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I am finally half way through the this! I have to admit that it's been hard. It's not because I've had stomach hunger or head hunger. It's because I miss eating. Last night, I went to my mother's house and it was tapas night. This morning my roommate made ham, onions and eggs. I love eggs. (heavy sigh) Oh well moving onward, all of this will be over in one week. Woo Hoo! Not to mention that as of friday I've lost 5 pounds. A pound a day is pretty good. If I could only do it for 86 days in a row. Hahah! I have been think about getting a few tattoos. Here are a few ideas: 1.) Promise tattoo on my pinky finger, for the promise I am making to take the best care of myself from now on. 2.) "You never know how strong you are until being stong is is the only thing you have left" 3.) "Enough" because no matter what anyone says, I am good enough, smart enough, thin enough and beautiful enough. In addition, I have to remind myself that I have enough food and stuff. I think I like this one the most. What do you think? If you are reading this, good luck in your journey. I wish you the best of everything.

Reality has set back in. For the first seven days after my last adjustment (first one in 6 months) I was in paradise. Scale kept dropping close to a lb per day. Yay! Thanks, Santa, that's just what I always wanted! Then there was the aberration of a 1 lb gain that I knew had to be bs, so I ignored it, checked my food log, and chalked it down to sodium. Since it was almost all off the next day, that's still my story and I'm sticking to it. Today, the scale just stayed still, so I'm exerting a lot of energy reminding myself that as long as I AVERAGE 1-2 lbs per week down, it's all good. I'm good. Everything is fine. Can y'all hear me chanting, "Ohhhhhmmmmmmmmmmmm?" I know I can't expect any weight loss to be smooth and perfect and steady downward every time I get near a scale (but, oh, wouldn't that be wonderful?), but it's tough to remember that when my inner toddler is whining, "Are we there yet?" every five minutes. It also doesn't help when my inner b***h can't stop pointing out that if I hadn't taken all those months off and regained, I wouldn't now be facing the extreme frustration of trying to lose 10 lbs I had already lost. She's so annoying sometimes. Still, I am what and who I am and where I am, and I can't change that by looking backward, only by moving forward. Went shopping today to stock up on lean protein and make sure I had enough variety in the house to keep from getting bored and cranky, which makes me want to break rules. No rule breaking here, just good healthy food and lots of protein (good thing I love chicken). I know I can do this, especially since I have another appointment coming up in 5 days with the promise of another fill if I need it (oh, I do, I do, I swear I do!). I can no question hold out until then. And after that fill, I will be able to hold out until the next one. If I weren't strong enough for that, I wouldn't have come back with my tail between my legs a week ago. I'm here, I can do this, and I'm too danged stubborn and cussed to give up now. So there!

Even this far out from surgery, I still have problems eating slowly - especially if it is something that goes down easily like peanut butter. By accident I found a way to train myself to eat slower. It's chicken! My stomach doesn't seem to like ground up chicken and I can feel the gurgles and gas building after a bite or two. So I figure, why not use that to my advantage? So I'll be eating more chicken. Knowing that I have to stop eating after a bite is going to force me to lay the spoon down between bites. Anyone else have a food or foods that cause them to have stomach gurgles and gas?

Well, after quite a stall, I am down 3 pounds since my doctor's appointment this last Friday and it has stayed off for 2 days now. I finally remembered to buy a measuring tape at the store and have started keeping track of my measurements. I sure wish I had remembered to buy one earlier, so that I could know where exactly I started at, but that's ok. I'm trying to stay possitive. I have found that there is more protein in a serving of chicken than there is in a protein drink, so I'm going to try to not drink those anymore, especially since I am now on regular foods again. I just hope that I don't get sick of eating chicken. I'm not a big fish fan, unless it's lobster and crab. LOL I found that I hate ground turkey. We'll see how many new recipes I can come up with to not get bored with this. =)

Surgery went well, I was pretty terrified, cried before and the woke up crying. The conversation that I had while waking up: Me: (soft sobs) I just want to get married. Nurse: Awe, that's sweet. Do you have a boyfriend? Me: (long pause) Well that's a dumb question. Why would I want to get married without a boyfriend? The nurse just laughed. Today, I'm pretty sore, gas pains come and go, and I've stayed on top of my Vicodin to avoid pain. Went walking around the mall today with my brother, the came home cause I was tired. But I'm happy I did it.

I'm feeling really good today. Like I've said, every day is better than the one before. I had my follow-up visit with the doctor this morning, and he's happy with how I'm progressing and how my incisions are looking. I'm down 15 lbs according to their scale, 20 according to mine. 15, 20, whatever it is, I'm on my way. I just got back from taking my daughter Chloe for a walk to the library. Felt good to get out for a walk. I walked around the block a couple times yesterday, but it was chilly and raining so not too pleasant. Much nicer out today. Well, I bit the bullet and posted a note on Facebook about the surgery. I woke up at 5 am and couldn't sleep, and all I could think about was getting it off my chest. I spent the next 2 and a half hours working out what I would say. I created the note, then shared it to my wall with the following statement - "Dear friends, please read the attached note in its ENTIRETY before passing judgment. I hope for your support. Thank you, Joe" Here is what the note said: On Friday March 8, 2013, I had a surgery called 'vertical sleeve gastrectomy'. This is a bariatric weight loss procedure. This was not a decision that was made lightly, or hastily. I will try my best to outline my reasons for doing it, what it is, and reasons for not telling anyone. Reasons for not telling people First, I want to say that I was originally planning on only telling a very select few people about this. But I realize that this is probably not very realistic, as the changes will probably be pretty significant, and pretty quick. I've even outright lied to some people, including some of my coworkers and bandmates, which I am very uneasy about. I hope they will forgive me. Please don't be offended if you were not one of the people I chose to tell beforehand. My main reason for choosing not to tell people beforehand was that I didn't wish to invite any negativity, or have anyone trying to put doubts in my head as I had already made the very difficult decision and none of that would have been helpful to me. Every person I did choose to tell had the exact same comment - "you're not THAT big." I appreciate the 'compliment', and suppose I got pretty good at hiding it. Before surgery, I weighed 274 lbs. I'm sure this number will probably shock most of you, as that seems to be the universal reaction. Another comment I heard was "you could do that yourself". There have been times I've been able to shed decent amounts of weight, only to put it all back on, and then some. And each time I would do this, would make the next time even harder. I also REALLY didn't want to hear anyone say to me that I was 'taking the easy way out', as no doubt some of you reading this might be thinking right now. This would have done nothing but anger me, and would have jeopardized our friendship. Believe me, there is nothing easy about having surgery. I'm still recovering, and wouldn't ever want to relive the first 24 hours. It is still going to take hard work and exercise to get to my goal and maintain it. This is only a tool to help me achieve that goal. What it is There are basically three main types of weight loss surgery. There is the gastric bypass. This was never a consideration in my mind, as I view it as being a last resort for extremely overweight people, and there can be a lot of malnutrition involved. I was actually scheduled for the lap band procedure, as I know a few people who have had it done, with varying degrees of success. After hours and hours of further research, I decided against this. Basically, the lap band is a device that is implanted and placed around the entrance to the stomach. The band gets filled with saline so that it inflates and restricts how much you can eat. The 'temporary' aspect of the band (the fact that it can be removed if any issues arose), was the biggest plus to me initially. The more I read online, the more I saw people not happy with the lap band, and having it removed and getting the procedure I had, the vertical sleeve. Some issues with the band include slippage, erosion, and the long-term maintenance (you have to go periodically for 'fills' to adjust how much the band is filled). Some people just could never find what they call their 'green zone', the perfect level of restriction where they are restricting enough to lose weight but not so much that they are vomiting after 2 bites. Also, insurance concerns crossed my mind - would insurance cover the fills forever? What if I moved or had to change doctors? All of these things pointed me in the direction of the vertical sleeve. The vertical sleeve is the newest of the three types, and is basically a laparoscopic procedure where up to 85% of your stomach is removed, leaving you with a sleeve about the size of a banana. Basically, you are then restricted to eating between 3 and 5 ounces at any meal. You can eat pretty much what you did before, only MUCH less. Some people find that they don't tolerate certain foods after surgery, or don't like the tastes of some foods they liked before. It is a permanent solution. The weight loss results are comparable to the bypass, typically very good. Another benefit of this surgery is that the part of the stomach that is removed is the part that produces the hormone grehlin, the hunger hormone, so feelings of overwhelming hunger go away. People say that they go from eating extreme amounts of food and never feeling full before surgery, to having to remind themselves to eat so they can get in enough calories after. The fact that the lap band was 'temporary' and could be removed at any time, was what made it more attractive to me initially, and seemed less 'drastic'. But the more I thought about it, the more I realized that I needed a permanent solution that would help me make the lifelong changes I needed to make. Wanting something because it was reversible, enabling me to go back to the way I was, no longer made sense to me. Reasons for getting surgery First and foremost, I did this for my wife and kids. I don't want to leave them without a husband and father. Sure, I'm not happy with how I look, but looks were at the bottom of my list of reasons. I would have been perfectly happy to continue to eat 5-6 slices of pizza and being upset that there wasn't any more because I still didn't feel full, and watching my weight continue to rise every year. I 'know' what the right things and right amounts to eat are. But 'knowing' and being able to stick to it because you never feel satisfied are two very different things. I never smoked or drank or did any drugs. Food was my drug, and it was negatively affecting my health. Besides weighing 274 and growing, I had a BMI of 36, which is considered obese. I have high blood pressure, high cholesterol, erosive GERD (acid reflux), shortness of breath, a leaky heart valve, and what my doctor says is the second worst case of sleep apnea he's seen in his office. If you don't know, sleep apnea means you stop breathing for significant periods of time, which lowers your blood oxygen level, and the 'jarring' that occurs when your breath comes back could cause your heart to go into a deadly rhythm. So basically, I was a ticking time bomb that could die in my sleep at any time. I have a machine called a CPAP machine that helps me breathe at night, but I've tried it and find it impossible to sleep with it. I'm actually getting a new one today that my doctor says is easier because the air pressure level automatically adjusts based on what you need at any given moment, instead of being set at a fixed level that sometimes seems like too much and would wake me up.. I plan on giving it a try, and hopefully once I lose a significant amount of weight the sleep apnea will disappear. I also hope to be off my medications. Most people who get the sleeve are able to get off their medications and are cured of their sleep apnea. I've seen stories of people being cured of type-2 diabetes (which I thankfully did not have, yet) the day of surgery. Amazing. The apnea and medication for blood pressure, while being the result of being overweight, also become self perpetuating problems. They limit my energy level, which in turn limits my activity level, further adding to the obstacles to weight loss on my own. How I'm doing The surgery went well on Friday. The surgeon found a fairly large hiatal hernia, which he repaired while he was in there. The first day was basically Hell. I was in pain, discomfort, had a hard time taking deep breaths, and was extremely tired. All I wanted to do was sleep, not only because I was tired but because I wanted to avoid the discomfort. They pump your belly full of air during the procedure to maximize the space they have to work, and this air leads to gas pain which radiates to your left shoulder. This gas pain is no joke. Every day gets easier than the one before it. I am on a clear liquid diet for 1 week, basically limited to water or crystal light, broth, sugar free jello, and sugar free ice pops. I also need to drink protein shakes until I can start eating foods with protein. They want you to get between 60 and 80 grams of protein in every day, and if I can't get all of that in from food I will have to continue with the shakes. At first, it was very hard to get in the fluids, due to swelling. Very small sips. That is getting easier by the day. After 1 week, I progress to a few weeks of a puréed diet, eating mushy foods. A blender will be my friend for this phase. After that, I can start introducing some 'real' foods, slowly to see what I can tolerate. They still want you to concentrate on getting most of your calories from lean proteins and vegetables, limiting sugars and starches. I welcome my new relationship with food. It will no longer be something that I do for pleasure, consuming unlimited quantities. Instead it will be something that I will have to be conscious of, sometimes reminding myself to eat so that I can get in enough calories to sustain good nutrition and fuel my body. It will be a big change, for sure. I continue to feel better every day. The pain is basically gone, limited to what I would describe as a 'tightness' feeling at the incision sites. I had 7 small incisions, which should leave minimal scarring. The first step out of bed or off the couch is the hardest, because of this tightness, and my fear of twisting or stretching anything the wrong way. I'm walking well, just a bit slow at the moment. The tightness also makes it impossible to sleep on my side or stomach right now, limiting me to my back, which is the worst position for my sleep apnea. To counter this, I've found that sleeping upright on the couch with my feet up on an ottoman is the best for me. I tried piling pillows on the bed to elevate my head, but found that it was pushing my head forward, further restricting my airway. I will get my new CPAP machine today, and look forward to sleeping in bed with my wife again tonight. As of this morning, I've lost a total of 20 lbs, including 9 lbs lost during a strict one week pre-op diet. In conclusion I am a very private person, who doesn't like divulging personal (potentially embarrassing) information, as I've done at length here. I only just decided to write this after waking up at 5 am and not being able to fall back asleep. I hope for all of your understanding and support, and 'friendship'. I welcome any questions or comments, either under this post, or in a private message, or in person. I do not welcome any criticism or cruel comments or jokes (even lighthearted ones, as I might not view them this way). If that is your inclination, please refrain from commenting, or go ahead and remove me from your friends list. I apologize for ending this on such a down note like that, I just want to make it clear how serious I am about this. Thank you.' So far, I've gotten all positive comments from people, except for one person. He used to be a close friend, but we grew apart in recent years, but are still friends on Facebook. It's been years since we've talked, even on Facebook. He said he was hurt that I didn't contact him, because he had weight loss surgery also and could have helped me in my decision. I had no idea he had surgery, and told him that and asked him how I would have known. We sent messages back and forth, and he still was upset, saying stuff about how he's sick of putting himself out for other people only to get nothing back (paraphrasing). I told him that I was disappointed that he chose now, a time when I'm reaching out for support and understanding, to make it about him and his hurt feelings that our friendship isn't what it used to be. Whatever, I can't worry about that now. I need to take care of myself at this point in time.

Hi everyone. I'm new here. Well, I found out on Monday, 3/11 that I was denied for my surgery by Aetna because about 2 years ago I lost over 100 pounds through diet and exercise. I kept the weight off for about a month if that long. I have since gained all the weight that I lost back and then some. I've struggled with my weight all my life. My doctor is doing something called a peer to peer review to see if she can get the denial overturned. Waiting for an answer is torture.