Should I get weight loss surgery?

[MCheetah]

I've been overweight my entire life. Both of my parents had sh*tty genetics and I inherited 100% of all of their sh*tty DNA (it's the main reason why I'll never conceive kids).

I've been contemplating weight loss surgery for a while now, even before I've put on extra weight. Even back in 2018, I was thinking about bariatric surgery, and I weighed less then. I decided against it because it seemed too extreme and I figured proper exercise and diet would be enough.

I've been semi-regularly going to martial arts gyms since 2012. I used to do Jiu Jitsu & Judo, then Boxing, then Powerlifting, then MMA, and here in Korea, Kickboxing. Never lost any weight at all. The number NEVER went down on the scale! Not that it matters or anything, but part of it might be because I have a minor medical condition called Hypothyroidism.

I remember joining a cardio gym shortly after high school in 2006 and having my personal trainer flirt with me and make inappropriate comments towards me, whether she was on the clock or not. It was uncomfortable, because I was 245 lbs (111 kg) back then and even that felt unattractive to me.

In 2013, I first started keeping a daily food log and counting calories (spoiler: it's useless and stupid to do so). I was 275 lbs (128 kg) then.

In early 2019, I remember hitting 300 lbs (136 kg) for the first time and I felt awful about it, because I've never once been a glutton or an overeater.

Now I'm at my heaviest at like 315 lbs (145 lbs), at least.

I'm 181 cm in the morning waking up, and 179 cm at the end of the day.

I f*cking HATE this body of mine, because literally not a single thing about it works right! After years in martial arts gyms and absolutely nothing to show for it, weight wise, I've decided I might as well just get the stomach sleeve surgery since I'm not getting any younger or taller. Doing the surgery will mean I can probably can't do martial arts again or will gain much muscle, but chances are, it's a moot point.

Yes, get the surgery.

No, don't get the surgery.

Updates

+1 y

I'd be getting the sleeve. Was told lap-band was the riskiest and least-safe. Also takes the longest to see results from; 2-3 years to lose excess weight, instead of 1. Its only benefit is it's reversible.

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[horatiohornblower]

Go to a doctor and get your metabolic rate tested. So, you have a better understanding of your calorie burning capabilities. Maybe you have a slow metabolism

Then go to a registered dietician with that info. To plan a diet and exercise regimen. Then follow it to a T. No cheating whatsoever. Go back every twenty five pounds. To update your plan.

As your caloric needs drop with every pound. A 300lbs person needs more calories than a 200lbs person to maintain weight.

I'd at least give it one more go. Armed with data and the advice of experts. Before going under the knife.

It wasn't until I devised a strict diet and exercise regimen that I finally lost weight in a reliable manner. I'd been overweight since I was a kid. Finally knocked it off at 35. Then maintained a diet to maintain weight.

I can say the only thing that works is numbers. You need to know your specific output each day and specific input. Without data, you're just guessing.

Although I didn't go with I dietician. I just did a lot of research. Then put the numbers into Excel.

[jaybee281]

FUCK YEA - especially that I've read the number of times that you've tried to lose the weight and put in the effort and still nothing - fuck that - If surgery is what it takes to do it - then surgery it is

[MCheetah]

Thank you.

[Daniela1982]

Wait, I tell you the same thing and you ignore me?

[TrueConfection]

I know 2 people that did this. 1 guy and he's thin now. 1 woman who I think is bigger now than she was before the surgery. The thing is, she was on some strict diet afterward. If you can eat that diet, I don't think you'll need the surgery.

Also, if you eat when you're not hungry (for reasons like anxiety, boredom, you just love food), I don't see how this kind of surgery makes sense.

Either way, your health is VERY important and you need to lose some weight to improve your quality of life.

I recommend researching the post surgery diet and trying that first.

[MCheetah]

It's an all liquid diet for the first month or two. Like, just soup and water and protein shakes. My metabolism is so dead, I can already live off of that and can go days (maybe even an entire week) without eating. However, that doesn't lead to weight gain (like all the Calories In, Calories Out BS and armchair nutritionist BS would have you to believe). All that leads is to fat retention and water-weight, because the body is in "starvation mode." Ironically, I'd have to eat more food to lose weight, but if *I* specifically do that, I ALSO gain weight. Damned if I do, damned if I don't. 🤷‍♂️
With the surgery, supposedly, I'd actually lose weight on an all-liquid diet, unlike now. But yeah, I'd love to save an extra $150-200 a month on never needing to buy food again.

[MCheetah]

However, that doesn't lead to weight *loss

[TrueConfection]

It was my understanding that the extreme low calorie diet (all liquid?) is what leads to the weight loss results and the surgery was to keep you from feeling hungry.

[MCheetah]

No. The type of surgery I'd be getting is the "sleeve" surgery, where they cut your stomach. That prevents overeating yes (that's not my main problem), but it also does a lot of other things as well, including reducing ghrelin, and improving nutrient absorption from food. It makes your digestion system more efficient.

However, as I said, I'm concerned because it's an irreversible process and it means I could never do weight-lifting again. There's also the dietary restrictions, but like I said, I'm fine with that. There's other reasons why I'd want the surgery, but they're likely too negative for others to read here, so I'll reframe from posting them unless someone is really curious.

[TrueConfection]

Oh ok. Is that different from the gastric bypass surgery?

[MCheetah]

It's basically more efficient at weight loss, safer, takes only 32-48 hours to recover from, and cheaper. The doctor told me the lap band is problematic and very risky and he didn't recommend it for someone of my weight.

[TrueConfection]

Safer is good!

[Daniela1982]

@TrueConfection This procedure won't be successful if you go back to your old eating habits. It is to force you from eating as your stomach is very small, like the size of a big toe. Your first month is drinking protein drinks and then you will slowly be able to eat more. It is hoped that by the time you lose your weight you will have changed your eating habits. If you don't you stomach will just stretch back out and you will be worse off than you were and maybe even getting bigger. It's not a cure, but a tool to change your way of eating.

[yofuknutz]

You're already developing a list of medical problems that qualify for the bariatric surgery if you get diabetes usually it's too late the surgery can help with lower or mitigate but still you're a diabetic if you can prevent that go for it shop around it's not easy it's like a full-time job

[TrueConfection]

@Daniela1982 That's what I was getting at, I thought it was the diet that changes the c person's weight. MCheetah explained it is the surgery in his reply.

[TrueConfection]

@yofuknutz It wasn't my question, but thanks for the advice just the same.

[Daniela1982]

@TrueConfection The surgery does make you lose weight. But after you lose all that weight it is your job to not start pigging out again and then regain it.

[yofuknutz]

Your name is actually very ironic for this situation this whole post is got me to re-evaluate my position I gave up a few years back it was becoming all-consuming a full-time job but now there are better options it seems like

[Daniela1982]

You really can't call it irreversible. Even when a person is left with a tiny stomach they will start eating more over time and their stomach will stretch-out. But just like a normal stomach can stretch out in over eaters, your new after surgery stomach can also stretch back out and you will over eat again and get big again.

[Daniela1982]

You will most likely live a shorter life without it. All you issues will disappear, such as shortness of breath, high blood pressure, diabetes, aching back or knees, and sleep apnea. Not to mention the self esteem issues of being overweight and feeling unattractive. It's a win for you.

No more of this.

[Joker_]

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[ShaTTeredMasterpeace]

I've considered doing it before. And then ended up losing the weight normally. I've put back on some of it and started looking into it again but I'm going to try losing it normally again. It's harder the older you get. The one thing I've seen that worries me in your case is the mental part of it. They won't let you get it if they don't feel you're mentally ready for it from what I've read. Your mental health is sooo important, especially when it comes to this. People forget about that when it comes to weight loss. If your mental isn't where it needs to be, it's that much harder for you to lose weight.

[yofuknutz]

Oh I remember the mental evaluation wow what a nightmare I was seeing a shrink I did not know she was a student until she signed my papers and her Supervisor was on sabbatical in Africa I'm believable that one little thing tripped up my surgery. Make sure you have an actual psychologist and supervisor ready to sign off on it and many surgeons are like used car salesman it has that creepy vibe do you trust the people with your stomach think about it.

"This guy is a used car salesman, he plays games with U, I recall him telling a patient with a service dog, that he should NOT bring the service dog to the hospital on the day of the surgery.
Another patient accidentally had a resident psychologist sign his letter, the patient did NOT know this UNTIL after the fact and this heartless used car salesman, wouldn't accept it.
I really do feel that this souless CT doctor plays favorites and looks down on husky care patients and gives them EXTRA requirements.
Don't let this fleabag cut U open, don't do it, go to Yale inatead!
His practice claims to help U through the process, yeah right! Don't get mad Neil floch, just go away"

[Cleo12345]

“I f*cking HATE this body of mine”…that says it all to me!! Time to stop feeling like this and go for it! You’ve got years ahead of you, you are young and you need to escape this outer shell that is literally weighing you down, not only physically but emotionally. You have been thinking about it for a long time now so it’s not like you haven’t considered everything. You are an educated man who has done his research and I think you are ready for this and it will be life changing for you. It sounds as though you have been miserable for a very long time about your weight, go do this for yourself, you deserve to feel good about yourself. My school Principal had the surgery done and so did a friend of mine and it’s done wonders for them, besides being more agile and able to get around and do more things they have benefitted health wise also. Reading between the lines you REALLY want this. Go for it and keep us all posted on your exciting journey!

[DarkWinterNights]

I voted no, but it’s very dependent on your situation. I do know two people who have gotten the surgery and look fantastic. They have had some issues with nausea and eating full meals, but overall it was a success. One mentioned that they wish they had done it the normal way, since they were left with a lot of lose skin- but they couldn’t lose weight fast enough and they had joint issues.


In summary, it’s very dependent on an individual basis. Definitely talk to your doctor and get a second opinion if you can. It’s not a perfect solution, but it can help if you’ve got a good diet down but are having trouble actually losing the lbs.

[Oigit]

To me it's not just about losing weight, it's also about improving your metal health. So getting weight loss surgery would help you on both a physical and mental/emotional level. Because of that it's an easy yes. Anyone that would push back on the idea needs to walk a mile in your shoes.

[MCheetah]

Thank you.

[Curmudgeon]

YES, with reservations.

I know people (including an ex-wife) who had bariatric surgery and it DID do wonders for them. BUT - complications can be serious, the surgery can be dangerous, so tread carefully and do all the preliminary preparations your surgeon and your nutritional doctor recommend to the letter.

NOTE: desired cosmetic changes post bariatric are nearly always out of your own pocket, although my ex actually got to donate her excess skin.

[Curmudgeon]

In fact the bariatric surgery can likely be out of your own pocket, although my ex-wife's health insurance evaluated her, and they decided the costs of the surgery sooner would be much better than the likely massive costs of all kinds of health issues that would be coming from her later on.

[MCheetah]

I already know what it'll cost. I'm on the national health insurance here, so with that, the surgery itself would cost about $2,700 USD. And with extra stuff, around $3,100 total. I have $8,000 saved in the bank, so I can afford it.

[DonkeyDan]

If you have attempted to lose weight previously via reduction of intake and it wasn't successful, I don't think bariatric surgery will be very successful for you in the long run.

When you see a surgeon regarding bariatric surgery they should always ask you to lose around 5% of your body weight or an agreed amount before surgery. The reason for this is to demonstrate that a reduction in intake will aid you in losing weight, and therefore prove that bariatric surgery will be successful for you.

If they are not getting you to lose weight prior to the surgery they are a bad surgeon, and are not offering it to you for your benefit but for the benefit their pocket.

[muscularbumblebee]

It depends. Health risks aside of the actual surgical procedure I think many people are forgetting that weight loss surgery is usually a temporary fix. Sure you will weigh less and feel better etc but if it’s the usual procedure of having less space in the stomach basically to suppress your appetite (pretty sure that’s one, correct me if I’m wrong), the rest will have to be on you of sticking to a reasonably healthy diet and not gaining it back again or you’ll be back to stage 1…


Do what makes you happy also consider costs as well as risks etc etc

[hahahmm]

I wouldn't try that unless you have already tried:
*Having healthy main meals so you don't need snacks/grazing all day long.
*Eating SLOWLY so you have time to notice when your stomach is telling you to stop, the right way.
*Cutting out 100% of soft drinks.
*Cutting out 100% of artificial sugars (which are known to cause increased eating).
*Cutting out most/all booze.
*NOT avoiding eating when you're hungry. It's fine if you're also exercising.
*Increased exercise levels.

I'd make surgery an absolute last resort.

[yofuknutz]

If I was you I would just a balloon procedure and see if you could tolerate that remember you don't like it they can take it out what you do the gastric sleeve that's permanent or I would look at gastric plication or intestinal sleeve. When I start looking at your list I actually said to myself oh fuck me. My insurance doesn't cover it but know there's an appeal procedure I gave up looking they got Vargas nerve blockers they got all kinds of stuff the gastric sleeve they put Staples in to you that could set off a metal detector or mess up MRI images thank you for bringing this stuff I'm rethinking my position now I gave up I saw some of your stuff now thinking again.

https://en.wikipedia.org/wiki/Bariatric_surgery#Gastric_plication?wprov=sfla1

[melanieeeB]

Well I'm not a expert at all! But like after watching 1000lbs sisters... you should get it, like it seems as if it's just another step to take and you still have to put in the effort, even after the surgery!

The best would be tho when you make an appointment with a doctor, who knows the deal and can inform you better on that subject and guide you through your journey.

[CaptainLegal]

The safest way to lose weight is diet and exercise. Eat lots of vegetables and fruits. You don't need to go to the gym or something the first few months just take long walks, when I was in high school I used to walk around 18 miles a day, had a bottle of water with me and listened to music, at home I would eat a sandwich orange juice in the morning or dirk some coffee, I ate normally around 14:00-15:00 and at night around 21:00 I would drink some tea and some nuts or pistachios. Now for sure you won't get fit fast but it's the safest way. You will see results probably the 2nd month.

[Mangospacho]

In your case, it would be a good solution and probably a good long term solution. Plus, gastric bypass is elective surgery so you can’t just get it done because you feel like it and you do have to qualify. They typically will have you diet a certain amount first and then have the surgery. They really try not to have repeat surgeries so they make sure the person won’t immediately start eating whatever they feel like after the surgery and gain all the weight back. In your case, you’ll probably qualify because of your health condition.

[LovelyBones13]

If you get the surgery, but do not break/change your current behavior and patterns, you will gain the weight back after surgery. Talk to a therapist about weightloss, sometimes the struggle of the body is being caused by the mind

[malakaki]

if you may be extremely morbidly obese... but you can get more useful information by asking concerned doctors instead of consulting us.

[MCheetah]

I've talked to doctors. They just tell me the same old "weight loss isn't easy; it just takes years of consistent diet and exercise, blah, blah, blah" spiel. After almost ten years of that, I think it's foolish to keep thinking simple diet and exercise will help me.

[Truthatanycost]

I bet you have low iodine levels and a sluggish thyroid. Nutrition is the solution, but not the usual vitamins or anything. That weight loss surgery holds some serious risks. Think how much it would impact you mentally when you accomplish all of the same without surgery...

[Prettygurl12]

I think that if it's something you want to do and that you've looked into all the things - recovery time, risks, costs, etc. - then you should go for it.

If you think it will genuinely improve your quality of life then that's worth it to me.

[Daniela1982]

To someone who will probably be dying sooner of diabetes or heart failure 20 years sooner and making your life more enjoyable I would think it was very worth it.

[Adam1978]

You have to learn how to live with your body. It needs to follow physical laws so what you put into it is more then you get out off it. Or you wouldn't gain weight. If you have a body that is efficient you need to eat less than a normal person. So you need to master the discipline to handle your body. And if there's fluid building up in your body, you might need help of a doctor to drain that.

[shortster]

The problem with the surgery is that if you don't lose the weight before the surgery; people tend to gain it all back. Also muscle weighs more than fat. So you should be less worried about the number on a scale; but you should look at the shape of your body. If your issue is with your thyroid you should look at treatment for your thyroid; treating your stomach will not solve your problem.

[anonbrunette99]

diet definitely works but it can be hard to stay motivated. Do what’s best for you sounds like you have did plenty of reseacg

[anonbrunette99]

Research.*