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Jamie's avatar

I'm about to leave for work, but I wanted to say, to insist, please DON'T get anything surgical done to your innards to lose weight. I lost a childhood friend whose large intestines died (causing her own death when her small intestines ruptured during surgery). She grew up neglected in our childhood, and I lost touch with her when her aunt kicked her out.

In the intervening years before we reunited, she married an abusive asshole she was so desperate to appease that she got one of those weight loss surgeries. It affected her intestines, causing them to periodically "collapse" (she described the collapse like a Matryoshka doll set). In the few short years after our reunion she kept complaining of intense pain that the VA (who did the surgery) did nothing to help her with. It turns out her large intestine was dying.

When I first met her again and she told me why she got the surgery, I asked if she used to be 400 pounds or something. But she'd only been about ~210 or so. After the surgery she actually became a regular gym goer and dropped down in weight.

Flip side, I have a physically demanding job (a little more than 10 miles of walking in a day) and I've struggled to lose weight. The last time I saw a doctor she thought I might have a thyroid problem -- an issue which caused one of my aunts to have dramatic weight fluctuations when she was younger -- but I want more testing to be sure. Honestly, I don't want to risk the side effects of the medication she proposed I take for the thyroid problem. I am trying to learn more about the ways I've apparently sabotaged my metabolism -- eating breakfast actually matters, for real? Who knew!

I do wish you luck in your journey, though. The title of the post caught my eye, because one of the things I was always telling my unfortunate friend was that "people don't change if they get everything they just want by being themselves." I said this to help her become more assertive about her own boundaries with her crappy boyfriends and her misbehaving [adult] children. It's the one "life hack" I wish everyone understood: you get more of the behavior you reward, and less of the behavior you "punish."

Change is hard indeed. In 2026 I want to remove my own "barriers to change," and I hope you're able to conquer yours, too! Happy New Year!

Vince Mancuso's avatar

“But from what I’ve seen, the difference between succeeding and failing lies in the willingness to say the things you’re not supposed to.”

I’ve taught a class on self-discipline (which includes a “know your why” section,) and while I think the why is important, your how distinction puts somethings to better words.

Many folks think they have to be soft with themselves. And it’s not like you have to be a jerk, but just honest.

In that mindset: I need to lose 10 lbs because I allowed stress and holidays to take my planned bulk too far, and now my stomach is as big as my chest.

Also, I need to stop using my substack writing as an excuse to not work on future novels.

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