My name is Rick. I am 48 years old, married , and have 4 adult children (19, 22, 23, and 25). I was a fat kid who weighed 155 lbs. by age 10. During my teen years and early 20s I thinned out and participated in sports like wrestling and football at 190 to 200 lbs. Having a desk job, eating in response to stress and emotional upheavals, and overindulging for the past 25 years has led me to where I am today. At my initial consult earler this year my BMI was 50. Since that time, I have been on a dietician supervised low fat, low carb diet and lost 40 lbs. I am currently awaiting insurance approval for laproscopic RNY surgery. My wife has been supportive of my decision, but my pre-surgery weight loss success has made her wonder if I shouldn't just keep going and not take the "easy" way out via WLS. The thing is that I don't have much stress in my life right now and when it comes back, as stress tends to do, I am worried that I will bounce back to an even higher BMI than my all-time high this year. I have high blood pressure (now medicated) as my only current co-morbidity, but I have been riding the edge of sleep apnea, diabetes, and persistent joint pain for the past few years. I feel like this is an opportunity for me to set things right or at least on the right track over the long term.