Throwaway account. I don’t really know what I expect to hear; I guess I just want to talk about it.
I am nearly 30 and I have a BMI of 57. I’ve been obese for the past 20 years. It’s strange because I actually hate food—I can name foods I like on one hand. I have neurological issues that make many physical activities extraordinarily difficult or impossible. I also have severe psychiatric issues (hereditary, not related to weight) which have me living with my parents because I can’t take care of myself anymore.
I have been on every diet and used every weight loss method you can think of since I was 9 years old. I’ve gone to counseling, therapists, motivational seminars, taken weight loss pills, etc. My family even made me go to a hypnotist because nothing worked. Fasting was something I did for a while but backfired because I’m okay with not eating, but once I start, I can’t stop. I would finish the 16 hours and then gorge myself uncontrollably.
Then psychiatric medication made me gain 100lbs and now I’m at where I am now. I can’t walk through a grocery store anymore and the insides of my thighs have turned brown permanently because the chafing got so bad when I was still working that the rashes scarred. I can’t even walk around the block because we live at the top of a big hill and I can’t get back up it from the halfway point.
When I counted calories, I’d become so obsessed with them that I planned my day around my calories and would become enraged if plans changed. The only way I’ve ever lost weight with the least stress was to just not eat. I managed to lose about 35lbs when I was a teenager by only eating a few days out of the week. Then I started working in retail and was forced to be so active that I would faint if I didn’t eat. I got so paranoid about food that I missed my own high school prom because part of it was a formal dinner and I was horrified by the thought of being seen eating. The stress from work was also making me go into hours long sobbing sessions with pints of ice cream every day.
I haven’t done that in many years and I’m still gaining weight by tens of pounds yearly. I usually eat twice a day and cut sugary drinks out of my diet 11 years ago. I eat sweets or ice cream maybe once a month. I am so exhausted from living and breathing that I admittedly find it difficult to eat anything that requires preparing or anything that’s too hard to chew or eat. I get unvelievably tired thinking about eating meat off the bone because it requires too much effort. There are some days where I don’t eat because it’s too hard. I’m on stimulants—which don’t help me lose weight—to stop me from sleeping 18 hours a day.
It got so bad in my early 20s that my doctor went looking for something wrong with my organs or hormones. He found that I have a nonfunctioning parathyroid but he said there’s nothing that can be done about that and it wouldnt affect my weight and sleep anyway.
I talked to my doctor (different than the one above) about what to do and it looks like I’ve run out of options. She suggested I get weight loss surgery. My insurance doesn’t cover it. A couple of people in my extended family have had gastric bypass done and weren’t able to maintain long-term weight loss. I’m also wary of doing anything that will affect nutrient absorption because I’m going to be on psychiatric medication for the rest of my life and I don’t want to mess with the way they get absorbed.
I’ve been looking at my options and just feel really miserable about it. Nothing looks like a good option. The “tried and true” methods seem to come with permanent side effects that would make my life even more miserable. Plus, I’d never be able to eat any of my favorite foods again, which is the only thing that makes me even a little happy. The newer methods with fewer side effects either have super suspect scientific backing or can’t be used long term.
I know the adult thing to do is stop caring how I feel and do what will make me look good, but all I can think about is how much worse gastric bypass would make it to live when I’m already barely hanging on. I don’t care about myself enough to really care about the health aspect of weight loss—I’d just like to fit into cute clothes before I die. I’ve gone to counseling and gotten CBT and all that to try to make me care about myself but it made me feel worse than I did when I started.
I’m at a loss for what to do. I feel like I’ve tried everything. I don’t know if everything failed because I lack the positivity and motivation or support system, or if I’m just doomed to be like this forever and have my parents outlive me.
Has anybody managed to go through this same tunnel and come out on the other end? How did you do it?
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