I am very happy to be here and have enjoyed reading this site over the past few weeks. I would love to get down some of my thoughts and hear any feedback anyone has for me. I tend to write essays so I apologize for the length.
I am scheduled to meet with a surgeon in two weeks. I also have the psych eval and nutritionist appointment as well as some medical tests that day. The hospital is almost two hours away so I'm packing as much as I can into each trip. I have bcbs fep so still have the 3 months supervised program which has not started.
I weigh 278 and have been around this weight or higher (highest around 300) for at least 10 years. I am 35, normal weight as a young child but as soon as I hit puberty quickly became obese. I am not saying it is all genetic, but I know that is part of it. My parents and brother all suffered with obesity or morbid obesity. My brother had gastric bypass surgery several years ago, and to make a long story short he had complications, and died two years after the surgery at age 30. This was not from the surgery but was medically fragile since the surgery. My parents blame the surgery although I do not. They have made it clear that they would be very, very upset if I chose bariatric surgery.
Despite this, I have considered this for years. I try to base most of my major decisions on good data. I know that long term weight loss in significant amounts (like, 100 lbs) is quite statistically improbable. I have successfully kept 20-30 lbs (back and forth in this range) off for 6 years. Despite that I am concerned about my health. I have high blood pressure and take three medications to maintain this. I am in the prediabetic range for blood sugar. I see my dad with worsening neuropathy from diabetes type 2 despite really hard work on a very low carb diet. My paternal grandpa lost 3 of his limbs from this disease before he died. Despite being fairly young my knees are starting to hurt when using stairs. I worry that I won't have very long ahead of me. I honestly have come to terms with how I look and while being thinner would be nice, that is not a major motivation for me. Sickness and early death from health consequences of morbid obesity terrifies me.
I work full time as a clinical psychologist at a Veterans Affairs. The work is my passion and I would not want to do anything else. However it can be very stressful. It is also very cognitively and emotionally demanding and therefore exhausting while being super sendentary. My salary also supports my family (son and sahd husband). I have recurrent major depression. I am doing very well, taking medication and when needed connect back with therapy. I always live with the fear of depression relapse due to fear not being able to keep up at work and how hard the last one was on me and my family (4 years ago).
Fears: will such low amounts of calories allow me to have sufficient cognitive energy to do my job well? Will the mood effects bring on another episode of depression? Should I hide having surgery to my parents, which feels dishonest, or tell them the truth and live with their anger and fear of losing their only remaining child? Will I be able to regularly engage in moderate exercise which honestly I haven't done since my early 20's?
If you made it to the end, thank you. I don't expect answers to the above questions but feels good to tell them to people who might relate. Any thoughts welcome. Any experiences of going through this while maintaining a demanding job are appreciated.