need info of pro and con of stomach surgery

Question:

My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

My father was a very large man, at times over 400lbs at about 6′3".  About 15 years ago, he had the surgery where they insert a donut shaped insert in the stomach, to make a sort of "small" stomach with a smaller opening, before the "main" stomach.  Sorry, but without talking to him, that is the best I can describe it. On the positive side, he lost a lot of weight.  The surgery forced him to really chew his food, and eat small amounts more often.  It just wasn’t physically possible to overeat anymore.  If he over did it, it would all come back out.  He was down to about 200 lbs within 1 year.  He has kept almost all the weight off to this day…but….. On the negative side, he has had increasing problems in the last 3-4 years keeping ANYTHING down.  Even water.  The small opening into the main stomach seems to close up at times, and won’t allow anything to pass.  He has had to go to the hospital a couple times to get re-hydrated intravenously as he has been unable to get even water orally.  The stomach simply throws it back up. They have inserted devices and stretched the opening, but so far, the solutions have only been temporary. Certain foods he can no longer eat as well.  Gristley meat, bacon, etc. Anything that has can’t be ground down easily with his teeth tends to get blocked up. He has said many times he would do it all over again.  He would likely be dead already from being overweight, but just keep in mind that ANYTHING can happen, good or bad.  Just my story….. Best of luck to you and yours….. GT

Response:

My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

I have worked with docs for years and I have the utmost respect for the profession.  I am not one of those nurses who thinks that docs are evil and that none are as smart as we are. A good doc who puts up a web site to promote his surgical skills will follow certain ethical guidelines.  But, even then, the doc wants to sell you something.  There is nothing wrong with this.  We all pretty much sell ourselves for a living but when was the last time you read a resume that highlighted flaws in a person’s work history rather than accomplishments. On the flip side, there are some horror stories.  I do not doubt for a minute their veracity but I do not think that those results are typical. I saw a lightweight documentary on long term weight loss a while ago.  They explored three people who lost weight, one of whom did the bypass surgery. It was successful.  What impressed me was the intense nutrition counseling before and after the procedure.  A psychological exam was also done.  The lifestyle changes are enormous even with the help of surgery. Questions to ask the doc: How many of these procedures have you done? What is the rate of complications? What is the rate of death? What kind of pre-surgical care is given? What kind of post-surgical care is offered? Is there a support group of former patients with whom you may visit? What is covered with the cost of surgery?  Anesthesia?  All meds?  Sometimes there are hidden charges. – Hide quoted text — Show quoted text – My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

Hi Ray, I know 4 people that have had the surgery done.  All of them had the gastric bypass version.  Anyway, they all had various complications, some minor and some not so minor. One of my close male friends had it done about 1.5 years ago.  He is 6′6" and weighed about 400 lbs.  He had a complication with the catheter and he is currently impotent from it due to scar tissue.  He is considering a lawsuit.  He has lost some weight, but not very much. My best friend had it done as well last October.  She has been in and out of the hospital about 6 times with pancreatitis, gastritis and horrendous headaches.  She’s lost about 120 lbs in 12 months and looks better. However, she didn’t work on her eating habits or go to the gym.  She is pretty saggy now.  She also eats what she wants, just smaller amounts.  I can tell that her stomach is stretching because of the amount of food she can now eat.  She thought that this surgery would be a cure all and solve her weight problem permanently…. The two other people that had it done have not had any complications that I know about. How I personally feel is that this surgery is a band-aid and does not address the reasons that cause the weight gain.  The surgery has alot of complications, many of the really long term ones aren’t even known yet.  The stomach can stretch…  I’ve heard of several people that had to have the surgery a 2nd time due to the stomach stretching. Gastric banding may be a safer option.  However, the weight loss may be minimal and is much less permanent then bypass.  In addition, if the issues causing weight gain are not addressed once the band is removed, then the weight loss will not be permanent. I would suggest trying the HMR diet.  This diet can be as effective as stomach surgery w/out the pain and suffering.  Also, the cost is generally cheaper then the surgery.  www.yourbetterhealth.com for info.  There is a link there that has a number you can call for a location in your area.  I’ve been on it for 8 weeks now and lost 42 lbs so far.  I work out 4-5x a week and feel great. 284/242/199/??? — Email me at: perpleglow(AT)comcast.net – Hide quoted text — Show quoted text – My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

– Hide quoted text — Show quoted text – My father was a very large man, at times over 400lbs at about 6′3".  About 15 years ago, he had the surgery where they insert a donut shaped insert in the stomach, to make a sort of "small" stomach with a smaller opening, before the "main" stomach.  Sorry, but without talking to him, that is the best I can describe it. On the positive side, he lost a lot of weight.  The surgery forced him to really chew his food, and eat small amounts more often.  It just wasn’t physically possible to overeat anymore.  If he over did it, it would all come back out.  He was down to about 200 lbs within 1 year.  He has kept almost all the weight off to this day…but….. On the negative side, he has had increasing problems in the last 3-4 years keeping ANYTHING down.  Even water.  The small opening into the main stomach seems to close up at times, and won’t allow anything to pass.  He has had to go to the hospital a couple times to get re-hydrated intravenously as he has been unable to get even water orally.  The stomach simply throws it back up. They have inserted devices and stretched the opening, but so far, the solutions have only been temporary. Certain foods he can no longer eat as well.  Gristley meat, bacon, etc. Anything that has can’t be ground down easily with his teeth tends to get blocked up.

My sister had bariatric surgery that went way, way wrong.  Her stomach opening shut down with scar tissue, and she, like your dad, GT, could not even keep water down.  She eventually had the surgery reversed, as she was dying right before our eyes. That said, I’ve seen 2 people at my school enjoy fabulous success with the same surgery.  It’s definitely a huge decision. — Bird Contact me at   lindabird — a t — musician dot o r g

Response:

Just the other day there was a TV News article about an alternative to gastric by-pass surgery.  The docs insert a small device under the skin near the stomach and attach a wire tot he stomach.  The device gives small electrical jolts.  While they don’t yet understand why it works, studies are showing that it does reduce appetite.  They said that there have been 27 surgeries in the US.  Don’t know what it was called, but it might be worth looking into.  It’s very reversible and doesn’t have a lot of the bad side effects associated with the by-pass surgery. Sandy K.

Response:

I think somebody needs to stop being the mommy. – Hide quoted text — Show quoted text – My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

Just the other day there was a TV News article about an alternative to gastric by-pass surgery.  The docs insert a small device under the skin near the stomach and attach a wire tot he stomach.  The device gives small electrical jolts.  While they don’t yet understand why it works, studies are showing that it does reduce appetite.  They said that there have been 27 surgeries in the US.  Don’t know what it was called, but it might be worth looking into.  It’s very reversible and doesn’t have a lot of the bad side effects associated with the by-pass surgery.

Sandy, Are you referring to the "stomach pacemaker?" http://www.intelihealth.com/IH/ihtIH/WSSAN008/333/7228/370547.html?k=… It’s approved in Europe but not in the US yet.

Response:

My best friend had it done as well last October.  She has been in and out of the hospital about 6 times with pancreatitis, gastritis and horrendous headaches.  She’s lost about 120 lbs in 12 months and looks better. However, she didn’t work on her eating habits or go to the gym.  She is pretty saggy now.  She also eats what she wants, just smaller amounts.  I can tell that her stomach is stretching because of the amount of food she can now eat.  She thought that this surgery would be a cure all and solve her weight problem permanently….

there were 3 ladies at work that had it done. 1 at Curves  1 regained most of her weight over 10 yrs or so. 1 ate wrong afterwards and had terrible problems with bowel obstructions. 1 I just saw after about 6 months and she looks like she has gained at least 30 lbs back The lady from Curves went from 275 lbs to 145 she is back up to 155 but works out and looks good. she is taller than I am by a few inches. If LC hadn’t worked for me this time, I was going to gain enough weight to get a Roue-N-Y procedure. but I’ve been quite successful this way so I dn’t have to think about that anymore. — Lori 220/147/135 LC since 1/17/03 Oct  Challenge 150/145 http://community.webshots.com/user/lorismiller – Hide quoted text — Show quoted text – The two other people that had it done have not had any complications that I know about. How I personally feel is that this surgery is a band-aid and does not address the reasons that cause the weight gain.  The surgery has alot of complications, many of the really long term ones aren’t even known yet.  The stomach can stretch…  I’ve heard of several people that had to have the surgery a 2nd time due to the stomach stretching. Gastric banding may be a safer option.  However, the weight loss may be minimal and is much less permanent then bypass.  In addition, if the issues causing weight gain are not addressed once the band is removed, then the weight loss will not be permanent. I would suggest trying the HMR diet.  This diet can be as effective as stomach surgery w/out the pain and suffering.  Also, the cost is generally cheaper then the surgery.  www.yourbetterhealth.com for info.  There is a link there that has a number you can call for a location in your area.  I’ve been on it for 8 weeks now and lost 42 lbs so far.  I work out 4-5x a week and feel great. 284/242/199/??? My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

I don’t think you were heavy enough to get ther surgery done… they like to see a BMI of over 37% and over 100 lbs overweight…. — Email me at: perpleglow(AT)comcast.net

– Hide quoted text — Show quoted text – My best friend had it done as well last October.  She has been in and out of the hospital about 6 times with pancreatitis, gastritis and horrendous headaches.  She’s lost about 120 lbs in 12 months and looks better. However, she didn’t work on her eating habits or go to the gym.  She is pretty saggy now.  She also eats what she wants, just smaller amounts.  I can tell that her stomach is stretching because of the amount of food she can now eat.  She thought that this surgery would be a cure all and solve her weight problem permanently…. there were 3 ladies at work that had it done. 1 at Curves  1 regained most of her weight over 10 yrs or so. 1 ate wrong afterwards and had terrible problems with bowel obstructions. 1 I just saw after about 6 months and she looks like she has gained at least 30 lbs back The lady from Curves went from 275 lbs to 145 she is back up to 155 but works out and looks good. she is taller than I am by a few inches. If LC hadn’t worked for me this time, I was going to gain enough weight to get a Roue-N-Y procedure. but I’ve been quite successful this way so I dn’t have to think about that anymore. — Lori 220/147/135 LC since 1/17/03 Oct  Challenge 150/145 http://community.webshots.com/user/lorismiller The two other people that had it done have not had any complications that I know about. How I personally feel is that this surgery is a band-aid and does not address the reasons that cause the weight gain.  The surgery has alot of complications, many of the really long term ones aren’t even known yet.  The stomach can stretch…  I’ve heard of several people that had to have the surgery a 2nd time due to the stomach stretching. Gastric banding may be a safer option.  However, the weight loss may be minimal and is much less permanent then bypass.  In addition, if the issues causing weight gain are not addressed once the band is removed, then the weight loss will not be permanent. I would suggest trying the HMR diet.  This diet can be as effective as stomach surgery w/out the pain and suffering.  Also, the cost is generally cheaper then the surgery.  www.yourbetterhealth.com for info.  There is a link there that has a number you can call for a location in your area.  I’ve been on it for 8 weeks now and lost 42 lbs so far.  I work out 4-5x a week and feel great. 284/242/199/??? My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

There was an interesting news story on the NBC nightly news a few days ago.  There is a new procedure being tested and the results appear to be excellent.  It consists of surgically implanting a small pace maker like device that delivers small shocks to the stomach.  The procedure is minimally invasive, takes about an hour, with quick recovery. Somehow the shocks fool the stomach into feeling full, exactly how is unknown.  The procedure is completely reversible.

I had a look at the article that someone else posted a link to.  It sounds interesting, and I’d never heard of this before, but I wouldn’t call an average loss of 18% of excess weight in the participants excellent results.  We could probably equal that here in asd. janice 233/161/133

Response:

- Hide quoted text — Show quoted text – My SIL had gastric bypass about a year ago. She is very short, perhaps 5 feet, and weighed 225. She lost only 30 pounds, has had hernia repair surgery twice now (caused by the stomach surgery), and still manages to eat too much. It is possible to eat very small amounts many times during the day and still take in too many calories. Our cousin had it done a couple of years ago and had great results. She has lost somewhere in the neighborhood of 130 pounds and looks and feels great. She is also more active and took up regular exercise as she was losing. Melissa My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

There was an interesting news story on the NBC nightly news a few days ago.  There is a new procedure being tested and the results appear to be excellent.  It consists of surgically implanting a small pace maker like device that delivers small shocks to the stomach.  The procedure is minimally invasive, takes about an hour, with quick recovery. Somehow the shocks fool the stomach into feeling full, exactly how is unknown.  The procedure is completely reversible.

Response:

Hi, I’m in Lubbock also.  Here’s a link to a web page from Covenant Hospital about gastric by-pass: http://www.covenanthealth.org/library/healthguide/IllnessConditions/t… p?HWID=hw252819 One of the local hospitals used to (and may still) have a comprehensive program for the morbidly obese.  I just couldn’t find it on the internet. If nephew is also in this area, that’s what I’d try to find for him. Tonia – Hide quoted text — Show quoted text – My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

More information would be helpful. How fat is the son, how old etc, has he tried to lose weight the old fashioned way? i My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Chris is approximately 380 at 6 foot. He is about 30 years old.  My sister tells me he has sleep apnea and sores on his leg due to being overweight.  I know he has tried Atkins, but apparently did not have the will power to stick with it.  Even I was a failure at low-fat diets, so I never recommended that path to him. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

I think somebody needs to stop being the mommy. My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

According to my sister, you never stop being a mother.  Not having kids, I wouldn’t know. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

Our cousin had it done a couple of years ago and had great results. She has lost somewhere in the neighborhood of 130 pounds and looks and feels great. She is also more active and took up regular exercise as she was losing.

My opinion is that you STILL have to eat less and exercise more.  Why bother messing with the surgery as an intermediate step?  For it to be effective you’ve got to make the exact same significant lifestyle changes as you need to do to lose weight without surgery. Wendy

Response:

The diet industry created a myth that you do not need to have willpower to lose weight and to keep it off.

We’ve gone ’round on this issue before, as I recall.  I also don’t think you need willpower.  I think you need to decide to do it.  Once you "cross that abyss" or "make the connection" or have your epiphany it doesn’t take willpower.  Willpower is when you’re divided inside yourself. Furthermore, willpower means you’re making yourself do something until some certain point, at which time you will relax your willpower.  We know that is how you regain your weight.  So willpower is mainly useful in yo-yo dieting. It is completely possible to eat less and exercise more.  All you have to do is decide to do it.  If you can’t do it, well, my guess is that you haven’t decided to do it yet. I don’t mean to be symplistic – there’s lots to learn about fat loss and how to implement your decision to eat less and exercise more – but you would STILL have to learn all this and do all this after surgery, so we’re right back to my main point: why bother with the surgery.  It’s a needless intermediate step. Wendy

Response:

My SIL had gastric bypass about a year ago. She is very short, perhaps 5 feet, and weighed 225. She lost only 30 pounds, has had hernia repair surgery twice now (caused by the stomach surgery), and still manages to eat too much. It is possible to eat very small amounts many times during the day and still take in too many calories. Our cousin had it done a couple of years ago and had great results. She has lost somewhere in the neighborhood of 130 pounds and looks and feels great. She is also more active and took up regular exercise as she was losing. Melissa – Hide quoted text — Show quoted text – My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

- Hide quoted text — Show quoted text – More information would be helpful. How fat is the son, how old etc, has he tried to lose weight the old fashioned way? i My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas Chris is approximately 380 at 6 foot. He is about 30 years old.  My sister tells me he has sleep apnea and sores on his leg due to being overweight.  I know he has tried Atkins, but apparently did not have the will power to stick with it.  Even I was a failure at low-fat diets, so I never recommended that path to him. The sores on his legs are probably related to very poor circulation and sleep apnea is very serious.  I hope that whatever doc and anesthesiologist who takes on this challenge is very experienced. Ray Wesley Kinserlow Jr. Lubbock, Texas

After reading these threads, I feel compelled to share that not everyone in this world can lose weight by eating less and exercising more. I have had a weight problem since I was 12 years old, which coincided with a sexual molestation. I was one messed up little girl. Yes, I definitely had emotional problems. I used food for comfort. However, as I became older, I truly tried every diet known to mankind, and then some. For a major portion of my adult life, I starved on diets. I stringently consumed 1,000 calories or less, and walked 1 hour daily 4-5 times a week. The results? I gained weight. I did Medi-fast combined with exercise for 30 days. No solid food. Results? 2 pounds lost. It goes on and on and on. Weight Watchers was alway weight gain for me. After an adult lifetime of this, I do not want to hear one more person tell me to eat less and exercise. I have tried many different therapies for my emotion unbalance. I finally found a Christian counselor that taught me new ways to think about the past and put the ghosts to rest once and for all. I did that for a year and a half prior to my surgery. Then I researched the surgery. I went to support groups and listened. This surgery was not a band-aid, not a miracle cure, but a life saver. For the first time in my life I have lost weight. I had already been working on the food issues. Every now and then old stuff creeps up, but I deal with it. For me, this was a life saving decision. So please, do not judge everyone by your own standards. If you have not walked a mile in my shoes, how can you know where I come from? Surgery is not for everyone, but it was for me! Jeano

Response:

– Hide quoted text — Show quoted text – Chris is approximately 380 at 6 foot. He is about 30 years old.  My sister tells me he has sleep apnea and sores on his leg due to being overweight. I know he has tried Atkins, but apparently did not have the will power to stick with it.  Even I was a failure at low-fat diets, so I never recommended that path to him. Well, I think that assuming he has no willpower, it is better to go on the surgery table than to be 380 lbs. Are you sure that he won’t learn how to defeat his surgery and relain weight? Try to write down everything pertinent about your son specifically, rather than rely on average rates. How come he is so fat? Does he have willpower for anything? i He is not my son, he is my nephew.  He has always been big, but only obese in adulthood.  The last contact I had with him was when he was starting Atkin’s which I do and have had considerable success with.  I sent him a couple of emails of encouragement and tried to provide support and set a good example.  Now, I hear he is going to have this surgery largely because his father-in-law had it and it was successful.  Believe me I am not thrilled to hear this news.  My sister tells me he doesn’t have the will power to do what I have done. I have to take her word for it, he is her son.  I am very grateful I do not have to resort to such extreme measures to control my eating. My suggestion would be for you to present the pertinent information that you found, but do not give a recommendation. You wil be at fault no matter what happens. i 223/176/180

I intend to send and forward all websites and interesting/informative posts on bariatric surgery to my sister, her husband, and my nephew until they tell me to stop or he has his surgery. Ray Wesley Kinserlow Jr. Lubbock, Texas

Response:

– Hide quoted text — Show quoted text – More information would be helpful. How fat is the son, how old etc, has he tried to lose weight the old fashioned way? i My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas Chris is approximately 380 at 6 foot. He is about 30 years old.  My sister tells me he has sleep apnea and sores on his leg due to being overweight.  I know he has tried Atkins, but apparently did not have the will power to stick with it.  Even I was a failure at low-fat diets, so I never recommended that path to him. Ray Wesley Kinserlow Jr. Lubbock, Texas

Has he been receiving proper treatment for his sleep apnea. Sleep apnea can make it very difficult to lose weight. Look up the newsgroup alt.support.sleep-disorders — David Chamberlain – ASAPM Moderator |        Support for anxiety or panic disorders. Check us out!        | | alt.support.anxiety-panic.moderated http://stump.algebra.com/~asapm | I’d rather die living, then live dying.

Response:

Wendy, you posted numerous messages about how you were so upset that your kids could eat giant sundaes at a movie theater (or some such) and you could not etc. And how you were tired of being on a diet while others were eating recreationally. You did not eat the sundae and you wanted the world to know just how hard it was. Now you are suggesting that you never use willpower… I think something is fishy here!

You missed the point.  The entire thread was about facing the hidden costs of losing fat: looking them in the eye and identifying them so they don’t undermine me. I did not feel tempted to eat the ice cream.  In fact, it didn’t occur to me.  No, I felt regret that this choice, the choice to care about my looks, meant that eating ice cream sundaes couldn’t be a form of entertainment for me anymore.  My decision has resulted in the loss of a part of me: the unrestrained eater.  Fact is, I wouldn’t have enjoyed if I ate it: I would have been thinking about the costs of eating it the whole time! My decision means severely limiting recreational foods just for recreation.  And that is what I did on that occasion (and many, many others).  But it wasn’t willpower, it was a natural consequence of my decision. Today I took my daughter to a fine chocolate store for a special occasion of hers.  I let her pick out a 1/2 pound of chocolate.  I had a single piece of dark chocolate covered ginger.  Yes, it was for recreation.  But it was a very modest amount of calories for a very large amount of recreation.  (Yum!)   I didn’t use willpower to not buy everything in the store, I used the circumstances of my life.  I don’t want to be fat.  Eating a pound of chocolate would (through amazing fat-lady mechanics) put five pounds back on my hips.  Therefore I don’t choose to do it.  I also didn’t choose to do it because I don’t have enough money to buy the whole place out.  I didn’t use willpower to resist putting it all my credit card, now did I?  It was just a logical way of acting. Wendy

Response:

Wendy, willpower comes when, say, you are tired but need to exercise.

I don’t exercise then, I sleep.  And plan to get enough sleep so I can exercise another time. Or when you are hungry and want a pack of pringles. etc.

When I’m hungry I want to eat.  Because I am trying to feed my body an appropriate amount of calories I don’t choose pringles.  If I were in a situation where pringles were the only option I would eat the pringles and then try to get into a better situation.   One poor choice will not sidestep my weight loss.  One bad day will not sidestep my weight loss.  I want to lose fat, I know how to lose fat, I’m losing fat.  (Slowly, lately.  If I cared to speed it up I could do that, too.) Willpower is a bullying technique you use on yourself.  I don’t have to bully myself because I’m on board with my plans. Wendy

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– Hide quoted text — Show quoted text – Chris is approximately 380 at 6 foot. He is about 30 years old.  My sister tells me he has sleep apnea and sores on his leg due to being overweight. I know he has tried Atkins, but apparently did not have the will power to stick with it.  Even I was a failure at low-fat diets, so I never recommended that path to him. Well, I think that assuming he has no willpower, it is better to go on the surgery table than to be 380 lbs. Are you sure that he won’t learn how to defeat his surgery and relain weight? Try to write down everything pertinent about your son specifically, rather than rely on average rates. How come he is so fat? Does he have willpower for anything? i

He is not my son, he is my nephew.  He has always been big, but only obese in adulthood.  The last contact I had with him was when he was starting Atkin’s which I do and have had considerable success with.  I sent him a couple of emails of encouragement and tried to provide support and set a good example.  Now, I hear he is going to have this surgery largely because his father-in-law had it and it was successful.  Believe me I am not thrilled to hear this news.  My sister tells me he doesn’t have the will power to do what I have done. I have to take her word for it, he is her son.  I am very grateful I do not have to resort to such extreme measures to control my eating. Ray Wesley Kinserlow Jr. Lubbock, Texas

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– Hide quoted text — Show quoted text – More information would be helpful. How fat is the son, how old etc, has he tried to lose weight the old fashioned way? i My sister is thinking of paying for her son to have stomach surgery to lose weight.  He is an adult with children.  I am telling her to get both sides of the debate, but she feels the doctor’s site is enough information.  I would appreciate any feedback or websites that would help me give her more information. Ray Wesley Kinserlow Jr. Lubbock, Texas Chris is approximately 380 at 6 foot. He is about 30 years old.  My sister tells me he has sleep apnea and sores on his leg due to being overweight.  I know he has tried Atkins, but apparently did not have the will power to stick with it.  Even I was a failure at low-fat diets, so I never recommended that path to him.

The sores on his legs are probably related to very poor circulation and sleep apnea is very serious.  I hope that whatever doc and anesthesiologist who takes on this challenge is very experienced. – Hide quoted text — Show quoted text – Ray Wesley Kinserlow Jr. Lubbock, Texas

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