@@anonmom
The most notable issue, as anyone familiar with BPD may have guessed, is the return of eating disorder behaviours. Nothing meets diagnostic criteria or anything at this time, but since around 5 months post-op I have had significant struggles with my caloric intake. At 5 months I was at a range of 800-1000 cals/day, but since then it has slipped bit by bit. Last month I admitted to myself that it was definitely an issue again when I realized that my anxiety level was directly related to the number of calories I was consuming. I was only comfortable under 300 cals. 300-399 made me nervous. If I broke 400 calories my anxiety shot through the roof. I was making decisions on what/if I ate based not on whether I was hungry or if I'd hit my Protein goal for the day, but on whether it would push me over 400 calories. I also may or may not have forcefully vomited a time or two (or three or four...). The last time I had these issues, the only way I was able to shut down the behaviours was by leaping in the opposite direction - ignoring calories and simply eating what I felt like when I felt like it. Therefore I am not currently tracking my food. This has indeed provided a temporary solution in that I once again eat when I'm hungry and am surely getting in enough calories. However this has made me less diligent in where those calories are coming from, and carbs in particular have crept back in a little more than I should have allowed. I have now regained a few pounds (5, to be exact) over the last month since I've quit tracking. This is how I got fat the first time. I'm giving myself one more week to get my sh*t together, then I'm back to tracking, and whatever will be will be. While neither is ideal, I'd rather deal with eating disorders than undo everything I've just done. The fact is, anorexia is easier to treat. I've already had bypass - I have no further surgical solutions for obesity. Eating disorders aside, my emotions are also pretty out of control again. Weight loss has awoken me in many ways, and after decades of being locked tightly away, feelings are once again free and loose - and very, VERY intense. I don't become sad, I become devastated. I don't get hurt, I get destroyed. I don't feel pressure, I feel completely overwhelmed. I don't simply get happy, I get ecstatic. Everything is felt very deeply, and even the good feelings are piercing to the point of pain. Almost makes me miss the days of just going through the motions with a completely disconnected plastic smile. Almost.