I got this question via email: Dear Trula, I am considering bariatric surgery because I have tried everything: dieting, exercise, not eating for days at a time, and I am still nearly 300 pounds. I am a 38 year old, 5 ft. 3 woman and I feel this is my only chance. What do you think? I have been following your weight loss and see that exercise and food management worked for you, but it didn’t work for me.

Please re-consider doing this! You could die on the operating table.

You say that you have tried everything…have you gone to a counselor or psychologist to help figure out why you overeat to the point of morbid obesity? If you understood why you overeat, it may help you to stop overeating.

Some tricks to consider include eating a big salad before eating a meal. Lettuce and other raw veggies are bulk and they also expand in your stomach. You eat less fattening food if you eat a salad (sans fatty dressing of course) first. Also drink plenty of water, at least 100 oz a day. Keep all junk food out of your house. Enlist your partner and/or kids, roomates’(or anyone you share living space with) help in this. Yes, this may seem unfair to them not to have junk in the house but your life is at stake here. If you live alone it may be easier to keep junk out of the house.

If you truly feel that you cannot stop overeating no matter what, then this surgery is DEFINITELY not for you. I say this because you will still overeat after the surgery. This causes stomach tears and all sorts of painful issues that will neccessitate even more life-threatening corrective surgery.

I am not advocating that anyone go on a diet because diets SUCK and they rarely work. Why? Most people just go right back to overeating after they go off the diet. You have to learn how to eat. You have to stop overeating. If you do the surgery, and I am sure you know this, you will have to learn how to eat teeny-tiny portions of food at a meal. So if you have to learn a new way of eating, why not learn how to not overeat in the first place? Without the harm and trauma to your body? And being able to eat normal amounts of food at a time instead of tiny amounts of food at a time?

I also wonder, how long did you try everything? Of course not eating doesn’t work and it’s not something I would reccomend, but I don’t understand how you can say exercise and not overeating did not work for you. If you have followed what I did like you say, then you know that’s what I did. You will also know that I did not lose a lot of weight all at once, it was a few pounds a week at a time. You have to give your body time to resolve to the weight it’s supposed to be. You did not get to be over 300 pounds all at once and you cannot lose your excess weight all at once or quickly. I started in January and here it is 7 months later and I still have fifteen pounds to go. It’s gonna take months and months for you to lose that weight, maybe even a few years. I do want you to know I feel for you and will support you no matter what you decide. Good luck to you!

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