Question:
Is anyone else terrified of old habits

Hi all. I am three months pre op and very excited about my upcoming lap RNY. My friends and family all ask the question I'm sure you all heard pre op "are you scared?" I can honestly answer no Im not (well not yet at least) but what I am scared of, what literly keeps me awake at night is what if after all the pain and trouble of surgery I slip back into my old habits and gain it all back. I have never succeded at a diet and I have no will power, that has been proven. Just the fact that I am obese enough to need this surgery should prove that I am totaly out of control of my eating habits. And to tell me that I am to stick to what seems to be a pretty strickt eating plan (I am choosing not to call it a diet) for the rest of my life scares me . I have no confidence in my ability. I do not trust myself. Please dont get me wrong I want to succed. But I have a huge fear of failure. does anyone else and how did you conquer it?Thank you all so much! Your always hear when I need you    — Lindsay F. (posted on March 5, 2003)


March 5, 2003
Great question - and very thought provoking. I'm also pre op and have the same fears. I'm working on a 10% weight loss that is required before my surgery. I have this very heightened awareness of my eating and am becoming more and more aware of my problems. I too worry that surgery won't help them all go away. In reading people's profiles online, I've gotten a lot of hope. What has been important is that I see that it's not easy for everyone, and there are struggles. With this mindset, I think I'm setting up realistic expectations. I think the awareness that you are building now will help your sucess later on. Hugs - hope all goes well.
   — w8free

March 5, 2003
It's good that you are thinking that way now and not setting yourself up for unrealistic expectations. In alot of cases, mine included, my taste buds are exactly the same as they were pre-op. My head still tells me how much I like the bad stuff. My nose still smells the cake baking and my senses still react in the same way of my old body. It's a struggle daily, but I think the idea of having the surgery and the limited food capacity of my stomach all help to keep everything in check. I have to really monitor what I eat, not so much as how much I eat. I can only physically eat so much, but the what is the important part. Hold off from carbs as long as you can, cause once you start experimenting, then you will set yourself up for more and more. You may one of the lucky (not sure if that's the right description)ones that has problems with certain foods, expecially sweets, and that will help you maintain. I am 7 months post-op and can eat basically anything, just not alot of it. As the weight comes off though it is an incentive to want to succeed more and more. Good luck to you...I am sure you'll get a slew of replies and advice.
   — Kay S.

March 5, 2003
I am worried about the surgery and all, but my biggest fear is what if I am the one that it does not work on. I have not had the surgery yet, I thought that I was the only one that felt this way, everyone always talks about the fear of dying, I know that the Lord has sent my this way, and sure I do know the chances that something might go wrong, but the fear of failure, wow, it is strong, I will pray for you, would you say a pray for me. Please email me if you would like.
   — cindy

March 5, 2003
I worry about the same thing, too. I am having open RNY in less than 6 weeks, and am on optifast (liquid diet) until then. Today was the first day. It's so hard to deal with the head hunger, especially when you make food for your child. I gave her a snack tonight (goldfish crackers) and they looked soooo good. Since I want her to eat normally, I will have a variety of foods around when I am a post-op, including some sweets sometimes (to those who think I should not let her have sweets, please read up on recent studies that found that children deprived of a certain food are much more likely to binge on them if given the chance!) So, I have to learn to contend with the head hunger now, and come up with strategies to conquer the cravings so I don't undo the surgery. I think lots of us worry about this!
   — [Deactivated Member]

March 5, 2003
I had an open RNY 12/23/02, I have lost 50+ lbs -havent weighed in 2 weeks. Everyday, I deal with these same feelings. I have so many clothes that are too large yet I afraid to give them up --I have always gained weight back so I've had four different wardrobes. I finally parted with my old clothes this week and I have also bought clothes two sizes smaller than what I wear for Spring. I am finally starting to believe in myself and someday the extra pounds will be gone. Thank God for counseling! I had a wonderful recovery, no throwing up etc. I stay away from sweets, and limit carbs..good luck and hang in there!
   — debmi

March 5, 2003
I am 4 weeks post op and my main concern was not the surgery but how i was going to manage the food. Now if you are anything like me, i have been on and off a diet since i was 13years old and i was always successful with losing the weight when i got on a roll. (never keeping it off of course) and what I'm finding out now is that my attitude about eating is the same way as when i was commited to staying on my food plan all the other times. So for now it's OK. There must have been a time when you were committed to your food plan and did lose weight.If you succeeded other times in your life with a food plan you will succeed with the surgery and the food plan. What will it be like when we lose the weight and will we gain the weight back? That scares me too, but you know what I've deceided to worry about that if and when it happens. The famous saying ONE DAY AT A TIME. Also when you start to feel good and your life changes you may not want to undue all your hard work. Good Luck
   — janice L.

March 5, 2003
Yes, I am worried about my post-op life after the things I have read from post-ops who are struggling at times with their old ways of thinking about food. That's why I have started going back to OA BEFORE surgery, to try and head those issues off at the pass.
   — Linda B.

March 5, 2003
I think you have a legitimate concern here. But I also know that in my experience, prior to surgery I too was out of control. I ate what I wanted, whenever I wanted and binged probably everyday. I was addicted to high fat foods and drank soda everyday as well. I had absolutely no will power. I am now a little over 7 months out and although I have my demons to deal with sometimes, I have done suprisingly well. ( 96 pounds gone isn't too bad) Not only can I not believe the will power I have shown, but my family as well. I'm not saying that I don't have an occasional weak moment. But I handle them so much differently than I used to. I know this will sound corny but I think that positive thinking can help so much with this. Most of us had a lifetime of little or no self esteem. So finding the confidence in yourself now, although difficult,it can be a real driving force for your determination for success. Like one of the previous posts said, one day at a time. It's good to be realistic and know the temptation will be there but don't sabotage yourself by automatically assuming you won't have the willpower to say no. You just might suprise yourself at how driven you can become once you see the beautiful, thin, and confident person you kept locked away all these years! :) Good luck and remember that positive thinking!
   — Laurel C.

March 5, 2003
Lindsey, this was my biggest fear as a pre-op, and it's still my greatest fear at 9 months post-op (at goal). I think it'll always be a big fear, which I hope will help keep me in check. I'd ask yourself, what will you do differently this time, in addition to relying on your pouch? Whether it's exercise, or protein shakes, or reworking your eating habits (frequency, upping protein foods, following the no-eating and drinking at same time pouch rule, etc.), you have to do things differently this time. The pouch is just a tool (sigh...this is now among my most disliked cliches), but it really does help with doing things differently. And you're right not to call your post-op eating pattern a "diet" -- 'cause we know those don't work. I just keep coming back here for support, and running my fingers (my mouth'd be moving if this was in person), taking this whole thing one day at a time.
   — Suzy C.

March 5, 2003
Yes. I do not trust me, either. I also do not call what I do a diet. I call it my formula. One of hte reminders I use for myself is that if I change the formula, I will change the result. Bad idea. I like the result so far (8+ yrs). I was given a very workable tool, and I work with my brain a lot to keep it "happy" to stick with this formula. I take a lot of supplements, but how I work it with myu brain is that I lost 150#, so I coudl take 150 pills (but I don't have to) and 150g protein (I prfer to take more) in exchange. Besides, I never had trouble putting things INTO myface. It was keeping 'em out that was the problem. I know grazing can undo me, so I have 4 small meals (feedings, I call 'em, some are snack size). No milk, no sugar, no drinking with meals. I'm perfect about milk, no problem. (milk hurts), am not perfect about the others. But I pat me on the back for every day I do it according to my "formula". I don't lose points (and throw in the towel & give up, like before) if I mess up ONCE. I just get back on the formula. And that makes me happier than the deviations made me for that moment that I thought it would bring happiness. I aim myself in the direction of no guilt, no bad feelings. I find that when I stick with my formula, my brain is happier, less conflict going on. And I will travel MANY miles to avoid conflict, esp with my own brain. Not a pretty sight. I also KNEW I could never, ever do this. After all, I had 44 years of regain (every treatment failed) as my total life experience. Just as I somehow manage to get thru a day without stealing or killing, I can get thru a day staying with my formula, because it works to get me what I want. IF that makes any sense.
   — vitalady

March 5, 2003
This is a very real fear, and as long as you keep it a fear, you can probably win the battle. I did not. I thought that this was the answer for all my weight problems and when I could eat anything after surgery, I thought how lucky I was, not to be one of those who dumped, or couldn't eat certain things. The problem comes in when you stop losing and haven't established new eating patterns, the weight WILL COME BACK. I lost 115# in 12 months, and in the 18 months since, I have gained back 35#. I am afraid that my stoma is too large, my stomach too big, whatever, and am making an appt. with a new bariatric doc. I lived too far away to go to support groups from my doc and I think that is a problem. I also think not enough information about WHY we shouldn't eat certain things. Anyway, let your worry keep you on the straight path, I am so very depressed over all this I can hardly function. Jill
   — Jill C.

March 5, 2003
Fear can be a positve thing. You're probably saying is she crazy. Ok lets not call it fear, lets call it being cautiously on guard. I am a year post op. I have not lost any weight in over 3 months, keep going up and down a range of about 5 lbs. I do have some of my old eating habits surfacing, mostly snacking and eating the wrong kinds of food because my pouch now tolerates them. I think that the true problem arises when we let go of that fear and forget what we are working towards, and then the lbs can really creep up. I keep myself in check, and I have my good days and my bad ones. I admit that I am not perfect and that I can take this one day at a time. Main point here, is relax, be alert and never lose sight of your goal.
   — SARose61

March 6, 2003
I posted a question about this same thing a week or so ago. Im almost 5 months postop and am now dealing with the fact that I do have to watch what I eat for the rest of my life. I was told that if I overate I would throw up..so I wouldnt have to worry about that. I was told that if I ate sugary foods I would dump...so I wouldnt have to worry there. I was pretty much told that If I went off the plan, then my body would tell me 'NO, NO'. I found that if I overeat(stretching the pouch in the process) that I will throw up...(and I can eat sugar and not have a problem). So I started eating less, more often..My mind found ways to get around the overeating thing. I have decided that I will eat every 5 hours(and not sooner). No matter what. I have started going to support group, Im looking for a counselor that specializes in eating disorders. Basically, an eating addiction can get the best of you even with the wonderful tool wls provides. Get counseling, find your triggers, keep a food diary and if you are about to eat when its not a regular meal time, stop and ask yourself if you are REALLY hungry, if you are going through a stressful time ect...(find your triggers) and then feed yourself something other than food. Make a call to a friend and talk till it passes, read the Bible if you are religious, get on the internet, do something to get your mind off of it. Its not easy...but its is much better than being morbidly obese....Ive heard the saying that "Nothing tastes as good as thin feels"...I wanna know what thin feels like!!
   — cherokey55

March 6, 2003
Lindsay; your concerns about old habits returning is probably one the biggest concerns of all wls patients. for me I am almost 1 year out and I have lost 169 lbs and I am very terrified. Learning that the surgery is just a "tool" terrified me. Hearing all the information about pouch stretching, staple line disruptions really did and still does a whammy on me. I have developed new habits that i try to incorporate in my daily life. That is not to say that i don't slipup cause I do. I think the most important thing to remember is that we are not perfect, we will occasionally eat a treat. Just remember not to over do it. I have a new outlook on treats because I really feel like treating myself is what caused me to weigh over 400 lbs in the first place. I remember when I was in the honeymoon stage and I wasn't hungry at all. Boy I loved that. I still weigh my foods because that's what works for me. I still thank god and get so excited when I am full from a tiny meal. To me just realizing that the key words is discipline and believe in yourself and you will do great. good luck in your journey
   — tameaka S.




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