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I had my surgery (bypass) back in 2019, I got down to 175 stone. I started sertraline 7 months ago now, and have gained nearly 20 lbs. Albeit my diet hasn't been the greatest, but I feel horrific and starting to hate the way my body looks again. Any tips for getting back on track? I snack/graze too much but don't feel strong enough to go back to old/good habits!! Any tips for diets to try/how to lose weight again

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Can you explain what you mean when you say you don't feel strong enough to go back to good habits? It sounds like you already know what you need to do, but are struggling to do those things for some reason?

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Start by making small changes. Drop one or two of those Snacks. Swap out a poor cooking style to a healthier method. Swap out a less nutritious food for a more nutritious one. Check your Protein intake & if it’s low, add more protein to your diet. Same with Water. Check your portion sizes too. And so on until you are back to eating much like you were when you were close to or at your goal weight. You don’t have to make all the changes at once. Make one change & then in two or so weeks, make another change. Small changes are much easier to cope with & manage.

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Just be slightly more strict with yourself and wean yourself off a bit on the snack foods. Like yourself, I had some gain back due to a med that I needed for a TN flare (gabapentin) and got all the way up to 197 pounds. I've since weaned myself off the med after being put on something different that doesn't cause weight gain and I've dropped 10 of the pounds I gained as I'm 187 today, but I don't know if it's even possible to lose the 5-10 more pounds I want as I've been struggling to lose any more despite adjusting and fixing my eating habits. My doctor told me today to not stress about it because some of it may be due to my MCAS and some of the issues it's been causing lately. So maybe a part a part of the weight gain you're experiencing is diet, some from the med, and the other part possibly stress? (stress can cause weight gain as well) If you're struggling with getting your diet back on track just slowly adjust it. Don't stress yourself out even more by denying yourself everything just cut it back slowly bit by bit and eventually you'll be eating better and hopefully the weight will come back off.

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I've started therapy to try to get a handle on some of my issues, before I have surgery. Perhaps counseling would help you, too?

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I think therapy and accountability is good for us all. I had surgery Dec of 2018 and dropped 139lbs. Covid did a number on both my eating and exersizing habits. I gained 30lbs in the past two years. No suprize on how it happened, lack of routine, sitting at home, watching to much Youtube, not exercising and too much snacking. But i know there are deeper issues at play here that were present when i was 272lbs, that didnt go away simply because i lost weight. I think some form of therapy would benefit me as well.

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8 minutes ago, CherylBE said:

I think therapy and accountability is good for us all. I had surgery Dec of 2018 and dropped 139lbs. Covid did a number on both my eating and exersizing habits. I gained 30lbs in the past two years. No suprize on how it happened, lack of routine, sitting at home, watching to much Youtube, not exercising and too much snacking. But i know there are deeper issues at play here that were present when i was 272lbs, that didnt go away simply because i lost weight. I think some form of therapy would benefit me as well.

Congratulations on your amazing weight loss!

Substance abuse (no matter the substance, alcohol, drugs, food, sex, whatever) is just a symptom of an inner problem. Our problem isn't food, it's our minds.

My therapist knows that we're working together because I have food issues. But, we have hardly talked about my eating, at all. We've talked about all the other garbage that needs to be worked on, in order to be able to change my relationship with my drug of choice - food.

It has been a very interesting experience, working with a therapist. And I know that the hardest work we will do, is yet to come. I started talking to him before my surgery, because I knew that I was really going to need his help after surgery. After my surgical sites heal, the real work will begin.

It's a grand adventure!

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