Interesting question, I think for me years of shame and the constant yo yo-ing of losing and gaining with the past 20 years of people periodically if I lose, wow you look good, what are you doing. I have found in the past seven weeks since surgery that I am being very open with most people who have know me for a while. It is greeted with support and friends excited about my decision. I had my first fill yesterday and was drinking only liquids yesterday and while I was teaching my grad class a student offered me a piece of chocolate I said no thanks and she pushed a bit, and I said I am only on liquids right now. After class I told her why, and it was fine. But in going back to that original question I think it comes form years of feeling shame from obesity.