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Dr. Alvarez

You are struggling because you have a disease - obesity. I have a new doctor who is awesome and explained it to me like this - Obesity is a chronic disease not cured by surgery. You cannot control your hunger long term because our bodies and brains are somehow wired differently than thin people. There is a section of stomach that produces hunger hormones that comes out in your VSG surgery, but over time, your body figures out how to make these hormones in other ways, so you will regain your hunger as the years go on. I just started Contrave (the generic version - Wellbutrin + Naltrexone) - the side effects the first week were rough, I had a terrible brain fog - but it seems to be leveling out on week two. I decided to take it at night to minimize the impact on my day. It seems to curb my appetite and I am better able to stick to healthy eating. I recommend finding a good weight loss doctor (not your surgeon, my surgeon referred me out to the Weight Loss Center) and consider trying some of the new meds. Most of the injectables are not covered by insurance, but the combo I am on is available in generic and is very inexpensive. Again this is a chronic disease folks, it's really not just about willpower.

Good morning,
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Dr. Alvarez.

Good morning,

Don't forget to check out the new episode of the #AskDrA Show.

You can watch it here: https://youtu.be/QAmfqksOsO4

Regards
Dr. Alvarez

Good morning,
Don't forget to check out the new episode of the #AskDrA Show.

Watch it here: https://youtu.be/HgkDooEDVgU

Regards
Dr. Alvarez