Bariatric Surgery

i had some friends and family do it. but they kept there bad eating habits. i few had to have it redone. it is an extreme measure that does come with complications. but i know it added years to a few friends lives. i would not recommend it if you pretty much haven't tried everything else. they all had to learn to eat different in the end. if they did that in the first place they would not have had to get the surgery.

Correct. Most of the people that get it are too fucking lazy to actually eat correctly and exercise. I bet the OP is eating way more food than he needs. If he dropped to 1200 calories a day he could drop 30 to 40 pounds in a month.

I'd say that you are somewhat correct. My current diet yields an intake of 1800-2000 calories per day, if the fitbit is remotely correct in the calories burned puts me over 4k on any average day. which should yield a significant weight loss quite quickly. At 1400-1600 calories per day I lost approximately 30# in 9 months. The advice I've received from dieticians and medical professionals is to avoid starvation/crash/super low calorie diets, as you've described, because they do not lead to sustained weight loss.

Yes the success rate is roughly 60% for surgical options (minus banding procedures they fail 90%). Eating habits do have to change and I'd say I've been down just about every diet/weight loss path. 5 years ago I wouldn't have even considered it and told my primary care doc as much when he suggested it as an option.

Put in the work and eat right to fix the issue.

I was jobless for a year back in my mid 20's and my diet consisted of fast food and junk. I got to the heaviest I have ever been and had high blood pressure. Doc wanted to give me BP pills. I said fuck that, I will fix this.

I changed my diet from fast food to strictly whatever was sold in produce department. I ran to the local basketball courts everyday to do a variety of intense cardio exercises and left each time drenched in sweat. I didn't pick up the ball once. This was work, not play. Six weeks go by and my BP was excellent and I dropped all that weight and never gained it back cuz I stuck to eating lots of fruits and veggies.

It takes hard work and permanent diet change to see your dick again. Don't take the easy way out that may not work.

Food is an addiction. Treat it as such.

What you really need is surprisingly little food.
If you sit around all day you need even less!

You need a lifestyle change, period.

My ex did it. She stuck to the dietary changes, et. al, for a couple years after surgery, but then I noticed her sneaking in more and more junk again (like her addiction to Pepsi). By the time we were divorced, half of her prior weight loss had returned.

She would have had the same results with the same dietary changes had she not had the surgery to begin with.

No fads, no crash diets, just simple math. Intake < Output = Weight Loss, period. Take in fewer calories than you expend, stay away from super-processed foods and unnecessary sugars. More protein, less carbs. Drink at least a gallon of water a day, no teas, no sodas, no energy drinks, minimal juice. That's all there is to it. You won't even need to work out much, provided you are eating the right portions of the right foods.

there are a lot of factors to determine success.

The doctor is a huge portion of it. I know a couple people that have gotten it done. Different doctors.
One, done in mexico, it worked great for her. She is just not ever hungry. She often forgets to eat and takes looking after.

The other is the typical, went back to bad habits and started gaining weight.

No matter what happens, yes surgery will give you a great jump start but it is the long term eating decisions that have to change.

Neither gal exercised like they were supposed to. They just starved themselves because it was easy. So there was no lifestyle changes.

But also don't forget once you lose the weight you will feel better and hopefully become more active.

Not always as easy as Calories in/Calories out equation. What types of calories matter way more for some than others. Have to find what works for you. Otherwise, I know of one success story. Changed literally everything about her life, food intake, exercise, all of it. I know of 2 others that fell back into shitty habits and are headed back to where they were.

How much overweight were you? I do recognize that I need a lifestyle change and have been changing things for the better for many years. As far as seeing my dick, well that's not a problem.

I'm well aware of calorie densities of food and how much more fruits/veggies and whole grains can be consumed vs processed garbage. I am quite active, last night was the first time in I don't remember how long that I actually sat down and watched TV with my wife. My daughter asks me why I don't watch TV. I just finished building storage shed and running power out to it. I did all the work from the dirt work for slab prep to roofing to trenching the power and climbing in my attic (in May in FL) to run the required wires.

I overcame the soda addiction shortly after high school. Dr. Pepper was my drink of choice and I'd down about 6L/Day now there is a water cooler on the other side of my desk which usually lasts me a bit less than 5 days in the office.

I think I have the right portions of the right foods figured out. My insurance company sponsored a weight management pilot where they paid for a program with a dietician and lifestyle coach that did weekly coaching, diet & exercise analysis. I did manage to loose some weight through this process most within the first 9 months and that was 30 lb and maintained the plateau for the next 18 months with increasing exercise and mild decrease of calorie intake while maintaining quality of calorie intake.Honestly I'm the most active fat man I know, I've swapped my riding mower for a push mower. recreation is hiking, or walking. My job is on a college campus and I'm routinely walking around. step counter estimates put me between 5 & 8 miles per day "in the office" I can't sleep well if I haven't moved around enough and the days where I'm stuck sitting at my desk are absolute torture. ("sitting at my desk" usually entails only 3 miles or so of walking)

Selecting the doc is a big portion of the decision. There are several in the immediate area that are highly rated, I'll seek to find some previous patients from each before I actually decide. Mexico is not in my realm of consideration. My insurance plan will cover the surgery minus my copay/deductible so expensive USA based surgeon is the only way I'm going under the knife.

Overall the success rates are only slightly better than a flip of a coin. I've watched some people get the surgery to do as you've indicated go right back to what they were eating before, though in one specific case a minor change. Her meal/snack of choice a nutella & peanut butter sandwich, the bread got substituted for a low carb flat bread now and must to the surprise of nobody she has regained some of the weight.

Calories in/out is not a balanced equation as you've acknowledged. Quality is a big factor. I've sought out how to get quality and eliminate processed foods in my diet. You've echoed what I've found it is either a life changing experience or there is massive weight loss in the first few months and a return to the old habits very quickly.

I know at least 6 people who have had it done for more than 20 yrs and been successful , all of them are having long term health issues related to the surgery

Ditto...

BIL & SIL are having major health issues and teeth are going rotten & falling out.

They all are in florida and all had stomach realignment.

Oldest SIL got cancer and kicked the bucket partly from having that surgery.

Vitamin absorption is an issue I'm aware of which the impacts vary depending on what type of surgery is done. If you can share what types of health issues are they having and do you know what type of surgery they had?

I weighed 396 lbs in 2012. I had the bariatric sleeve. I fluctuate between 315-325 now. There is a lot of truth in what some are saying about lifestyle change, addiction, mind over matter, work out routines, lazy, etc. Most of the people responding never had the surgery and have never dealt with any complications from the surgery. This probably isn’t the forum for a support group of this nature.

I had no complications and to this day still have none. I have weighed above 299 since I was 17. I’m comfortable where I am at and don’t regret doing it.

I also have all my teeth