How Weight Loss Surgery Saved My Life

by sandi on October 26, 2010

My friend Gloria and I in my old pants. Can you believe it?

 

I have been fighting the fat war since I was 4 years old. I finally won the war, leaving only small skirmishes that crop up regularly. My friends tell me these little battles are what a “normal” person always deals with. 

 Just five years ago, I was 424 pounds, had arthritis in my right knee, and had trouble walking across a parking lot. My asthma forced me to stop and catch my breath several times across those parking lots. I rented a scooter to be able to take my grandkids to Disneyland. I let my husband go into the market while I waited in the truck. People looked fearfully at me when I was getting on a plane, hoping I wasn’t sitting next to them.  In March 2004 I had a hypertension crisis that got my attention. To this point, my arthritis, asthma, reflux, and sleep apnea had not yet been enough to make me take notice. 

I have succeeded at most everything I have tried in life — I have a wonderful marriage of more than 40 years to my soul mate, a great daughter, four awesome grandchildren, and a successful business I built from scratch over 20 years ago. But I could NEVER get a handle on my weight for longer than five minutes. 

On 5/28/2004, at 55 years old, I had life-changing, and life-saving, Lap-Band® surgery. Within 28 months I had lost 250 pounds. Now, more than five years after surgery, I am holding at 175 pounds and loving it. I am off all my medications and move freely and vigorously through my new life. 

 With the help of this tool and a great support team I have reached a place where it is fun to go anywhere and try new things, and I actually enjoy looking at pictures of myself (well, most of the time). 

 If you are struggling with your weight, you may find some useful information and solutions here. I have created this blog because something like it would have made a big difference to me when I was going through the decisions and the process myself. 

 As the old saying goes, information is power. If you are struggling with your weight, I want you to have the information you need to answer the questions you have so that you can make the best decision possible for you to have a richer life. 

 I hope you find this useful. I look forward to hearing from you.  

Take a look at some of our Gastric Banding Tips —  Here

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Our New Book – Is Lap Band Surgery For Me?

by sandi on October 26, 2010

Our new book is now shipping on amazon!  Read an excerpt here.

Visit us at www.bandedliving.com

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This past weekend was the annual WLSFA (Weight Loss Surgery Foundation of America) Meet & Greet in Las Vegas, Nevada.  Over 500 weight loss surgery patients came together for a weekend full of education, support, information and celebration of their transformed lives.  Not only was I fortunate to be one of them, but I am also honored to be a member of an organization with a mission of granting surgeries to those with the medical need who do not have the financial ability to cover the costs.  We save lives, one grant a time.  For more information on participating go to www.wlsfa.org and check us out.

Meet & Greet 2013

Sandi and Carnie at Meet & Greet 2013I was introduced to Carnie Wilson shortly after her BOB (Band Over Bypass) surgery.  I try to provide support for her by being an accountability partner and giving her a little shove (as we ALL require) every now and again.  Being Carnie she let me know from day one that she tells it just like it is.  It started with the report of the first trip to the bathroom after surgery.  Remember that?  Remember feeling like it was NEVER going to happen?  Well, when you add Carnie’s charming way of recounting even the most graphic experience I burst out in laughter when I read her email.  This continued on with her tales of walking on the treadmill to near exhaustion, to little bites of her daughters’ cookies and her distress over her first fill.  I think, just like many of us, the fear of not knowing was what created the apprehension.  She sailed right through it.  That’s the day we just sat and talked for about an hour in the sunshine.  It was like chatting with someone I had known forever.  This woman has the innate ability to immediately make anyone feel comfortable and wrapped in a blanket of love and warmth.  We all have met folks like this in our lives.

Over the months, as her success continued, we emailed and spoke and I introduced her to the WLSFA and asked if she would be interested in becoming our Ambassador of Hope.  I had my fingers crossed because I knew the impact her decision to have surgery so many years ago had made on the lives of all involved with WLSFA.  She agreed and the rest is now history.

This past weekend Carnie made herself available to the WLSFA community at an intimate fund raising luncheon and spoke to us about HOPE and answered many of our questions.  She had us crying and laughing and the afternoon just flew by for everyone in attendance.

Meet & Greet 2013 CenterpieceThe main event was Saturday night.  Carnie was to be the keynote speaker for our “Let Your Star Shine” Gala.  This was a formal event where 500+ WLS patients get to dress up and strut their stuff.  We even have a “bling” contest to see who “sparkles” the most just for fun, crowning the King and Queen of bling.  The stage was set.  The red carpet was rolled out and photos were being taken courtesy of Airen Miller Photography.  The tables were beautifully decorated by our volunteer committee with stunning floral arrangements and, of course, sparkling stars.  There was a curtain of stars hung by the stage that each of us had decorated as we arrived on Friday.  The throngs were in the room.  Folks were getting seated.  The gala had officially begun.  I get an urgent request from the “chairman of the board” – Antonia that Carnie’s security was not answering her texts, and shortly thereafter enter to a round of applause and a standing ovation……….Ms.  Carnie Wilson.  The crowd went crazy, her smile lit up the room and then silence.  You could hear a pin drop as she began to speak.  She started at the beginning and led us through her life from a chubby child to an obese adult, through her first weight loss surgery, her tummy tuck, her alcohol addiction, her sobriety and pregnancies through to her choice for a second surgery and where she is today.  What a ride!  It is not a ride that differs so much from many of ours, with one exception – Carnie had been on stage with her celebrity dad since she was around 5, so she has ALWAYS been in the public eye.  That would be difficult to say the least.

Carnie on stage at Meet & Greet 2013Carnie cried as she recounted her choice to have weight loss surgery, and we cried right along with her.  She laughed as she told us the tale of the “reporters” for the tabloids hiding in the bushes or ringing her doorbell and claiming to be a neighbor taking a survey and we laughed with her.  Some of her stories had tears streaming down our eyes with laughter…it seems like the more scatological the reference, the funnier it was.  My personal favorite since I have had a lower body lift is Carnie’s recounting of her tummy tuck.  She starts with describing what it’s like to try and walk when your body refuses to straighten itself since the doc has just literally pulled you closer together.  She hobbled across the stage and we all laughed.  It’s a good thing that our memories don’t hold on to pain because I remembered, somewhere in the recesses of my mind, how painful that was but was able to laugh through her recounting her personal experiences.  Then she moved on to what is was like to sit down to relieve herself and how she was amazed that the stream was no longer pointed straight down.  Oh my….she had as all in hysterics at the description.  The woman is amazing.  Directly from laughter she could turn us into emotional wrecks, crying with her as she recounted her alcohol addiction, her weight gain, and finally as she surrendered to her higher power and has been sober ever since.  With the love for her two girls clearly radiating in her voice and her smiles she took us through her two pregnancies, and her weight gain.  Anybody able to identify with that?  She led us right through an attempt to repair a problem with her bypass and its failure right up to her decision to have her BOB surgery and the weight she has lost since being banded.  She worked very hard to bring herself to Onederland before the meet and greet and she succeeded.  Yay Carnie.  After all of the emotional upheaval of her talk with us Carnie answered questions and then took time to shake hands, hug and take a few unplanned pics.  What a woman!

Chaz & SandiCarnie not only looked beautiful but she radiates an inner beauty and love.  I think she has come to many realizations and has an inner peace that she shares with all of us.  It is acceptance, and hope, and the knowledge that with support and belief we can accomplish anything we choose.  That doesn’t mean it will be easy, just doable.

Thank you to Carnie Wilson for being so real and for openly sharing her pain and her joy with us.  Thank you to my fellow Board of Director members for all the work you do.  Thank you to Antonia Namnath for your ever present encouragement and leadership.  Thanks to each and every volunteer who made this the BEST EVER event for the WLSFA.  Thanks to all of the vendors and sponsors for supporting our cause.  Thanks to all of the doctors who make up our network of care.  Thanks to all our speakers for donating their time, and thanks to all out attendees…the 500 plus people who lost a total of over 30, 000 pounds and came out to not only celebrate their transformations, but to learn, provide support and help save lives, one grant at a time.


Kelley enjoying Meet & Greet 2013If you were not able to attend I hope my blog had you feeling a part of this amazing group.  If you would like more information go to www.wlsfa.org.  If you want to join us for next year’s annual fundraiser mark your calendar for our 2014 WLSFA Sand & Sea Conference – April 5&6 at the Doubletree Hotel Tampa FL for the sand portion and April 7-12 on the Brilliance of the Seas to Grand Cayman and Cozumel.  Do it all, or a part.  Stay tuned for more information.

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Sandi before and after Lap Band SurgeryHere I am just a few weeks away from my ninth birthday.  No, it’s not a typo, on 5/28/2013 it will be nine years since the first day of my second chance at life.  That’s the day I had Lap Band surgery.  On that day everything changed in a good way.  I committed to a lifestyle based on small portions of healthy food, moving my body daily as much as I could without injury, taking my vitamins regularly and best of all learning to LIVE again.  It seems like just yesterday I was waiting in pre-op as the anesthesiologist came in and asked me if I wanted something to calm my nerves.  I clearly remember my husband stating that if I wouldn’t take it he would. 

Enough of that.  I learned in the first year or two after surgery that this was certainly a process, a journey where almost every day I would noticed some change in my physical or mental being.  I also learned that it was up to me how I chose to incorporate that change into my life.  For example, when I felt physical hunger I could choose to eat.  What I chose to eat was in my control and most of the time I chose healthy, protein rich foods.  On the other hand when I wanted to eat because of stress or anxiety I could choose not to eat.  I could choose to recognize and acknowledge what I was feeling and use a behavior other than eating to deal with it.  I could take a walk, read a book, go for a drive, phone a friend…..well you get the idea.

The new swimming poolChanges were happening quickly and I was adjusting to them just as quickly.  Along the way I changed from a sedentary person to a physically active person.  Because of arthritis in my knee I had to find a form of exercise that would not hurt my knee but would burn calories and kick my metabolism into action.  For me that was swimming laps.  Where could I go to swim laps when I still weighed in at over 300 pounds?  I finally settled on a “family” Racquet and Pool club here in town.  It was costly but not everyone was shaped perfectly if you get my drift.  I was uncomfortable but not quite mortified.  I could deal with it and deal with it I did.  I have continued to deal with it for the past 7 years.  I knew folks there.  I was accepted.  My extreme weight loss made me something of a celebrity and I just kept showing up 5-6 days a week without fail.  I swam, I used the elliptical machine.  I did strength training with a personal trainer.  I loved it.  Fitness was now an integral part of my life.  I woke up every morning and headed directly to the gym.  Fitness first was my mantra.

Then more changes happened.  At the end of last year I closed my computer business of 17 years and have devoted myself full time to supporting weight loss surgery patients and advocating on their behalf.  I needed to tighten the belt a bit.  My racquet club monthly bill was pretty steep for a gym membership so that is one place that I looked to cut costs.  I talked about it for 2 months, started going to different gyms with indoor pools the next month and then finally, I was coached into committing to trying the prospective new gym of my choice. 

Why did it take almost 6 months for me to switch my gym membership?  Wow, a good question, one that provide insight into the way I roll in life.  Three words summarize it:  I WAS SCARED!  What was I afraid of?  Let me count the ways:

  • I was afraid basically because it was an unknown
  • I was afraid I wouldn’t like it
  • I was afraid people would look at me funny
  • I was afraid that I wouldn’t make friends there
  • I was afraid that I was too old for a gym populated by 20 – 30 year olds
  • I was afraid I wouldn’t find a good trainer
  • I was terrified that the change in facilities would somehow give me opportunity to sabotage myself and not go regularly.

Personal Fitness TrainerWhat have I learned in the past 2 weeks:

  • Everyone is friendly at the new gym
  • The pool is a standard Olympic pool instead of a Jr and the lengths are challenging me which is great
  • My new trainer knows someone I know and respect in the Ventura County fitness world, as a matter of fact my trainer was mentored by him
  • I still get up every morning and go to the gym

I am still developing this new routine because the lockers are a bit different, my personal training days have changed, but I have not.  I still get up each morning and head out to the gym.  Thursday morning I had a flat tire on my car when I was heading out.  Did I quit and go back inside and throw in the towel.  NO WAY!  I left a note for my husband, took his car and off I went to start my day with fitness.

I have learned to trust myself and depend on my new habits outshining the old ones.  After all, I‘ve had almost nine years to develop them.

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Governor Chris ChristieWhen I read that Governor Chris Christie of New Jersey had Lap Band Surgery I thought, good for him! Here is a man in the public eye taking control of his health. Then I read the article. The media is claiming he had weight loss surgery so he can run for president in 2016. Governor Christie says he chose surgery because he wants to be around for his wife and kids, and someday- grandkids. I believe governor Christie. Go ahead, laugh at me because I just said I believe a politician, but this issue has nothing to do with politics. It’s all personal and personally I wish the media would keep their political speculations to themselves and congratulate the man on his choice to take control of his health.

After a while I understood that this public announcement of having undergone lap band surgery was not only good for Governor Christie because he was committed to getting healthy, but good for us as well.

Jets Coach Rex RyanThen there is Rex Ryan, coach of the Jets. He had Lap Band surgery, has lost over 100 pounds and is still coaching the Jets. He is public with his story as well. This too is good for us.

Al Roker lost lots of weight, wrote a book and is a member of the 4th estate. He had gastric bypass, but his public statements, and his book, are good for us too.


Carnie WilsonFinally there is Carnie Wilson who had band over bypass surgery. Her story dates back over 10 years and her struggles with her weight continue. Carnie had her surgery not to be a size 2 celebrity but to be around for her two beautiful children. This is good for us, this is REALLY good for us since Carnie has come on as the Ambassador of Hope for the Weight Loss Surgery Foundation of America.

All of this media coverage is good. Why is it good when it seems like the media outlets ask ridiculous questions or make rude and/or silly comments? Because all of this coverage brings weight loss surgery, specifically lap band surgery into the public eye. People who knew nothing begin to understand that it is not the easy way out, but merely a tool that helps us gain control over hunger and satiety. They begin to understand that eat less and exercise more is not possible forever for many of us without a tool, because our physical hunger, our chemical make-up and our emotional eating (or food addictions) are different than theirs. “Normal” folks often struggle with 5-25 pounds at various times in their lives. We, who have struggled with obesity for years, get to deal with 100’s of pounds.

“Normal” folks get to see Rex Ryan, Carnie Wilson, Chris Christie and you and I lose weight by committing to a permanent lifestyle change, learning how to enjoy the taste of food instead of eating with a shovel and adding some form of movement to our daily routines. They get to see us get out of our wheelchairs, throw away our canes, quit spending on medications to treat the side effects of our obesity. They get to see that Rex keeps coaching, Chris Christie keeps governing and Carnie keeps singing. They see that there is HOPE and change out there. Then these “normal” people can begin looking at obesity differently. Who is going to be able to watch a Jet’s game and not say…boy Rex is looking good, same with Governor Christie making a speech and Carnie, how can you not have respect for someone who has always been willing to share her struggles openly and has the voice of an angel.

These “fairy tale” characters, these bigger than life figures in our society have all chosen Lap-Band surgery. When they tell their tale the same message resonates- why did they choose it? It is safe, effective, and with proper aftercare they can reach goals they never imagined possible.

 

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I began taking a chewable multi-vitamin a few weeks prior to my surgery in 2004, and here it is, 2013 and I still persist in taking the same brand of chewable vitamin.  Why you my ask?  My answer is simple – “If it’s not broke, don’t fix it”.  My labs are always good, I do not suffer from any vitamin deficiency, I feel great and at 64 years old am happy and active and living and loving my life.  What does all that have to do with vitamin and mineral supplementation?  I couldn’t swear to it under oath, but I know that my feeling good has everything to do with my eating healthy, getting regular exercise AND taking the right amount of the right vitamins and supplements daily.  My body stays healthy and in balance as does my head.

Tired and sluggishProve it?  I probably can’t empirically.  However here is a little slice of life story.  For the past week or two I have been feeling sluggish and out of sorts, cranky, achy and just “not right”.  Nothing had changed for me – no diet changes, no added stressors, nothing out of the ordinary.  Wait, I had just purchased, and began taking, a new bottle of a generic sublingual B-12, B6 folic acid.  Could that be it?  Could there be a potential problem with the quality of the product?  Or, could my body just be asking for more? 

I’ll never know, but what I do know is that when I switched to one of the bariatric brands of sublingual B12, B6 folic acid tablets AND added an extra B complex that had “added nutrients, adrenal support for heightened stress and energizing superfoods and herbs (nothing that contained caffeine in any form) in about 3 days I began feeling normal again with soaring energy levels and definite mood improvements.  So there’s some life experience with me and B vitamins.

Here’s another one, way back in 2004 when I started this incredible journey I had been losing weight week after week for about 3 months after surgery when suddenly, one week I showed no loss and my food and water intake had been consistently under 1200 calories and over 64 ounces respectively.  I spoke with the bariatric nurse who referred me to speak with another patient.  She in turn asked if I had been taking calcium supplements.  I had not.  All I was taking was my multi-vitamin and being compliant about those was tough enough but I was doing it.  It was suggested that I start taking calcium.  I tried, I did it, and low and behold, 5 days later I dropped not one, not two, but 7 pounds.  Was it the calcium?  Who’s to say yes or no?

ASMBS (the American Society of Metabolic and Bariatric Surgeons) makes the following recommendation in their guidelines:

“It is important for the bariatric patient to take vitamin and mineral supplements, not only to prevent adverse health conditions that can arise after surgery, but because some nutrients such as calcium can enhance weight loss and help prevent weight regain…..  With all procedures, higher maintenance doses may be required for those with a history of deficiency.”

So that’s why your surgeon probably told you to take your vitamins, his/her professional organization recommends that you do….

The following is a chart provided by our friends at WELLESSE showing ASMBS recommendations by weight loss surgery type (and which of their products fits the bill) :

WELLESSE Bariatric Liquid Solutions
ASMBS Recommended Supplements by Weight Loss Surgery

ASMBS Recommended Supplements by Weight Loss Surgery

You can view the ASMBS Recommendations and the chart on the Wellesse site here.

You can use these guidelines and have a look at what you are currently taking vs.  what is recommended and make your own decisions from that point.  If you are in doubt or have any questions please contact your doctor as we do not make any claims to having any medical knowledge.

The advantage of liquid vitamins as well as those other chewable vitamins that have been designed for use by bariatric patients?  It is ease of compliance.  Personally I “drink” my calcium/magnesium/D3 supplement each evening after dinner.  It is pleasant tasting and the combo of calcium and magnesium has been shown to have some calming effects.  Perfect for winding down after a long day for me.  If you require an iron supplement the biggest benefit of taking one designed for a bariatric patient is that they will not upset your stomach nor cause constipation issues as many of the iron supplements found on your pharmacy shelf do.  What sold me in the first place was the bioavailability of the liquid and the chewable bariatric supplements.  My body can absorb them easily and utilize them as intended.  Many of the “store” brands are not in formulations that make it easy for our bodies to absorb and use efficiently.  If I am going to spend money on them, spend the time taking them, and tolerate their “pleasant” tastes (some are better than others- all are within my tolerance levels) I sure better be able to utilize them, or what’s the point?

In addition to the products made by the folks at WELLESSE which are available on line through our Amazon Store we are now offering you the products by Bariatric Fusion

Purchasing either brand helps support, not only YOUR health, but also the health of Banded Living by covering some of our basic operating costs.  If they were not good products — you would NOT find them on this site.  That much I can assure you.  I offer NOTHING that I would not, or do not, use myself.

Do your body and your mind a favor, take your vitamins!

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Here I am.  Maintaining my weight loss and almost nine years post-op.  I promise by June 1st I’ll change that to in my tenth year after weight loss surgery to keep us all from getting bored.  Maintenance is really not any easier than losing weight.  It takes the work.  It takes the mindfulness.  It takes the planning, the food choices, the exercise routine.  Is it worth it?  YOU BET!!!  Never again will I be unable to see my feet, let alone tie my shoelaces, never again will I be unable to walk through a store, or down the street, or on the beach.  Never again will I be plagued with the co-morbidities like high blood pressure, sleep apnea, asthma and the like.  I have kicked these to the ground and will do what I need to do in order to maintain my weight loss.

Grazing and extra caloriesNow I am going to step off my soapbox and share some of the challenges that I face in maintenance every day.  The biggest challenge is virtually the same one I faced before and right after surgery – GRAZING!  Grabbing a handful of almonds as I wait for the water to boil for tea, or eating out of the pot as I prepare dinner, or stopping again for another non-fat sugar-free ice blended whatever at the local coffee house, or grabbing a few chips (how many calories in a few you ask), a cookie, or some crackers while at my daughter’s house.  Even the breadstick at the restaurant while I wait for dinner to be served is grazing.  A new frozen yogurt shop opened down the street from my house (1 mile away to be exact).  Three ounces of non fat sugar free is about 90 calories so that’s not bad for a snack right?  Right, however, is there just 90 calories in the cup which is one size fits all?  I think not.  Also, if my husband calls on his way back from his daily bike ride to see what flavor I want that is 90+ calories every day.  Hmm, do I really want that?

When do I graze?  When I started my weight loss surgery journey this was critical for me to identify.  I can’t imagine why I ignore it now, except for being lazy and allowing old habits to slip back in.  My prime time for grazing is just that – during TV Prime Time.  How about you?

Grazing temptationWhat do I crave?  It is alternately sweets or salty things.  If I have no crackers, chips or popcorn in the house salty things become out of the question unless I want a dill pickle spear and most of the time that does not call to me at 10PM.  On to sweets.  I always have yogurt in my refrigerator and this is a good healthy choice, right?  Yes, it is healthy, but not always a good choice.  It’s a good choice when I am physically hungry, however, having eaten dinner at 7-8 PM that is not usually the case.  Am I eating because I am tired, bored, stresses about something?  Am I eating to stuff those feelings?  If my answer is yes then even a healthy choice is not a good one.  I would rather feel the emotion, acknowledge it and work through it.  Bored?  Then Sandi, get up off your rear and do something productive even if it is as simple as taking out the trash.  Tired, go to bed, your favorite program is being recorded anyway.  Stressed, this one can be a bit trickier for me.  Many can exercise stress or anxiety or nervousness away in the evening.  I can’t.  I have a problem winding down to go to sleep.  What are my alternatives for stress?  Meditation, deep breathing, a hot bath… There are many.  I just need to make the choice to select one and follow through with it.

If you have noticed what I began noticing as I was writing this, I have “substitute” behaviors for mindless grazing to help me.  I need to stay in the present moment, be mindful of what I’m doing and then I can choose out of grazing and instead choose an alternate behavior.

So here we go.  Regardless of where you are on your journey let’s identify:

  • When am I most likely to graze?
  • What might be prompting me to graze?
  • What foods am I wanting to graze on?
  • How do I feel when I am tempted to or when I am grazing?

ChoicesI can make choices here.  Do I want to eat some chips or will a pickle spear satisfy me, or, best of all, shall I just spend the next 15 minutes emptying the trash around the house, or cleaning out a cupboard, or knitting or crocheting, or phoning a friend?

So you see, it doesn’t matter where you are on your journey, starting, maintaining, or almost beginning your 10th year after weight loss surgery, old habits can easily creep right back in if you don’t pay attention.

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As May 28, 2013 approaches, the 9th anniversary of my lap band surgery, I find myself becoming reflective.  I am looking back on how my life has changed and would like to share some of this today, hoping you find it as interesting as I do.

Let’s start with the basics:

Eating light or light eating?Food: 

  • Prior to 5/28/04 eating light meant I turned the light on over the dining room table.
  • After 5/28/04 eating light means choosing to stay within a 1200-1500 calorie range that includes 80 – 100 grams of protein.

Water

  • Prior to 5/28/04 water was something I washed with, or drank ONLY if nothing else was available.
  • Water is a daily essentialAfter 5/28/04 water became a daily essential.  My body wants at least 64 ounces per day to be happy.

Exercise

  • Prior to 5/28/04 exercise was what I did if I left the remote on the table in the other room.
  • After 5/28/04 exercise means raising my heart rate and working aerobically each day AND incorporating strength training at least 3 times weekly.

Clothing

  • Plus size for clothingPrior to 5/28/04 clothing was something I was forced to get to cover my body, whether I wanted to or not.  Shopping for it was difficult and often humiliating.
  • After 5/28/04 clothing became something I had fun shopping for, enjoyed wearing, and learned what fit, looked, and felt good.  It became an adventure to “find” something specific I wanted knowing that I would eventually be successful in my endeavors.

Life

  • Life in a downward spiralPrior to 5/28/04 my life was spiraling downward.  It was getting more and more difficult to get around and I spent most of my days in one of three chairs – office, dining room table, or living room.
  • After 5/28/04 my life began expanding and just keeps growing in depth and breadth.  What do I mean by this?  I am no longer restricted by my physical size, I can move freely through this world, and I am no longer taking medications for life threatening co-morbidities.  I have a life.  I can shop, travel, share with others.  I can hike, bike, swim, scuba dive, and walk through amusement parks with freedom.  I can plan a future rather than wonder if I will have one.

Just a few minor changes in what my reality has become since having surgery, shedding 250 pounds and learning what I am capable of.

How about you?  What is different today since you have had your weight loss surgery?

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