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I too went back to work in 1 week. I also sit at a desk and work on the computer all day. It still is slow getting up from the chair and moving around, but once your going its ok. I was banded 12/3/07 and feel great. Now if this weight keeps coming off, it will be something to talk about. Good luck, your going to do fine.

That's awesome! Good luck on your pre op diet! I went on a few food Funerals before my pre op diet and gained like 8lbs but then lost it on the pre op diet.

I have the same insurance as u and no co morbids My doc wouldn't even let me in the weight loss program until my bmi was 40. But good luck

First - HUGE congrats on your weight loss! I am a beginner - banded 2.5 weeks now and have lost 21 pounds so far. Great job keeping it off too, I hope I have that staying power. About the swallowing - Oh my gosh....go to the doctor! Kind of gross, but can you swallow your spit? If you can't even swallow Water there is certainly a problem - and you can become seriously dehydrated which can cause other physical/health problems. I am not a doctor or nurse but have a friend that had a swallow problem unrelated to banding so I have a little exposure. Perhaps your IVF hormones have caused some sort of change in your body chemistry to create this now. I know the meds are very expensive and it is such an emotional investment going through this but if you aren't healthy it will lower your PG chances too. (DH and I did a couple years of Injectibles and IUIs) At the very least, CALL the doctor. Take care and good luck....

I believe that, Rumar. I find the less I eat the slower the weight comes off. I really have to stay away from high sodium foods though. Great job on the 4 pounds!

:rolleyes:I hope she can get herself healed so that she can get treated for her weight--that would nip diabetes in the bud!! If you take the protein and vitamin supplement as the doctor directs, you won't have any trouble with malnutrition after surgery. Dr. Simon is really the best! My sister is not quite ready to pursue WLS. She had part of one foot amputated in April (diabetes) so she is still recuperating. She had a bypass about 30 years ago that had to be reversed. I think it was practically experimental. She ended up with such severe malabsorption issues she had to have it reversed and she gained back all the weight and more Not sure she would be candidate, but if she can get this wound healed she may be giving your doctor a call.

OK- so I'm here to help - having started out at 424 I definitely feel your pain. The ONE thing I learned for sure from this journey is that I have to stop beating myself up for whatever- bad food choices, gaining weight back, whatever. Being hard on ourselves and being negative doesn't help. You can't take back the food choice you made yesterday, but you certainly can make a better one today. Also, I go back to basics when I have strayed and it helps me get back on course. Please email me or PM me with any questions or just to chat. You may be able to find some useful information in my story which I am blogging at Sandi's Banded Living — My Lapband Weight Loss Success Story The whole purpose for my blog is to give some encouragement and hope.. I think it may be useful for you. Please let me know. I'm interested in your feedback.

I already worked my tooshie off to gain 10 lbs so that I would qualify with 1 cormorbidity!!!! 10 more lbs now seems completely disgusting. I'm so frustrated!!!

I agree it would help with weight loss. Every diet I had been on pre-surgery fell apart when I stopped logging my food and drinking lots of water. That's a must for me, I know some people don't need to log.

Agreeing with he posts about metabolism above. Our guidelines would help some people - but not people with other stuff going on. Post-op, my diet is not that different from pre-op. I've been vegetarian since I was about 8, I have been logging food and exercise daily in MFP for 7 years and keeping to a calorie deficit, I drink the same amount that I did before (124 oz or more a day). My calories are a little lower right now as I was going on 1300 or less a day for the years before surgery, but not much difference. When I went home for the summer, my old friends didn't notice much of a difference in the amounts I eat now and the amounts I used to eat. But I have PCOS and my hormones were beyond messed up - I really believe that surgery was the only thing that was going to work for me. Even with that, it's taking ages for the weight to come off - I was told to expect extremely slow loss, but it was still a bit of a shock how slow compared to others. So now I try not to compare, LOL.

I just read this great article written by Bruce Underwood(WLS brother) in his website. I will post the link below the article so you can explore. Obesity and its Affects on Relationships and Acceptance Obese individuals have multiple and varying insecurities related to their obesity. These may differ depending on the when obesity became an issue, affected their life most, and length of time. Age, rewarding experiences, negative experiences, and humiliations also play major roles on how each person sees themselves and their self confidence. Parental, sibling, friendship, spousal relationships, and other relationships affect an individual prior to and following weight loss surgery. I have not always been obese and have had lived periods of my life with several different areas of acceptance with varying degrees of confidence. These areas include intellectual acceptance, physical acceptance, sexual acceptance, peer acceptance, acceptance of friends, spousal or mate acceptance, and audience acceptance. Each of these areas is affected by an individual’s self confidence and ability to present himself in a positive way. However, acceptance and experience also affect an individual’s confidence level in each of these areas. The more success and acceptance in a particular area, the more confidence an individual has. However, more rejection reduces self confidence, which further reduces acceptance. This circular syndrome becomes exponential in its effect on an individual. Obesity plays a major role in producing this syndrome as prejudice and stereotyping are projected on obese individuals. Individuals that have been obese all of their lives may have few or no successes in a number of areas of acceptance and may tend to naturally gravitate to other areas where they achieve success and acceptance. The fewer the areas of acceptance the lower the self esteem that a person may have. However, the person who has been obese all of their life, probably does not suffer grief from the loss of acceptance areas as some areas have never been explored. For individuals that become obese later in life, grief from the loss in specific area of acceptance is normal. Having experienced varying levels of success in an area of acceptance, the obese individual may long for those areas and may actually suffer greater depression because of the rejection that they now face in those areas. An example of this may be that of a person who once experienced acceptance in physical beauty and was rewarded highly for their beauty. Now obese, she finds herself longing for the physical and emotional acceptance, but receives rejection. This rejection leads to anger, depression and in cases self loathing. Initially there is denial and then anger. Often diet and exercise only exacerbates the problem as dieting attempts fail. Moments of success followed by diet failures drive down the self esteem and cause greater depression. Friends, peers, relatives, and those who once were flirtatious now look around, through or away and she feels much less the person than she once was. The people around her now become part of the problem as they now become the reminder of what she once was. Additionally, family, friends, and others may add to the problem by acting as the food or diet police with the individual. Often judgmental remarks and comments thought to be helpful actually make the person feel less acceptance and further rejected as an equal or peer. The family member, friend or person making the comment is perceived as being on a different level physically and perhaps intellectually. This perception may be with both parties involved or just by one of the parties; obese or other. The person may react over time in several ways: Things related to beauty may not even be attempted as they are reminders of the pain. Photographs and pictures are avoided as it is easier to live with self image from the past. New photographs are only reminders of the failure and are foreign missals that destroy the image within the mind. In addition, the more positive self image from the past actually helps to promote self confidence in other areas of acceptance such as audience and individual acceptance. The person tends to gravitate to areas that make people like them. These may take the form of humor, knowledge, and expertise. Physical activity becomes more difficult as obesity becomes more profound. Areas that require physical activity and physical fit begin to be avoided. Games, amusement parks, dance, taking car or airplane trips, hiking, theaters, etc. are avoided. The individual may begin to live vicariously through their children, family, friends, and peers. This too may become difficult as these people may resent the now “hanger on”. Surgery and Diet makes a difference – WLS and Diet - Stages of Difference, Awareness and Acceptance: 1) Self Notice – You notice a difference in yourself. As you begin to lose weight, you begin to notice the change. You feel physically different and you notice changes in your face and shoulders. You wonder if and when other people are going to say something. 2) Something’s Different – Others begin to notice a difference, but they are not sure what it is. I like your new hair style. Did you color your hair?. Did you use to have a beard? I thought you wore glasses? A few truly observant folks may say... You’ve lost weight... haven’t you? Usually still as a question. 3) Physical Change - Your clothes are baggy and you need a wardrobe change. You feel better and look better. A lot of people realize you are losing weight and say you look great. You and your friends are proud of the results. 4) Significant Difference - There is a significant difference in you appearance and everybody can see it even if it is not spoken. You know it and they know it. You feel better about yourself and have much greater energy and anticipation. You may or may not notice that people are beginning to treat you differently. You like the compliments and the positive feedback. You look great! Wow! What a difference! You are going to just blow away! You begin to think, wow I am looking better. You may find yourself getting out more and taking more chances. Spreading your wings and taking little flights of freedom to see how things work now. Self Confidence increases and you begin looking at the world a little differently. Excitement seems to be ever present. You may find that fear of failure is also increased at this point as you may not fully trust the results of success. Plateaus and periods of static weight loss may cause greater concern. Moods may seem to swing. 5) Identity Crisis – At this point you are very different physically. Your friends, family, and folks you don’t know react differently to you. You may find that the opposite sex respond flirtatiously and jokingly to you. Family, friends, peers, and co-worker relationships seem to change. Some relationships are better, but some are strained. You want more and expect more from others and yourself. You are excited about your new body and look, but may be angered and frustrated by differences in existing relationships. Leveling occurs as people feel threatened by your new look. People may put you down in areas and /or build themselves up as they want to “level” the playing field with you. You probably don’t know exactly where you fit in physically in the world anymore. You may have an exaggerated opinion or an under-exaggerated opinion of where people see your physical attractiveness. “I must look fantastic, because I am getting all this attention and everybody is telling me how good I look”. Or, “I am still fat and people are just saying that I look good to be nice” “He can’t be attracted to me”. This is also a time that poses serious threats to marital relationships. The spouse may feel threatened by the vast changes in your appearance and attractiveness. In addition, the self confidence, energy level, and desire to explore may also pose threats to status quo that once existed in your relationship. Often an obese person has not been happy in a relationship, but has lacked the self confidence and desire to make a change. New energy, attractiveness, self confidence, a desire for improvement, and the inability to discern at what level one fits in socially, may promote a relationship change or a desire to “Upgrade”. This is a time for introspection. Explore your feelings and desires. If you feel angry and frustrated, where are those feeling coming from? Who are those feelings directed towards and why? Seek out people who are honest with you and ask their opinion, but be prepared for their honest criticisms. Validate their criticisms with others that you trust. Be careful to not make rash judgments and changes, but proceed cautiously. It is a time of change, exploration, and hope as you desire to get your life back. There are those people that want to keep you confined. There are those who want to help. There are those who just want to use your energy. There are those that love you regardless of the changes. 6) Self Acknowledgement - This is a time where you begin to see where you fit in to the world as friends, family, peers, and co-workers begin to accept your appearance and changes. You may feel hurt and disappointed at times as the complements and ego boosting flattery begin to dissipate. You may once again feel threatened by the lack of weight loss and the fear of failure as some weight gain may occur. The highs and are not so high, but the lows may tend to make you depressed at times. You still feel good, but may feel less attractive as you receive fewer compliments. Some people that fed off your energy, desire, and newness no longer are as flirtatious and even strangers appear not to pay you as much attention. Life begins to level out and you begin appear “Normal”. 7) Self Acceptance and Self Awareness – At this stage, obesity is of little or no concern to you. You are aware of your size and acceptance of others. You know where you fit in. Some of your insecurities are still there, some have fallen by the wayside, but may have changed. Life has settled down and the normal problems and happiness of life make you aware of your existence. Hopefully, you have grown more beautiful, more emotionally sound, more mentally aware, more spiritually connected, and more wise. Hopefully, the journey has made you more of a person and less of a ghost. The pains that obesity brought you have made you a more empathetic and sympathetic and less judgmental. Understanding and the weathering of your own insecurities have made you strong and compassionate and you now see with clarity the reasons behind your lack of self confidence and you strive to help others to see the beauty that is within each of us. Misconceptions and Naiveté of Sexual Attractiveness - Sex Exploration Obese people often have issues with being accepted by other people, especially physical acceptance. They have often been or become the ugly duckling of society and have gotten use to rejection in the area of physical attractiveness. Often, feeling the rejection of physical attractiveness causes deep seated dependencies and feelings of need. Bottom line, they want to be loved, we want to be pretty and we want to be accepted by other people. Being fat has been a road block that prevented the acceptance from occurring. Physical rejection and lack acceptance is often displayed in parents and siblings. Often, parents and siblings tell a fat child, youth, or adult what they think of their obesity. This can be done out of cruelty, but usually it is done out of concern for the person. However, regardless of the intent, the result is profound in the life of the obese person and can be damaging for a life. In other words, a parent may tell an obese person, “You have gained so much weight... I am so worried about you”. Or they may say, “You have gotten so fat, nobody is going to want to ever be with you”. These types of comments, though they may temporarily encourage a person to lose weight, they also label the over weight person as undesirable and let them know that they are a physical reject to them and to society. Sexual rejection often goes hand in hand with physical rejections and acceptance. Being accepted sexually is often associated with physical acceptance. If a person is accepted sexually, they may feel more pretty, desired, wanted, and loved. Significant weight loss through diet or surgery has a profound affect on a person’s identity. Note that two crucial stages in Weight Loss Differences are the Significant Difference Stage, and the Identity Crisis Stage. In these two critical stages, WLS and Weight Loss people lose their sense of identity. They no longer know how people perceive their physical beauty. This is where Weight Loss people are naive about their sexual attractiveness and may develop Misconceptions of their Sexual Attractiveness. They may have a strong desire to find who is accepting of them now. It is like the person has been a true sexual prisoner of their obesity and has now been released to explore a world full of sexual partners that are accepting of them. As a result, naiveté of sexual attractiveness and their misconceptions of their sexual attractiveness may make Weight Loss Patients vulnerable to marital infidelities, which could endanger monogamous relationships. New energy levels, confidence, self esteem, and the new avenues of accepting sexual partners may create a strong desire for sexual exploration. The Weight Loss person’s sexual prowess is increased and they may find it nearly impossible turn down opportunities of sexual exploration as other people provide the attention that they desire, but lacked for so long. This may come in the form of opposite sex exploration and same sex exploration. The attention that they now receive is addictive. For a loving spouse or significant other, this can be a very frustrating and dangerous time in a relationship. The significant other, out of frustration, may try to control or constrain the Weight Loss patient. However, the attempt to control may actually work to push the Weight Loss person further away. It is a time when great support and communication is needed in the relationship. The significant other may need to provide new opportunities for exploration and provide greater amounts of attention to the weight loss patient. Communication is crucial concerning what is acceptable and what is not acceptable sexual behavior. The weight loss person needs to know they are loved, desired, and wanted. Marital or relationship counseling is strongly suggested during this time. Deeper problems within a relationship may surface as existing problems are magnified with much greater intensity during this time. Weight loss patients during these critical stages are less like accommodating poor or offensive behavior towards them, “I don’t have to put up with this crap and I am not”. Issues that have existed in relationships for long periods of time may come to the forefront. These issues must be addressed. Unfortunately, the spouse or significant other may not understand that the behavior exists or why it has become an issue now. Obesity may have caused the person to “Settle” for acceptance from person that they may think is actually less than desirable or beneath them. The person or people they accepted may have not been the best looking, most kind, most intelligent, most understanding, or may even be abusive. Because of the weight, confidence level, self esteem, and lack of acceptance from more desirable people, They accept the “love” and “settle” for who is available. At the time that they accept this person into our lives, they think they are on the same level or feel that they can’t really do any better because of the “fault” of obesity. Having said all this, I do not mean to imply that everyone goes through these issues or at the intensity mentioned above. However, the weight loss patient and people within the life of the patient need to realize that there are strong emotional and mental issues that a person may go through. Support is crucial and counseling may need to be seriously considered. With such intensely physical changes that take place in the WLS life, mental and emotional issues can be expected as the new person emerges. Try not to make rash judgments and be patient. Areas of Concern: These are areas for which I have thoughts and concerns. I hope to address these soon. If you have other topics in the area of psychology that you would like to see addressed, please let me know. If you want me to place one of the topics listed below at the top of my list, let me know. Thanks You. Energy and Willingness to be in Front of Others Leveling Change in friends Loss of Self Image and Social Position Increase Desire to explore removed barriers Expectations and Unrealistic expectations Self image – I don’t know how to smile for a camera Weight loss and Disappointment Spousal Attractiveness Link to Bruce's website and source of this article: http://www.thinnerse...ationships.html Explore his site I found lots of "goodies" to bookmark.

If you would have asked me years ago I would have said I was a binge eater because I could eat so much (basically eat like a man..haha!) but I went to an eating disorders clinic and was thoroughly evaluated and did not meet the clinical definition of a binge eater. The surgery has so far worked for me (will be 3 years out in December and went from super morbidly obese to normal BMI and now maintaining). If I understand binge eating correctly, it is not really about hunger so i would worry that over time the urge to binge may negate surgery benefits. I am certainly not an expert, but have you considered really being diagnosed by a non surgical practice? I would be careful though of doing it through a pschologist associated with a surgeon because you might wind up getting denied based on being "honest". I tried EVERYTHING multiple times - weight watchers, the hormone drops, nutrisystems, talk therapy, hypnosis, etc but i was always still hungry. for me the physical reduction (not elimination by the way!) has helped me learn to manage food. I could not do it was driven to eat 24/7. I do get hungry now, and one of my many "learnings' is to tolerate it... gee.. it is a normal human experience to be hungry before a meal, who knew? Anyway, my hunger is way reduced so it is something i can cope with.

Hello! I have been reading a little on this site, and it has been making me feel better... but... if anyone cares to read my situation, I'd love feedback. I am about 205lbs, 5'6" and 34 years old. I have always struggled with my weight, and the only times I have been "healthy" weights, is when I have used some outside aide, such as phen or contrave. Well, the phen makes me feel awful, and the contrave doesn't work for some reason anymore. Plus, I have to combine it with a ton of zonegran (similar to topemax). Basically im a walking pharamacy - yuck. I don't know what to do... I'm very afraid of surgery. It gives me major anxiety to think about going under anesthesia. And taking pain meds. I also seem to be just incapable of dieting and exercising properly. I have spent so much money on nutritionists, Jenny Craig, meds... I've gone to OA... Part of me thinks I'm just lazy. I mean, it takes so much effort for me to not overeat and to get up and exercise everyday.. I had my thyroid checked, and I'm 1.42. I'm always on the low end of normal, although I've been borderline too low before. I am anemic, and need vitamin d I guess. Sorry this is all over the place. I guess what I'm getting at is - does everyone else here feel this way? I have been reading the pre-op diet and that's the scariest part of all! If I could do 3 weeks of healthy eating then why would I need this surgery?? Should I take medicine to help me with that before the surgery?? I don't know what to do! Any advice is welcome. Please tell me your candid opinions - I very much appreciate you taking the time to read my story and respond. Thank you!!!!

Ok my name is Lisa, I have had my band since 12/31/2003. I lost 101 bls. Then got bad sick and couldn't keep anything down, so they loosened me up, well I gained back 40bls. I then went back and had it tightened after I got my body healthy again. Well, I haven't lost anything since the tightening. Ok, thing that gets me is that some days I can eat anything that isn't in someone elses mouth already. Other days like yesterday, I threw up. What is up with that?? Some days I can eat and some I can't. What would anyone advise me to do? I hate being this size again. Just the 40 bls has really knocked me back to that insecure person I has at 300 bls. I am just holding at 220 right now. I hate it. I feel bad and I just HATE IT!!!!!!!

For me, I can think of food but I know that I wouldn't be able to eat much so I really plan what to eat so I get the nutrition I need. I made a mental switch when I decided to do this surgery that the things I ate before were not my friends. They got me to the point I was at and things needed to change. Sure I miss some foods but I can also find a way to have a healthier option if I really want it. I would rather get healthy and lose weight than eat junk. I don't really get hungry but I am also only 5 weeks post-op so who knows what may come. Good luck!

Well, good job. What THAT means is that your stomach has recovered from surgery. After you get your lap band, you don't really experience THE lap band until you start getting restriction (through Adjustments, aka "fills"). SOOOO....where you're at is NOT bad--you SHOULDN'T feel different yet. Your doc will probably wait a certain amount of time, just to make sure you're all healed up, then you will start going back to her for your fills. You will continue to go in every month or couple of months until your level of restriction and weight loss gets to a "sweet spot"---or the point at which your food intake and weight loss are at an optimum level. The sweet spot is really determined by YOU, but your doctor helps you with it. Congratulations!!!

As others have posted earlier...this forum is a valuable resource for information and insights into the band, and more importantly the real life experiences of individuals who are living with their bands. Some are going to have problems, an inescapable reality with the law of averages. This forum is an excellent resource to read from others who are actually on the weight loss journey, and to visit when they have questions and/or problems. Post op anxieties that you are describing are normal; there are numerous adjustments that you are going through now. Everything from hormones to a radical lifestyle change can cause anxiety, especially when it all comes at you at the same time. The anxiety should resolve as you continue to live from day to day, and discover that you are able to be successful with your weight loss journey. If in a few weeks time the anxiety is still with you, then it would be advisable to consult with your surgeon or a therapist. Another important insight into anxiety is that we create it in our minds...because we create it, we can also control it. This takes some practice, but is readily "doable". Yes, there are risks to just about everything we do, or don't do in life. The risks of obesity related/caused health issues are real...for some of us more real than others. I also side with those who chose a path to restore some of the health that my weight was stealing from me. The single most important thing you can empower yourself to do is to remain compliant with your surgeon's instructions...and to not hesitate to get in touch with them or the office staff if you have questions or concerns. I have experienced a couple of complications which were band related, but nothing related to not following the surgeon's instructions. I also have never had a stuck episode with food or vomited (knock wood )! In time, after your anxieties are in the past, you will understand with better clarity the opportunity you have to become healthier and happier. Best wishes to you as your journey continues...

It will slow down. I'm not sure what you weighed at surgery or what you weigh now, on my phone so I'm not sure if your goal is realistic or not. But a lot of people end up plateauing sometime during the first six weeks due to healing. I plateaued weeks 2-5, my weight loss average right now is like 1 lb per week. I've increased my activity so once my body gets used to it, I hope it will pick up. But realistically the average persons weight loss is 1-2 lb per week. If you think about it sometimes slower is better because it can give your skin time to adjust

What was your starting weight and what is your weight now if u don't mind me asking? Sent from my iPhone using the BariatricPal App

I think it's different. I just did the minimum that my program required. Tricare approved but they never said how many months they required. So my program just kinda guessed. Since they never gave an exact number our plan was if they denied me the first time they would have to say how many months they required in the reason for the denial and we would go from there. I don't think they care too much about numbers as long as they see you have made previous attempts at weight loss and meet the physical requirements to have the surgery. Sent from my iPhone using the BariatricPal App

CONGRATULATIONS! I decided to count my pre-op and post-op weight loss all together and it just made it easier to give people in real life number updates (somedays I wish I had a ticker across my chest just so I wouldn't have to repeat my numbers;-). Great job on your exercise, I think adding that in and making it routine has really helped me along my journey. I understand about the clothing, it did get rather aggravating, but the best part was when I finally fit into the snug size I was able to get rid of my bigger clothes FOR GOOD! I'm still holding onto a couple of 14's and all of my 12's because I just can't convince myself that this is real. I wish you luck on continued success!!!

Hi all, my name is Carrielee and I am 31 years old. I have battled being overweight / obesity since I was a young child and I’ve finally gotten the courage to taking the steps toward a healthier self. At 31, I’m 5 feet tall and weigh 278 pounds, at a BMI of 54.29, it’s time to do this. I suffer from a myriad of weight related health conditions and fear an early death if I don’t take control of my weight and health. I suffer from acid reflux, hypertension, high cholesterol, Type II diabetes, arthritis, limited mobility, chest pain/angina, sleep apnea, liver disease...I’m slowly killing myself and I’m tired of it. Any tips for a first consult with a WLS surgeon? My appointment is on April 25.

I'm 15 months out. I dropped 80lbs as a result of surgery. This week, I've gained 4 lbs. I'm terrified. Suddenly, I am able to eat much more than I have previously (e.g. A small chicken breast, green Beans, and a bite or two of potatoes). I have no idea what to attribute this to other than sharing a small Sprite with my husband last week. I never drink carbonation, and only did because it was the only thing in the car. Foolish, I know. Painful, too. I will just do without next time. Back to unsweetened tea, Water, and coffee! Question: Have I stretched my stomach out permanently? I'm very worried this is the beginning of a huge regain. I'm starting a liquid fast today to try to circumvent what's happening. Advice, please!!! Sent from my iPad using the BariatricPal App

Thank you. Your response is very sensible, and specific. I weigh daily, same place, same time, same conditions. It was a sudden spike (which has remained for days) but I had not considered how many calories I would have had to ingest to actually gain that much weight. I will give it time while being more mindful of what I am eating. I knew carbonated drinks were off limits. That really isn't a struggle for me. I don't care for them. But I read a post that talked about carbonation irrevocably stretching the tummy. It worried me. I appreciate your response. Thank you! Sent from my iPad using the BariatricPal App

Welcome over 50 banster! I am 53. Oh gosh. That's a tough one. I think you need to be in close contact with the clinic's insurance coordinator to make sure things are going the way they should in order to get approved. The clinic wants you to get approved, so they should be on top of this, but you want want to slip between the cracks. I know they also want you to lose weight also to shrink your liver. Do you have pre-existing medical conditions? They may also that into consideration also??? Good luck!