I really need your help

No i dont think we have this problem in my family, they r completely normal, sometimes i feel like i have that because of my bad childhood, my dad n mum got separated immediately after i was born n no one of them wanted to take me so i grew up in different houses where eating was an issue for me.. i was too shy to eat n feel full but after i became independent n started working my relation with food was so weird, i noticed that i ate too much n too fast , maybe i was afraid to not have food anymore like before.. and it has continued till now

Dieting and stress sets up some people (including me) for binging, in particular on carbs. It will be important for you recognize your areas of vulnerability and start to work on them. I find mindful or intuitive eating practice really helpful. I still slip up and engage in stress eating, eating in front of the tv, etc., and I recognize it is a work in progress. Overall, I am much improved. You can also find therapists/dietitians that will work with you on this. Dietitians get a bad rap here, but I see that is very helpful and we focus on these types of behaviors and she helps me problem solve challenges related to eating and physical activity. Over time, I see her less and less.

10 Principles of Intuitive Eating


1. Reject the Diet Mentality Throw out the diet books and magazine articles that offer you false hope of losing weight quickly, easily, and permanently. Get angry at the lies that have led you to feel as if you were a failure every time a new diet stopped working and you gained back all of the weight. If you allow even one small hope to linger that a new and better diet might be lurking around the corner, it will prevent you from being free to rediscover Intuitive Eating.

2. Honor Your Hunger Keep your body biologically fed with adequate energy and carbohydrates. Otherwise you can trigger a primal drive to overeat. Once you reach the moment of excessive hunger, all intentions of moderate, conscious eating are fleeting and irrelevant. Learning to honor this first biological signal sets the stage for re-building trust with yourself and food.

3. Make Peace with Food Call a truce, stop the food fight! Give yourself unconditional permission to eat. If you tell yourself that you can’t or shouldn’t have a particular food, it can lead to intense feelings of deprivation that build into uncontrollable cravings and, often, bingeing When you finally “give-in” to your forbidden food, eating will be experienced with such intensity, it usually results in Last Supper overeating, and overwhelming guilt.

4. Challenge the Food Police .Scream a loud “NO” to thoughts in your head that declare you’re “good” for eating minimal calories or “bad” because you ate a piece of chocolate cake. The Food Police monitor the unreasonable rules that dieting has created . The police station is housed deep in your psyche, and its loud speaker shouts negative barbs, hopeless phrases, and guilt-provoking indictments. Chasing the Food Police away is a critical step in returning to Intuitive Eating.

5. Respect Your Fullness Listen for the body signals that tell you that you are no longer hungry. Observe the signs that show that you’re comfortably full. Pause in the middle of a meal or food and ask yourself how the food tastes, and what is your current fullness level?

6. Discover the Satisfaction Factor The Japanese have the wisdom to promote pleasure as one of their goals of healthy living In our fury to be thin and healthy, we often overlook one of the most basic gifts of existence–the pleasure and satisfaction that can be found in the eating experience. When you eat what you really want, in an environment that is inviting and conducive, the pleasure you derive will be a powerful force in helping you feel satisfied and content. By providing this experience for yourself, you will find that it takes much less food to decide you’ve had “enough”.

7. Honor Your Feelings Without Using Food Find ways to comfort , nurture, distract, and resolve your issues without using food. Anxiety, loneliness, boredom, anger are emotions we all experience throughout life. Each has its own trigger, and each has its own appeasement. Food won’t fix any of these feelings. It may comfort for the short term, distract from the pain, or even numb you into a food hangover. But food won’t solve the problem. If anything, eating for an emotional hunger will only make you feel worse in the long run. You’ll ultimately have to deal with the source of the emotion, as well as the discomfort of overeating.

8. Respect Your Body Accept your genetic blueprint. Just as a person with a shoe size of eight would not expect to realistically squeeze into a size six, it is equally as futile (and uncomfortable) to have the same expectation with body size. But mostly, respect your body, so you can feel better about who you are. It’s hard to reject the diet mentality if you are unrealistic and overly critical about your body shape.

9. Exercise–Feel the Difference Forget militant exercise. Just get active and feel the difference. Shift your focus to how it feels to move your body, rather than the calorie burning effect of exercise. If you focus on how you feel from working out, such as energized, it can make the difference between rolling out of bed for a brisk morning walk or hitting the snooze alarm. If when you wake up, your only goal is to lose weight, it’s usually not a motivating factor in that moment of time.

10 Honor Your Health–Gentle Nutrition Make food choices that honor your health and tastebuds while making you feel well. Remember that you don’t have to eat a perfect diet to be healthy. You will not suddenly get a nutrient deficiency or gain weight from one snack, one meal, or one day of eating. It’s what you eat consistently over time that matters, progress not perfection is what counts.
 
Hello,
This is the first time i'm writing here, i am 47 y.o, 5'8" 340 lbs, not diabetic, my surgery is scheduled 21 April, i am supposed to be on a liquid diet but because of my lactose intolerance i am on a regular diet plan, i lost abt 6 lbs in 6 days n feel happy. My problem has started yesterday after i attended an informational class in the hospital to teach us what n how to eat after the surgery, i was the only one to have the duodenal switch, i felt something wrong, some of them were bigger n heavier than me n diabetic, they were advised by my doctor to do the bypass surgery because it's more safe and still very effective in terms of results so why he advised me to do the DS even tho my BMI is less and i am not diabetic at all.
i watched some videos on youtube, some people take 35 pills per day after DS n need at least 12 vitamins n minerals, is that true? am i gonna spend my life taking 35 pills per day? i was told before 10 pills max. how much will they cost me per month?
I feel very frustrated n confused again with my surgery choice :confused: n i am planing to call the hospital on Monday to see if it's possible to switch to bypass or to cancel it.. but again i m not sure if i i'm doing right :confused:.. i got already approval from my insurance company for DS.. i feel completely lost n down :unsure:.. spent days n nights learning abt DS but still i m not confident abt my choice n decision.. any help plz

Adam
I had Rny over 13 years ago, lost about 100lbs to 250lbs. Now I want revision to DS and wish I knew about it then. My friend had DS at same time I had my rny and she still small, even after birthing twins + 1 more kid.
 
I had Rny over 13 years ago, lost about 100lbs to 250lbs. Now I want revision to DS and wish I knew about it then. My friend had DS at same time I had my rny and she still small, even after birthing twins + 1 more kid.
Angelina Frazier I just had my revision I m so glad I did it. My story is similar to yours I would have done it first and never bothered with the RnY.
 
n
I had Rny over 13 years ago, lost about 100lbs to 250lbs. Now I want revision to DS and wish I knew about it then. My friend had DS at same time I had my rny and she still small, even after birthing twins + 1 more kid.
Very Glad to hear that.. it makes me feel happy that i took the right decision
 
Dieting and stress sets up some people (including me) for binging, in particular on carbs. It will be important for you recognize your areas of vulnerability and start to work on them. I find mindful or intuitive eating practice really helpful. I still slip up and engage in stress eating, eating in front of the tv, etc., and I recognize it is a work in progress. Overall, I am much improved. You can also find therapists/dietitians that will work with you on this. Dietitians get a bad rap here, but I see that is very helpful and we focus on these types of behaviors and she helps me problem solve challenges related to eating and physical activity. Over time, I see her less and less.

10 Principles of Intuitive Eating


1. Reject the Diet Mentality Throw out the diet books and magazine articles that offer you false hope of losing weight quickly, easily, and permanently. Get angry at the lies that have led you to feel as if you were a failure every time a new diet stopped working and you gained back all of the weight. If you allow even one small hope to linger that a new and better diet might be lurking around the corner, it will prevent you from being free to rediscover Intuitive Eating.

2. Honor Your Hunger Keep your body biologically fed with adequate energy and carbohydrates. Otherwise you can trigger a primal drive to overeat. Once you reach the moment of excessive hunger, all intentions of moderate, conscious eating are fleeting and irrelevant. Learning to honor this first biological signal sets the stage for re-building trust with yourself and food.

3. Make Peace with Food Call a truce, stop the food fight! Give yourself unconditional permission to eat. If you tell yourself that you can’t or shouldn’t have a particular food, it can lead to intense feelings of deprivation that build into uncontrollable cravings and, often, bingeing When you finally “give-in” to your forbidden food, eating will be experienced with such intensity, it usually results in Last Supper overeating, and overwhelming guilt.

4. Challenge the Food Police .Scream a loud “NO” to thoughts in your head that declare you’re “good” for eating minimal calories or “bad” because you ate a piece of chocolate cake. The Food Police monitor the unreasonable rules that dieting has created . The police station is housed deep in your psyche, and its loud speaker shouts negative barbs, hopeless phrases, and guilt-provoking indictments. Chasing the Food Police away is a critical step in returning to Intuitive Eating.

5. Respect Your Fullness Listen for the body signals that tell you that you are no longer hungry. Observe the signs that show that you’re comfortably full. Pause in the middle of a meal or food and ask yourself how the food tastes, and what is your current fullness level?

6. Discover the Satisfaction Factor The Japanese have the wisdom to promote pleasure as one of their goals of healthy living In our fury to be thin and healthy, we often overlook one of the most basic gifts of existence–the pleasure and satisfaction that can be found in the eating experience. When you eat what you really want, in an environment that is inviting and conducive, the pleasure you derive will be a powerful force in helping you feel satisfied and content. By providing this experience for yourself, you will find that it takes much less food to decide you’ve had “enough”.

7. Honor Your Feelings Without Using Food Find ways to comfort , nurture, distract, and resolve your issues without using food. Anxiety, loneliness, boredom, anger are emotions we all experience throughout life. Each has its own trigger, and each has its own appeasement. Food won’t fix any of these feelings. It may comfort for the short term, distract from the pain, or even numb you into a food hangover. But food won’t solve the problem. If anything, eating for an emotional hunger will only make you feel worse in the long run. You’ll ultimately have to deal with the source of the emotion, as well as the discomfort of overeating.

8. Respect Your Body Accept your genetic blueprint. Just as a person with a shoe size of eight would not expect to realistically squeeze into a size six, it is equally as futile (and uncomfortable) to have the same expectation with body size. But mostly, respect your body, so you can feel better about who you are. It’s hard to reject the diet mentality if you are unrealistic and overly critical about your body shape.

9. Exercise–Feel the Difference Forget militant exercise. Just get active and feel the difference. Shift your focus to how it feels to move your body, rather than the calorie burning effect of exercise. If you focus on how you feel from working out, such as energized, it can make the difference between rolling out of bed for a brisk morning walk or hitting the snooze alarm. If when you wake up, your only goal is to lose weight, it’s usually not a motivating factor in that moment of time.

10 Honor Your Health–Gentle Nutrition Make food choices that honor your health and tastebuds while making you feel well. Remember that you don’t have to eat a perfect diet to be healthy. You will not suddenly get a nutrient deficiency or gain weight from one snack, one meal, or one day of eating. It’s what you eat consistently over time that matters, progress not perfection is what counts.
Ty for sharing, very good info
 
Sure doesn't sound like he's physically hungry. He mentally cannot stop eating the food until its all gone. He didn't say he was "starving" - physically hungry.
 
I know this is a HUGE decision, but I think you are over thinking this. People's post DS surgery vitamin needs vary. I only take 4 a day. Others take more. It's kind of a spin of the wheel as far as I can tell. Perhaps others know more than me on this.

The fact that you are thinking about this for the rest of your life and if you can afford the vitamans when you are older makes me think you are ready for this sugery.

I spent way more on co-morbidity prescriptions before surgery than I do on vitamins now. Stats say if you don't take the weight off, you will get co-morbidities. Sorry, but that is what the data says.

Remember too, there is Medicare and Medicare part D when you get old.

I know this is a big decision and everyone needs to come to their own decision in their own time, but the data is very clear that the only long term effective surgery is the DS.

The vitamans really are not a big deal. Swear. ;-)
Downplaying vit needs to a preop is not fair to them. If you get by on 4 vits a day, you are either a newbie on Bariatric combos which we don't recommend, or you are a zebra. A potential DSer needs to know that they may actually NEED 30+ daily pills to keep labs in range before deciding to do DS.
BTW, Medicare, Part D do not cover routine vits that are available OTC. I have both, at 67.
 
BTW, Medicare, Part D do not cover routine vits that are available OTC. I have both, at 67.
This is true. I've been on a Medicare Advantage plan for 8 years now. The Advantage plan is part A, B, and D combined. NEVER have my OTC vitamins been covered. Hell, even my PPI which use to be a prescription only is NOT available without reams of paperwork as a prescription now.
 
I am kind of person, if i buy some food that really like it, i can't go to sleep before i eat it all no matter what. will the surgery help me to control this habit or do i have to seek a help with a nutritionist or psychologist.. controlling food portions n cravings were always an issue for me so that i had to stop preparing food for a week cuz i ended up eating it in 1 or 2 meals.. is there something i can do that can help?
Don't buy your trigger foods. For me, it's cookies. If in my house, they call to me at night until they are gone. No cookies allowed in my house.
 
I'm racking my brain trying to get a 2nd job so I can get an Isurance that will cover my rny revision to DS. I'm in DFW, Texas area. Maybe it's me, but I would rather take a ziplock bag full vitamins, versus a bunch of pain pills, insulin, multiple blood pressure pills on top of worrying about seating arrangements at a restaurant, being able to tolerate long walks on vacation or just to shop or do things with family period. Everybody is different. Some people start out with 20 pills and get down to 4 or 7, it just depend on your body and eating habits.
 
I'm racking my brain trying to get a 2nd job so I can get an Isurance that will cover my rny revision to DS. I'm in DFW, Texas area. Maybe it's me, but I would rather take a ziplock bag full vitamins, versus a bunch of pain pills, insulin, multiple blood pressure pills on top of worrying about seating arrangements at a restaurant, being able to tolerate long walks on vacation or just to shop or do things with family period. Everybody is different. Some people start out with 20 pills and get down to 4 or 7, it just depend on your body and eating habits.

Don’t count on being able to reduce the number of vits as you get further out. I am over 17.5 years postop and take need way wayvyy more than starting dose, not less. More like 40/day. There may be a few who can reduce, but they are as rare as black diamonds.

Be certain you can financially handle not only surgery, but vits/protein/labs. We see too many get seriously ill after not being able to keep up with their aftercare due to cost.

Now, that said, I have no regrets. I hope you can work out the financials to be able to get surgery and get/stay healthy. Life on this side is amazing.
 
Thanks for that info. I'm totally mentally ready to take 2-50 vitamins a day if necessary. Really the only thing that I'm worried about is what my body will go through and how long will I be uncomfortable while figuring out which vitamin cocktail is right for me. Other
 
Figuring out the right cocktail is not a one time thing. There will be a lifetime of adjustments as your needs will change over time.

I’m still adjusting, adding and subtracting. For example, just when I got my D3 and A to the top of the normal range, it turns out my liver didn’t like it. So I’ve been readjusting those levels for almost a year.

I’m almost 15 years out, and almost 65. I still was menstruating when I had my DS, so besides menopause, lots of stuff has has happened since then. Mostly, my needs have increased as I depleted my stores.

I started out only taking (and needing, per my labs), a prenatal multi, calcium, one probiotic and vitamin C. Now, per my labs, I take:
Prenatal
Calcium citrate
Magnesium citrate (added ~ year 10)
Zinc (added ~ year 4)
Copper (added ~ year 12)
Vit C
Vit D3 (added ~ year 5)
Vit A (added ~ year 8)
Vit K1 (added ~ year 9)
Vit K2 (added ~ year 10)
Vit E (added ~ year 14)
Biotin (added ~ year 13)
Two different probiotics
Iron infusions if necessary (haven’t needed one in 2 years, despite having surgery two weeks ago, and last time it was 3 years between infusions; iron/ferritin went low around year 5, and it took a year of misery trying to use oral supplements, which tore up my guts, before I started getting infusions).

Plus PPI and thyroxine (needed before and after my DS - but I don’t take a statin anymore and I didn’t become diabetic, which was otherwise inevitable).

And I apparently absorb more macronutrients than before, which is fine, because my appetite has gone down over time, but my protein levels are fine and my weight has been slooooooowly drifting down. Finally just overweight and not obese.

I just want to make sure you understand your needs change over time and MUST BE constantly monitored (at least yearly) and supplements adjusted as needed.
 
Wow, that sounds organized. I knew about the regularly labs, which I assumed would be needed to ensure I'm taking the vitamins I need. The only plus for me is I've had a hysterectomy so I likely won't go thru much hormonal changes, and I dont have a cycle anymore. Thanks for sharing that info, I needed that.
 

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