Marissa
That is a good question. I think that you should see a RD, registered dietician and see just how much you should be eating vs how much you are eating. I worked with a girl at one time, who when she went on a diet, she actually ate much more than before. And she lost from 3?? to maybe 225 the last time I saw her. She was taking thyroid pill though. Sometimes when we don't eat, out body goes into starvation mode and keeps every little calorie we eat. When your body realizes more food is coming because you are eating more often, you can lose weight. Of course this is a VERY simple explanation of a complicated process and doesn't work for everyone. Also, you can be malnourished and be overweight even though that seems like a contradiction. A lot depends on the food that you eat. Your insurance might pay for a nutritionist or RD if you doctor reccomends it. You would have to see one anyway if you decided to get the band. I consider myself a professional dieter-and that is not a good thing, I've tried most diets out there and lost, but regained as well. I laugh and say that if I had kept off all the weight I had lost I would be in the negative numbers.
My personal opinion is no to the gastric bypass unless there is no alternative. That is irreversible. The lapband is reversible and has less complications. (I don't have a band yet, my consultation is in 2 weeks). Do you have a primary care physician that listens to you and that you trust. If you don't please try and find one. I love my MD, but he is like, "you should lose weight, you would feel better" Well, doc, give me the magic pill and I will. Band vs bypass is something you and your doctor should decide together.
Start a journal of every bite you put into your mouth for at least 2 weeks and try and find someone to help you with your questions. Sometimes the dietician at the hospital does consultations, or at least they might could reccommend someone to you. Trying to lose weight is different for each person. One of the girs I work with took MY diabetic exchanges and lost 50 pounds without trying. And wasn't hungary. I was misrable and unable to follow that plan.
Sorry about rambling, I am 45 and have been overwieght for 20 years, you just have to not give up and keep trying. I don't feel like I am "giving up" by trying for the band, but I do feel that it is not the answer for everyone and certainly needs to be thought about before considering it.
I hope that this helps.
Susan