In July of 2011 I had a Vertical Sleeve Gastrectomy. and I spend this episode discussing what the process was like before and how it affected me afterwards.  Rapid weight loss affects hormones, metabolism and body image, and requires a new commitment to a brand new way of life.  Loose skin, sliding back into old junk food habits and continually tweaking my response to all of it are among the challenges I faced and still have been addressing over 8 years later.