My stats are pretty similar to yours (5'2" and a bmi of 42). I think mmmnavy and her GI are onto something with the hoarder metabolism - that's the way I always thought of it with me. I always had weight issues, but not as bad as currently. When I go into a flare, I will tend to drop about 15-20 pounds in the first week. Once the latest med starts kicking in, I will start gaining the weight back fairly quickly. The way I always thought of it was that my body was in starvation mode at the start of a flare (even if I did eat, nothing was being absorbed); once I start being able to absorb some, my body starts hoarding the calories, fat, etc. waiting for the next starvation period. Unfortunately I gain for much longer than I lose plus a bad reaction to steroids left me at my current weight.
Regarding weight loss surgery, I'd talk to your GI before talking to any more surgeons. Granted I have a few other stomach issues on top of the crohn's (including gastroparesis -- delayed stomach motility), but when I was talking to my GI about weight issues, gastric bypass and other weight loss surgeries came up at one point. It's now 2 years later, but her words have stuck with me -- "I wouldn't touch you with a 10-foot pole and wouldn't trust any surgeon who would." I've heard of people with no prior GI issues coming out of gastric bypass with problems, and then there are people like the woman you mentioned that has crohn's and had a successful gastric bypass. Your GI should be able to give you a better idea of what your personal risks are and armed with that info, you can make a decision as to whether it's a risk you want to take.
My GI did mention weight watchers at that point, but I didn't pursue it at that time. I haven't had much luck dieting since I can't handle many vegetables, but just before I signed on here tonight, I saw that WW was giving away a free month of their online service (not sure if it's the US only), so I was thinking I might give it a try. I did end up getting a Wii earlier this year with the intent of using it primarily for the weight loss/fitness programs. At my current weight, I'm too self-conscious to go to the gym but find that some of the programs give you a good home workout. When I used it regularly (i.e., arthritis isn't flaring and not swamped at work), I did lose a few pounds.
I will find a way or make one. –Phillip Sidney 1554-1586
All that I am and all that I shall ever be, I owe to my Angel Mother.
The Bucket List- Have you found joy in your life? Has your life brought joy to others?
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