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Has anyone had weight loss surgery?
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<blockquote data-quote="Marguerite" data-source="post: 145458" data-attributes="member: 1991"><p>I've been read the riot act by my gastroenterologist who told me I must lose weight - my liver enzymes have been dangerously high, biopsy showed my liver is full of fat and I've got major insulin resistance, right on the edge of diabetes.</p><p></p><p>He told me to diet - I said, "How?" I've tried everything, including utter stupidity (aka total starvation for several weeks). Every time, the weight only comes off slowly, and then stops. Then it creeps back up, even while I'm still dieting. When I think about it - I've been on a constant diet for years. Decades? I'm also NOT an emotional eater - if I'm depressed, I STOP eating.</p><p></p><p>But he was adamant - I MUST lose weight, to give my liver a chance at shedding its load of lard. Even a few kilos can help, he said.</p><p></p><p>He said, "I don't think you're quite overweight enough to think of gastric bypass or lap band yet. Maybe, but we'll try a few other things first."</p><p></p><p>He said I should try medication. My choices were Xenical, or Reductil.</p><p></p><p>Xenical works by preventing your body from absorbing ANY fat in your diet (which means you suffer from deficiencies in fat soluble vitamins). It also means any fat/oil in your diet comes straight through and out the other end, often as unpleasant leakage. The point of Xenical - the leakage is unpleasant so it trains you to eat a low-fat diet.</p><p>I don't need that training. For years now, I've found that if I eat anything too greasy or oily, I get really sick, with diarrhoea and nausea. I get the same effects, but I don't need Xenical for it.</p><p></p><p>So I'm trying Reductil. It does exactly what I need - it stops my body going into "She's starving, we need to conserve energy" mode. As a result, the weight is still coming off.</p><p></p><p>Now, because of a number of factors, I need to diet DRASTICALLY. I am eating AS IF I've had gastric bypass. I'm getting in practice now. And that, plus the pills - it's working.</p><p></p><p>Oh, and Reductil is also supposed to suppress appetite - yeah, right. I'm doing this on willpower, baby. And lots of brown rice...</p><p></p><p>Whenever I get my meal or go to eat anything, I visualise myself as having a tiny stomach. I eat my breakfast (and often other meals) in a one cup capacity dish. I've got to leave room for the spoon, and for it to not look overloaded. A baked dinner - it's served on a bread and butter plate for me. No potatoes AT ALL.</p><p></p><p>And so I don't go totally crazy - one small square of 70% cocoa chocolate, every other day. "Hey, there's good stuff in chocolate." But it's got to be GOOD chocolate, not cheap compounded stuff. No soft centres - it's too hard to stop at one.</p><p></p><p>And lots of water. I keep 2 litres of chilled filtered water at the ready, try and work my way through it over the day but usually it takes me longer.</p><p></p><p>If you're heading for bypass surgery, try practising now. And if you haven't tried those two pills, talk to the doctor. If they can do it for you, it could save you a lot.</p><p></p><p>And if not, if bypass is where you choose to go - all the best with it, I hope you sail through it.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 145458, member: 1991"] I've been read the riot act by my gastroenterologist who told me I must lose weight - my liver enzymes have been dangerously high, biopsy showed my liver is full of fat and I've got major insulin resistance, right on the edge of diabetes. He told me to diet - I said, "How?" I've tried everything, including utter stupidity (aka total starvation for several weeks). Every time, the weight only comes off slowly, and then stops. Then it creeps back up, even while I'm still dieting. When I think about it - I've been on a constant diet for years. Decades? I'm also NOT an emotional eater - if I'm depressed, I STOP eating. But he was adamant - I MUST lose weight, to give my liver a chance at shedding its load of lard. Even a few kilos can help, he said. He said, "I don't think you're quite overweight enough to think of gastric bypass or lap band yet. Maybe, but we'll try a few other things first." He said I should try medication. My choices were Xenical, or Reductil. Xenical works by preventing your body from absorbing ANY fat in your diet (which means you suffer from deficiencies in fat soluble vitamins). It also means any fat/oil in your diet comes straight through and out the other end, often as unpleasant leakage. The point of Xenical - the leakage is unpleasant so it trains you to eat a low-fat diet. I don't need that training. For years now, I've found that if I eat anything too greasy or oily, I get really sick, with diarrhoea and nausea. I get the same effects, but I don't need Xenical for it. So I'm trying Reductil. It does exactly what I need - it stops my body going into "She's starving, we need to conserve energy" mode. As a result, the weight is still coming off. Now, because of a number of factors, I need to diet DRASTICALLY. I am eating AS IF I've had gastric bypass. I'm getting in practice now. And that, plus the pills - it's working. Oh, and Reductil is also supposed to suppress appetite - yeah, right. I'm doing this on willpower, baby. And lots of brown rice... Whenever I get my meal or go to eat anything, I visualise myself as having a tiny stomach. I eat my breakfast (and often other meals) in a one cup capacity dish. I've got to leave room for the spoon, and for it to not look overloaded. A baked dinner - it's served on a bread and butter plate for me. No potatoes AT ALL. And so I don't go totally crazy - one small square of 70% cocoa chocolate, every other day. "Hey, there's good stuff in chocolate." But it's got to be GOOD chocolate, not cheap compounded stuff. No soft centres - it's too hard to stop at one. And lots of water. I keep 2 litres of chilled filtered water at the ready, try and work my way through it over the day but usually it takes me longer. If you're heading for bypass surgery, try practising now. And if you haven't tried those two pills, talk to the doctor. If they can do it for you, it could save you a lot. And if not, if bypass is where you choose to go - all the best with it, I hope you sail through it. Marg [/QUOTE]
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