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Okay I've always had mental issues, clinical depression, anxiety, ptsd and a history of being abused as a child yadda yadda (the stereotypical poster child for low self esteem)... But never once did I think losing a bunch of weight would be the sole solution to all my life problems, but yes it has greatly improved my quality of life, health wise most importantly and I wouldn't change my weightloss journey for anything in the world, yet I've always understood no matter what I will always be a damaged person. That is not to say I can't change and I consider myself a work in progress but sometimes I'm not sure what I'm doing. Before I always had a child like mind and was considered naive, innocent and easy to take advantage of (but part of me actually knew what was going on, just too meek to say anything and I often play dumb to avoid conflict). I had only been in one relationship in my 34 years of life (that relationship lasted 12-13 years) and when he moved on I just completely gave up on living and hardly went outside for 8 years, just stayed in my room and rotted away and hoped everyone forgot I existed and that I would just eventually die. For years it was told to me that I was disabled and just beyond help and I'd be better off living my days in group homes or facilities for the mentally ill and despite me knowing it was untrue I just gave into whatever everyone said about me until that one day I the found fire and strength in me to turn my life around. 3 years later and everything is much different now, people can't believe I'm the same person. I finally got over my fears and learned how to drive, got a car ,got a job, live on my own in and...got the sleeve which means I dropped a lot of weight. I've grown up and changed a lot...Except in one area where I am very much like a teenage girl. My "love" life. While I'm attracted to men it's like their a whole different species and I don't understand them at all. Even when I was in the relationship with my ex he left me because he wanted someone "in better shape." So I always assumed I'm gross and unwanted with a big part of it being because of the weight. So last summer I weighed about 200 pounds. I had just started fixing myself up more and my mom introduced me to this guy she thought would make a great friend since we were both shy and had similar personalities. Our friendship grew into a little more over the 4 month span but he never wanted anything else from me so I respected that, but he knew I liked him and we had been intimate on a few occasions and all of a sudden he just stopped and just wanted to stay platonic. I later found out that he had someone else but never told me and it crushed me. He said something to the effect of "When you get smaller you'll be a killer and I'll be bummed that you don't like me anymore." Yet the women he chose is heavy set as well and she is 19 years older than him and not to be mean but she is a known drunk, so yeah it was a major blow and I felt like crap. Despite my mom saying "It's not you, just he has his own deeps issues and prefers women who he feels need him." I still took it hard and looked everywhere for some sort of validation as a person and because of it I put myself in dangerous situations. In the quest of opening my eyes and seeing what else is out there, wanting to feel desired and connect with someone... I went on random dates with pretty much any guy who showed interest, even strangers who showed red flags from the beginning by repeatedly insisting I drink alcohol when I said I don't drink or as soon as I got into this one guy's car after talking to him on the phone for 2 weeks thinking he was going to take me out somewhere first thing he did was grabbed my boobs and stuck his tongue down my throat. I tried going to social atmospheres like bars and clubs, but it's really not my thing. I'm just really horrified at this point about dating because I feel like the majority of men are creeps and I'm not sure how to go about finding a decent one or knowing when I'm ready to.

I'm so grateful to have found this site and have read a number of stories that made me feel less alone in my own struggle. Here is my story: March of 2008 I saw a weight loss surgeon who said all the right things to convince me I was too fat to lose weight on my own and the only way to have lifelong success was to sign up for WLS which required a thousand dollar deposit. I weighed 265 lbs at the time and in my late 30s was far too tired to try another diet and exercise program that would inevitably result in another 10lb weight gain. January of 2008 my employer switched to a new insurance carrier, I submitted paperwork in March for coverage for WLS and eventually got the definitive "no" in November 2008. Fast forward to October 2009, same doctor, same spiel, weight now 295lbs and co-morbidities presented to insurance carrier requesting coverage- denied. Februaury 2011, made a "lets just see" call to insurance carrier to find out if requirements were met........found out that one more year of a documented weight and BMI over 40 and the coverage would be extended! I put my ducks in a row and within 2 weeks of my initial doctors visit in February 2012 I was able to schedule my surgery for mid March. I was shocked to find my weight ballooned to 347lbs but thrilled when I lost 16 lbs pre-surgery in a short 12 days. I took 5 days off work, gave away all the food in my pantry and bought the cutest pajamas I could find for my 3 day hospital stay. I packed my bag on Sunday and even though I was nervous and exited I slept until 5am when I took a luxurious bubble bath and set out for the hospital @ 7am. In pre-op my precious daughter sat and prayed with me, my anesthesiologist joked about just turning the big 40 too, my surgeon came in and smiled, answered my questions, quelled my fears and prayed with my daughter and I. Nothing but blackness. I barely woke to find myself in PACU alone and asked for my daughter to be allowed in.."sure honey, which one is she?"..."hmm, oh, she's the one with pink hair!". My sweet daughter came in and praised God with me that I was breathing and everything seemed fine. Fade to black again. I'm in a private room now and my daughter is sleeping on the sofa. The nurse comes in, the IV is checked, "here's your button for the morphine pump. Any time you feel pain coming on you press it." I'm not in pain, I feel my stomach and it feels flat already, stupid, it must be the drugs. My surgeon comes in with his PA and he looks flushed, sweaty and triumphant, "eveything went wonderful! no problems, a textbook case if there ever was one." we smile and I joke about calling What Not To Wear to get a new wardrobe. I get up to the bathjroom as soon as I can. I'm anxious to see how I look and change out of the hospital gown. It's been 3hrs since surgery and i'm in my pajamas, robe and snuggly slippers and my daughter takes my arm and we begin our walk around the unit. I walk and walk, smiling and thinking what a good patient I am, no DVTs for me. My stay is uneventful, day 3 my surgeon smiles and says "time to go home!" I fill my prescriptions but I haven't touched the pain medicine and feel so powerful that I drive myself home. Then the horror begins. The first noght i'm home I wind up in the bathroom with forceful diarhea that comes in waves of gut wrenching spasms. Over and over again, just foul smelling liquid, I sit there too long and now i'm sick, I pull the trash can over and vomit clear liquid until I think i'm going to pass out. My daughter gets me to bed, time to take the meds and not try to do it on my own, I slump back and its daytime now. My head is spinning and the spasms come again, diarhea, vomit.... I step on the scale, smile in a drug haze and think wow i've lost 2 more lbs! Nothing is clear anymore, what day is it? what time is it? did I take my pills? was it a dream or did I really eat a piece of chicken from the refrigerator? why won't the nausea stop? why do the Protein shakes suddenly taste like dog butt? I can't get anything in, i'm trying to force 2oz popsicles down but when I finish one its back to the bathroom with waves of diarhea and vomiting. Day 6 post-op, I manage to take a shower with my daughter holding me up, pack 2 Protein Shakes and my giant Water bottle and trot off to work. I make it 2hrs into a ten hour shift and spend most of it in the bathroom vomiting blood...time to call the doctor. I talk to the nurse who tellls me to drink as much water as I can. I can't. I call and talk to another nurse who says to try a different Protein shake. I'm weak and sick and starting to lose it...I scream at my daughter "why won't you help me?". I call the nurse again, the PA calls me back "have you been able to take your meds and get some water in?" no, NO! It's been 11 days since surgery and now we're worried for some reason and my daughter has my bag packed and we're back at the hospital where they have my room ready and they put me back in a hospital gown. I don't see my doctor until Monday but Fri, Sat and Sun a variety of PAs mand other surgeons from the office come in and tell me things and they'll support me and some people have a harder time and just give it time, time time. Monday the first of many PICC lines come and the tests start. In 3 days I blew 11 IV lines. The PICC line sounds wonderful but they hit my ulnar nerve and the vein occluded and I went back to my room with an open hole in my arm, a second PICC and a gown covered in blood..how did that happen with a sterile drape? So I can't eat but they think I won't and they tell me all the reasons I need to and they threaten if I don't its time for TPN. I try, I puke. I try everything, Unjury- ick, water-gross, eggs-vomit, pudding, ice cream, sherbet, yogurt, Jello... the nausea wells up from my toes and never ends. The TPN starts on Tuesday, I leave the hospital 13 days later, Maundy Thursday, I beg because tomorrow its Good Friday and I can't bear to be away from daughter on Easter. Monday after Easter I have lost 8 lbs in the 4 days i've been home, somethings wrong. The doctor says to get a liter of Fluid and some Vitamins, it'll be ok, it's not. Friday the nurses come and set up the home TPN and show me how to do IV push meds, the saline, phenergen, saline, heparin, again, the zofran, again, 8 times a day. My house becomes and infirmary, boxes and boxes of supplies, dressings, medicine, saline, alcohol swabs, heparin. The dog can't be out when the dressing is changed, the TPN bag is changed once a day, add the vitamins, push the medicine. It takes a few weeks and the meds are doubled, the nausea just won't fricking stop. The TPN is my savior. another month, double the meds again, brief periods of relief, my weight stabilizes @ 317....I had WLS for this? I can't work, i'm constantly sick and besides I have a doctors appointment every week and another test, EGD, swallowing, emptying studies, another EGD, but nothing is wrong "everything is fine, it may just take time for you. You might be on liquids for 6 months" my doctor says... liquids? it's been 3 months and I can drink about 12 oz a day... liquids? i'm still on TPN?! It's been 4 months, I can't stand the TPN, we decrease the time and I try to eat what I can when I can. My weight is 318, d?@$ WLS! We double the meds, the phenergen is 4 times the dose it was when I had surgery, does anyone know this causes heart problems? We decrease the TPN, I can only eat right after I push the meds and I do it again right afterwards, then I pass out... weight loss is tough work, I manage to get down to 314. Somethings wrong, I feel sick, sicker than usual haha...my daughter is talking to the nurse at the ER, "no she feels really sick, her heart is skipping beats maybe? her blood pressure is up. look at her arm, do you think it's swollen? what's that black mark?" They tell me I have a UTI and send me home, its Monday. I can't breathe, i'm having a heart attack, I know it, its Wednesday and we're back at the ER, the doctor smiles and says its anxiety, take some Ativan and keep taking your antibiotic...are you kidding? I throw up the antibiotic, it stinks, I crush the Ativan and sleep for days. Its Friday and the nurse calls, "how are you" my arm hurts and its swollen, "GO BACK TO THE ER" I can't, I fall back asleep. Its Saturday and I can't find my wrist, my arm is a thick puffy balloon like they use to make balloon animals. My fingers won't bend, doesn't matter cause I can't feel them anyway, i'm sick, I vomit and try to push my meds, I get in 2ccs of saline and it feels like my arm is a water balloon...I push a cc and I think I see it literally filling up, theres a black gnarled line around my upper arm, looks like a barbed wire tattoo, thank God for WLS. I'm at the ER again, its Saturday night and i'm sure they'll admit me, they HAVE to pull the PICC and give me a new one, surely they'll see that, I can't breathe, please give me some Ativan and phenergan, i'm gonna puke again. A nurse comes in and says he's from Interventional radiology, doesn't even touch my arm but smiles and leaves, we hear him outside the door "you've gotta pull that PICC, it's really bad!" a tech comes in with an ultrasound machine and pushes on the outer part of my arm, over and over, slimy gel, pushing harder, my arm isn't quite so numb now, its killing me on the underside, my armpit aches and the inner portion of my upper arm feels like someone is firing a gun into it every time they touch me. "Good news!" the ER doc smiles and tells me its just a little superficlal blood clot...yay! all we need to do is apply warm compresses and it will go away, have some noroc for the pain...great, more crap I can't swallow. "What should I do if it gets worse? what if it swells up more?" don't worry "It's fine, no need to come back even if it gets bigger, warm compresses and you'll feel alot better" It's Monday and the weekend went by in a drug induced haze. I can't use my PICC, I crush the norco and ativan and try to stay asleep, no not asleep, blacked out, like anesthesia until the doctors office opens Monday. I tell the nurse, she sets up an appointment at Interventional Radiology for them to pull and replace the PICC on Tuesday, good, hopefully i'll die by then. Its 6pm Monday and I can't take it, I might be hallucinating, I know i'm dying, I moan and rock, i'm in the car, off to the ER again. I wait for hours while people scream and cry, everybody is taken before me, I pull my sweatshirt and cover my head, I moan and lick the blood from cracked lips, I can't even stand up to go to the bathroom and vomit, 4 hours later and they wheel me back. Nurse after nurse comes in to try to start an IV, "she's dehydrated and a tough poke" "I KNOW! she's so ill tho, what are we supposed to do???" check her feet, no veins, we're gonna have to go in thru the femoral.....God no, I can't remember if I have underwear on and they're gonna cut into my groan to find a vein. "Great news!" we found a cluster of blood clots under your arm, no not one, there are several vericose veins bulging out of your arm, the PICC went bad and they strangulated and now they have clots in them. You're gonna die if you throw one to your heart or lungs, we're starting the lovanox, you're gonna be fine. 3 days of terror, I'm admitted to the hospital and the doc upstairs decides she knows what I need, they pull the PICC from my grossly swollen arm and I beg for some dilauded "this isn't a painful procedure, you don't need anything for pain." and she teaches the student nurse how to yak=nk 4 feet of tubing and wire from my arm while I sob, my daughter cries and starts to yell. The doctor leaves, she won't come back or write orders, i'm sick, no pain meds or nausea meds, try some tylenol, f**** you. I cry and demand to see another doctor, I call my doctor and the oncall doctor screams at the charge nurse...they give me ativan and phenergan, my daughter yells and threatens, the nurses hate to come in my room. Wednesday morning is the first and last time I see my surgeon, he pops his head in and smiles "so your PICC is gone now, thats what happens" when you screw up and get a blood clot is what he doesn't say. I'll see you in my office next week and we'll talk about a feeding tube. What? I had WLS 4 and a half months ago... I cry and turn and face the window, I keep the shades down. I'm sick of this, I finally get to leave @ noon on Wednesday. I have a script for Warfarin and an order to have my blood drawn every day, I have no PICC line, no IV push meds, no TPN and my arm looks like I was going for a Popeye look. I sob on the ride home. When I go to the lab the next morning they stick me 6 times and still don't get enough to run the PT/INR to check my clotting times. I fall out of the car as I try to go inside, I just sit on the grass and contemplate throwing up on the lawn, I see the neighbor and when she waves I think I should strip off my clothes and just run shrieking down the street... I need a laugh, otherwise I just cry. I'm so depressed, I see my primary doc, he orders me oral nausea meds, a compression sleeve for my arm and listens to me cry. I tell him my heart is skipping a beat, he says "phenergan can cause permanent heart damage" f*** phenergan. It's 12 days since I left the hospital without a PICC. The last thing my surgeon said was that they couldn't find a reason for my symptoms, he even asked the doctors at a seminar in California and they were all puzzled, oh well, too bad for me. My weight is down to 300 lbs now, it was 312 when I left the hospital. I made the mistake of going back to the ER last week Tuesday because my chest hurt and I was coughing and that same shortness of breath and heart thing came back. they said I was fine and were sending me home when I looked the ER doc right in the eye and said "with all due respect, the last time you said I was fine I had a blood clot that almosgt killed me, please, can you just check everything to make sure i'm ok?" tears in my eyes, he smiles, lets run another test. Theres a shadow in my lung, likely pneumonia but we can't be sure the clots haven't moved. We'll keep you for observation but we won't admit you, you're probably fine buit we'll do some IV fluids and antibiotics to be sure. They take me upstairs, I know whats coming next, nurse after nurse tries to start the IV, IM pain meds, I ask for nausea meds at 6:30 am and by 2pm I still haven't gotten any. I can't stand it so I leave, they chase me and try to make me sign something saying if I die its my own fault. I get home and chew a phenergan, drink some lortab and pass out. My primary doc said he would figure out how to get me seen by a specialist, I won't return the calls from my surgeons office, if I could put a stop payment on his check I would but insurance has already paid his fee. Maybe he's right, there's nothing to explain my symptoms, I doubt that, my skin is grey and I look like a chemo patient because my long thick brown hair has fallen out in Patches and I have a kind of crazy eyed look to me. I'm hungry and thirsty, I think I look like I could be a victim of starvation but then I laugh because i'm still so fat. I knew the risks of the surgery, pulmonary embolism, DVT, sleeve leak, infection. I was a nurse for 10 years and took care of hospice patients who looked better than me. I signed on for a magic pill, a fantastic surgery that would finally help me get to a healthy weight so I could see my daughter graduate from medical school, get married and hold my grandchildren. I wanted to avoid diabetes and stop heart disease, funny how it all worked out. If you have experienced any of the pain, nausea, depression, sadness, fear, frustration, anger or disgust like I have, tell me your story and let me know i'm not alone, i'm not crazy and it does get better. :-)

I've heard of it but have never tried it (I never had a gas issue). I know some people find cutting way back on carbs and/or sugar alcohols can help with gas, too.

Portion size is & always will be a consideration but more so in the beginning because of the many nerves cut during your surgery I mentioned in my previous post. It can be easier to eat more than we actually should. I was advised 1/4 - 1/3 cup of food from puree slowly increasing until I was eating about a cup around 6 months. Check with your dietician about portion size (& calorie goals) as plans do differ. I certainly couldn’t eat more than what I was advised & took ages to eat it. I sipped on my diluted soups & shakes for a couple of hours. During the liquid stage I are two ‘meals’ a day. Not hungry or interested in any more. From purée I ate three meals & no snacks. One or two snacks (fruit or soft cheese or yoghurt) were added later around third month a think. Ten popsicles seem a lot. Are you eating them for their fluid content or because you’re looking them as food & maintaining old snacking/eating habits?? While they contain no added sugar they do contain sweeteners - artificial or sugar alternatives like monk fruit. Therefore they are still feeding your desire for sweet foods. Some develop a sensitivity to sugar alcohols (the artificial sweeteners ending in ‘ol’) & experience bloating, diarrhoea, etc. I couldn’t have potatoes either but could have rolled oats from purée (instant to begin so easier on the tummy & very thin & milky). Took me three days to eat a serve & it was the only carb I ate (except the bite or two of vegetables I had). We all need a small amount of carbs & oats are considered a better carb. I’ll say it again plans are different.

Disclaimer: I am in the industry . So yesterday/Christmas day at a family party I had some wine. I just filled 1/4 of a glass, and then added the same amount of water. Note: that is how the Roman senate drank their wine, so they would not get drunk (as the alcohol killed the various microbes in the water). This while virtually everyone else was drunk on wine or beer, as there was very little pathogen free water in the cities. so anyway, I sipped that amount of wine in that social environment over aprox an hour, holding it primarily in my mouth, to absorb the effects of the alcohol. An hour or so later I did it again. So over a two hour period I had basically a half a glass of wine, and quite frankly it was little more than mildly intoxicating, with no adverse affect at all. I AM NOT advocating drinking alcohol. I am however not so naive to think that people are going to obstain completely. Just be smart and quite frankly, you don't need to get drunk in life, to enjoy life

I made it out of this weekend alive and able to pull off our friends not knowing about the surgery! It was pretty hard being at a very nice steakhouse and seeing all of the AMAZING food around me. I ordered an ahi tuna appetizer and ate that while my husband and our friends had delicious steaks with sides of scalloped potatoes and gorgonzola mac n' cheese. I wanted to eat everything, but instead, I ate a few pieces of tuna and hid the rest under the pile of carrots the tuna was sitting on. Afterward, we went to several upscale bars and of course I did not have a sip of alcohol. Our friends kept accusing me of being pregnant, and boy will they be surprised in 9 months when I have lost a significant amount of weight instead of a baby appearing! As for today, I spent the morning deep cleaning my closet and organizing everything by size and getting rid of things I no longer want to wear. I was so excited to see that a lot of my work clothes and blazers are fitting now! Just in time for NYE :)Oh, and my winter coat that I couldn't even get over my shoulders a few months ago… it now fits! Today is the kind of day that makes me so happy to physically see the results instead of just looking at the number on the scale!

Hey everyone I was wondering when is it ok to go out for drinks like beers or liquor I'm 2 months out I know I sound stupid but it's gonna be 4th of July and I want to Celebrate Sent from my iPhone using the BariatricPal App

I'm not much of a drinker to begin with, but I'll admit that I had a sip of wine at 5 weeks out because it was my birthday. It kinda burned a little going down but otherwise did nothing. It was one sip of wine, no need to slam me. I had my first real drinks at 3 months out. I had 3 glasses of wine over the course of an evening. Guess what.. no difference at all in how I was affected. Nice little buzz but I wasn't falling down drunk, blacking out, or acting stupid. I haven't tried hard booze yet, but I can say from experience that wine affects me exactly the same way it did pre-surgery. If I want to get stupid drunk on wine, I'll have to drink a considerable amount of it. Fortunately I have no desire to get stupid drunk (or pile in all those extra calories.) As for weight loss, drinking is bound to have an adverse effect. Calories aside, the body will burn alcohol before anything else, so while you are burning alcohol, you aren't burning through those evil carbs or, in the absence of carbs, attacking the fat. All that said, I WILL be drinking 4th of July weekend and I might maybe possibly even choose to get drunk. If I gain weight over the weekend, it will be my own fault and I will pay for it and fix it. Even we sleevie peeps gotta live a little once in a while. Again, I'm not much of a drinker in any case, but I would say that anyone who has a great liking for alcohol should just avoid it entirely.

I think for me I drink the alcohol because it was easier to do then actually having a meal. I still struggle to this day on certain meals but I have no issues having a drink to fulfill my needs. It's been 4 years since surgery and I have not had one soda because I would be miserable if I did it but I can pound down a 6 pack with no issues. Sent from my iPhone using the BariatricPal App What about Protein shakes? They're filling and are great for avoiding food when you don't feel like chewing.

I think it is great that you brought up the topic and shared your experience. Our program has stressed to us that there is an extremely high rate of alcoholism after wls. They said people who rarely drank before are being admitted to inpatient treatment programs with 1-3 months of their first drink after wls. It is an important topic to discuss. Thanks for sharing. I wish you all the best. Sent from my iPhone using the BariatricPal App

March 28th!!!! I start my pre-op diet on Monday. This week I'm saying goodbye to my all my favorites and alcohol!

What alcohol are you able to drink k ? Also what would be the amount you have ? Frequency ? Sent from my SM-G930P using BariatricPal mobile app

No. That's not bad. It's your own personal business. I can think of lots of things people keep private. Can you imagine if all skinny people, for example, had to wear a T-shirt that displayed their problems the way our fat does for us? "I'm an alcoholic", "I lost my rent money gambling", "I had a testical removed" People keep their personal information private. Just because you're used to everyone knowing your business doesn't mean you have to tell them

I’m like @FluffyChix. Definitely not a teetotaller either & support the drinking as little as possible. I had a G&T at 6wks out at my cousin’s 40th. Took 4 hrs to drink it. If I’m going to a party I take my own - gin mixed in a small 300ml tonic or soda water bottle - cause I control the amount of gin I add. Drink slowly over hours & let the tonic/soda go flat. Had a small glass of champagne for Christmas & after 3hrs I poured half of it down the sink. (I know.😩 Such a terrible waste of Moet!) Sorry @Fatboyslim1 Great suggestion but I just can’t do the diluting of wine. 😱 Alcohol will mess with your weight loss & addiction transference is real. Be careful. Go slowly. Weigh the risks (pun intended) before indulging.

This past week seems so focused on the $10million question.. do I need a fill?? I've posted the link to this list in other threads, but thought I'd just go ahead and put the whole thing here for those of us who need reminding. I hope that all of us who are questioning the need for more (or less) restriction will take a few minutes and go thru this list of questions, answering each honestly, and then make an educated decision rather than just walking in to the Dr.'s office and letting them decide for us based on only a tiny bit of the entire picture. Here ya go: Adjustments How to Tell When You Are Perfectly Adjusted You are losing 1-2 pounds per week. If you are not losing 1-2 pounds per week: A. You may need an eating adjustment 1. Are you eating 60 grams of Protein a day 2. Are you eating 25 grams of Fiber 3. Are you avoiding all liquid calories a. Soup can be sign of “soft calorie syndrome” b. Alcohol contains a lot of calories – 7 calories per gram (1) It’s also a stomach irritant c. fruit juice is just sugar Water 4. Are you making healthy food choices from a wide variety of foods? a. Are you avoiding soft foods b. You can’t just eat what’s easy c. cheese is glorified fat 5. Are you drinking 6-8 glasses of water a day between meals 6. Are you eating too much junk a. chips, chocolate, nuts, ice cream, Cookies and other highly processed junk foods are too calorically dense to be regular parts of a healthy diet. But don’t avoid them completely to the point where you feel deprived. b. Stay out of fast food places 7. Are you getting in two servings of Calcium daily 8. Do you always eat the protein first 9. Then the vegetables or fruits a. Five servings a day b. Potatoes are NOT a vegetable 10. Is your portion size appropriate? a. meat or fish (1) 3 ounces – the size of a deck of cards b. Vegetables (1) ½ cup – the size of your fist c. Starch (1) If you eat the protein and the vegetables first you don’t need much (2) Avoid: rice, potatoes, Pasta 11. You might try avoiding artificial sweeteners a. Some people think that artificial sweeteners stimulate the appetite b. They are HUNDREDS of times sweeter than sugar c. They teach you to like things too sweet d. There is no evidence that people who use them are any thinner than people who don’t 12. Avoid most diet foods a. Real food usually tastes better b. Real food is more satisfying than low calorie substitutes c. When you are only eating a tiny bit the caloric savings is not that great (1) Use a teaspoon of real butter instead of a tablespoon of diet margarine (2) The body has no way to break down artificial fats a. They may go into permanent storage b. Some people think liposuction is the only way to remove hydrolyzed fats from the body B. You may need a behavior adjustment 1. Are you eating only when you are hungry? a. If you’re not sure drink 8 ounces of water and wait. 2. Are you eating three meals a day? a. With maybe 1 or 2 small Snacks 3. Are you sitting down to eat? 4. Are you eating consciously? a. No distractions, turn off the TV, put the book or newspaper away, pay attention to your food and your companions 5. Are you eating slowly? a. Put the fork down between bites b. Take 20 to 30 minutes to finish a meal c. Taking longer might cause the pouch to begin emptying 6. Are you taking small bites? a. Tiny spoon, chopsticks, cocktail fork 7. Are you chewing well? 8. Are you drinking with your meals or too soon after your meals? a. Practice water loading between meals b. You won’t be thirsty if you are well hydrated before the meal 9. Are you stopping at the first sign of fullness? a. Sometimes it’s a whisper: not hungry, had enough b. Hard stop versus soft stop 10. Do not eat between meals. Stop grazing. 11. Do not eat when you are not hungry C. You may need an activity adjustment 1. Are you getting in 30 minutes of physical activity at least 3 times a week? a. Over and above what you would do in the usual course of your day b. Could you make it 4 or 5 times a week? c. Could you make it 45 or 60 minutes? 2. Are you taking advantage of opportunities to increase your physical activity? a. Taking the stairs instead of the elevators or escalators b. Walking on the escalators instead of riding c. Parking your car further away from the entrance d. Getting out of the car instead of using the drive through e. Getting off the bus one stop before your destination f. Washing you car by hand instead of the car wash g. Playing with your kids D. You may need an attitude adjustment 1. Are you committed to your weight loss journey? 2. Are you totally honest with yourself about how much you are eating and exercising? a. Log your food and activity on ww.fitday.com for 3 days 3. Are you using food inappropriately to deal with emotional issues? a. Have you identified what the emotions are that drive your eating? b. Can you think of more appropriate ways to deal with those emotions? c. Are you willing to seek help from a qualified counselor? 4. Are you attending and participating in support group meetings? 5. Have you drummed up some support from your family and friends? 6. Have you dealt with saboteurs realistically? 7. Do you have realistic expectations about the weight loss journey? 8. Are you still obsessing about food, weight, dieting, eating? a. Obsessive – compulsive thoughts (1) Obsess about something else b. Perfectionism (1) All or none, black and white thinking c. Patience with the pace of healthy weight loss 9. Are you acknowledging your successes with non-food rewards? 10. Have you learned how to take a compliment? 11. Are you giving up diet mentality? a. Stop weighing yourself several times a day or every day b. Stop dieting c. Stop depriving yourself d. Stop defining food as “good” and “bad” e. Stop rewarding and punishing yourself with food 12. How do you feel about all the changes taking place? E. You may need a band adjustment 1. You feel like you are making healthy food choices in appropriate portion sizes but getting hungry between meals? 2. You can still eat white bread, fibrous vegetables and large portions. 3. You are having to struggle to lose 4. You are gaining weight in spite of eating right, exercising and having a good mind set. F. You may need your band loosened 1. There are times when you can’t get fluids down 2. You are vomiting too much a. How much is too much? 3. Do you have frequent reflux or heartburn at night? a. Do not lie flat or bend over soon after eating b. Do not eat late at night or just before bedtime c. Rinse your pouch with a glass or water an hour before bedtime d. Certain foods or drinks are more likely to cause reflux: (1) Rich, spicy, fatty and fried foods (2) Chocolate (3) Caffeine (4) Alcohol (5) Some fruits and vegetables a. Oranges, lemons, tomatoes, peppers (6) Peppermint a. Baking soda toothpaste (7) Carbonated drinks e. Eat slowly and do not eat big meals f. If you smoke, quit smoking g. Reduce stress h. Exercise promotes digestion i. Raise the head of your bed j. Wear loose fitting clothing around your waist k. Stress increases reflux l. Take estrogen containing medications in the morning m. Avoid aspirin, Aleve and ibuprofen at bedtime (1) Tylenol is OK n. Take an antacid (Pepcid complete) before retiring o. Try other over-the-counter heartburn medications p. See your health care provider 4. See your health care provider immediately (or call 911) if a. You have a squeezing, tightness or heaviness in your chest, especially if the discomfort spreads to your shoulder, arm or jaw or is accompanied by shortness of breath, sweating, irregular or fast heartbeat or nausea. These could be symptoms of a heart attack. b. If your symptoms are triggered by exercise. c. If your pain localizes to your right side, especially if you also have nausea or fever d. If you throw up vomit that looks like black sand or coffee grounds. Or if your stool is black, deep red or looks like it has tar in it. These are symptoms of bleeding and need immediate attention. (Note: Pepto-Bismol or other medications with bismuth will turn your stool black. Iron supplements can also make the stool tarry.) e. If your pain is severe

Hello there! Haha, definitely ZERO alcohol! That would be a horrible idea, as I'm only 2 weeks out! I drank Crystal Lite at a NYE party we went to and nobody even said a word. There were a lot of yummy desserts and I didn't even take a single bite of anything. I still had fun though and I really didn't have a desire to drink or eat any of the food. We ate dinner at home before we went and I felt satisfied! Thanks for asking and yes, Happy New Year to all! Here's to 2014!

Wow. Good riddance I say. My husband lost 70 lbs taking a weekly injectible for diabetes before I had my surgery. I know he wanted me to lose weight too. I had the sleeve in Dec 2019, and lost 104 lbs in 12 months and am maintaining that weight eating and drinking what I want but in tiny portions. I eat healthier than I used to, but I definitely still eat things on occasion that I did not eat in the first year at all, and I had no alcohol for the first 12 months. I am lucky like that, he was very supportive and even did the shake diet with me in the beginning. He's a great cook and it was my love of his good cooking and my liking to eat that got me to 304 lbs in the first place. I ate it all willingly, but he cooks healthier for me now. After 30 years I can't imagine my life with out him. That guy wasn't the right one for you, be glad he helped you see that before he broke your heart or it cost you money.

Best answer Living to Eat: Do You Have a Food Addiction? By Meghan Vivo Jane sneaks out of the house at midnight and drives six miles to the local 7-Eleven to get a chocolate bar. This has become a nightly ritual. She's gaining weight and feels profoundly ashamed of her lack of self-control. Though she vows to stop this behavior, she can't seem to shake the craving night after night. Jane is a food addict. In many ways, food can closely resemble a drug - caffeine and sugar offer a quick pick-me-up while carbohydrates and comfort foods can help soothe and relax the mind. Some people use food, like drugs, to feel at ease in social situations or to unwind after a long day. If you think about food constantly throughout the day, have compulsive cravings for certain types of foods, or waste more than half of your daily calories binging on unhealthy Snacks, you may be one of the 18 million Americans who suffer from food addiction. What Is Food Addiction? Food addiction, like any other addiction, is a loss of control. Food addicts are preoccupied with thoughts of food, body weight, and body image, and compulsively consume abnormally large amounts of food. Even though they understand the harm caused by their behavior, they just can't stop. Food addicts tend to crave and eat foods that are harmful to their bodies. For example, people with food allergies may crave the foods they are allergic to, while diabetics may crave and overindulge in sugar, despite the adverse effects. Food-aholics generally gorge on fat, salt, and sugar in the form of junk food and sweets. If they are feeling depressed, lonely, or disappointed, they consume large amounts of chips, chocolate, or other comfort foods for a "high." As with most addictions, the high wears off, leaving the person feeling sick, guilty, and even more depressed. Because the addict is out of control, she will repeat the same eating patterns over and over again in an effort to feel better. Compulsive overeaters often eat much more rapidly than normal and hide their shame by eating in secret. Most overeaters are moderately to severely obese, with an average binge eater being 60% overweight. Individuals with binge eating disorders often find that their eating or weight interferes with their relationships, their work, and their self-esteem. Although compulsive overeaters or binge dieters often struggle with food addiction, eating disorders like anorexia and bulimia are also considered types of food addictions. Addiction or Bad Habit? Unlike drug and alcohol addiction, which have been recognized by the medical profession for years, addiction specialists still question whether food can be genuinely addictive. Is the obsession with eating a true addiction, or just a bad habit? Some experts are quite skeptical of putting food in the same category as drugs or alcohol. They argue that people like junk food because it tastes good, not because they are physically incapable of controlling their behavior. Others contend that individuals who abuse substances in excess of need, despite the harm it can cause, are addicts, whether the substance is alcohol, drugs, or food. In some cases, food addicts trying to break the habit claim to experience both physical and emotional withdrawal symptoms such as headaches, insomnia, mood changes, tremors, cramps, and depression. In an animal study at Princeton University, researchers found that after rats binged on sugar, they showed classic signs of withdrawal when the sweets were removed from their diet, which suggests foods like sugar can be addictive. Brain imaging studies conducted by scientists at the U.S. Department of Energy's Brookhaven National Laboratory have found that food affects the brain's dopamine systems in much the same way as drugs and alcohol. Dopamine is a neurotransmitter associated with feelings of pleasure and reward. When psychiatrist Nora D. Volkow, director of the National Institute on Drug Abuse, and her colleagues compared brain images of methamphetamine users with obese people, they found both groups had significantly fewer dopamine receptors than healthy people. Moreover, the higher the body mass index, the fewer the dopamine receptors, which may explain why it is so difficult for some people to lose weight and keep it off. Are You a Food Addict? Whether the obsession with food is a true addiction or simply a bad habit, one thing is clear: Your health is on the line. Obesity, psychological disorders, and diabetes are just a few of the health risks associated with compulsive eating. If you're worried that you may have a food addiction, FoodAddicts.org recommends that you answer the following questions: Have you ever wanted to stop eating and found you just couldn't? Do you think about food or your weight constantly? Do you find yourself attempting one diet or food plan after another, with no lasting success? Do you binge and then "get rid of the binge" through vomiting, exercise, laxatives, or other forms of purging? Do you eat differently in private than you do in front of other people? Has a doctor or family member ever approached you with concern about your eating habits or weight? Do you eat large quantities of food at one time? Is your weight problem due to your "nibbling" all day long? Do you eat to escape from your feelings? Do you eat when you're not hungry? Have you ever discarded food, only to retrieve it and eat it later? Do you eat in secret? Do you fast or severely restrict your food intake? Have you ever stolen other people's food? Have you ever hidden food to make sure you have "enough?" Do you feel driven to exercise excessively to control your weight? Do you obsessively calculate the calories you've burned against the calories you've eaten? Do you frequently feel guilty or ashamed about what you've eaten? Are you waiting for your life to begin "when you lose the weight?" Do you feel hopeless about your relationship with food? If you answered "yes" to any of these questions, you may have, or be in danger of developing, a food addiction or eating disorder. Although food addiction is not nearly as intense as alcohol and drug addictions, you may need help regaining control of your life. Treating Food Addiction Change is never easy, and overcoming food addiction is no exception. It will require a combination of discipline, healthy eating habits, and exercise. In many ways, treatment of food addiction is similar to drug and alcohol addiction. The first step to recovery is recognizing and accepting the problem, and identifying which foods cause allergic symptoms and cravings. However, unlike drug and alcohol addiction, food addicts can't quit cold turkey. Everyone has to eat. Instead of taking drastic measures, make the following changes gradually, one small step at a time. Reprogram your taste buds. If you eat tons of sugar-laden foods, your taste buds get used to the flavor and you will start craving sweeter and sweeter foods. When buying foods that aren't supposed to be sweet, like Pasta sauce, bread, and crackers, make sure they don't have added sweeteners like fructose, dextrose, and corn syrup. Slowly try to limit sweet or salty foods in favor of fruits and vegetables to restore the sensitivity in your taste buds. Plan your meals. Food addicts often hide food or binge when they are alone. One way around this is to avoid hiding a stash of food in your car, desk, or nightstand. Also, plan out healthy meals in advance, portion out single servings on smaller plates, and eat scheduled meals at the dinner table. If you eat in front of the TV or while talking on the phone, you're more likely to eat large amounts of food without realizing it. Though it may take a few weeks to change your eating patterns, your brain will eventually get used to smaller portions of healthy foods and generate fewer snack-food cravings. Moderate your hunger. People with food addiction tend to take an all-or-nothing approach to dieting, bouncing from ravenous to overstuffed. A useful tool to moderate food consumption is to rate your hunger on a scale of zero to ten, zero being starving and ten being overstuffed, then try to stay between three and five. If you wait until you hit zero, you may not stop eating until you reach ten. Know your weaknesses. Everyone has a list of foods that are hard to turn down. If you can't resist a fine loaf of bread at a restaurant, ask the waiter not to bring the bread basket to your table. If you can't walk past an ice cream parlor without stopping for a scoop or two, take a different route. If you have a habit of eating Cookies or popcorn while watching TV at night, read a book or walk the dog instead. If these tricks don't work, stop buying unhealthy foods at the grocery store. If it's in your kitchen, you're probably going to eat it. Deal with the real issues. Typically a food addict will numb unpleasant feelings with food. If you stop relying on food, you can learn to tackle problems head-on and let yourself feel the sadness, anger, or boredom without using food as a crutch. Find healthy ways to cope. For food addicts, the next salt or sugar fix becomes the dominating force in their life. The best treatment is to find other ways to fill the void, like working out, hiking, going out with friends, or talking to a therapist. Exercise sparks the same pleasure centers of the brain as food, and offers a similar high without the guilt. If you're not physically hungry but you're struggling to resist a craving, brush your teeth, drink Water, leave the house for a few minutes, or choose a healthy substitute like yogurt instead of ice cream or baked chips instead of potato chips. Give yourself a break. The guilt people feel after overeating perpetuates the addiction. They're sad because they ate too much, so they turn to food for solace. Learn to forgive yourself and don't get discouraged by minor setbacks. Food addiction can be a serious problem. Just ask the people who habitually visit the drive-thru at midnight or load up on candy bars on a daily basis. To beat the addiction, sometimes all you need is motivation to change and a few lifestyle modifications. In more severe cases, you may need to seek help from a food addiction group like Overeaters Anonymous, a mental health professional, or an addiction treatment center. In either case, a shift in outlook must occur: Eat to live, don't live to eat. Other resources and articles:

Without giving you an official or text book definition I'm inclined to think of food addiction as an emotional obsession with food, and eating. I grew up with alcoholism and a very volatile relationship between my parents. I have obsessed over food ever since I can remember. Always wanting more and if I couldn't get enough to satisfy my craving I would figure out ways, places, and times, that I could. As a child for example, if at breakfast there were only so many pancakes shared between family, I'd imagine myself surrounded by pancakes dripping with butter and maple syrup. I'd seek out other foods to gorge myself with...salty, sweet, whatever! I'd find ways to compensate, usually while alone or with a friend that also liked to over-indulge in eating. The food never really satisfied me so I would keep foraging through food as if my life depended upon it. This behavior caused self loathing, shame, guilt...and diets, doctors, pills, bouts with bulimia, (I did alot of sneak eating, binging and purging...) This is not normal behavior and best resembles addiction. I always felt out of control. I hated myself for the urges, binging and nagging desire for more. I substituted food for emotional needs which went unmet. It felt like a self perpetuating trap for which I don't fully comprehend. Since the VSG, I am no longer able to "treat" myself, (as before), with food. I would not assume that everyone who is overweight to obese is that way due to a food addiction per se, but I do believe that I am and have been since childhood.

Yes! I think its the alcohol itself that causing the burning sensation. I have felt it with other types of liquor, too. Sometimes, I feel nothing and sometimes it stops me cold. I don't drink much as a rule, but have experienced this. I also get this sometimes with salsa or other spicy foods and it never happened before the band. I can feel it hit the band because it burns and is irritable.

This is exactly why the lifetime commitment to changinging behaviors is so important for success. Patients need to be better informed about the long term realities of any WLS. Our lifestyle changes and eating habits are far more important than the physical changes of the surgery. Without the mental commitment the surgery itself is pointless. No one regains by staying on plan, excercising and making healthy food choices. I know if I regain any weight it is entirely my fault and a result of my behavior, not a "failed" sleeve. The OP is living proof of how this works. Once "back on track" again, she is losing weight, stretched sleeve and all. Congrats, BTW! Having WLS and grazing, overeating, or basically just consuming too many calories, is like a heart bypass patient continuing to eat poorly, smoke cigarettes and not excercise. Or a liver transplant recipient becoming an alcoholic. Their surgeries saved their lives but they are back killing themselves with their behaviors.

Jon, thanks for that post. That's exactly my problem - addiction, in many different forms. I've been to hundreds (literally) of Overeaters Anonymous meetings which used to be part of my regular life till I moved to Vegas. OA meetings in California are great places for support and help with food addictions. I was able to attend a different amazing meeting every night, but then I moved to Vegas. Vegas meetings are few and far between, and they never really got off the ground like in California; probably because Vegas has so many GA, AA, NA, CA, DA (Gamblers, Narcotics, Alcoholics, Cocaine, Debtors, etc.) So OA meetings are small and completely different here. In California, the meetings are actually focused on food addictions, but the meetings here are just sessions where people vent about their day without ever correlating the issues to food. It's a shame, I'd love a good OA meeting here. So thanks for making me NOT give up. I'm gonna keep on keeping on. Sue, you aren't the first person who I've heard about "oops, nicked ya." Not funny at all. One girl had her stomach accidentally cut during band surgery, then her surgeon fixed the cut and put the band OVER the cut! She ended up in really bad shape and had her band removed by a US surgeon. She even knew something went wrong in surgery, but the doc said everything went fine; the "oops nick" didn't even reflect in the Operating Report.

I stopped mine somwhere around 4 months. I haven't had any issues with acid or heart burn. However, if I know I'm going to be drinking alcohol in a few days, I start taking some.

WHEN ARE YOU ALLOWED TO START DRINKING ALCOHOL

Good to hear from all the May sleevers. Weight loss has slowed "a lot!" Im sure it's my fault as I have ebb having alcohol regularly. I still work out at least 3x a week, avoid carbs, and NO soda. But, I know that my weight loss would be better if I would just stay on track. Unfortunately, I am still a regular Watson with a life that involves not being on a diet 24/7. Still working at it though, SW 205, CW 153....