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Hi... I'd be concerned about the depression. Many folks with weight loss problems have underlying emotion problems that tie them to food... people can find relief by eating their way through emotion issues. A bariatric doctor might be concerned that surgery might not be effective if emotions or personal issues are involved with the weight gain. The same goes for folks who are alcohol abusers... surgery would only give them more incentive to drink useless calories, while allowing them to ignore healthy food choices. This is something you need to discuss with your doctor. WLS is a serious decision, and you don't want to risk you health unless you are ready to undertake some serious life changing decisions.

I'm 3 months post op & I've tried a few sips of Diet Dr Pepper slowly. It didn't cause any pain or discomfort. I've also drank a child's size frozen coke. It was so good! No pain with that either. My pouch is fine no stretching going on. No weight gain either. But I don't drink it daily.

Hey folks, I have had my band for 6 years now, finally went in for a fill b/c I noticed weight gain and very little restriction. When I finally decided to get a fill, under the x-ray they saw that the port and tube was disconnected. Next step is an Endoscopy to see what needs to determine exactly what is going on and what needs to be done. Ok so here I am at this point. 1) I have to finance as my insurance deductible is extremely high so I have to pay OOP. which will have to wait because of the $$$$'s 2) Second I am so nervous about having surgery again as my options are a port replacement or a new band if needed. I'm really concerned and could use some support, please and thank you. Has anyone had a disconnect?

I everyone!! Can someone please help me!! I had my daughter in may and I had a hard time trying to eat while pregnant but steadily I was able to increase my consumption (the doctors were worried).. She just turned 3 months yesterday. I am still breast feeding her and plan to for a year (probably more) but I was hoping for any kind of direction, advice, food guide documents, etc,.. To jump back on my sleeve diet without compromising my milk supply or daughter's health.. My back is starting to hurt from the weight gain and loose abdominals and I'm scared if I don't start now.. I'll just never get back down. My lowest was 123 lbs (I want to be about 130), I'm 5"6 an currently weigh 158.0 lbs.

I had my RNY surgery on May 4th, 2004 to be exact. Like everyone on this site, my weight had been an issue for many, many years and this surgery seemed to be the only option I had left. In fact, a close friend of mine had the surgery before me and it was due to her positive experiences that I began looking into it. Ironically, at the time time I began investigating this surgery, my mother was a nurse working in bariatrics, working for the doctor I would later have the surgery from. I will be the first to tell you, that choosing surgery is a very personal choice. I do not think it is for everyone and feel one should look at all options before choosing surgery. I have not always been open in talking about it, as I was fearful of others negative comments and even more so, my own fear of failing. What if the surgery did not produced the results I want? Before deciding on her surgery, I will admit I was just completely lost. I hated what I looked like and felt just completely out of touch with my inner self as compared to my outer appearance. I would lie to my friends and family about my work schedule simply to miss having anyone see me. I would often times avoid phone calls so that I could not be available. As with any family, I had major issues with facing certain people because it was never good...or made me feel worse. I have a number of family members who never suffered with weight issues....my brother for example has always looked great....my mother and aunt always looked great....my grandparents too. There were people in my family who tried to diet with me, or point out every food item I was eating, saying, "that is your third dinner roll" or, "do you know how many calories are in that?". It was just one comment after another. I was ashamed of what I looked liked, and angry/jealous of others who were skinny or seemed to have no weight issues. Being overweight, simply sucks! Being the fat girl, the one with the great hair and funny personality Sucks! I was sick and tired of being the third wheel, the girl who had a lot of male "friends", or the one who was just a great person to talk to. I had enough! I wanted to change. When you are heavy, there are common comments you tend to hear day in and day out. Some are self generated, while others are said directly.....of course, those comments become our daily motto (at least for me they did). Instead of, you are so beautiful....I would be told "I love your hair", "you are just big boned", "you have your dads figure" (by the way not a compliment...love my dad, but really!". The comments people make are really unbelievable. Ok so I finally decide on surgery. I was approximately 220 pounds before surgery. At this point, I was told by some in a support group I was not heavy enough to have the surgery! Such a crazy response to make in a Support Group session. I stayed 5 days in the hospital....and my weight loss process began. The first year after surgery had its moments. I cannot say it was always easy. Yes, the weight came off....incredibly fast. I was so happy with the results. Eating, that was different and often times a big struggle. I had a very hard time keeping food down...and finding food I was able to tolerate. Overtime, this improved. So much so, that I no longer suffer from the same restrictions as I did in the beginning. I think this was something to expect, but am now facing some realities I truly did not think about as the beginning stages of my weight loss were so successful. My lowest weight was 124 pounds, but that only lasted for half of the day. My stable weight stayed between 132-140. After approximately 3 years after surgery I began gaining weight. Each year there after seemed to be more and more difficult. I remember weighing 138 pounds and visiting my grandfather. Spent a long day with him, only to have him tell me at the end of our visit that I was getting fat! Truth be told, I was gaining weight, I just hated hearing that I was fat! After all, I had a surgery to help with my weight. At approximately 5 years after surgery, I weighed 150. Not a horrible weight, but something definitely needed to change. So, I started running. And got into swimming again...and eventually took up triathlons. I completed 5k's, 10k's, sprint triathlons, half marathons, a swim around the florida keys, half iron-man...the list goes on. I just readjusted my life. Well now, 10 years out from my surgery, I am at an overwhelming weight of 172! I am getting back to the basics....And trying to get back on track. I have joined this site for additional support and to find others just like me. I knew I would gain some weight back, I just never expected to get to where I am now. Yes, I have taken the liberty to eat the wrong foods, to eat too much, to snack...and just simply stop doing what I am suppose to do. I have allowed outside stress and daily life stuff get in the way of my past successes. I am now focusing on me, and what I need to do to get healthy! I want to lose this weight and am determined to be successful. **quick advice for anyone in the beginning stages or ones noticing a weight gain..... Weight loss is not magic, the surgery only works as successfully as You follow it! Be mindful of what you eat, and never take it for granted that it will be the solution you are seeking. I am learning this and am taking full accountability for where I am now. Sorry for such a long post....but thanks for letting me share....

Turns out I had my thyroid checked with blood work and I have hypo-thyroid. Dizziness is one of the leading side effects among weight gain. Encronoligist gave me a pill to level my thyroid and I will have blood work again in October. FYI, thyroid levels are not checked in routine blood work unless you ask fir them to be checked.

I had lap band on March 5th 2014 upon release from the hospital I felt like I was about to live the life I was meant too with weight loss. Then the weight loss wall hit and hit hard I was 349 to 275 and have been there for 2 months. My diet is very minimal bad food but I am not without sin. I exercise regularly and very intense. I do not know what to do. I used to look foreword to weighing in now I stay away from the scale in fear of weight gain. I have had 3 fills and have some restriction based on the meal and the day. I know what some will say " look at what you have accomplished" but to me I am no where ear where I should or want to be. What do I do what am I doing wrong is this normal am I doomed.

Ditto to much of what you guys said except I don' have diabetes. Weight gain after 40. I had 2 hip resurfacings and wouldn't know they were not my hips but I didn't want to outlive them so decided on WLS. Wanted the lap band but my Dr's explained why there wasn't a high success rate on them. Also when I went through the pre classes there were quite a few band revisions to sleeve. My loss is slow but sure. 30 lbs down and I feel so much better. Arthritis pain is way down, BP normal, people compliment me on looking good and psychologically and emotionally I feel great. I did this for ME and it's the best decision I could of made for my health. I'm 1/2 way to my goal of size 10. I'm down to a 14 and loving it. The saying I'm not getting older I'm getting better is so true for me now. Good luck you'll do fine as long as you put your mind to it.

I am actually afraid of EVER eating ice cream again. First, I would have to say that chocolate ice cream has always been my favorite treat, even when I was previously thin. However, I developed a very bad habit of dealing with work stress by stopping at Baskin Robbins on my way home from work. This developed into an addiction as I stopped 5 times a week for over 2 years. That is the single biggest thing that caused me to gain 60+ pounds in two years and grow to 243. I am almost 8 months post sleeve and I have not had a single bite of ice cream. I am so afraid that, like an alcoholic, if I allow myself that first bite, it will start me down the path of weight gain again. The good news is that I don't crave it or even miss it. I LOVE my Protein shakes! I use unjury chocolate splendor powder in skim milk and I add about 2-3 inches of frozen banana, ice and a little powdered Peanut Butter. Blend away, and I feel like I am having a milk shake. This is better than Baskin Robbins because it tastes delicious and it is a healthy choice. Is anyone else afraid to even have a small amount of certain trigger foods?

I would love to meet up with you anyway later in the week maybe. I just emailed my health questionaire to Janese and put September 16 as my surgery date by accident. That was the day I wanted to fly out but I am not as time limited as you. I understand how long hours at a job could make this surgery difficult. ...my hat's off to you! I was a nurse and worked 2 jobs over 60 hrs a week for many years til I hurt my back. Broke it in 2 places so I can't get around like I used to but the drastic weight gain in the past 3 years has created a whole new list of pains and difficulties. Right now my job is watching my 4 week old grand baby while my daughter works....but I really do not want to have surgery on a Monday for many reasons...I guess Tuesday will be ok. I hope to see you in Tijuana, Cody's mom! I hope to make many new friends during my trip...I truly love people! Guess that's why I'm a nurse. If this surgery helps me lose weight it may help my back enough to go back to work and that would be truly life changing!

Hey, BariatricPal Members! Another month has gone by, and we’re deep into summer. We hope you have been taking advantage of the season to drink plenty of Water, try a few new fruits and vegetables, and enjoy some time outdoors with your family. We’ve been working hard over at BariatricPal, and we’ll give you a taste of what we’ve been up to in this newsletter. Here is what you will find in the newsletter. Member Poll: What Do You Do When a Craving Hits? Member Spotlight: Meet Carolinagirl! BariatricPal Updates: Stay in the Loop! Enjoy the newsletter, then head on over to the boards for some inspiration and fun. Thanks as always for your support! Sincerely, Alex Brecher Founder, BariatricPal Member Poll: What Do You Do When a Craving Hits? Everyone has a craving sometime. It might be for pizza, ice cream, tacos, Pasta, or any of the other foods that you used to eat – or overeat – before weight loss surgery. What do you do when a craving hits? Wait until it passes, even if it’s a few days. Wait a day, and then give in if the craving is still there. Make a healthy substitute, such as sugar-free hot chocolate instead of brownies or light popcorn as a salty, crunchy substitute for potato chips. Have a bit or two of the real thing, since that is the only thing that will satisfy you. Give in. Enjoy your treat, and worry about the consequences tomorrow. Choose your answer, and explain it in the conversation on BariatricPal. Share your tips for dealing with cravings, and include any recipe swaps that you use to deal with your cravings in a healthy way! Member Spotlight: Meet Carolinagirl! We are very glad to feature Carolinagirl in this month’s newsletter! She is from Raleigh, North Carolina. With a height of 5’2”, her highest weight was 335 pounds. At the time, she was classified as super morbid obese. She could barely walk and had trouble taking care of herself. Her wakeup call came when her son told her that she was going to be a grandmother and she realized that she couldn’t even push a baby stroller around the block. Her surgeon suggested the gastric bypass, but she chose the sleeve plication with the lap-band. She told him she would prove him wrong. Her surgeon made sure that she knew that it was up to her, not the surgery, to change her eating and exercise habits. She did. She has lost 170 pounds – more than half of her body weight! – and weighs 165 pounds now. She is almost at her goal weight of 155 pounds and a BMI of 30. So much of her life has changed since getting her surgery and losing the weight. She can keep herself clean, put on socks, and feel alive! Being able to walk has let her get her freedom back, and she loves it. One of her great moments, after hitting a high of size 30 pants, was fitting into a size 12. It hasn’t all been easy. Carolinagirl needed to face her inner doubts head on to find the strength to make the right choices. She points out that she needed to take responsibility for her choices and actions. Also, she knows that it is not about being thin, but about being healthy. She first came to BariatricPal to meet others like her. Few had as high of a starting BMI as Carolinagirl, whose highest BMI was 61.4. She now considers the members who welcomed her to be good friends. She tries to offer support on the boards, and is constantly receiving PMs (private messages) from other weight loss surgery patients with questions. Carolinagirl gives good advice and honest answers without sugar coating them. She says that the forum keeps her going forward in her own journey. Carolinagirl has some advice for members who are struggling with their weight loss. Be honest with yourself. You know if you are eating right and exercising. Measure inches lost in addition to weighing yourself. Don’t get on the scale too often. If you eat or drink more than you burn off, you will gain weight. Thank you, Carolinagirl, for being in the spotlight and for being a being a great community member. You are very much appreciated on the boards. Congratulations on your phenomenal and hard-earned weight loss! Do you want to be in the member spotlight? Is there a BariatricPal that you would like to see in the newsletter? Let us know in the Member Spotlight forum! We love getting nominations! BariatricPal Updates: Stay in the Loop! It has been a busy few months at BariatricPal. Here’s what’s been going on. The Big Book! In early July, we published The BIG Book on Bariatric Surgery: Living Your Best Life After Weight Loss Surgery. It’s a guidebook for losing weight and keeping it off in the months and years after weight loss surgery. You’re in this for the long haul! You can see chapter summaries and get more information here. If the title sounds familiar, it’s because this Big Book is the fourth in our series. The first three were on the different kinds of weight loss surgery. They are great for weight loss surgery beginners and anyone losing weight after weight loss surgery. The Big Book on the Gastric Sleeve: Everything You Need To Know To Lose Weight and Live Well with the Vertical Sleeve Gastrectomy The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass Surgery The Big Book on the Lap-Band: Everything You Need To Know To Lose Weight and Live Well with the Adjustable Gastric Band BariatricPal Local Chapters We’ve been rolling out a new program called BariatricPal Local Chapters. It’s in-person support group meetings in your local area run by BariatricPal members for BariatricPal members. So far, we have seen a lot of interest, and are excited about continuing to grow the program. These local meetings are a great chance to meet BariatricPal members in person and to get tips for losing weight. Check the Local Chapters forum to see whether there is already a group in your area or to start a new group. Happy Surgiversary to Alex! On July 18, Alex Brecher officially celebrated his 11-year anniversary of the lap-band surgery. 11 years ago, Alex came home from the hospital after getting the lap-band. He started LapBandTalk.com to support other patients, and then VerticalSleeveTalk.com, SleevePlicationTalk.com, and RNYTalk.com. The rest is history. 11 years later, Alex is down 100 pounds. The four original boards joined together and are now BariatricPal, with hundreds of thousands of members. Congratulations, Alex, and thanks for giving us BariatricPal! Come on over to BariatricPal and join the action! Ask your own questions, browse the conversations that are already going on, or weigh in on the hot conversations on topics such as weight gain after sleeve surgery, finding a bypass buddy to motivate you, recipes for the liquid stage after surgery, or getting over a stall. See you on the boards!

there are ups and downs for most people I would think. You are so right with the numbers. We know we didn't overeat anywhere near a pound of calories (3500) yet it shows up. Life is not fair. Personally I can keep calories low and work out and times the scale won't budge. I also checked out some new medication side effects. Of course weight gAin was listed. I was able to switch meds thankfully and my clothes are once again feeling looser (I am not a daily weigher). And just for added pounds.... Menopause does not help Nonetheless. Here I am headed towards 8 years post surgery and happy to not "fight" hunger daily Life is easier at a more "normal" size for me. Good luck!!

I was told by my surgeons office that there was a 90% chance of me being denied due to a 7lb. weight gain during the three month nutritionist program. I was initially told if I gained weight it would not matter by my nutritionist but now that my paperwork has been submitted I have been told differently. I followed her plan exactly as she told me and still gained 7lbs. Two of my three weigh in I was very bloated due to water retention which she noted so hopefully they look at the whole picture. I called my insurance company in a panic because I really want this. They suggested in the mean time I go ahead and make another appoint with my nutritionist and lose as much weight as I can before that visit so that if I am denied I will be able to appeal right away with proof of weight loss. Her other suggestion was that I do one of the many pre op diets from now until then ( August 12th). She told me my best choice would be two liquid diets (protein shakes or smoothies) and one sensible meal at lunch or dinner time. Do any of you agree with this method? At this point I am willing to do whatever it takes to have this surgery. I made the appointment for August 12th so I would be doing this for the next nine days because I plan on starting Sunday. I was told if I was approved by the appointment to cancel it.

I'm totally there with you, I'm 7 weeks post op (a June sleever) and the 3 week plateau did come with a pound or two weight gain and nooooo weight loss for a week. Here is week 7 and I've gained 2 pounds! Here we go again. Booooo! I'm right with you in calories too, I hear about ppl who can BARELY stomach 600 calories, I'm between 800 - 1100. I'm 5'8". While your caloric intake is higher than others at your stage, you aren't eating enough to GAIN weight. Your Protein looks good, Water is good (I'm not doing well in the water intake department), exercise looks good. Remember, you will hear this throughout this site and the SAME thing happened to me with my first stall, getting into 'onederland' sometimes takes a while. My first stall at 3 weeks I was at 201 and stuck like Chuck. One week later I lost 4 pounds! We have different set points, maybe this is yours. I am now stuck again at 7 weeks, same issues as first stall and even though I know it will pass I am discouraged. But stalls come and go from what I hear, so we better get used to it. Just keep truckin' along and stay positive.

I had my gastric bypass Rny completed 10 years ago, on May 24th, 2004 to be exact. The surgery went well and the initially results were more then I could have asked for. My initial goal was to reach 150; when I reached 130 I was just amazed! The journey in itself was not always easy. I struggled with holding food down. Now fast forward to today, I can eat regular sized meals and am not limited on the foods. Now as great as this may seem, I am not struggling with keeping weight off. In fact, over the past two years, especially this past year, I have gained a tremendous amount of weight. I feel so defeated and just lost in what I should do. I am 42, so I do expect so weight gain. I recently had my thyroid checked just to narrow down the possibilities. As of now, I am even considering a revision surgery. Not sure if this will be needed, however; I am keeping those options open. Anyone else experiencing this or something similar?

I think I have hit the 3 week plateau/1 pound weight gain, but I wanted to double check I have my numbers on things all right. I tried to post this as it's own thread but did not like the responses I got. Hopefully, July sleeveers can be more helpful. Is it 60-80 grams of Protein a day? 64oz of Water but do protein shakes count towards that number ? 1000-1200 calories a day? (I am only 4' 10") Is there a fat, carbs, to protein ratio or anything? Using my fitness pal to track my calories, carbs, protein, fat . . . Is their a maximum amount of carbs/sugar per protein shake? I had to stop Bariatric fusion because I could not take it post surgery. 30 minutes no liquids before eating and 45 minutes post eating? No more than 4oz of protein shake or protein soup at a time to avoid stretching stomach? At least 30 minutes of cardio a day? Any certain amount of fruits or vegetables? Anyone have any tips? Just discouraged! I am just about to get below 200 and have lost about 30 pounds since surgery so being stuck is playing a mental game.

I think I have hit the 3 week plateau/1 pound weight gain, but I wanted to double check I have my numbers on things all right. I posted this as it's own threads but I did not get a lot of great answers so I am just trying "Julyers." Is it 60-80 grams of Protein a day? 64oz of Water but do Protein Shakes count towards that number ? 1000-1200 calories a day? (I am only 4' 10") Is there a fat, carbs, to protein ratio or anything? Using my fitness pal to track my calories, carbs, protein, fat . . . Is their a maximum amount of carbs/sugar per Protein Shake? I had to stop Bariatric Fusion because I could not take it post surgery. 30 minutes no liquids before eating and 45 minutes post eating? No more than 4oz of protein shake or protein Soup at a time to avoid stretching stomach? At least 30 minutes of cardio a day? Any certain amount of fruits or vegetables? Anyone have any tips? Just discouraged! I am just about to get below 200 and have lost about 30 pounds since surgery so being stuck is playing a mental game.

I didn't have any documented weight loss program history ether. I told them about using colored weight loss pills and how I always battled weight gains. It's real how you tried to loose weight. Because you think you don't have anything to write down you really do. State your efforts with estimated dates. Tricare says Weight Watchers and Jenny Craig are used as good documentation. I joined Weight Watchers because of the requirement but it was the same dates as my three month doctor supervised diet. For me Tricare didn't check if I was a member or not. The following is straight out of the Tricare requirements. It will all be good for you so try not to worry to much. TRICARE will cost share any of the following open or laparoscopic bariatric surgical procedures: Roux-en-Y gastric bypass Vertical banded gastroplasty Gastroplasty (stomach stapling) Adjustable gastric banding (i.e., adjustable LAP-BAND®) If you meet all of the following conditions: You're at least 18 years old or you must provide documentation of completion of bone growth. You were unsuccessful with non-surgical medical treatments for obesity. Your medical records must show your failed attempts. Diet programs, such as Weight Watchers®* and Jenny Craig*, are acceptable methods of dietary management, as long as there are monthly clinical visits with your doctor and medical documentation of your participation and your progress throughout the course of the dietary program. *These programs are not covered by TRICARE. Physician-supervised programs made-up of only weight-loss medication management, do not meet this requirement. You have proof of one of the following: A body-mass index greater than or equal to 40 kilograms per meter squared (kg/m2); or A body-mass index of 35-39.9 kg/m2 with one clinically significant comorbidity, including but not limited to, cardiovascular disease, type 2 diabetes mellitus, obstructive sleep apnea, Pickwickian syndrome, hypertension, coronary artery disease, obesity-related cardiomyopathy, or pulmonary hypertension. TRICARE does not cover the following services: Office visits solely for the treatment of obesity Non-surgical procedures for treatment of obesity Nutrition and diet counseling Biliopancreatic bypass (jejunoileal bypass, Scopinaro procedure) Gastric bubble or balloon Sleeve gastrectomy Gastric wrapping/open gastric banding Unlisted procedures

When I began my journey I knew that I wasn't dealing with my stomach issues, I was dealing with my head issues. That was going to make or break my success with this program. Immediately after my first meeting with the Bariatric program I contacted a therapist and began bi-weekly appointments to deal with my head around food so that I will be successful after surgery. It's not the food that caused this problem, it's the reason behind why I overate that caused the excessive weight gain. Understanding and dealing with that will help me the most on this journey.

I agree with tracking ... To a point. For me I tracked every day at the beginning. And if it keeps working for you great. My goal with tracking is to keep myself honest and be confident in my choices. So if you track and you see that you are where you wanna be and where your NUT wants you ... I would give it some time to get results. The body's reaction to surgery and weight loss is so crazy. And you can drive yourself crazy analyzing every factor. If you really do experience consistent weight gain then maybe it's time to do detective work. But stalls and fluctuations definitely seem part of the process! Good luck! FYI I had a five week stall which finally broke on its own. I was assured by my NUT that I was on target so I just kept plugging away and finally got results.

I see someone every two weeks and it's been the best decision I ever made. My insurance only required a psych evaluation but I knew if I'm to be successful that I need to deal with what is going on in my head because it's not my stomach that caused the weight gain. I've been seeing the most awesome therapist for the last 6 months. Through therapy I have learned that I to establish boundaries with toxic family relationships; I've learned how to communicate my needs better with my family; I've learned how to deal with my emotions instead of eating over everything that happens; I've learned how to be proud of myself and my accomplishments instead of treating them like they don't matter and I don't matter; and, I'm learning how to let go of a lot of the negative behaviors around food. I will continue with this therapist after surgery as she has helped me so much in our time together.

Hello all! I was also denied by Aetna for weight gain. I don't know where u all live, but I was given a lil tip from a friend on sending my appeal into Aetna... CONTACT YOU STATE REP AND UR STATE SENATOR!! I live in PA, I contacted and emailed Pennsylvania senator Stewart Greenleaf and emailed him my appeal letter on Monday night. Today I was received a call from his office stating that they received my request and sen. Greenleaf was writing a letter on my behalf to Aetna supporting my appeal AND sending it out today!! I sent my appeal letter in today too...sent by certified mail. I gave it to my 2 sisters, husband, one coworker, and my mother and everyone ended up crying while reading it. Sooooo I'm guessing the letter is better than great!! Apparently insurance companies DO NOT LIKE THE STATE REPS AND SENATORS involved. HOPEFULLY this will help my appeal!! I'll let u all know if it works!!

Hello all! I was also denied by Aetna for weight gain. I don't know where u all live, but I was given a lil tip from a friend on sending my appeal into Aetna... CONTACT YOU STATE REP AND UR STATE SENATOR!! I live in PA, I contacted and emailed my Pennsylvania senator Stewart Greenleaf and emailed him my appeal letter on Monday night. Today I was received a call from his office stating that they received my request and sen. Greenleaf was writing a letter on my behalf to Aetna supporting my appeal. Apparently insurance companies DO NOT LIKE THE REPS AND SENATORS involved. HOPEFULLY this will help my appeal!! I'll let u all know if it works!!

I was sleeved 7/28 After watching several friends evolve into thin healthy people who work out everyday, they still go out to dinner with friends, family they just eat less on their plate. Tonight My family is ordering Chinese for dinner, I'm having miso Soup broth instead, but, I remember clearly that firm salty texture of lomein noodles, I use to sit on the couch with the noodles resting in my chest with my chopsticks expertly in place. I felt I was eating healthy because I ordered chicken and vegetables with that as well. I ate till I was stuffed. Then several hours later I ate again because we all know what happens the Chinese food. Food was heaven but, the weight gain was hell. Hell on my diabetes, Hell my cholesterol, Hell on my ankles, knees, back and heart. Food was making me feel BAD. I'm craving food even as I sit here writing about how bad it has hurt me. It's a habit I need to break and like most things will happen in time. My recommendation is to follow your heart. Tammy

This gives me hope. I also have Aetna and gained 7lbs. My paperwork was submitted to Aetna today but I was told I have a 90% chance of denial due to weight gain. What exactly is a peer to peer? I may need my doctor to do this.