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I started smoking a cigar and having a drink with it after 5 weeks. I don't drink a lot just enough to go with my cigar and I smoke a cigar about 3 or 4 times a week. I had my surgery September 6th, haven't had any problems or issues. I talked to my doctor about the drink and all they told me was I would feel the alcohol a lot earlier and get drunk very easily. Maybe I don't drink enough because I haven't gotten drunk, just a little tipsy. I have lost 60 lbs so far and am so glad I had the procedure.

Today is 3 weeks post-op since my Lap-Band. It's four weeks since my pre-op visit when I started a no carb/no veggie diet in prep for surgery. I am the same weight today as I was 6 days after surgery - that's dissappointing! I do realize that a lot of that weight loss may have been from being on a liquid diet, for 6 days, too. So I'm still 12 lbs. down from my visit one week pre-surgery. I should just be happy. But I've been working VERY hard, and doing pretty well, and I want to see more results. I don't see anything yet except on the scale, which will have to suffice for now. He told me to stop obsessing - I'm down 17 lbs. from my heaviest - which I think was back in July when I visited him to kick this off again. So,... that's promising! I kept reading about fills here and on Bandedliving.com where people talked about how many cc's of saline their doctor added. Lots said that their doctor will only do 5 cc's at a time. My surgeon had previously stated that I will leave there after every fill at the perfect point, and I'll come back when I notice that I'm able to eat more than I used to be - for another fill. Huh. Today I asked him how many cc's he starts with. He was like, "WHERE did you hear that nonsense? STOP listening to anyone but me!" (Jeez - I wasn't "listening" so much as hearing! I'm following no one's recommendations but his. I tell him that - that I can't believe how he only had me on liquids for 6 days following the surgery, when I see elsewhere in print or online that people have up to 6 weeks on liquids and purees. He says, "There's no reason for that - it's just that some doctors don't treat any of their weight loss surgeries any differently. They do the same thing for band, sleeve or bypass. And their patients are suffering needlessly if they're band patients. Of COURSE they lose weight - they're on a liquid diet! He says that it's not the end of the world, and it usually doesn't hurt anything. But it's really unnecessary. He says that he'd love to do an experiment where people who want WL surgery are told, "You're having WL surgery", but not told afterward which one they had. Then treat them all the same as if they'd had the bypass, and you'd find out that they all have the same results. He's convinced of it. Lol. Says that of course bypass patients are on liquids and purees longer than band patients - because they NEED to be - their stomach can rip if they don't do things slowly enough. But doing that to a band patient is just scaring them when there's no need. Interesting. Anyway, he lays me down on the exam table, he asks me where my port is. I point. He wipes it off with alcohol wipes. He says, "Little pinch", and I feel the needle puncture my skin (such a little thing). He pushes in some saline. Then he sits me up so my legs are dangling over the table. The syringe is still in my stomach. He hands me a glass of water, and says, "chug". I do, and he makes me stop after about 4 gulps. Says, "Okay, where's the water now?" I point to my stomach. Says, "Okay, tell me when it goes down past the band". He withdraws a bit of the saline back out, and I think I feel a change. So I say, "There". And he says, "Okay, then we're good", and pulls the syringe out and puts a band-aid over the port. I tell him that I'm not sure of what it feels like for something to go down past the band - I've never had that sensation. He says, "That's okay - you go home and try this. If it's not enough, you just come back and we'll work on it more next time." Ummm, okay? I asked him a few questions today. I said, "Your information packet says that the point of the band is to keep the food above the band for a time, alleviating hunger. But elsewhere, I see that it says, "wait for the food to pass your band before you take another bite." He says, "Dang - NO ONE has asked me that in all the years we've had that packet. Now I'm gonna need to fire my nutritionist, who put that in there." (he's obviously joking). I say, "So which is it?" He goes into a long explanation with me about how the band is designed to make a pouch at the top that food holds in for a few hours. If food is passing the band as you're eating, then the band isn't tight enough - and it's virtually pointless. K, got it. Next I ask him about why the band needs to be tightened/filled over time - does the saline seep out? No - it's because of a few factors - one being that your stomach below the band is thinner than above it - just like once you get a ring past the plumpest part of your finger, it slides off from there on down. So you need it tightened occasionally. Also, it can slip down a bit and need to be tightened more for that spot. This is not the "bad" slippage - this is more incremental migration. I also asked the doctor what makes the food in the pouch above the band move down past the band eventually? Is it just a log-jam effect that takes time? Nope - it's that the stomach acid starts eating at the food in the bottom of the pouch, which makes it break down and fall through the band. Ah - got it. I'm going back in a few weeks for a pre-holiday check. I'm hoping to get down past 300 in HIS office (vs. my home) this time!

Hi everyone! I have BC/BS managed under carefirst administrators. When I met with my surgeon’s insurance specialist, I was advised that I didn’t have a 3 or 6 month nutritionist requirement, instead that I just had to get an upper endoscopy, psych evaluation, sleep study, nutritional evaluation and letter of medical necessity. I did all of that really quickly because for deductible purposes, I wanted to have the surgery done this calendar year. My coworker also started the process soon I finished everything and was advised that she had to see a NUT for 6 months. My paperwork was submitted to the insurance company yesterday so I’m hoping to hear from them early next week [with an approval!] but now I’m having a minor [read: major, monumental even] freak out because I obvs don’t have enough time to meet those requirements and have the surgery before year end. Basically, I just need some positive energy that will assure everything will work out okay! I’m so ready to have the surgery done and officially be a part of the losing team. I wouldn’t be devastated if I don’t get approved but it would definitely suck. I did reach out to my insurance company after speaking to the specialist in the beginning and these are the requirements they sent me: 1. Requires diagnosis of Obesity (BMI over 30). 2. If BMI is under 40 then a comorbidity is required (hypertension, diabetes, coronary artery disease, heart failure, obstructive sleep apnea, gastroesophageal reflux disease) is required. 3. The member must have a documented history of participation in a supervised weight loss program. 4. The member must be unable to lose weight despite sincere attempt. 5. They can’t have any active peptic ulcer disease or gastritis. Or evaluated and treated. 6. Endocrine (thyroid) can not be the cause of the obesity. 7. No alcohol or drug addiction or greater than 1 year since last used. 8. No cigarette smoking or smoke free for . 6 weeks. 9. No history of psychiatric disorder or disorder is managed. 10. Must have a dietary consultation. 11. Member understands surgical procedure, post compliance and follow up care. 12. The procedure must be done in a bariatric center. Nothing about 6 month nutritionist visits but.. idk. Maybe I’m freaking myself out. Anyway, thanks for reading!

I think when people say 'lower your standards' they don't really mean you should be willing to date married alcoholics (at least I hope not!) But I know more than a few (single) women who have a literal list of requirements: be above a certain height, earn a certain amount of money, have a certain level of education, etc. etc. There's a tendency for a lot of women to go around with a Mr. Perfect in their head and that's who they want and no one else will do. The probelm is, he doesn't exist - because you made him up. I didn't lower my standards when I went out with my husband for the first time, but I did open myself up to new possibilities. He wasn't my type at all, his clothes were too conservative, he wasn't nearly as "cool" as other guys I'd dated... and he's the most wonderful man in the world: supportive, funny, romantic, clever. So I don't like the phrase 'lower your standards,' but I do think people should keep an open mind about who they're willing to date. Just because a man doesn't catch your eye or make your heart flutter at first sight doesn't mean you won't have crazy chemistry with him once you get to know him a little. Just because he's unemployed right now or doesn't make a lot of money doesn't mean he can't be a great guy who keeps your house running like a well-oiled machine (stay at home dads!) Anyway, no, avoiding drunks and cheaters is not being too picky. But beyond that... I think it's worth it to give unlikely suitors a chance.

My doctor said 6 months and I waited the 6 months. Alcohol is no issue for me so I don't drink it very often. A glass of wine at special events or dinners is usually it for me. I suggest waiting your surgeons allotted time and then proceed with caution. As mentioned above some people are effected highly by alcohol and some aren't. My tolerance was the same as prior to surgery but I really don't want to waste the calories so that's a decision maker for me.

Nice! I travel and entertain clients for a living, so I'm dreading the change from the band. The band restricts me from eating healthy foods (lean meats make me really sick) but doesn't do anything for fatty/slippery foods, rich desserts, and especially alcohol. I like your approach to daily eating though - gives me some hope.

Well, how did you do? One of the biggest "foodie" holidays of the year just passed us by, which can be a MAJOR trigger for those who struggle with food addiction. If you're shaking your head in regret, please read on below to learn how to quickly get back on track. Well, how did you do? One of the biggest "foodie" holidays of the year just passed us by, which can be a MAJOR trigger for those who struggle with food addiction. If you're one of the lucky few, who is able to look back over the holiday proudly, and say "there is nothing I would have changed," then congratulations! I am genuinely interested in reading your comments below about what worked for you; did you remove yourself from the triggering environments, distract yourself by playing a card game or talking with another family member trying to do the same, did you re-read your bariatric surgery "why's," to reinforce your motivation that day, or was there something else that worked to keep you on track? "It's not how we fall. It's how we get back up again." - Patrick Ness For those of you who are shaking your head in regret this morning, you are not alone. There are thousands of other WLS patients who struggled to stay on track over the holidays. The biggest struggle I've hear throughout the years is that the motivation is dented, diluted, or zapped when one first gets off track from their plan. Enter code CYBERSALE to get my Full From Within Psychological Tools for WLS patients course 50% off today only. There is a lot of psychology behind this. Part of the magic in resolutions is their novelty: an implicit contract within the self that says "this will be unlike anything I've ever done before." When we relapse (or "slip" as I prefer to call it), the self goes "oh wait a minute, I know how this goes, maybe this is no different than before, who am I to think I could do this, I have no willpower, etc., etc., etc." So the idea is to find a new plan. It can be bits and bobs of the one you had before, but it needs to have that new car smell again to have longevity. I am including an excerpt of an earlier article I wrote about how to do just that: What do we do when we fall from grace? The research on relapse (with any addiction; food, drugs, alcohol) is that recidivism is the rule not the exception. So why do we get so down on ourselves when we fall short of our goals? Why is it so hard to get back on the horse with the same vigor we had when we started? And how do we give ourselves a renewed sense of hope and motivation for change once we've fallen? “The secret of change is to focus all of your energy not on fighting the old, but on building the new.” - Socrates Everyone does well out of the gates. We all impress ourselves when we start, what we believe to be, a new lifestyle change. However, "out of the gates," can mean different things for different people; for some it is two months, for others (usually depending on how strong the addiction or habit is) it can be two minutes. But what do we do when we fall from grace? The research on relapse (with any addiction; food, drugs, alcohol) is that recidivism is the rule not the exception. So why do we get so down on ourselves when we fall short of our goals? Why is it so hard to get back on the horse with the same vigor we had when we started? And how do we give ourselves a renewed sense of hope and motivation for change once we've fallen? One magical ingredient in the secret sauce (and one of many concepts I talk about in my book and my wls courses) that is lifestyle change is the novelty effect. The new plan to quit something or change a bad habit is something unlike we have ever done before, so we hope that we can achieve something we have never done before. The problem is that the moment we slip, that novelty loses its magic - and each time we start over, it loses its power to give us hope. So the solution is to cultivate more novelty. Our ability to continually grow and change is largely limited by our creativity. The more creative we become, the easier it is to take a different approach to change. To open a window when life seems to shut the door. In other words- what I am telling you, is that the only secret to long term weight loss maintenance is the knowledge that there isn't only one secret. There is no ONE diet that will forever change someone. Eventually people get tired of eating bacon and eggs every meal on Atkins, or grapefruit, or cabbage soup- but the thread they all share is their novelty. This is why all of them can work initially. Even as powerful as weight loss surgery is- people still find that they start to plateau or even gain the weight back if they aren't simultaneously addressing the behavioral and psychological factors that got them there in the first place. They too, must also continuously be creative about renewing one self throughout their lifetime. So the following is for all of you who are struggling today. Those that feel they have lost their way and perhaps feel disenchanted or disappointed. Below is a recovery "map" I created a long time ago for my clients, some struggling with substance abuse, others with food. It all works the same. Print it out, or copy and paste it in the notes section of your phone and take 20 minutes to fill it out with the things that are personally meaningful for you. This is not THE answer to long term recovery from addiction, but it is a fresh approach for many who feel stale at the moment: Baptism - Some ceremony to signal a renewed sense of hope and a fresh start. One client trying to recover from substance abuse, buried all of his wine and liquor bottles in his yard. Another client had a "garbage party" with her kiddos, and they loved smashing all the processed foods they had in their pantry and throwing them in the trash. Associations/triggers list all of the things that get you into trouble (being at a bbq, wanting to Celebrate something, holidays, 7-10pm at night, date night, etc) Coping Skills (what gets you through the crave waves) These are the behaviors that you do INSTEAD of the addictive behavior. Extra credit if you are able to make a coping skill for each trigger listed above. Enter code CYBERSALE to get my Full From Within Psychological Tools for WLS patients course 50% off today only. Higher Desires/Vision of Self when you let go of your attachment to food and all the self loathing, mental, and physical heaviness it brings- what are you freeing your life up for? will you write a book? will you do more outdoor activities with your kids? do you want to resume an activity you once loved as a child? Is there a role model that inspires you that has done what you want to do? Cons Why are you doing this in the first place? These are the things that are hard to keep in mind when our reptilian mid brain (see last article) is at the wheel. What is personally meaningful? Does it age you? Does it make you feel out of control? Do you dread going on airplanes because you know you'll need an extender? does it prevent you from going to amusement parks with your kiddos? Spirituality (religion gets us into heaven, spirituality gets us out of hell) All addiction is what disconnects us from our deeper self and edges us further and further away from God (or whatever you like to call it) and our deeper spirituality. Spirituality is what allows us to move into the unknown, be comfortable with discomfort, and have faith that everything will be ok. It can include a gratitude practice, volunteering, play, aligning one self with nature, connecting with a spiritual e newsletter (mind body green, daily om, etc), generosity, etc. Daily Recovery Ritual (symbolic gesture to self every day that we are consciously devoting time to our recovery) What are the things you can do daily to symbolize to yourself that today is a new day? Keep it realistic or you won't do it. Vitamins, meditation, lemon Water, supplements, self care, reaching out to a loved one, exercise, etc. Reward System What will you do for yourself if there is a certain period of time reached where you meet your goals? Will you get a massage at the end of every month? Will you plan a vacation after three months of solid goal hitting? Will you reward yourself with one day per week of going to the movies in the middle of the day and playing hooky if you're on the straight and narrow for five days? Strategy This is your "what." What are you doing daily to ensure that you are in alignment with your goals? Are you reading something fresh all the time? Do you make a timeline of your addiction and how it has affected your life? Do you go to local support meetings each week? Do you keep in touch with an online community? Do you make sure to give yourself small breaks while with the kids every day? Do you have a self care space set up in your house? Do you talk to a partner about how to change behaviors of theirs that might be hindering your efforts? can they get a mini fridge? Do you do acupuncture to balance your chi? Do you do yoga to manage your depression? Do you find a therapist? Recovery Resources (try to hit one each morning) what resources are in your pocket when you are feeling weak? bariatricpal.com? WLS journeys on Instagram? The Fix, Reddit, unique blogs documenting their weight loss journey, wls and vsg searches on Pinterest, etc. Good luck on your fresh start! Need extra motivation? Use code "CYBERSALE" to get my course: Full From Within Ultimate Psychological Tools for WLS patients half off today only, or try my FFW mini for free.

Well, how did you do? One of the biggest "foodie" holidays of the year just passed us by, which can be a MAJOR trigger for those who struggle with food addiction. If you're one of the lucky few, who is able to look back over the holiday proudly, and say "there is nothing I would have changed," then congratulations! I am genuinely interested in reading your comments below about what worked for you; did you remove yourself from the triggering environments, distract yourself by playing a card game or talking with another family member trying to do the same, did you re-read your bariatric surgery "why's," to reinforce your motivation that day, or was there something else that worked to keep you on track? "It's not how we fall. It's how we get back up again." - Patrick Ness For those of you who are shaking your head in regret this morning, you are not alone. There are thousands of other WLS patients who struggled to stay on track over the holidays. The biggest struggle I've hear throughout the years is that the motivation is dented, diluted, or zapped when one first gets off track from their plan. Enter code CYBERSALE to get my Full From Within Psychological Tools for WLS patients course 50% off today only. There is a lot of psychology behind this. Part of the magic in resolutions is their novelty: an implicit contract within the self that says "this will be unlike anything I've ever done before." When we relapse (or "slip" as I prefer to call it), the self goes "oh wait a minute, I know how this goes, maybe this is no different than before, who am I to think I could do this, I have no willpower, etc., etc., etc." So the idea is to find a new plan. It can be bits and bobs of the one you had before, but it needs to have that new car smell again to have longevity. I am including an excerpt of an earlier article I wrote about how to do just that: What do we do when we fall from grace? The research on relapse (with any addiction; food, drugs, alcohol) is that recidivism is the rule not the exception. So why do we get so down on ourselves when we fall short of our goals? Why is it so hard to get back on the horse with the same vigor we had when we started? And how do we give ourselves a renewed sense of hope and motivation for change once we've fallen? “The secret of change is to focus all of your energy not on fighting the old, but on building the new.” - Socrates Everyone does well out of the gates. We all impress ourselves when we start, what we believe to be, a new lifestyle change. However, "out of the gates," can mean different things for different people; for some it is two months, for others (usually depending on how strong the addiction or habit is) it can be two minutes. But what do we do when we fall from grace? The research on relapse (with any addiction; food, drugs, alcohol) is that recidivism is the rule not the exception. So why do we get so down on ourselves when we fall short of our goals? Why is it so hard to get back on the horse with the same vigor we had when we started? And how do we give ourselves a renewed sense of hope and motivation for change once we've fallen? One magical ingredient in the secret sauce (and one of many concepts I talk about in my book and my wls courses) that is lifestyle change is the novelty effect. The new plan to quit something or change a bad habit is something unlike we have ever done before, so we hope that we can achieve something we have never done before. The problem is that the moment we slip, that novelty loses its magic - and each time we start over, it loses its power to give us hope. So the solution is to cultivate more novelty. Our ability to continually grow and change is largely limited by our creativity. The more creative we become, the easier it is to take a different approach to change. To open a window when life seems to shut the door. In other words- what I am telling you, is that the only secret to long term weight loss maintenance is the knowledge that there isn't only one secret. There is no ONE diet that will forever change someone. Eventually people get tired of eating bacon and eggs every meal on Atkins, or grapefruit, or cabbage soup- but the thread they all share is their novelty. This is why all of them can work initially. Even as powerful as weight loss surgery is- people still find that they start to plateau or even gain the weight back if they aren't simultaneously addressing the behavioral and psychological factors that got them there in the first place. They too, must also continuously be creative about renewing one self throughout their lifetime. So the following is for all of you who are struggling today. Those that feel they have lost their way and perhaps feel disenchanted or disappointed. Below is a recovery "map" I created a long time ago for my clients, some struggling with substance abuse, others with food. It all works the same. Print it out, or copy and paste it in the notes section of your phone and take 20 minutes to fill it out with the things that are personally meaningful for you. This is not THE answer to long term recovery from addiction, but it is a fresh approach for many who feel stale at the moment: Baptism - Some ceremony to signal a renewed sense of hope and a fresh start. One client trying to recover from substance abuse, buried all of his wine and liquor bottles in his yard. Another client had a "garbage party" with her kiddos, and they loved smashing all the processed foods they had in their pantry and throwing them in the trash. Associations/triggers list all of the things that get you into trouble (being at a bbq, wanting to Celebrate something, holidays, 7-10pm at night, date night, etc) Coping Skills (what gets you through the crave waves) These are the behaviors that you do INSTEAD of the addictive behavior. Extra credit if you are able to make a coping skill for each trigger listed above. Enter code CYBERSALE to get my Full From Within Psychological Tools for WLS patients course 50% off today only. Higher Desires/Vision of Self when you let go of your attachment to food and all the self loathing, mental, and physical heaviness it brings- what are you freeing your life up for? will you write a book? will you do more outdoor activities with your kids? do you want to resume an activity you once loved as a child? Is there a role model that inspires you that has done what you want to do? Cons Why are you doing this in the first place? These are the things that are hard to keep in mind when our reptilian mid brain (see last article) is at the wheel. What is personally meaningful? Does it age you? Does it make you feel out of control? Do you dread going on airplanes because you know you'll need an extender? does it prevent you from going to amusement parks with your kiddos? Spirituality (religion gets us into heaven, spirituality gets us out of hell) All addiction is what disconnects us from our deeper self and edges us further and further away from God (or whatever you like to call it) and our deeper spirituality. Spirituality is what allows us to move into the unknown, be comfortable with discomfort, and have faith that everything will be ok. It can include a gratitude practice, volunteering, play, aligning one self with nature, connecting with a spiritual e newsletter (mind body green, daily om, etc), generosity, etc. Daily Recovery Ritual (symbolic gesture to self every day that we are consciously devoting time to our recovery) What are the things you can do daily to symbolize to yourself that today is a new day? Keep it realistic or you won't do it. Vitamins, meditation, lemon Water, supplements, self care, reaching out to a loved one, exercise, etc. Reward System What will you do for yourself if there is a certain period of time reached where you meet your goals? Will you get a massage at the end of every month? Will you plan a vacation after three months of solid goal hitting? Will you reward yourself with one day per week of going to the movies in the middle of the day and playing hooky if you're on the straight and narrow for five days? Strategy This is your "what." What are you doing daily to ensure that you are in alignment with your goals? Are you reading something fresh all the time? Do you make a timeline of your addiction and how it has affected your life? Do you go to local support meetings each week? Do you keep in touch with an online community? Do you make sure to give yourself small breaks while with the kids every day? Do you have a self care space set up in your house? Do you talk to a partner about how to change behaviors of theirs that might be hindering your efforts? can they get a mini fridge? Do you do acupuncture to balance your chi? Do you do yoga to manage your depression? Do you find a therapist? Recovery Resources (try to hit one each morning) what resources are in your pocket when you are feeling weak? bariatricpal.com? WLS journeys on Instagram? The Fix, Reddit, unique blogs documenting their weight loss journey, wls and vsg searches on Pinterest, etc. Good luck on your fresh start! Need extra motivation? Use code "CYBERSALE" to get my course: Full From Within Ultimate Psychological Tools for WLS patients half off today only, or try my FFW mini for free.

I can't believe it, but it's been 4 years since my VSG. I rarely visit bariatricPal now, but found it enormously useful leading up to my surgery and during post opp. As I contemplated surgery, one of the things that kept me up at night was what would happen way down the road. As a give back to the community (and a little therapy for me) I've committed to posting annual updates. You can see my posts from previous years down below. Feel free to send a PM if you have any questions or comments. Year 4 Update: Highlights I often forget that I even had the surgery. This is probably is the biggest positive change from year 3 to 4. Don't get me wrong, when I'm stuffed after eating 4 chicken wings or a half a burger, I know why. But, I'm no longer obsessed with post surgery eating strategies or worried about people wondering what's going on with me. After 4 years, my old friends and family seem to have forgotten that I was the fat guy and my new friends and coworkers never knew me that way. More importantly, I have started to forget about myself as the overweight person. I'm basically a "normal eater" and have no problem with any foods whatsoever. Four years ago, as I contemplated the surgery, stories from newly post opp people scared the daylights out of me. Stuck foods, explosive diarrhea, allergies, blah, blah, blah. I had a tiny bit of that early on, but it dissipated quickly. Now, I can eat whatever I want without issue. The VSG constriction mechanics still work well. I still get full quickly, especially if I sequence proteins first, veg's second and everything else after that. Yes, I can "eat around the sleeve" but that takes a lot of effort and can backfire. I literally just finished a spaghetti and meatball dinner with my family. I ate two golf ball-sized meat balls and about 4 bites of pasta and am completely stuffed. It was a salad-plate sized portion. Pre surgery I would have eaten 2 dinner-plate sized portions and still wanted more. When I see big eaters go to town on huge portions, I just look on with amazement. I'm an active person now participating in racquet sports, golf, hiking, skiing, yoga and playing with my kids. I believe these activities would have been impossible, or at least extremely unlikely, without the VSG. Pre surgery, at age 39, I was already bowing out of most physical things. Adding 4 years and whatever weight I would have continued to pile on, things would be much worse. Being able to do fun physical activities vs. waiving from the sidelines is a huge benefit that I can't emphasize enough. Life is significantly better now. I had low to medium heartburn following the surgery and took a daily 20mg of omeprazole to manage it. My heart burn has actually decreased and now I only take omeprozole every 2nd or 3rd day. I don't need any other meds for cholesterol, blood pressure, etc.. Lowlights Weight management is NOT a given. This last year, I put on 10 pounds, which is definitely frustrating. What happened? For me it came down to snacking and drinking alcoholic beverages. VSG doesn't help with either of these bad habits whatsoever. Popcorn, chips, candy, nuts, crackers and cocktails all go down just as easy as before. For the first year, eating was such a hassle that I naturally avoided this issue. That "benefit" is gone forever. Now, I have to watch it like everyone else. I weigh 205 today, down from 275 at my high. Had I not had surgery, I believe I would weigh over 300 today. BUT, I want to be 185 and that 20 lbs seems very daunting to loose. Everyone once in a while, I eat too fast or too much and need to throw it up. As soon as I swallow the last ill-advised bite, the physical reactions become obvious -- forehead sweat, runny nose, sneezing and, obviously, a feeling of full stomach / chest. Recognizing the symptoms, I have to make my way to a bathroom and bring up the excess. It's not physically painful or anything, but just a little embarrassing and disappointing to me. This probably occurs once every month or two. As you can see, highlights far outweigh the lowlights. Overall, I'm thrilled with the results 4 years out. I really struggled with the decision to have surgery and delayed it for several years. At the time, it seemed like I was amputating a leg. I regret stressing out about it so much. Now I reason that I had an enlarged stomach that needed to be "right-sized." That's not medically true, but that's how I feel about what happened. In that context, I had a relatively minor procedure with a HUGE outcome. I don't think about my VSG often and don't expect to post again until next year. I do want to give back and help others -- like so many on this site helped me. If you have questions or comments -- post publicly or PM me. Familyguy.

I'm sorry that so many are going through the same or similar circumstances. It's really difficult when it comes to family, @hope4momof4, you hit the nail on the head. You feel obligated but are at the same time overburdened. There are many issues that factor in to the family dynamic, and I remember trying to talk with my mom about some of them one time, and she broke down in tears. She doesn't see herself and some of the things she does and says as being hurtful, and quite honestly, I don't think she remembers doing some of them either as alcohol is a big part of their social structure. I'm glad to know that others are dealing with similar issues. I typically don't talk about this kind of thing ever, but it has felt good to let it off my chest a little bit. Please know my thoughts are with all of you who also have family issues and if you ever need to vent I hope I can offer support and an encouraging word!

I’ve had a couple very low carb 5% alcohol grapefruit hard soda water and for thanksgiving I had a cran, soda water and vodka. None of it has made me tipsy or drunk but I have a natural tolerance. If you’re going to drink, make sure you have a DD in case just one or two drinks hit you hard and just incorporate the nutrition info into your daily macros. Vodka and diet mixers are what I would stick to. Flavored vodka with soda is yum but I tolerate carbonation well.

Hi GwennyPenny, Thanks for asking, I hosted Thanksgiving dinner and it went pretty well. I stuck to Turkey and green beans and had a spoon on macaroni and stuffing and a small sliver of pumpkin pie but I felt guilty afterwards but I was able to control myself and stopped. I thought not drinking would be a challenge but I actually didn’t even desire any alcohol so overall I think it went well; Monday is right around the corner.

You have already stretched it, you are screwed. All kidding aside, I don’t know. I am pretty sure I stretched mine. After 9 years of continuous sobriety, I relapsed on weed. I got f*cking baked and ate like a hog two days in a row and then thanksgiving. I had heard about alcoholics and addicts relapsing after WLS and I didn’t take it seriously. Back to counting the days of sobriety.

Congrats on losing 51.8 lbs! Just curious, why would you be content to stop losing where you're are, at 270.7lbs when you're goal is 100lbs away still??? As I read on here, the one's who are truly focusing on losing every single day, exceed their surgeon's expectations and lose to goal or pretty close to goal. My surgeon termed my honeymoon period as: 6 months in "the sweet spot" and an additional year in the active weight loss spot. Beyond that, weight loss isn't impossible, but merely more difficult than in the beginning phases. If it were me, I would not be thinking of the regain. I would still be in high-gear to lose as much of that additional 100lbs as humanly possible within the next 10months! I'd do that by meeting my vitamin, water and daily protein goals and keeping 20g net carbs daily. I would also strictly limit any shenanigans that include carby, fattening foods and alcohol. Not meaning to be inflexible, I would just know I have more work to do and be very diligent about living "cleanly."

The most important reason for abstaining from alcohol has just been barely mentioned in the comments above--empty calories that offer no nutritional value. My surgeon warned me the easiest and quickest way to gain weight back is drinking your calories. High calorie coffees, sodas, sweet tea, and yes, alcohol. The "Honeymoon" period lasts roughly a year to 18 months. In that time, it's in your best interest to do absolutely everything you can to take full advantage of the lack of hunger, great restriction and easy weight loss, because frankly it doesn't last. During that time, I concentrated on doing what I needed to do to get the best results from the surgery, and alcohol had no part in that for me. I knew that as soon as I reached my weight loss and fitness goals and was comfortably in my maintenance phase, I could imbibe occasionally as part of my higher calorie maintenance routine. And I do on occasion. But that roughly 8 month wait I did to drink pales in comparison to being a healthy weight and fitting into the size I wanted all along. I'm not saying to not touch a drop during the weight loss phase. Odds are it won't effect your losses at all if you just do it on occasion. Hell let's be honest, during those early months we could be eating oreos and chasing them down with McFlurries and still lose weight. But why take the chance of doing anything to sabotage your weight loss when we've got so much invested into it? Wait until you're where you want to be, and then enjoy alcohol as an occasional treat as part of an otherwise healthy diet. We've really only got one shot to get this right. I see too many squander it because they can't seem to ever learn to delay instant gratification as opposed to thinking about the more important long term results. Its a shame.

I have always had a great sense of smell but now Its like some weird craving to smell everything I smell things and the smell so different now like I can smell a different reality lol like chocolate now as a very bitter smell to it similar to the aftertaste it would leave me with. Alcohol something I was sensitive to before makes me sick my hubby drinks a glass of wine I have to stand back 3-4 feet or I get sick, its incredible. Oh and I try not to go down the bread isle at the grocery store man that is like floating through bread heaven all the smells are so good.

For me, the biggest concern with alcohol consumption is that I get a huge appetite when I'm drinking. At 4.5 month out I limit myself to a glass of wine on special occasions. It's not worth it to me to get totally derailed on my diet for an evening of intoxication, especially when I still have 30+ pounds to lose. I also know myself, and I am not the best with moderation. Not a good idea to tempt myself. I think that alcohol consumption post surgery has to be something that is decided by each individual, using doctor's advice as a compass. Best of luck to you.

I'll chime in in case someone cares. Research shows that bariatric patients' blood alcohol levels increase two to four times as high as typical folk after consuming the same amount of alcohol. 2-4 times! So 1 beer for us postop is equal to 2 to 4 beers preop.

Well. I did not wait long. I resumed drinking about 6 months out I think. And that was a big mistake, at least for me. Alcohol effects me differently now. If I haven’t eaten enough I get DRUNK FAST and I’ll blackout. It’s bad. I had to learn that the hard way. It’s also takes the place of food calories because I struggle to drink and eat together so it becomes a choice between drinking or eating. And I need the food more. And you do too!! Especially early on. I do love wine but even three years out I try and limit my alcohol intake. I’m careful about it. I can see why you want to drink and I wouldn’t think in moderation it’s a problem. But it could possibly slow your weightloss. For me, it did not slow my weightloss but I oddly tend to lose weight when I drink. Most people gain from it. But if you are feeling healthy I don’t see a problem with having a little in moderation here and there, maybe a Glass now and then. I’d say in the first year you can just be very cautious. [emoji4] and don’t let people on here bully you. There is a nice way to give advice and trollish ways. Just remember the people on here, they are all hungry and sober AF.

Naw I’m an alcoholic.. I’m an idiot.. yes I can wait 6 weeks I can wait a year I can wait 2 years i simply asked a question to see if anyone did it I’m so sorry that i offended anyone this app is the stupidest thing

It hasn’t been a topic with my dr because I know I can’t drink carbonated drinks and we have discussed alcohol because I told him I wasn’t worried about drinking .. I’m 3 weeks out it was just a question I had for people that drank earlier

We are all different, but truthfully I now like cooking more than eating. Now that we're into cooler weather, I love making savory stews and dishes. I just end up bringing a lot of it to the office and giving away to my staff to keep them fed and happy. The one thing I can't keep around the house is bread - bread is my weakness, I will sell my soul to the devil for a crusty baguette with French butter, or a beautiful piece of brioche toasted with some high end preserves, a buttery croissant (which requires no topping of any kind).... yes, this is the work of the devil! I also am now just hating going out to restaurants. I eat 1/8th of what I order, I am single so the leftovers literally last for DAYS UPON DAYS and then I end up splitting the freaking check with my friends even though I had no alcohol, I did not partake in any appetizers and I gave half my food away. Unbelievably irritating. We need to invent some kind of post-bariatric restaurant etiquette for going out with our friends.

I tend to agree with your last statement. It is much like an alcoholic being forced to take a look at their behavior/addiction when a drinking buddy takes the step to heal themselves. I think it is all in the delivery. My decision is not for everyone so if I suspected someone was going to react negatively, I didn't point out their flaws; instead I simply said, "your health may not be affected by the added weight but mine is suffering." And in the likely event they follow up with "why don't you do it on your own" you can reply that you have tried and been unsuccessful in the past (I'm assuming here). I would always point out my health problems (diabetes, high blood pressure, cholesterol, arthritis, whatever it is) is only going to get worse. If you do nothing it won't get better. Again, I always make sure to direct everything toward myself and leave them out of it. After all, it is about you. Take care of you! Oh, and it is one of the reasons I limited who I told.

This is an extremely popular topic this week. Ask your surgeon. What is the rush to use a blood thinning barbiturate? If you don't feel like asking your surgeon for whatever reason and prefer the wisdom of strangers on the internet, there are 588 threads about the topic: https://www.bariatricpal.com/search/?q=alcohol&sortby=relevancy&search_in=titles

It's not ME I'm concerned about. I don't feel picked on. I've got a pretty good self image, and I'm kinda bomb proof about physical comments. Who doesn't want to be called "too small"? That's a novelty I sort of enjoy! No, what I'm getting at....is that I have a lot of fat friends and family. Love these folks. Everyone addresses weight issues when they're ready. Some people choose not to at all. I'm 100% ok with everyone's individual right to choose, and everyone's own process and time frame. I'm just trying to figure out how to finesse my news in a way that's gonna express that. I feel a little like that one person in a group of friends who likes to drink together a lot....who admits they're an alcoholic and seeks treatment. It makes people uncomfortable and sort of forces the issue. And while I realize it's not my problem, I'm trying to come up with a strategy to minimize discomfort.