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Is Bariatric Surgery Right for Me?. Bariatric surgery is not the quick fix, easy opt-out of obesity.

My Bariatric Life before and after WLS PS
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The average woman wouldn’t mind shedding a pound or two, it is all a part of what it is to be a woman, right?  I cram my feet into 3 inch heels, spend a good hour on hair and make-up, and go through at least two different ensemble choices before I will even walk out the front door.

Look to your left, and look to your right.  Walking out that front door in America means that a third of the people you see standing around you is obese, and that doesn’t even include our slightly slimmer overweight friends.  Lump them in, and 64% of the U.S. population is either overweight or obese.

Okay, so maybe we really could use to lose “a pound or two,” but how?  Bariatric surgery is not for everyone. So how do you know if weight-loss surgery is right for you?

Is Bariatric Surgery Right for Me?

What you need to understand first and foremost is bariatric surgery is your last choice option.  Your physician and your bariatric surgeon (and your health insurance company) are going to want to see that you have tried controlling your weight with both diet and exercise for at least 5 years without success before considering weight-loss surgery.

Bariatric surgery is not the quick fix, easy opt out.  Just like proper diet and exercise are lifelong commitments to keep the weight off, so is weight-loss surgery. You will be required to watch what you eat and get active after your weight-loss surgery.  This is true no matter which of the bariatric surgeries you choose: gastric bypass, gastric sleeve, gastric banding, or duodenal switch.

Diet before Bariatric Surgery

It is a great idea to investigate and try the many healthy diets out there before your weight-loss surgery.  Even if you do not achieve the weight loss results you desire, you are learning the tools you will need to eat properly and healthfully after your bariatric surgery.

Skip the Cabbage Soup diet and other crash diets that strictly limit what you can eat and tend to be nutrient deficient.  Instead, stop by Jenny Craig or Weight Watchers and learn how to make nutritious, balanced meals.  Many gyms even have a nutritionist or dietician on staff that can help develop a diet plan tailored to your specific health needs and weight loss goals.

Preparing for Bariatric Surgery

Don’t go into your weight-loss surgery unprepared for living life after weight-loss surgery.  The bariatric surgery will provide you with an effective tool for weight loss when it is combined with a good bariatric diet and effective exercise routine, as well as a good support network such as your bariatric surgeon’s patient support group, Overeaters Anonymous, workout buddies, and online support forums like HealthCentral.

We all could use a little bit of encouragement from time to time, and there are plenty of days we just feel too tired after work to fix a healthy meal and squeeze in a work out.  Have a group of people on Team You, cheering you on for healthy eating and working out alongside you at fitness classes.  Most surgeons are going to require you participate in a medically supervised weight loss program before signing off on your bariatric surgery anyway.  It is best to start the habit early.

Is Bariatric Surgery Right for Me: BMI?

Now that you have given it your all with diet and exercise, step back on that scale.  You may not like the number you see, most of us don’t, but how high is it?  In order to qualify for bariatric surgery, your BMI needs to be greater than 40 (or BMI 35 with comorbidities such as diabetes).  In terms of the scale, that is approximately 100 lbs overweight for a male, and 80 lbs for a female.  Does this sound like you?  Are you over 18 years of age? If so, then keep reading.

Is Bariatric Surgery Right for Me: Psych Eval?

The next big qualifying step your bariatric surgeon will have you undergo is the bariatric psych evaluation.  Your evaluation is broken down into five core areas:

  • Alcohol use disorder test,
  • Drug abuse screening test,
  • Millon Behavioral Medicine Diagnostic (MBMD),
  • Multidimensional Health Locus of Control (MHLC), and
  • Questionnaire on weight and eating patterns

In laymen’s terms, your doctor is looking for active psychosis, alcohol or substance abuse, mental health illnesses, Borderline Personality disorder, as well as what type of social/family support you have, and alternative plans for you should you be turned down for bariatric surgery.

Psychological Exclusions for Bariatric Surgery

Certain criteria can exclude you from bariatric surgery, such as active psychosis, multiple suicide attempts in the past 5 years, active alcohol or substance abuse in the past 6 months, Borderline Personality disorder or having a history of non-compliance.  Other criteria may delay, but not cancel your surgery, such as depression, anxiety, bipolar disorder, severe binge eating disorder, an unstable social environment (homeless, no access to a kitchen, etc.), or low self-motivation.

Remember, you want to be completely honest with all of your doctors.  It’s not a “test” to pass, so no cheating.  If you do not qualify, the weight-loss surgery may not be safe for you. There may be other options available to you that your doctors will discuss.  The greater possibility is that any necessary corrections can be made with the assistance of mental health professionals and a support network.

Which Bariatric Surgery is Right for Me?

If you do qualify for weight-loss surgery, then your specific options when it comes to bariatric surgery are : gastric bypass, gastric sleeve, gastric banding, or duodenal switch. Click on those links to learn more about each of these bariatric surgeries.

Living larger than ever,
My Bariatric Life

Aug 22, 2015My Bariatric Life
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August 22, 2015 Bariatric Surgerybariatric, cheryl ann borne, gastric bypass, my bariatric life, obesity, permanent weight loss, surgery options, weight loss, weight loss surgery1,372
My Bariatric Life

Cheryl Ann Borne, writing as My Bariatric Life, is an obesity health activist and Paleo, Keto, low-carb recipe developer. She inspires patients with outstanding resources and by sharing her long-term success in defeating obesity and its related illnesses of diabetes, hypertension, depression, asthma, GERD, autoimmune disease and digestive disorder. Today, My Bariatric Life is a size 2 down from a size 24W and living larger than ever!

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2015 © Borne LLC. We are not healthcare professionals and all content is the opinion of the author(s). This website is for sharing research and opinion only and is not medical, legal, or financial advice or treatment for any medical conditions. You should promptly seek professional medical care if you have any concern about your health, and you should always consult your physician before starting a fitness regimen. By using this service, you accept our Terms of Use.