Weight loss surgery or NO?
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If you are already 25lb "too light" for WLS then you are on the right track - keep reducing through logging, good food choices and exercise! You've done it on WW - but put it back. This is because the levels they set are not sustainable long-term (seriously, any recipe suggesting splitting 150g of pasta between 4 people....!!). However, you can use MFP to control a more gradual weight loss which will help you maintain a healthier weight, and which will also help resolve some of your other health issues. I've lost weight and kept (most of) it off for the longest ever by weighing, logging and exercise - I log every morning and then if I want to exceed my calories I make a choice - swap something for something else, or do more exercise to "pay" for it. Its being aware of what food "costs" in calorie terms which helps me make the right choices. I still have days I go over, and I'm currently getting back to pre-vacation weight (oops!). Yes it is harder the older you are - I am 51 and started this three years ago as I was going up a dress size each decade and didn't want my son to be embarrassed by me at his graduation. You know you can do this, but you have to WANT to do it and that is a decision only you can take. There are lots of people here to support you losing the weight in a way which reduces your health risk!1
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it seems that ive followed so many weight programs but at presents following this diabetic 1200 cal my weight seem like its holding as my blood sugars are getting inprove and need a boost to exercise. any suggestion0
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WLS surgery is only a tool that should be used in situations where you have medical issues affecting your life and need to lose the weight NOW. My mom had such issues (congestive heart failure, pulmonary hypertension, diabetes) and had to lose the weight fast before she ended up getting worse. It has been a long road this past year since she got the surgery and she has lost almost 140 lbs, BUT it has not been without side effects. She has had issues this past year with malnutrition and dehydration. She is still trying to see what foods she can have and learnings how much is ok. Her typical breakfast is one scrambled egg wth a sprinkle of shredded cheese. Lunch is some plain tuna over lettuce. Dinner is often a very small piece of chicken. Other things she eats is mashed potatoes, yogurt, cheese, etc. She is not allowed soda at all, no caffeine, no white breads or pastas. Sugars are iffy, she can handle a small amount of some sugar, but just her eating part of a plum a while back made her sick and throw up. Her health has improved and that I am thankful for, but it will be a life long task for her to get down to a healthy weight and be able to maintain it. She'll never be able to have a cheat day out with family, she can't enjoy foods at birthday parties...
It is not a quick fix by any means. My mom has had to work so hard to get where she is at now. If you are not willing to make a complete change of your eating habits now, how do you plan to do that after surgery. If you don't change your eating now, you'll gain back all the weight lost from surgery.5 -
AlvinaHayman wrote: »im trying so hard to maintain my blood sugars and weight loss since july 16 ive reduced over 113 units of insulin drop per day compared to 3oo daily. but im on a list for bariatric surgury now for health problems is there any positive feed back about this surgury.
You might want to start another thread, or look for a support group for diabetics on MFP. For someone who may actually need weight loss surgery, the responses might come off as hateful towards the idea of it. The OP's situation is very different from yours and warrants a completely different response.5 -
Don't do it. This is coming from someone who is preparing to have the surgery around the first of December. I've chosen gastric sleeve surgery over gastric bypass, as it's a simpler and less risky surgery. I'm doing this with the knowledge that I will never drink a soft drink or beer again. I will never drink through a straw again. My food choices will be extremely limited, no sugar and very low fat and low carb. I will have issues with loose skin. I am required to lose a certain amount of weight before the surgery. I had to have a psychiatric evaluation and I am required to meet with a nutritionist for three months. Some insurances require much more. To qualify, I had to have either a BMI of 40 or 35 with at least two serious complications of being obese. I have sleep apnea, elevated liver enzymes and a fatty liver, and high cholesterol. The point I'm trying to make is that weight loss surgery is serious, can have some nasty complications, and should be a last resort. If you have to gain weight, especially as much as 25 pounds, weight loss surgery is not a viable option for you. If your weight loss isn't happening with proper nutrition and exercise, you do need to see your doctor, but not a surgeon.8
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AlvinaHayman wrote: »im trying so hard to maintain my blood sugars and weight loss since july 16 ive reduced over 113 units of insulin drop per day compared to 3oo daily. but im on a list for bariatric surgury now for health problems is there any positive feed back about this surgury.
As I've said above, it can be positive, yes. It can drastically improve health and is a tool to get you where you need to be. Just be mindful that it also takes a lot of work and it's not easy.
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I'm 39, and had Gastric Bypass 5 months ago today. I'm 5'8'', and was 256 when I started.. so I was on the "smaller size" of someone who does this surgery.. But this is why I decided to do it. I have a metabolic syndrome called PCOS. It literally made it next to impossible for me to lose weight in my own. I would work out 4-5 days a week for 1-2 hours. I would eat low carb / high protein foods 6 out of 7 days a week. And after 6 months of that, I'd lost a whopping 2 lbs. it was beyond frustrating, and my OB & Surgeon both suggested Gastric Bypass because of its ability to help with insuline resistance (part of the PCOS nightmare).
I researched it, and went back & forth on it several times. 5 months out and I'm down 80lbs, and I have had zero complications. Am I happy I did it? Yes, but I literally tried everything else first.
Here is my typical day now:
Breakfast - premier Protien shake
Lunch - 2oz of cold shrimp, 1/3 c. cottage cheese
Dinner - 3oz pulled pork, 1oz green beans
Snack - Greek Yogurt or a Cheese Stick
Drink - 80oz water & 1 Atkins Protien Water
I aim for about 800 calories, 100 g of Protien and to stay under 30 carbs per day. I aim to run/walk 4-5 miles per day 4 days a week, and I'm now starting to add in weights.
My head still wants to eat ice cream, but my stomach will vomit it up in a hot second. I take 12 vitamins & pills per day to keep my levels where they need to be, and I get blood work drawn every 6 months for the next 2 years, then once a year for life. Any time I could have a bowel issue, gall stones, stricture, or worse.
At the end of the day, I'm doing the same things that my "thin" friends all do daily to stay thin. Eating small potions of healthy foods, exercising daily, etc. I just had to do the Bypass route because my body has PCOS / Insuline resistance and was not capable of doing it on its own.
If you can physically make these changes & lose weight without surgery, you are much better off! Gaining weight to lose weight means that right now, mentally you're not in the right place for this surgery, and you won't be successful long term. You still have to do all the same things with or without surgery. But you can start the exercise & healthy eating NOW and be down 60lbs or more in 6 months if you start today. If you go the surgery route, you have to gain 25, then go through 6+ months of appointments, approvals, tests, and a surgery that had many risk factors. Not the best plan IMO if you have another option - and it sounds like you do!
Hope this helps you & good luck with your weight loss.
Erin6 -
I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
So, you know how to lose weight, the issue is not getting complacent and putting it back on. As many have shared, WLS won't help with that.
How old are you? You look like you're in your 30s in your profile picture. Paging @middlehaitch who has successfully lost weight in her 60s.1 -
Con: You are just as likely to gain the weight back as every other person who has had this surgery.
Pro: Can't think of any.1 -
@jennyc777 ' I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.'
Do you know why you yoyo?
A good approach would be to look at what you did in 2010 that was successful and build on that losing the weight naturally.
There is absolutely no reason (if all and any medical problems are treated) for it to be harder to lose weight as we age.
Out metabolism starts slowing in our early 20's at a consistent rate, all other things being equal, of 50-100 cals every 10 years depending on height, weight, and gender.
(I lost 6 cals on my last birthday)
The majority of fat cells are also established in our bodies at this time (end of puberty).
What does affect our metabolism is the natural slowing of our lifestyle as we age, often leading to a lower LBM.
The above can be counteracted by increasing daily activity, exercise, including some type of resistance work.
Also, when one yoyo diets one loses muscle (if not actively working on preservation) every time one loses weight, and gains fat every time one put it on. This lowering of the muscle mass lowers ones metabolic rate slightly and can have an impact how many calories one can eat.
Resistance work of some type will help alleviate the problem by restoring muscle mass.
Think about...
Setting a goal that is manageable long term, and will help you modify your eating when you reach maintenance.
Eating food that you like in smaller quantities, along with accurate weighing and logging.
Moving more during the day, and and doing some structured exercise 30-60 min x 3-5 times a week.
Rationally sit and determine your goals and how you can achieve long term results.
WLS, should be an informed decision.
Cheers, h.5 -
Um. No. Don't gain weight just to spend copious amounts of money on the surgery and healing afterwards.I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
Use myfitnesspal, weigh all your food and log everything every day. You can do this.
This post reminds me of the Simpsons episode where Homer had to gain weight to work at home....and work in a mumu...
"I just came to see 'honk if you're horny' in peace!!!" Not making fun of you, OP, not at all....I was just reminded, that's all.
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I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
I would not in your situation.
Set a reasonable weight loss goal like 1 lb a week and get a calorie goal with MFP. Don't eliminate all the foods you like or overly restrict your diet. Log everything as accurately as you can. Be patient.
If you are an emotional eater deal with that. Work on developing non-food ways to deal with stress and emotions.0 -
kshama2001 wrote: »I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
So, you know how to lose weight, the issue is not getting complacent and putting it back on. As many have shared, WLS won't help with that.
How old are you? You look like you're in your 30s in your profile picture. Paging @middlehaitch who has successfully lost weight in her 60s.
I am 43 years old. I'm just frustrated with not losing very fast. I have pcos and pre-diabetic.0 -
AlvinaHayman wrote: »im trying so hard to maintain my blood sugars and weight loss since july 16 ive reduced over 113 units of insulin drop per day compared to 3oo daily. but im on a list for bariatric surgury now for health problems is there any positive feed back about this surgury.
I have asked 3 people I know who had the sleeve done and they love it. I also went on you tube and looked up the sleeve surgery and they mostly love it. I have decided i do sound insane and not to do the surgery. Im just so frustrated with myself. Ughhhh5 -
kshama2001 wrote: »I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
So, you know how to lose weight, the issue is not getting complacent and putting it back on. As many have shared, WLS won't help with that.
How old are you? You look like you're in your 30s in your profile picture. Paging @middlehaitch who has successfully lost weight in her 60s.
I am 43 years old. I'm just frustrated with not losing very fast. I have pcos and pre-diabetic.
A dietitian could definitely help you if you can get to one. A specific diet can help with both problems. Do you take meds for your PCOS?0 -
kshama2001 wrote: »I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
So, you know how to lose weight, the issue is not getting complacent and putting it back on. As many have shared, WLS won't help with that.
How old are you? You look like you're in your 30s in your profile picture. Paging @middlehaitch who has successfully lost weight in her 60s.
I am 43 years old. I'm just frustrated with not losing very fast. I have pcos and pre-diabetic.
There's a PCOS group here: http://community.myfitnesspal.com/en/group/3070-p-c-o-sis
Many (but not all) women with PCOS here say reducing or going low carb helped them.
My girlfriend was happy with the results she got by working with an endocrinologist, taking Metformin, and reducing carbs.3 -
kshama2001 wrote: »I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
So, you know how to lose weight, the issue is not getting complacent and putting it back on. As many have shared, WLS won't help with that.
How old are you? You look like you're in your 30s in your profile picture. Paging @middlehaitch who has successfully lost weight in her 60s.
I am 43 years old. I'm just frustrated with not losing very fast. I have pcos and pre-diabetic.
OP, I have PCOS and find more luck losing weight with a low carb diet. Talk with your dr and see if he/she can help you. Join the PCOS group here. Look for support and answers here, before you dive into major surgery. There are many woman around your age that will lose weight by just weighing and logging all food here on mfp.1 -
I had WLS in 2012. I had a vertical sleeve gastrectomy & I'm very glad I did it. It was absolutely the right choice for me. For you OP, I wouldn't. I was well over the 40 BMI mark to qualify. I am really good at avoidance & denial, so I don't actually know my highest weight, but my BMI was probably edging close to the 50's--eeek. My insurance company required 6 months of visits with a nutritionist prior to the surgery, a psychiatric evaluation, & a complete physical to make sure my body could handle the stress of the surgery. In general, they like you to lose weight prior to having the surgery.
Having the surgery does add another tool to help you lose weight & also to maintain the loss, but it takes a lot of work and a complete life change. You have to be totally committed. It does not do anything to help you with the mental challenges of weight loss & that can be really hard to deal with. It can be very hard when your family is celebrating & eating things that you just can't, whether it's because of dumping or just because you just can't fit it in. With the sleeve I don't have any dumping issues--I can eat anything, but my sister also had it & she does. It can be very individual.
I'm over 4 years out from my surgery & I'm at a normal BMI. I lost a lot of weight, maintained it for a while, gained a little back, lost it & more, & now I'm maintaining again. So, it's still a struggle for me. It wasn't just: 1) remove half my stomach, 2) get skinny, 3) live happily ever after. I see my doctor every month & get my blood work done every 3 months to monitor for vitamin deficiencies. I'm aware of my eating every day. I still have to weigh my food, log everything, & stay within my calorie deficit to lose. I have to plan everything out to make sure I get enough protein. I take a handful of vitamins every night. I am no longer able to take NSAIDS.
Again, I still think it was the right choice for me, but I don't believe it would be the right choice to gain weight in order to get the surgery. I also think everyone considering the surgery needs to look very hard at what their expectations are & what the surgery will & won't do for them.6 -
I have been struggling with my weight for years. I am a yo yo dieter. In order for insurance to cover my weight loss surgery, I need to gain 25 pounds. Should I do this? Has anyone had the sugery done? What are the pros and cons? I am capable of losing weight. I have lost 80 pounds in 2010 only to gain it back. It just seems like the older I get, the harder it is to lose.
As to the part in bold: NO! Absolutely not. Why in the heck would you want to gain 25 pounds to have the weight loss surgery just to lose weight again? That can put your body through a lot of stress, not to mention the emotional toll.
You have lost weight, you can do it again....and you can keep it off.
I was obese until my 40's, overweight until my 50's and now I'm at a normal BMI. If I can do it without weight loss surgery, anybody can...you can too.
My SIL had weight loss surgery and said if she had it to do over again, she wouldn't do it. By the way, she has gained a good amount of her weight back.
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I've known at least 7 people who had the surgery and every single one of them gained the weight back. You still need to learn proper eating / watch calories, etc. One friend, after her surgery, couldn't eat period. She threw up everything she tried to eat and had to have another surgery so she could eat small amounts. She got down to extremely thin - 10 years later, just as big as she ever was. Another one had the surgery, lost some weight, started drinking pop a few months after surgery, and didn't end up losing for very long, and she is also now back to square one.
You need to just learn to control your portions/calories. To gain 25 lbs just so you can have surgery is insane.1 -
I had a sleeve gastrectomy about 5 years ago. Went from 305 to 155 and have been maintaining for about 2 years
I can eat whatever I want, no restrictions ( except carbonation). I do take supplements for vitamins, but I did before the surgery as I was anemic. I had no complications, have lost the weight, have more energy than I thought was possible. I ran my first 10 mile race !
However, I also made a complete 180 lifestyle change. I focus on protein now, and voluntarily eat healthier than I ever did before.
If I don't take care, I will gain. It's only a tool, and will fail if you let it. For me, it was the catalyst to change my life.4 -
@SLLRunner Thank You! I appreciate the kind words. I will definitely try to be more active on here and not such a lurker. LOL0
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AlvinaHayman wrote: »im trying so hard to maintain my blood sugars and weight loss since july 16 ive reduced over 113 units of insulin drop per day compared to 3oo daily. but im on a list for bariatric surgury now for health problems is there any positive feed back about this surgury.
I have asked 3 people I know who had the sleeve done and they love it. I also went on you tube and looked up the sleeve surgery and they mostly love it. I have decided i do sound insane and not to do the surgery. Im just so frustrated with myself. Ughhhh
That took a lot of courage to post. I think you have the strength to do this. The day to day is so hard. I sympathize with that totally. My doctor kind of wants me to have the surgery. I am leery of it because of the people I have seen it fail with. I have lost weight in the past on my own and then slipped back... I can do the same thing post surgery. The problem isn't my body, it is my mind.6 -
WLS is only a tool, and should be a last-resort tool at that. Given you've had success in the past, and don't qualify I would definitely say: don't adopt extra unhealthy habits just to be covered for surgery! That's like breaking your own nose to have a rhinoplasty!
I would log meals here, cut calories, eat whole foods and exercise. It's not easy. But it's better than the risk and recovery involved with surgery - that will ultimately lead to you making those SAME changes.
I know the position you're in. I didn't qualify for covered surgery so I forked over a huge amount of cash for lap band surgery, and it's honestly my only regret in life. I forked it over to a surgeon who cared about filling his wallet vs helping me get healthy. I had complications. Needed a second surgery. It had no impact on my hunger or weight. I got depressed as a result: gained more weight. I still have issues related to the surgery and here I am back at square one, doing things as I should have done before (and I had tried every stupid diet before). But now I'm focused on health. Eating the right foods (that took a while) and now my focus is on eating the right amount and moving more. Losing 2lbs/week now vs the only weight lost after surgery was during complications (couldn't eat, barely drink).
At the end of the day you have to decide what's best for you and feel good about your decision. But that's my story! If you decide to work MFP, feel free to add me.2 -
After the surgery (my parents both have had it my mom gastric bypass and my dad the lap band) you have to eat small portions of healthy food and stick to it. Just how mfp asks you to do. If you dont you will still gain it back. My mom went from 280lbs and dropped down to a size 1 after about a year or 2 after she kept eating and started gaining it back and reached a size 9 and she wouldve kept gaining if she didnt pass. My dad got the lap band started around 260 and hes had it for years and is still 230 because he wont change what he eats. All my aunts have it to and they all gained most of it back because you need to change your mind set. If you have to gain to get it i say no. If you arent 600lbs and in dier need of it to live then you can do it. But you need to change you first.2
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Definitely NOT. I mean, typically you have to prove that you can even stick to healthy caloric consumption and lose weight to even qualify for surgery in the first place. Okay, so you lose weight and qualify for surgery. So, if you can LOSE weight without the surgery , why bother putting yourself through all of that pain and spending all of that money for something that you can do regardless of whether or not you've had part of your stomach removed? Weight loss surgery does not take away the desire to eat, it does nothing to your appetite, and you can and WILL undo the surgery if you can't keep your diet under control in the first place. It's really a glorified and dangerous placebo, IMO.1
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I won't judge, but I wouldn't recommend going that route if possible. I have had issues with losing weight and gaining it back in the past myself. I have re-committed since mid-February and taken over 50 lbs off this year. If I can do it, you can too! If you can conquer the mental and emotional triggers, you can make the lifestyle changes and achieve and maintain the physical results that you are looking for. Good luck in your journey!3
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DawniDeHart wrote: »Definitely NOT. I mean, typically you have to prove that you can even stick to healthy caloric consumption and lose weight to even qualify for surgery in the first place. Okay, so you lose weight and qualify for surgery. So, if you can LOSE weight without the surgery , why bother putting yourself through all of that pain and spending all of that money for something that you can do regardless of whether or not you've had part of your stomach removed? Weight loss surgery does not take away the desire to eat, it does nothing to your appetite, and you can and WILL undo the surgery if you can't keep your diet under control in the first place. It's really a glorified and dangerous placebo, IMO.
I do want to address the bolded statements. Both gastric bypass & vertical sleeve gastrectomy reduce the amount of ghrelin that your body produces. I think that gastric bypass does a slightly better job of it, maybe because more of the stomach is taken out of the picture. This does help with hunger. Also, since my capacity is much smaller, I am able to eat & be satisfied with a much smaller amount than previously. Volume-wise I can fit in around 8oz (maybe 10 oz depending on what it is) of food at a time. If eat more, I am very uncomfortable & prone to heartburn. Feeling full while eating a much smaller amount also helps with my physical appetite which was a big issue for me prior to my surgery. Also, there are immediate positive benefits for people with diabetes:
"In patients with impaired glucose tolerance most studies report 99-100% prevention of progression to diabetes, while in subjects with diabetes prior to surgery, resolution of the disease is reported in 64-93% of the cases. "
http://www.ncbi.nlm.nih.gov/pubmed/17709879
I would say it's more than a placebo & is a valid option for many people.2 -
DawniDeHart wrote: »Definitely NOT. I mean, typically you have to prove that you can even stick to healthy caloric consumption and lose weight to even qualify for surgery in the first place. Okay, so you lose weight and qualify for surgery. So, if you can LOSE weight without the surgery , why bother putting yourself through all of that pain and spending all of that money for something that you can do regardless of whether or not you've had part of your stomach removed? Weight loss surgery does not take away the desire to eat, it does nothing to your appetite, and you can and WILL undo the surgery if you can't keep your diet under control in the first place. It's really a glorified and dangerous placebo, IMO.
I do want to address the bolded statements. Both gastric bypass & vertical sleeve gastrectomy reduce the amount of ghrelin that your body produces. I think that gastric bypass does a slightly better job of it, maybe because more of the stomach is taken out of the picture. This does help with hunger. Also, since my capacity is much smaller, I am able to eat & be satisfied with a much smaller amount than previously. Volume-wise I can fit in around 8oz (maybe 10 oz depending on what it is) of food at a time. If eat more, I am very uncomfortable & prone to heartburn. Feeling full while eating a much smaller amount also helps with my physical appetite which was a big issue for me prior to my surgery. Also, there are immediate positive benefits for people with diabetes:
"In patients with impaired glucose tolerance most studies report 99-100% prevention of progression to diabetes, while in subjects with diabetes prior to surgery, resolution of the disease is reported in 64-93% of the cases. "
http://www.ncbi.nlm.nih.gov/pubmed/17709879
I would say it's more than a placebo & is a valid option for many people.
I agree that for people with severe medical issues it is a good option. I still believe though that many people go into it thinking that this will be a cure all for any weight loss issues. Once they get done with the surgery, they lose the initial weight and do ok. Over time though, many people slip into old habits and just gain the weight right back. Yeah you can only hold 8oz or so at a time. If you slowly over eat though, you would stretch out your pouch and would eventually gain weight. It is a helpful tool, but nothing more.
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