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I am just starting my journey. I have been struggling with quiting smoking for the past 5 years in order to qualify for surgery.

This time I am not stopping. I am ready for this change, and excited to start a new chapter in my life.

I started the pre-op diet a week ago and am down 5 lbs already! I am 33 years old, and 385 lbs.

I am really freaked out about the saggy skin after weight loss.

I am scared of feeling unattractive.I have only recently started feeling unattractive due to my weight. Any thoughts?

Also, does everyone end up with cankles?Even if you don't have them before?

What about neck creases? Do they go away?

Or tags? Will they leave when I lose weight?

Edited by Addibob

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If you are struggling with quitting smoking you might try e-cigs. They helped me quite. The 10th will be my 3 year anniversary of quitting smoking.

As far as excess kin, it's going to happen. Almost everyone seems to think they will be forced to live with it for the rest of their lives. In reality, you can have plastic surgery to remove it. Just think of it like the weight loss surgery is only part 1 of a 2 or more part surgery you will need. You can actually go ahead and research it and save up for it since most insurance companies will not cover it.

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      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
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      1. NickelChip

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