Physically, I still feel wonderful, energetic and so very happy for making the decision I made. My quality of life has gotten exponentially better compared to pre-surgery. It definitely hasn't been without struggle, though. There is rarely a day that doesn't go by where at some point I think about "what if" I gain the weight back. Sometimes, I go through periods of time when I look at myself in the mirror and it feels as if I've gained it all back, although I haven't. Sometimes I see my old face in the mirror or think I'm regaining it all, even though I haven't.
As I close in on two years post-op, it's been a larger mental battle than the physical battle for me. I gained some weight back after hitting my nadir but have been steady and in a good place, and I'm still within the "average" body fat mass zone. That is where I intend to stay.
Stress and the temptation to emotionally eat has been the biggest battle for me. Between some pretty insane work stress and some personal stress, I've had to reach out often for professional support. One of the best things I've done recently was to start learning and doing some meditation, which has helped me a great deal.
My sleep hasn't been great since the surgery without some sort of sleep aid. I started some nighttime meditations and it's been borderline miraculous for me in that area. It's also reduced my stress, which I think has also helped me make good decisions more often than not.
Winter also takes a toll as my activity goes down quite a bit, but now that spring is here I'm doing a lot more outside work and walking/hiking. That also helps me feel a bit more balanced.
I don't drink enough water as I should. I know that also contributes to "false hunger" when I probably just need to get hydrated better.
I continue to be plant-based and love it, but I can certainly make bad plant-based choices if I let myself.
It is very easy to see that it wouldn't take too much to slide into a cycle of poor decisions. Speaking for myself, I know I will have to be extremely diligent for the rest of my life to ensure I stay where I want to stay. It's not easy.