kotopolish

Hi y'all, I am new to this forum and just want to first acknowledge and commend the courage and strength y'all have in utilizing this fortunate tool in your journey to a healthier life. I am at a crossroads. I am a 6'2", 275lb, 39-year-old man with VSG scheduled for Jan. 16, 2025, and I am having serious doubts--some caused by my health practitioners (chiropractor and non-WSL-related psychiatrist). I am on five different maintenance pills for blood pressure and cholesterol. My highest weight was 330lb. I lost 50 lbs in 2022 for a wedding, gained 30 in 2023 and lost 25 lbs from October 31st, 2024 until now (extreme crash diet). The total down is 55. My ideal weight is 210-225, provided that weight encompasses an active lifestyle and dedicated weight training. Here is the rub: I am scared of the surgery, and that fear has really kicked my butt to get healthy. My liver no longer shows NAFLD or alcohol damage with enzymes in the normal range. That is surprising because I was (honestly) an incredible "alcoholic" from 2013-2023. It may be hubris, but I am in no way concerned about addiction transfer as I have fully recovered from alcoholism following a wegovy and booze and supplement mix that caused acute pancreatitis. Blood pressure and cholesterol are under control. Sleep apnea sucks. Mental health is good to great. Banned currently from GLP-1 ( aforementioned acute pancreatitis). I have kicked all the typical vices. Despite all that, I am cleared for surgery, and the surgeon thinks I am an ideal candidate because of the lower risk of chronic pancreatitis following the knife. My surgeon is located in America, and my insurance is on board. Meanwhile, I have had little trouble maintaining a 1600- to 1000-calorie fat-burning diet, especially since a surgery date made it a very, very real concept. My primary motivation for pursuing VSG was for my family and my 2-year-old daughter, coupled with a debilitating (but now manageable) back injury that left me sedentary for nearly 2 years, and, of course, to address my comorbidities. Now that my back is "okay," I can exercise 3 to 5 times weekly. But if I don't lose weight, spinal degradation and likely further stenosis around the sciatic nerve will continue. I was supposed to have surgery earlier in the Spring of 2024 but bailed because of a month-long family holiday to Asia and then a summer of the in-laws staying with us. Also, we are trying to get pregnant again, but my wife's self-imposed window is closing as she soon turns 40. So, what do I do? Given that my ideal weight is approximately 65 lbs away, would you pursue VSG? Would you delay it while trying to conceive (this is a big one)? Am I getting stuck on too many variables? Would VSG make global travel a different experience? Or do I buckle up and charge ahead? Should I try giving the "natural" way a shot for one more year? I have unflinching support from my family and parents to go for it, and I have little doubt that I would excel in a post-op life. But I am worried about travel, a change in taste, and, generally, pain. Pain makes me an unpleasant person at times. But I dread ballooning up to qualify for insurance if the "natural" way fails my goals. None of this was a concern until a surgery date made it real. I appreciate you reading this and thank you in advance for any comments, long or short. A simple "Go" or "No Go" would be appreciated. I am actively planning for the surgery and, regardless, look forward to the two-week pre-op diet challenge. However, I could see myself bailing like two days before. Digital prayers for all! Is anybody ever too young for a midlife crisis?

@NickelChip & @Arabesque Thank you both for taking the time to respond. I am sure this is common, but trying to rationalize a way out when I have been so pumped for so much longer than being nervous is annoying, to say the least. Important and reassuring points you both made! I need my metabolism on my side, and it would be a mistake to pass up what is likely one of the most positive and important health decisions I will ever make. I need to stay focused on starting 2025 out with a bang!