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FatToFabulous' Blog
 

Good bye Florida. Helloooo Grand Cayman, I missed you

So my two week stay in lovely Florida has come to an end. I had an awesome time and will definitely be returning. Thanks to the bariatric staff at Florida a Medical Center for giving me my life back. I'll take the reigns from here. Back to kids, work, school, and my personal and social life...back to stress. I can do this! My family and friends are all so excited I'm coming home...so am I. The friends I made here are sad to see me go, but they know this party kitten will be back .     THE WEIGHT IS OVER...my life begins...again.
FatToFabulous

FatToFabulous

1
Gastric Sleeve Surgery - An Unexpected Journey
 

Quick FAQs - Can I eat ____ After (VSG) Weight Loss Surgery

Can I eat (insert food here) after Vertical Sleeve Gastrectomy WLS surgery? The answer is... most likely. It's really going to depend on the person and how you have healed. I have not found any food that I could not eat, once I was back on full foods post-op. Surprisingly, the processed foods/snack foods/fast food was the easiest to digest. It was the healthy foods - boneless skinless chicken breasts, broccoli, cauliflower, lettuce, pineapple, apples and grapes that gave me trouble up until about the 6 month mark. At 9 months post-op, I can eat anything I want with only the occasional stomach growl.

The best NSV post-op is that I have not wanted all those processed/fast foods that I craved pre-surgery. I can honestly say that I don't even think about going out for pizza or hamburgers any more. So if you're worried about not being able to eat your favorite foods post-op, you may come to realize that post-op you don't WANT to eat them ever again. :-)
joatsaint

joatsaint

2
BrownDoesAll's Blog
 

Slow going

Entering week 5 of the 5:2 plan and my focus to move down. I've started feeling like a failure, having had the surgery almost two years ago and still I weigh 255 pounds. If I had it to do over again I would have kept going once I hit that first 3 month stall. I would not have settled for size 18.. now a comfy size 16 dress. I'm still satisfied with not having gained any weight. But now I am focused to keep going down. 255 pounds is not a healthy weight for my age.. heck for any age . So the focus is back on. Having had the surgery I have better eating habits (except for the night time grazing when I'm not fasting). I still eat smaller portions. I still keep carbs low. It's the head and mind battles. Well facing another day.. its Thursday and I fast today. I'm focused
BrownDoesAll

BrownDoesAll

0
D Jordan's Fat to Fit Blog
 

That was quick!

Yesterday I learned that my insurance approved my surgery. Now today, I got my surgery date.   Oct. 16, 2013 I start a liquid diet for 4 weeks. Don't think I'm looking forward to that.   Nov. 12, 2013 Is my surgery date and have to be at the hospital at 5:00am. Which means I'll have to get up around 3:00am to get ready and get there by 5:00am. *who the hell gets up that early???* LOL   I'm ready to get it all behind me now! :-)
D Jordan

D Jordan

0
Jessica Lynn's Blog
 

2 Weeks Post-Op

It's been too weeks today and I'm feeling great. I started walking again. Already with just 29 lbs down I am able to walk without my legs/knee killing me, I can tell I have knees and ankles for the first time in years and people are complementing me on my weight loss. I can't really tell but apparently others can. I'm on to mushies tomorrow. I'm ready for something besides thin liquids. I'm 2 lbs away from only needing to lose 100 lbs.
JessicaLynn04

JessicaLynn04

4
Mission Slimpossible
 

My story > partially slipped band

I was banded on August 17, 2013. A little over a year later, I've lost 95 pounds! I know, right. That's A LOT of weight! I'm 5 '3 and now weigh about 150 pounds. Aside from the BS I'm currently dealing with, it's been a pretty good ride. I've consistently lost weight with some stand still during these last 25 - 30 pounds here & there. Needless to say, I feel genuinely thankful & blessed for getting many, many compliments from co-workers & neighbors. No, I didn't tell any of them!   I had a very bad episode this past Friday, not sure as a result of what, where I vomited 12 times in a 4 - 5 hour time frame. WTH! It was God awful. I can't even pin point what started the whole thing. Had a stomach ache that got progressively worse hour by hour until I kept getting sick. Obviously, not a lot coming out because, as lap band patients, we don't eat much. Well, I considered going to the ER but since we recently converted insurance companies from Aetna to Kaiser, I had concerns about being properly treated (medically speaking, of course). My throat burned from vomitting, my neck was sore & my esophogus felt sore too. And yet, I still didn't go to the ER. I just prayed it would stop. It was a tough night, but... I tried to drink hot tea, which tends to soothe our tummies, but instead out it went too.   I called what will be my new bariatric office on Monday. Since I was feeling better by Monday (just achy around the band area) along with lower back pain which to date, I don't know if it's stress or related some how. They had me call to schedule an upper GI, but the earliest they could fit me in, as non urgent, was this morning.   The technician "unofficially" told me that I had a partially slipped band. He said he had seen worse & that it didn't look 'bad.' He thought that maybe I would only need an unfill, but since he doesn't deal with patients after-the-fact, he wasn't sure.   I waited ALL day for my Dr's office to get the results. Finally, they called about an hour ago & confirmed I had a partially slipped band, facing down slope (which was allowing me to eat). I haven't eaten much the last few days & have stuck to liquids today & now through Friday morning, which is when my first available Dr apt is. All the office lady would say is that they would do an unfill (which beats surgery, right), but she wouldn't / couldn't say how much they would take out or for how long. She did say that I would need to talk with the Dr about "options" since obviously I wouldn't be eating the same way.   What does that mean? I'm a little anxious & nervous as I don't know if this means I may have to have a revision down the road? No more fills? My mind wonders...   I'm also a little hungry... Not sure what liquids I will take with me to keep me full at work tomorrow.   I'll provide an update on Friday. Wish me luck!
Domika03

Domika03

1
Kime-lou's Blog
 

Reality is.......

It was hard to face reality a year and a half ago, they I was just shy of 250 lbs and had to do something to stop it before I hit 300.   The first year I must say was the honeymoon period with my band. I felt like I hardly had to work at losing weight, it just fell off. It was wonderful and exciting. Then bang- my one year aniversary hit and my weight loss came to a streeching halt- the band's fault- nope mine.   The first year, was easy because my weight was high and I was eating far less that what it takes to keep that weight. I couldn't eat as much as normal- so I lost weight. As the weight came off, I hit the titration point- I had finally lost down to the amount that my eating was matched.   Now, I have to face reality, I can keep going with what I am doing and stay in the same zone. I can, make changes- eat even less and or add exercise. The thing is, at this point, it's not going to be so easy. Now I must really work at it. I, also, must deal with weakness in myself, that I never really got rid of. Stress makes me want to eat. Last night as I lay watching TV with the hubs (Ziva's last episode on NCIS) I started thing, boy I want a snack. The thing was I wasn't hungry. I didn't need to eat anything. However, I gave into the weakness and went and got a bowl of ice cream. It slapped me in the head as I sat the empty bowl down in the sink, that I had just done something I would have done pre-band. That was not good- I have to nip that in the bud now. Will it be easy, no, but I must do it to maintain and to further succeed on my journey.   I know what I must do, I know what I need to do, yet I have not done it for months. Now, it's time to pull on the big girl panties and make some difficult choices and changes. It's time to face the music, because the reality it, if I go back to old way I will gain back all I have lost. The reality is I must, for my health, for my future, for my peace of mind- I must make these changes.   Is it my band failing me, no, it is myself and my human weakness trying the make me fail. But, here is the thing- I have the power to stop it, to change it, to change it now before it goes to far. Yeah, I may have lost even more if I would have gone with the sleeve or bypass, but I likely would have run into the same stumbling block at some point.   I hope I can do this!
Kime-lou

Kime-lou

4
adargie's Blog
 

8 weeks out, officially hit the 30 pound mark, slow and steady wins the race....

Haven't posted in a while mostly because well nothing too exciting happening. Staying the course with my diet. I am still doing a morning shake everyday. I use a scoop of unflavored unjury, skim milk and ice and a couple packets of truvia then add coffee, its been something I actually look forward to. I still have yet to find any food that does not agree with me. (not always a good thing) I find that bread and potatoes fill me up to the point of being uncomfortable so I just stay away, but things like chips and crackers do go down easy so I am not letting those come into the house. I am having fun with cooking, using the recipes I find on theworldaccordingtoeggface blog. I made some lettuce wraps that turned out great the other day. My husband even liked them. We grilled steak this weekend and it was amazing! I only have to buy one steak now and we split it. My exercise is still low key, I walk 3-5 times a week with a coworker, I need to turn it up a bit and get weights in but the weather has been so nice I want to enjoy it to the bitter end! I have all winter to be inside in the gym. As of today I am down 30 pounds and I am 8 weeks out. My closet is starting to not yield much to wear. I have this gap of clothing the "too big" stuff is being thrown into a pile for friends and goodwill, and the "I will get there" clothes are still out of reach and there's not much in-between. I am down to one or 2 pairs of jeans that I can fit. I never realized how long I went wearing clothes that were too tight simply because I couldn't wrap my head around buying the next size up! I may do a big overhaul on the closet this weekend. in 2 weeks I go on a girls trip and we will be hitting some outlet malls, I won't go crazy buying stuff but need to get a few things., I like how shirts are fitting me now. I am top heavy and have lost almost 2 cup sizes, the girls are a bit lower but still look nice in a bra! LOL, I managed to find 2 old bras that I had stashed because they were too small so that has saved the pocket book. My progress remains at 1-2 pounds a week. Sometimes with an extra bonus pound in there somewhere. So I am not the fast loser I hoped I was going to be but this is the fastest I have ever lost weight in my life and kept it off! And for once there's no end in sight, no rebound with binges because I can't handle being no carb or so super food restrictive that I just crash into a bag of McDonalds like a raving lunatic! I look at food for nutrition but I also allow for what I am craving. Partly because its such a small amount. I can usually curb a craving with a sugarfree popsicle, or a couple crackers with peanut butter. I have stayed away from all the cider doughnuts that keep making their way into my office. I did have a minisnickers but kept it to just that one! Which was a feat in itself. I am keeping with the mantra of protein first, and have not had a problem sticking to it. It doesn't really require much thought anymore. I know I am still in the "honeymoon" phase, I have no real hunger just a weird feeling when I go too long between meals. I love the little blue diamond 100 calorie almond packets. I usually have one between my morning shake and lunch, I also have been making mini rollups for a quick protein snack. I take a mini dill pickle, half of a slice of deli ham and a teaspoon of low fat cream cheese, roll it up and its a perfect quick grab snack. This is becoming quite long winded(and I can't separate paragraphs for some reason) I feel good about my future feeling optimistic. So on that note I will end this
adargie

adargie

6
LadyDiva618's Blog
 

Am I getting furlough?

I normally don’t get into politics but my phone will not stop ringing. And I had to stay off of Facebook because of all the negativity that is being posted.   For those who don’t know I am a federal employee. I’ve been working for the government since I was 20. I love my employer and I love working with veterans.   Today I got a letter saying after Friday I will be furlough. Am I mad? No just disappointment that we as a nation can’t get it together.   I walk by faith not by sight. So for the next 3 days I will come into work with a smile on my face and continue help and working with our nations veterans.   I hear everyone complaining about being out of work but I don’t see what their plan is.   Here is my plan: I will try to work as many hours I can at the day care (job number 2) Tomorrow I will call up some temp agencies and see what they can do for me. I have to remember my situation is only temporary.   Anyway Today is my 5 month bandversary and I feel great!   Thanks for reading.
LadyDiva618

LadyDiva618

1
SolracSpree's Blog
 

Hair Loss

Well for the past couple of weeks my hair as been coming out more and more. And I was in denial until this past weekend when I remembered cleaning out my brush Wednesday and was full of hair again Saturday. So I got some biotin, got more multivitamins, some protein shots, biotin pills, biotin shampoo&conditioner. Then I decided that my hair was falling out largely due to the fact that I was tugging on all my tangles. So I decided to get my hair cut. So today I have 12 inches less of hair. freaked out a bit but I am OK with it. Lol See the before and afters    
SolracSpree

SolracSpree

4
steph62872's Blog
 

8 Day Post Op Follow-Up

I had a follow-up appointment after 8 days post-op. I selected my surgeon because he is supposed to be a leader in bariatric surgery in my area. I drove an hour for this particular surgeon and others do as well. Since my hospital stay, I feel that my surgeon has been dismissive evening when I was scared from the vomiting of blood. Well today, the staples were removed. My large incision bled and had to be packed. The nurse handed my mother a bunch of supplies and said we need to "pack it" everyday. What kind of policy is that?? I realize the dr. may do these procedures all the time but I don't get surgery often and find this scary.
steph62872

steph62872

2
dylanmiles23's Blog
 

WLS in other countries

As some of you know I watch tv until the wee hours and sleep late. On Nightline last night was about going out of the country for less expensive surgeries. A company in NC with letters like HSM (can't recall exactly) had two employees who needed surgery. The company sent them to Costa Rica first class all the way. The woman had by pass or sleeve (was not the band) and the man had knee replacement. Plus the company gave them each $2500. for sh*ts. The company felt by sending them to Costa Rica they saved about 1/2 price.   After they showed everything and of course everything came out ok they had on a Harvard lawyer. The lawyer said that if there was a problem there is no mal-practice insurance and how great are the doctors etc. The knee replacement inserts (I'll them) were around $7-9000. and in this country double. They said that is why people go to other countries for surgery.   Just giving Arlene's thoughts and informing others about out of country surgeries. I have seen on this site that some people go to Mexico. There is a weird saying that a person who finishes last place at medical school is still called 'doctor'.
dylanmiles23

dylanmiles23

0
intelirish's Blog
 

Reasons why I LOVE where I work

Today although it's not like it wasn't apparent before ... i truly realized how blessed i am to work where i do. For the 1st week post surgery my manager supported 100% my working a reduced schedule at home with no impact to pay.. Being back in the office was less of a hindrance than i thought along with being chased home around 2pm everyday with the words go home and rest and heal..My work environment is amazing.. my desk is height adjustable so that i can go from sitting to standing at my desk easily so that i can take the pressure of the port incision so that it won't hurt as much. to they gym facilities where i can walk on the thread mil for as long as i want while i take a meeting on the phone. To the cafe with their long list of healthy/organic food options. to the AMAZING laptop bag our admin just ordered so that i don't have to carry my laptop around - given that it's pretty darn heavy..   I AM BLESSED..  
intelirish

intelirish

1
dylanmiles23's Blog
 

walking

The weather today in Boston is around 77 degrees and sunny. Tomorrow even warmer. Lately I have been going to the gym again. I go for around 30 minutes, better than nothing.   I live about 2 miles from a community college and my husband (age 63) is now a student 2 days a week. We have one car so today I drove him. I got to the college early so I could walk around the campus. WOW-it took 10 minutes and my Fitbit said about 800 steps. I was shocked how fast the long walk was and how little steps I took. Before the band I never would have even thought about walking to the end of the parking lot, let alone walk around the building. I guess being obese you look at the picture as huge, like my body was, and not as I can do it and will do it. My husband said I should have walked around 2 times but I didn't like the area. The side walks ended and you had to walk through a parking lot with vehicles always moving. Not very safe. Before you know it wonderful winter and snow will be here and you can't walk around outside.   Enjoy this wonderful weather where ever you are. The walk is shorter than you think It takes me 30-60 minutes to do food shopping than take a fun walk. Never thought of it like that.
dylanmiles23

dylanmiles23

2
ptipton's Blog
 

Tomorrow, tomorrow, tomorrow

Tomorrow, October 2, 2013, is the day I have my first pre-op appointment. 3:30 pm (cst). I pretty positive I will be approved and I'm pretty positive that Medicare will pay for it. My BMI is 46 and I'm a type 2 diabetic with high blood pressure. My surgery will be in a Center of Excellence (even though that it not a requirement anymore I feel good about) that has had their rating since 2007.   Yesterday I shared what I was doing with my brother. I think I expected him to say something like have you thought about this carefully but instead he was totally supportive as has been my son.
ptipton

ptipton

0
BlueMoon~T's Blog
 

Doggy Woes

Today I wasn't feeling like taking my early morning walk. It's been a stressful few days and I was letting it get the best of me. When someone rang my doorbell and my dogs went nuts. I have two small dogs, a black POM and a brown Chihuahua. It was the mail carrier and I had to sign for a package. My husband is always ordering things from Ebay and Amazon, so I was thinking how annoyed I was at him for ordering something else!   Well, guess what my little Taco did? He bolted out the door like a bat out of hell. I slipped on my flip flops and went chasing after him. Those of you who have small dogs know how quick they can be and wouldn't you know it... That little dog made me chase him around the entire neighborhood! He finally got tired about a mile away from home and I had to carry him the rest of the way. The entire time I'm cussing him under my breath. Then, as I'm walking up the finally hill to my house I realize my little doggy got me out of the house to take a walk. Not the kind I had in mind, but I still got out and walked a good two miles.   Who knows if I would have walked today, but because my little Taco wanted to go on an adventure I took one and sitting her now... I feel great!
BlueMoon~T

BlueMoon~T

0
Maddy1's Start Over
 

Being Honest

My mom used that phrase, "honesty is the best policy" and I decided to start this blog with that thought. I have mostly failed at keeping up with my lap band program. I was banded in January of 2012 and lost 43 lbs in the first 4 months. I was very happy with the results, bought new clothes 2 sizes smaller and loved the positive comments from people who noticed the change. There was no support group in my area but thought I would make out ok. After all, I am a nurse and thought I knew it all. I guess what I didn't know was how many negatives in my life were supporting my bad habits. Not an excuse, but I had a 24/7 management job and it was killing me. So many hours, often 12 hrs a day and over weekends. I was emotionally and physically exhausted, lost my time to exercise and ate whenever and whatever I could and didn't take the time to plan it out. As the stress increased, I slowly began to gain weight back, a total of 20 lbs. I knew before the first year post LB that I couldn't keep up working like this and ever be successful with the LB. I just hadn't realized before how much work was affecting my life. At age 62, I decided to retire and I did. It has taken me nearly 3 months to "get myself back". I am no longer constantly fatigued and I have the time to take care of myself. Over the last several weeks, I am back to losing weight, 9 of the 20 lbs so far. I am trying to walk at least 30 minutes most days. I am also trying to find a stable spot with my blood sugars and how much of my oral medication I should take so I don't become hypoglycemic. I would like to use this blog to keep myself focused and gain support. I mostly see posts about success but not too many about someone who fails the first time around but comes back and meets that original goal. I want to be that person. I welcome any comments or advice you have. This morning I walked 30 minutes at a brisk pace. I weighed myself at 231 lbs. I had a nutrition packed shake (almond milk, protein powder, kale, blueberries and pear. 287 calories. I had one cup of beef stew loaded with veges for lunch that I made myself, little fat and low on salt. Wish me luck I can finish this day with a band friendly dinner and another 30 minute walk afterwards!
Maddy1

Maddy1

3
susis' Blog
 

6 Days Post Op

So this is my first blog here, or anywhere, actually. I am six days post op, just starting my "full liquid" week, and tolerating it pretty well. I have been heavy all my life, one time I actually lost 100 pounds on my own, and I felt like a movie star! I was light as a feather, and full of life! Of course, gained it all back again within 10 years. I can't believe it had to come to this, but here I am. Today I am feeling pretty sorry for myself. Did any of you guys feel like that post surgery? It seems impossible to get all the water and protein in that is required. Would love any feedback.
susis

susis

4
SillyAuntDi's Ramblings
 

This is the fun stuff...

I've been extremely careful the past three weeks of my newly banded life. I've been very strict with the list of foods I'm allowed to eat. I'm meticulous in getting in my water. And, I've tried to not get overly excited by the pounds dripping off my very happy body. But...   Today I had to check to be sure my pants weren't too saggy in the butt. Yep. And, my underwear is creeping up my...well...you know where it creeps   My shirts are looking a little sloppy.   I'm WAY FAR AWAY from any major goal or milestone...but the morning check for saggy butt has begun. I've already got a stack of "pants I can't wear anymore because they will fall down in public." There is currently one pair in the stack...but I've started a stack   The little things are what keep me focused and smiling...   Have a great day!
SillyAuntDi

SillyAuntDi

1
My journey
 

Still no restriction!

I had my third fill a few days ago. No difference still. I can't even tell I have a lap band. I think about food all the time, I'm hungry all the time, and I can still eat large portions (although I try really really hard not to). I wonder if I have failed this, too. Getting lap band surgery was my last option. Now what do I do?   On the bright side I have lost about 20 pounds since getting the lap band. That's good. But I haven lost any weight for a while and the fills don't seem to help. I guess I'll call the PA and see if I can get another fill and see if that helps. I can't believe how discouraged I am. This is horrible.
colorado_chick

colorado_chick

2
Inspiredsmile's Blog
 

Post Surgery Surgeon's appointment today

So today I met with my surgeon for the first time since surgery. (Surgery date 9/11/13) He was very pleased with everything including the 15 pounds that I have loss since 8/30/13 one month ago when I had my pre surgery appointment. I have been cleared to start back up my work out/exercise program. I have been doing the Lesile Sansone walking DVDs since February when I started my 6 month pre surgery wait. I swear by them and give them the credit for my 64 pound pre-surgery weight loss. Also cleared me to be romanic with my husband again! yippee! And also I leave pureed behind and start introducing more textrued foods. Today for dinner we grilled Maui Maui and I ate 1.7 ounces just by chewing and chewing and did I mention chewing. I had a tiny bit of heart burn, but over all nothing bad. I feel great and overall am excited to begin a more normal routine.
Inspiredsmile

Inspiredsmile

0
Gastric Sleeve Surgery - An Unexpected Journey
 

Quick FAQs - Frequently Asked Questions

Okay, this post is not to bash the newbies or newts (not a newbie/not a veteran), although I can see how it could look that way. My sense of humor is dry/sarcastic and it's hard to convey that in print.   I thought I'd start compiling some of the most commonly asked questions I see posted on weekly basis, just to show that you are not alone with your thoughts and concerns.                          Will all my hair fall out after VSG?      "Individuals don't begin to notice the increase in hair loss when showering or brushing the hair until about three months post-surgery. Although the resting hair is being pushed out of the scalp by new hair that is already growing, it can take anywhere from about six months to a year for the hair to return to its normal fullness.       Individuals who have undergone gastric bypass or other operations of the digestive tract designed to reduce obesity are more prone to hair loss post-surgery. This is due to the reduced intake of food in the weeks and months immediately following these procedures. The body needs an adequate amount of proteins and vitamins to maintain hair production. Protein-enhanced shakes are often recommended for these patients as a substitute until solid food can be better tolerated.     Hair loss related to surgery typically reverses itself without any medicinal intervention or the need for over-the-counter hair loss tonics or treatments. However, maintaining a diet rich in protein and iron is believed to help promote and speed up healthy hair growth. Suggested foods include salmon, beans, eggs, spinach, broccoli, nuts and whole-grain cereals. Avoid foods that can inhibit hair growth, such as those that contain high levels of caffeine and fat." Losing Hair After Surgery | eHow.com http://www.ehow.com/...l#ixzz2Maz1GjQH   Can I take my leftover stomach home in a jar?        Man, what kind of sickie... um I mean, that's a very astute question. I didn't ask my doctor about it, but from what I've read, it's considered medical waste and a biohazard in the U.S. So you can't have it as a trophy or to tan and make a beanie out of it.      If you're having surgery out of the country, then they may let you take it home, just be careful going through customs. If they ask about it, just tell them you found proof that the Chupacabra exists in Mexico.   Can't I do this with out the surgery? You know, eat the crazy small amounts and still lose weight? Why isn't that ok?        You can eat the small meals to lose weight, and it is okay. I just couldn't live that lifestyle for very long. It was a non-stop battle to keep myself from eating more.   How did you choose your doctor, how much did it cost, and how did you pay for it?         I don't want to recommend my doctor, since I wasn't happy with the aftercare, but I paid about $5k between the doctor and hospital. I put it on a credit card and will have it paid off before the end of the year. I found my doctor by calling my insurance company and getting a list of approved WLS doctors. I did a Google search for each doctor and read the reviews before choosing my surgeon.   Do you regret having WLS surgery?      I do not regret it for a minute. Even with all the discomfort of the 1st 10 days, I am very happy with the result. Food is no longer the focus of my life and I love sitting at a buffet restaurant knowing that I will only eat about 1/4 plate of food.   What do I need to pack for the hospital? Here is a long list of suggestions on things you might want to consider taking with you. http://www.verticals...surgery-thread/   How soon after surgery can I start drinking alcohol? I'm sure every doctor has their own recommendations, but my doctor said wait 6 months post-surgery before drinking alcohol again. I'm not a big drinker to begin with, so I didn't miss alcohol. But I did drink about 2 oz. of Tequila at month 6 or 7 and was buzzing immediately, more so than I would have been pre-surgery. So, if you're going to start drinking again, just be aware that it may take less alcohol to impair your system. :-)
joatsaint

joatsaint

14

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