Emotional Roller Coaster
Wow Ben, You sound like a guy who just had Weight loss Surgery about 3 weeks ago! There are several factors at work all at once… Your "Ansy-ness" could be a result of any of them, or all at once. One ‘culprit?’— Testosterone levels……. We often hear of the INCREASE of free testosterone levels associated with the rapid weight loss following WLS. Stored Testosterone in the Adipose Fatty Tissues is released into the body. And significant increases of Free Testosterone can result. BUT, for many, the radical change in diet actually will produce the opposite effect. Studies linking reduced fat intake with lowered testosterone levels in humans were published as early as 1980. Subjects cutting their fat intake in half experienced a 13% drop in free testosterone. When they resumed their normal diet, Testosterone levels returned to normal. So, with a drop happening as a result of the cut back in food, and an increase from stored testosterone being released, it should "just balance out?" Nope. More like shifting Testosterone Levels higher than usual in the morning, then dropping sharply, then back up, then down, etc…throughout the day… Moody Man-Biotch!!! As if that alone wasn’t enough…. Brain Chemistry Imbalances- The first couple of months following General Anesthesia of surgery, The brain is still working to restore balance of Serotonin, Norephinephrine, and Dopamine levels. That anesthesia is quite the "Brain-Bath" and accounts for a very high incidence of "Post-operative Depression" that shows up after all surgeries, not just WLS. Many docs just put their patients on an anti-depressant as a regular preventive course. But "I’m not Depressed?" The symptoms include- Restlessness, inability to concentrate, anxiety, trouble getting to sleep, being sleepy all the time, feeling "anxious," feeling list-less, etc… Give it a quick check at- http://www.med.nyu.edu/psych/screens/depres.html Then add to these- "Head Hunger," and having to adapt without the usual coping mechanism of "Comfort-Food." Most of us who are or were Obese, were good at using food like a drug. "Hard Day?" Calm down with too much food and get that "Full as a Puppy" stupor that calms the day. Or- Snack away the evening sitting on the couch, numb from the raised blood sugar levels of constant carb intake. Suddenly there’s all of these "Feelings" that used to be ‘numbed’ by a life of denial and Comfort Food---------------
Looking at this list, do the words in the "Glad Box" seem like "Good Feelings" and the rest are "Bad?" They probably do for most Men, but shouldn’t. According to Psychologists, It’s the "Naming" that seems to give us the most trouble. Anger is normal, healthy and necessary for our protection and our safety. Sadness, too, is normal, healthy and allows us to fully experience life and appreciate the joyous moments. Shame teaches us humility and gives us perspective while reminding us that we are human, and not perfect. Feelings are neither good nor bad. They are how we respond to the world, and in combinations, they make each of us, uniquely, Who We Are. The past mindless snacking and typical routine of most "over-eaters" numbs and dulls emotions and self-awareness; it favors inertia and ignores situational demands. Denial, avoidance, and ‘putting things off’ may have taken precedence over engaging the task at hand or world in general. When you are suddenly very self-conscious of your daily activities and choices, and not in the comfortably numb state of denial, all sorts of feelings you had been missing will surface for you to deal with. Expecting this to be the case, is half the battle. A sense of loss, loneliness, emptiness and depression or separation and performance anxiety can all arise. Letting go of a long held routine can be especially troublesome. At minimum, a state of psychological withdrawal is a distinct possibility. What many Post-Ops refer to as "Grieving Food," may well just be experiencing feelings that have been numbed by the disengaged lifestyle of thoughtless habit. One last one….. Extra Energy: Many people while their metabolism is in a state of Ketosis, claim to have extreme energy. Euphoria in fact. Take advantage of it when you can. Do those "Honey-Do-List" items you’ve put off in the past. Clean out the garage, wash the car, etc… At least get in some extra walking. All of this to say- You sound Very Normal for a 21 day Post-Op. "Will it always be like this?!?!" Nope. Each week gets easier, and more second nature and if you’ve used the first 6 months to establish new lifestyle habits, it gets down-right Easy! Sorry to throw so much in one reply, But hey, if you read this, at least you passed this time… Tomorrow will be better, and the day after that will be better. Hollar if you have questions, thoughts, and someone out here is bound to have some experience to swap….. Best Wishes- Dx
Capricious; Impulsive, Semi-Predictable
The first three weeks were the absolute worst for me! I literally cried several times a day because I "thought" that I needed food. I never went to a shrink, but should have in retrospect. Everyday, at some point, I would call my wife at work balling and blabbering that I was never going to be able to eat again and (even wanted to have the surgery reversed). Do you think I needed psycho help for heavens sake? Never got it, but really needed it. The emotional problems subsided once I was able to eat "real" food, even though in much smaller portions. It too****il about month 3 before I started to see REAL improvements in my life. My clothes were falling off me, no more sleep apnea, no more high blood pressure, I got restful sleep every night, no more migranes, back pain was/is minimal, could/can walk as far as I want without much effort, felt/feel absolutely fantastic. You and I and the guys still striving for goal have SO much to look forward to. It's hard to see very far into the future right now, but give it another month or so and you will be a completely new man with a completely different outlook on life. I believe that with all my being! You've done the right thing! Hang in There! Ronnie