Bariatric surgery (thoughts)

There is an MFP group. Sadly I can't link from my phone.

I had the RNY and the health improvements are undeniable.

This is a lifestyle change an you will be reminded every day of your restrictions, even if your family forgets. (Food intolerances, how food is eaten).

Find a weight loss team that provides nutrition, lifestyle and psychological supports.

It's drastic and the changes you must make to accommodate it are not fun. I would only do it if all else repeatedly failed.

allysalawrence wrote: »

I am 21 and 256 lbs, I have been overweight my whole life and I have tried multiple times to diet and exercise. I lost 65 lbs in 2015 and have gained most of it back. I am looking into having the gastric sleeve (VSG). Thoughts?

This time last year I weighed in at 263 lbs (In 5'4" for reference). I've lost ~45 lbs since September, with about 30 lbs since I switched to LCHF back at the end of March.

Surgery is great in some ways because it immediately and drastically reduced certain comorbidities, but it is pretty much a forever choice, so make sure you're certain it is worth it for you. For me personally, LCHF works because it helps me feel full most of the time, and so I overeat a lot less. I also have a very high risk of T2D (1 in 2 chance in the next 3-5 years even though my bloodwork outside of pregnancy has always been great), so I figured LCHF would help if I did unknowingly become insulin resistant.

Other people find that different macro combinations help them feel full. I suggest trying a few things. You could try high fibre if you want to keep eating carbs.

The main thing is that if you don't figure out what works for you, then even with the surgery you will gain some or all of the weight back. It has its place, but you will still need to do your part to learn how to eat in a sustainable manner.

You've proven that you can lose weight on your own. Just buckle down and do it again. My SIL had bariatric surgery four years ago and with her numerous health problems she's had since, I couldn't see myself going through that.

I've seen people do the surgery and have great success.
I've also seen some who have it, but didn't learn how to maintain their weight loss, and are still overweight.
Regardless whether you have the surgery or not, it's only a tool. You still have to keep your eating habits in check. It's up to you to decide if the pain and risk of the surgery is worth it, or if you want to lose weight badly enough - and keep it off - that you'll reexamine your eating habits.
By the way, I don't know how tall you are, but your starting weight is very close to what mine was (241lbs). It can be done..you've already done the weight loss once so you know it can.

What the others are saying is true, based on what I've seen. For some people, it's a reality check that helps them get their mind right. (If yout mind isn't right, the body won't be, either.) Another person I know lost a lot of weight afterwards, then managed to put it all back on.

You're very young. I'm rather hesitant to tell you to jump to surgery.
As stated earlier, you have lost weight on your own before. The question is why did you gain it back? And that's not to be a slap in the face, I promise! I regularly have to ask myself why I'm wanting to overeat.

allysalawrence wrote: »

I am 21 and 256 lbs, I have been overweight my whole life and I have tried multiple times to diet and exercise. I lost 65 lbs in 2015 and have gained most of it back. I am looking into having the gastric sleeve (VSG). Thoughts?

What led to gaining it back? Those factors will still be present after the surgery and you'll just have to be a little more creative to eat around it.

I'm all for surgery for people like those on My 600 Pound Life, but assuming you are of average height for a woman you've got about 100 pounds to lose, and lots of people have lost that with MFP - no invasive surgery and all its attendant risks and side effects required.

It's not a quick fix and you will still need to drastically alter your diet and eat a lot less than what is normal.

If you have that surgery is permanent and you'll never be able to eat like a normal person again. Is that what you want? Not to even have a choice in the matter. A lot of foods will be completely off limits to your because your new stomach simply won't be able to handle it.

It's not an easy way out, yet it seems to be viewed that way by a lot of people who want the surgery.

You have lost weight before, and you can do it again and you can maintain but it takes a lifetime of dedication..but then the surgery also contains a life time of dedication, difference is at least with losing without surgery you have a chance of being normal.

I have a cousin who had the procedure done. She gained everything back, and now weighs over 300 lbs. The surgery is not a fix. You still have to eat a sensible diet to keep the weight off.

I have a date for the gastric sleeve in November. I have decided though that it is so not for me. I came to this decision by reading on line about it, going to 3 different doctors seminars, 3 diff support groups and to two doctor consultations. My son thinks I would be unhappy with it. Try putting a very small amount of food on your fork and chewing 30x, do this about 5 more times and you are now done with lunch. You need to eat a small bite and at a small speed. No drinking 3 oz of water or more in one gulp. One thing I don't get is the average amount of weight you lose is only 60% of your body weight. If I am having that surgery, I would want to lose all the weight I want or need. On your health plan, are you allowed to see a nutritionist? I have not had to much luck with the advice I give but if you can, why not give them a shot. Also a therapist if on your plan and if you can find one who is knowledgeable about food issues, that would be great. There is a lot involved. I am old and have been trying to lose weight ever since my Mom took me to Weight Watchers when I was about 16 with maybe 15 pounds to lose. That started me on the yo-yo all or nothing compulsive overeater. So much time I have wasted and unhappiness in trying to lose weight. You can apparently gain back a good amount of weight with the sleeve. Yes, there are complications if a person is overweight but the complications of the sleeve are more permanent. I would suggest you do a lot of research and then some more. One thing that gets me is that I want to be able to go to a restaurant and eat like a "normal" person; not just to have 8 bites and then feel full, just sit there while every one else is eating and having to explain why I can't eat anymore. Good luck and big hugs