I've been lurking on this site for a month or so now, thinking of surgery in January after my insurance changes.....like a lot of posters on this topic, my biggest challenge is with powerful cravings that I can't seem to fight. I don't have out of control hunger, I'm not an emotional eater, and aim not a binge eater.
I track my food, and can see patterns of these cravings ruining days/week long string of healthy eating. I'm worried surgery might be futile if the cravings are still with me.....or if they return 2+ years into maintenance.
As a last ditch effort while I wait for January, I started taking naltrexone (which is used in the diet drug Contrave- I can't take Contrave because of the Wellbutrin in it, so my dose of Naltrexone is usual dose they use for alcoholism).......and it has been amazing. I don't crave sugar/fat *at all* and also kicked a diet soda habit. I lost 10lbs this month with the same diet minus the crap I used to eat to satisfy the cravings.
I've never been a drinker but I do find it interesting to read that there is a link between WLS and alcohol abuse.
It's only been a month, so I can't speak to long term results....but so far I am enjoying being free from those cravings.