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[quote=Anonymous][quote=Anonymous]OP here. I have thought about the gastric sleeve. But surgery has its own risks and complications. I have the money for it. It just feels just such a cheat way to go. I could lose their weight if I could just control myself.

I am afraid that the surgery won’t change my habits. I do need some psych help here. This is addiction. And no I don’t binge, but I sneak all day. I will go to the market, get a piece of pizza and eat it in the car. Or McDonald’s and do the same. Grab a cheeses sandwich at me.I do this all the time.
FYI, I have NEVER admitted the last paragraph to ANYONE. Obviously if I stopped doing that I would lose weight! But I don’t. I can’t. [/quote]

I’m the same age and need to lose the same amount (a little more, actually) and most of it piled on in perimenopause which throws hormones seriously out of whack and causes the feeling of insatiable hunger, so that on top of any preexisting emotional eating issues spells disaster!

After trying a lot of approaches, I have recently found some reliable success with intermittent fasting. It took me a few weeks to get rolling with it, but once my body acclimate I found my hunger much diminished as well as obsessive thinking about food. I recommend Fast. Feast. Repeat. by Gin Stephens

I have also considered bariatric surgery, but most doctors require that you lose some weight to prove you can before surgery, and if you can, it’s better for your long term health to do it that way. Rapid weight loss like from surgery results in bigger excess skin issues, most folks after surgery struggle with absorption of vitamins which is already an issue in middle age and can cause a lot of health issues so that requires careful monitoring and supplementation, plus you can fail at weight loss surgery too, so you might as well try natural weight loss first.

Dialectical behavior therapy is good for disordered eating. Support groups help a lot - you can get involved with overeaters anonymous online and attend meetings virtually in pandemic times. Find a good support buddy.

What I like about IF is that you can eat ANYTHING, but only in a window of time. Delay, don’t deny. I still try to limit certain foods that trigger cravings, but I’m not restricting a whole category of foods all the time which is an impossible approach for me - I’ve lost a lot of weight on keto but hated side effects and just couldn’t maintain it long term. On IF you don’t have to restrict any categories of food - just how long you let yourself eat every day so your body can get into ketosis from fasting and autophagy can kick in, which not only burns fat but cleans up all kinds of crap in your body.

It can’t hurt to try. You can always do surgery later if you decide that’s your path.  [/quote]

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