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I'm working hard to make exercise my coping mechanism or other physical stuff. If I can't or don't want to do formal exercise I will do something useful around the house. For example I cut and stacked wood for 3 hrs the other day, I couldn't move after and it felt great. Outdoor labor is great because it can be very physical, but also produce satisfying results. Writing can be therapeutic or reading. I'm finding that talking to my wife (shocking I know) is helpful too. Try a bunch of stuff and see what you like.

All great advice above. Music with any physical activity. None of us get to avoid life's stresses. I used music as I walked to process my mother passing from cancer. My workout time is when I process even normal daily stress/emotions. I use stress and anger to my advantage. I listen to more aggressive music (lol) I find myself keeping pace without noticing. I sweat and feel amazing after. Also reaped the benefits of faster weight loss..Bonus!

Biotene for sure! That was a great thirst quencher.

Thanks, that's nice of you to say.

Oh well damn. That just hurt my feelings. Honestly, I think he may be dealing with some issues regarding your smaller frame. He isn’t used to you being smaller so he is acting out in either jealous, insecurity or both. I am sorry you have to hear that but if losing the weight makes you happy, that’s all the matter. Sometimes we have to cut the dead root to really blossom.

I recently switched insurance companies, but I had BCBS of Western NY when I started this process. Requirements were 6 months of nutrition visits, 1 psych eval and 1 exercise class. No endoscopy.

It’s probably going to vary plan by plan and practice by practice. That being said, if you’d been seen by my surgeon, you would’ve had to have been on a pre-surgery liquid diet for a longer period of time than someone with a lower BMI, and might have had to go in for blood work while you were on the pre-surgery diet. All plans and practices seem to require some form of supervised medical weight loss program and a psych evaluation, as well as a screening for sleep apnea if you haven’t already had one. Also, though I haven’t heard it mentioned here, my surgeon requires that patients get their A1C below 7 before surgery.

Why not consider bypass ? As The stomach isn’t removed Also would consider the amount of sleeve patients who end up with doing another surgery from sleeve to bypass Good luck on your decision! HW 242, SW 236- (Bypass 12/20/17) GW#1- 199 [emoji736] (2/11/18) GW#2- 175 CW 191.4 5’6”

Yeah, the weight shifts around differently for me this time too. I completely lost my arss already...lol but my stomach has not went down as much as I would like.