"What kind of surgery are you having?"

What a harmless question, right?

Until you ask it of someone like me who is a bit ashamed of resorting to weight loss surgery to get healthy.

The process through insurance has been over a year for me. There are requirements that insurance needs to approve the duodenal switch surgery. For those of you thinking of weight loss surgery, here is what I have had to go through:

1. Primary care doctor visits documenting weight concerns for over a year.
2. Initial orientation with a team of nutritionists.
3. Weigh ins.
4. A sleep study.
5. A psychiatric evaluation.
6. Weigh ins.
7. Protein seminars.
8. Bariatric surgery consults.
9. Weigh ins.
10. Endoscopy and colonoscopy.
11. Hospital consultation.
12. Blood work.
13. More blood work.
14. Did I mention weigh-ins?

Don't get me wrong. I am thankful for the process because of one thing: they are operating on my digestive system, not my brain. My brain has to be ready for the change. The process has given me lots of time to process and thoughtfully consider what I am about to do.

This is known as the "DS" or, duodenal switch. It is
now considered the most effective surgery to
lose the weight and keep it off.

But it doesn't mean the insecurity and fear of judgment goes away. When I lost 75 pounds a few years ago, it was with blood, sweat, and tears. Lots of tears. At my lowest weight, I ended up needing lower back surgery. About two years after that, I needed upper back surgery. I was working out over an hour a day, 6 days a week rather faithfully. But I just couldn't get a handle on the eating. I allowed myself too many "cheat meals" and we all know, those turn into "cheat days" and "cheat weekends." And when you can't work out due to injury...you sit around a lot. And eat.

Want to know what's worse than being overweight? Losing 75 pounds and gaining it all back.

While some say surgery is the easy way out (and yes, I have heard this from well-meaning people), I must say, now that I am living in it and on day three of my liquid diet prep...it most certainly is not easy. And if I hadn't of had the year long preparation, I don't think my brain would be ready.

We have five days to go. And I apologize in advance to all of you that will be around me between now and Wednesday. Because I am perpetually hangry. Forgive me?