0.6 above goal. Creeping downward from a recent high of 162.8.
Yup, I'm going to have to Watch My Weight for the rest of my life -- and I knew that going into the duodenal switch. One of the more irritating things I used to read on DS discussion boards were folks who believed that the DS would give them license to eat whatever they wanted.
I do believe that, in general, the duodenal switch is the most powerful form of WLS currently available in terms of 1) the greatest amount of excess body weight lost and maintained over time; 2) the reversal of Type II diabetes; 3) allowing the greatest flexibility of amount and kinds of foods that one can eat. The data in JAMA and other medical journals all bear this out: I did my research, inside and outside the bariatric communities, and that's why I chose the DS. The stats for these categories in terms of gastric bypass and lap band are good and okay, respectively (ironically, the lap band has gotten a lot of press recently for its ability to reverse Type II diabetes, but its stats for that are still not nearly as good as those for the DS), and that's why I selected the form of surgery I did.
(Caveat emptor: surgery is not for everyone, and if you've determined it's your choice, then you need to pick the surgery that's right for you. Each form has its advantages and disadvantages. As with most things in life, one size does not fit all.)
BUT.
But eventually the window of easy weight-loss closes, even with the DS. Eventually losses slow and stop. Eventually old habits and tastes tend to creep back into your routine -- and then you'll have to monitor yourself.
Also -- and this is important -- if you haven't done the head work and psychological investigation of why you ate to excess before and the extent to which your food issues were tied to emotional issues, they'll surface and bite you in the ass. Hard. Those don't go away with weight loss, if they were there to begin with. Trust me. Trust Jen. My own ass would be very sore right now if I hadn't had 8 -- yes, 8! -- years of psychotherapy in my 20s-30s. As it is, I still have bouts of emotional eating, and I still trip out playing the Scale-and-Mirror Mind Fuck game.
Eventually you will want those Girl Scout cookies again, even though sweets may have had no appeal in the first 6-9 months after surgery. Or you'll want the bread. Or whatever. And you can have them -- but if you eat them to excess, you'll gain weight. Period.
And that's okay -- because the DS is still an extraordinarily powerful tool. Cut back on carbs, increase your protein, add a little more activity -- and your weight will drop. Relatively quickly and efficiently. And that's a gift because the immediate weight loss reenforces those positive habits in ways that I just didn't experience pre-WLS.
Just understand the gift going into it, if you possibly can, and do what it takes to get ready for it.
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