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[quote=Anonymous][quote=Anonymous]Gastric sleeve. Totally life changing but you need to really commit to the program. You need to address why you over eat first with a therapist. [/quote]

PLEASE do not consider gastric sleeve until you’ve given yourself a true commitment and effort to do it the right way for at minimum a year.

Bariatric surgery isn’t as successful as the bariatric surgeons make out - because they only measure weight loss in the immediate years following surgery, they don’t advertise the very high rate of weight regain considering you’ve destroyed your guts and system for absorption of nutrients permanently, and they also don’t advertise the very high rates of transfer addictions to alcoholic, opiates, gambling, shopping to bankruptcy, divorce that are part of the post bariatric surgery reality. And also that a very significant percentage of bariatric patients suffer with depression after surgery because your body changes forever and it’s still incredibly hard to not stuff yourself back into morbid obesity.

The causes of obesity are multiple but critical in most cases is the mind-body link. Cutting most of your stomach out will reduce hunger hormone ghrelin and cause so many unpleasant side effects that you’ll lose a lot of weight fast by simply struggling to eat for several months. But eventually your body heals and the psychological reasons behind eating are still there. CBT is critical if you want to be successful long term on weight gain. Add more veggies and fruits and water. Start moving your body, and don’t give up if it hurts - get really good sneakers for walking I love my Sauconys and if walking is too uncomfortable at first, swimming is a good alternative as is water aerobics and there are plenty of heavy people there no need for shame.

It will take a long time to get where you want to be - 2 years minimum if you keep with it. It is best for the weight to come off slowly and steadily while you move your body - that’s the best chance to reduce the appearance of saggy skin. Also weight lifting and resistance bands can work on toning you as you lose and you can do both at home if you don’t care for the gym scene.

Good luck! I’m on a similar journey so we can travel parallel paths. I decided to reject the push for bariatric after I spend half a year reading and researching -  reading a lot on the online support groups to see the struggles of people with all the bad effects they don’t advertise at the surgeon’s office. I figured I owed it to myself to do an honest year of taking care of me before permanently altering my insides. You probably do too, although get checked by the GP to see how bad your numbers are before you decide.  [/quote]

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