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Gastric sleeve almost four years later

Hello, I have quite the history. I got down to a weight I liked a year after while in an abusive relationship. I gained since weight back before ending that relationship. More recently I just got married, but didn't worry myself about losing weight before the marriage but now after we want kids, and I don't want to try until I lose more weight. How do I start to retry after four and a half years.

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I started at 400 got down to less than 300 and now am I above 300

I agree with @@Elode's question. Your post is unclear and hard to follow.

I am assuming you had the sleeve at some point in the past, lost weight, and regained weight.

Have you had an appointment with a nutritionist lately? That would be a great place to start.

It also sounds like you might benefit from counseling since you are going through a lot of changes.

In the meantime, you might want to go back to basics. Are you tracking your food? Are you getting in all your Protein and Water? Are you exercising? Are you taking your Vitamins?

More information would be helpful in answering your question.

Best thing to do is reevaluate what caused the weight gain, immediately structure your diet around the good and bad stuff. Seeing a NUT again is a great place to help establish a visual end goal, they can cater to your dietary or health restrictions. Surrounding yourself with the right people will make a difference on your mental outcome, toxic relationships with people, intimate or not, won't help your situation. Depression is a contributing factor to weight gain, unfortunately, so focus on making yourself happy and finding some inner peace. Congrats on getting married, I hope your spouse is supportive of your desire to improve your health, that will be a big motivator to staying on top of your regimen.

Just remember what you did to get to that point, cleanse, start up those shakes and count those calories; resorting to a secondary surgery (if that is even a possibility) would be horribly unhealthy.

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