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  1. #1
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
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    Texas
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    Default Cross Addiction and Weight Loss Surgery

    Here's an interesting piece written by a personal trainer who had bariatric surgery years ago. I think most of her points are controversial, albeit valid and true.

    http://www.strongcoffey.com/index.ph...ery-addiction/
    Those who choose to undergo WLS often experience something akin to the Antabuse scenario: Denied access to their primary addiction and, most importantly, denied appropriate resources to recover from that addiction, secondary addictions rise up to fill the void.

    At times when they would have overeaten or eaten sweets, they now drink to excess. Maybe they smoke. Or they start popping pills. Some have risky sex with multiple, poorly-chosen partners. The “lucky” ones might develop addictions to “healthier” things, like exercise.

    The illness of addiction plagues many, if not most, obese people (myself included). When the holy trinity of sugar, starch, and compulsive overeating is the primary addiction, obesity emerges as a symptom. As with any other addiction, abstinence is the cure.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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  3. Gastric Sleeve Surgery With Weight Loss Agents
  4. #2
    Gastric Sleeve Member Sandra3's Avatar
    I have had a gastric sleeve.
    Name
    Sandra
    Surgery date
    01/20/2016
    Surgeon
    Dr W
    Join Date
    Dec 2015
    Last Activity
    06-25-2020 09:15 AM
    Location
    France
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    Default Re: Cross Addiction and Weight Loss Surgery

    Obviously we are not all obese with the same body, ethic origins, health issues, nutrition etc...so indeed I wouldn't agree with the article.

    But the psychiatrist I saw twice before surgery to be approved, was clear about the fact that this surgery is not for people with food addiction, and it could turn into alcoholism for them and even suicide. A Canadian study did confirm what he said and I was surprised, I had no idea.

    That's why my surgeon and his team don't treat people with food addiction, they have to get treated for that first before getting bariatric surgery. And it's a very long process. I was told that it could take more than two years to "stabilize them".
    So indeed for people going to Mexico without psych eval, it's accepting the fact that the risk of complication could be higher on that side. But I understand why they would take the risk, I would have done the same I was so desperate since nothing was working long term...


    HW : 150 kgs
    09/02/2014 : 142 /1st apt
    01/20/2016 : 134 /surgery
    01/30/2016 : 130 /1st post-op
    02/27/2016 : 126 /2nd
    04/23/2016 : 118 /3rd
    07/16/2016 : 109 / 4th
    10/01/2016 : 103 /5th
    01/21/2017 : 98 /1 year post-op
    February 2017 : 100 lbs lost
    07/22/2017 : 96
    10/21/2017 : 93
    12/22/2017 : 91
    01/02/2018 : 96!! regain (medication)

  5. #3
    Gastric Sleeve Member Christie13's Avatar
    I have had a gastric sleeve.
    Name
    Christie
    Surgery date
    11/03/2016
    Surgeon
    Dr. Wright
    Join Date
    Nov 2016
    Last Activity
    09-12-2019 04:13 PM
    Posts
    5,169
    Said "Thanks" 978 Times
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    Said "Welcome to Gastric Sleeve" 1,465 Times
    Blog Entries
    97

    Default Re: Cross Addiction and Weight Loss Surgery

    People with addictive personalities often flip from one addiction to another.



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  7. #4
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
    Location
    Texas
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    Default Re: Cross Addiction and Weight Loss Surgery

    Quote Originally Posted by Christie13 View Post
    People with addictive personalities often flip from one addiction to another.
    Bingo! This phenomenon is known as cross-addiction or addiction transference.

    Many recovering drug addicts develop addictions to sweets or coffee because these substances activate the same parts of the brain. Some recovering alcoholics become pathological gamblers. Some food addicts turn to alcohol. So on, so forth, rinse and repeat...

    The overriding theme is that the addictive personality/mindset has not been addressed or treated with therapy, so the addict simply substitutes one addiction for another more accessible one.

    All addictions (drugs, food, shopping, gambling, sex, gaming, smoking) activate the reward/pleasure part of our brains. Addictions also allow people to avoid emotional discomfort by way of distraction.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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  9. #5
    Gastric Sleeve Member Sandra3's Avatar
    I have had a gastric sleeve.
    Name
    Sandra
    Surgery date
    01/20/2016
    Surgeon
    Dr W
    Join Date
    Dec 2015
    Last Activity
    06-25-2020 09:15 AM
    Location
    France
    Posts
    1,363
    Said "Thanks" 290 Times
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    Said "Welcome to Gastric Sleeve" 480 Times
    Blog Entries
    62

    Default Re: Cross Addiction and Weight Loss Surgery

    The main issue here is for people to know (or accept) they have an addiction. Because for food or coffee, it's not really that easy to detect. We use it everyday. Where does overeating start, where does addiction start? The line is blurry and I guess for many it's easier to look somewhere else.. It's different from using drugs.


    HW : 150 kgs
    09/02/2014 : 142 /1st apt
    01/20/2016 : 134 /surgery
    01/30/2016 : 130 /1st post-op
    02/27/2016 : 126 /2nd
    04/23/2016 : 118 /3rd
    07/16/2016 : 109 / 4th
    10/01/2016 : 103 /5th
    01/21/2017 : 98 /1 year post-op
    February 2017 : 100 lbs lost
    07/22/2017 : 96
    10/21/2017 : 93
    12/22/2017 : 91
    01/02/2018 : 96!! regain (medication)

  10. Gastric Sleeve Surgery With Weight Loss Agents
  11. #6
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
    Location
    Texas
    Posts
    1,147
    Said "Thanks" 695 Times
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    Said "Welcome to Gastric Sleeve" 905 Times
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    4

    Default Re: Cross Addiction and Weight Loss Surgery

    Quote Originally Posted by Sandra3 View Post
    That's why my surgeon and his team don't treat people with food addiction, they have to get treated for that first before getting bariatric surgery.
    Many prudent surgeons will not operate on patients with food addiction...

    However, food-addicted people without the appropriate insight into their condition who want bariatric surgery badly enough will lie in order to be approved. They fully know they have compulsive/addictive eating practices but will hide them and/or not mention them during the pre-approval process.

    On another forum there's an active discussion about someone who's 3 weeks post-op and feels defeated after having eaten an entire pizza. Putting your life at risk to graze on pizza at 3 weeks out is a blaring sign you're addicted to food.

    Another probable sign of a food addict is someone who is fishing around for revision to a third weight loss surgery because the first two procedures yielded poor results. The patient may have had a sleeve 5 years ago but lost insufficient weight, so (s)he revised to gastric bypass. Since the bypass resulted in virtually no weight loss, the person is now wanting to revise to a third surgery such as a lap band over bypass or a duodenal switch.

    Usually, the person who seeks out a third bariatric surgery will swear up and down that they eat nothing but grilled chicken and steamed veggies, yet none of the previous surgeries "worked" to help with weight loss.

    At least here in the US, many undiagnosed food addicts undergo weight loss surgery due to not disclosing it. Nonetheless, people in the bariatric surgery community scratch their heads and wonder why so many regain significant pounds. It's partly because the surgery alters peoples' stomachs, not their addicted brains.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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  13. #7
    Gastric Sleeve Member Shirl's Avatar
    I have had a gastric sleeve.
    Name
    Shirl
    Surgery date
    05/17/2016
    Surgeon
    Dr. Sergey Lyass
    Join Date
    Mar 2016
    Location
    SoCal and Central Texas
    Posts
    1,310
    Said "Thanks" 976 Times
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    Said "Welcome to Gastric Sleeve" 1,909 Times
    Blog Entries
    57

    Default Re: Cross Addiction and Weight Loss Surgery

    Thanks for the link! I have booked marked for reading later.

    From personal experience and working in social service sector, compulsive addictions may be "symptoms," but are often cause of a trauma or ____ (root of the problem). Each of us may and can overcome ____ through self discovery and the willingness to do the work to break from the root problem. There are numerous if not hundreds of thousands of individuals whose testimony through AA, NA, OA, ACOA and many other support groups will tell you it is not easy, but a balanced life is achievable whether it is a food addiction or something else.

    Personally, I know I have a tendency toward food addiction, but the OA or FA structure was not conductive to my recovery and healing. I have found other means of dealing with my stressors that have lead to food compulsion through cognitive therapy on and off for many years, but it hasn't been until this last year (after the Sleeve Gastrectomy) that I have actually dealt with my food related addiction specifically. I also do a lot of heart and spiritual work which has brought healing and closure to trauma I have experienced.

    Take all this with a grain of salt.

    Each of us have our own journeys and how we walk or approach them will be up to entirely different.
    HW: 245lbs (11/15); SW: 226lbs (5/17/16) - Height: 5'6"

    Post-Op Weight:
    M1: 211.3 (-14.7)
    M2: 203 (-8.3)
    M3: 196.5 (-6.5)
    M4: 191.5 (-5)
    M5: 186.3 (-5.2)
    M6: (?)
    M7: (?)
    M8: 179.4 (-6.9)
    M9: 177.1 (-2.3)
    M10: 174 (-3.1)
    M11: 171.5 (-2.5)
    M12: 171 (-.5)
    Y1.1: 170 (-1)

    "Today is another day to get it right!"






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  15. #8
    Gastric Sleeve Member Pam G's Avatar
    I have had a gastric sleeve.
    Name
    Pam
    Surgery date
    05/27/2016
    Surgeon
    Dr Ponce de Leon
    Join Date
    Feb 2016
    Last Activity
    02-22-2024 08:48 AM
    Location
    Sugar Land, TX
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    1,543
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    12

    Default Re: Cross Addiction and Weight Loss Surgery

    This would have been 100% true for me if I'd have had the surgery in my youth.

    Now, however, I either don't have enough energy, or just don't give a poop anymore to switch addictions! LOL

    (unless you consider Facebook an addiction....?)




    HW: 275
    PreOp: 268 5/12/16

    SW: 258. 5/27/2016
    10 w: 225. Goal 1
    12 w: 222.
    14 w: 216.
    4 m: 215
    5 m: 205
    22: 199.4 10/30 Goal 2
    24: 196
    6 mo: 191
    7 m: 193
    8 m: 184
    9 m: 180 2/3/17. Goal 3
    10 m: 179
    11 m: 171
    48: 170
    1 yr: 166.6. 5/27/17
    13 m: 165.8
    5 y,10 m: 215
    7 yrs: 230


    Revised Goal : 200
    "Bonus" Goal: 180

  16. #9
    Gastric Sleeve Member Shirl's Avatar
    I have had a gastric sleeve.
    Name
    Shirl
    Surgery date
    05/17/2016
    Surgeon
    Dr. Sergey Lyass
    Join Date
    Mar 2016
    Location
    SoCal and Central Texas
    Posts
    1,310
    Said "Thanks" 976 Times
    Was Thanked 1,063 Times in 667 Posts
    Said "Welcome to Gastric Sleeve" 1,909 Times
    Blog Entries
    57

    Default Re: Cross Addiction and Weight Loss Surgery

    Quote Originally Posted by Pam G View Post

    (unless you consider Facebook an addition....?)
    Tons of studies have proved addictive and specially for the narcissistic inclined! LOL!!!
    HW: 245lbs (11/15); SW: 226lbs (5/17/16) - Height: 5'6"

    Post-Op Weight:
    M1: 211.3 (-14.7)
    M2: 203 (-8.3)
    M3: 196.5 (-6.5)
    M4: 191.5 (-5)
    M5: 186.3 (-5.2)
    M6: (?)
    M7: (?)
    M8: 179.4 (-6.9)
    M9: 177.1 (-2.3)
    M10: 174 (-3.1)
    M11: 171.5 (-2.5)
    M12: 171 (-.5)
    Y1.1: 170 (-1)

    "Today is another day to get it right!"






  17. #10
    sraebaer
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    Default Re: Cross Addiction and Weight Loss Surgery

    Don't all of us have food addictions? We didn't get fat without food, did we? I know for me it was carbs, if you would have told me no meat for the rest of my life, I would have said, 'No problem."

    I was never the person to eat a whole tub of ice cream or carton or Oreos, I just ate the wrong stuff. But I would think that is still a food addiction.

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  19. #11
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
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    3

    Default Re: Cross Addiction and Weight Loss Surgery

    Quote Originally Posted by sraebaer View Post
    Don't all of us have food addictions? We didn't get fat without food, did we? I know for me it was carbs, if you would have told me no meat for the rest of my life, I would have said, 'No problem."

    I was never the person to eat a whole tub of ice cream or carton or Oreos, I just ate the wrong stuff. But I would think that is still a food addiction.

    Based on my observations of how people overeat, I don't think we all have "food addiction" issues. Yes, many of us were taught or had acquired terrible eating habits, had little legitimate knowledge about what good nutrition involves, etc. And we all have some acquaintance with comfort-eating, eating out of boredom, and eating to allay anxiety. But some of us also slowly became obese by eating an extra 100 calories a day -- which packs on 10 pounds a year. Do that for 10 years and voila! Obesity! Do it for 20 and voila!! Supermorbid obesity!!

    So is food addiction a question / matter of degrees? Perhaps.

    Still ... ask someone who suffers from diagnosed binge eating disorder (BED) what their life is like -- and I'll guarantee you it is different from how you or I ate pre-op. Or how we eat now on our worst eating day. Some of these issues are very tough to deal with. However, I also know people who're are managing their eating disorders / food addictions. Some do so by taking one or more psychiatric drugs to address them. Also, sometimes food addictions/ eating disorders are wrapped up in a larger bundle of disorders / issues that complicate treatment.

    I used to think everybody's eating issues were very similar. But I've come to appreciate in the last three years that there's a lot more variety in the land of obesity than I once knew or acknowledged.



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post

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  21. #12
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
    Location
    Texas
    Posts
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    Said "Welcome to Gastric Sleeve" 905 Times
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    4

    Default Re: Cross Addiction and Weight Loss Surgery

    Quote Originally Posted by sraebaer View Post
    Don't all of us have food addictions? We didn't get fat without food, did we?
    To be fair, there are the 5 to 10 percent of those in the obese population who got fat due to disease processes or medications, though they're not necessarily addicted to food.

    For instance, Prednisone will fatten a person up within a matter of months. Illnesses such as Cushing's disease result in obesity even though the sufferer has no food addiction. Polycystic ovary syndrome (PCOS) leads to obesity due to extreme hormonal imbalances of insulin and androgens.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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  23. #13
    Gastric Sleeve Member Donald G's Avatar
    I have had a gastric sleeve.
    Name
    hmmmmm I wonder
    Surgery date
    01/24/2017
    Surgeon
    Dr Romanelli
    Join Date
    Feb 2017
    Last Activity
    01-09-2018 06:02 PM
    Location
    Western Massachusetts
    Posts
    389
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    Was Thanked 370 Times in 237 Posts
    Said "Welcome to Gastric Sleeve" 96 Times
    Blog Entries
    1

    Default Re: Cross Addiction and Weight Loss Surgery

    Quote Originally Posted by sraebaer View Post
    Don't all of us have food addictions? We didn't get fat without food, did we? I know for me it was carbs, if you would have told me no meat for the rest of my life, I would have said, 'No problem."

    I was never the person to eat a whole tub of ice cream or carton or Oreos, I just ate the wrong stuff. But I would think that is still a food addiction.
    I didn't become obese til I became disabled was a case of not adjusting my food intake to meet my sedentary life that came with my disability.




    Starting weight 328
    pre-op weight- 298
    1 month out- 262
    2 month out- 244
    3 month out- 227
    4 month out- 215
    5 month out- 203
    6 month out- 195
    7 month out- 194 in 1 month stall
    8 month out- 192
    9 month out-190
    10 month out-
    11 month out-
    12 month out-

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  25. #14
    Gastric Sleeve Member Pam G's Avatar
    I have had a gastric sleeve.
    Name
    Pam
    Surgery date
    05/27/2016
    Surgeon
    Dr Ponce de Leon
    Join Date
    Feb 2016
    Last Activity
    02-22-2024 08:48 AM
    Location
    Sugar Land, TX
    Posts
    1,543
    Said "Thanks" 679 Times
    Was Thanked 771 Times in 544 Posts
    Said "Welcome to Gastric Sleeve" 57 Times
    Blog Entries
    12

    Default Re: Cross Addiction and Weight Loss Surgery

    I don't post duck-lipped selfies, but I love being able to keep up with what's up in the hood and with my kids, now that they've moved away.


    Quote Originally Posted by Shirl View Post
    Tons of studies have proved addictive and specially for the narcissistic inclined! LOL!!!




    HW: 275
    PreOp: 268 5/12/16

    SW: 258. 5/27/2016
    10 w: 225. Goal 1
    12 w: 222.
    14 w: 216.
    4 m: 215
    5 m: 205
    22: 199.4 10/30 Goal 2
    24: 196
    6 mo: 191
    7 m: 193
    8 m: 184
    9 m: 180 2/3/17. Goal 3
    10 m: 179
    11 m: 171
    48: 170
    1 yr: 166.6. 5/27/17
    13 m: 165.8
    5 y,10 m: 215
    7 yrs: 230


    Revised Goal : 200
    "Bonus" Goal: 180

  26. #15
    Gastric Sleeve Member Pam G's Avatar
    I have had a gastric sleeve.
    Name
    Pam
    Surgery date
    05/27/2016
    Surgeon
    Dr Ponce de Leon
    Join Date
    Feb 2016
    Last Activity
    02-22-2024 08:48 AM
    Location
    Sugar Land, TX
    Posts
    1,543
    Said "Thanks" 679 Times
    Was Thanked 771 Times in 544 Posts
    Said "Welcome to Gastric Sleeve" 57 Times
    Blog Entries
    12

    Default Re: Cross Addiction and Weight Loss Surgery

    I was vegetarian for 15 yrs and never lost a pound!

    Quote Originally Posted by sraebaer View Post
    Don't all of us have food addictions? We didn't get fat without food, did we? I know for me it was carbs, if you would have told me no meat for the rest of my life, I would have said, 'No problem."

    I was never the person to eat a whole tub of ice cream or carton or Oreos, I just ate the wrong stuff. But I would think that is still a food addiction.




    HW: 275
    PreOp: 268 5/12/16

    SW: 258. 5/27/2016
    10 w: 225. Goal 1
    12 w: 222.
    14 w: 216.
    4 m: 215
    5 m: 205
    22: 199.4 10/30 Goal 2
    24: 196
    6 mo: 191
    7 m: 193
    8 m: 184
    9 m: 180 2/3/17. Goal 3
    10 m: 179
    11 m: 171
    48: 170
    1 yr: 166.6. 5/27/17
    13 m: 165.8
    5 y,10 m: 215
    7 yrs: 230


    Revised Goal : 200
    "Bonus" Goal: 180

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