I just began the process of having bariatric surgery. Nothing else is working for me. I've thought about this long and hard, and so it was a bit dismaying to go to my PCP to talk to him and get a referral for the same place my cousin went when she had her surgery only to have him tell me to eat less. Well, thank you *so* much. I've been doing that for years. He sent me home to reconsider but said that he'd give me the referral after I try one more time to diet and see him in three months. I don't even know if ethically he's allowed to refuse a referral or if he's right to make me wait, and I'm not the confrontational type so I just meekly left and cried all the way home. I'm not lazy or looking for an easy way out. I understand that it's a lifetime commitment after sleeve surgery. I just want to feel well and healthy again.
OP, I have no advice for you, I'm sorry. I'm pretty much at the end of my rope, too.
I had bariatric surgery in 2016- I had a vertical sleeve gastrectomy. I went to a surgeon who was part of a bariatric program and the requirements were pretty rigorous. I attended a 3 hour intro-meeting where post-surgery folk were there to talk about their experiences, explain that this involves changing your entire relationship with food, etc. After making the commitment to join the program, I was required to lose 10 pounds in a month to show that I could make a long-term (hahaha) commitment. Silly me... I signed up at the beginning of December, and managed to lose 1 pound over the holidays. Still I persevered and by the end of January had lost the required 10 pounds. There were several more meetings to talk about the different surgeries, the lifestyle changes, the psychological changes, the diets, etc. with the surgeon, nurse practitioners, or nutritionists. I had to have a psych evaluation, bloodwork, cardiac testing. For 2 weeks before the surgery I was on a full-liquid diet, and for 2 weeks post-surgery I was on a clear liquid diet. Then foods were added back slowly, and I had regular meetings with the NP and dietician to monitor my weight loss, %body fat/%lean muscle ratio, and to discuss new food plans, challenges, exercise plans, etc. Within the first year I lost 110 pounds. I was fine until covid hit, when I gained about 20 pounds (gym closed, work closed, fridge called daily and so did the alcohol). I've lost 17 of those 20 pounds and feel pretty good about myself.
It's not easy. I was (and am) an emotional eater, so it's hard to not have that outlet. Fortunately I've never given into the "who cares if it hurts" mindset so I rarely eat more than I should, but that makes things harder sometimes. I get full, but this new full doesn't feel like the old full; I'll never have the satisfaction of that post-Thanksgiving dinner, "where are my sweats?" feeling again. There are also foods that don't agree with me, rice, bread, pasta, and potatoes being the main ones. I can eat them, but in very, very small portions- especially rice, which seems to swell after I consume it. Living and eating like this was a HUGE adjustment, and I'm still adjusting, still learning, but I feel like I've had a terrific support system along the way. Sometimes it's really hard, but I'm not constantly in pain from my back, and my knees thank me daily. I can do things that weren't possible: I can use the seatbelt on the airplane, reach the switch to open the hatch on the car's gas tank, fit into seats at the movies, can sit in a booth without being jammed into the edge of the table. Best of all? I don't feel like a constant failure, and I don't hate myself anymore. The psychological/emotional relief is as freeing as the weight loss has been.