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I'm just curious if anyone else has noticed this and what it really means. They show on the package that they have low carbs, but if you look closely it says sugar alcohols. It seems whenever I eat any of this chocolate and even accounting for the calories, it pretty much puts a stop to my weight loss. I'm not eating more calories per day, but I'm just wondering if the "sugar alcohols" is really reacting just like normal carbs and preventing me from losing weight. I am one of those people who really has to watch my carbs or I don't lose.

Ok my disclosure is, I did eat these when I was on Atkins.. so I only know of its 'impact' on Atkins if you want to eat them. As for calories, since I am on a reduced calorie diet-- I stay away, calories are calories. But apparently carbs are not created equal! My husband is doing Atkins now and eats these as well. Anyway.. I don't know what sugar alcohols actually means (besides it can act as a laxative if consumed in large quantities), but if you're counting carbs, you get to subtract Fiber and Sugar Alcohols from the carb count. So, on Atkins these candies work out. They never affected mine (or my husband's currently) weight loss on Atkins. The nitty gritty which I don't quite understand is that they don't trigger your sugar levels to change (diabetic info inserted here--that I don't know), so it doesn't impact you like a normal carbohydrate would.

Every plan is different. My surgeon allows me to have alcohol. I can't drink red wine anymore (which I used to love) because it burns going down. I can drink something with rum or vodka but tequila makes me sick (which I also used to like). If you are going to drink alcohol be sure it's in your caloric budget for the day and that you are prepared to feel the effect of alcohol much sooner. I seldom drink now because I can drunk so easily and because I usually don't feel like I want to drink my calories for the day. I know many people will write and say never to drink, but again, every surgeon's plan is different.

Hi Christel, would love to help you. If you are banded by Dr. McKeen his fills are $200 each. My insurance does not cover them. I have a 10cc band which holds 4.2ccs. I am at 3 ccs now and have hit my sweet spot. I can only consume about 1k calories a day, unless I drink alcohol. If you want to find out more you can always call Dr McKeen's office and meet with him individually. I did that and it really helped me. He is great. Let me know if you have any other questions.

Wow Eli! I finally found some one who's my age and did the sleeve while being in college! I would really love to contact with you because I really have a lot of questions to make you since we are basically in the same page going through the same things! I am in my 5th month post-up. I was 215 the day of my surgery and now I am 158/160. I feel i could be less though, but alcohol on weekend has been a huge challenge for me! Also being in college is very hard to follow a specific meal plan but i always try to eat as healthier as possible. I started drinking alcohol my third month post-op since I read i could start drinking after the 3rd month but i know i shouldnt do it and every one here keeps telling me not to do it but its very hard (you understand me because you are in college as well) i have a verg active social life, always had always did and always will.. I know alcohol is not needed to be social and have fun.. But lets not bullshit here but a party with out having alcohol is just not the same fun! Anyway .. I am scared about every thing that awaits because i dont know if i'll keep loosing weight or im staying stuck in this weight like the past month. Hope we can really get in contact! Here are pictures of me before and now so you have an idea of my change!

A lot really depends on the surgeon that you have. I know a lot of people complain of gas pains, however I had ZERO gas pains after surgery. My surgeon assured me up front that he works very had to get all of the excess gas that they pump in you out before he's done. He also put a drain in for 24 hours which was supposed to help and I felt great. Immediatly after I woke up in recovery I felt nauseous. The nurse was quick to help me out. she gave me some meds for nausua but first she put an alcohol swab on my nose... she said that it would help the nausea and amazing enough... it did. Who knew. I tried it a couple times at home when I had some nausea and it helped then too. I was on a morpine pump for the first day and was allowed to press the button every 10 minutes if I wanted to but to my suprise I probably only used it once an hour. Again, I think that had a lot to do with the surgeon and how good he was. The worst pain that I felt was when I first tried to get out of bed to walk... WOW... It was like my stomach was ripping open. My weight on the incisions really hurt, but I pushed though and it seemed that every time I got up to walk was a little better. I really didn't notice any internal pain until day 3 when my sleeve started "cramping" when I tried to eat or drink or really just about any time it wanted to. I was told that it was normal and would go away... and it did. Day 4 was better and by the middle of week 2 the cramping was all gone. Every day was better and better with the incision pain and I would say that they felt completely better by the end of week 2 post op. Hope this helps, feel free to ask me anything. Gene

I am only 8 weeks out from surgery BUT I am so sick and tired of seeing posts (I have stopped reading them) about "when can I have alcohol?". For me, this is the farthest thing from my mind. I have yet to hit my calorie goal of 700 and some days don't get all of my Protein and Water in. So it baffles me that people so early out are worried about the alcohol. I do realize that this is a public forum and everyone has their right to post whatever topic they choose. It certainly seems like there have been a ton of them this week. Now I will get over it.

interesting post, and I applaud StephenHud forhis answer. It comes down to calories for me. I have never been a big drinker, occasional glass of scoth in a month, but thats about it. When I get maintenance mode, then I 'll consider reintroducing alcohol, but right now, its not part of the plan, so fizzy Water makes me look cool....

Since you already received the requisite comments about drinking above, I will just answer your specific question. I was sleeved, and was told no alcohol for the first month. Beyond that, was told to determine on my own what I can handle, but the general recommendation was to try to abstain. With that said, here is MY timeline: 3 weeks post op: 2-3 sips of red wine (felt weird, thought I could feel the warmth going down my intestines). Also I remember being affected by it. Not drunk or even tipsy...but something. 2-ish months post op: ~1 fl oz of soju-sake (got terribly sick within 15 or so minutes, spent the next few hours suffering : rapid heart rate/barf/diarrhea/lethargy/passed out...it was the sugar, dammit). 3-7 months post op: probably had 4-5 (partial) drinks of either red wine or vodka soda the entire time (got tipsy really fast, got sober equally fast). 8 months to present : drank more (mostly due to the fact that I was done with weight loss phase). Maybe 1-2 times a week at first (and sometimes none at all), then Covid came around, and since about may-june last year, I drink almost every day. I still get tipsy and sober pretty quickly....not as drastic as in the early months, but still. Generally, I can feel the effects by 1/2 the glass, and if I finish the whole thing, I will be completely normal again within 1-1.5 hours. So take this as validation, justification, or as a cautionary tale. You decide. P.S. note that the effects will be different for everyone...I am pretty small (5'2", 110 lbs), so this definitely influences how I am affected. @The Greater Fool's suggestion to try it out in a safe place first is a good one.

Hi, I hope to be banded within the next month by Dr. Eric Pinnar out of Reston, VA. Him and his staff are incredible and focus on after care. The psychologist part of the program is important and not so much to see if you are ready for surgery but to discuss possible concerns after the surgery. For instance if you suffer from depression it is important to know that if you have ever been depressed, surgery itself can trigger depression. There were 3 or 4 tests and they included: Questions to see how you see the world or if you are depressed or bi-polar and so on. They are true or false you don't have to think about it. ex: Are you in a happy relationship? Are you tired all the time? Do you feel good? Then they will throw in a weird one like You were on the front cover of Cosmopolitan last month? One test was the alcoholic test to make sure you are not an alcoholic. Then the psychologists evaluation, which were questions at length. Its nothing to be scared of unless you have major psychological problems. She also said I was psychologically strong enough to do a 14 day fast rather then a 7 day one. So, its used for different reasons. It will point out possible concerns and for you to get it on the table. I was approved right away and we are all a bunch of weirdos in my family. :smile2:

for an obese person the right way is to never over eat... for an alcoholic the right way is to never take that first drink... for a drug addict the right way is to never try that first drug... and so on... but since we dont live in a perfect world... the right way is to survive and give other people the encouragement to do the same.... the right way for any one suffering from a disease is to go seek help... Do not let other peoples opinions override your own.... I chose to live... to be healthy.. to be active.. Who's life is it anyway?... its mines and I'm proud of my decision to have WLS... and if other people don't understand.... that's your issue not mine... [ATTACH]40518[/ATTACH]

Smartcakes - monkfruit and sugar alcohols for sweetener, and they are 38 calories each (76 calories a package). No net carbs, fiber-rich, and they are tasty.

14 years out. I order only an entree (as not enough room for an appetizer) and ensure it’s a lot of protein. A steak, double cheeseburger; etc. I eat as much as I can and take the rest with me. It’s never been a problem. I can’t help with the drinks, as I don’t partake; but I do know one should wait 6-12 months before having one. You don’t want your liver to work double time on weight loss and alcohol.

It' will be close to a year in a few weeks. I've not had the weight loss results as most have reported here. I'm seeing >100 lbs being reported by a lot of my peers. I' not even close to 100 lbs, but on the healthcare front I've remained off my insulin, no longer sleep with my CPAP and have managed to stay relatively free of bing eating. I'm very disappointed in that I've not maintained an excercise regimen that would be considered a "Life Style Change." I did have some good starts and stops and right now I'm decidedly at STOP. I just don't have the motivation stay on an exercise regimen. I always end up hurting myself in some way, then that give me clearance to give up. In Oct 2012 I was in the hospital with stroke like symptoms, literally paralyzed on my left side. They r/o a stroke and after 2 days of tests, released me to neurologist for f/up care with dx of hemiplegic migraine. Code word for I don't know WTH is wrong, but she has had migraines in the past, so let's roll with it. I was on restrictions for about 2 month while they tried to figure out what's wrong. All my feeling returned before discharge, but I had total numbness in the last 3 fingers on my left hand. After testing for everything from carpal tunnel syndrome to pinched nerves in my arm and shoulder, the prize-winner neurologist came back with I can give you some cream that may work, I can send you to therapy with sometimes helps, or it may just fix itself on it's on........BUT I see you've not had a sleep study in a while and your plan will bay for it, so let me set you up for a new one. OK. Dr. Neuro's office begins calling me weekly to setup this darn sleep study....I finally told them to NEVER call me again. I still have trouble typeing and my left hand it still giving me problem. I'm hoping I'm not a stroke risk, but the PCP says get going with the excecise again. In February I start back walking. Doing good. Sporadic, but I'm getting it in at least 2-3 times a week. Weight going down, have to finally buy some new clothes because my black leggings are falling off an my colorful fat girl "pop of color" tops are looking like flour sacks on me 'cause they're too big. I have a chronic pain in my left foot and ask for an x-ray, my PCP says there's nothing remarkable but I may have small bone spurs that will just be a chronic issue for me. SUX. I start feeling a little soreness in my left leg, it evolves into a limp, but I'm thinking it's just me getting back on the track and I ben-gay it up and bear down. I'm down to 1-2 times a week, but I'm keeping it moving. Garage sale Saturday, I'm digging for treasures and a radiating pain hits my left leg. I can't walk. I yell. The ppl help me to my car and my mom starts freaking me out telling me it's probably a blood clot and I'm going to die if I don't get to an ER soon (She has a flare for the dramatic). I go to the ER and they r/o a blood clot, discharge to my PCP for follow-up the next day. PCP rotates my leg and refers me to an Ortho Surgeon the next day stating he thinks I'm going to need surgery. Now I"m on crutches. Ortho assesses and no surgery. Just 1 week of total bed rest. I have a grade 2 calf muscle strain! I'm off my feet for a week and come back, it's healing, but still not out of the weeds for abt 6 weeks so take it easy but do what you can.....To me that translates into DO NOTHING, and I've been faithful to that regimen for about 2 months now. WTH? Really Elle? You going to cop out like that? Why YES I AM. Disappointed in myself, but yes. I did that. Now I'm at the year mark and reflecting. I want to hit the century mark. I'm wanting a 1XX versus a 2XX at my weigh in. I hope to reach the 100s in about 6-8 months. Kick-off date is July 1,2013. Please pray for me that I can keep this new goal in sight. I do have concerns that I may have a hernia or something because I feel I am able to eat more than I should in one sitting. As long as I don't drink anything while eating I'm fine. I've drank alcohol sparingly w/o any trouble. I don't do well with chicken or ground beef. Bread and butter is my weakness, but I can only eat a little bit of it at a setting. I have been bad and do drink from straws on occasion. My new guilty pleasure is McCafe Hazlenut Lattes and Caramel Frappes. I also enjoy the egg white delight breakfast combo. I can eat the hashbrown and mcmuffin in one sitting (I just throw away one of egg mcmuffin slices). I can honestly say the term "use VSG as a tool" not a solution is a great message. You will not drop an insane amount of weight just from having this procedure. You have to work at it and change. My health is better and I will praise this procedure to the mountain tops, but you must be willing to put in the work to get the pounds off. My mother recently had the procedure and is doing well. She was not nearly as obese as me, so I'm excited to see if a little competiton will help boost me on the walking track. Her start weight is my current weight! So we're even in getting out of the gate. My mom had a lot more stuff broken in her health wise so I"m elated that she finally did the procedure. My marriage is struggling at the moment. Not heading for divorce or anything, just facing some challenges with a blended family. We're working through it, but I'm feeling my old urges and our lack of intimacy isn't helping things at all. I hate being mad all the time. Work is sucking as well. I don't know if I should move on or stay with them. My company has great benefits but I'm working 16-20 hour days and not seeing any light at the end of the tunnel. It's shockingly overwhelming. Any way in closing. 1 year has been faced with several set-backs, but I'm optimistic that I can refocus and get back on track. Besides my husband and kids, the VSG decision remains one of the best decisions I've made in life. I think I bought myself more years on this earth by just choosing to not die of morbid obesity complications. This board has been most helpful in letting me know I'm not alone and others are in the struggle with me and offering support. Thank you all

Sugar alcohols aren't 'bad' in terms of what they can do, weight-wise; your body will not absorb them. BUT--and it's a big but--they can wreak havoc on the gut. Many, many people are very sensitive to them---and even those who are not particularly sensitive generally have to limit their intake of sugar alcohols lest they experience cramping, gas, and diarrhea. Preop, I bought a box of Werther's mini butterscotches--the sugar-free kind. There are 5 in a serving---and eating just one (for a total of <3 mg sugar alcohol) made me so so so sick that I won't even touch the stuff now. Your mileage may vary---many people don't have problems, as long as they are careful with their intake. Hopefully, you'll be among them. But since you're so freshly out of the OR, I think that, in your shoes, I might postpone experimenting until you feel up to ...well, dealing with possible consequences. I'd hate for you to add cramping and diarrhea to the mix at this point. I'm glad you're doing so well postop--have fun at the movies!

Morbid Obesity is a DISEASE. It has been recognized as a disease since 1985(!!!!) by the National Institutes of Health (NIH). This is going to be a long rant… I mean, post. The longer I thought about doctors who make a patient lose weight before weightloss surgery as “proof” of their commitment to a healthier lifestyle, the angrier I got. I am FURIOUS. I am INCENSED. These surgeons are making their livings “treating” obesity, and THEY DON’T EVEN KNOW ENOUGH ABOUT OBESITY TO CALL IT A DISEASE. THEY DON’T KNOW ENOUGH ABOUT OBESITY TO REALIZE THAT IN 1991, THE NIH CONCLUDED IN ITS CONSENSUS CONFERENCE THAT DIETS, EXERCISE PROGRAMS, APPETITE SUPPRESSANTS AND BEHAVIOR MODIFCATIONS ARE NOT EFFECTIVE THERAPIES. YES, I am YELLING. Because if they DID, they would NEVER tell a patient who desperately needed their help that they must lose weight FIRST – to PROVE they are serious about getting better!!!! And to have this kind of attitude propagated on a weightloss SUPPORT board as acceptable under ANY kind of circumstances is absolutely reprehensible, and a symptom of just how well the prejudice against fat people is accepted. Not only is it tolerated, it is expected as our “just” punishment for being fat. Because after all, we are merely gluttons. The formula is so simple: too many calories in = too much fat. So diet and exercise. Too bad for you that you’re not one of the “normal” people who can regularly consume more calories than they need without getting fat – you are NOT a “normal” person, so you must just go hungry and exercise your butt off. Guess what? The formula is NOT that simple. NO ONE really knows the complete explanation of why some people become MO and some people don’t. But not understanding “why” is NO excuse for discriminating against the MO, or continuing to blame the patient for their disease. If a person could not swim, would it be acceptable for the lifeguard to say, “I could save you, but FIRST you must swim 20 feet to PROVE that you really want to be saved.”? Or better yet, “You can’t swim, so you should never have come into the Water in the first place. Why should I bother saving you? This is your fault.” Except in the extreme cases of denying organ transplants to smokers and alcoholics, I have NEVER heard of denying treatment until the patient starts to get better on their own as an acceptable medical response. (I’m not saying I agree with the transplant thing, just that I have heard that a smoker who doesn’t quit wouldn’t be considered for a lung transplant, and an alcoholic that doesn’t quit wouldn’t be considered for a liver transplant. I don’t even know if that’s true – I’ve just heard it.) Diabetics are not denied medication until they can prove they can get their blood sugar under control with a commitment to eliminating sugars from their diet and exercise. Smokers are not denied the nicotine patch until they can prove that they can quit smoking for four weeks first. A double-amputee is not denied their prosthetics to enable them to walk until they walk two blocks without the prosthetics, to PROVE that they really want to walk again FIRST. The prosthetics, after all, are just TOOLS – not “cures” for amputeeism. People with high cholesterol are not denied medication until they are able to lower their cholesterol first, through diet and exercise. If a depressed person goes to the doctor for treatment, and they meet the protocol, the doctor would NEVER say “Snap out of it first. Then I’ll give you the medication you need to maintain a non-depressed state.” Anorexics are never told "JUST eat!!" Their condition is taken very seriously, and requires medical and psychological intervention. I ask you all, then, WHY IS IT ACCEPTABLE TO REQUIRE A MO PERSON TO LOSE WEIGHT BEFORE TREATMENT?!?!?!? YES, we have to make lifestyle changes – but just like the amputee, we can’t do it without a TOOL. We have a DISEASE. I feel that I have done the emotional work. I have completed a professional counseling program specifically for compulsive overeaters. I’ve been hypnotized. I’ve done every diet known to man, and some that I made up myself. How DARE ANYONE tell me that I am NOT serious about losing weight?!?! I cried on the way into work this morning thinking about this. I am crying now. I will NOT accept punishment for this disease. I will NOT accept blame for this disease. I WILL accept the responsibility of doing something about it, however. But I cannot do it alone – because I am NOT “normal”, and I will ALWAYS need some sort of treatment to HELP me, until they find a cure. And I cannot stand by and let anyone forget that we are NOT here because of some moral failing, some character flaw, some personal weakness. We are here because we have a DISEASE. We need treatment, not judgment. If we were not serious about getting better, we would not be here. NO ONE deserves to feel badly about themselves because they have a disease. NO ONE should be made to jump through hoops to prove they want to recover from their disease. MO is NOT A CHARACTER FLAW. This is NOT my opinion – this is medical FACT. It is up to US to know and understand this, and to eradicate the long-held beliefs that we have allowed to shame us for all of our lives. We must NEVER EVER allow anyone to get away with propagating beliefs that MO is anything but a disease that requires medical treatment. *************** http://216.239.63.104/search?q=cache:OTJxKzuvN8QJ:www.shapeup.org/profcenter/diabesity/PoriesPres.ppt+is+morbid+obesity+a+disease%3F&hl=en "The truth is that Morbid obesity is a disease, not a moral failing." “Obesity is a chronic, lifelong, genetically-related, life-threatening disease with highly significant medical, psychological, social, physical, and economic co-morbidities.” Statement on morbid obesity and its treatment. Obesity Surgery 1997 7:40-41 “In 1991, the National Institutes of Health concluded in its Consensus Conference that diets, exercise programs, appetite suppressants and behavior modifications are not effective therapies.” Report of the Consensus Conference on Surgery of Morbid Obesity, National Institutes of Health, Washington, DC 1991 ************** http://www.rsapc1.com/morbid_obesity_surgery/ "Morbid obesity is the most common form of malnutrition in the United States and in the world today. It is considered after smoking to be the second leading preventable cause of death in the United States. It is a chronic disease which is very complex and has multiple etiologies." "We lose over 300,000 patients a year to morbid obesity and morbid obesity related medical problems." "There are social, psychosocial and economic consequences of morbid obesity that can be devastating. Unfortunately, the prejudice against the obese is very common in our society." "Conservative management of morbid obesity that includes diet, behavioral modifications, exercise programs and the like have been found to be ineffective over the long term. A person who is morbidly obese who attempts conservative management, as mentioned above, either alone or in any combination, is not expected to be successful more than 5% of the time. Over 95% of patients who are morbidly obese and meet the criteria for morbid obesity will regain their weight and often overshoot their previous weight. Surgery for morbid obesity is the only method that has resulted in long-term maintenance of weight loss and the reduction of the comorbid diseases that are associated with morbid obesity. In particular, hypertension, dibetes mellitus, risks for coronary disease, osteoarthritis, gastroesophageal reflux disease and many others. Morbid obesity is a chronic disease which is defined as a disruption of bodily function that develops slowly and persists for an extended period of time and often for life. It is multifactorial and includes genetic predisposition, environmental factors, social economic factors, cultural influences, hormonal influences and digestive abnormalities. In 1985 morbid obesity was recognized as a disease with associated comorbid diseases by the National Institute of Health. In 1991, surgical weight loss stated to be superior to nonsurgical weight loss methods and that only surgical intervention produced acceptable long-term results. In 1993 the National Institute of Health recognized the vertical banded gastroplasty and the gastric bypass procedure to be effective in significant reduction of excess body weight. The National Institute of Health recognizes morbid obesity as being an epidemic that can only be reduced significantly by surgical intervention for both morbid obesity and its associated comorbid problems." **************** http://www.landauercosmeticsurgery.co.uk/obesity/ "OBESITY: A MEDICAL CONDITION People who suffer from obesity are poorly misunderstood by those of the population who are not obese. There is a common attitude that overweight people are stupid and unable to control themselves. People who are obese are often the brunt of cruel jokes and thoughtless humour, even to the point of suffering abusive comments in public places. We now know that the medical condition of morbid obesity is a complex disorder, and not simply due to over-eating. The vast majority of people living in the Western World eat more calories than they need but it is only a small proportion that relentlessly lay down every excess calorie in their fat stores. Most people have a mechanism, by which their body knows when their stores have been refilled, but there is an unfortunate group of people where this mechanism is defective, and when they eat it can be likened to filling up the bath with the overflow blocked off. There are of course no fat people in starvation areas of the world, but this is because these are regions with chronic malnutrition and nobody there has access to even adequate calories. People who are morbidly obese often find it difficult to believe that their problem is a medical disease and not simply due to overeating. MORBID OBESITY IN FAMILIES The disorder of morbid obesity often runs in families. The chance of having morbid obesity is clearly increased if other people in your family have the condition. Studies of identical twins who were separated at birth and brought up separately show that if one twin becomes obese, then the other one is likely to become obese as well."

I awoke to my left side under my breast being sore after surgery,took an alcohol swab and cleaned it,then thought nothing of it until today,I lift my underarm area under my breast to find chaffing and red bruising,with some open wound,this is also like sunburn or something,called Dr office assistant ask was it a incision from surgery, I said, I wasnt aware of any cutting supposr to be goin on in that area. So waiting for Dr to call me. Has anyone else experience this?

Drinking postop is wild. For me, I would get exceedingly drunk off half of a drink...and then mentally sober up just as quickly, which I could keep drinking through and not feel drunk anymore. Obviously, I'd still be drunk, but didn't feel it at all. It started very innocently this way for me, and quickly led to a couple years of alcoholic behaviours. These days, I can control it, but I had to take about 9 months away from alcohol altogether. I limit myself to 1 drink and if I'm with people who can't fathom that, I just won't drink with them at all. Additionally, I am convinced that it completely derailed my weight loss.

I go to a community college in Texas. As far as drinking goes, I haven't had any problems with any alcohol I've come across. Though, once I'm drunk, the food has no trouble going down.

Oh you are so sweet. It's just been difficult dealing with that, as well as handling the stress of the upcoming surgery. Sometimes it feels like I'm looking into a mirror and seeing the worst parts of myself being lived out by her. I doubt that makes much sense, but that's how it feels. She called me last night sloppy drunk again. This time wanting to talk about how she's so excited to go to TJ with me so we can go out and have margaritas. Explained to her AGAIN that I won't be drinking...I'll be having surgery, and she's going to make sure that I'm okay. At this point I'm rethinking whether or not I want her to go. She's a wonderful nurse, and great when she isn't drinking; but I don't know if I can trust her to stay sober the entire time we're down there. That's awful. I feel like I've betrayed her just by typing those words onto the screen. I plan on getting into group for adult children of alcoholics, but right now the only time they meet in my city is Monday's, and I have class on Monday night. So I'll have to try and get there once I finish up this course. I'm in an accelerated program at my school (trying to knock out my last 5 classes before grad school!) and this class ends at the end of the month, so hopefully I'll be able to get in there soon! I did call and talk to my dad today. He's been pretty supportive of everything. I told him about being worried for her, and he feels the same way. He's been clean and sober for 15 years, after a particularly frightening incident when my siblings and I were children. I don't know how he does it being around her, but he's still on the wagon and going strong. Said he couldn't stand the thought of taking another drink and hurting the family any more than what he's already done. I'm just hoping he'll talk her into getting help before it gets worse.

I rarely have carbonation. I have sparkling water every day but I drink it pretty flat (keep the lid on the bottle loose). I drink it because I like the taste as a change from plain water. I do have soda or tonic water in the odd gin & the odd glass of champagne. But I only drink about once a month & then one glass is usually enough. Yes alcohol is empty calories, can slow your metabolism, etc. but I just don’t enjoy it as I used to. But when I do have it I have the real stuff: quality over quantity.😁 Also carbonation stirs up my reflux. Actually I watched an interesting medical program yesterday & they said there is research that carbonation (any drink) stimulates the production of our hunger hormone & results in people consuming 100+ calories per day. Unsure if the more carbinated drinks you consume the more you eat though. If you enjoy reading academic papers: https://pubmed.ncbi.nlm.nih.gov/28228348/ It’s about a study using rats but the program did a short trial with people with the same type of results.

Thank you, yes I need restart I had a bad week snacking on bad foods not exactly overeating but no nutritional value, also had alcohol. I know myself now to get back on track this week tracking food again more protein and water. Thank you Sent from my SM-A505FN using BariatricPal mobile app

By drinking, I mean alcohol. Don't stop general drinking hahaha ????

RogofUlm's Story Vertical Sleeve surgery: June 24th, 2014 Pre-surgery high weight: 265 Weight at surgery: 254 Initial goal weight: 154 Time achieve goal: 8 months (including 2-week pre-op diet) Stretch goal weight: 145 Time to stretch goal: 10 months (including 2-week pre-op diet) Total weight loss: 120 I went on my first diet at the age of 7, and sometimes feel like I've started a new diet every Monday morning for the last 48 years. I've done 'em all – from a 40-day hospital stay in a ketogenic program in 1974, to Weight Watchers (3 times), Diet Center (2 times), Jenny Craig, Nutri-System, Atkins, South Beach, Cambridge, Slim Fast, Fen-Phen, grapefruit and egg, and even starvation. I've probably lost close to 1,000 pounds throughout my life, including three or four diets resulting in nearly 100-pound losses. And after all that, at the age of 55, I still found myself 110 pounds overweight; with diabetes, apnea, asthma, arthritis, high cholesterol, and borderline blood pressure. With a wonderful wife and 10-year-old child at home, I was a heart attack or stroke just waiting to happen. So why was I able to lose weight so effectively at times, but never keep it off? Same as most people, I suppose. When fully committed, I could “flick the switch” in my brain and resist anything… for a while. I'd lose a bunch of weight and start looking and feeling better, and then I'd be at a party with lots of goodies and think, "What the heck. I've done so well, so I’ll treat myself just this once and get right back on my diet." Hello, slippery slope! And then the cycle would begin: pig out, starve myself, pig out, starve myself… Eventually the pig outs would last longer and require more and more fat, salt, and sugar to satisfy. And, of course, each new day brought a brand new commitment to get back on track, so I wouldn't eat anything until 6 pm... and then I'd pig out again. That “switch” doesn’t always stay flicked, you know? So what's the definition of insanity again? Doing the same thing over and over, and expecting different results. Then, 20 years ago, I lost a bunch of weight and maintained it for quite a while. But because of a bad reaction to a medication, I eventually had to have a hip replaced. Everything went well with the surgery and I even quit smoking in the process. Great, right? Yeah, but then the weight started coming back on, and eventually I gained about 50 pounds. So then I bounced around for a few years, yo-yoing all over the place between 60 and 100 pounds overweight, until I got married and we had a baby. Of course, during the pregnancy I gained 40 more pounds of "baby weight". But unlike my wife, I never delivered mine! So that brings me to the more recent past, when all those years of being overweight finally caught up with me and I began getting all the "fat diseases”. When the diabetes first came on, I dropped 30 pounds without even trying. But eventually we diagnosed it and got it under control with pills; and then the weight came right back on. A couple of years later, my weight started dropping again "for no reason". Of course I knew what was really going on, but the weight loss felt so good that I rode it down 45 pounds. But again, eventually I had to get it back under control, and again, all the weight came back. So by the time I decided to have WLS, not only was I taking pills plus daily insulin injections for diabetes, I was sleeping with a CPAP machine for apnea, and taking fistfuls of pills every day to manage the other co-morbidities. And that brings us to last year. In addition to all the diseases, I was exhausted and achy all the time, and had trouble dragging myself out of the recliner to play with my kid like I should. I'd take naps after stuffing myself at lunchtime, and exercise as little as possible. We all know the drill, right? And I’d gotten myself hooked on chicken wings with high-calorie sauces, a mountain of French fries, blue cheese dressing, and four large glasses of tea. I'd go out 2-3 times a week for wings, but I'd go to different restaurants because I was so embarrassed by how much and how frequently I was eating them. And gradually, I got more and more disgusted with myself. During that time, two of my co-workers had weight loss surgery: one bypass and one sleeve. Every day for about a year, I watched them get smaller and smaller. They didn’t keep their surgeries a secret, so when I asked about their experiences, they graciously shared all the details with me – the good, and the bad. And gradually I got to the point where I said, “I WANT THAT!” So my inspiration to have weight loss surgery was a direct result of my co-workers’ successes, and their openness about having had weight loss surgery. Once I decided to get sleeved, I went "all-in". I followed all my doctor’s post-op rules to a tee (with the exception of coffee – my one remaining vice). But this time something was different from all those past diets. Because of the restriction in my stomach, instead of losing momentum and giving in to temptation, I was able to stay on the horse. My new “tool” gave me the strength I needed to consistently make the right choices. I lost 110 pounds and made it to goal in 8 months. And in the two months after that, I lost another 10 pounds to give myself a comfortable buffer. I put away the CPAP machine; I’m off all diabetes, blood pressure, and asthma meds; and I'm on the lowest dosage of my cholesterol meds. In a few more months, I hope to be off those too. So now that I’ve reached my final goal weight, I don’t need – or want – to lose any more. I’m exactly where I want to be for the first time in my adult life; which, quite frankly, is a totally mind-blowing thought! My big secret? Just follow the danged rules – all of them! (And mind you, I’ve been a rule breaker all my life.) If you do exactly what your doctor or nutrition program recommends, the weight will come off. After a month or two of making good (but difficult) choices, the cravings for the foods that got you to your pre-surgery weight will start to fade away, and the pride in your accomplishment will have a stronger pull than the food. That’s when you really get on a roll! Here’s the formula I used to get to goal weight quickly: Start every morning with a Protein shake for Breakfast. Eat 60–80 or more grams of protein daily. Drink 64–120 ounces of fluids daily. (I drink tons of Crystal Light, or generic, sugar-free/decaf iced tea.) Do not consume any starches or sugars. Get all carbs from green veggies, legumes, and dairy products. Do not consume empty liquid calories/sugar (fruit juices, ice cream, etc). Try to avoid alcohol. It’s empty liquid calories that turn to sugar in your body and can lead to poor choices. All Snacks must be protein-based (Jerky, nuts, cheeses, Greek yogurt, deli meats). Get some exercise 4-6 times a week. Never leave the house without a plan for what you can eat and drink while you’re out. If necessary, bring food and drink with you. Restaurant eating is not hard: 1) skip the bread; 2) order a meat (or legume/bean) dish; 3) replace the starch with a second vegetable; 4) skip the dessert. You’ll probably end up taking some of the meat and most of the veggies home for another meal. Beef/turkey jerky is my secret weapon. It’s saved me more times than I can count, so I try to always have some in the car for emergencies. You can buy a bag of jerky almost anywhere. It’s kind of expensive and not great for sodium-restricted diets, but it’s also high protein, low fat, okay sugar, and a 3.5-ounce bag is a meal by itself! If you fall off the horse, get back on immediately – at the next meal. Not tomorrow, and definitely not next Monday. That’s what got us here! Go to Bariatric Support Group meetings in your area, if possible. Participate actively in online forums like BariatricPal. Read as much as you can about the process and the journey; and especially, read posts and articles from those who had their surgery a few years ago. Try to understand what lead to their successes and/or struggles. Share your story and reach out to help others who are behind you in their journey. By helping them, you’ll help yourself as well. Have a goal weight in mind and strive to get there. (I weigh myself every single day.) But also set lots of smaller goals. It’s fun and inspiring to achieve them. Believe that the slimmer person in the mirror is the real you. Always be looking forward. Don’t look back over your shoulder waiting for the heavier person to drag you back. Let that person fade into history. A little vanity is okay. Enjoy how you look. Accept compliments graciously and don’t deflect them. Have fun trying on smaller-sized clothes that fit now. Compare before and after pictures. Take pride in your accomplishments! Accept that this is a somewhat selfish process. That’s okay, too. You don’t have to apologize for it. And don’t let other people interfere with your progress. We have to make our weight loss program a priority in our lives. But at the same time, recognize that your journey affects your friends and loved ones as well. Be sensitive to their reactions and their emotional needs, without allowing it to derail your program. And finally, try to have fun losing the weight and getting healthy! Now, I’ll admit that many people think this much rigor is unreasonable and unsustainable. They believe that you need to learn how to “eat normally” on your way down. I get it… but I don’t buy it. (And believe me, self-discipline has never been one of my strengths.) My philosophy has been that there’s plenty of time to learn how to eat for maintenance once I get to my goal weight. That way, if I add something back in my food plan and it causes me to gain a few pounds; I only need to re-lose those few pounds. I don’t need to lose them PLUS all the rest that haven’t come off yet. That’s a whole lot harder and more daunting than just losing a few. I also believe that we get a 9–12 month “honeymoon period” (when the weight comes off more easily and the hunger is more manageable), to get our heads in the right place for the long haul. I firmly believe that people who take maximum advantage of their honeymoon period are far more likely to get all the way to goal weight; and hopefully, to keep it off. And now my theory will be put to the test... Over the next few months, I’ll need to start experimenting with what works and what doesn’t. I’ll need to add back some foods that will stop the weight loss, without causing a gain, and without putting me back on the slippery slope. But what are those foods? My doctor suggests that if you want to increase your carb intake, to add only foods that you would eat cooked as part of a meal (like brown rice, whole wheat Pasta, sweet potatoes, barley, quinoa, oatmeal, and green peas). No white bread, pasta, rice, or potatoes, no refined sugar, no fruit juice, soda, or ice cream, and nothing that would tempt you to go to the fridge or pantry for a handful or bowlful as a snack. That sounds reasonable, so that’s what I’m going to try. But what about all those yummy foods I’ve been missing? I don’t know yet. Maybe the day will come when I can have one small scoop of ice cream, or four cheese crackers, or a mini chocolate bar, or a sandwich. But today is not that day. For now, it’ll be baby steps until I’ve maintained my weight loss for a good long time. If the truth be told, since I detoxed completely from starch and sugar, I haven’t really craved the stuff. So how do I feel about my weight loss journey so far? Believe it or not… it’s been a total blast! And see... that’s another reason to follow all the rules and lose the weight quickly – the compliments, your reflection in the mirror, clothes that fit and look good, the extra energy for family and friends, and most of all, your new-found health – are a thousand times more fun and motivating than anything that could ever go into your mouth! And here’s one final thought… Several months ago I ran into a woman I hadn’t seen for a while. She’d been thinking about weight loss surgery, but was afraid to take the first step. But when she saw the “new me”, she said the exact same words I had said a year ago, “I WANT THAT!” Well, a few weeks ago she got sleeved and she’s doing great! And that’s how this wonderful story continues… I wish all of you great success, and a healthy, exciting, and fun journey to good health!!! Rog (of Ulm)

You are right, I need to detox. It was like that before my band, if I started even 1 M&M then it was a whole bag again and again. I'm like an alcoholic with sweets. It started when I started running half-marathons and they had chocolate after at the end. I thought I EARNED it and ate them and it started the same old patterns. You are definitely right, I definitely need to detox.! THANKS!! D PS..good luck on your goal, you are almost there!! :thumbup: