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Body Dysmorphia: Mind Games After Gastric Bypass Surgery
Maybe you've heard about body dysmorphia - it's a mental image many victims of anorexia nervosa have that tells them they look fat, even when they are emaciated. Bariatric patients can suffer from body dysmorphia as well. When we were morbidly obese our emotional coping mechanisms kicked in and many of us were able to convince ourselves we really weren't that big. It is emotionally kinder to avoid body criticism, the whole issue seems hopeless. In fact, many morbidly obese patients will say they see themselves normal sized. That is until a rude moment reminds them they are not normal sized: a skinny chair, a turnstile, a bathroom stall, a flight of stairs, a photograph. This false perception is a subconscious coping strategy to protect us from the brutal truth, the truth about how big morbidly obese really is. My sister and I were clothes shopping one day with our morbidly obese mother. She tried an outfit and complained to us, "but it makes me look fat." And gently we told her, "Mom, you are fat." Intellectually my mother knows she is morbidly obese, but the emotional issues run over reason and she doesn't see herself fat. She is in serious denial that is preventing her from getting the help she needs - bariatric surgery - to save her life. After surgery, there is a tendency for the body dysmorphia to reverse. Before surgery we denied how big we were, after surgery we judge ourselves critically - like the anorexic - and fail to see an honest reflection. One woman, down from size 24 to size 10 wrote, "I feel fat daily. I never felt this at 248 pounds - I saw a thinner person in the mirror than I see now. I look at my size 10 jeans and they look like tents. I don't feel as attractive as I did when I was heavy. I don't understand it," she continued, "but I think it has to do with learning to accept yourself fat so you didn't see all the fat. Now I just have to learn to accept myself as thinner." Many patients report hyper-judging their figures after weight loss. It seems the thinner you get the more judgmental of your body you become. To this day, the first thing I see in my reflection in my pudgy tummy - I think it's enormous. I don't see long slender legs or a tiny waist or trim arms. I see a Buddha belly. I've even apologized for my chubby tummy to others when they compliment my new figure. The apology usually goes, "Yes, but I can't get rid of this stomach." I say this while pointing to my "flaw". That is wrong and brutally unfair to myself. I am working daily to keep this hyper-judgment in check, reminding myself the days of belittlement and self-loathing are over. Now is the time when I love myself. Patients report universal success when they do one thing in the face of body dysmorphia: dress to impress! Get rid of the flowing camouflage clothes and wear a smart, well fitted outfit. Gentlemen, tuck in your shirts in. Ladies, wear a fitted skirt with a waistband. Small sized "fat clothes" do nothing for body image - dump that style and get something that flatters your new size. Enlist the help of friends you trust to find flattering clothes. Sometimes you have to force yourself to see your body as it is, a great fitting outfit will certainly do the trick. Extreme cases of body dysmorphia after gastric bypass weight loss may be treated with counseling and psycho-therapy. Kaye Bailey is a weight loss surgery success story having maintained her health and goal weight for 5+ years. An award winning journalist, she is the author and webmaster of http://www.livingafterwls.com and http://www.livingafterwls.blogspot.com - Fresh & insightful content is added daily, check in often. Copyright � 2005 Kaye Bailey - All Rights Reserved.
MORE RESOURCES: Could activating brown fat help promote weight loss? Medical News Today Wannabe TikTok influencer sold Ozempic, tainted weight loss drugs that left at least one dieter covered in gross lesions New York Post Melissa McCarthy's Thoughts on Weight Loss and Body Positivity Prevention Magazine The Boom in New Weight Loss Drugs: What Prehospital Caregivers Need to Know JEMS (Journal of Emergency Medical Services) Common vitamin deficiencies in women; the effects on aging and weight loss | News Loma Linda University Weight Loss Competition Heats Up In Britain, Online Pharmacies Slash Prices for Wegovy and Mounjaro Yahoo Finance Amgen investors await weight-loss drug data Reuters.com Ozempic, weight loss drugs send ripples through Atlanta health and fitness community The Atlanta Journal Constitution Woman develops lesions after TikToker sells her contaminated weight loss drug, feds say Miami Herald Illinois expands costly weight-loss drug coverage Chicago Sun-Times Why Weight-Loss Drugs Wegovy, Zepbound Are in Short Supply The Business of Fashion Injectable weight loss drugs reshape diet industry York Dispatch Semaglutide vs. tirzepatide: Comparing weight loss drugs like Ozempic Houston Chronicle Considering Fat-Loss Supplements? New Military Study Finds Many Are Not What They Seem. Military.com Why a legal fight against the manufacturers of Ozempic, Mounjaro, and other diabetes and weight-loss drugs will take ... The Philadelphia Inquirer Food Network star Sandra Lee was 'sick as sick could be' after trying weight-loss medication Fox News Regeneron, Lilly grapple with clinical endpoints as obesity space moves to improving weight loss Fierce Biotech So you've lost weight using Wegovy. Does that mean you can stop taking it? The Associated Press Watch couple’s incredible transformation shedding 150lb – plus their weight-loss ‘golden rules’... The US Sun Blockbuster weight loss drug Wegovy's sales just doubled — and could heat up even more with a price cut Business Insider India When supplies resume, should governments subsidise drugs like Ozempic for weight loss? We asked 5 experts The Conversation Indonesia 217 Today: Weight-loss drug coverage for Illinois state workers could cost hundreds of millions of dollars IPM Newsroom Weight loss plateau on GLP-1 drugs vs surgery: When does it happen? Medical News Today What making weight-loss drugs means for the environment Chemical & Engineering News Facing weight loss drug side effects? GNC wants to help Yahoo Finance Eli Lilly Stock Jumps After Earnings Beat. Zepbound, Mounjaro Weight-Loss Drugs Are Driving Gains. Barron's Sister Wives: "Emerald Dream!": Meri's Best Green Outfits After Glam Weight Loss Transformation Screen Rant Eli Lilly stock jumps on weight-loss drug sales forecast Yahoo Finance Ciara Teases Weight Loss Progress with New Photos After Revealing She's 'Trying to Lose 70 Lbs.' PEOPLE Novo Nordisk earnings are coming during a weight loss drugs sales surge. Here are 3 things to watch Quartz Intense exercise with time-restricted eating produces health benefits Medical News Today Taxpayers need to know how heavy a toll they'll be paying for weight-loss drug coverage Chicago Sun-Times The 80/10/10 diet: Is it effective for weight loss? The Indian Express TikTok to crack down on content that promotes disordered eating and dangerous weight-loss habits Los Angeles Times Here's what 'fair allocation' for GLP-1s could look like Fierce healthcare Patients with MS Benefit from a Behavioral Weight-Loss Program - Multiple Sclerosis Peer-to-Peer Medpage Today Prosecutors: Shirley woman sold misbranded, adulterated weight loss drugs on TikTok News 12 Long Island |
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