My surgeon requires two day of liquids after a band adjustment. So, I had some time to reflect and figure out how I was going to stay on track. I thought the best place to start would be by doing reading and further reflection.

I decided to read a book I purchased somewhere around the time I was banded, but never took the time to read. The book title is Before and After: Eating and Living Well After Weight Loss Surgery by Susan Maria Leach. Some of the things I summarized from reading her book that have really hit home for me are:

1. Even after all my research, I wasn't prepared for how day-to-day living would really be after weight loss surgery until I lived it. What I realize now that I didn't quite grasp before is that the band only keeps you from becoming ravenously hungry and restricts your intake -- that's ALL it does. The hardest part of being successful with WLS depended entirely on me and my choices.
   
2. As I moved from liquids, to soft foods, to solids, my daily food challenges grew. At some point I let "life" overwhelm me and failed to develop personal strategies for dealing with my emotional issues or eating habits. I also expected my band to do more for me than I was doing for myself. Now I completely understand that if I want to be continually successful, I MUST:
   1. 
      
   2. GET MY HEAD IN THE GAME.
      
   3. not drink and eat at the same time.
      
   4. eat like I had the gastric bypass focusing on getting in protein first, then veggies, then fruit in that EXACT order and control the portion sizes/ratio.
      
   5. AVOID high carbohydrate foods because they are the DEVIL reincarnate. Don't EVER act like I don't know what carbohydrates are and there's no label to read. If I do, the only one I'm fooling is me. My band, my body, and my scale have proven they will not be easily fooled forever.
      
   6. build up to EXERCISING at least 5 day per week to lose fat instead of muscle.
      
   7. Take dietary supplements morning, noon, and night.
      
   8. Hold myself accountable by tracking my weight weekly and my diet and exercise.
      
   9. KEEP MY HEAD IN THE GAME.
      

First thing this moring, I created a weigh-in chart through the end of calendar year 2008. According to my estimates, if I average two pounds a week, I should be at or below goal (150) before the end of the year. Is this goal set on perfection? Nope, it's set on continually striving to reach my goal in small achievable increments. Is this goal attainable? Well, I really don't know yet. The lowest weight I can ever remember being is 156 and I was 19 years old at the time. So it will be interesting to see where my body lands on the weight scale with continously applied effort. For now, my sites are initially set on getting back to the January 24, 2007 weight of 224lbs, from there I'll be working on breaking the 200lb threshold, then my focus will turn to achieving a healthy BMI of 29, which will put me at exactly 190lbs. Hmmm, now that I'm thinking about it. I'm going to update my weigh-in chart to include BMI changes for extra incentive.

Since my surgeon only sees follow-up patients on Wednesdays, I've decided that will be my weekly weigh-in day. So, I will take and record an official naked weight every Wednesday even if it's a day I'm scheduled to see the surgeon. I will also record the clothing weight on those Wednesdays as well.

I still have to come up with a plan that addresses all my issues and not just identify what I've failed at doing in the past and a documented weekly weigh-in chart. I need a plan that helps ensure my success. That will definitley be a bit harder. So, I'm going to have to address one issue at a time as soon as possible. My next appointment with the surgeon on 13 February and I want to ensure that both our scales show my effort.