The main point I want to get across to people considering VSG is this: Regardless of your starting weight, if you are a yo-yo dieter, grazer, food addict and/or compulsive overeater with self-sabotaging tendencies, the surgery alone will not be enough. You will also need to get some form of counseling or treatment to control your compulsive overeating/grazing if you're serious about reaching your goal weight. (Read the symptoms of food addiction, compulsiver overeating here)

Now that that's out the way. Here are my stats:

Beginning weight: Approx. 193.5

Current weight: Approx. 132

Shocker right? I started this journey in the so called "lightweights" category--basically people with a BMI below 35. I only wanted to lose 68 pounds, and so far have lost 61. So what, if anything, went wrong?

Well, first let me say that I do not regret the surgery. Here's the deal: I'm a chronic yo-yo dieter and compulsive overeater. Before the sleeve, I had tried multiple diets in 2011, losing 25 lbs pretty quickly each time. The problem was, each time, I quickly regained the weight that I had lost in a period of days. Those setbacks became pretty discouraging after a while. I did a little research and decided that VSG would solve my problems.

Once I had the surgery, I fell into my normal pattern of periods of intense effort followed by periods of little or no effort towards reaching my goal. That got me to 152 lbs (approx. 41 lbs down) around 3.5 months out. From there, during periods of increased effort, I'd get down into the mid 140s. When I fell off the wagon, I would find my way back to around 152, which appeared to be my ceiling, regardless of how many bad days I had. Again, regardless of how many bad days I had. THAT's the reason why I do not regret this surgery. Were it not for the surgery, my 40 lb loss would have eventually turned into a 60 lb gain. With VSG, the worst case scenario appeared to be gaining back 5 lbs or so to end up back at 152 (I'm sure that over time, my ceiling will creep back up, but that's another issue).

Fast forward a few weeks... I stumbled on to the fact that I might have a mild form of adult attention deficit disorder. I was discouraged by all the projects that I was falling behind in, and I was very unhappy with my tendency to procrastinate and not put forth my best efforts. I met with the psychiatrist who prescribed adderall. I was aware of all the stories about adderall and weight loss, but after failing at weight loss surgery, I had pretty much moved on from thinking that I could lose weight from drugs or any other interventions. My main concern was getting my behavior under control so that I could be more effective at work and at home.

I started taking the medication around June. Within a few months, my schedule had become super busy and I had addressed the issues I had been avoiding for years head on, including home refi, ending a bad relationship, and revamping a few side businesses. But there was another side effect--while the medication was in effect, I was not a food addict. I ate when hungry. At night, when the medication wore off, I would resume grazing and eating just because. Of course, with the sleeve you can only eat so much.

With my food addiction somewhat under control during the day, I have gone on to lose an additional 20 lbs over a period of 4 months. This was with no effort, since I've been so devoted to the projects I'm working on that I haven't made time to workout or follow any particular meal plans. I recently resumed my gym membership and fully intend to start working out again and eating as healthy as possible but I'm trying to get everything else in order first.

I'm not advocating medicine to people suffering from food addiction--I'm advocating any treatment, including group meetings or counseling, that will help keep it under control. It turns out my weight issues are directly related to how much I obsess over food when I'm not hungry---no diet, fat burner, workout plan, or even surgery can solve that problem. However, it's probably not a great idea to just rely on medicine to control food addiction, because when the medication stops, the problem returns. In the end, counseling and coping tools are key to managing the disorder.