A couple of nights ago I watched part of TLC's "My 600 Pound Life -  Where Are They Now?," which was a follow-up to the recent series that  chronicled four 600+ pound individuals who underwent gastric bypass  surgery.  This past Sunday night's program caught viewers up with where  these individuals are now.  Although none of them had regained all of  their weight, all four had gained quite a bit and were significantly  overweight (obese).  It was clear that although they were better off  than they were prior to surgery, the surgery didn't fix their issues  with food.  Unhealthy eating habits, not retrained through surgery,  resulted in significant weight gain.
Coupled with watching this program, I also saw a news article on the  internet announcing that singer Carnie Wilson had lap-band surgery, 12  years after having gastric by-pass surgery.  In the past 12 years, she  has regained 2/3 of her weight and was concerned about rising blood  sugar levels and saw lap-band surgery as the way to bring things back  under control.
What both of these situations make clear is that the real work of weight  loss happens in the space between our ears.  We HAVE to get our  thinking straight on the role that food plays in our lives or nothing  will really change long-term for us.  Take Shape for Life/Medifast is a wonderful program  and it works, and works fast.  However, if we don't do the hard work of  redefining our relationship with food, if we don't choose to incorporate  healthy habits on a permanent basis, the weight WILL come back on.
Reaching goal isn't the end . . . it's the beginning of what CAN be the  rest of your thin, healthy life.  It's also the start of choosing to  make wise choices when all foods once again become options.  
It's so important to begin thinking now about what maintenance will look  like for you.  If you are dreaming of once again enjoying all of your  old favorite foods, that's a red flag.  I don't mean that you won't ever  be able to enjoy a small amount of something you used to eat, but there  will be things that won't be a regular part of your life . . . if you  want to stay at a healthy weight.  
That's why I'm such a huge fan of "Dr. A's Habits of Health," written by  Take Shape for Life co-founder and Medifast's medical director, Dr. Wayne Scott Andersen.  He spends the  first part of his book discussing how to have sustainable motivation for  permanent change to help us get our minds in the right place.  His book  also outlines exactly HOW to eat for the rest of our lives, and it's  not how to eat Medifast meal replacements.  His book also teaches simple  ways to incorporate movement, reduce stress and inflammation, get  restorative sleep - all of the components needed to live a longer,  healthier life.  
Weight loss surgery won't fix the way people relate to food, and neither  will being on Take Shape for Life/Medifast's 5&1 in and of itself.  The 5&1 program  teaches us how to eat six small meals a day, critical to long-term  success, but redefining our relationship with food is another important  component and cannot be overlooked or ignored if you want to be part of  the minority of individuals who successfully maintain their weight loss.
Is this a quick-fix diet for you, or are you committed to long-term,  permanent change?  Be honest when you answer this question, then choose  wisely :-)
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