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ASAP. Just in case they want some psycotherapy before surgery .

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I'd start changing my eating habits ASAP. I did it gradually - I slowly brought my calories down, increased my Protein, and decreased my carbs. I weaned myself gradually off caffeine and carbonated beverages. I did this over the course of a few months so it wouldn't be a radical change. Then once I had surgery, I was kind of used to the new lifestyle.

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