Down from 275 lbs to 165lbs, diet/exercise and lap band
I began my weight loss journey in 2009 when I...
I began my weight loss journey in 2009 when I decided to peruse Lap Band surgery through my insurance company. Getting approved by insure was no easy task, I spent a lot of money visiting countless doctors and jumping through hoops doing more tests than I have ever experienced in my life, like 6 months of nutritional counseling ($100/ session), a psych evaluation ($250), a written letter stressing medical necessity by my general practitioner, getting cleared for surgery by a cardiologist and pulmonary doctor, passing a sleep study, doing a stress test (even though I was only 20), and finally an echocardiogram to top it all off. Luckily, I got approved the very first time I sent in my packet for evaluation, so my surgery was covered and all I had to pay was a hospital fee.
I got the lap band in June of 2009 at Centra State Medical Center in Freehold, NJ. I weighed 275 lbs at the time. It was a pretty painful recovery, difficult to sleep and move after, but luckily it didn't last very long. The worst part was the pain in my back and shoulders that I couldn't even stretch or crack to relieve, which I can only guess was from laying on the operating table for so long. The first year, I was very unsuccessful in my attempt to lose weight because I didn't change my diet after I healed and I didn't start exercising. I found that if you drink fluid with anything I ate, it essentially washes the food right through the part of your stomach the lap band is constricting and I was able to eat more. By the time 2010 had rolled around and I was 1 year post-op, I had only lost about 25 lbs. In August of 2010, I decided that enough was enough and started going to the gym 5 days a week and eating healthier. I currently weight about 180lbs and have lost just shy of 100 lbs to date. I think the lap band is a good idea in theory, but I know that I could have achieved this goal by myself if I had just started eating healthy and dieting like I do now. The lap band isn't going to be effective if you're still eating pizza, macaroni & cheese, and chinese food, like I was. I wish I hadn't gotten the surgery and could have made that connection sooner.
It also didn't help that my doctor didn't see me for over a year after my surgery. I was only seen for fills by nurses and physician's assistants in the office, which I found a little impersonal. I was given no help with diet or exercise plans, as I was told was part of the "program". It was as if everything they said they offered as part of the Lap Band System was out the window after my surgery was done and I was on my own after that. I had complications with adjustments and haven't been back in at least 9 months to get a fill because I'm pretty sure they just want my money. Every time I leave the office, they either put too much fluid in the band, or not enough. Its not a pleasant experience, either, so I have decided not to go back for a while.
I don't know how helpful this is to anyone reading, but feel free to message me if you have any questions or thoughts!
Replies (23)
Wow. Your transformation is incredible! Good for you for figuring out what you needed to do to get healthy.
I wonder if the Lap Band is different than WLS like gastric bypass. I've never had either, but from what I've researched patients of gastric bypass actually can't eat too much without feeling really full and icky. Do you think the water thing would work for them too, or is there something different about the lap band?
Anyway, I am just blown away by your photos. Congrats on your new health and confidence!

Thanks for the kind words :)
My aunt and cousin had gastric a few years before I got the lap band. With gastric, they actually cut and staple your stomach and make a new pouch that restricts your food intake, but with lap band, the band goes around the top of your stomach kind of like a zip-tie and restricts the food, which makes you feel full, but your whole stomach is still intact. Theres no way to wash the food through with gastric, which is a plus. However, I know you can stretch your stomach back to its original size or larger over time from slowly over eating. Also, a lot of people that have gastric find that they can lose the weight no matter what they are eating because they are still eating significantly less than they were before, so they tend to not change their eating habits and diet as strictly as they should. Between the stretching and not changing eating habits, it is very likely someone would gain the weight back over time.
With Lap Band, you lose the weight slower than with gastric, but if you look at long term results, after about 3 years the weight loss is the same. Also, some recent research supports the theory that lap band is proving to be more effective in keeping weight off in the long run than gastric.
They explain all the differences, pros and cons on this website, if you're interested! http://www.lapband.com/en/learn_about_lapband/compare_lapband/
I hope that answers your question :)
-Kelly
Thanks for such a thorough response! This may turn into a good material for a RealSelf blog post :)Â

Hi Cass,
Usually, if you're wanting to lose over 100lbs there will be sagging skin that will not return to normal. Most WLS patients choose to deal with the sagging skin in favor of losing so much weight, and getting healthy. There are always surgery options after you've lost the weight, such as: body lift, arm lift, thigh lift, etc
Have you spoken to any doctors yet?
Best,
Kirsty

Thanks for your help.
It helps to hear someone who has experience say that it is worth it. I want to attend an info session, I mentioned it to my husband and he immediately said no, and was against it. "I like you as you are . .." but I think that liking me is more important. I will give him a few days to cool down :-))
Thanks!




I weighed 174 lbs today. Officially at 101 lbs...
=)
Replies (13)

Hi. I am currently researching the adjustable gastric band. I am going to an information session in a few days. I would love someone to talk to.
Kay, I had lap band surgery 12/20/12. I had a great surgeon (recommended by my Dermotogist and Primary Care doctors). She and the office staff are wonderful and very accessible. If you do some homework (check w/ primary care dr for recommendations), you should find someone you will want to do the surgery. I was 253 @ my heaviest and close to doing insulin as well as diabetic meds. I am down from 2,000 miligrams to 500 a day). I am only 4 11 1/2 so I was obese. I am currently @ 204.8. I love to cook and eat and have had some trials and tribulations as habits are hard to break. Food is an addiction!!! I plan to join a support group which should help plus your friends will encourage you to continue. It is worth it. Please PM me I am going in for my 3rd adjustmt next week and will ask the office for a good dr reference where you live. PS-Even joined a gym - hate exercise, but it helps!!! Good luck! I am still glad I did the surgery ~ Carole.

Down to 166 lbs. now, and I was down to 162 lbs at...
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Hi Kelita,
Thanks for your review. You've done really well and are looking great.
It's a difficult journey and I'm glad you took control of your diet and made the changes. It is definitely a tool and you have to wor alongside it every single day to make it work.
Keep up the good work and if you need anything just let me know!
Kirsty