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Hi Sweet People...I am sorry I haven't been much of a support lately.

Please know you all are in my prayers daily, as well as my heart.

I've made the decision to have bariatric surgery. Of course, there are

doctors to see, and insurance, and ultimately God's will ~ which I want

more than anything. But I feel very positive in proceeding forward.

I am doing all my daily exercising, keeping my food journal up, and

going to support groups on-line and face2face.

I learned so much through my hysterectomy how even small changes for the

better in your health can be vital when approaching surgery.

I know this will not eliminate the RA, PsA, or FMS, but the stress

coming off my body has got to help.

Contrary to lots of misinformation, you don't have to starve or not eat

foods you like. The surgery provides an approximately 2 year window

where your body is in a weight loss mode. In those 2 years, you have to

gain more skills in healthy eating, exercising, and understanding the

emotional aspect of becoming morbidly obese. During the first few

months post-surgery, you slowly begin to eat, with the emphasis on

protein. As time goes on, you add other foods, seeing what works and

what doesn't. The amounts are small, but after about 2 years you can

eat a full small-average meal. For some, the emphasis is on 6 smaller

meals per day, and the calories can be generous. Getting in neccesary

amounts of water is vital. You can continue to lose weight after 2

years, but usually more slowly.

There are supplements you MUST take for the rest of your life - vitamins

ADEK, B complex, then iron and calcium - others per doctor's orders.

This is true especially for the surgery I think is right for me which

combines both some restriction (smaller stomach) and some malabsorbtion.

I have a very sensible goal weight of 180 that both my pcp and I agree

on. That can be changed if need be.

I hope you will continue to pray for me regarding this. I have no

delusions that this will be a " walk in the park " , but I believe I really

am ready.

I'll be happy to answer any questions or listen to any concerns at

anytime.

I love you all dearly, and am grateful you are my family.

Hugs & hope & love...

Tess

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