Becoming a Dad
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This probably isn't an original answer, but I was pushed to get my sleeve procedure because I was becoming a dad.
I was fat my whole childhood, starting from around age 6. In highschool it distributed a little better, but there was no mistaking the fact that I was a fat kid. In college I went on a low-carb diet for the first time, and lost about thirty pounds. I was the most fit I had ever been. But the weight inched back on gradually so that I had gained back 20 pounds of it by the time I graduated. the summer after college I had surgery to get rid of my man-boobs, which had stayed with me even as I had lost weight from the rest of me. And I felt great again! But happiness is closely associated with relaxation in my book, and I just stopped being careful. I ended up gaining back all my weight and then some, and I was big and fat by the end of my first year of law school. So I did low carb again. I lost the weight. I looked good, felt good. Started dating a girl I liked. I relaxed. I gained the weight back.
Years later, I was single. I was leaving my job as a lawyer to go to business school. Went low carb. Lost twenty pounds. Went to business school. Drank heavily, because that's a thing you do in business school. Gained back the weight, plus another twenty pounds.
Thankfully, I met the woman who would become my wife that year, before I gained the weight back. But of course, it started the same chain of events-- get happy, relax, gain the weight back. But she loved me and it didn't matter. We got married a couple of years later (and, for the wedding, I lost thirty pounds, and then, after the wedding, gained back 35...) and she got pregnant soon after, and that's when I decided, this pattern isn't healthy, and I want to be around for a long time to see my son grow up. The thing that really got me wasn't even that I couldn't keep the weight off, it's that every time I yo-yo'd, my weight would end up higher than it was before. When I was in my 20s I could go on a low carb diet and lose the weight quickly, but I'm not in my 20s anymore, and it's harder to get the weight off. It's time for a permanent solution, and some help with enforcing the discipline that I need to keep my weight under control.