The Weight of Healing: What Discipline and Faith Taught Me After Surgery

Author Credit: Written by Sarah Swann, Founder of Pink Swann Beauty – redefining self-care as healing with confidence and connection.

When your body changes fast, YOU have to catch up slow.

Counting Bites, Finding Peace

In the first few months after my gastric sleeve surgery, I couldn’t eat more than two bites. Literally TWO. I would sit at the table counting, whispering numbers like they were prayers: one.. two.. done.

Everyone talks about “portion control” after bariatric surgery, but no one tells you how weird it feels when food stops being your comfort and becomes calculation. At first, I grieved the joy of a meal. It wasn’t about the food; it was about the routine, the connection, the rhythm of normal.

Then one morning, I looked in the mirror and realized I was already 50 pounds down. It was working. My body was changing, but my mind hadn’t caught up yet. Learning to love the new version of yourself takes patience most people don’t prepare you for. And in its own way, that became part of my healing.

When Discipline Feels Like Emptiness

Healing can feel lonely. I was exhausted in a way sleep couldn’t fix, not because anything was “wrong”, but because post-op life takes real energy. My body was adjusting fast, and honestly, my emotions were trying to catch up.

Right in the middle of that, life hit me hard: my mom had a heart attack and was hospitalized. Two places to be, one me, and not enough strength to do it all.

That’s when the Nicholson Clinic’s support really stood out. Their team checked in on me, reminded me that fatigue, emotional slowdown, and “off days” are normal parts of bariatric recovery, and helped me understand what my body was trying to tell me. They made sure I didn’t blame myself for being human, and that meant everything during a time that felt so heavy. The Nicholson Clinic gave me permission to honor my limits instead of fighting through them – something I didn’t know I needed.

All of that taught me a truth I didn’t want to learn: control is an illusion. I couldn’t fix my mom, and I couldn’t rush my recovery. What I could do was slow down, breathe, and let my body rebuild at its own pace.

That’s when discipline shifted for me. It stopped being about pushing and started being about partnering with myself. I quit treating my body like it owed me perfection. I started treating it like it deserved patience. Because discipline without grace? Turns into punishment real quick, and healing doesn’t work like that.

So if you feel this silent in-between: the tiredness, the emotional lag, the sense that your body is changing faster than your spirit can process. That’s okay – it’s part of the journey.

Texture & Sensory Redemption

Let me tell you something I have never really said out loud: before surgery, I used to eat cornstarch – sometimes a pound a day. It wasn’t hunger. It was habit. It was sensory – that dry crunch, that weird calm.

After surgery, I traded cornstarch for crushed ice. Same craving, new outlet. The sound, the texture, the cold, all of it soothed my nerves when I didn’t have words for what I was feeling.

I learned later on that these sensory cravings have roots: sometimes iron deficiency, sometimes trauma regulation. That’s the science behind NeuroBeauty – understanding how the nervous system responds to comfort through texture, touch, and ritual.

So I stopped judging the craving. Instead, I turned it into a cue: when I wanted ice, I paused, breathed, and asked my body, “What do you need to feel safe right now?” That small question changed everything. It taught me that healing is not just physical – it’s emotional, it’s sensory.

Seen, Not Just Smaller

Every time I walk back into the Nicholson Clinic, they recognize me immediately. Even months later, different hair, smaller frame, same smile, they greet me with, “Hey Sarah, we remember you.”

There is a kind of healing that happens when someone remembers your spirit, not your size. It reminded me that progress isn’t about shrinking. It’s about being seen.

This is something I hope every post-op patient experiences: a moment where you feel recognized as a person, not a number on a scale.

After the Weight Drops, The Work Begins

If you’re in that quiet in-between stage; the part where you’re lighter but still learning how to live again – lean into your faith, whatever that looks like for you. Find one self-care ritual that grounds you. It can be simple:

A quick temple massage
a hot oil treatment
the sound of your blow-dryer
a gentle moment in the mirror

Healing isn’t linear. It’s a rhythm, a series of becoming. And every version of you deserves softness.

Grief is life. Life is healing. Healing is purpose.

Resources & Connection

To learn more about bariatric surgery recovery, emotional wellness, and post-op support programs, visit NicholsonClinic.com/WeightLossSupport
For guidance on mindset, sensory self-care, and gentle routines after surgery, you can reach Sarah here: support@pinkswann.com.
To see Sarah’s first blog, The Letter That Changed Everything, click here.

Author Note: Sarah “Pink Swann” shares her real bariatric surgery recovery journey – faith, grief & how discipline with softness brought healing after gastric sleeve.

Webinar Recap with Dr. Nick Nicholson & Patient-Turned-Health Coach, Kathy Matthews-Carlisle

Bariatric surgery isn’t the finish line — it’s the beginning of a new chapter. During our recent webinar, Dr. Nick Nicholson and patient-turned-health coach, Kathy Matthews-Carlisle, answered the most common questions about long-term maintenance, mindset, and staying successful for life after weight loss surgery.

Here’s what our community learned:

What Day-to-Day & Week-to-Week Maintenance Really Looks Like

Long-term success isn’t about being perfect — it’s about being consistent.

Daily habits still matter:

Protein first, always
Stay hydrated
Keep your body moving

But maintenance isn’t rigid. It’s about balance — structure with flexibility, progress without pressure.

Kathy’s weekly rhythm:

Plan what the week looks like
Live it out day-by-day
Review energy, sleep, stress, hunger, movement, and wins

When something feels “off,” the goal is early correction — not guilt, not starting over — just small adjustments that keep you on track.

How Your Relationship with Food Changes Over Time

For many bariatric patients, food used to be a comfort, reward, escape, or coping tool. Post-surgery, the relationship evolves.

Food becomes fuel and enjoyment, not the enemy
Mindful eating helps identify true physical hunger vs emotional hunger
Emotional eating can still happen — even years later
The difference now: grace, not guilt

When setbacks happen, returning to your basics — protein, hydration, structure — keeps you steady.

Movement: From “Punishment” to Empowerment

Exercise is not just about burning calories — it’s about celebrating strength, mobility, and longevity.

Kathy started with short walks right after surgery. Over time, she moved into 5Ks, 10Ks, Half marathons, and one full marathon.

Today her routine looks like:

3x/week strength training
3x/week cardio (walking or running)
1x/week mobility/recovery

But the most important part? Find what works for YOU and your schedule. Movement should make life better — not harder.

Challenges, Setbacks & How to Overcome Them

Even years after surgery, old habits can creep back:

Grazing
Skipping meals
Emotional eating
Losing structure

That doesn’t mean you’ve failed — it means you’re human.

Tools that help:

Pause instead of spiraling
Get curious instead of critical
Journal to identify triggers
Reach out for support

Success isn’t erased by a rough week. Maintenance is about getting back to the core habits that work.

If You’re Afraid of Regain… You’re Not Alone

Fear of regain is common — and completely normal.

But here’s the good news:

Weight maintenance is built on small, realistic habits
Progress isn’t lost from one stressful month
You can always course-correct

Shift the mindset from fear → confidence. You’ve done hard things before. You can do this too.

The journey doesn’t stop at surgery — it evolves as you grow stronger, healthier, and more mindful.

Planning Ahead: Success During Busy or Stressful Seasons

Life gets busy — holidays, work, kids, travel, weather — and structure can slip.

The solution? Prepare before you’re overwhelmed.

Keep an on-the-go kit in your car or bag
Use a small cooler with protein-forward snacks

Common options patients love:

Fairlife, Core Power, or Premier shakes
Low-sugar protein bars
Cheese sticks
Deli meat roll-ups
Hard-boiled eggs
Hummus cups with pretzels

Some tips:

Rotate flavors and brands so you don’t burn out
Write a “grab & go” list and stick it on the fridge
Overbuy a little — better than scrambling later

When you plan ahead, you’re not hoping for success… you’re setting yourself up for it.

Because when nutrition is covered, you show up better for work, family, and yourself.

Final Message: You Are Not Alone

Life after bariatric surgery isn’t about perfection — it’s a series of small decisions repeated with consistency, grace, and self-compassion.

Your habits matter.
Your mindset matters.
And you don’t have to do this alone.

We’re here to support you — in every stage of the journey. Schedule your follow-up appointments with your bariatric surgeon for regular check ins and for any concerns you may have. We offer several methods of support and staff to help you along the way.

To schedule a complimentary 15-minute discovery call with Kathy and learn about her coaching services, click here: https://www.livingwellthrivingmore.com/applytoworkwithme

Author Credit: Written by Sarah Swann, Founder of Pink Swann Beauty – redefining self-care as healing with confidence and connection.

The letter from the life insurance company wasn’t long, just a few sentences. But the part that stuck with me was the reason I was denied coverage: height-to-weight proportion.

I read it twice, sitting still, feeling that quiet hit different.

Not shame. Not panic. Just that deep pause right before your soul whispers, “Enough.”

For years, I told myself I was fine – pretty active, eating “okay,” juggling motherhood and work, showing up every day while my body carried the weight of burnout, I couldn’t put a name to. But that letter made something click.

Because life insurance isn’t about vanity – it’s about longevity and legacy. And legacy means everything to me.

That denial was my wake-up call. It reminded me weight loss surgery isn’t just about losing weight; it’s about gaining time and protecting legacy. I wanted to live long enough to watch my kids’ kids thrive – to pass down more than stories of struggle.

So I made the decision to pursue bariatric surgery in Dallas – not from fear, but from faith. Not from pressure, but from peace.

One of my favorite scriptures says, “Those who endure to the end shall be saved.” Endurance became my mindset.

I had been considering gastric sleeve surgery for years, always talking myself out of it. This time was different. This time, it was personal. I was investing in the woman my children deserved to see – healthy, grounded, and still soft.

Facing the Fear of Change

Before my gastric sleeve surgery, I kept thinking, I just hope this goes right. I was worried about loose skin, recovery time, and the attention.

Would I still feel safe being seen? Would I know how to handle new attraction, new eyes?

And being private-pay, I had to remind myself: this investment was for my peace, not just my body. That fear didn’t stop me, it sharpened me.

Every transformation brings visibility, and visibility takes courage. I learned that safety doesn’t always come from staying small; sometimes it comes from standing tall.

The Real Transformation Starts in the Mind

Nobody told me how mental this journey would be. After bariatric surgery, your body heals quickly, but your mind takes time to catch up.

I definitely went through a “regret phase.” It’s real, and it’s loud. You question everything: the diet, the mirror, the pace of progress.

But transformation doesn’t stop at the stomach – it rewires the mind. That’s the part people don’t talk about when it comes to post-op mindset and emotional healing after weight loss surgery.

When I began studying how the mind and body communicate through care and safety, something shifted. I realized our nervous system has its own language: the quiet signals that tell the body, “You’re safe to heal now.”

Through NeuroBeauty, I discovered how our nervous system shapes healing and identity – the space where self-care, mindset, and healing meet. It’s not science or self-help – it’s a practice.

A reminder that when the mind feels safe, the body transforms freely – Emotional regulation meets recovery and confidence.

If the mind is stressed, the body resists change. If the mind feels safe, the body transforms freely.

That’s when I started turning self-care into healing.

Where My Healing Started

Every night, I warm a few drops of hair oil between my fingertips and press it gently into my temples and hairline, breathing deep. It’s my reminder:

I’m calm. I’m safe. I’m still in control. My way of soothing my nervous system while my body adjusted.

Now I understand the beauty of self-regulation and how softness can train strength. It’s healing that starts from the inside out – mindfulness at work.

Discipline, Devotion & the Regret Phase

Four years later, people always ask how I’ve maintained nearly 200 pounds of loss. The answer is not a secret diet or gym routine – it’s devotion.

Discipline used to mean control. Now, it means care.

When the regret phase tried to creep back in, I reminded myself: Push through that regret phase. Keep doing the internal work. The external will match your glow up.

Healing isn’t about perfection – it’s about pattern recognition.

Peace That Still Holds Power

Confidence now feels like peace with authority.

It’s walking into any store, picking an outfit that fits, and knowing I belong in it. It’s letting a compliment hit without deflecting. It’s realizing my glow isn’t about the surgery – it’s about surrender and stewardship.

My family celebrates with me; my children see a version of their mom who’s present, healthy, and playful. And even when jealousy showed up – from strangers and relatives – I learned that light attracts both love and projection. Either way, it means you’re shining.

When Nicholson Clinic asked to feature me in their testimonial series, I saw just how far my story had traveled. Women I had never met stopped me in public to say, “You’re the reason I booked my consultation.”

That’s when I knew this journey wasn’t just about my body. It was about giving other women permission to start theirs.

If You’re Standing Where I Once Stood

If you’re thinking about gastric sleeve surgery or weight loss surgery in Dallas, and you’re scared, hopeful, or somewhere in between… BREATHE.

Your path may not look like mine, but your peace will find you too. Endure it. Embrace it. Let it crown you softly.

Resources & Connection

Learn more about bariatric surgery and patient support at nicholsonclinic.com
For honest conversations about recovery, mindset, and self-image after weight loss surgery, you can reach me at support@pinkswann.com

Author Note: Sarah Swann is a Dallas-Fort Worth based hair care professional and wellness storyteller exploring the intersection of beauty, mindset, and the nervous system. She refers to her evolving framework as NeuroBeauty – the science of beauty.

The end of the year is right around the corner — which means now is the perfect time to take charge of your health goals while making the most of your insurance and employer benefits. Whether you’re exploring weight loss surgery for the first time or have been considering it for a while, these smart end-of-year planning tips could help you save money and start the new year on a healthier path.

Big News for Blue Cross Blue Shield Members

If you’ve been told in the past that your Blue Cross Blue Shield (BCBS) plan doesn’t cover weight loss surgery, it’s time to take another look. Many BCBS plans — including Marketplace/Exchange plans — have recently changed and may now offer coverage for bariatric surgery if you qualify.

Here’s why this matters:

Coverage may now be available, even if you were previously told otherwise.
If your deductible is already met, you could pay as little as $0 out of pocket.
With the end of the year approaching, now’s the time to check your updated benefits before coverage resets.

Don’t assume your situation hasn’t changed. Call our office today — our team will be happy to verify your updated benefits for you and help you understand your options. You could be eligible right now.

Call 972-494-3100 to check your BCBS benefits before the year ends.

Check Your Employer Benefits — You May Already Be Covered

Did you know that many of DFW’s top employers offer weight loss surgery benefits as part of their health plans? We’ve seen patients with coverage from companies like:

7-Eleven
Amazon
AT&T
Baylor Scott & White
Exxon Mobile
Texas Instruments
Toyota

Plus hundreds more! Click here to learn more and see a sample list of other companies who have offered bariatric surgery coverage for employees who meet the requirements.

We understand that navigating insurance benefits can feel overwhelming — but that’s where we come in. At Nicholson Clinic, our insurance advocates handle the entire process for you:

When you schedule your consultation, we’ll collect your insurance details.
Our team will verify your coverage on your behalf.
If you don’t have coverage, we’ll let you know before your appointment so there are no surprises.

And here’s the best part: If your plan covers weight loss surgery and your deductible is already met, your surgery could be fully covered.

Pro tip: Many people meet their deductibles later in the year — making this an ideal time to schedule surgery and minimize out-of-pocket costs.

Don’t Forget Your FSA / HAS — Use It or Lose It

If you have a Flexible Spending Account (FSA) or Health Spending Account (HSA) through your employer, now is the time to check your balance. Many plans follow a “use it or lose it” policy at the end of the plan year. That means any remaining funds could disappear if you don’t use them before the deadline.

Weight loss surgery–related costs may qualify as eligible expenses, so tapping into your FSA or HAS can help you:

Maximize your tax-free dollars
Cover out-of-pocket medical expenses
Minimize the financial burden of your procedure

Don’t let your hard-earned, pre-tax dollars go to waste — put them to work toward your health goals.

The Bottom Line: A Little Planning Goes a Long Way

The final months of the year are a critical window to review your insurance benefits, employer coverage, and FSA/HSA balances. A quick benefits check now could mean thousands in savings and a head start on your 2026 health goals.

Schedule your consultation
We will check your coverage for you
Take advantage of your deductible and FSA before they reset

At Nicholson Clinic, we’re here to make the process as smooth as possible — so you can focus on transforming your health.

Call 972-494-3100 today or schedule a consultation online to get started.

As summer winds down and routines return to normal, September is one of the best times to take control of your health and start your weight loss journey. At Nicholson Clinic, we help you navigate every step of the process, from insurance approvals to surgery scheduling, so you can reach your goals sooner.

Whether you’re planning to use insurance or go the self-pay route, getting started now sets you up for success — and it could mean having surgery before the end of the year. Here’s why:

Beat the Insurance Approval Timeline

Most insurance companies require a 1–4 month approval process before weight loss surgery. This typically includes:

A consultation with a dietitian
A psychological evaluation
Any necessary medical testing
Completing a mandatory 2-week pre-op diet

Scheduling your consultation in September means you’ll have plenty of time to check off these requirements and still schedule surgery before the year ends. If you wait too long, you risk getting pushed into next year’s deductible cycle.

Pro Tip: Patients who plan ahead often save significantly when their insurance deductible has already been met!

Take Advantage of Back-to-Routine Season

With kids back in school and work schedules settling, it’s easier to fit in pre-op appointments, stick to your diet plan, and prepare for surgery. Planning ahead also gives you time to understand what to expect before, during, and after surgery.

And recovery is often quicker than people expect. Most gastric sleeve patients:

Can work from home just 3–5 days after surgery
Schedule surgery on a Thursday and are back to work by Monday

Fast-Track Your Journey with Self-Pay

Going the self-pay route means you can move even faster and skip insurance requirements.

Consult + surgery can often be scheduled within 30 days
Have surgery this fall
Be celebrating a whole new you by the holidays

Why So Many Patients Choose Year-End Surgery

December is one of the busiest months for bariatric surgery, and for good reason:

Insurance deductibles: Many patients have already met their deductible, making surgery more affordable.
FSA/HSA benefits: Use your flexible spending account before funds expire — it’s “use it or lose it” for many plans.
Built-in recovery time: Holiday breaks often make it easier to take time off work or school.
Support from loved ones: With family around for the holidays, patients have extra help and encouragement during recovery.
Head start on New Year’s goals: Having surgery before January gives you a jumpstart on your weight-loss journey and sets you up for success in the new year.

The “Best” Time to Start Depends on You

While September is an ideal time to begin, the best time for weight loss surgery is whenever you’re ready to commit. Success isn’t about the calendar — it’s about your dedication to making lasting lifestyle changes.

Starting now ensures you have enough time to meet insurance requirements, plan your recovery, and step into the new year with confidence. And it’s a great way to maximize your insurance benefits and minimize your out-of-pocket expenses!

Take the First Step Today

Don’t wait until November or December when schedules are packed and surgery spots are limited. Whether you’re using insurance or going self-pay, starting your journey in September positions you for success.

Call us today at 972-494-3100 or go online to request your consultation now— and let Nicholson Clinic help you start your transformation today!

We’re proud to share that all three Nicholson Clinic surgeons — Dr. Nick Nicholson, Dr. Brian Long, and Dr. Thomas Roshek — have been named to Living Well Magazine’s prestigious 2025 “Top Docs” list. In addition, Dr. Nick Nicholson was named to Living Magazine’s 2025 “Best Of” list in three North Texas markets!

These annual awards are determined by readers of both publications through online voting and reflect the trust and confidence our community places in our team.

For the 11^th year, Dr. Nick Nicholson has been honored by Living Magazine readers in Frisco/Plano, McKinney/Allen, and Richardson/Murphy as “Best Bariatric Surgeon.” The results are featured in the magazine’s August 2025 issue. Living Magazine serves as a go-to lifestyle and community resource across DFW.

Meanwhile, Living Well Magazine has once again recognized all three Nicholson Clinic doctors in both the Top Bariatric Surgeon and Top General Surgeon categories — marking our 7^th consecutive year receiving this distinction. Winners are featured in the July/August edition of the magazine, which is widely read throughout Dallas and Collin County.

“We are deeply honored to be chosen as ‘Top Docs’ by readers of both Living Well and Living Magazine,” says Dr. Nick Nicholson. “These recognitions reflect our ongoing commitment to delivering the best possible care to every patient we serve.”

To our patients — thank you for trusting us to be part of your health journey. It is a privilege to support you and your families. Congratulations again to Dr. Nicholson, Dr. Long, and Dr. Roshek on these well-earned recognitions in 2025!

Obesity is a significant health concern that impacts individuals across all age groups, intertwining with and exacerbating numerous other health factors. While it’s crucial for everyone to consider their weight and its implications, it’s especially important for older adults, where the interplay with other health conditions can become more complex and serious.

The Interwoven Risks of Obesity, Especially for Older Adults

Weight management for older adults requires greater mindfulness and clinical nuance than for younger populations. Aging often brings a rise in medical complexity, with older adults more likely to live with multiple chronic conditions and take several medications, adding significant layers of consideration for weight loss interventions. In fact, over 50% of older adults have three or more chronic diseases, necessitating coordinated, multidisciplinary care, according to the American Geriatrics Society.

Clinicians must evaluate how meaningful weight loss could improve obesity-related complications, while also considering potential unintended consequences from rapid or unmonitored health changes. Polypharmacy, or the use of multiple medications, is a common concern in geriatric care; for adults aged 65 and older with Medicare, the median number of prescription medications is four, per the Journals of Gerontology.

The good news is that weight loss surgery has been shown to significantly improve many obesity-related health issues and reduce the need for certain medications. After bariatric surgery, many people find they can reduce or eliminate medications they previously relied on, particularly for conditions like type 2 diabetes, high blood pressure, and sleep apnea. Weight loss also improves the efficacy and reduces the need for other medications, such as those for pain or inflammation.

Making Weight Loss Solutions Accessible: Nicholson Clinic and Medicare

Recognizing the widespread need for effective and lasting weight loss solutions, Nicholson Clinic is committed to making its services available to a broader range of patients, and now proudly accepts regular Medicare. At Nicholson Clinic, we will walk you through the process of getting started and will guide you every step of the way. We know that obesity management in older adults requires a careful and tailored approach, prioritizing comorbidity management and risk mitigation. Patients should be informed about how weight loss may interact with existing medical conditions, medication regimens, and musculoskeletal health. We work closely with registered dietitians, exercise physiologists, endocrinologists, and primary care professionals to ensure a comprehensive approach to wellness.

Choosing the right weight loss solution and an experienced treatment team is crucial for effective weight loss and lasting results. If you are struggling with weight related conditions and looking to improve your quality of life, give us a call today at 972-494-3100.

Every morning, I woke up feeling drained.

As usual, my body ached when I stood up, and my reflection in the mirror didn’t help much either.

I’d sigh, grab my phone, and scroll through social media. Friends were posting vacation pictures, hiking adventures, and family gatherings while I was stuck on the couch, in pain, feeling utterly miserable.

But that wasn’t the worst part.

The worst part was knowing that my weight was controlling my life.

The Struggle Was Real

Before I made the decision to undergo weight loss surgery, life felt like a never-ending battle with my body. Simple things, like tying my shoes or playing with my kids, became insurmountable tasks.

I couldn’t walk up a flight of stairs without stopping halfway to catch my breath. My knees ached all the time. My back hurt from carrying the extra weight. And, worst of all, I was embarrassed to even leave the house. I avoided social events, family gatherings, and even casual outings with friends because I was ashamed of how I looked and felt.

Even simple tasks like grocery shopping felt like marathons. I’d get winded after pushing a cart around the store, and sometimes, I couldn’t make it to the checkout without feeling like I was going to collapse.

My health was deteriorating, and I could feel it every single day. I was at my lowest point.

The Turning Point

Then, one day, I sat down with my primary care doctor. He told me, point-blank, that I was at risk for serious health issues — diabetes, heart disease, sleep apnea, and even joint problems, all of which were exacerbated by my weight.

That’s when he brought up weight loss surgery.

At first, I was hesitant. I was scared. I thought, “Is surgery really the answer? Can’t I do this on my own?”

My doctor looked me in the eyes and said, “You wouldn’t try to beat breast cancer on your own. Why do you want to try to beat obesity on your own?” He explained, “Sometimes, your body needs help. And this could be the turning point you need.”

He explained that weight loss surgery, especially when combined with healthy habits and lifestyle changes, could offer a permanent solution.

I went home, thinking about his words, and after much consideration and discussion with my family, I decided to take the leap. I scheduled a consultation with the Nicholson Clinic to learn more. The idea of finally getting my life back was too powerful to ignore.

Insurance Didn’t Cover My Weight Loss Surgery but There Was a Solution: Weight Loss Surgery Only $4,500

The Nicholson Clinic insurance advocate checked my insurance and informed me that I didn’t have bariatric coverage, but I could self-pay for the procedure. This would be $10,500 or I could finance for $284/month, or, if I needed surgery for another condition, I may be able to use insurance for that procedure and add-on a weight loss procedure for only $4,500 or $122/month. I decided to go to my consultation to explore my options.

When asked about my medical history, I explained that I have been diagnosed with gallstones in the past, and that I often have upper right abdominal pain after eating.

Dr. Nicholson explained that this is very common with patients who are overweight. Excess body fat can increase cholesterol levels in bile, which is a key factor in gallstone formation. Dr. Nicholson ordered some tests, and it turned out that I will need gallbladder removal at some point, and that it’s better to remove it as a scheduled procedure rather than an emergency room visit.

The good news was the Nicholson Clinic was able to remove my gallbladder and add on a weight loss procedure all in one surgery session. I used insurance to cover my gallbladder removal and paid 60% less for a gastric sleeve at the same time. The cost-savings was incredible!

The Surgery: My Path to a New Healthier, Pain-Free Life

I won’t sugarcoat it — I was nervous for surgery, but the procedure itself was quick, and the recovery time was relatively short.

The procedure was outpatient, so I was home the same day. The first few days post-surgery were the hardest. I was tired, sore, and had to adjust to a liquid-only diet. But after a week, I noticed something different. I felt lighter, more energized, and, surprisingly, pain-free.

Every day, I saw improvement. My energy levels skyrocketed. I started walking more, and within two weeks, I could feel the weight literally lifting off my body.

A Life Transformed

The changes were dramatic. By the end of the first month, I had already lost 20 pounds and my reflux was gone. And it wasn’t just the physical attributes that had changed. My whole outlook on life was different.

Each month that past, I kept on losing weight, being more active and feeling better. I could walk for miles without feeling winded. I wasn’t afraid to try on clothes anymore. I was able to do things I hadn’t been able to do in years — like run around with my kids at the park. And best of all, my joints no longer ached.

Something inside me shifted, and I felt like a completely new person.

A New Lease on Life: It Was All Worth It

Looking back, it’s hard to believe how far I’ve come in such a short amount of time. I went from being bedridden by my own body to enjoying life again. Weight loss surgery wasn’t just a physical transformation—it was an emotional one, too. It helped me reclaim my confidence and happiness.

Sure, there were challenges, but every single day since my surgery has been a victory. I’m now living the life I always dreamed of—active, healthy, and happy. I’ve reconnected with old friends, gone on hiking trips, and, most importantly, I’ve rediscovered what it feels like to truly enjoy life.

If you’re reading this and struggling like I was, I want you to know this: there is hope. Weight loss surgery isn’t for everyone, but for me, it was the catalyst I needed to turn my life around. It gave me a second chance to live the life I always imagined.

And if I can do it, so can you.

This blog is based on stories of several of Nicholson Clinic patients combined. We’ve helped over 25,000 patients lose weight and live healthier happier lives. We can help you too! If you’re ready for a change, contact us today! 972-494-3100 or www.NicholsonClinic.com

At Nicholson Clinic, we know weight loss surgery can be a life-changing step—but it doesn’t have to be financially overwhelming. That’s why we offer a unique and cost-effective solution for patients who may need other medically necessary surgeries. By combining procedures, you can save money, shorten your recovery, and achieve better long-term health.

Weight Loss Surgery Starting at Just $4,500

For qualifying patients, gastric sleeve surgery is now available at our lowest pricing ever—just $4,500. And with CareCredit financing starting at only $122/month, it’s more affordable than ever to take the next step toward better health.

If you don’t have bariatric benefits but do need surgery for another medical condition that qualifies, this could be a valuable opportunity. In many cases, insurance may cover the medically necessary procedure, allowing you to add a gastric sleeve at a significantly reduced cost during the same operation.

Keep in mind that in addition to the $4,500 fee for the gastric sleeve, you may still owe any deductible and out-of-pocket costs based on your specific policy. The good news is, the surgery center offers payment plans for those additional costs, making the overall process even more manageable.

Combine Your Surgery & Save More

If you’re struggling with obesity and need another surgical procedure—such as gallbladder removal, hernia repair, or LapBand removal—you may be eligible to combine surgeries. This not only lowers your overall cost but also reduces your time in recovery.

How Common Is This?

Here’s the best part: More than 50% of patients have at least one of these conditions, so it’s actually very common! That’s why it’s important to schedule a consultation to explore your options. Our team will perform any necessary tests to confirm whether you’re eligible for a combined procedure. You can request a consultation HERE!

What Conditions Can Be Combined with Weight Loss Surgery?

Paraesophageal Hernia Repair + Gastric Sleeve – Patients who are overweight and experience severe reflux or GERD could have a paraesophageal hernia, which is a form of a hiatal hernia. Combining surgical repair with gastric sleeve can relieve symptoms and support long-term weight loss.

Gallbladder Removal (Lap Cholecystectomy) + Gastric Sleeve – Obesity raises your risk of gallstones, which can cause pain and digestive issues. If you need gallbladder surgery, adding a gastric sleeve at the same time could be a smart and efficient option.

Abdominal Wall Hernia Repair + Gastric Sleeve – Hernias caused by previous surgeries or injury can worsen over time. Repairing them during weight loss surgery reduces complication risks and speeds up recovery.

LapBand Removal + Gastric Sleeve – Many LapBands are removed within 7–10 years due to complications or poor results. If you’re dealing with pain, slippage, or reflux, we can remove the LapBand and perform a gastric sleeve in the same operation.

Why Choose a Combined Procedure?

✔ One operation instead of two
✔ Lower overall costs
✔ Faster recovery time
✔ Only one period of missed work
✔ Improved quality of life and long-term health

Schedule Your Consult Today

If you’re facing any of the conditions above, don’t wait— schedule a consult with Nicholson Clinic today. We’ll walk you through your insurance, confirm your eligibility, and help you decide if a combined procedure is right for you.

This could be your most affordable opportunity yet to take control of your health and start your weight loss journey! Call 972-494-3100 or request an appointment online!

There comes a moment in life when change is no longer optional—it becomes necessary. For one mother, that moment came on Mother’s Day in 2014. Looking at pictures of herself, she was faced with a truth she could no longer ignore; she needed to take control of her health if she wanted to be there for her young daughters. What followed was a journey of transformation, perseverance, and ultimately, self-love.

The Decision to Change

Before weight loss surgery, life was challenging in more ways than one. Simple joys—like running and playing with her daughters—were overshadowed by exhaustion. Shopping for clothes in regular stores wasn’t an option, and she avoided cameras at all costs. For many years, she struggled with yo-yo dieting and starting exercise routines only to fall off the wagon. Eventually, she reached a breaking point and decided, “Enough is enough. I need help.” After extensive research, she attended a seminar by Dr. Nicholson at the Nicholson Clinic, where she learned about her options. After carefully weighing the pros and cons, she proceeded with the procedure.

Choosing the Gastric Sleeve

By October 2014, she was ready. After consulting with Dr. Nicholson, they determined that the gastric sleeve procedure would be the best tool to help her achieve her weight loss goals. The decision wasn’t taken lightly—she conducted thorough research, completed all necessary pre-op testing, and ensured she was mentally and physically prepared. What stood out most was Dr. Nicholson’s openness and guidance, which gave her confidence in her choice.

The Surgery and Recovery Process

Thanks to the Nicholson Clinic, the process was straightforward. They handled the complexities of insurance and provided a clear roadmap for pre- and post-surgery requirements. While some days were more challenging than others—especially in meeting hydration and protein intake goals—she followed every instruction to the best of her ability. Over time, the process became second nature, and she learned how to fuel her body effectively.

Throughout it all, Kathy was never alone. Her husband and children stood by her side, offering unwavering support and encouragement through every step of the process. Whether it was helping with meal preparations, cheering her on as she incorporated exercise into her daily routine, or reminding her of her “why” on tough days, their love and belief in her never wavered.

A New Lease on Life

To challenge her body in new ways, she joined a walking club, which evolved into walk-run intervals, pushing herself beyond what she ever imagined possible. With the support of her family, coach and accountability partners, she ran a half-marathon in December 2015. In 2023, she decided to challenge herself again—this time by running a full marathon. For eight months, she trained, trusted the process, and in November 2024, she crossed the marathon finish line—without gaining weight. The experience reaffirmed that she could achieve anything she set her mind to.

Fast forward to today, and life is nothing short of amazing! Initially, she lost 102 pounds and then found her balance at a healthy 140 pounds. Over the past decade, she’s experienced the reality that weight loss surgery is only a tool—it still requires effort in maintaining nutrition, exercise, and mindset.

But what made the journey even more fulfilling was the love that surrounded her. Her family became her biggest cheerleaders, always reminding her of how far she had come and reinforcing the belief that she was never alone in this process.

Maintaining Success 10 Years Later

A decade after surgery, she continues to prioritize her health. Meal planning, scheduled exercise, and daily mindset work are non-negotiables. She invests in personal growth, working with mentors and continuously learning about whole-person health. By making herself a priority, she ensures she can show up as the best version of herself—not just for her, but for her family as well.

Advice for Those Considering Weight Loss Surgery

For anyone contemplating weight loss surgery, she offers this advice: knowledge is power. Understand that surgery is not a cure; it is merely a tool. Success requires a commitment to lifestyle changes, including diet, exercise, mental health, and personal growth. Ask yourself:

How will my habits need to change before and after surgery?
Can I commit to putting my health first?
What adjustments do I need to make to support this commitment?

Weight loss is a journey, not a destination. It takes time, patience, and consistency. Most importantly, always remember—you are worth the investment! Stay tuned for more on Kathy’s story!

Kathy’s personal growth journey continues with coaching! Follow her today on IG: @kathymatthewscarlisle