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I have 4 of them but they were all pre-sleeve! I have a butterfly (ink and a needle at age 14) on my bottom, tribal art in a diamond shape on my lower back (tramp stamp - got it WAY before it was called that and before it was "cool" to have it there) I have tribal art on the back of my neck/top of my back that has a Gemini symbol in the middle of it for my daughter and then I have a teddybear holding a heart on my breast. I am very surprised that none of them have been distorted from weight gain or loss! I do want more but I haven't decided on what or where yet!

I finally got up my nerve to get back on the scale and see how I did over the holidays. I was surprised. I had gained nothing. I have got started back after two and half weeks off from all the snow storms and cold weather. I made to the "Y" three times this week. I probably over did it yesterday. I walked in the pool for almost 2 hours, not because I wanted the excerise,but because my friend showed up late. We walk and talk alot. So now with no weight gain, it time to be serious with this goal of losing some weight. Hope everyone is doing good. Let us know. Carol

I think this is the toughest time for me. I too have gained about 20 pounds back. But I made up my mind no more sliders and no more sugar until it all comes off. Then if I can do maintenance with a little sweets I will, but if I start gaining again I will will not be able to eat sugar again. Because for the last 6 months I have just been going crazy eating junk. I'm one of those people who just can't have a bit. Is that what is behind your weight gain? Maybe we can encourage each other like we did in the beginning.

Sorry I didn't put much information about myself to the above question.Hello, I'm 37 years young, mother of 3 beautiful children. My Bmi is 43 right now, it often fluctuates between 40-43 depending on my weight gain or loss. I'm an active mother, wife, worker, and very healthy young woman to say the least. However, I'm sick and tired of the yo-yo dieting. I've taken diet supplements along with injection (and I'm scared to death of needles- but did them anyway) for years I know since 2013, I've been on a strick diet plan for over a year and lost only 7lbs from 250lbs of weight I already had on my 5'4" body frame. At weigh in just the other day and was back up 243lbs. So all that being said....... I'm more then ready, to use this WLS as an added tool to stay healthy and fit. But I just can't get the one person I felt that would understand, to understand!!!!! I love my life but I know that I have to do this for ME and I don't want it to seem as if I'm being selfish and not considering his concern for me..... I've had 3 c-section do to my children and those are the only surgeries I've every had & all went extremely well by the time we had our 3rd child I was up walking around on my own the very next day, the nursing staff didn't like that but I told them "I can't take you guys home with me, so I have to do this on my own, you all just supervise me cause I don't want anyone getting fired because I wouldn't let you hold my hand!" They understand and just simply walked behind me as I walked the halls of the hospital... so when, I'm determined I'm determined!!!!! Mind over matter!!!! Sent from my SM-T817V using the BariatricPal App Our stats are right on and I was about the same age as you when I had my surgery. Here is my story: http://www.bariatricpal.com/topic/308645-i-was-a-super-healthy-fat-person-until-surgery-changed-my-life-was-it-worth-it/page-15?hl=%2Bwas+%2Bsuper+%2Bhealthy#entry4274115 And if my husband was against it? Not my problem. He'd have to figure that out on his own. I'd listen to his concerns, I'd direct him to appropriate research and I'd let him take it from there. I love him but I don't LIVE for him. He is a huge and important part of my world but he is not my world in it's entirety. Big diff.

Good food day today, 785 calories and within my limits for fat and carbs, and 77 grams of protein. 140 oz of water or herbal iced tea, so far - up to 10 pees! I sure hope it helps! I only have 6 miles in so I'm headed out - I refuse to let this weight gain stick on me!!!

I'm down to the wire--and the days are taking LONGER and LONGER to go by. I am at strict liquids for these last two days. I've lost almost seven pounds on this preop diet in the past five days doing strict Adkins. My goal is to be at 205 the day of surgery. I have 1.4 pounds to go--but think that should be attainable doing all liquids. My clothes don't feel so "poured into" feeling--and so I'm glad I didn't splurge and buy some last week when they were all straining to keep up with my last supper weight gains! I'm regretting not exercising as I had vowed to do--haven't so much as walked..but am planning on doing that the day of surgery! Wednesday, June 17th, 2009.... is the first day of the rest of my life. With the force of all my past failures, the suction of the hopes of a new unburdened life, and the grace of God...I will make it thru this transition and finally, for the first time in what seems like a lifetime away, will look in the mirror and see someone "in control" of my self---confident, vibrant, alive. I go to visit my family and friends over Christmas vacation and I am SOO excited about that! I will look at pictures taken of myself from this time and not die an inward death--or try to hide behind someone. I've learned alot this past week of pre-op dieting...I have really felt a slipping of the grip that food has had on me. I really WILL do this this time!

My PCP doesn't even know I had a procedure and never reacted to my weight gain, increasing blood pressure and cholesterol over the years. Agree with all posters. Bariatric practices are masterful at dealing with insurance issues. Bypass the PCP if you are getting any pushback.

My sister had a bypass done some years ago. Lost all the weight and gained it all back and then some. She's the biggest she's ever been these days, BUT she also has a lot of mental issues and addictions that she never really got help for that led her weight gain. For this reason alone, I haven't told most of my family because they'll automatically associate my decision with hers. We are not even close to being alike in any way, shape, or form. I told my husband, he supports me. He wants me to be happier about my health/weight and tells me all the time to do what I feel like I need to do, no matter the costs, etc. I also suspect that he wants me to be the "hot" again. LOL My youngest brother had concerns, "why don't you just eat better?" I quickly told him to educate himself on bariatric surgery before he slams my decision. Two days later he texts me and says he will be here for me for whatever decision I make. And my sister in law to whom I'm very close to says she's a supporter. I have told some friends and they're on board (but I don't need nor care if they approve or not). I think overall, the only person I need approval from is my husband. That's all that matters to me.

Good luck Mdrai!!! Laura55...I'm in Ireland too! Are you going with ACS? I'll post more tomorrow..haven't time now.. Hello & goodbye for today!! P.S no weight gain this week!! ( remember I thought I might have gained after the wedding) Yippee...ticker below is officially correct again...it's all downhill from here!!

Hi all---we are back safe & sound!!! What a great weekend! Yesterday we rode up to the Rally in the Rockies---spent an enjoyable day. Took a few little excursion rides, bought some shirts, and junk, saw old friends, some we meet up with at several rallies, others just this rally. Every year at this rally I see my old boyfriend....he was so doggone cute in 2nd grade!!! Now we compare pics of our grandbabies, and we always had a beer together. He was is shock at me this year, and I had no beer!!! Today we rode up to the innaugural year of the Sugar Pine Ranch Rally. It was in the mountains, on an actual working ranch, lakes, and mountains, and horses, and cows, and acres and acres of fields, filled with vendors, and beer tents, and live bands---it had a defintive feel of Woodstock. Not that I was there....but the open fields, and music stages....not the drugs around that I hear were there. But it was lots of fun!! Ran into some friends from Flagstaff AZ. Rick and I went to run to a small nearby town to grab something for my eyes---allergies were killer! It was threatening rain, so I grabbed my leather jacket. When we come back he went to help me off with my jacket, and told me we needed to shop, my jacket looked like hell! Such a romantic he is!!! So we shopped the leather vendors, and I got a new leather jacket!!! My old one, is a mans classic leather bike jacket. The new one is made for a woman!! Before I could never get one to fit! This one is cut in a girl shape, hourglass kind of. It is short, with the leather braid to match my chaps. And it is an XL. Which still sounds big, but one of the friends we went up with is a little bitty thing, she wears a size 7 pants, but has some boobs---she had to buy a Large vest, so with her buying that, I felt much, much better about requiring a XL!!! Rick told me repeatedly how good it looked, I felt like it was too snug, and my belly too big to wear the shorter style---but hey he likes it, and it is him I want to look my best for---so I wore it Was a great weekend, and I did really well with my eating until tonight....we were getting ready to leave, and I could not leave without my fix!!! But one single slice of chocolate covered cheesecake was it! Usually several are required to satisfy me!!!! Along with numerous other things bad for me---this time I did really well, til the last minute!!! Gina---I'd love the recipe! All you guys with your stories---mine is pretty lame! I was a thin child, married the first time at 17, I am 5'9" and struggled to get up to 116 pounds to fill out my dress!!! That husband cheated, repeatedly. Had one child with him, lost another...gained about 20 pounds over the time. Married again---#2 was EXTREMELY abusive. He made a comment one time about a fat woman---warning me if I ever looked like that he would leave my ass. I went straight to GNC, and bought a canister of weight gain, used by wrestlers! Seriously---I worked hard to gain weight, and was good at it. I found myself pregnant, and seriously unhappy about it. Strongly considered abortion, but was told I was further along than they thought---I was uninsured, and ultrasound was not cheap. A month later, when I still measured large, they were concerned enough to pay a little more attention, and found I was carrying twins. I was severely depressed...I did not want any children with the man I was married to, he was incredibly mean. He threatened to hurt my family if I did not stay in line, and he proved it a time or 2 with friends, hospitalizing one---horrid man. He hospitalized me twice here as well. Eventually he wanted to move from the area, go where his family was, so mine would not see the babies. I saw it as my only chance to escape harm for my family. At an appointment it was discovered I was carrying in a placenta previa position, which was going to require C-section. He was furious. Financially it was devastating. He left with his step Dad, come home drunk, and proceeded to try to kill me. Perhaps if he hadn't been so drunk he would have succeeded. I lived, my babies did not. I suffered massive guilt, I had never wanted those innocent boys---I grew to love them, but I knew they were headed to a hard life hiding from an abusive father---I would never have let him in their lives. I was working on getting out alive, it may sound trite, but it is 100% seriously said. The mental state I was in, was beyond description. Guilt, anger, despair, more guilt....and the weight come on...with a vengeance! I ate to cover up all the feelings I had no idea how to control, and it had an added benefit, no men looked at me. They were dangerous. I raised my daughter, and ate. Then an old friend and I went out, and we run into Rick and another friend from High School. Which I knew them, they were safe. Unless you count the fact that he stole my heart! And he has yet to return it! He never EVER mentioned to me that the skinny girl from HS got fat. He loved me the way I was. But he sure seems to like me getting thinner, he says that yeah it is sexier, but he loves knowing I am healthier. With the year he has had health wise, it is something he worries about. Next year is my 30th class reunion, and I fully intend on going, and not being fat anymore. OK, I am off to bed, it was a long, fun weekend, and I am tired!!!! Hope Tracy had as much fun as I did!!!! Kat

I haven't reached goal, but I plan on tracking my food pretty much for the rest of my life. I'd advise you to go back to tracking and measuring so you can get back in control of your portions and fat/carb/protein and calorie counts so you can see where you're going off track. You may only need to do this for a few weeks as a reminder/reset. If the weight keeps creeping up, then you could do a 5 day pouch test to go back to the beginning. It is very easy, and I did do it once already when my carb levels started creeping up (it knocked them back down and got rid of my carb cravings). http://5daypouchtest.com/plan/theplan.html Don't be depressed; you have options. If you let the sad overwhelm you, then you end up doing nothing. Use this weight gain as motivation to get back on track!

A couple thoughts about your post..... 1) if you have fundus deformity then your surgeon did not do your surgery correctly. A properly performed VSG Removes all of the fundus, which, as explained above us the stretchy part of your stomach. 2) sounds lime you were grossly misinformed about WLs and what is actually required for long term success. Any surgery (including bypass) is only one small part of what is required for long term weight loss. It was drilled into me over and over that it's the lifestyle changes we make that play a much more vital role. You can out eat any physical changes created by any surgery. Success is much more psychological than surgical. I'm truly sorry you weren't told the truth when making your decision to have surgery. 3). If you are having severe GERD, then yes, bypass is probably the answer for you. But again, your long term results as far as weightloss goes will be the same as your VSG without the often overlooked psychological tools. I suggest finding a good therapist if you find yourself going back to your old eating habits.....or developing new, just as destructive habits customized to eat around your bypass restriction. I saw this all the time in group. 1)The fundus deformity is a result of stretching my sleeve. I am over two years post op; my surgery was done correctly. All of my previous follow-ups indicated so. 2)I am not misinformed about WLS. 3)I do not need a therapist. I am aware of my role in my weight gain. I hear people say all the time the sleeve does not stretch, when in fact it does.

Hi J, I think you are right that Sarah does not really seem ready or willing to get the weight off. She didn't really want to exercise either, although I can understand that at her weight it must be hard and painful. I think if she comes back she has more of a chance of changing her life. The home environment may have contributed to her weight gain in the first place. These girls like her and Cat ( Who looks amazing) are so lucky to have men that love them and care for them. I just figure at my weight that I can't find a man who would love me so I just hide because I fear rejection. I would like to find a special someone, because I don't want to be alone anymore, and I would like to have a baby because the clock is ticking. Right now it is all too hard to deal with for me. I have too much on my plate to be honest. Susannah

I'm so happy that your hubby's reservations have changed & am happy I could help with that Men are very visual creatures and it helps seeing another 'regular' person v's a model like we get bombarded with on TV weight loss commercials.... I think our failed attempts at those diets made our guys lose faith in the ability of things to work for us since we aren't models/actors.... and since the band is more scarey sounding than a normal diet (cause of surgery) as well as more expensive they get both scared and think we might be being 'conned' yet again... . plus they are our 'protectors', they love us and don't want us to feel like we have 'failed' again if it was just like one of those other diets. My BMI (i guess that's the only way we can compare being different heights) I think was 39 going into surgery, (sz.22 at millers, 20 at 16/26, medium at my size). I went to genesis for a month (where i seemed to be most peoples idea of their worst weight nightmare) and then switched to fernwood (heaps better!) and went religously once the doc cleared me for exercise and got the best runners for my feet (for me that was nike tn's at the time $249, now with current changed needs is nike shocks $199 but footlocker frequently have 30% off sales so you can get better prices - without the best shoes for your feet - and everybody is different - you wont be comfortable or have the same drive - i couldn't believe just how much difference the right shoes for my feet made).... it took ages for me to get restriction (literally - it was october 12th 2005 when I put my foot down and went to a different surgeon to get restriction to make sure I wouldn't gain my weight back because my motivation and will power was really stretched to the limit and I was sick of living on appetite supressants when I had a band - wasn't going to take t he 'waiting 8 weeks' between adjustments any longer, I had had this thing in me long enough it should be doing some of the work by now! - he gave me a huge fill (what i was suposed to have was not in there) and I finally knew what having a band was all about) but I persevered without much restriction those first 8 1/2 months and it took 10 months 13 days to get to 'healthy' bmi. With your attitude I know you will do it too!! I attribute my weight loss to my band because without my band I would not have had the motivation to actually lose all that weight - every other diet proved that - but every other diet didn't cost as much as the band (even if the band didn't do all or any of the work physically those first months just being in me brought out the tight ass in me that wasn't going to spend all that money and fail!). I did gain back nearly (shock!) 12kg when I lost that precious restriction and was hungry 24/7 like a rabid hyiena. A year had passed so it was to be expected; I saw my surgeon who didn't think it was a big deal since he still thought i was skinny and my bmi was still (barely) healthy and then I went back to that other surgeon again (i mean i didn't want to be gaining and crazy out of mind hungry) - he gave me an adjustment which took away my hunger - those 12kg melted back off once the hunger was gone. Therefore I know my band is the only reason I am still a normal weight - if that rabid hunger and weight gain continued i'd be obese again by now.... gut wrenching hunger regardless of how much you eat is the most awful thing.... the band squeezing the vargus nerve just right stops that which is a miracle. I eat a tonne more than most because I don't have a "tight" band like others describe..... I still get up in the middle of the night sometimes and have a piece of vegemite toast with my dog (now when I cook 2 pieces one is for me and one is for her.... before it was 2 each!) - other people hear that and I can see the pained look on their face as they imagine trying to swallow toast lol. The band is so individual, we all need it to work differently in terms of tightness for our lifestyle.

Dcprincess...often times I feel undeserving and it seems unreal that I have lost weight. I had an epiphany last week when I realized that "yes, I had lapband surgery but no one put an exercise band in me!" Really, the band has helped get me started but the continual success in exercise and fact that I continue to run in 90+ degree weather here in Texas is MY accomplishment and not because of that band of silicone. I like to mull over that from time to time. BTW I ran in Houston last weekend early in the morning and even at 0700 it was HOT. Way to go with your exercise down there! I had a strange experience several months ago. I was out with some friends in a club and was feeling pretty tipsy (not something I usually do anymore!) Well, I went into the bathroom and when I looked at the mirror I felt real strange. I hardly recognized myself. Surely it was the alcohol speaking but at any rate it was a freaky experience. I wonder if we have all failed to have good body images even before our weight gain years ago and consequently it was what got us to where we are today. I had a very good friend (also a shrink) tell me that I was ignoring my obesity because it protected me from being hurt by others. When I finally came to the conclusion that I could no longer continue to be overweight just the admission that I was truly morbidly obese was an extremely painful experience. I cried for days after I scheduled my surgery. I guess I was fearing losing another (in)effective coping mechanism. Dcprincess, have you ever thought of posting side-by-side pictures of yourself somewhere you can look at them on a regular basis? I just might try that myself....although I find looking at the former pictures very depressing. I just think of the years I put up with lugging all the weight around! Anyone else have any ideas?

I just thought that I would check in, and say HELLO!!! I went to my surgeon. I was starving, weight gain, and I could eat anything. "not a good sign" So he flipped out and said untill you get your ass together, i'm not gonna see you. I told him he emptied my band. "he forgot to wright it in his notes" No!! can't be! your full. So get it together. he left. So I to left p****d off, and called a FILL CENTER U.S.A. they put in almost 2cc's and I was bone dry. So now, i'm back to loseing weight. Waite till I go back to see this Dr.. I am really gonna raise the roof. He is gonna find out he is not GOD!!! I tried to tell him to stick a needle in it to check, but he wouldn't listen. O Well!!! Anyway now it's back to loseing weight. Thats cool. How is every one???

Sunta: Very good news that you don't have a blood clot. Have you tried the Campbells Microwavable soups that you can drink? They have a velvety potato one that doesn't have the little chunks. Tammy: I'm sorry about the weight gain. I would be upset too even though you know that it is normal. I'm sure with some restriction you will lose. Hang in there. Janet (and others): I have been really up and down with my mood swings too. This healing period is rough. I had more but my Mom just got here so I gotta run.

After being denied cause of a weight gain over 6 months, Aetna does have the 3 month program. It's all I got left so I have been doing it. Not too hard in my first month I have lost 10 pounds. U won't be done till October. Sigh!!! But better late than never!! I can't imagine they would deny me for losing weight!!! Lol

If you’re reading this post, you’ll probably agree that losing weight is one of the hardest things many people will ever do. After months or years of attempts to lose weight (and keep it off), you may be considering bariatric surgery. In 2011, the total number of bariatric surgeries performed in the U.S. was 158,000. By 2015, the number had increased to 196,000. Patients who undergo bariatric surgery and follow all treatment guidelines can expect to lose weight and improve the quality of their lives. More than 85% of patients lose and maintain 50% of their initial weight loss. This post is designed to focus on what I learned, sometimes the hard way. Some things you can’t find out in a doctor’s office, no matter how skille d a professional he or she is. What Your Doctor Can’t Tell You If you are considering bariatric surgery, you’ve probably done some research. You may have looked up “gastric bypass” on the internet, read some blogs, or perhaps you’ve gone so far as to discuss the possibilities with your doctor. You may have a decent grasp of the physical side of this surgery. But there are some things even the best surgeon can’t tell you. I’m talking about the emotional side of taking this life-changing step. The emotional roller coaster of trying and failing to lose weight does not disappear when you decide to use bariatric surgery to get control of your life. But, it does become easier when you know what to expect, and when you see that you are not alone. I speak with authority on the subject of bariatric surgery and the emotional struggle that goes with it — I’ve been there. Seven years ago, I had a gastric bypass. This process took me from being barely able to function to living a magnificent life as an authentic and productive person. But it wasn’t a walk in the park. As a person who has been through the surgery personally, and as a clinician (I am a licensed Marriage and Family Therapist) I bring deep experience to this subject. And I’m anxious to share what I learned. I want to make it clear up front that I am speaking as a clinician and someone who has been through weight loss surgery and the difficult recovery process — I am not a nutritionist or medical practitioner. The full tale of my own personal journey is recorded in my book Recovering My Life: A Personal Bariatric Story and in videos and Facebook posts I recorded during and after my surgery. I began emotional eating as a response to childhood trauma. And, though I had dieted over and over again since high school, I weighed over 200 pounds at the birth of my second child. At that point, my medical problems included sleep apnea, high cholesterol, high blood pressure, and hypoglycemia (low blood sugar). By the time my third child was born, I was pre-diabetic, with gestational diabetes. Many days, I was too tired from sleep apnea to even get out of bed. I could barely take care of my kids, and I felt like the worst mom on the planet. Fighting My Way Through I had always thought only slackers had weight loss surgery. But when a friend had a gastric bypass, she convinced me that, for people with weight loss resistance, this was a good option. I consulted my doctor. He approved, and I began fighting my way back to health. And it was a battle. I made mistakes, but I learned from them, and I persevered. Today, I have maintained my weight loss, and I am healthy. I am a better mom to my kids, and I have a thriving group practice and run a nonprofit foundation I created to assist people in our community to heal the brokenness in their lives. And I met and married my second husband and have a great marriage. If you’re thinking about bariatric surgery, or if you’ve already had a procedure done, it’s important to move forward with all the information you need — including the physical and emotional ups and downs. My recovery was a difficult journey, but I would do it again a million times over. Knowing what I know now wouldn’t eliminate the challenges I had to overcome before and after surgery. But, it would make the whole thing less scary. That’s what I hope my story does for you — help you avoid the mistakes I made and feel more confident in your success. Understanding Weight Loss Struggles & Bariatric Surgery Causes of Morbid Obesity What is Bariatric Surgery? Getting Ready for Surgery Mental & Emotional Preparation Advocating for Yourself After Surgery is Approved Building Support Planning Pre-Surgery Weight Loss What You Will Need Immediately After Surgery In the Hospital The First Few Days at Home Ongoing Recovery Physical Issues Emotional Issues Other Issues Potential Issues After Weight-Loss Surgery Emotional Challenges Health Problems Relationships Understanding Weight Loss Struggles & Bariatric Surgery Why Do People End Up Morbidly Obese Well-meaning acquaintances, friends, and relatives may suggest that you’re “taking the easy way out” by pursuing bariatric surgery. They can make you feel guilty for even considering this as a last resort. Why can’t you just lose the weight on your own? Genetic predisposition. Some are genetically predisposed to gain weight, even when they exercise, even when they try to diet. Certain hormone imbalances and disorders can also make it hard to stay at a healthy weight. Emotional eating. The barrier that keeps most morbidly obese people from losing weight is that our eating is connected with our emotions. Early on, many of us learned to use food as a way to cope. Food for us is not just fuel; it’s the way we deal with life’s problems and blows. Regardless of the particular cause, some of us have been on one diet or another all our lives. We have lost the same 50, 70, or 100 pounds over and over. In fact, our attempts to lose weight have made us worse off. Along with the health effects of too much weight, we carry the shame of failure and frustration. Weight and Your Wellbeing The physical health problems associated with obesity are many and serious: high cholesterol, high blood pressure, acid reflux, gall bladder disease, congestive heart failure. Type two diabetes, hypoglycemia, asthma, sleep apnea and other sleep problems, fertility problems, arthritis, lack of energy. Knee and back pain, gout, migraines, psychosocial stress. Even scarier: liver disease, increased risk of cancer, risk of stroke, and earlier death. Associated emotional problems that stem from these conditions can also make it harder to overcome them. For example, you may be struggling with depression, anxiety, and guilt. Sometimes, the biggest problem we have to face is the low self-esteem that goes along with being the biggest person in the room. What Is Bariatric Surgery? Bariatric surgery is not a cosmetic procedure. We may hope to look better after losing weight, but the best reasons for undergoing this major surgery are to extend and improve our lives. The common term for bariatric surgery is “weight-loss surgery.” It means any surgical procedure on the stomach or intestines that aims at weight loss. Doctors have been performing these surgeries since the 1950s, with a good success rate. The most common procedures are lap band, with a success rate of 47%; gastric sleeve, with a success rate of 80%; and gastric bypass, which has an 85% success rate. Another procedure, duodenal switch, has a success rate of 95%, but is more complicated and less common in the U.S. These procedures support weight loss while requiring lifestyle changes. Drastic weight loss can motivate you to keep on the road to better health. Whichever procedure you choose, pre- and post-operative education is key to developing lasting, healthy habits. Getting Ready for Surgery Mentally and Emotionally Preparing Convincing others — and yourself — this is the best solution Your first job is to conquer your own hesitance about weight-loss surgery. Even asking about it takes courage. Then, when you’ve reached the point of seriously considering it, you need to be prepared for a long haul. You will need to get lots of people on board with your decision. First, your family — maybe not extended family, but certainly the people you live with day to day. Next, you need your doctor to approve your decision. No matter how much you hate to get weighed, you will need a referral from your primary physician. And, you need to convince your insurance carrier that bariatric surgery is necessary for your health and to prolong your life. Navigating Relief and Fear You will probably feel a profound sense of relief just to know there’s a solution to obesity- related health problems. But along with that relief comes worry. It’s major surgery. Things could go very wrong. You might even die. Will having surgery be worth it? What if you can’t get the weight off during those post-surgery months? What if you can’t keep it off and all this trouble and pain is for nothing? After all, you’ve tried and tried to lose weight and it hasn’t worked — or only worked for a short time. Then there’s having to consult with medical personnel and, even worse, insurance representatives, to advocate for yourself. You’ll have to talk about your weight, which means confronting the shame that goes with it. You may worry that people will think you’re weak — that you’re taking the easy way out. How do you overcome that prejudice? Especially since part of you still shares it. Overcoming Resistance And what about all those hoops you have to jump through? You have to have at least six months of records showing your weight on a regular basis and detailing your attempts to lose it. When you can’t bear the sight of your own body, much less the weight on the scale, how are you going to face that challenge? Your research, from articles to videos, shows people who’ve had bariatric surgery eating impossibly small portions. You hear about all the restrictions ahead: first, a liquid diet; then mashed food; then, even when you get back to “normal,” ongoing restrictions, such as not drinking with meals. How will you ever be able to eat normally again — how will you ever be able to eat out? These are mental challenges it won’t be easy to meet. But if you want to be well again, if you want a long, productive life, it is possible to work through them. Advocating for Yourself I was fortunate that my primary care physician was willing to support my bariatric surgery decision from the beginning. But you may have to work to convince your medical advisor that this route is good for you. Advocating for yourself isn’t easy, especially if, like most of us who suffer from morbid obesity, you don’t like calling attention to yourself and your weight. To succeed, you must learn how to speak up for yourself. Here are some suggestions. Decide what you want. Believe in yourself! Know the facts. Educate yourself about bariatric surgery and potential issues. Plan. You need a strategy for recovery and ongoing lifestyle changes. Gather support. It’s helpful to have family, friends, and people who have similar issues on your side. Target your efforts. Find the best medical practitioner. Find the right person at your insurance company to plead your case to. Express yourself clearly. Tell doctors and insurance agents that you are interested in surgery and why you feel you need it. Stick to the point, and don’t give up if they say “no.” It may help to role play scenarios with a friend or family member who supports your decision. Assert yourself, but don’t lose your temper. Respect the rights of others, but ask for what you need, and then listen. Finally, don’t give up. Be firm and persistent. Follow through on what you promise. (Those six months of weight-loss records, for example.) After Surgery Is Approved You’ve made the decision to have bariatric surgery. You’re both excited and scared about taking this serious step toward improving your health and your life, but you’re going to do it. Now you need to build your support system. Nobody goes through such a major life change, such a serious physical challenge, without help. Find Your Team Choosing the right people to support you on your journey is one of the most important decisions you have to make. You will need to depend on family, friends, acquaintances, and even strangers who have gone through this experience before you. The most important quality to look for in your team is respect and support for your decision. You will need help with ordinary tasks and responsibilities while you are undergoing and recovering from surgery. A few needs: Someone to care for your children and pets while you’re in the hospital and perhaps during recovery at home Help cooking meals and cleaning the house Someone to accompany you to the hospital and be your advocate when you can’t do that yourself Help dealing with the inevitable emotions and stresses of major surgery and a major lifestyle change First, you have to overcome your reluctance to ask for help. Then, you have to reach out. Share your needs with family and friends who are sympathetic to your goals. If they’re not on board, you don’t have time for them right now. If it feels right to you, you can use social media to reach out. Contact your church, work friends, fellow hobbyists, and people you’ve come to know in other ways. Trust that there will be someone who can help. Be Informed and Follow Your Doctor’s Advice Use the resources available through your medical advisors. Seek out a sympathetic nurse. A therapist can help you deal with the emotional consequences of surgery and also the issues that led to your obesity in the first place. If you don’t have a therapist, maybe it’s time to make that connection. Find a good therapy group. And above all, follow your doctor’s advice! Learn as much as you can about what will be happening to your body and mind, but trust the experts. Plan for an Extended Recovery Your time in the hospital may be only three to four days, but it will take longer for you to feel “recovered.” The period (about nine months) when you are relearning how to eat and coming to terms with the smaller size of your stomach is crucial to your long-term success. There will be lots of ups and downs. Be ready for a long road to full recovery. Having support from friends and family is important, but this is the time to get involved with a support group. Being with others going through the same experience can give you the perspective you need to keep going. Even if your physical recovery is swift and relatively painless, you will have to learn how to deal with the changes in your life. If, as with many, food has been the way you deal with past trauma, uncomfortable feelings, your need for independence, or any other of life’s problems, you no longer can depend on that comfort. If food has been your addiction, you now have to kick the addictive response to it. There will be setbacks. You need to be prepared to bounce back from them. Lose Weight Before Surgery Your bariatric surgeon is likely to require you follow a weight-loss plan for a number of months (six is common) before surgery. The reasons: to make sure you really are committed to your goal of losing the excess weight, and to help you be as healthy as possible going into surgery. This can be a frustrating time. You’ve tried so many diets and exercise programs before, and none have worked. You hate thinking about your weight, and your program requires you weigh yourself daily and keep records of your weight, food intake, and exercise. You’ve made a major decision and are anxious to get it over with. But again, following your doctor’s advice is the shortest and best way to reach your goal, no matter how frustrating it feels. Confront Your Fears To make this transformative decision, you’ve already had to overcome lots of fears. Some of your fears involve others’ opinions. “What will people think?” Some arise from self-doubt. “Am I being selfish?” These are not frivolous concerns. Believe in yourself and face them. Your decision to take care of your health so that you can be there for your loved ones is a good one. Trust in yourself. Another very real fear is the fear that anyone feels when they are about to undergo major surgery. You could die. This is not a frivolous thing. It’s serious. But the vast majority of people who have surgery don’t die from it. So, face your fear realistically. At last, the big day is here. Your surgery is performed. You wake up in the hospital. Are you a different person? Is it all over now? Not yet. The journey of recovery has begun, and it will take resilience. Immediately After Surgery In the Hospital If you have built your support team, you will have fewer worries going in. Your family and home responsibilities are covered, and you have people to support you in the hospital and after you return home. But that doesn’t mean there won’t be challenges. During the initial stages of recovery, hospital staff will be checking your blood pressure, oxygen levels, and more. You may feel as though you are always being poked and prodded at, with little privacy. Thankfully, this stage doesn’t last forever, Your doctors will advise you about the physical challenges that may follow bariatric surgery: constipation, dumping syndrome (nausea, vomiting, and weakness caused by eating high sugar meals, sodas, and fruit juices), possible infection of the wound, and possible leaks in the new connections. But medical advice may not give you the information you need about the emotional side effects. One consequence of the surgery I noticed immediately: I no longer felt like eating. My hunger hormones were gone for a period of time. I had to force myself to eat, and I felt weak. Others report that they felt hungry during the post-op period while on a liquid diet. Hungry or not, a liquid diet can be a source of emotional stress. Be aware that different people react in different ways. The important thing is to keep following your medical and nutritional advice and trust that, in time, you’ll be feeling more normal. Another potential problem is “food grief.” Food has a special meaning for people who suffer from morbid obesity, and “mourning for lost foods is a natural step in the re-birth process after weight loss surgery.” For a long time, maybe all our lives, food was our friend. We turned to it in celebration, in sadness, for comfort, for reward. Now, we can no longer turn to food. We have to find other ways to fill the void food once filled for us. Along with the pain associated with surgery comes the challenge of managing it. The pain medication you are given in the hospital may not work for you. Keep advocating for yourself until you find one that does. It may also take time to know exactly how much medication you need. Trust your doctor, but don’t be afraid to ask for a higher dose if you are in pain, or a lower dose if you are experiencing other unpleasant side effects. It’s worth reiterating here, I am not a nutritionist or medical practitioner. And, I am certainly not advocating for you to ignore your doctor’s advice. Rather, by telling your doctor how you feel when you’re on pain medication, he or she may be able to transition you to a more effective medicine or dosage in a safe, supervised way. Other challenges: meeting the medical requirements for discharge from the hospital and meeting your own fears and expectations. Will you be ready to be sent home? How will you manage after you get there? Your First Few Days at Home Your first major challenge will be dealing with pain and managing your pain medication. If you’re like me, you will want to get off medication as soon as possible. But follow your doctor’s advice. Pain meds usually require tapering off. Quitting “cold turkey” is likely to cause withdrawal symptoms, such as feelings of anxiety or depression, trouble sleeping, headaches, night sweats, nausea, vomiting, and diarrhea. I made the mistake of not tapering off my pain meds and lived to regret it. You — and members of your family — might be appalled at how little you eat. You might worry about not getting enough of the right nutrition — protein, for example. The combination of pain, medication, and lack of hunger hormones can mean almost total loss of appetite. Feeling responsible for things at home may make you push yourself too hard, especially if loved ones need you. Preplanning for getting help during this early recovery period is important. You will need to have both physical and emotional support in place. Recognize that even though they care, some people won’t be able to help. But don’t be afraid to ask. Take baby steps. Your recovery has many facets: overcoming pain and regaining your physical strength are just the beginning. Emotional adjustment to the new circumstances of this life-changing step is major and ongoing. Therapist Lynne Routsong-Wiechers, herself a successful bariatric surgery patient, lists “Seven Steps to Improving Emotional Adjustments Post-Surgery” in her article, “Baby Steps — Emotional Adjustments to Weight-Loss Surgery.” Follow your doctor’s orders. Ask questions when you have them and express concerns, but trust your doctor’s recommendations and prioritize your physical health. Keep a journal. You can use this to keep track of the foods you eat, as well as whether or not you are emotionally eating, but you might also choose to express what you’re thinking and feeling. This will be a private record, just for you. Remember, you are more than your diet and weight. Write down realistic goals and expectations. Celebrate when you meet them! Reflect on the past. Remember why you decided to make this change, and honor how far you’ve come. Take plenty of photos and keep your old clothes. This will help you physically see your immense transformation. Call on that support team you’ve created. Look forward to living life to the fullest! Ongoing Recovery Physical Issues Even after you’ve conquered the first few days after surgery, the challenges go on. This early recovery stage can last from one to six weeks. The specifics vary with the particular procedure, but here’s a general outline of your physical recovery: Develop strategies to deal with these attacks: exercise, journaling, and deep breathing are a few suggestions. Seek help if your attacks are severe. Focus on One Part of Your Body You might find yourself focusing on one body part. For me, it was my double chin. I had lost inches from my waistline and was making good progress, but when I looked in the mirror and saw that same double chin, I felt like I was making no progress at all. This kind of body image distortion, if it becomes obsessive, can lead to Body Dysmorphic Disorder (BDD), a mental health disorder. People with BDD can spend hours a day obsessing about their appearance. These obsessions and the low self-esteem that results can make them avoid social situations, have problems at work or school, or even lead to suicidal thoughts or suicide attempts. It’s important to seek help and support if you feel yourself becoming fixated. Remember that no body is perfect, and people are much more like to think about their own “flaws” than notice yours. Practice positive self-talk and try to replace thoughts about your body with something else, such as a new hobby or activity. Now that you’ve lost weight, a whole new world is open to you! Health Problems It’s not uncommon for patients to regain some weight after surgery, although it’s a myth that many patients regain all their lost weight. Regaining Weight Regaining even a small amount of weight can feed your fear. What if you stretch the pouch and end up gaining weight back or stalling your weight-loss? What if you have to go back to the hospital for something and you gain weight because of the treatment? About half of all bariatric surgery patients regain weight after two years. But the average regain is about 8% after reaching the lowest point, and total ten-year excess weight loss is still over 50%. The main reasons for regaining weight are: how much excess weight you carried before surgery, alcohol or drug abuse, lack of a support system, or having a psychological problem or food “addiction.” Realize that even if you regain some weight, you are still healthier than you were before surgery. Take steps to avoid the main reasons for weight gain. Be aware of the dangers of a substitute addiction to alcohol or drugs. Get yourself a support system and use it. Get treatment if you suspect you are overeating because of food addiction. Plateauing Don’t lose hope if you stop losing weight for a few days. These things happen. You can overcome the weight loss plateau. Your metabolism may have slowed because you couldn’t exercise after surgery. You can start losing weight again. Focus on getting the right amount and intensity of exercise. Track your heart rate. You should be exercising at 60 to 85% of your maximum heart rate (220 minus your age). Vary your exercise routine to keep yourself challenged. Be sure to drink enough water, and continue eating right. Complications I worried that something would get stuck in the very small connection between my stomach pouch and small intestine. Would I have to go to the emergency room? Could something else happen to me? As with all surgeries, there can be complications with bariatric surgery. But this surgery is very safe (99.8% survival rate). And less than 10% of patients have a complication. Though the list of complications is fairly long, most are not life-threatening (e.g., indigestion, diarrhea or constipation, nausea and vomiting, dumping syndrome). Some can be prevented by self-care. Stick to your bariatric diet, follow your doctor’s instructions, inform yourself about what to look for, and share your worries with your doctor. Sutures I had difficulty with sutures coming out before they were supposed to. Others have had infections at the wound site. Monitor the site of your surgery and consult your doctor if things aren’t going right. Hypoglycemia Hypoglycemia (low blood sugar) happens when after eating, a rise in blood sugar makes your body produce more insulin, which then lowers blood sugar. Unless it’s extreme, this can be managed by changes in your diet. Nutritional Deficiencies Common vitamin and mineral deficiencies among bariatric surgery patients are Vitamin B12, Folate and Zinc, iron, copper, Calcium, and Vitamin D. Potassium deficiency can also be a problem, causing nausea, cramping, and dry skin. Supplements may help. Consult your doctor and dietician. Dehydration The recommended daily intake of water — 64 ounces — may be hard to get down, particularly right after surgery. Eight cups sounds like a lot, but if you break it down to one-fourth cup every 15 minutes for eight of the twelve or so hours you are awake, it is manageable. There’s an app for reminding you when to drink at GetHYApp.com. Clothing Especially in the early weeks and months after surgery, when you are dropping weight fast, you may find you can’t find anything to wear. This may sound like a minor problem, but you might be caught off guard by how much you spend on new clothes as you lose weight rapidly. While you are changing sizes every week or two, you may want to find some ways to save money: Borrow clothes or shop at thrift stores. Shop your closet. Now’s the time to wear those too small items you just couldn’t part with when you were heavier. Don’t buy too much. Get exactly what you need until the next size change. Buy just a few practical basics and splurge on accessories. Don’t buy for the future. Clothes that fit and flatter now are better for your confidence. Alter. If you can’t alter your own clothes, find someone who can and get items altered as you lose weight. Most things can be taken in. Exchange Clothing. If you’re in a support group, consider swapping clothes with other group members. Relationships Social Life Your new body may allow you to make new decisions: to start dating or to go to the beach. But because your body image may not have caught up with the reality of your new body, you may still have the self-doubts you had before. Part of your mind still thinks the way you did before surgery. You may feel unattractive, even invisible. Inside, you still feel fat. Negative self-talk may still be your go-to response to interacting socially with other people. Counseling, a support group, and self-affirmations can help. Most importantly, give yourself credit for all you have accomplished. You’ve come a long way. Different Reactions Sad, but true. Not all of your friends and family will react positively to the new you. Old friends, even family members, may envy or resent your new look. Family, friends, and even strangers may have a range of reactions to the changes in you. Your children may support you, but carry a lot of anxiety, fearing that you may die. Some may become diet police, worried that you’ll regain the weight and ill health of your days of obesity. Some will trust you to know your own needs. Know that others’ reactions don’t mean anything about you. You are taking care of yourself, and that’s a good thing. Getting More Attention Now that you have lost weight, you are probably getting more attention. This may make you uncomfortable. Obesity goes with isolation. In fact, some people use their weight to keep from being in the spotlight. Being noticed may be flattering, but it can also be stressful. Jealousy If you’re married or in a relationship your significant other may be jealous of all the attention you’re getting from other people. Your spouse might fear that the new you might leave the relationship and so may try to sabotage your efforts to maintain your weight loss. Your overweight friends might be jealous in a different way. If monthly dinners out with your “foodie” friends were the main thing that kept you together, or if these friends are not sympathetic to your weight loss efforts, they may, consciously or unconsciously, sabotage you. Remember to surround yourself with people who support you. Don’t judge others who may be struggling, but don’t sacrifice your progress to please them. Guarding Against Judgment The different way strangers and acquaintances perceive you now may make you feel flattered, but also confused and even resentful. You may wonder — do these people like you for yourself, or are they just attracted to your new appearance? Would they have liked you before? People you don’t see every day may not recognize you. Others may make you feel that you’re being judged for your decision to have the surgery. You may be re-introducing yourself to one person and defending yourself to another. It’s understandable that you may be struggling with your sense of self. But, remember, you are worthy of kindness at any weight. Be your own best support. Honoring Your Accomplishment You can’t control the beliefs and behavior of other people, but you can be true to your goals and to yourself. Keep honoring your decision, your hard work, your determination, and your truly astonishing accomplishments. Whatever others say or imply, you are a brave and magnificent person, and you deserve a magnificent life. Embrace Your Future Bariatric surgery is a last-resort choice for losing weight that is killing you. Deciding to go ahead with it and working through all the barriers and difficulties is not for the faint of heart. But for those who choose to go forward, it can be life-saving in many ways. By arming yourself with information about what to expect, you can feel prepared to navigate the weight loss surgery process with greater confidence and ease. Keep coming back to this guide and check in with yourself at every step along the way. Before, immediately after, and long after surgery, remember these key points: Create a support system Take care of your body Believe in yourself No matter where you are in your surgery journey, you deserve the new life you have given yourself. Enjoy. Links https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers https://obesitynewstoday.com/gastric-bypass-success-rate/ https://www.caroladkisson.com/books/ https://www.bariatric-surgery-source.com/feeling-hungry-less-than-a-week-after-gastric-bypass-surgery-is-this-normal.html http://www.boxingscene.com/weight-loss/54558.php https://www.consumerreports.org/health/avoid-withdrawal-symptoms-from-prescription-painkillers/ http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/baby-steps-emotional-adjustments-after-weight-loss-surgery https://www.bariatric-surgery-source.com/bariatric-surgery-recovery.html#Support_Main https://www.mayoclinic.org/tests-procedures/bariatric-surgery/basics/what-you-can-expect/prc-20019138 https://www.bariatricpal.com/topic/239270-joint-aches-and-pains/ http://www.mybariatriclife.org/chronic-fatigue-after-bariatric-surgery/ http://www.livestrong.com/article/456678-feeling-cold-all-the-time-after-a-gastric-bypass/ https://www.leaf.tv/articles/how-to-avoid-skin-problems-after-gastric-bypass/ https://www.webmd.com/diet/obesity/features/you-lost-weight-what-about-extra-skin#2 https://www.drdkim.net/ask-the-dietitian/understanding-hair-loss-after-bariatric-surgery/ http://www.yourbariatricsurgeryguide.com/psych-impact/ http://www.bmiut.com/mood-changes-bariatric-surgery/ https://www.njbariatriccenter.com/eating-out-after-weight-loss-surgery/ https://www.bariatriceating.com/2013/11/what-medications-are-off-limits-after-my-bariatric-surgery/ https://www.everydayhealth.com/weight/the-emotional-health-risks-of-bariatric-surgery.aspx http://www.yourbariatricsurgeryguide.com/psych-impact/ https://www.tijuanabariatrics.com/blog/2017/04/18/is-a-ketogenic-diet-safe-181655 https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/ https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html#Diet-and-Life-After-Main http://www.yourbariatricsurgeryguide.com/psych-impact/ https://weightwise.com/avoid-body-image-distortion-weight-loss-surgery/ http://bariatrictimes.com/depression-after-bariatric-surgery-triggers-identification-treatment-and-prevention/ http://blog.riversidesurgicalweightloss.com/blog/manage-anxiety-after-surgery https://adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/body-dysmorphic-disorder-bdd https://asmbs.org/patients/bariatric-surgery-misconceptions https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html https://mybariatricsolutions.com/overcoming-and-preventing-the-weight-loss-plateau/ https://www.bariatric-surgery-source.com/complications-of-gastric-bypass-surgery.html#General_Safety-Main http://gethyapp.com/ https://weightwise.com/how-to-shop-for-clothes-after-weight-loss-surgery/ https://www.bariatric-surgery-source.com/marriage-family-strangers-after-weight-loss-surgery.html

I can't really chime in on the weight gain thing because I really didn't gain much at all with my last pregnancy (he's 4 months old now). I gained a total of 8lbs but it fluctuated up and down consistently. Some weeks I would gain 5-6 lbs and others I would lose it all. The baby was 7lbs 6oz at birth so technically I actually lost weight during the pregnancy when you consider water, blood and placenta weight on top of baby weight. I really wasn't able to eat a whole lot because of my sleeve and I was sick the entire way through (was similar in my first pregnancy prior to my surgery but this one was way worse). However, I can tell you that if you can breastfeed and pump, you should TOTALLY do it.... I'm still losing weight and I'm sure it's from breastfeeding because my appetite is fine now. Keep in mind that being pregnant doesn't mean you have to eat a lot more. In fact, I ate a lot less because most of what I did manage to eat... didn't stay down!

I am considering the following items: Monthly or quarterly meetings. A fun or educational activity at each meeting. Examples include preparing a weight loss surgery-friendly meal, filling out a customized meal plan, or going for a group-wide nature walk. Presentations by surgeons, nutritionists, other professionals or bariatric product companies at local meetings. Annual national meeting of BariatricPal Local Chapters in a location such as Los Angeles, New York, or Huston. Option to go on an annual cruise What Do You Think about BariatricPal Local Chapters? What I would like to ask you for is what you think about the above suggestions. Also, what are your answers to the following questions?All of the above sound great! Would we be allowed to bring +1 to the cruise? Such as spouse or what if someone has children but no babysitter? Would you be interested in attending regular local chapter meetings in person? Would you be interested in being a leader (or co-leader)? Yes!! Absolutely. Would you like BariatricPal to provide agendas for meetings?This would be ideal and very helpful. What additional support could BariatricPal provide to encourage your participation and/or leadership?BariatricPal is super helpful already. Maybe a yearly conference with all of the local chapter leaders, maybe in person or on GoToMeeting would be good to share ideas/stories/etc. Also, some help with venues would be good. Should there be limits on the minimum and maximum numbers of members that each Local Chapter can have?Yes, I think this should really be a stipulation. The maximum should be around 30. Any more than that and it seems like not everybody gets noticed nor the one on one that someone should get in a live support group setting. What other ideas do you have?Setting up different meetings tailored to individual needs such as pre-op, post-op, over 1 year post-op, longer and perhaps by surgery type though I would not be opposed to running any of the above. Also perhaps special sessions for people who are struggling and need help with getting back on track, weight gain, transfer addictions or other.

So after 6 months of tests and appts I was called by the nurse at my surgeons office to tell me that my surgery was denied. I am HEARTBROKEN. ???? I have been though so much this year. As I started this journey, one month in, my 37 year old husband had a heart attack. Which then required a triple bypass because of 3 blockages. We made it through 20 days in the hospital, 6 days in the cardiac ICU. We both quit smoking, and I was determined to keep going forward with this. I kept my appts and tests even with him in the hospital. Just so I could have this done and we can BOTH start our new lives together. Because when he was in the hospital I could barely BREATH let alone eat. I lost 15 pounds. Now because I quit smoking and my husband is recovering slowly but is recovering nicely, I began to eat. I'm starving. I'm following exactly what I should and I put on 10 pounds. I started a celexa for depression and blood pressure meds a few months ago. I was denied because of the weight gain through the 3 month nutrionalist appts. I am so sad, I am so depressed. I feel defeated. I plan on appealing. I don't know how to pick myself up from this. Thanks for reading, advice would be greatly appreciated. Katie

You may be slipping up in minor ways that add up in the long run. Weigh and measure everything. Track your food on an app like Baritastic. It will keep you aware of what you are actually eating. You could also try resetting your set point by returning to all liquids, and build up again to solid foods over several weeks. If you have achieved your goal and stayed there for a while, a bit of weight gain is quite normal.

Celexa is notorious for causing weight gain. Your surgeon's office should be able to appeal successfully showing that your weight gain coincided with the start of the Celexa. That being said, it might be worth it to look into other medications that are less likely to cause weight gain so you're not struggling after surgery. I'd also avoid Zyprexa for the same reason, but you might try Paxil if you are taking the medication for anxiety/panic attacks. If you need medication for depression, try Wellbutrin or Luvox but I'd stay away from Effexor (very strong and hard to get off of), Zoloft and Lexapro. All of those are known to cause a lot of weight gain. I hope this helps and you get approved soon!

You just need to find the right strain that works for you! Not all of them will make you hungry, and if it does just make good choices and eat healthy. There are tons of doctors prescribing meds every day. A lot of the side effects are increased hunger and weight gain. This thread (well, the ignorant comments) made me laugh! So thankful for my cannabis script;)