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Yes my thyroid has been checked and is fine. As to watching what I eat...I don't eat bread. And rarely ever eat rice or pasta. I snack on fresh fruit and veggies and eat my protein first at meals which normally fills me up. ( but I am lucky if it is even 4 oz). I know that muscle weighs more then fat. And my clothes are not getting tighter which is a good thing! Just freaking over the weight gain when I have not even met my goal!

Im in week 34 & im 1 year an 7 months post op my food intake is greater than before pregnancy i find myself always hungry , ive been working out daily at the gym an have gained 30lbs so far almost done with this pregnancy any tips for dieting and losing baby weight gain afterwards? Well wish me luck

Right after surgery I was able to lose weight faster than a speeding bullet, my restriction was more powerful than a locomotive and my metabolism could easily leap a tall building with a single bound. Today, my kryptonite is time. Time has made me once again a weight loss mortal. I am able to gain weigh even though my diet has remained healthy. I don't lose the weight gained as fast and I am able to eat more. What to do? I actually fore saw this problem. The first year of my WLS journey when I was researching and going through the process to be approved I went to as many group meetings that I was allowed to attend. I always picked the brain of the people in attendance. Like many on this board they were ALL newbies with the success stories only newbies can tell. Not a single failure in the group. That is until one day a woman showed up and started telling us her story. She was five years out from surgery lost a lot of weight and put most of it back on. She warned everyone that things would change as you get further out from surgery and that it wouldn't necessarily be for the better. She had wished that she did not get caught up in the euphoria of her early success. She said that it's like winning the lottery. One day you have more money than you'd ever dream of having. If you don't plan on saving it you'll go bankrupt. That's what happened to her. She won the weight loss lottery. She lost more weight than she could have dreamed losing. Trouble was, she didn't plan her long term weight loss and now, she went "bankrupt". As I went through my daily routine I came across others who had WLS and many had indeed gained the weight back. I was in my doctors office and the medical attendant there told me about her failure when I told her that I was going through the process to get approved for WLS. She told me that it creeps up on you. Two pounds turns to four, four to eight than you're back to where you started. You start to Feel helpless and give up. As I went to the group meetings pre and post surgery I noticed not many people stuck around. There were no veterans in the group just eager newbies who can attest to the success of WLS. Seems as if the veterans drift away and either gain the weight back in silence or just get tired of hearing the same stories of success over and over. I knew that I would probably lose my WLS super powers someday and I had hoped to plan for it. First, I did lose a lot of weight in the mid 90's and I never thought that I'd get back to being obese. I was so wrong. Like my medical attendant experienced, five pounds turned to ten then to 20 and you know the rest. It took me less that four years to gain back the weight and then some. It took another 17 years to get WLS. I decided that I would use every tool that I could in order to keep the weight off and maintain my health. I joined Over Eaters Anonymous. It's another support group away from the support group my surgeon has. I started seeing a therapist who specializes in eating disorders. ( I'm a compulsive over eater) and I have family and friends who have had WLS who I can call to get and give support to. I also weigh myself every week at the same time on the same scale and set a "Red Alert" weight of 160lbs. ( Have a log since the day of my surgery) If I go above the 160 I know that I must redouble my efforts. Here is where my lost WLS super powers comes in. Despite all this I am having a difficult time losing the five pounds that I am over. I feel as if I am now a mere weight loss mortal who has to work two to three times harder to lose and maintain the weight loss. I can't say it wasn't expected. From all the people I spoke to I knew this day would come. It's that, I was once a WLS immortal and now I have to struggle like all others to lose weight. My saving grace (I hope it is) I planned for it since I went through it before and I took the advice of those who went before me seriously. For all of you newbies who are experiencing the euphoria of being WLS immortal plan for day like me when you lose that super power. Just a note, there are many who do maintain their WLS super powers. They are on this forum and they are truly superstars. They unfortunately are the exception to the trend. I find their advice to be invaluable and I look for their posts for such advice. To everyone, good luck with your new found health.

So I was having some problems with my lapband. One day I can eat anything and the next day I can?t eat at all. I went yesterday and had an Endoscopy done. Much to my amazement, I have an eroded band and a small pouch dilation. I was already contemplating taking the band out and putting the sleeve in due to decreased weight loss. I got my band in June, 2007 and have lost about 60 pounds with it. My doctor does not want to remove the band and do the gastric sleeve at the same time. He wants to remove the band and wait 6-8 weeks for me to heal. Of course I want to do what is safe, but I worry about weight gain. I have come so far with this and don?t want to be back at square one when the gastric sleeve is done. Can anybody relate to this? Any suggestions?

Having no hunger hormone (ghrelin) and a limited capacity for food have helped me tremendously. I generally want food when I need energy and if my head hunger is pushing me to overeat, I simply can't. However, for long-term success, I am still in charge of what goes into my body. I still make choices not to eat calorie-dense/innutritious foods. So I still have to deal with the head hunger and turning to food as a coping mechanism. I still have to make a choice to exercise. Just as it was before surgery...too many calories in/not enough out=weight gain. The sleeve is a wonderful tool, it truly is. Best of luck to you!

Having a hard time dealing with the weight gain after getting to my goal of 125... I had Gastric Sleeve on 10/18/2012 Starting weight was 235 and being only 5' 3" it was hard on my body. I decided to have the procedure done after seeing the fantastic results of my father in laws surgery ( he also had the gastric sleeve). I saw results right away and was very happy with how things were progressing. My husband at the time was totally against the surgery and did not even stay with me in the hospital. It was a bummer to say the least that I was so exited to finally feel good about myself and no one to share my success with. I finally reach my goal of 125 in just a few short months. By this time my husband and I had split up and of course he found someone else ( who of course was larger then myself). I was so sad and happy at the same time, I had the body I had been hoping for and my health was improved. A few months later my then ex- husband committed suicide and I fell into a very deep depression and my bad habits came back with a vengeance. I slept to much, didn't exercise and went right back to eating just like before surgery. As you would guess the weight started coming back and quite quickly. It has now been a few years and I've been trying to get back on track. I have lost about 30 lbs of the 80 I gained back and I see no reason to stop now.

Hi All, I am petrified. I was sleeved 4/13. I went from 244lbs to my lowest 139lbs. I must say it was the best thing I've ever done. However, I am almost four years post surgery & I have gained 15lbs. I'm freaking out. I was in a car accident in Nov 2016 & it has slowed me down, I picked back up some bad habits, junk food, fries foods & I'm not working out due to herniated, bulging disc in my neck & back. I've been reading about the pouch reset & was thinking of doing that. Today, I started drinking Slim Fast shakes for Breakfast. I made a cabbage Soup, by the way which is very good. I'm ready to do everything to get 10-15lbs off. Please if you've been through this, share! Give me some advice. Thanks in advance! Chay Weight B4 Sleeve 4/2013: 244lbs Weight 10/2013: 145-150lbs Current Weight: 153lbs Sent from my iPhone using BariatricPal

I also think the surgeons who perform these surgeries need to catch up to obesity research, in many cases. Most, if not all, bariatric surgeons were general surgeons at one point who jumped on the bariatric bandwagon when insurance started paying for these procedures. I'm not sure what extra training they received but I think many of them are undereducated on the factors that result in obesity as well as realistic weight loss goals and weight gain after surgery. Obesity is a disease but is not treated as such by many in the medical profession and certainly not by the media or public. Blame the victim.

Congrats and welcome to the club. Dont worry about the weight gain. You are filled with IV fluids from surgery. Everyone has a little gain in the first few days post op. Also, i was in the hospital 3 days and 2 nights (standard for my surgeons practice) so just enjoy the time that other people are paid to take care of you. Again, congrats!

I am kind of going through the same thing. I found out my surgery is on November 12th and my pre-op visit with the surgeon is November 9th. I will have to be on a no/very low (less than 20 grams) carb diet for 2 weeks prior to surgery. Well, this past week and weekend, I kind of went nuts, mostly with Mexican fajita nachos and some Chinese food. I had been on a three-month diet and lost 12 pounds. Once that was officially over, I relaxed a bit and had already put on 5 pounds before the weekend. Then, much to my horror, when I got on the scales this morning, I found that I had gained 14 pounds since my last doctor's visit!!! (Note - this is a 9 pound gain within 4 days!) He is very very strict about not gaining any weight before surgery and will even postpone it if you do. I am praying that the low carb diet will take this weight off of me in time. Another thing I am stressing about is the fact that my primary physician just changed my blood pressure meds, taking away the diuretic. That means that I am about to puff up like a frog, on top of the weight gain I have already had. If I gain weight from that, I don't think it should be held against me, but I don't know what will happen. I can't believe that my surgery will be in 20 days! (Well, if I can get this stupid weight off again, that is.) Worse part of it is - there is a pizza shop across from where I work that keeps calling my name. I know that, once I have the surgery, I will be fine. It's just that there are a couple of things that I feel like I am really going to grieve over if I don't get it out of my system beforehand. I feel like a little kid in a candy shop who is being pulled out by the arm screaming! :pizza: :hurt:

Hello new friends, I am probably on here super early. I don't have a doctor, surgery date, or any of that yet. I can only tell you that about 4 days ago, I got to a point where I was disgusted at the weight I've gotten to. I began crying to my mother (who by the way is 100 pounds and tried to tell me she understood) and I haven't been able to stop crying since. I hate that I can't bend over to tie my shoes, I hate that I can't keep a pair of jeans for longer than 4 months without getting holes in the crotch from the rubbing, I hate that I can't cross my legs, I hate having rashes and the way I smell, and most of all I hate that my poor kids are always bored because I never want to get up as I don't have the energy to do much more beyond getting myself to work every day. You would think that all of this would give me enough motivation to just take the weight off but it doesn't. Instead I get even more depressed, and I eat even more. I know it's wrong yet I keep eating and eating…3 helpings sometimes and then I proceed to eat what is leftover on the kids's plates because I can't bare to waste food. I'm sick. I don't know why I can't stop but it's really spiraling out of control and I need to do something. I got to talking to a couple of friends both of whom I've known for many years. One has had a lap band with much success and the other has had gastric bypass with much success. They both recommended the sleeve ironically. I'm trying to read up on all the surgeries and I guess I feel it may be the right one as well. I've been reading non stop for 3 days now and my next step is to see a doctor. What are the opinions of others on the differences between the three surgeries? My other dilemma, and I know I've read this already from others on here, is am I taking the easy way out or should I just do it with diet and exercise because I have done it before? I've struggled with weight since I was a child. I come from an Italian family where everything revolves around food. I remember my grandmother would make ravioli and at the young age of 6 years old, she would encourage me to eat 10 of them. Then when I ate 10, she would encourage me to eat another 2. Then there was dessert…and never just one choice. It went on like this for years until finally I moved away from my family and decided to try and see what I could do to lose the weight now that food wasn't around every corner. I did everything from good old diet and exercise to fasting. I could never keep it off longer than a month or so. Finally, around the age of 25, after my first son was born, I took most of it off and got down to 125 pounds, which is still heavy for a 5 foot tall woman. It took so much effort that my life had to revolve around diet and exercise. I took Xenadrine, which is now off the shelves (hmmm, I wonder why), I walked to and from work, was on my feet at work teaching all day, ran 4 miles or more each day on top of that, ate absolutely no dairy and very few carbs, ate 5-6 tiny meals each day, and never ever ate after 4pm. I followed every diet tip known to man and was still considered overweight for my height and build. All that work and all it took was me taking a desk job for it to all go to crap. I had lost my teaching job and began working in an office that I couldn't walk to, sat all day, and immediately the weight gain started and I was back to 180 in a matter of months, even though I kept doing most of the other things. Xenadrine was taken off the shelves and there went another 20 pound increase. My lifestyle now would not even allow for part of that. I have three children, barely have time for myself, and I work at a desk for at least 10 hours each day. I get home at 7:00pm starved and just start shoveling the food in. I am really just doing a lot of venting here and would love for someone to tell me I am looking in the right direction with the option of surgery. I plan to make an appointment here in the next few weeks with a doctor but it always helps to have the support of others who understand. If someone thinks I should just suck it up and get myself to diet the normal way again, please say so Thanks for hearing me out and I will be around reading more and more and educating myself as much as possible. I will keep everyone up to date on what the doctor says once I get the appointment.

Do people realize how stupid they sound when they say " I'm not going to lose weight because I don't want loose skin" or "I'm afraid to lose weight because of loose skin"? I know, I know, we may have all thought it at some point and time, however, chances are that mindset probably played some type of role in the weight gain and weight loss. But saying you don't want to lose weight because of loose skin is like digging your own grave. Saying your tired of being fat and continuing to make poor meal choices is like digging your own grave. Knowing you have a problem losing weight and not doing anything is like digging your own grave. You can live with loose skin a lot longer than living with all that excess fat, so shut up and do what you need to do to loose the damn weight. Ugh! Wake up people! You should have been thinking about that loose skin all that time you were eating cakes, cookies and pies with a diet coke. You can't deal with loose skin but you can deal with feeling tired all of the time, shortness of breath, low self esteem, diabetes, cardiovascular disease, high blood pressure, sleep apnea, fatty liver disease and all of the other possible health risks associated with being overweight? Really? Yes, I am clearly feeling some type of way about this topic and If you don't like it ....

I am due to have my sleeve on 8/18. I am getting nervous. I was just on the veterans forum and I saw many people posting about weight gains, and struggling to maintain their weight using intermittent fasting. I used intermittent fasting, also a 500 calorie diet to lose 75 pounds several years ago....and it came back despite my struggling with excercise, sticking to a low carb, then moderate carb paleo diet. So, when I see people years post op talking about using weight loss techniques that I have tried and over time failed to stop regaining weight with....well it makes me wonder whether the surgery has lasting value. Will the sleeve help me lose weight? No doubt. Heck, I can lose weight on my own ( we all can) But what I am wondering if it will make it easier for me to maintain! I was hoping that after losing the weight, the sleeve would allow me to eat my normal healthy paleo way of eating ( Protein and vegetables and healthy fats) without always having to go hungry in order to keep from gaining weight. I am quite an easy gainer. Does the sleeve allow you to eat less food ( healthy food) and still feel full when you are greater than 1 year out? What benefits have you continued to notice after a year or more post op?

Hi Jamie I would suggest focusing more on the way you look or the size clothing you want to wear versus the weight on the scale. You know all to well the struggles I've been having with weight GAIN now that I'm training hard for an upcoming event. I have put on 4 pounds the last few weeks and the only thing that's keeping me from jumping off a bridge is my size 8 jeans are getting baggy on me! Still, I will take the the lean muscle thats developing over the skinny fat I was before any day. I stood side by side next to a client last week and we look the same size. We are both 5'7" She weighs 123 and she was shocked when I told her I weighed 154. That's a 31 pound difference and we wear the same size clothes! I'm technically in maintenance now and it's really not any different than what I was doing before. Except I've decided to lay off the butterfingers this week to see if I can do it. Ha ha. That's for another post ????.

La Bella were you referreing to me?? It has taken me a long tim to lose the weight because 8 months after my band I got pregnant so I also have a band baby that is 16 months old and it took me after he was over a year old to want to start lossing again, its harder than when we first have the surgery because its all by will power and the motivation is gone because of the weight gain with the pregnancy. I went back in July (7/19) to get a fill and I was 191 and as of today I am 177 I am starting all over and feel great. I am also happy about my separation because it was just full of problems and I was unhappy for a long time before I made my decision. Thanks for the support everyone.

hon, these are questions for your primary care doctor and/or rheumatologist to answer. I have fibromayalgia and was told it was not an obstacle for the surgery but every case is different. I know that one of the medications that they prescribe, Lyrica, works against you as far as weight gain goes. I am hoping that my dosage can be greatly reduced after my surgery. Consult with your PCP or bariatric clinic. Have you been to a free seminar? There is usually a MD at these. You might find it very helpful....All the best to you, Melinda

We all know exactly what weight gain is; the scale goes up in numbers, our clothes start to get tight, it takes more effort to get out of a chair, the seat belt is tighter and we just don’t feel as well. We all know what weight loss is; the scale shows us a lower number, our clothes hang funny and fall off of us, people start complimenting us about the way we look, we feel better, and we need less medicine. But weight maintenance is something that we all have failed to understand. We have gone up and down in our weight our entire lives, struggling to keep the weight off, gaining weight over and over again. Gaining it has always been easy, I just look at brownies and I would gain two pounds. I never understood my neighbor who was always a perfect size 8 and ate everything in sight. We all know people like that. What has always been missing, is weight maintenance – it was something that I had never achieved. It was elusive to me. I was a constant yo yo. I would lose the weight and thought I could maintain my weight loss but those old habits would sneak back in and sabotage me one more time. The frustration grew every time that I would go down and then back up again and many times with a bonus extra pounds. Each time getting more and more frustrated. When you buy a new car you shop around to get the best deal and then you pick the one that best suits you and your lifestyle. When you pick it up, it comes with a manual, a set instructions and guidelines. You need to put gas into the gas tank to make the car move and every 3, 0000 mile change the oil. Then every once in a while you need to take it in to the dealer who opens it up and looks inside. They make some adjustments and then they give you a bill. You pay the bill and then you are on your way. You need to wash and wax your car so it always looks good. Well, if you think about this is the same as having Bariatric Surgery. The new car is the same as your new pouch. You decide what kind of surgery that is best for you and your lifestyle. You shop around for the best surgeon. You are given a set of instructions from your surgeon, just like you received with your car. You need to feed yourself protein and water to keep you going. Every few months you need to see the surgeon, to check under your hood to take sure your blood levels are good to keep you going in the best condition. You doctor will give you some suggestions to keep you running well and keep you on the right road to weight loss. You exercise and continually add more fuel. But then one day you stop checking the oil and washing the car. A rattle appears out of nowhere and you get used to the new noise coming from the right front of the car. A door ding shows up and you do not even notice the second or third one. You forget to check under the hood. For the bariatric patient this is the time that they start to stray from their doctors program, they start to gain a little weight, we go back to some of our old habits without even thinking about it. This is where we all start to get into trouble. We think we do not need support group anymore, after all we have lost a lot of weight and we think that we are doing just fine. Then all of a sudden we have a wreck, we got on the scale and it is up by 20 or 25 pounds. It is time to call the Auto club tow truck. We need to get towed back to the right road. The Maintenance Road. We all have heard the new Weight Watchers ad campaign, that diets do not work, every one of us know that diets do not work. We have tried them all and look where we ended up; heavier and more frustrated. The only thing that will have lasting effects on us is when we are ready to make lifestyle changes. These changes will make us not only lose the weight but to keep it off for life. To lose weight and keep it off, the best approach is to focus on lifestyle changes and develop an eating plan that's enjoyable, yet healthy and low in calories. This approach will result in weight loss that you can live with - that is, that you can maintain over a long period of time. We need to attend support groups and get a constant stream of positive motivation to keep us on the Maintenance Road. It is easy to get lost and to end up in a dead end; your support group can direct you back at anytime. We are here to help you achieve the goals that are important to you. We each need to learn to make it a Lifestyle that you can live with and enjoy day in and day out to continue to maintain your weight loss. Successful Make it a Lifestyle weight-maintenance strategies Now that you have lost the weight, you can't stop your hard work. Weight maintenance requires daily exercise, healthy eating, a long-term commitment and constant attention. The following habits are essential for you to develop to achieve long term weight maintenance: Healthy snacks and meals - Focus on low-calorie, nutrient-dense foods, such as fruits, vegetables and whole grains. Keep saturated fat low and limit sweets and alcohol. Remember that no one food offers all the nutrients you need. Choose a variety of foods throughout the day. Remember to eat two bites of dense protein to one bite of anything else. Exercise program - One of the most important things you can do for weight maintenance is to continue a aggressive exercise program. Studies suggest that it only takes 30 to 60 minutes of moderately intense physical activity daily to maintain weight loss. Moderately intense physical activities include swimming, fast walking, biking, and hiking. Know and avoid your food traps - Know which situations can trigger you’re out-of-control eating. The best way to identify these food traps and emotional eating is to keep a food journal. For as long as you find it helpful, write down what you eat, how much you eat, when you eat, how you're feeling and how hungry you are. This will help you understand and stay in control of your eating behaviors. Regularly monitor your weight - People who weigh themselves at least once a week are more successful in keeping off the pounds. Monitoring your weight can tell you whether your efforts are working and can help you become aware of small weight gains before they become larger. Be consistent - Sticking to your new lifestyle plan during the week, on the weekends, and amidst vacation and holidays increases your chances of long-term maintenance. Attend Support Group - Getting support is critical, whether through a friend, family member, trained professional or support group, can ultimately mean the difference between your success and failure.

I don't have Alopecea, however I do know both surgery and not getting enough Protein in your diet can cause hair loss. I personally take 5000mcg of Biotin daily and am careful to get in all my protein daily. I don't think Biotin was the cause of your weight gain, btw. There is no medical evidence linking Biotin to weight gain, in fact, Biotin helps you metabolize fats and carbohydrates more efficiently, helping to actually increase weight loss. Here's a great article on it: http://www.livestrong.com/article/324249-effects-of-biotin-on-the-weight-loss/ Best wishes!

search this site for the word Aetna a lot of people got approved n appeal . I was so terrified of weight gain during the process , I was on laxatives and liquids only 48 hours before each weigh in

I think mucle weight would take longer to show up on th scale than that? I'm not 100% though so don't quote me one it. Weight gain and acne sounds like me getting my period, could it be reproductive in origin? Have you been checkout out recently?

Rimonabant hcl is fda approved. Not on the doctors lists so theres no kick backs for him to push but if you ask for it it is available. My wife quit smoking in a week because it made her. Heres the true background information: Rimonabant also known as SR141716, is an anorectic drug primarily used for comprehensive anti-obesity treatment. It is an inverse agonist for the CB1 cannabinoid receptor.[1] The primary method of action is through reduced caloric intake, due to the anti-hunger effects of rimonabant. An inverse agonist refers to a chemical that binds to a receptor and, when compared to a known agonist for that receptor, shows approximately the same affinity and exhibits roughly inverse effects of one or more primary effects of the agonist.[2] One of the primary effects of cannabinoid receptor agonists is an increase in appetite; rimonabant reduces appetite, demonstrating an inverse effect. Some effects of rimonabant are admittedly under-studied or not well known or explorer; for example, rimonabant-dosed mice reduced voluntary wheel-running behavior when compared to a control group.[4] Rimonabant does have other uses besides weight loss; though the mechanism is not well understood it has been demonstrated to increase probability of quitting smokers by 50%: From the preliminary trial reports available, rimonabant 20 mg may increase the odds of quitting approximately 1(1/2)-fold. Adverse events include nausea and upper respiratory tract infections; the risk of serious adverse events is reported to be low. However, there is current concern (August 2007) over rates of depression and suicidal thoughts in people taking rimonabant for weight control. The evidence for rimonabant in maintaining abstinence is inconclusive. Rimonabant 20 mg may moderate weight gain in the long term.[5] Researchers hypothesized, in keeping with the inverse-agonist nature of rimonabant, that (because cannabinoids nearly univerally impair memory), rimonabant may improve memory; this is borne out thus far in rat studies: The positive influence of rimonabant on performance indicated that the action of endocannabinoids was to reduce SmR code strength, resulting in trials that were at risk for errors if the delay exceeded 10 s. Thus endocannabinoids, like exogenously administered cannabinoids, reduced hippocampal encoding necessary to perform long-delay trials. The findings therefore indicate a direct relationship between the actions of endocannabinoids on hippocampal processes and the ability to encode information into short-term memory.[6] Researchers speculate that due to the pervasive role of the endocannabinoid system in the reward (and therefore addiction-perpetuating) system, rimonabant might be successfully used to treat other addictions besides nicotine.[7] Rimonabant has been demonstrated to successfully block the psychological effects of cannabis use without interfering with the physiological effects.[8] Respective excerpts follow: Recent studies have shown that the endocannabinoid system is involved in the common neurobiological mechanism underlying drug addiction. This system participates in the primary rewarding effects of cannabinoids, nicotine, alcohol and opioids, through the release of endocannabinoids in the ventral tegmental area. Endocannabinoids are also involved in the motivation to seek drugs by a dopamine-independent mechanism, demonstrated for psychostimulants and opioids. The endocannabinoid system also participates in the common mechanisms underlying relapse to drug-seeking behaviour by mediating the motivational effects of drug-related environmental stimuli and drug re-exposure. In agreement, clinical trials have suggested that the CB(1) cannabinoid antagonist rimonabant can cause smoking cessation. Thus, CB(1) cannabinoid antagonists could represent a new generation of compounds to treat drug addiction.[7] Single oral doses of SR141716 produced a significant dose-dependent blockade of marijuana-induced subjective intoxication and tachycardia. The 90-mg dose produced 38% to 43% reductions in visual analog scale ratings of "How high do you feel now?" "How stoned on marijuana are you now?" and "How strong is the drug effect you feel now?" and produced a 59% reduction in heart rate. SR141716 alone produced no significant physiological or psychological effects and did not affect peak THC plasma concentration or the area under the time x concentration curve. SR141716 was well tolerated by all subjects. CONCLUSIONS: SR141716 blocked acute psychological and physiological effects of smoked marijuana without altering THC pharmacokinetics. These findings confirm, for the first time in humans, the central role of CB1 receptors in mediating the effects of marijuana.[8] Citations: [1]Fong TM, Heymsfield SB (September 2009).Cannabinoid-1 receptor inverse agonists: current understanding of mechanism of action and unanswered questions. Int J Obes (Lond) 33 (9): 947–55. [2]Kenakin T (2004). Principles: receptor theory in pharmacology. Trends Pharmacol. Sci. 25 (4): 186–92. [3]Suicide risk fears over diet pill. BBC News. 15 June 2007. (URL: http://news.bbc.co.uk/2/hi/health/6755665.stm). [4] Keeney BK, Raichlen DA, Meek TH, Wijeratne RS, Middleton KM, Gerdeman GL, Garland T, Jr. Differential response to a selective cannabinoid receptor antagonist (SR141716: rimonabant) in female mice from lines selectively bred for high voluntary wheel-running behavior. Behavioural Pharmacology 19: 812–820. 2008. [5] Cahill K, Ussher M. Cannabinoid type 1 receptor antagonists (rimonabant) for smoking cessation. Cochrane database of systematic reviews (On[line) (4): CD005353. 2007. [6]Deadwyler SA, Goonawardena AV, Hampson RE. Short-term memory is modulated by the spontaneous release of endocannabinoids: evidence from hippocampal population codes. Behavioural pharmacology 18 (5-6): 571–80. 2007. [7]Maldonado R, Valverde O, Berrendero F. Involvement of the endocannabinoid system in drug addiction. Trends Neurosci. 29 (4): 225–32. 2006. [8]Huestis MA, Gorelick DA, Heishman SJ, et al. Blockade of effects of smoked marijuana by the CB1-selective cannabinoid receptor antagonist SR141716. Arch. Gen. Psychiatry 58 (4): 322–8. 2001.

I am a recovering bulimic. I fully admitted it to my doctor who will be doing my band surgery and he still ok'd me. In fact, quitting purging but not able to quit binging led to massive weight gain. I now have much more control over that demon. I don't binge like I used to but I still tend to overeat. LOTS AND LOTS of obese women are bulimic. It's not only skinny girls. For me, my history of bulimia will make the band that much harder. It's going to test the bounds of this demon that lives inside of me. But the greatest part I'm looking forward to is something I read on a blog page for a person who had been banded....they said that having the band made them for the first time that they were in control of food, not the other way around. The only proven method for overcoming an eating disorder is therapy. I'm here to testify that therapy works but it takes a lot of effort from the bulimic to make it happen. There are a LOT of psychological issues behind an eating disorder. And ED is NOT only about food....it's about SO MUCH more. Food is just a symptom. So as you said in the very first post....maybe this is for a reason. Maybe it's time to face up to some issues before getting banded. Big hugs to you. You are welcome to PM me if you have any more questions.

My name is Kerri and I'm a 37 year old wife and mother of 2. I've been battling PCOS since 1999, gaining weight, losing weight, gaining more...blah blah blah, you know the story! I've been on Metformin for more than 10 years, but my a1c keeps creeping up. Doctors have suggested that I look into bariatric surgery, so I went to two seminars. That was two years ago, when I found out that our insurance doesn't cover a dime of bariatric surgery, under any circumstance. In the meantime, I prayed that we could come up with the money. I have all of the support of my husband and family, but the funds just weren't there. To make a really long story short, I got some blood test results recently that gave me an official diagnosis of type 2 diabetes. I'm feeling pretty crappy with headaches and horrible, throbbing leg pain. I decided right then and there that I need to make this happen sooner rather than later. WE HAVE THE FUNDING FOR MY SURGERY! I'm currently scheduling my scope, then I will have a surgery date! I'm hoping for end of June. I am so excited to go on this journey with you all! Now I'm off to explore this fun site!

Thank you all so much for your responses I agree I need to actively try and get my highs from a new productive habit. I'll have a good think about it. It's so weird how similar the over eating and over spend cycling is.... the delicious anticipation and planning or the pure joy of a suprise temptation... the shutting out of the thoughts that tell you you will regret this.. the raised heart rate and excitement of the purchase or eating... the warm glow that follows and the brief high.... then the guilt sets in.....after a few cycles of that you face major weight gain or debt issues which add to the stress and of course you need to feel good again.... I guess I should be grateful I hate cigarettes and alcohol!

You can try using BetterHelp and stating in your intake form that you are specifically looking for someone that specializes in eating disorders. I tried to do that, but I didn't really have much luck because I have a history of other issues that they picked up on. You can always switch therapists with them. I just stuck with the person I was matched with because it worked well enough and it turns out I don't really have an eating disorder, I just eat too much too often and take medications that cause weight gain. Good luck!