I almost hate to bring this up here because I don't want to get "slammed" for considering this, but my weight has gotten seriously out of control. I now have a BMI of 42 which is the morbidly obese range. I have done diet after diet trying to keep things under control but it keeps getting harder, I try to eat healthy and "know" how to eat right, understand healthy nutrition etc...I know about exercise and safe exercise and that I need to burn more calories than I take in in order to lose weight. I recognize that I eat emotionally at times, but I do try to listen to my body signals and stop when I am full etc...I do think one of my problems is I tend to eat to counter the fatigue I am feeling, and I have tried to lay down and rest instead of eating, but it is hard when you work full time and have responsibilities that aren't going to go away....I think if I got full more quickly, I probably wouldn't eat as much.
I've been looking into bariatric surgery for the last year or so, the gastric sleeve sounds like a safer option for me with my Sjogren's/AI issues as food goes through the full digestive process (the back part of the stomach is removed, but no bypass or rerouting like in gastric bypass, and no band or foreign object like in gastric banding...the stomack is just made about 1/3 it's size. no vitamin deficiencies except possibly B12, no dumpin syndrome or other issues associated with the gastric bypass.) I can't help but think that if I was able to keep my weight under control, some of the health issues I have would improve (like my BP, cholesterol, GERD, arthritis in my knees, ankle, back etc...) I know it won't solve everything and the Sjogren's and it's issues will still be here. I don't really have GI issues with my Sjogren's (unless I want to say the GERD is because of it, but I had that before the Sjogren's was diagnosed and it could be due to my weight also).
Anyone have any thoughts on this, what questions should I be asking when I talk to my doctors about it?
My insurance will cover this if I meet their criteria, I have to do a 6 month physician supervised weight loss program first. My PCP thinks it would be good for me. she did say the sleeve would be the best option as I can take NSAIDS and other meds with that and I can't with the band and the bypass. She said she has had patients who have had all three types and her patients with the band had more issues and didn't always lose or keep the weight offl
Seriously considering this....