mommy that will be around as long as she can be. I am just FREAKING OUT!! CAN SOMEONE TALK ME OFF THE LEDGE??? I have a support system but not one that understands fully what I am going through. Thanks! Jaime

I had my WLS on April 19th of this year. I have lost a little hair, but nothing I can't hide. (Thank goodness, because I have thin hair to begin with) I was wondering if there is a safe time or a time that we can stop worrying about hair loss. As I approach my 6 mos. date, I'm getting hopeful that the worst of the hair loss my be over. Is this premature? Thanks for your imput.

“I want to lose weight and get healthy this year.” That’s what we all want, but that’s not a solid resolution. A resolution says what you will do and how you will do it. It is clear. It has purpose. Taken together, all of your resolutions can add up to losing (or maintaining) weight and getting healthy. Here are our picks for New Year’s resolutions and why. “I’ll Make the Call Now” Are you considering weight loss surgery? Are you worried about an odd feeling in your throat after getting the lap-band? Do you have a question about whether a certain protein powder is safe after gastric bypass? Get help – now! Too often, we have a tendency to delay. It may be phoning all the surgeons in town to gather WLS information, calling your nutritionist with a diet question, or being on hold with your health insurance provider to find out whether the gastric sleeve is covered. Whatever the call is, make it now. Don’t put it off. It’s a way of prioritizing your health, and the good habits will rub off in the rest of your journey. “I’ll Eat 5 Servings of Vegetables Each Day.” Does this one come as a surprise? Did you think we’d start with protein? Here are our reasons for including a veggies resolution near the top of the list. Most people don’t get enough veggies – but they do get enough protein. Even weight loss surgery patients tend to get enough protein after a few months, while they don’t get enough vegetables. Vegetables are low in calories and super filling. Long term, it’s veggies that will reduce hunger so you can keep losing weight and eventually prevent weight regain. Eating more vegetables is linked to lower risk for heart disease, diabetes, stroke, osteoporosis, some cancers, and even dementia. They’ll help keep you regular because of their fiber...and that’s a big benefit for weight loss surgery patients! Unless you’re on your pre-op or post-op liquid diet or you’re having trouble swallowing, there’s no reason not to aim for 5 servings of vegetables. You can have salads, raw veggies for snacks, and steamed veggies on the side. You can also sneak them in, whether you add pureed eggplant and grated carrots to turkey meatloaf, double up on tomato sauce when you have low-carb pasta, or whip pumpkin puree into protein pancakes. “I’ll Drink 10 Cups of Water Each Day.” That’s 80 ounces. The standard recommendation is at least 64 ounces, but we think more is better when it comes to water. It helps you recover faster after surgery. When you’re even a little bit dehydrated, you can get headaches, feel weak, and lose energy. Plus, your metabolism slows. Go for plain water or low-calorie, sugar-free alternatives. Have them available throughout the day, whether it’s a water bottle in your car, a mug of decaffeinated green tea on your desk at work, or a pitcher of water in the fridge at home. “I’ll Use the Tools I Have.” The sleeve, bypass, or band is one tool for weight loss, but are you using all the other possible ones? Here are a few that are at your disposal. Nutrition labels. Do you really know what’s in the food you eat? If you’re not reading labels, you might be very wrong about the ingredients, number of calories, and amount of sugar in your food. Tracking apps. Research shows tracking your food helps you lose weight and keep it off. It holds you accountable and helps you make better decisions. There are so many apps now that track calories, protein, fluid, and anything else you can think of, and it takes only minutes a day. Measuring cups and spoons and a kitchen scale. If you’re guessing about your portions, you’re probably guessing wrong. Don’t put in all the effort of losing weight, only to be disappointed by the scale if it turns out you were eating more than you thought you were. Measure your food. Smaller plates and bowls. Smaller dishes help you take smaller portions. Smaller spoons and forks. When each bite is smaller, you eat slower, and tend to eat less naturally. You don’t have to use them all at once, but you might as well give each of them at least one try. They may help you lose weight without much more effort. “I’ll Eat My Protein First.” Don’t worry, we weren’t going to skip the protein! It keeps you full for longer, helps you maintain your lean body mass, and lets your immune system stay strong. It’s also helpful in preventing hair loss after surgery. Think of protein first when you plan meals and snacks, and eat it first so you don’t fill up before you get to it. Go for lean proteins, such as skinless chicken breast, fat-free cottage cheese and Greek yogurt, canned tuna, fresh fish, tofu, and beans. Skip processed and fatty options, such as bacon, ribs, and sausage. “I Will Exercise Most Days.” It burns calories, reduces stress, and keeps you focused. It improves mood, lowers disease risk, and gives you confidence. What’s not to love? If you really don’t like exercising, keep trying! There are so many types to try, from boot camp and Zumba classes to walking around the neighborhood to exercise DVDs to rock climbing to sports leagues. If none of those appeal, hire a personal trainer to give you more ideas and match you up with something you love. We’re convinced these resolutions are do-able and useful. If you implement some of these, we’re sure you can make good progress towards your overall weight loss and health goals for 2016. Put them together with your own resolutions, and keep us posted on your progress this year!

I started loosing a bunch of hair about 5-6 months post-op. I went to the dermatologist, he assured me I wasn't going bald. He said the body goes into a kind of shock after rapid weight loss. The hairloss stopped about 3 months later. I didn't use biotin or anything else, just waited it out. Try not to worry!

I understand not being the "social gym rat". I tried having a work out buddy. EPIC FAIL. She wanted to gab, and halfa$$ it during the lifting sessions. Anyways, I've been asked by my surgeon if I would come in and do testimonials during the pre-op informational seminar, and while I have considered it, I'm not sure that I want to stand up in front of a room full of strangers and tell them all my story. There's a lot to be said for the anonymity of the internet. I did pop into one of the seminars because my bowling partner is getting the sleeve after watching me for the last 6 months living this wonderful post-sleeve life. The other pre-ops kind of oogled me, and wanted to know which surgery I had, how much I had lost, how I did it, and I was bombarded with questions about excess skin, and hair loss. I told them if those were their biggest concerns then they didn't need to have any of the weight loss surgeries. It may be harsh, but it's true. I honestly believe that if you're more worried about a little excess skin and hair loss then surgery isn't for you. When someone is willing to focus on the positives, healthier life, longer life, better food choices then I'd be more open to discussing all the little crap we endure through this journey. Plus, I feel like I am far too biased to give a speech to a room full of people seeking VSG, RNY or the band. I would beg the RNY'ers to really think twice about it considering all the regain, and I would tell the pre-bandsters just how deplorable my quality of life I lived with my band. I couldn't talk bad about the sleeve, and that doesn't seem fair to bash the others that are offered. As for the smoking thing, I think what bothers me about shunning smokers, is that the exhaust off of most vehicles is more dangerous than the 2nd hand smoke that we're puffing away into the sky. LOL just kidding, I'm a smoker so y'all know I have to defend my one disgusting habit that I just can't seem to kick yet.

**I would like to preface this by saying that the story may be long, but I have been on this sight for about 3 months and have yet to post anything substantial. I loved reading peoples in-depth stories and wanted to share mine the same way. Take what you will My journey actually began 3 short months ago when my parents confronted both my younger sister and I about having the surgery. My mother was overweight and has RnY gastric bypass in 2003 and it completely changed her life, and ours, for the better. My parents saw us going down the same path and did not wish for us to have that kind of lifestyle. Having said that, there were times in my life I was fit and healthy, but no matter how much I exercise or watch what I eat these pat 5 years, I never seem to lose more than 20 lbs. The weight always came back. I have tried multiple weight loss systems and had no positive outcomes. I'm about 20 lbs smaller than my sister, weighing in at 240.8 at 5'6" and 28 years old (size 18/20 jean/dress). Which makes me approximately 100 lbs overweight and a candidate for laproscopic vertical sleeve gastrectomy with Dr. Aviv Ben-Meier at St. Vincent Charity Medical Center for Bariatric Surgery in Cleveland, Ohio. This is where my mother had her surgery done, so she made a few calls to her advocate there and got both my sister and I a consultation with the surgeon. From the beginning, I knew I wanted to do this. The topic had been brought up to my sister before and I had considered what I would do if I ever had the opportunity, so when I was approached with have VSG in May, I knew I wanted to. Thankfully, my parents were able to pay for this surgery so I didn't have to jump through insurance hoops and was able to have the surgery quickly. I did check into my insurance in case it was a possibility, but found that it wasn't, by any mean, paid for. Having said that, a consultation, psych eval, sleep study, and 3 nutritionist appointments later, I was scheduled for surgery on Wednesday, August 17th, 2011. My sisters short story will end here seeing that she is in college and planning on having hers the first week of Christmas vacation. PAT's were scheduled 2 weeks before my operation in which I had no qualms whatsoever about the surgery. You should know that I am the last person you would find in a hospital, around needles and blood, but I was not nervous about this surgery AT ALL. That is, until PAT, when I passed twice getting blood drawn and heard about the tube and catheter I would have after surgery. Let alone the IV I would be getting beforehand (which I was aware of but thought I would be fine with until the fainting incident.) I went home that night after surgery education and was quesy and nervous for the first time. I was a pile of nerves and couldn't allow myself to think about it at all without feeling nauseaus. I couldn't back out now! Thankfully the next morning I woke up with a new sense of ease and was fine once again. I am so gracious to have this opportunity to get my life back, I didn't care what I had to do to get it. The day before surgery came and I had to drink 3 bottles of Magnesium Citrate on a clear liquid diet. I mixed the COLD cherry Mag. Cit. with Crystal light lemonade, and honestly, it wasn't that bad. I encourage those of you who still have to do this to try it that way. Also, since its nasty, you want to drink it quickly...but it's carbonated and may make you feel a bit nauseaus. fyi. That night I took my mind off things by visiting my 5 day old honorary nephew. Unfortunately they were eating homemade roastbeef and mashed potatoes for dinner!! The morning of I was up at 4:30, showered, hair done, and ready to head to Cleveland. I actually arrived at my surgery 15 minutes late! I was praying for an early surgery so I wouldn't have to wake up and wait around...well, I got what I asked for. 6am surgery! During pre-op they gave me a gown and asked me to take a pregnancy test, then put me in a bed where they took my blood pressure and found my heart rate to be an extremely high 119. I was worried about the IV at this point, could careless about the surgery. The nurses and anesthesiologists come around and introduced themselves, I was given warm blankets, then left to wait about an hour until they came back to do my IV. Maybe one of the worst parts for me was that hour long waiting-for-the-inevitable anxiety. Finally the actual anesthesiologist came over and began. He said they WERE GOING TO NUMB ME FIRST! I thought I had died and gone to heaven. I actually reached up and grabbed his shoulder to thank him. He numbed my arm, and literally 4 seconds later the IV was in and I didn't feel a thing. I told him he was "amazing" which had the entire open pre-op room full of about 20 people laughing. He kept it going for awhile. Next thing I know, my surgeon, another amazing man, Dr. Aviv Ben-Meier, was at the foot of my bed asking if I had questions, saying that I would do great, and he would see me in a few minutes. They gave me a shot of heparin in my belly (which created a now 6" awful looking bruise) and some of what my surgeon calls "I don't care medicine." I was wheeled into the operating room and asked to maneuver over to the surgery table. Let me tell you, without that anxiety medication, there is no way I would have freely moved on over and allowed them to strap me down the way they were. I do remember calling them a bunch of friendly busy bees before they told me goodnight... Next thing I know I'm being wheeled to recovery in the hallway with nurses yelling my name. Honestly, this is exactly what it feels like waking up from fainting. I felt like they were screaming at me though they were just trying to keep me awake. Once in the preop area I was immediately given morphine through my IV which didn't help a bit! I was in pain! I'm a pain baby, just so you know. It is just intense soreness in your abdominal area. I will say that I didn't cry or beg for more medicine, but it was pretty miserable. Just prepare yourself. Thankfully every 10 minutes the nurse came with more morphine until the morphine pump was hooked up, but my guess is it took a good 45 minutes for me to feel any relief. It must have been about 2 hours, the last I was able to sleep through after the pain meds started working, and I was taken to my beautiful room. St. Vincent Charity Medical Center has remodeled all of their rooms to look like hotels! My husband, mom, and friend were then there with me. I was awake enough to hear that the surgeon found I had hiatal hernia which he needed to repair before the actual VSG took place, so the surgery took longer than expected. I was actually glad to hear that it got fixed! I'm sure that attributed to many of my preop symptoms. The rest of the day was pretty boring between pushing my morphine pump every 10 minutes and falling to sleep. My husband would push the pump while I slept which was awesome. I recommend you have someone on top of that if that is your line up of pain medication afterwards. The pump doesn't get pushed if your sleeping!!!!! I found that out the first night. The night of surgery they also had me up walking twice, which was unimaginable until I actually got up. Walking made me feel so much better. The first lap around the floor was difficult, but then they started to make me feel really good. I encourage the walking big time. The night of surgery went ok until I woke up 2 hours without pain medication. I don't understand this and probably never will. I tried to stay awake for 40 minutes to press the button 4 times but I would always end up falling back to sleep. Most of the time there are orders to push an extra dose of morphine if needed, so don't hesitate to ask your nurse. The next day they took away my morphine pump and put me on 2 separate pain medications that also helped with inflammation since I had the hernia repaired. The nurse came in and gave those through the IV every 6 hours. That was much better. I walked a lot the next day and also slept. The medication really didn't give me a choice to stay awake though I wanted to. My mom came and gave me a manicure and we watched the Bachelor Pad. That day I also had the catheter removed. I want everyone to know who is like me and never had one before, to not worry about it. I didn't even know it was there and it was no big deal when they took it out. My issue was that I was unable to urinate for a good 9 hours after and was told that if I didn't go they would have to put it back in. THAT WASN'T GOING TO HAPPEN. lol. Also, the abdominal tube you do not feel in you at all. I was not allowed to drink anything today which was the second day without any liquid. Cotton mouth was an annoyance for sure. The swabbie's helped me the most, and also brushing my teeth a lot helped at all, just make sure not to swallow anything. I sounded like a frog. The third day in the hospital I woke up and was taken down for a barium X-ray at 8:00am. It was far too easy, but also extremely gross. Thankfully they gave me anti-nausea medication before I went. After not having anything in my throat for 2.5 days, barium was not my drink of choice. 6 small sips later it was over and by 9am my surgeon had approved me for liquids and had a glass of icechips by my bedside. Ice chips were a God-send and lunch was great. I found that I was taking really small sips too soon together though. The top of my stomach was gurgly. My surgeon came in that night and said that the rest of the day I should time my sips every 5 minutes, then the next day every 3 minutes. It was this time I was put on liquid percocet which is now my pain med of choice. lol. The rest of the day I walked, walked, walked. I was called speedy by more than one other patient The next day was Saturday and time to go home. I had been worrying about my tube being taken out but by now I was a nervous wreck. I was told that it doesn't hurt, it's just a really strange feeling. When the doctor walked in at noon I had to buck up and make my own judgement. He said the same, that it won't hurt, but feels like you're going down the hill of a rollercoaster. Would you know, that is what I would compare it to! What a doc! Also, I did not have bad gas pain in the hospital. I was warned the first day after surgery that I might since having the hernia repaired. I've noticed it in my shoulders when it appears but it is not that extreme. I find that walking and doing shoulder/neck circles helps. I guess I was one of the lucky ones! Again, if you are nervous about that, don't be...it's not worth it. I was still on percocet, and walking, as my discharge instructions were given. Then I was in the car and headed home. Nothing compares to lying in my own bed, propped up on pillows, relaxed by percocet, with my pup and husband. I do believe I told him that night that I was in heaven. My time home has been going really well. My surgeon wants me drinking 6-8 8oz. of full liquid per day, one of those servings being a Protein drink. As of right now, I find that impossible! Yesterday I had about 4 servings and couldn't bare to drink anymore. I am finding that I still have drink at a rate of about every 5 minutes, but I believe that may be due to the swelling I also have from the hernia repair. I may also be taking larger sips than I should. I'm still trying to tweak that. The Protein drinks I am drinking are from Arbonne and are absolutely delicious. I'm also drinking some Diet V8 Splash berry Blend (which takes most of the yucky taste away from crushed pills), tea, Water, crystal light, and broths. I think I'm able to have diluted creamed Soup but I'm afraid to try that as of yet. The medications I am taking upon coming home are liquid percocet when needed, flintstone Vitamin +Iron daily, 4 chewable Gas-X daily for the first week starting the day I come home, and chewable pepcid twice daily. The most shocking thing I've noticed since being home is the amount of gurggling my digestive system is doing. I think it is just the mix of gas and liquid, but it sounds like a washing machine dinosaur, and I have multiple people that agree with me! I'm so embarrassed by it but am glad that it doesn't hurt. I start grad school classes next Monday and am unsure what I'm going to do about this! The other issue I'm facing is head hunger. There is no way I could fit anything in my stomach, but food is absolutely everywhere and I want it! I get sad that I will never eat pizza...but have to tell myself that one day I will be able to have a portion of pizza. Food comes to mind that I'm not even a huge fan of, like oreos, and I want one so bad. I realize that this is my addiction talking and that I will be able to enjoy food eventually, but life is more important that chips and chicken wings. When I have these feelings, I just think...wouldn't you rather put on a pair of skinny jeans, or wouldn't you rather be able to cross your legs? etc. That helps. Today I am 5 days post-op and am actually at work. It's not typical work, but I'm still not at home resting. I take care of my grandmother who is suffering from Ovarian Cancer. I drive 45 minutes to and from her house each day to help her. I got up early today, drove out here, and we are taking care of one another. It's been nice. I haven't had to take any pain medicine today which I am thankful for and am getting in more liquids since I didn't sleep in and haven't napped. My surgeon said that each day I should feel better and so far I am! I hope this post is at least a little helpful for you all. I'll continue updating on my journey and reading yours! Attached is a picture of me from a few months ago with my sister and mom. My sister is on the left, me on the right with the red hair. Hopefully soon I'll be adding before and afters!! WOOOHOOOO! Can't believe I'm on the losers bench!

So, I have posted a few times how I have avoided hair loss. Well, now at 5 months post-op, it would seem I am not immune. Let me tell you, I am pretty diligent about my Protein, too, usually exceeding 80 grams as I have been working out and running almost daily. I found this to be interesting: http://www.mayoclinic.com/health/hair-loss/DS00278/DSECTION=causes I think it is probably a roll of the die whether or not you will be affected (albiet a 50 sided die and only one side says, "No hair loss"). I thought I would be good to go as I have (had) a very thick head of hair, but now when I put gel in my hair, I see that about 25 hairs are stuck to my hand. This happened recently and rapidly. I think you can see in my profile picture that I am not a thick haired dude anymore. I'm not worried about it. It will grow back.

Yesssss. I watch my sister eat a half a cup of something and be extremely full. The crazy thing is (she has the sleeve), she can eat as much icecream and chips as she wants without getting full, but if she has two bites of a burger or a bite of pizza, she's ready to throw up. Do any of you experience dumping? I guess I'm worried about that too! I'm also concerned about the hair loss. How is everyone's health now? Any Vitamin deficiencies? Any other health related issues?

thanks for the question. i am 6 days post op and thinking of what you said has allowed me to kind of solidify in my mind that i feel i made the right choice. i can give you more than 5. 1. i felt that by pass was too invasive. 2. hospital stay and time out of work simply too long for my schedule (i have a 5 year old and work and have my own business) 3. while i want to lose weight, like the other poster, i don't want to lose it too quickly. gall stones is a concern after either procedure but it is my understanding that what really causes gallstones is rapid weight loss and the band loss is more gradual 4. being more gradual there is a better chance for my skin to pull tight rather than sag and i don't just want to be thin, i want my body to look healthy. 5. i didn't want to worry about mal absorption, thinning hair 6. once i heard about dumping syndrome i knew it wasn't for me. i don't think i can go the rest of my life without EVER having ANYTHING with sugar in it (i can't stand artificial sweetners) and the thought of dumping scared me. 7. yes with lap band there is PBing which i haven't experienced and i know how awful it is, but i felt that it might be the lesser of 2 evils (we'll see after my first experience with it) 8. bypassers lose more weight up front but then gain some back. i don't want to continue to yo-yo. 9. knowing that the band is reversable and adjustable. in case of serious illness and i need to focus on my nutritional intake saline can easily be let out to allow for more calorie consumption. 10. if i start gaining in the future i can always have the band tightened again for continued results 11. complication rate/infection rate is lower with band i think i could go on and come up with even more. i would join a bypass group and ask the same questions to them. i would be curious to hear their answers. i will tell you that my brother's girlfriend who is 27 and lost 115 lbs on the band told me some of the reasons she chose bypass over the band were that she didn't want to have to deal with such close monitoring required for fills (which is another thing i actually like. i like my surgeon to be involved as an additional support person for the rest of my weight loss journey) and she also had acid reflux which her dr. felt would be made worse with the band. please post again and let us know what/if you decide. good luck

Hi Yecats, It's not like a diet to me at all, but like you said, we are all different. I have seen a couple of people complain that it feels like a diet to them. In the sense that you need to track your protein to make sure you get in the minimum, and keep up with your water/fluids to make sure you get it all in, then I guess that part could seem like a diet to some. Especially if they didn't read/research a long time before making their decision to have surgery. Because it doesn't take a lot of reading/researching on these forums to realize that there are many lifestyle changes and the sleeve is just a tool. We are still responsible for making the right choices, tracking to make sure we get the correct nutrition, and even though the tool does most of the work for us on the portion control part of things, a lot of us do restrict carbs. I've seen some people say they don't really restrict the carbs, but some of us who have had Type 2 diabetes or insulin resistance still have to watch those things to lose any amount of weight. Another thing is the exercise. There are a few who say they lost weight and got to goal with little to no exercise, but in general, most people do have to form a habit of some kind of exercise into their lives to really kick in the weight loss, and help get them to their goal quicker, and even maintain their weight loss. But on the will power part, things are much easier for me on that and feeling more in control where food is concerned. I am not ravenously hungry all the time and want to eat only certain things that I crave. And with the sleeve, no I've never been full but still be hungry. You are completely satisfied after eating a tiny amount. It's not like a diet, where you only get to eat certain things and small amounts, but you feel like you're still hungry or deprived. Now, I am not hungry a lot but I eat because I know i have to fuel my body and keep my protein up. I won't say that things don't look or smell good or that I don't ever want things I shouldn't have, I still choose not to bring things into my house because it still makes it easier if things aren't so convenient. So if it's not in my house, I don't really think about it or want it.. Generally I actually want and have the taste for the proteins that I know I am suppose to eat. I have taken 1 bite of a dessert to taste once or twice, but was completely satisfied with just that one bite. I didn't have the desire to have a whole piece of pie/cake or whatever. Having said all this, I feel I was pretty well prepared for the lifestyle changes. I had been researching and reading for 7 yrs and knew I wanted surgery so I saw people post constantly about tracking foods, having to restrict carbs, so none of the changes were a shock to me. I have not yet for one second regretted my decision to get the Sleeve. A lot of people have buyers remorse sometimes immediately post op or for the first month or so, and I understand why. Cause no matter how prepared and how happy you are to be sleeved, it is STILL a big adjustment to your eating and lifestyle, because it isn't just changing how or what you eat. It completely changes your relation with food, and changes your familys relationship with eating and socializing and a lot of family activities that may have revolved around food, can't happen as much, or as easy. You just always have to keep in mind what you're eating or snacking on everyday, plan it, take stuff with you everywhere you go so you don't get stuck in a situation where you have nothing good for you to eat. So it still is kinda like your life still revolves around food to a certain extent, but only because you are planning, preparing, tracking healthier food instead of like before where our lives might of revolved around food cuz we were always hungry, craving, planning on eating out, etc. It's just we're trying to become healthier now and get skinny rather than be out of control and keep getting fatter and our self esteem suffering, our health suffering etc. The thing for me was, I had been diagnosed Type 2 Diabetic(this was AFTER I started researching WLS too), and I knew if I didn't do this, my health would only get worse and I would die from some form of obesity related disease. So I did it more for the health benefits than anything. Type 2 Diabetes was the final deciding factor that I finally put my foot down and said, come hell or high water, without insurance, despite money struggles, I AM going to have this surgery, even if it's self pay in MX, despite how others felt about it. I had researched enough that I was completely comfortable with it and and had learned thru research that the Drs had done a lot more Sleeves anyway. I was more afraid to NOT have the surgery than to have it, if that makes sense. Oh, and I know I have mentioned a couple of times about all my research, but I read about hair loss, stalls, and all the things that freak us out post-op. And even though I KNEW those things were common and would most probably or likely happen to me, It is STILL difficult to go thru these things when it's happening to you. I still freak out about both even though my hair loss really only got bad for a wk, my hair was already thinning before. And I'm afraid it's not over and I'll still have more fall out. And the stalls, I swore I would not let get to me and I wasn't going to stress or whine about it everyday on the forum lol. Well I may not have started topics on it, but yes the stalls bother me, really bad. I am like many people that I think, omg, am I gonna be the only person that this surgery doesn't work for? I know it's not a good idea to compare my weight loss to anyone elses, but it's really hard NOT to. But I know I'm not finished losing weight. I know I am much healthier and will continue to improve even more. And I am VERY happy with my sleeve and the choice to have it, because I have NEVER lost this much weight in this amount of time or kept it off. It's changed my life for the better in so many ways, and I am excited and looking forward to more improvements and changes. As someone else said, it's natural to worry about having surgery, and it's also natural to worry about post-op life. But most peoples biggest regret is not having it sooner, whether it was because it's only been offered for a few yrs, or they couldn't make up their mind, or because insurance wouldn't cover it. And even most of the people that have a rough start or complications, still say they don't regret it and would do it all over again, even with the complications. Good luck to you and I'm sorry I got long winded!! haha And I hope I didn't miss a question. Shoot me a msg if anything I said was confusing or didn't make sense.

I had surgery to be pretty. I'm sure I am the only person that had surgery for vanity reasons... okay I mean, I was prediabetic and in a lot of pain and couldn't handle steps, yadda yadda. But me looking at myself in the mirror and hating what I saw was what pushed me over the edge. Being jealous of people who were living full and happy lives did it as well. I worried some about hair loss and loose skin, because I'm a self pay patient. Skin removal is not always covered by insurance-- in most cases, in fact, I don't believe it is. So I would be looking at an additional expense if I went through with it. So, yes... people will ask about loose skin because they're thinking ahead. Can I afford to have it removed? Do I want another surgery? Is this decision NOW worth what I will go through in a few years? i have a friend who had RNY who lost a ton of weight but can't afford skin removal, despite the fact that her pannus is beginning to be bothersome. It's a valid question that people ask, and asking here is research. A little something to remember while you're judging people for looking at the whole picture.

The regular use of extensions causes hair breakage and loss. If you're worried about your hair looking thin, you're better off cutting it short.

Hi Steph-O... I suspect that pcos has had a great deal to do with my weight struggles. I've always been athletic and have spent 80% of my post puberty life dieting and obsessively exercising in some form. I've rarely ever been in a normal bmi... Once on phen phen while eating maybe an apple and string cheese a day... I pretty much starved myself. I was a low bmi for the sleeve (32) but I' know exercise and sports are the only reason I wasn't way heavier . My sister also has pcos and many of the same complaints I do... She had gastric bypass 6 years ago. I feel for your daughter, I hope so badly my own daughter escapes this hormonal mess! That being said, I would recommend a good endocrinologist and /or at the least an on that is very knowledgeable in pcos for your daughter. There is so much more knowledge now about this, and better treatment options. Meteor min made a big difference for me...it seemed to help level the playing field with weight loss efforts. Everyone experiences pcos different. I hate the facial hair more than anything! It's so masculine and I've always been so self conscious of it. Most people have no idea because I obsessively pluck and shave. My sister doesn't have that problem, but she has balding (very thinning scalp) from excess testosterone. We both had acne, horrible pms, very irregular absent periods , and extremely bad cramps. We both though childbirth was like bad cramps ( with exception of delivery but the contraction pain). Both of us were pretty immobilized from the pain of our periods when we did get them. It all improved with age and we both felt things were significantly improved after having children. I do think pcos had a lot to do with my struggle with weight. I'm 5'8" and was 203 the day of surgery. I can't work out like a used to, I worry about injuries as I'm aging, I needed help and I am optimistic I can stop the metformin with the metabolic changes brought on with the sleeve. Time will tell... I wish your daughter the best and the best advice I have is to make sure she has a knowledgeable dr. She listens to her body, and I highly recommend she cut out sugar and simple carbohydrates as much as possible. A major problem associates with pcos is insulin resistance. Even when test values are normal many pcos women still aren't able to utilize insulin correctly. It is why pcos runs such a high risk for diabetes and other problems later in life. I personally never tolerated birth control pills... That was what most dr.s tried to treat me with, but for some reason theyade me extremely emotional, even suicidal...and I know it was the pills every single time when I stopped within weeks it went away. The Nuba ring has been the only thing that gave me regular periods without crazy emotional side effects. Incidentally, I also have hyperprolactinemia, and lichen sclerosis ( I'm convinced both are somehow related to pcos and my lifetime of irregular and imbalanced hormones, but that's just my opinion) I was not overweight as a teenager, but I was always counting calories , dieting, and still struggled with weight though I looked normal/athletic.

Omg!!! I'm so happy to read this! I also had a lot of issues with the band and had it removed. I'm a week away of RNY and I'm terrified! I'm worried about long-term unhealthy affects. Such as looker older, hair loss, malnutrition. Have you had any of these to the degree that you regretted going forward? Im getting cold feet Sent from my SGH-T999L using the BariatricPal App

After about a year of contemplating WLS (and 10+ years of battling with my weight) I'm now starting my journey of getting my life back and lightening my load in many areas of my life (pun intended). I have my first appointment with the surgeon and nutritionist on Thursday, 10/17/13 and I'm an emotional MESS! I'm scared and excited both at the same time, it's crazy! My niece (who is a hair stylist) had to talk me from the edge about an hour ago because my latest "thing" is what about hair loss? She said, "Auntie, you getting healthy and having you around for a long time is more important than you losing some hair. I can fix that, I can give you some hair and it will be beautiful, it's what I do, but I can't get another YOU and I need you! If you lose your hair, I'll cut mine too! Just pray on it and don't worry about stuff that hasn't happened." Well, after that I cried and laughed at the same time. Cried because it meant a lot coming from her (she's like the daughter I never had), and laughed because I could picture both of us with heads shaved looking like twins! lol Anybody else going through this roller coaster ride, or am I alone in my feelings???

Hi, I am not sure where you are going to have your surgery. No, you will not fail at this--we all think this and that is a normal feeling and statement. Just follow the rules they give you. You can't imagine what it will be like to NOT feel hunger. After the WLS you eat because you need to eat. There will no longer be a feelings of hunger--I know that is a strange thought but a true one. You will have to deal with what we call "head hunger." The "old thinking brain" has been in charge for your entire life. NOW YOU have to be in charge I will send you something I wrote about a few things and they should help you quite a bit. You honestly should not require little of any after care. I had complete blood panels run because I felt pretty weak and I found out that my potassium level was low, they gave me medication for it and that resolved that issue. If you have a Highly Qualified Doctor for a surgeon you should never have to think about or worry about a leak. I had Dr. Aceves in Mexicali, Mexico and he is one of the top Weight Loss Surgeons in the world. So I knew this going into my surgery and had NO worries about any kind of a leak. I had NO pain when I got home. I went shopping 3 days after I got home for groceries. They sent pain meds home with me, but I did not need any. I think you will do fine. The first month after the surgery will be the hardest month that you will ever have to do. It is only for 30 days and you can do this--it isn't a lifetime. I am always here if you need help or have any questions. Here are the things that I wrote about and you might find them useful. Sorry if I sent you too much information, but you might find this helpful. Print them out so that you can read them later. Hugs, Suzanne *********************************************************************************** Volume 1 I decided that I would make a list of things for new people who are thinking about having WLS that might be helpful to them. This is long so please PRINT THIS OUT TO READ if you don’t want to read it all at one time. First thing is to start asking people on the board you are on all kinds of questions—make of list of things you want to ask and keep coming back and ask more questions as time goes on. The more questions that ask the more you educate yourself about WLS and the process and what doctor they liked. Don’t rely on just one source of information. It is really normal to have all kind of feeling and emotions when trying to decide if you want to have Weight Loss Surgery. I must have talked myself in and out of doing this at least 50 times during my 6 months of research. My only regret is that I didn't’t do it sooner. This is a big step. But if diet and exercise worked for us then we still wouldn't’t be fat and would have lost the weight a long time ago and never regained it. It takes a lot of courage to have Weight Loss Surgery. I am very proud of you for looking into this. Don’t give any more days of your life being overweight, and your body hurting along with being unhealthy. WLS really is your answer. How do you select your surgeon? First of all this is NOT a time to price shop for the cheapest doctor to do your WLS—that is just the wrong way to go at this. There are a lot of doctors who advertise on the Internet doing sleeve surgery for a lot less than some other doctors. I found one posting from a person who had the following concerns after having surgery in Tijuana, Mexico. (a) They put NO name band on her to be able to ID her when giving medications or anything else. ( NO one asked if she had any allergies to foods or medications—thank goodness this person didn't’t have any. ( The lab did NOT label tubes of blood with the person’s name on it—very dangerous. © Day after surgery they gave this person ice chips, tea and apple juice. The next day (day 2) they gave this person NOTHING so this person asked why and the nurse said this person wasn't’t allowed to eat anything. Well, this person then said I had Clear liquids the day before and they wanted to know WHO gave it to this person?? (d) This person was told that they would get a copy of the operative report on their discharge to take home with them—This person has not received it yet and that was about 2 weeks ago. So make sure have positive feedback about the Surgeon and Staff and Hospital that you choose. My choice after 6 months of research was Dr. Aceves in Mexicali, Mexico. What I can tell you in my opinion is that he is the very best you will ever find to do your surgery. I can only speak about my experience and my research that I did before I made him my choice for a surgeon. Pack lightly for your WLS. So many of us have gone to Mexico, so you want a small suitcase with wheels, a laptop & a cell phone. The clothing that you wear to Mexico are the same ones you can wear home—slip on shoes work great too. Make sure that the clothing is loose fitting. Something just comfortable for your ride home. While in Mexico—that is if you go to Mexico for WLS make sure you take GAS-X. They have nothing in Mexico that they give your for gas, and the use gas in your abdominal area during surgery. It is painful after the surgery, so GAS-X STRIPS are easy to use by just placing them on your tongue. Take a couple of boxes with you—you will be glad you did. If you are going to use a credit card make sure you tell your credit card company and your Bank if you use your debit card or credit card. Sometimes if you DO NOT let these companies know you are outside of the US they block your charges. Use a credit card or debit card vs cash it is much easier to use. Take small amounts of cash for tips—I took $45.00 in 1’s for tip money for various things. If you go to any hospital anywhere leave ALL jewelry at home –just a watch and no rings or other jewelry. I never had any problems at all leaving my purse and computer& cell phone in my room while I was in surgery, but they recommend that you leave all jewelry at home. If you are a lady please remove all nail polish—they need it removed to see your nail beds during surgery. The first month you do after surgery is the HARDEST month you will ever have to do. You do 10 days of nothing but clear liquids to start with—that means you have to be able to see through the liquid. Do not panic if you can not get the Protein they want you to have the 1st 10 days—I couldn't’t find anything I liked that was clear during the 1st 10 days. They want you to try to drink 64 oz each day, and I don’t think I could ever get that much Water drank—just do the best you can. Your new stomach has just had major surgery and it is swollen and will only hold something about the size of your thumb. The next 10 days gets much better—you are now on creamy liquids for these 10 days. You can now have some creamy Soups, yogurt, and pudding—sugar free and find a Protein Drink that you like. For me it is Premier Protein Drink and I get mine at costco. When looking for a protein drink, make sure they are low in calories, high in Protein—Premier has 30 grams of protein in each drink box and make sure you have low carbs too. I know there are a lot of other Protein drinks out there that people like. When it comes to carbs I tried to keep mine at no more than 20 carbs per day. Ask others what kind of Protein drinks they liked and where they get them. The last 10 days are mushy foods. So this is a bit of a challenge. How many foods can I make mushy? I even considered using some baby foods. Start thinking about what will work as mushy foods for you. Starting the 2nd month is quite an adventure. You can eat regular food. Here is where the relearning process takes place. You now will take tiny BABY BITES of food and chew each bit about 30 times or until it is like a liquid. From here on out you will need to take small bites of food and chew and chew and chew. I found out that chicken and fish were a lot easier to chew up. I don’t eat much red meat—your tastes will change and things you didn’t like a lot might taste good and something that you used to love don’t taste that great anymore. Keep track of what you are eating and keep your calories at about 800 calories per day and no more than 20 carbs per day—whole grain carbs are the best to have—NO white or refined carbs. I highly suggest that you keep track by writing them down or using some of the Internet sites that offers you this. I suggest this site it works great there are other sites to use this is just a suggestion. http://www.livestrong.com/thedailyplate/ It really is good to write down and track everything you put in your mouth to start with—that is how you know that you have not had more than 800 calories per day. I want you to understand weight loss surgery is just a tool. The fat does not just melt off of you—they is NO miracle cure. Now you have to put a lot of effort into eating healthy and starting to exercise. Everyone has some kind of exercise that works for them. I love walking and try to walk about 5 days a week. For many of us we started to lose some of our hair 3 or 4 months after having WLS. I would find a lot of hair in the shower after washing my hair. That is pretty normal for a lot of us—this does not happen to everyone. There is no magical cure for hair loss—some people use different shampoo’s or take Biotin. It happens and you live with it. YES, it will grow back. For me I had pencil straight hair and mine grew back natural curly and I love it now. I already had thin hair so for me, I got some cute wigs and wore them for about 9 months until my hair looked a lot better. It was worth the hair loss to lose 105 pounds. Because we eat a lot of protein we suffer from constipation. You need to have at least 70 grams of protein EACH day. So I mix my protein drink each morning with MIRALAX. It is NOT habit forming and is tasteless and it is just a good way to start off the day. I put the protein and a cap full of Miralax in the blender with about 5 small ice cubes and that is my Breakfast. 3 years later I still have this for breakfast and nothing else, it just works for me. You may have periods where you have what we call STALLS. You may be doing everything right and eating and exercising and you have NO weight loss for a week or more. This is normal—mine lasted 9 days. Don’t panic the weight loss will start up again, just keep doing what you are doing. Our heads play games with us sometimes it is ugly what our brain tried to convince us of—We call these “Head Games” and they really are tough times to work though, but you can do it. Your head is still thinking with your old brain and way of thinking that you have been doing for most of your life. You now are eating VERY small amount of food, but your head is used to you eating LARGE amounts of food and that is what your brain wants—so it tries to tell you the you should be eating more—NOT true at all. So you need to have a talk with yourself. Do I just WAN T to eat or do I really NEED to eat? You are not on a diet, but you are making a LIFESTYLE change and that is good because you can do this for the rest of your life. You will NEVER be able to eat like you used to. That is good because that is how we got fat. You will morn the loss of food—you will look around and see others inhaling all this food and you think to yourself—I used to eat like that. You will notice how fast people eat and inhale their food and talk and hardly chew what they are eating. That is pretty normal feeling to have—because you are now eating such small amounts of food and chewing and chewing. You will never be able to guzzle a bottle of water again—that is OK too. These are all good things. In time you will look at all the food people are eating and thinking to yourself oh my gosh I could never eat that much again—it is way too much food. When you have issues or problems come back to the board and ask others who have already done this. We are here to help and support you. Give or exchange all your fat clothes away. You will never need them again after they become too big for you. This weight loss is something you will be able to maintain for the rest of your life. You have earned the right to have new clothes. Make sure you have the VERY best doctor that has had a lot of experience with sleeve surgery and check his success rates out. Check the doctor for HIGH patient reviews from the people who have gone to him or her. I can NOT STRESSS this enough. Make sure that your surgery is being done in a hospital NOT a Clinic. One clue that it is a clinic is if they send you to a hotel room to recover—that is why they cost less, this is also dangerous too. YOU are worth the extra money that it cost to have this WLS in a Hospital and by the best Doctor you can have. You want to have a happy and GREAT life and having the RIGHT Doctor and Hospital are the key to this. Sorry if this is long, but it is intended to have as a reference and answer a lot of your questions that you might have. For some of you, you are very lucky because your health insurance is now starting to pay for Weight Loss Surgery. For many of this, we did not have your luck, so we are self pay patients. There are companies that loan money for this surgery—be aware that their interest rate is high. Once you pick your doctor ask them about these companies that give loans for surgery if you are a self pay patient. You know we never think twice about making car payments. If you have to borrow the money for this surgery just look at this as “body payment.” It will be the best money you have ever borrowed. Please PRINT this out to read later. If you have any questions for me please feel free to contact me. I had surgery almost 3 years ago, so I do have quite a bit of experience. I really am here to help you along your journey. It took me 14 months to lose this weight and I was 63 when I had the surgery, so it is NEVER too late in life to do this. ************************************************************************************ Volume 2 Here are some more things I want you to know about if you are thinking about having WLS and you are having the “Sleeve.” We have talked a little or a lot about “slimming or Fleming” In case you missed it, when you first start eating regular food you have to re-learn how to eat again and chew. With your new stomach you will need to take small tiny bites and chew until the food in your mouth is almost liquid like. This is nothing like what you had been doing your entire life. In the past you eat and talk and put big bite in your mouth along with a few chews and then swallowing—this will NO LONGER WORK FOR YOU. This is a very difficult thing to change. So with your new stomach and just having surgery you may experience slimming or Fleming. First you will feel like the food is stuck, then it comes back up in a clear liquid –your saliva. It isn’t vomit, so that is why it is called slimming or Fleming. It’s a wakeup call to slow down you eating and chew, and chew and chew some more. Just go to the bathroom or have a napkin ready for the slimming or Fleming if you are eating out. If you try to overeat—which is bad you may experience this too sometimes. For me it was always about not chewing enough. What are some signs that you are full? At first I wasn’t sure, but sometimes I just got tired of all the chewing, so I stopped eating. I now get the hiccups or my noise will start to run when I am full. I know that other people have said they experienced this too. It does take some time to retain yourself on how to eating and I know that the first month it is such a process just trying to get all the food in that you need to get in because of your new restrictions. In time it does get a lot easier. Some people actually mourn the loss of food, because you will NEVER EAT the quantity of food that we used to eat---YEAH that is how we are going to lose the fat and maintain that goal weight that we want to have for the rest of our lives. If you think you are hungry and you are positive that you are having physical symptoms of hunger this is YOUR OLD thinking brain playing those tricks we have talked about. You now have to start learning to educate this OLD brain into being your NEW thinking brain. Ask yourself do you just "want to eat" or do you really "need to eat" because it has been 3 or 4 hours since you have eaten anything. It is amazing what our brains can and will do to sabotage our way of thinking. You may be challenged by this OLD brains way of thinking for many years. For me I just have to have some self-talks with myself. We have an addiction to food. There is no way around avoiding food, so we need to find the set of skills that will allow us to change our lifestyle. I eat to live, I NO LONGER live to eat! Food is not my main focus in life. I have seen so many times where people are going along and doing great with their weight loss. Then all of a sudden they are NOT losing anything—they panic—I did when it happened to me. We call these “Stalls.” We have stalled and are not losing anything. Most of the time you are eating all the same and correct things that you have in the past when you were losing weight. Our body just does this naturally--stalls. Mine lasted 9 days one time. This is really normal. I have a few suggestions. Use this site or something like it to track everything you are putting in your mouth. http://www.livestrong.com/thedailyplate/ You might be surprised at what you are eating—that is why I say track it. Remember keep your total calories at 800 per day—if you exercise then you can eat more. This site will help you figure that out how much more you can it by what kind of exercise you did. You also need to make sure that you are not eating more than 20 carbs per day. No white or refined carbs. They should ONLY be whole grain carbs—not whole wheat, BUT Whole Grain carbs—do the best you can when it comes to carbs. If you are having problems with the weight loss you can kick up the amount of exercise you are doing too. The weight loss will start back up again, so don’t panic. We all stumble and fall along the way, don’t beat yourself up over it. Move on and have a better day the next day. Be aware that your friends and family may not be supportive of you having WLS. For your family, first they really may NOT understand it and they are scared for you. This is pretty normal. You have been on the Internet, and been educating yourself and doing a lot of reading—you know much more than they do about weight loss surgery and your choice is the sleeve. They have only heard the horror stories that the media puts out there or one of their uneducated family or friends have told them. Your friends are scared they may lose you as a friend because you are going to lose the weight and they will remain fat—yes I call it fat. I know there are a lot of politically correct terms to use, but if I can say I was fat you will one day too. Some of your friends will be jealous. My suggestion is that you can try to educate them some, but take your time and effort right now and use it for yourself. After you have had WLS and they see you are becoming healthy and you are alive and well they may come around. I want you to put yourself FIRST, for the very first time. If they are truly your friends they will be there when you are skinny. The first month will be the hardest month you will have to do. You are changing everything about how you eat. I want you to keep saying to yourself that it is ONLY 30 days and I can do ANYTHING for 30 days. Once you start the 2nd month and can have regular food, it gets easier. What do you do about getting smaller clothes? One of my adventures used to be to go to Resale clothing places and sell or trade my larger clothing to them, and then finding some smaller sizes. Just buy what you need to get by for a while until you need a smaller size. It was like a treasure hunt or an adventure for me. I found some places like Goodwill that had brand name label NEW clothing that the local stores gave them. I found some great deals at these places. So consider doing something like this or getting together with some of your friends and trading clothing. I also donated a lot of mine for a tax deduction to nonprofit organizations that give tax receipts—it is really great when it is tax time rolls around and I had all these deductions. I would make a list of everything I was going to donate and how much weight I had lost. I kept that all together in case the IRS asked why I gave away 20 some dress and 10 pair of pants, and 30 tops! Make sure that you go see your Primary Care Doctor when you have had WLS if you have gone outside of the US for your surgery. I went to see my PCP before I went to let her know what I was doing—I wanted a doctor who would support me in my efforts. I had to do a bit of education and after she had time to read all of the information I left her, she was behind me all the way. She said come back in to see her after being home for 2 weeks and she would check me over and run a blood panel to see how I was doing. She did this every month for a while and started taking me of meds that I no longer needed. I did need to start taking potassium—mine was low after having WLS and I knew this when I left Dr. Aceves—they had run a blood panel after I had my “Sleeve surgery.” I loved the fact that my PCP took me off 4 of my other medications within 3months of me having WLS. Exercise is important for you in a lot of ways. Walking and swimming are the ones that work best for me. I know that there have been a few people who said they did nothing. Walking helped me lose a little faster and was good cardio too. I try to walk at least 4 or 5 times a week. When I can I try to swim on the days I don’t walk. I know at first it is difficult to start to exercise, but walk around your home then, down the block a little. When the weather is bad—I live in Oregon and we have a lot of rain, we walk inside the Mall during those times. They open up the Mall at 6:00 am where I live, so you can start early. Buy a used treadmill and see if you like walking on it. My last words of wisdom are the following Saying yes means you will do something new, meet someone new most likely and make a difference in your life. Be true to yourself. It is you, your authentic self, the one you were in the first grade, before you leaned to massage your personality into a form that would suit others. Sometimes it is hard to hear the message because of all the external voices and they are so loud. Voices that are loud are always meant to bully. DO NOT BE BULLIED. So carry your courage in an easily accessible place. Be your OWN authentic person when it comes to Weight Loss Surgery. This is ALL about you and NO one else. Last you don’t need the approval of the Bully. You know what is right for you, follow your heart and go for it. I am always here if you want to ask me more questions, or I didn’t cover something that you are thinking about.I read my E-mail daily. I know it is a BIG step to take and there are a lot of things to think about, you can and will be success.

Dr. Mike I had a Total Hysterectomy about 15 years ago and discovered Bio-Identical Hormone replacement about 3-4 years ago. I was on estrogen only from the day I had the hysterectomy until I started the compounded hormones. I started losing my hair about 3 months after Lapband surgery. (6/27/08). I continued with my compounded hormone gel but I stopped taking the DHEA supplement when I was switched to chewable Vitamins because of the band. I was worried about it getting stuck. Could this cause the hair loss I am experiencing? I just had new saliva testing done and I am waiting for the results to come back. Deb

I do have PCOS and a lot of chin hair. I shave once a day. It is the easiest and cheapest removal. I know to others it's a joke, but I do worry about just how much it would grow, if I weren't able to shave for say a week or more. YIKES!!! I would be the bearded lady. I too am hoping this weight loss will help diminish the hair growth. At least that's what my doctor has always told me. I guess it's time to test that advice. Judging by these responses, I don't have much hope. Maybe my body will be so smoking hot that no one will notice my chin and lip hair.

Hello everyone! I'm hoping to have surgery in July too! I'm only required to lose 10% of my weight. I'm a little nervous about this but I don't think I should have a problem. Based on my weight I should ink have to lose 23lbs. I have to meet with my NUT, phycologist June 6th and I'm also meeting with my surgeon in that day too. Then ill have 1 more meeting to have my scope test done! She said if I do my part by losing my 10% that she doesn't see why I can't have my surgery the first part of July! I'm so excited but scared too. I'm a huge worry wart and I start freaking out about the surgery. I know the percentage is small but Im so fearful that ill have a leak or horrible acid reflux and lose all my hair haha. More than anything my excitement out weight my fear. I look forward to talking with you!! Ill put my stats below. SW: 229 10% loss: 206 ( have yet to do this) Goal weight: 125