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Diet, Nutrition & Weight Loss
Reply to "Super morbidly obese. Where do I start?"
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[quote=Anonymous]Walking to start. Find a doctor who isn’t fat phobic (it’s going to be hard because so many of them are simultaneously incredibly ignorant and judgmental about obesity, so you will probably have to try a few) Consider therapy. A huge percentage of SMO people have a history of sexual abuse and trauma in their background, and it is hard to lose weight without emotional support. Look into semaglutide. Consider bariatric surgery but as a warning, the gastric sleeve doesn’t have great permanent outcomes for SMO patients. The duodenal switch does, but that is a very serious surgery that requires a lifetime of nutrition supplements. It is extremely successful, though. Consider this to be a multi year project. Consider evaluation for ADHD, also often associated with SMO people. Be extremely skeptical of DCUM (although this thread hasn’t been as bad as I’d expected). [/quote]
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