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Surgeon Testimonial

Robert Li, M.D.
I'm waiting to meet with Dr.Li about a month before my surgery. I hear he is an excellent surgeon even though he doesn't have the "greatest" bedside manner. I'd rather have a surgeon who's strong point was cutting and pasting rather than talking! I am excited to have him as my surgeon because I know I will be in the best hands. I am happy to get Dr.Li rather than one of the new surgeons replacing Dr.Umbach and Dr.Gorrin, because I know more about him and feel more comfortable with him as he has been there longer.
add on: I finally met Dr.Li and I was impressed with his expertise. He's very professional and serious, and I feel that I will be in good hands as he has a lot of experience. He was taller and younger than I thought from his pic on OH. He went over my risks for surgery and said he felt I had no more risk than for any other surgery. He was pleased with my pre-op weight loss and he was very informative.
update: We made it! Dr.Li did my surgery yesterday afternoon and he took wonderful care of me. He was gentle with me, and I don't even see any bruising around my incisions. He made 5 small incisions. I have had little pain after the first couple of hours. Thank you Dr.Li! You are the best!
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Latest Surgery Support Comments

  • Comment by anewbecboo on 10/4/06 4:29 pm
    I just wanted to say Hi! I am a newbie preop and I also have Kaiser. I am in week 7 of my 6 month class. My surgery should be end of March, beg. of April 2007. I can't wait. You are doing great and looking great, keep up the good work. I found you from a post on someone elses profile posts, didn't know there was a Kaiser board here. Way cool! I will keep you in my prayers. God bless, anewbecboo
  • Comment by lilirishgrl71 on 7/23/06 4:25 am
    Thank you so much for the well wishes and I'm thrilled that your surgery went well for you. I'll post an update as soon as I'm well enough to be on the computer after surgery! Keep up the good work, loser!!! lol.
  • Comment by sor09 on 7/18/06 5:22 pm
    Hello: Just wanted to say... I am glad that everyting went well for you. Thank you for the information about post-ops. As of today, I am at goal for getting a surgery date; hurddle made! I'll see what's next Jul-22-2006 at class. Have a great recovery and hope to see you at a post-op class in the near future. Best wishes.
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Blackheartedwolf's Blog



Pregnant
on September 6, 2007 9:56 am
And due May 8th 2008. I lost 2 lbs over the weekend.
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Back to basics
on July 21, 2007 11:13 pm
I am happy to report that I have gotten serious again. I have been doing protein shakes and have started water aerobics again. I lost 8 or 9 lbs in a week and a half! Yay!
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1 year out today
on July 10, 2007 10:42 pm
I didn't even realize until now that today is my 1 year out anniversary. I really need to get back to basics. Once you are able to eat more and eat more of the old things it is harder to keep losing weight. I am stuck at a size 16 and I want to get down more. I was a size 26 or bigger when I started, and I have lost 119 lbs, but I want to lose another 57 lbs.
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4 months out photo
on November 11, 2006 12:12 pm
I finally did my 4 months out photos. I also found some before pics. Wow, what a difference!
View more of my photos at ObesityHelp.com

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pView more of my photos at ObesityHelp.com
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Procrastinating
on October 25, 2006 9:41 pm
I was due to take my 3 months out pics for my photo journal, but I keep procrastinating. What is my problem? LOL!
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My Story

Timeline

Oct. 4th 2005 - appt with PCP to request referral to WLS dept. My PCP, Kathryn Ryan, NP at Kaiser SF is awesome! When I told her I wanted to be recommended to the Bariatric board, she didn't even bat an eye. She quickly went online and sent her recommendation to them while I was sitting there, and she set me up with the 2 appts required for them to consider me.

Oct. 7th 2005 - I had my appt with the Nutritionist (part 1 of requirement) The Nutritionist took down my dieting history and explained the diet I would be on briefly. She said I qualify more than most people she sees. Apparently a lot of people come in knowing nothing, expecting a miracle. Once they find out that you can't drink alcohol, carbonated beverages, and have to chew each bite 30 times, they change their minds.


Waiting for Psychiatric Eval. on Nov. 1st 2005 (part 2 before request submitted.)


Oct 13th- Received Bariatric Program acceptance letter from Kaiser SSF, stamped Oct 6th. Now waiting for Orientation date!

Dec 5th- Received appointment confirmation for Orientation on Jan 3rd, followed by Lifestyles 1 class. Also have appointment at surgeon's office Jan 30th to check weight loss for required 10 % pre-surgery.

Dec 20th- Pre surgery testing. EKG, chest xray, blood panel after 14 hour fast, urine test. - Chest Xray came back normal


Jan 3rd- Orientation and Lifestyles I classes


Jan 4th- Begin 1200 cal/day diet


Jan 30th Appt with Bariatrics Dietician Beth Goodridge

Feb 9th- Appt with Dr. Stiles, Bariatrics Director- CANCELLED

Mar 2nd- Appt with Dr.Stiles

March 15th- Endoscopy and sigmoidoscopy with GI

April 4th- Appt with Dr.Stiles- added to surgery schedule!

April 21st- Lifestyles III class

May 26th- Lifestyles IV class

June 17th- Case management class

June 22nd- Appt with Dr. Gity Baxter- and Joyce Salinger RN

June 30th- Appt with Dr. Tin-Na Kan in anesthesiology and consultation with Surgeon, Dr. Robert Li *Appt with Dr. Li cancelled last minute

July 5th- Appt with Dr. Li, Appt with John Phillip NP in anesthesiology

July 10th- Surgery!

July 11th- Home from surgery

July 25th- Appt to have staples removed

 
Jan 4th 2006: Day 1 of 1200 calorie diet
I stopped on my way to work and purchased 2 food scales, one for home and one for work, 2 sets of measuring cups and measuring spoons. I also bought stuff for breakfast. For now I am basically eating the sample menu from my binder. I will do that until I feel more adventurous. I really was not hungry. I finished breakfast around 9:30 AM, and then was pretty hungry by 1 PM. I also had headaches off and on, and felt flushed and had heartburn. I
think my body is unhappy that I stopped feeding it sweets like cookies and candy and other unhealthy things. I believe I am in sugar withdrawal and some caffeine withdrawal. I had around 10 oz of diet Coke zero throughout the day to try to keep from getting a withdrawal headache. I found that carbs are a real trigger for me. Once I finish my 6 table crackers with my lunch, my mouth wanted to keep going until the box is empty. It was frustrating. I felt full after eating my spinach salad, but I wanted more crackers! It proves to me that this is a mental illness, an addiction. The
main difference in food addiction compared to drug addiction is that I must eat to live. It's super hard to control an addiction when you MUST have a little of the addictive substance each day in order to live. This is very different from when I got off drugs in 1998. It was all or nothing, therefore it was easier because I totally removed drugs from my life. I can't do that this time.



Jan 5th 06, Day 2 of diet: Well, I am happy that I was able to not eat any junk yesterday. I am pissed that I ate more crackers than I think I should have, and that I had a few peanuts, but on the other hand, I don't feel like I have to beat myself up over it. I didn't eat any icecream or cake, or cookies. Compared to what I ate the night before, I did damn good! Tuesday night I really had a party in my mouth. I had pizza, and the whole pint of Ben & Jerry's Strawberry Cheesecake icecream. I like the term "party in my mouth," Why? Because it makes me think about how stupid it is to eat in that fashion, and it sounds derogatory, which makes me NOT want to do it anymore. I also like the way the daily checklist asks you WHY you didn't exercise, etc. That right there makes me want to do what I am supposed to just so I don't have to come up with a reason for why I was too lazy to exercise, etc. I would rather just do it than have to explain why I didn't, and feel stupid or ashamed for slacking off. After work today I am joining my local YMCA- the Stonestown branch. They have an indoor pool and since I have always loved to swim, I think that is a good place for me to start. I ordered a swimsuit from Torrid online. My husband's grandma also belongs to the YMCA, and she says it is a nice facility. That makes me feel even more excited! Last night I woke up with heartburn, and thinking about food. Ugh! I guess on some level my brain is freaking out over dieting, so it dwells on it while I am sleeping. It didn't help matters that my 9 month old son woke up at 2 am and 3 am, and threw a fit. When he woke me up, I had a hard time going back to sleep and I kept thinking about the Orientation class and my new diet.


 
Jan 6th- On my way home from work last night I went to the Y and joined. It was a total zoo there. I had a splitting headache, so I was getting annoyed with the way staff was ignoring me. This morning I had a Designer Whey protein shake (Vanilla) with Splenda and nonfat milk. It held me from 7:30 AM until 2 PM, with a banana in between. I got an e-mail from the water exercise supervisor from the Y, and there are 3 classes a week I can go to with my work schedule. Tues and Thurs nights from 7:30 PM to 8:30 PM and Saturdays 9 AM to 10 AM. I treated myself to an iPod video 60 GB as a present for when I work out on the treadmill or walk. It felt good to reward myself with something I will enjoy for years instead of rewarding myself with food, which is forgotten as soon as the last bite goes down. I totally stopped with the starches. I just can't do crackers and breads. It is easier to just not eat them than have a few, and be struck with that compulsion to keep going. Proteins don't do that to me. I felt a lot better today without the starches taunting me. I also had NO caffeine at all! Yay! I got a late afternoon headache, but once I ate dinner it went away. I woke up this morning feeling so much better than I had felt since I started this diet.


Jan 10th 2006- Sunday I was at my Mom and Dad's house visiting. I went to Trader Joe's and got spinach and deli meat for my lunch. Good thing I got some Designer Whey, because when I got back to the house, turned out there was no low fat salad dressing. I was really hungry and not in the mood to go to the store again, so I had a protein shake for lunch. I did good yesterday with not eating any dried fruit or nuts. I started out really well with dinner, I was having 3 oz turkey chopped up with 2 egg beaters fat free 99% real egg, but I dropped my plate and spilled some of it. I was still hungry and not in the mood for more spinach, so I cheated and had a pita shell and a half with more turkey, and a little mayo. I skipped the late night protein shake. I walked both Sunday and Monday with my son in his stroller. I am so out of shape. I could barely keep up with my Mom and Dad's arthritic 12 yr old Lab on Sunday. Monday after work I picked my son up and went home and we walked around the block before going inside. My husband wasn't off work until 7 PM, so I made him take the bus instead of picking him up, so I would be able to go for a walk before it got too late. My iPod arrived today. I also plan on going to the water aerobics class at the YMCA tonight. Part of me really doesn't want to go, because I won't know anyone, and I feel self conscious. Maybe I will go check it out, and if I don't feel comfortable I can do something else. I can at least have my suit on and then it is easier to get in the pool. I am hoping it will mostly be fat people and old people so I won't feel out of place. I wish I had someone to go with me.


Jan 13th 2006: Well it's Friday the 13th and a full moon! I have lost 3 lbs in my 1st week. Not great, but then I have not started to seriously exercise. I didn't do water aerobics this week because I was starting to get my period, but then it still has not arrived! I think it is a couple days late because of the shock of the diet. My body is so used to sugar and tons of carbs that it is confused. I am excited about getting an appt to meet with Dr. Stiles in February. That is when I will be told how much I need to lose prior to surgery. I have had 2 nightmares since starting the diet, in which I cheat on my diet by eating something like cake, and then I feel really shitty and bad. I can no longer tell the difference between Splenda and real sugar. I am debating on whether or not to replace 2 meals with protein shakes. They keep me from being hungry so much longer than when I eat solid food. I really need to start exercising seriously. I hope to take my son for a walk after work. It's been so darn cold I worry about taking him out, as he is only 9 months old.


Jan 18th- I started substituting breakfast and lunch with protein shakes and then I have a small dinner so that I have a total of 1200 calories or just under. The diet is a lot easier to do this way for me. Then I think less about food during the day, because I am not hungry. My focus on food is slowly shifting elsewhere. Now I focus on nutritional values and calories in everything that goes in my mouth. Instead of thinking about what I can eat that tastes good to make myself feel happy, I focus on losing weight and trying to build up to drinking 64 oz of water a day, taking all my vitamins, and planning a way to get my exercise in.


Jan 23rd- I weighed myself wearing underwear and socks and it said 314. I am doing really well sticking to the diet. I am surprised that I am not craving sweets. I have been looking forward to water aerobics class since my 1st time last Thursday. I just loved it! I was able to do everything and not get tired until the last 10 minutes out of the hour, mostly because I had to pee, and we were jumping around, which my bladder did NOT appreciate. I felt comfortable in the class. There were people bigger than me, and people smaller. It was nice not to be the biggest in a group. The teacher was really nice and very encouraging. I got water trainers (tennis shoes) at the instructor's suggestion. They are super hard to cram my fat feet into, and they feel like they are cutting the circulation off. My feet are wide already, add the fat and they are super puffy. My hands have been less swollen. I can get them inside the Designer Whey protein canister now. I am not able to get 64 oz in yet. I start feeling bloated and full of water.


Jan 29th 2006- Felt like I was struggling this weekend with staying on the diet. I cheated with a few nuts and pieces of dried fruit. I also had a tiny corner of a chocolate chip cookie. The funny thing was now that I have not been eating sugar, when I do try a bite, I really do not like it. My taste buds don't like it anymore. Splenda is fine, though. I had a Hershey's minature chocolate piece at work, and it just didn't taste good to me. I guess that is good. Now, back to this weekend, I also feel like I ate too many crackers, and I had some hummus. The hummus has a lot of fat in it, and I know I can make better choices. I want to go to the YMCA more than just twice a week, so I think I will try to go and do laps in the slow lane on a night or two that I don't have water aerobics. I feel a little discouraged this weekend, like I am not doing enough, and because it seems like such a long process. I also am kind of tired, because my son has not been sleeping through the night for the past few nights. He has been waking up several times a night like he did as a younger baby. Maybe he is going through a growth spurt. The lack of good sleep has maybe affected my mood this weekend. I need to do better about weighing my meat at dinner and measuring. It's like I feel I can give myself a break on dinner because I have protein drinks to replace breakfast and lunch. But I need to know exactly how many calories I am eating at dinner, rather than guessing. I have been super good about taking my vitamins, but I need to crack down on myself about drinking enough fluids. I can't remember to sip sip sip!


Jan 31st 2006- I met with Beth Goodridge yesterday to go over nutrition. I weighed in down 15 lbs from my Orientation weight, so she said that was really good. The scales at Kaiser weigh a lb heavier than the one I have at home, which is actually good. I am anxious to see Dr. Stiles and find out how much more I need to lose and get scheduled for my next classes. Beth wants me to stop having a protein shake for lunch and eat solid food. I grudgingly did so today and had a salad and a small baked potato for lunch. I have had a headache for the last 2 days, but I think it is stress-related from work. Beth did a comparison between what I ate prior to starting my diet, and said I am taking in 1/3 of what I was before, and she was very positive and encouraging. I brought all my vitamins and such, and she said they were the right kinds. She said she thinks Dr. Stiles will be pleased with my progress. I hope to be down another 5 lbs by the 9th.


Feb 3rd- This morning I found out that my appt with Dr. Stiles on Feb 9th has been cancelled. She is very sick, and so all patients' appointments for that week have been cancelled. They aren't rescheduling appts until they find out more on how Dr. Stiles is doing. I am super disappointed. I was looking forward to the next step in this process. The appts desk person could not give me a time frame on how long it would be until my next appt. I feel like I am in limbo. Well, I hope it isn't too long until I get my rescheduled appt. I hope it doesn't delay the process for long. I don't know if it could be months longer, or what the situation is. I am frustrated and anxious.


Feb 9th- Well, my appointment with Dr. Stiles was rescheduled that same day that the first one was cancelled. They called me back later that afternoon and gave me a new appt for March 2nd. I hope to have lost my 30 lbs by then, so she will schedule me to see the surgeon ASAP. I am ready to get AF any day now, and I feel bloated. I still see the scale moving, though. It seems like it stays the same a couple days and then drops down a pound or two. I think I am down to 307 (on Kaiser's scales.) My scale said 308 this morning, and it weighs a pound heavier than theirs. I tried eating food for lunch instead of a protein shake, but it just isn't working for me. I feel better with the protein shakes. I did my water aerobics tonight. I wish they had the class every night! My jeans fit better. (I can breathe in them, heh heh heh.) I am trying to work on thoroughly chewing my food and taking in more water. I am doing well with my daily vitamins. I need to buy more iron.

Feb 14th- Another disappointment. The surgeon I was hoping to request is leaving Kaiser SSF, and so is the chief surgeon. Dr. Umbach and Dr. Gorrin are both leaving. There are 3 surgeons, and 2 are leaving, and there are 800 patients in the program! Dr. Li, the one who is staying, is supposed to be excellent, but this means it will take so much longer if only one surgeon is working! I am hoping they are replacing them. Some people are being transferred to other Kaiser Bariatrics programs to reduce the load.

Feb 21st- I am disappointed about Dr.Umbach and Dr.Gorrin leaving the program in March. I found out Dr.Li will be the only one doing surgery until they find replacements, so that will likely mean a delay for me. Another patient who is ready for surgery found out when she went to see Dr.Li. They are already booked through May and June. Hopefully I will get a date in late summer, at least. It's a real downer. I think I am going to try to see if one of the other YMCA's has water aerobics on a third night. I am not getting my minimum three days, even though I work out 1 hr and 15 min when I do work out.
The teacher was sick tonight for my water aerobics class, so we all worked out anyway, without her. I stayed my extra 15 minutes, so I did an hour and 15 minutes.


Feb 27th- It does make it seem like the scale isn't really moving, and yet I have lost 24 to 25 lbs. It's weird. It will seem like it isn't moving, and then all of the sudden it is 3 lbs lighter. Saturday I was at 301.9, and this morning it was 303. Last night was 305. So it really does fluctuate a lot! I am starting a third water aerobics class per week. I found another YMCA that has class Monday nights, so I will do Mon, Tues, and Thurs and will get my required exercise in. I am a little nervous as it will be my 1st time at this location, and I don't know what the people are like. I hope they aren't all super trim young women. Oh well, gotta suck it up! I am there for me, and only me.
I ate way too many carbs this weekend. I feel guilty, so I am going to try super hard. I am cutting the milk out of my protein shakes. My son is learning to eat graham crackers and stuff like that, and it is hard not to munch on them.


Feb 28th- Okay, now this morning I got on the scale twice, to make sure I wasn't seeing things, and it said 299.7 lbs! So it is the overall trend of going down that is important, not the small fluctuations. I went to that water aerobics class at the YMCA last night, and it was really different than my regular class. The water was a lot lower because the have a special 10 meter activity pool next to the regular one, and the water came up a lot lower than I am used to, so it was a harder workout. I was the only fat person there. *sigh* The people didn't seem as friendly as my class at the other YMCA. The instructor was a man. He was really nice, but not consistant about working out equally on both sides when doing leg exercises and arm exercises. Other than him, it was all women, I would say they were in their 30's like me, or 40's. There is one token man that shows up for the last 5 minutes. LOL. The instructor joked about how he is the only gay single male in the group, and that if one other single gay man would attend the class, he would give him a free YMCA membership. They also go to dinner together at an Italian restaurant after class every couple of months, but I won't be going, partly because of my diet and also because I have to rush to pick my husband up from work after class. Tonight I have class at my "home" YMCA, so I am happy!


March 17th- I have been really bad about journaling this month. I was very distracted by my endoscopy and sigmoidoscopy. I was really dreading them and freaking out over it, and it turned out it was all for nothing! The two tests were over so quickly, that I wasted my time getting so upset and nervous about them! The GI doc cleared me for gastric bypass. Now I am back to waiting on hearing from Dr.Stiles. I e-mailed her, now I am waiting for my appt with her April 4th. I hope she will now get me on the surgery schedule. I am anxious to have my next classes in the program. Okay, I had a learning experience with sushi. At first I thought it was really low calorie, but it turns out I was reading the label wrong. It's actually pretty high calorie for a small amount of food. I also discovered that white rice makes me crave sugar and makes me hungry. I guess that was a no brainer. Ah well, live and learn. Better to learn now, before surgery, than to waste some of my "golden time" for weight loss during the 1st 18 months. I missed 2 aerobics classes from last Thursday and this Tuesday, due to my GI appt that was coming up. (I didn't want to poop in the pool Tuesday after I had taken the magnesium citrate laxitive.) Yech! Anyway, I went last night, and I could really feel the difference when I don't get to all my exercise classes. I was really dragging and having a hard time in the class. I had no energy! I am glad I went, though, because today I have more energy. I wish there was a class tonight.


March 24th- I seem to be stuck in a plateau. Aarrgghhh. I am fluctuating up and down around 294-297. I seem to be retaining a lot of water lately. I think it is from too much salt. This morning it was 296 which is 294 on Kaiser's scale. I am still doing water aerobics 3 times a week. It is just frustrating when the scale doesn't move downwards.


March 29th-The scale finally started to move again. Plateaus suck! I have been really anxious to see Dr.Stiles again and get on the surgery schedule. Some people are getting the chance to transfer to Kaiser in Richmond or Fremont. If given the choice, I am not sure that I would want to transfer out of SSF, because they are supposed to be the best, and I know little about the other programs and surgeons.

Emotional issues: I keep meaning to write about it, but I keep putting it off. I know this is what the case managers are most interested in for our journals... Since I started the 1200 calorie diet I have noticed that my temper has been really short, especially if I am hungry. Since I can't turn to food for comfort, I have noticed that I sometimes use shopping for stuff in its place. Like buying CDs and stuff like that. I guess it is like people who are trying to quit smoking. It is always hard to conquer an addiction. I have less patience with people, especially my husband and son. I am more selfish as in making sure that my needs for proper food and my exercise class come first over my family. I know I must do this, as Kaiser said you have to come first over any other person. My life depends on it. My family doesn't always quite understand.

May 6th 2006- I am kind of bummed out. I called the bariatrics dept yesterday and they said I am on the wait list, but my surgery most likely won't be until July or August. I have been horrible about tracking what I eat, so I opened this account on FitDay. Ever since I lost my job and use of Microsoft ExCel, I have been struggling with keeping track. I am also struggling with dealing with family members and meals with family. It seems like everyone is out to sabotage my weight loss. It's always,"Well just have half of it" or "Well can't you just have a little?" I sprained my ankle last weekend, and my husband seemed almost happy that I would be unable to do water aerobics for awhile (due to an open wound on my knee.) When I went last Thursday night he got annoyed at me! (I snuck in the pool with my knee.) It really pisses me off that he is negative about me going to my aerobics classes. He wanted to have BBQ at his Mom's Friday, and I refused to go last minute. I stayed home and at my own meal that I felt good about eating.


June 15th 2006- OMG, I got my surgery date!!! Alma from Kaiser SSF called me today and said they had a cancellation on July 10th, and wanted to know if am I available to fill the space! I said, "YES!!!!" I am so excited! It's less than a month away! All the hard work and waiting is finally paying off, and I will begin my new life on the losing side!

I'm a loser now!

July 12th- I had my surgery on the 10th and it went smoothly with no complications. Everyone was super nice and friendly in the OR and when I was in my room. It was a great experience, and I am so glad I finally made it to the loser's side!

I'm a loser now!

July 16, 2006: Almost 1 week out now. I am already sick of Stage 2! I want something with more substance! I am frustrated that the scale hasn't moved more. I am struggling with my water intake still, and that hasn't helped. I think I am still holding on the IV fluids. I need to get off my butt and start walking. I can't get back to water aerobics for another week.

I'm a loser now!

July 18, 2006: Well, I was getting depressed because it seemed like I wasn't losing any weight. But this morning I am 265. I seem to lose in clumps. I was 273 to 275 depending on the scale the day before surgery, and 280 when I got home from surgery last Tuesday. Thursday I was 275, Friday I was 271, then yesterday I was 268 and now 265 this morning. So why do I feel like I am not losing? When I write it out I can see I've lost weight! Duh! I've lost about 10 lbs since my pre-op weight. I guess I am afraid surgery won't work or something. I thought I would never be able to lose the pre-op weight, but I did it in 2 months. Why I am I so negative towards my ability to lose weight? I went to the YMCA last night and swam laps for 35 minutes. Tonight I plan on doing water aerobics, even though I am supposed to wait. I have no pain and my incisions are closed. I took my staples out the last 2 days because the ones under my boobs were looking irritated and like they might get infected in the staple holes. My body was rejecting them, so I got them out and taped the incisions. They seem better this morning. It was gross, some pus came out of one of the staple holes, and with that I decided it was doing more harm than good. My bra also was rubbing against it.

I'm a loser now!


8-15-06: I went to the Kaiser SSF support meeting today and also last Tuesday. I am down 25 lbs since surgery on 7-10-06. I have acute dumping syndrome, even on protein supplements (with 5 grams sugar or less) and even on eggs!

I'm a loser now!

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