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I had my band for almost 11 months. I had peritonitis, undiagnoised for almost too long. In hospital for a week after removal, and in bed at home for 4 weeks after. It took me 4 more weeks to regain strength and return to somewhat normal for me. I have so many mixed emotions now, mourning my band, mad at my Doc, emotional eating and rebound weight gain. Emotionally out of control with food. I don't feel I fit in in any weight loss group. Because no one understand the mourning part. I had gotten acustom to its presents and was losing slowly but steady. Now since its removal I have gained 20 lbs in 4 months. Any support out there? Linda Tennessee

Hi ladies.....there is hope. I was diagnosed with PCOS when I was 20 always been overweight and never ovulated. It took me 8 yrs to conceive my daughter who is now 13yrs old I always told her she was my miracle baby:) After my daughter I was still not ovulating never had a period and the PCOS was just as bad. I ended up getting a divorce. I am now remarried and happy as can be. So now at the age of 37 I decided at my highest weight of 330lbs to get weight loss surgery done otherwise my husband would never have a chance to have children. I choose the Sleeve due to the issues everyone was having with the band and gastric bypass. So lets skip ahead once I started losing weight I started to ovulate became pregnant very quickly and the Dr said it is due to all the hormones being stored in my fat cells and when you lose the fat all these hormones are released and that is why you need to be very careful right after surgery. Well on a sad note I did lose that child but once again in 2 months was pregnant we also lost that child was very distraught and emotional so the doctor suggested birth control for a few months to regulate my hormones and take a break and to not have to worry about getting pregnant. So I took his advice. I took birth control for 2 months then stopped taking it and bam once again I was pregnant but once again we lost it. That happened on July 9, 2011. As all you ladies know that PCOS can not be cured weight loss can help with many symptoms such as ovulation. But you still have the high risk of miscarriages. After each loss they have you wait to have a complete cycle before trying again and we always do...but in July we also had a trip to Vegas planned and we ended up getting pregnant AGAIN!!!! I am now just about over all this baby stuff not wanting to go through all the pain and heartache of losing all my children. So my husband and I agreed that if we lost this one we would be done. So now it is December I am now 22weeks along and baby is doing good. We know it is a little girl we will be naming her EMMA. So now with the sleeve they do not believe that my miscarriages were connected that it is due to the PCOS. I do have to supplement with a Protein shake called Monster Milk due to no weight gain and low calorie intake. My 18 week ultra sound shows her growing right on time except for her stomach and it is a week and a half behind but my Dr believes that is due to the low calorie intake from me. And now that I am drinking this Monster Milk she should be able to catch up. Sorry so long and please feel free to ask any questions. It has been a long hard road for us but I believe in April 2012 (same month I had my surgery done) we will have out little bundle of joy to Celebrate. Oh and by the way husband said since it is a girl we will have to try one more time:

According to whom, and how far out? My surgeon says his average is 80-90% of excess weight lost initially with a small rebound weight gain typical, but not up to 60%. Also, it's said on this board over and over again, but you decide where you fit on that. If you think the surgery is a magic bullet and you don't have to change anything except the amount you eat, you probably won't hit 100%. If you stick to plan 95% of the time and exercise regularly, you'll get a lot closer.

Hi. I've been lurking for months, but this is my first post. I've come to an abrupt end of my pre-surgical rigamarole, and am just waiting for the bariatric clinic to call me in order to schedule an appointment with my surgeon for the final consultation before scheduling surgery - I wasn't expecting it to be so soon, as I only started the process on April 11th. My insurance - Excellus BCBS - requires a 6 month stretch of supervised weight loss only if they don't feel that your previous attempts at weight loss were serious enough. I guess 25+ years of constant struggle was adequate, because after my 2nd nutritionist follow-up (a group seminar and 2 follow-ups scheduled a month apart are my clinic's required minimum) I was handed my post-surgical diet info and was told to expect a call within a week. Yikes! Anyway. My name is Amanda, I'll be 38 in a month (sigh) and am 5'7" and currently about 282 (and an increasingly snug size 22.) I'm married and I have a 5 year old daughter and I live in Rochester, NY. I'm an MFA grad student and work (incongruously to the MFA) in inpatient pharmacy compounding services at the big hospital in town. I have been fat since I was about 6 years old. When I was a teenager, I was about 170-180 and thought I was the fattest thing on two legs. I look back at pictures of myself and my heart breaks for all that self-hatred, sadness, and lost time - not only because I realize now that I wasn't fat at all (you wanna see fat, 16 year old Amanda?? I'll show you FAT!! flubflabflub) but also because I realize how much it never mattered to my friends and family. This is stuff I still struggle with, though. I started gaining rapidly around 18, and have more or less hit peak mass. I was abut 245 when I met my husband 11 years ago, 270ish after having my daughter 5 years ago, and was 291 when I was weighed at the beginning of the bariatric surgery process. I've attributed my weight gain over the last decade to the insidious "domestic spread" - both husband and I have gotten fatter in that time. But that doesn't explain away all the years before that. I have a progressive, hereditary autoimmune connective tissue disease that is treated sort of like cancer - I get infusions at the cancer center every month through a port in my chest and take a low dose of oral chemo at home every week. Women with autoimmune diseases sometimes see a worsening in disease progression after pregnancy, and this was certainly my experience. I've been having to treat my disease aggressively over the past 5 years, and I've recently reached a really stupid cyclical point where the more I weigh, the less effective my treatments are, the more immobile and depressed I become, the more weight I gain, the less effective my treatments are, and so on. This decline in my health and quality of life is what pushed me to reserve a spot in a bariatric seminar in April. As the reality of surgery looms on the horizon, I've begun to worry about some stuff. Somehow I managed to avoid that certain heartbreak that is endemic to fat kids - I was never bullied for my weight (I was popular in my high school, even as a weird kid with green hair and combat boots,) I have never been (obviously, anyways) discriminated against because of my weight, I've always been lucky in love and never had a problem with finding romantic companionship, and so on. The only person that has ever had a problem with my fatness is me. It's been the thing that I've blamed for every disappointment or unhappiness in my life, even though, intellectually, I know that's total nonsense. I worry about what will occupy my thoughts once the fat is gone. What will it be like to thoughtlessly sit in a chair without anxious thoughts of weight limits and chair-smashing public humiliation? What will it be like to not have to obsessively strategize my wardrobe for maximum chub-concealment? What will it be like to simply take up less space? I feel as though I have never not been fat, and I have no idea what to expect. So, Hi!

Perhaps this is a normal stage of the process for us, but I am having trouble dealing with even the small weight gain. My workouts are more stringent than ever, but my snacking has definitely increased. I'm snacking on Cereal, but still logging/counting calories. Carbs definitely higher, but still not too bad. I'm thinking of just stopping the cereal, though, as that seems to be a trigger for more eating ....

I was in the same boat as you when I first started, I thought I wanted the sleeve but after a little more digging and reading people's (long term) journey with the sleeve, I knew bypass would be best. I am now almost 2 weeks post op with bypass and so glad I made my choice. I've had zero complications no nausea, vomiting, heartburn, diarrhea nothing! I have NO issues with any foods I've tried so far which hasn't been much but I can tell I'll be one who can tolerate pretty much anything. I know if I had the sleeve I'd be like so many (not all) on here that have issues with weight gain, because I can see how the head hunger will get you even after surgery and if my pouch was the size of a sleever I could definitely see how most either stop losing after 5-6 months or slowly gain weight back. I would continue doing your research and ask your doctor, ALL of mine encouraged bypass. Just do what you think is best for you. You know your eating habits and patterns better than anyone. Oh and I'm a Teacher so I'm off for the summer but if I wasn't I'd need at least 2-3 weeks unless it was a desk job.

Based on the studies that I've read, on average there is some weight gain, but not as much as in the control group (and those with the balloon lost more in the first place). It's just like anything else - it requires behavior modification for the long haul in order to be successful. So patients need to use the six months with the balloon to prepare for life without it. In other words, it's not a magic bullet, it's just a tool to help you to adopt better habits. Sent from my iPhone using the BariatricPal App

Good point but be careful! My "extended vacation", 15 months of emotional eating, poor choices and drinking while I ate again got me no where but a 30 pound weight gain. The band doesn't fix it all unfortunately. I hate to put a negative spin on things but I don't want others to make the same mistake as myself.

I'm 3 years post op this month. It doesn't seem possible as it went by so quickly. I have gained 20 pounds and never hit my goal weight. So with this extra 20 I'm 40 lbs away. I'm worried my pouch isn't working or I stretched it, which docs say hasn't happened. But I'm wondering if this pouch reset of going back on liquids is a real thing. I have no issues going to liquids and I only eat low carb. I'm confused on this weight gain and disappointed in myself. I have no doubt that I have screwed this up because I have cheated in the past. But getting this weight off is so much more important than eating things I'm not supposed to. Does anyone have a success story on gaining weight and losing it again or any ideas? I'm willing to do anything at this point. I don't experience dumping anymore at all and I have to take miralax daily for Bm's. Help!

Hello there DESTROYED! It;s going to be OK.... take a deep breath, relax.. now try to focus and remember why you started down this path in the fist place. I am in your shoes so I understand. I am pre-op too and haven't even been given a surgery date because they thought I was too depressed to have surgery... I on the other hand didn't think I was as depressed as they said. ANYWAY... back to you. I think what you are experiencing is normal we are such creatures of habit and WE OBVIOUSLY LOVED FOOD! It is hard to think we are going to have to give up stuff we love, but I am trying to tell myself by giving myself this pep talk.... Hey look, you need to do this, you need to get this weight off, It's only food, and the food will be there when I am on my path to my new healthier life, you will be able to eat some of the thing you love, just less of them Lol. I didn't think I could do it either but to tell you a short story, back in 2010, I made up my mind to get the weight loss surgery after I met someone that lost 90 lbs in 3 months (by the bypass) at that time my insurance required 6 months on a diet seeing a Dr. I made it through up to a few weeks of my 6th month and final dr visit before they would approve me. I starting this weight loss adventure thinking well if I have surgery I am going to have to be able to do the 2 wks of liquids so needless to say over this 6 month struggle I rotated every 2 weeks on eating a liquid diet, and then I would eat regular foods but just less. I lost 80 lbs within that 6 months times on my own LOL!!!! BUT here is the bad part of my story... I was so close to surgery, then I was diagnosed with CML (Chronic Myloid Leukemia) and was not allowed to have ANY SURGERIES!!! until I was in remission. The big side effect of the chemo pill I take is (drum roll) rapid weight gain and adema! so I have gained it all back, the first 10 lbs within 3 day of treatment. It is only within the last year and a half that I am able to have surgery, and I restarted my bariatric journey last Nov but the clinic held me back because of depression) and PTL I am in remission and waiting for approval. My point is that I kept trying ... you see nothing is perfect, you are going to reach road blocks, but just keep your car somewhere between the white lines on the road, and moving in the direction of your goals!!! YOU CAN DO THIS! Please don't give up...the pinto Beans will be waiting for you and for me in our new lives. Stay strong

You are right, you do need a serious wake up call. At least you see it. This surgery is just a tool. You can read that in almost every post of this group. If you are unable to make smarter choices about food it is all for nothing. The sleeve will not keep you from gaining weight if you are determined to do so. It will limit your intake at EACH meal but you can graze yourself into weight gain with it. If you go for fast food after seeing your therapist, you have to ask yourself "why are you making those choices?" It is after all a choice what you eat. Is this therapist really helping you? Have you told them you are going for fast food after your session? Why are you still choosing to eat unhealthy food? What is it that is causing you to sabotage yourself? Good luck and I hope you take a deep honest look at yourself and get answers to these questions!

Hi Bindi2203 - Thanks for the encouragement! Do you know what size your band is? I would not get a fill if your feeling restriction and loosing - 25 lbs...that is great! It took me 9 months to loose 20 lbs before surgery. I was not planning on getting fills this early but with the weight gain I had to. I thought I would naturally feel full with the band but I don't, the only thing that feels different is some foods hurt going down (raw carrots- not going to do that again). However since my last fill I feel full a bit longer. I have another appointment on the 10/10 if I don't loose any weight I'm going for another fill.

With doing the boot camp exercising, your body is changing; and a weight gain is not uncommon as you are building muscle, not fat. That being said, STOP the alcohol as much as possible; all empty calories!!! Have Water with some fruit in it (or bring one of those flavor dispenser/packets with you)...be the designated driver... that stuff is not doing you ANY favors... Next find out if there is a bariatric center near you and if they have meetings, a lot of centers have to have a monthly meeting for post-bariatric members to keep their certification. It has been proven that if you attend these meetings you are more likely to succeed in your endeavor! Helpful hints are always given at these, including easy recipes! try "The World According to Eggface" for recipes, she's got some great stuff... your weight loss is nothing to sneeze at...it's great! when was the last time you lost that much weight in that amount of time?!?! If you are like the rest of us, the answer is "never"! Don't discount yourself...you can't compare yourself to others! And lastly, remember, Protein FIRST! Good luck, you've got this!

Thanks for the info, @mayasmomma. I take it for medical necessity, not birth control. I had lost 74 pounds a couple of years ago - and almost as soon as I got the shot - my weight shot right back up and brought friends! I had no idea what was going on or why I was gaining weight until afterwards, and someone told me that Depo was problematic! Ugh. I was so upset! I cannot take traditional birth control pills any longer because I've had pulmonary emboli and DVT, and they've tried me on a range of other pills, none have been successful in controlling my menstrual problems. The Depo shot was like a Godsend. Until I found out about the weight gain, of course! It's a certain type of hormone I have to have in certain doses. I will talk to my gyno about it, however - maybe there's something else I can take! As much as I hate it, I'm terrified to come off of the Depo!

hi....I too am band to sleeve... I was a slow looser and now my weight loss has stopped instead I have put on..maybe its the gout....it says gout gives sudden weight gain... I am too low...I was always afraid this wouldnt work for me...I have arthritis ..cant walk much...metabolism is very slow...

I don't regret getting my band. Yes, the band works. You get full fast, there are times you simply can't eat. However, falling back to old habits comes too easy for many of us. I just always end up being the brutally honest one of the group that's not afraid to say that I've fallen back into my old habits to the tune of a 10 pound weight gain. It's all about choices. The Band originally restricts you from eating, and when it's new, you are scared to death to do anything wrong, so you follow the rules. Soon, the Band becomes a comfortable part of your life and you face all the same social settings, parties, work, leftovers, fast food joints, candy isles, etc. The Band restricts how your stomach feels, but it does nothing to take away the DEMONS. My demons are just meaner than others, so it takes more of a fight from me. But I'm tired. I have many enemies, but no regrets. I say it like it is, which really bothers or hurts a lot of people because girls aren't supposed to be mean. But to me, I want the hard, cold facts. I don't want to see a bunch of happy, smiling faces if there are underlying problems that need to be addressed. I need to get down and dirty and fix the problems. Could you imagine if a man tried to fix a car engine while keeping his hands clean? It's the same thing when it comes to our weight, our lives, our jobs, our relationships. If it's broken, it needs to be fixed, and you might get dirty fixing it. So I come here, post the problem, gnash it out, HATE a bunch of responses, LOVE a bunch of others, LOVE everyone for caring enough to put up with me, then hope for a better tomorrow. Meanwhile, I think Kare is me with another screen name. Don't be afraid to get the Band. Just get it knowing all the facts, and the fact is that statistics show "most" people lose 1/2 of the weight they need to lose with the band, and the rest has to come off through diet and exercise. Therefore, I'm a success. I'm still down a solid 60 pounds. I could not have done it without the Band. Rock on.

Hello Dee2938, if it's any consolation, I went through a similar pattern of "food funerals" prior to my surgery and I sincerely wish I could say I regret it. I also had about a 10lbs to 13lbs weight gain within the span of 3 months due it. You are very lucky you only have 2 weeks more of crazy indulgence. My advice is that you focus on your absolutely favorites that you won't be able to have immediately OP or EVER and be mindful of portions.....ie don't go hog wild on every food you see, just your top favorites! Now the caveat for me doing this was the commitment I had with myself to follow my surgery team's plan to a T post OP and use this tool to lose 100% of my excess weight regardless of the expected weight loss of the surgery. I hope this helps center you some. Another alternative is to start a food journal and have your nutritionist keep you accountable if that's a possibility. Good luck🧡 Sent from my SM-N960U using BariatricPal mobile app

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.

@@pb1961 I used to struggle and sweat just carrying the extra body weight. Some days simple things were a chore. To feel comfortable and confident in your own skin is what skinny feels like to me. I'm having experiences in life that I think some people take for granted if they have never been obese. I feel like I'm making up for lost time. The things I can do physically have surprised the hell out of me. I Love gardening, I move and lift with ease. I ran a half marathon this year. Just like @@Djmohr weight gain is a big fear. When I gain weight, I feel just as heavy as when I started before surgery.

I was in the hospital, admitted this past Wednesday and discharged Friday. All of my Vitamin levels were low and I was dehydrated. I don't know if my weight gain is from all of the fluids they were giving me but my diet really hasn't changed. I gained 2lbs. Has this happened to anyone? Sent from my iPhone using VST

Laura - As you obviously know by now, an unfill is not necessarily a bad thing. Being too tight can be downright miserable! In my experience, it was difficult for me to come to the realization that I needed a little Fluid taken out, I didn't want to, but being uncomfortable everytime I ate is not something I wanted to live with. I found myself pbing and sliming a couple of times a week and was embarrassed when it happened with friends. Just a total of .2 cc's unfill was all I needed to make me feel "normal" again. I guess we can both chalk it up to lessons learned. Your weight gain could be from swelling caused by pbing and the inability to eat more solid food. It's so easy to eat slider foods, softer foods that go down easy and yet aren't good for you. It seems like you end up eating all the wrong things when you're too tight, just because it's the only stuff that goes down. But in the end, the ability to eat a more varied diet and more solid food is what helps with the weight loss. I guess sometimes you need to go "backwards" to go forward. Good luck to you! Hope you've found your spot!

Hello! I've been offline for awhile and wanted to touch base. Today, I went to a consultation with another Dr., didn't realize it would be such an ordeal to find someone willing to take on a patient that already had a band. I lost faith in my former doc and have have a number issues with my band. I'm scheduled to have it removed August 25, 2017, a little over 8 yrs after having it placed. I've suffered with chronic reflux, heartburn, weight gain (20 lbs) and throat pain for the past 2 years and have finally found someone that will listen. The plan... have the band and scar tissue removed in August, 6 months later go back and have bypass surgery. Yep, I'm scared of the unknown and excited at the same time to be pain free.

Get it diagnosed if your surgery is stretched. I am hearing it can be from the procedure performed wrong, complications or overeating. If it’s overeating, get counseling so you don’t stretch a second surgery. (I'm hoping @JamesL73 is opening a revision thread. I would like to understand more about this topic) I'm five years out. My situation may be different than yours. I had weight gain in my third year and worked it back off. Did your Dr's let you know that you would feel less restriction as you progress out from sleeve surgery? This is a common experience. Mine is not back to full size but it is larger. Just because I have extra stomach compacity does not mean I have to eat over my weight loss/maintenance calories/macros. Some things that help me satisfy the extra room: I eat dense protein and foods allowed on my plan. I eat as much veggies until the sensation of full. (ditch shakes, bars and soft foods. They won’t keep you full years out) I eat five to six small meals. It helps to keep my blood sugars level. I log to make sure I’m staying within my calories/macros Keep healthy sweet and salty options on hand to satisfy cravings. Once you add extra carbs and sugar you crave them more and they cause hunger. Detox off them. know you will feel crappy for a while. It will pass. The main killer of weight loss is grazing. Eating several small meals healthy and unhealthy options that total over your daily calories and macros. When you eat small meals, you don’t feel any surgery restriction. The sensation as if you never had surgery. You will gain weight.

This isn't a slam the needs of protein, but this article came across my email and caught my attention. If this is what is noted for the average healthy person aging, I'm curious to know how it relates to those of us after bariatric surgery. Just a random article I thought I'd share... no comments needed. https://www.silversneakers.com/blog/3-weird-reasons-youre-gaining-weight/?utm_campaign=SilverSneakers - Newsletter Yes&utm_source=hs_email&utm_medium=email&utm_content=67292921&_hsenc=p2ANqtz--bgIkZMMoXHl8eJUMMRjxMMUuiYzaEtVkTcwRgP-UiUdHdA3Q8fweyYpH_KzVU4cVE4_dnLCDov6AACwajYuSl8JItqA&_hsmi=67293380 3 Weird Reasons You’re Gaining Weight By K. Aleisha Fetters | October 31, 2018 Staying slim through the years isn’t as simple as calories in, calories out. Here are the age-related changes that can mess with the scale. As you get older, it becomes more difficult to keep your weight in check. You’re likely well aware of this fact. The most common culprits: slower metabolism, less active lifestyle, or menopause for women. But sometimes, the source of weight gain is much more mysterious. “A lot of changes occur in the body during the aging process that people aren’t aware of,” says Craig Primack, M.D., an obesity medicine physician at Scottsdale Weight Loss Center in Arizona. “And these changes can have a large impact on weight.” Here are three such examples, plus simple ways to tip the scale in your favor. Weird Reason #1: Your Body Doesn’t Absorb Protein Like It Used To “As we get older, our bodies become less sensitive to protein and can absorb less of it,” Dr. Primack says. And since protein is critical to muscle health, this means it becomes more difficult to maintain your muscle mass and continue burning the same amount of calories every day. Remember: Muscle burns more calories than fat, even at rest. Your body also absorbs amino acids, the building blocks of protein, more slowly with age. Recent research published in the Journal of Nutrition, Health, and Aging found that while amino acid levels spike in one hour after protein consumption for adults ages 20 to 25, it takes three hours in people ages 60 to 75. More research is needed to determine exactly why older adults absorb less protein, and do so more slowly. But we do know that stomach acid levels decrease with age, Dr. Primack says. And since stomach acids play a role in protein digestion, it’s one possible explanation. Tip the scale: Increase your protein intake. According to the National Academy of Medicine, the recommended dietary allowance (RDA) for adults in their 50s and older is 0.8 grams of protein per kilogram of bodyweight—or about 0.36 grams per pound of bodyweight. But research shows that roughly 40 percent of women and men ages 51 and older don’t meet those recs. Meanwhile, mounting research suggests that for optimal muscle health and metabolism, adults ages 50 and older should consume at least double the RDA for protein. That works out to about 0.7 grams of protein per pound of bodyweight per day. For a 180-pound adult, that’s 126 grams of protein per day. For maximum benefits, space out your protein throughout the day, suggests Rob Danoff, D.O., director of the family practice residency program at Jefferson Health Northeast in Philadelphia. Getting 25 to 35 grams of protein at every meal will help keep your muscles fueled with the protein they need, increase your daily calorie burn, and help reverse weight gain, he says. These protein-packed breakfasts and high-protein dinners can help. Weird Reason #2: Your Sense of Smell Isn’t What It Used to Be Loss of sensitivity to smells, called anosmia, affects between 10 and 20 percent of all older adults, according to 2017 research published in the Journals of Gerontology. What does sense of smell have to do with weight gain? Smell plays a large part in how foods taste, Dr. Primack explains, so when smell fades, foods can taste bland. This may result in a loss of interest in food, which could cause unexplained weight loss. But it can also lead people to seek more flavor, so they eat fewer healthy foods and more processed ones high in artificial flavors, sugar, and salt. What’s more, when people stop finding pleasure in the taste of foods, the next thing they look to is texture, Dr. Primack says. And the most commonly preferred texture is the creaminess of fat. Tip the scale: If you think your sense of smell or taste is dwindling, ask your doctor for a referral to an otolaryngologist (a.k.a. an ear, nose, and throat) specialist. The ENT will be able to rule out nasal problems like polyps, blocked sinuses, and seasonal allergies. If all checks out, simply understanding how sense of smell can influence your eating habits can help you eat more mindfully going forward. Try adding flavor with herbs and spices or marinades. Plus, harness the power of exercise to sharpen your senses. Weird Reason #3: Your Circadian Rhythms Are Off There’s no end to the list of ways poor sleep can trigger weight gain, including increasing levels of the hunger hormone ghrelin and slashing levels of the feel-full hormone leptin, Dr. Danoff explains. Even short periods of too little sleep can have a big impact. A 2015 study published in Diabetologia found that as little as four days of sleep deprivation reduces the body’s insulin sensitivity, which increases the risk for fat storage. Not making it a priority to get seven to nine hours of sleep each night is one thing, but if you’re physically unable to fall and stay asleep, changes in your body’s circadian rhythms could be to blame. A research review in the Journal of Clinical Endocrinology and Metabolism shows that production of melatonin, the hormone that helps you sleep at night and regulates your sleep-wake patterns, decreases with age. This often causes people to wake up earlier, not sleep through the night, or need naps during the day, Dr. Primack says. Another potential disruptor: cataracts, which happen when protein that’s naturally found in the eye starts to clump together, making the lens cloudy and obscuring vision. In people with cataracts, light might not effectively enter the eye to help your body know it’s daytime and time to be awake, Dr. Primack explains. Tip the scale: Start by prioritizing good sleep hygiene—no excuses. That includes going to bed and waking up at the same time every day, avoiding electronics at least one hour before bed, and using your bed only for sleep and sex—no work, TV watching, or anything else that’s associated with a wakeful state. (See five ways to fall and stay asleep, starting tonight!) Also, try keeping a sleep journal to track how many hours you’re sleeping at night and when you find yourself needing a nap. This can help you ID and deal with any lifestyle issues that are keeping you up at night. If good sleep hygiene isn’t enough to score you a good night’s rest, the next step is talking with your primary care physician or a sleep specialist. He or she will want to check for any underlying health problems like sleep apnea. Last, for those dealing with cataracts, talk to your doctor about whether surgery makes sense for you. A 2017 review published in the International Journal of Ophthalmology found that cataract surgery improved sleep in people with both cataracts and insomnia.

Hello Everyone, My Name is Marina and I am 22 years old. I have struggled with my weight since I was a preteen. I was told many times throughout my early childhood that I had an under active thyroid. I was on thyroid medication for a solid 4 years until my mom's passing when I was 15. Being only fifteen, it was difficult when my mom was the one who made sure I was able to make it to all my doctors appointments, picking me up from school for them, checking in and getting my medication and etc. I ate with my emotions for years, but always had an active lifestyle, and asked the question millions of times, "Why am I still fat?". When My mother passed away, I was around 220 pounds, since then despite Weight Watchers, Medifast, NutriSystem and the latest program IdahoFatLoss. I am plumped up to 280 pounds. The accumulation of sports activities and a result of no weight loss, nor loss in pant sizes puzzled me. I started going to the doctor when I was 17 (When I gained my drivers licence) I told my doctor, not my doctor when I was fifteen, but my main PCM who was present, about my past issues with hypothyroidism. We tested everything, the whole nine yards, and the only thing that came up was some low Vitamin D, and a slight insufficiency with Iron. Since that first visit back I have asked the multiple doctors I have had to help. We started with stress, being put on antidepressants which only made it worse as for weight gain as well as panic and anxiety medication to add to that. It was a double edged sword that i was hit with. The zoloft, wellbutrin and other antidepressants all made me gain weight, and the multiple doctors just wanted to give me more meds to help me with my mood disorders instead of helping me with my weight. I am dependent upon my father for his military benefits ad he is completely understanding about my decision and would like me to try as hard as I can to get this surgery approved, as he has seen me struggle with my weight for so long. However I am to lose my benefits on my birthday May 9th of 2016. I know it is a great short notice but the only way I can see it as, is "Its now or never." I have an appointment to see my doctor to talk about it on January 29th, but I am terrified that he will tell me no. Does anybody have any pointers or encouragement they could offer? Also if anybody has any experience with TriCare West, could you leave your feedback? Another question, my boyfriend and I have been together for almost a year and a half. We go to the gym, and we eat the same stuff, not the same amount. What I mean by that is that he is a human garbage disposal. He can eat 24/7, cakes, Cookies, meat, bread, anything! and doesn't gain a pound. I am afraid to talk to him, only because, every diet that I have been on since I have been with him has failed. I just don't want him to see me as a quitter. I think he will be supportive, but I am just scare to bring up the subject. Any advice on bringing up the conversation.?