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I would talk to your insurance company first before doing anything drastic. I gained a few lbs (harder than it sounds) to meet their criteria. Then, I found out I had to have a 3 year history of bmi over 35 with comorbidities or 40 without. Plus, I couldn't drop below 35 during the 4 month supervised diet or they'd deny me. So, I basically wasted time gaining, then had to go self pay and lose what I had just gained. Sent from my XT1254 using BariatricPal mobile app

I have the Alta HR which is the slender one. I like it a lot, but I think if I could do it again I'd get the wider Charge 2. My husband and SIL have that one and I like the display better. I love having the HR feature and specialized sleep data. It's so easy to tell if you're training in the right range. The one thing I would say is make sure it's tight when you exercise, sweat interferes with the HR sensors.

Im 8 weeks post op and eat a small amount of Skinny Pop here and there

Yes, you'll be able to eat it again. I eat it all the time. I think I wait till about 4 months post before I introduced it. I'm 7 mo post now. Now, it's one of my favorites! I could eat it everyday, but I don't. LOL

According to the internet: Nonalcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver disease worldwide. Treatment recommendations for NAFLD are aimed towards weight reduction, thereby reducing insulin resistance. Unfortunately, lifestyle modifications have not yielded long-term success, while durable weight loss is routinely achieved with bariatric surgery. https://www.medscape.com/viewarticle/763056 So what this summary says it that lifestyle modifications such as dieting and exercise have not yielded long-term success but bariatric surgery has. Another article says: Nonalcoholic fatty liver disease is a progressive disease with potential evolution to liver cirrhosis and hepatocellular carcinoma. Another article says: Nonalcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver disease. It encompasses a spectrum of conditions associated with lipid deposition in hepatocytes. It ranges from steatosis (simple fatty liver), to nonalcoholic steatohepatitis (NASH–fatty changes with inflammation and hepatocellular injury or fibrosis), to advanced fibrosis and cirrhosis. Studies suggest that although simple fatty liver is a benign condition, NASH can progress to fibrosis and lead to end-stage liver disease. The disease is mostly silent and is often discovered through incidentally elevated liver enzyme levels. It is strongly associated with obesity and insulin resistance and is currently considered by many as the hepatic component of the metabolic syndrome. NASH cirrhosis is now one of the leading indications for liver transplantation in the United States. I underwent RNY gastric bypass surgery because my health was deteriorating rapidly. I dieted and exercised and still could not shed the pounds but instead continued to gain the weight. I had the surgery to correct my health conditions. The surgery corrected a number of my health conditions including diabetes, high blood pressure, sleep apnea, acid reflux (GERD). It even corrected my asthma condition. If your focus is to become healthy and live a long productive life, then I would suggest the surgery. I dropped 120 pounds after surgery and my BMI went to normal. Weight loss was just a little gravy on top of health improvements. One of the factors that enter into the equation is cost. The operation is expensive and therefore it is important to have insurance that covers the operation. Therefore the guideline requirements from your insurance policy will dictate how easy it is to obtain this surgery. Many insurance policies are written very similar, so this will give you an idea: Surgical treatment of obesity (bariatric surgery) is covered only if: - eligible enrollee is 18 of age or over - clinical records support a body mass index of 40 or greater (or 35-40 when there is at least one co-morbidity related to obesity). Applicable co-morbid conditions include the following: * Type II diabetes mellitus (by American Diabetes Association diagnostic criteria). * Refractory hypertension (defined as blood pressure of 140 mmHg systolic and or 90 mmHg diastolic) despite medical treatment with maximal dose of three antihypertensive medications. * Refractory hyperlipidemia (acceptable levels of lipids unachievable with diet and maximum doses of lipid lowering medications). * Obesity–induced cardiomyopathy. * Clinically significant obstructive sleep apnea. * Severe arthropathy of the spine and or weight bearing joints (when obesity prohibits appropriate surgical management of joint dysfunction treatable but for obesity). - Documentation of failure to lower the body mass index within the last 12 months through a medically supervised program of diet and exercise of at least 6 months duration. So if your health insurance policy was similar to mine, you would not be able to qualify because of age; but the moment you turned 18, you would get a green light because your BMI is over 40. So the best advise I can give you is to dig out your health insurance policy and read the fine print.

heavy things. have heavy things on you.

Man, I hope they finish soon, that's a LONG surgery! LOL...just kidding:) Advice....keep walking, keep sipping! Hydration is key, and the walking helps metabolize the anesthetic away and promotes healing. Best wishes for an effective, healthy outcome!

I understand completely! Mine is the same day as yours and I’m feeling all the same emotions!!

I, too, went Whole Foods plant based a few weeks back, I had the sleeve. I don't worry about my protein levels (nor anything else). I believe that my WFPB diet will take care of itself. And so far so good, my labwork came back awesome. Nothing my doc to worry about or deficiency in anything either. Still losing weight but even better...I'm getting healthier too. 😊

Congrats on switching to vegan! Such a great choice, I've never looked back when I went in 2003. I had RNY, but I've had no problem at all getting protein, I don't even need to pay attention to it and I still get more than what's required by my doc.