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Old 04-25-2013, 12:52 PM   #31
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Quote:
Originally Posted by CaFeeney View Post
Weight loss is really one of those things that everyone has opinions on don't they? As a gastric bypass patient 10 years out from surgery let me share a few of my personal insights/experiences with all of you and then I have no doubt you will be sure to let me know how I could have done things differently if I had willpower or self control and didn't take the "easy" way out by having a major surgical procedure.

I have been fighting my weight my ENTIRE life - always the fat kid (both parents 100 lbs over weight). Started Weight Watchers at 12 years old. Gained and lost 100 lbs more than once on WW. I could tell you the points in almost anything. Try me.

I have also tried every fad, prescription diet drugs that gave terrible side effects, went to nutritionists, etc. So please don't tell me I did't "try" hard enough. Hard enough for who? Also please do not tell me I lack willpower. I have had the willpower to reach my educational and career goals, have a great family, supportive friends, no addiction or abuse issues. Totally normal girl - except that I was over 300 lbs and getting bigger.

I was on high blood pressure medication and looking forward to type II diabetes, joint issues, etc. Believe me I know the dangers of obesity. Then add the fact that it is very difficult to be a fat kid/teen/adult. Unless you have been there you will not understand the level of teasing and name calling that overweight people are subjected to.

So, in my mid 30's I made the incredibly brave decision to seek weight loss surgery. This was a 2 year process that included psychological and nutritional counseling as well as medical testing and monthly support groups. This was not something I took lightly or viewed as an easy answer to my weight issues.

My surgeon told me I had a less that 5% chance of losing weight and keeping it off without medical intervention. This is not true for all GB patients but it was true for me.

So - let's fast forward 10 years. Surgery went great - no complications thankfully. I see my doctor for follow up visits, take my vitamins, and exercise 2-3 times per week. I lost 130 pounds. I am still overweight and would like to lose more for my health. I take NO medications and am very healthy. Just celebrated my 10th wedding anniversary and had a wonderful daughter almost 7 years ago who is the joy of our lives. None of this would have been possible for me without weight loss surgery.

So before you go on talking about how "is it really necessary" or "if those overweight so and so's would just stop stuffing their faces". Just think a bit before you speak - put yourself in someone's shoes for a bit .
Congrats on your weight loss. That is great. I really mean it. Truly.

I just think that you are getting angry when people do question it. I can honestly say that I still don't understand how it worked for you to limit your portions through surgery- with the exception of feeling full- yet limiting portions didn't work without surgery. It's an honest question. There is no malice in that at all. What is it that made the surgery work but nothing else did? That is the real question. Why does the smaller portion size work post surgery but not before? I know a few people who have had WLS. It did not work for all of them. Some never really lost a lot of weight, some lost a lot and so far so good but their eating habits are terrible (not healthy) one died and never made it out of the hospital and one lost and gained it all back (again- not eating healthy). I am not judging. I simply don't get what the surgery does that healthy living doesn't.
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Old 04-25-2013, 12:53 PM   #32
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I have to agree with Robin. She wasn't saying that people are piling on a much as offering opinions about issues they personally have not had to deal with.

WLS is a tool. Any bariatric group worth their salt will offer nutritional guidance, counseling, fitness advice and group sessions to support the patient. Many surgeons and medical plans ain't even allow the surgery unless the patient has shown previous attempts to lose weight through other means. For some people dieting is easy. For others it is a daily challenge and for them, WLS is a possible alternative.

I had lap band surgery six years ago. I had tried medifast, weight watchers, working with nutritionists, nothing helped. I was an athlete when I was younger and developed bad habits from never worrying about what I ate. I also came from a Jewish family (other members of the tribe might appreciate that ;-) I started putting on weight after tearing my ACL in college and finding I couldn't be as active as I was used to being. I developed diabetes and have cholesterol problems. I had a heart attack when I was only 44 years old (I'm 58 now). With the lap band, I lost 75 pounds, but then I had some issues and my doctor suggested the gastric sleeve. It's been a year and I'm down 110 pounds from my original weight with 40 to go to my goal. Are there days when I eat something I shouldn't? Sure. Weight loss isn't about punishing yourself. My food intake has been greatly reduced. Gastric bypass and sleeve changes your body chemistry so that you don't think about food the same way. I exercise as much as time permits and I listen to my doctor. Since losing the weight I'm off my diabetes and cholesterol meds. I can walk up stairs without feeling like I'm dying. My energy level is high and I feel good about myself for the first time in years. My wife loves that for the first time in years she can actually put her arms around me. Would I do it again? In a heartbeat.
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Old 04-25-2013, 12:55 PM   #33
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Quote:
Originally Posted by CaFeeney View Post
Weight loss is really one of those things that everyone has opinions on don't they? As a gastric bypass patient 10 years out from surgery let me share a few of my personal insights/experiences with all of you and then I have no doubt you will be sure to let me know how I could have done things differently if I had willpower or self control and didn't take the "easy" way out by having a major surgical procedure.

I have been fighting my weight my ENTIRE life - always the fat kid (both parents 100 lbs over weight). Started Weight Watchers at 12 years old. Gained and lost 100 lbs more than once on WW. I could tell you the points in almost anything. Try me.

I have also tried every fad, prescription diet drugs that gave terrible side effects, went to nutritionists, etc. So please don't tell me I did't "try" hard enough. Hard enough for who? Also please do not tell me I lack willpower. I have had the willpower to reach my educational and career goals, have a great family, supportive friends, no addiction or abuse issues. Totally normal girl - except that I was over 300 lbs and getting bigger.

I was on high blood pressure medication and looking forward to type II diabetes, joint issues, etc. Believe me I know the dangers of obesity. Then add the fact that it is very difficult to be a fat kid/teen/adult. Unless you have been there you will not understand the level of teasing and name calling that overweight people are subjected to.

So, in my mid 30's I made the incredibly brave decision to seek weight loss surgery. This was a 2 year process that included psychological and nutritional counseling as well as medical testing and monthly support groups. This was not something I took lightly or viewed as an easy answer to my weight issues.

My surgeon told me I had a less that 5% chance of losing weight and keeping it off without medical intervention. This is not true for all GB patients but it was true for me.

So - let's fast forward 10 years. Surgery went great - no complications thankfully. I see my doctor for follow up visits, take my vitamins, and exercise 2-3 times per week. I lost 130 pounds. I am still overweight and would like to lose more for my health. I take NO medications and am very healthy. Just celebrated my 10th wedding anniversary and had a wonderful daughter almost 7 years ago who is the joy of our lives. None of this would have been possible for me without weight loss surgery.

So before you go on talking about how "is it really necessary" or "if those overweight so and so's would just stop stuffing their faces". Just think a bit before you speak - put yourself in someone's shoes for a bit .
Which thread are you reading because it can't be this one.
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Old 04-25-2013, 12:56 PM   #34
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Quote:
Originally Posted by gometros View Post
I have to agree with Robin. She wasn't saying that people are piling on a much as offering opinions about issues they personally have not had to deal with.

WLS is a tool. Any bariatric group worth their salt will offer nutritional guidance, counseling, fitness advice and group sessions to support the patient. Many surgeons and medical plans ain't even allow the surgery unless the patient has shown previous attempts to lose weight through other means. For some people dieting is easy. For others it is a daily challenge and for them, WLS is a possible alternative.

I had lap band surgery six years ago. I had tried medifast, weight watchers, working with nutritionists, nothing helped. I was an athlete when I was younger and developed bad habits from never worrying about what I ate. I also came from a Jewish family (other members of the tribe might appreciate that ;-) I started putting on weight after tearing my ACL in college and finding I couldn't be as active as I was used to being. I developed diabetes and have cholesterol problems. I had a heart attack when I was only 44 years old (I'm 58 now). With the lap band, I lost 75 pounds, but then I had some issues and my doctor suggested the gastric sleeve. It's been a year and I'm down 110 pounds from my original weight with 40 to go to my goal. Are there days when I eat something I shouldn't? Sure. Weight loss isn't about punishing yourself. My food intake has been greatly reduced. Gastric bypass and sleeve changes your body chemistry so that you don't think about food the same way. I exercise as much as time permits and I listen to my doctor. Since losing the weight I'm off my diabetes and cholesterol meds. I can walk up stairs without feeling like I'm dying. My energy level is high and I feel good about myself for the first time in years. My wife loves that for the first time in years she can actually put her arms around me. Would I do it again? In a heartbeat.
I bolded. Thank you for giving that information. Can you explain more about that so maybe myself (and others) could have more insight?
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Old 04-25-2013, 01:03 PM   #35
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As someone who had GBP 8 years ago, lost 200lbs and kept all but 20 of it off. Yes sometimes people need help.

I think people think you have this surgery just by walking through a door and asking for it. If that happens it is a very unethical Dr. I went through more than 16 months of therapy, meetings, nutrition counseling to get where I was. I was also required to lose 10% of my body weight by diet & exercise before surgery.

I weighed 347lbs and now am at 167. What it did was become a tool of help. I still had to relearn eating & exercise. I have since run marathons, play hockey & hit the gym alot more than most "normal" people. I have also guided 4 more people on their journey.

No tool is 100% for all people, every surgery has risks and some people can be helped but some others can't just like an alcoholic and antabuse.
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Old 04-25-2013, 01:14 PM   #36
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There are a lot of very inspirational stories on here about people whose lives and healthy were vastly improved by surgery. I applaud all of you.

I've not had surgery and am not a candidate, so I'm not taking it personally, but I think there are definite implications here that the people who elect to have such surgery are doing it because they're lazy, have no self control, etc.

It reeks of judgment, starting with the thread title: "Weight loss surgery - does anyone REALLY need it."
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Old 04-25-2013, 01:17 PM   #37
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Quote:
Originally Posted by DizBelle View Post
What kinds of difficulties?
Losing 200+ pounds sounds pretty difficult to me. I lost 30 about 8 years ago and it was the hardest thing I've ever done. I can't imagine having to lose hundreds of pounds.
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Old 04-25-2013, 01:26 PM   #38
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There are a lot of very inspirational stories on here about people whose lives and healthy were vastly improved by surgery. I applaud all of you.

I've not had surgery and am not a candidate, so I'm not taking it personally, but I think there are definite implications here that the people who elect to have such surgery are doing it because they're lazy, have no self control, etc.

It reeks of judgment, starting with the thread title: "Weight loss surgery - does anyone REALLY need it."
Ok, I'll admit I chose the title to get people's interest and responses. Not necessarily because I believe it.
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Old 04-25-2013, 01:56 PM   #39
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Originally Posted by DizBelle View Post
I'm asking because I really don't know....

Is there truly anyone for whom diet and exercise won't work and therefore they have to have weight loss surgery in order to lose weight?

The point of weight loss surgery is to physically limit the amount of food one can take in. Food can also be limited just by not eating it. So why is surgery needed?

FTR - I know of 2 people that have had weight loss surgery. One died a few days later in the hospital and the other doesn't look like he's lost any weight (he may have actually lost weight but to my eye he looks about the same size).
As I understand it, another aspect of gastric bypass surgery has to do with malabsorption -- your body will not process all of the calories eaten.

Personally, I don't understand why an alcoholic can't just stop at one drink. I guess because I've never walked a day in his shoes.
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Old 04-25-2013, 02:29 PM   #40
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There is a documentary out there that BBC did called GUTS. In one part of it they explained that the stomach secretes a hormone that tells the brain you are hungry. Gastric Bypass cuts off the portion of the stomach that releases that hormone so your hunger is greatly reduced. I though that was really interesting and something I did not know before.
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Old 04-25-2013, 02:34 PM   #41
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Gastric Bypass works by restricting your intake of food and by malabsorption (rerouting and passing by part of the digestive tract).

Gastric sleeve works by reshaping your stomach from a balloon shape to that of a banana. During surgery, approximately 80% of the stomach, including the portion where the "hungry" hormone is produced.

Gastric banding is where a band is placed around the stomach creating a small stomach pouch with a small stoma at the bottom. Picture an hourglass. As the patient loses weight, the fatty pad around the abdomen shrinks and the band loosens. The band can be adjusted by adding saline to to tighten it.

All of the surgeries have side effects.

The band is the only procedure that can be easily reversed without greater risk than the original surgery.

WLS is not for the feint of heart. It should not be done for vanity alone. It should be not done because it is "easier" that traditional diet and exercise. (It's not!!)

As I stated above, I am banded and I am happy to share my experiences, opinions and some good resources. Just PM me.

Last edited by ChristineNic; 04-25-2013 at 05:07 PM. Reason: new information from a poster below
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Old 04-25-2013, 03:06 PM   #42
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Originally Posted by Mouse House Mama View Post
I can honestly say that I still don't understand how it worked for you to limit your portions through surgery- with the exception of feeling full- yet limiting portions didn't work without surgery. It's an honest question. There is no malice in that at all. What is it that made the surgery work but nothing else did? That is the real question. Why does the smaller portion size work post surgery but not before? I know a few people who have had WLS. It did not work for all of them. Some never really lost a lot of weight, some lost a lot and so far so good but their eating habits are terrible (not healthy) one died and never made it out of the hospital and one lost and gained it all back (again- not eating healthy). I am not judging. I simply don't get what the surgery does that healthy living doesn't.
Not everyone loses weight the same way. It is just that simple. You seem to think that if you just limit your portion sizes then the weight will magically just disappear. And it might work that way for SOME people. It does not work for all.

I quit smoking. Then I quit working to stay home with my son. Then I got pregnant and put on bed rest for the duration. I gained around 50 lbs. I need to lose that weight. I was exercising. I was tracking every single calorie that passed my lips. I lost ONE pound in a YEAR. Eating less didn't work. Exercising didn't work. My doctor could find no biological reason for me to not be losing weight. Now, I am happy to say that I have found something that works for me and have lost 20 pounds recently. But it took a lot of playing around with things to find what works for me. I am part of a weight loss support group and nothing works the same for any of us.
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Old 04-25-2013, 03:13 PM   #43
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Warning--long post!

Interesting topic, with a LOT of misinformation going around.

1. Gastric bypass does NOT change the way you think about food. You will have to tame that tiger every day for the rest of your life.

2. Gastric bypass IS reversible. But it is rarely done because the risks are so high--much higher than for the original surgery.

3. Gastric bypass is NOT an "easy fix". It is NOT a "get out of fat free" card.

I know these things because I had gastric bypass 12 years ago. After trying every weight loss program out there, and losing hundreds of pounds, only to regain it all and then some, it was that or nothing. I would be dead right now if I hadn't done it. I have lost over 300 pounds. 250 came off in the 2 years after the bypass. I regained 50 over the next several years. 5 years ago I decided it was time to finish the job once and for all. I did the diet and exercise thing and lost 113 pounds in about 15 months, for a total loss of 313. Got to my goal weight, started back to the old habits, and gained back 70 pounds. In July I joined Weight Watchers. For the first time, I thought of it, not as a temporary thing, lose the weight and then I'm done, but as a lifestyle change. Whatever I do to lose the weight, I will have to continue to do to keep it off. I am at my goal (actually below it). Total loss 306, 70 on WW.

Do I still eat things I "shouldn't"? Sure, but not often, and not much. I vastly prefer healthy foods. The fact is, when I eat like cr*p, I FEEL like cr*p. I go to the gym a few times a week, and have an elliptical in my bedroom that I use daily. I am also much more active overall than I used to be. I do not drink my calories. I drink water, and occasionally a cup of tea. You can gain your weight back really fast drinking soda and milkshakes! And junk food has the same number of calories after surgery as it did before. You just have a physical limit to how much of it you can eat at once. Keep pushing that limit and you will basically stretch out your "pouch" and defeat the surgery.

I had some complications--like a recurrent hernia that is about to be repaired for the 8th time. I don't absorb iron, so I have to go for iron infusions every couple years for 10 weeks. I had a ton of hanging skin, so I had reconstructive surgery to get rid of it. Not cheap, but very well worth it. Bottom line, if I'd known then what I know now, would I do the surgery. H*ll YES!!!

It's not brain surgery. It doesn't make you lose interest in food. And after the "honeymoon" period, you don't lose faster because of the surgery. It basically levels the playing field. I work about as hard at losing weight as the average person does, as opposed to having the deck stacked against me before surgery. It's a TOOL. Not a magic wand.

It also is known to be almost a cure for type 2 diabetes. Many people I know who have had it for that reason have lost 50-80 pounds and had the diabetes disappear. No meds. No symptoms. No sign they were ever diabetic. Same results for people who were massively obese and diabetic, who lost hundreds of pounds.

My cholesterol is lower than my teenagers'. My BP runs about 100/60. Other than the low iron and anemia, my blood work looks like a 25 year old's. I have my life back.

So to answer the OP question--YES, some people REALLY do need weight loss surgery!
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Old 04-25-2013, 06:15 PM   #44
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I recently posted on another thread about this, but a coworker/friend had gb I think 2 summers ago. I am not aware of any long-term pre-op counseling, nutritionist, doctor visits....at least I never heard her talk about them, and she tells everyone EVERYTHING. She did try WW once.
Anyway, she ate herself up to the weight she had to be in order to have the surgery. Now that she's lost over 100 lbs, she goes around the office to all the "fat chicks" and says they should talk to their doctor. She got her cousin to do it. "Just go see my Dr, he'll do it for you." (That's a whole other issue though...as I stated in my other post, she has had at least one surgery a year since she's worked with me. ).
I'm just tired of hearing "Oh I shouldn't eat this, I'm gonna be so sick, but I'm gonna anyway..." "How much sugar is in that? Oh that's too much, I can't eat that" but she orders lunch just about every day and I swear every time I see her she's eating something. I don't think she is going to counseling (I have not heard her mention it) so to me, she has not addressed the issues that may have caused her to overeat in the first place. And there are a lot of issues that she talks about.
I did try and read up on it, and it seems control is an important word. I've noticed how she does her hair...it's very precise (control?). I guess control of eating is a way to feel in control of something when it seems things around you are out of control.
Just for the record, I am a plus-size gal but she has not approached me. (I've been the same size for 17 yrs but am now getting that menopause spare tire thingy...ugh!)
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Old 04-25-2013, 06:40 PM   #45
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My husband had it done 3 years ago. He had tried to diet lots of times but to no avail. He was then diagnosed with bladder cancer and to undergo surgery to cure that he had to lose the weight. The surgeon wouldn't do the surgery until he lost 150 pounds. He had high blood pressure and diabetes prior to surgery. Those are thankfully gone now. He is still hanging around 250 pounds weight wise but it's better than the 400+ that he was. Getting the bladder cancer probably saved his life because without it the insurance wouldn't pay for GB.

He is one of 5-10 people that I know who have had GB. The only one I know that I disagree with had a sleeve done recently and only had 40-50 pounds to lose. She is about 6 weeks post surgery and I don't see how she can lose much more weight. THAT to me (IMO) is a case of someone not needing to have it done. She (IMO) just wanted a quick fix to her weight loss issue. But, to each his own. I have watched people my whole life struggle with weight. With alcohol and cigarettes you don't need those to live. Food addiction is worse because you have to eat to live.
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