{"id":87486,"date":"2025-12-19T15:08:15","date_gmt":"2025-12-19T22:08:15","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=87486"},"modified":"2026-04-21T09:01:24","modified_gmt":"2026-04-21T15:01:24","slug":"losing-140-pounds-regaining-life-with-weight-loss-surgery","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/losing-140-pounds-regaining-life-with-weight-loss-surgery\/","title":{"rendered":"Rachael lost 140 pounds and now leads the booster club for her son&#8217;s marching band"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_87498\" aria-describedby=\"caption-attachment-87498\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87498\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133256\/UC_Health_R_Underwood_01-web.webp\" alt=\"After losing 140 pounds through weight loss surgery, Rachael Underwood is thrilled to have more energy. One of her favorite activities is leading the booster club for her son's marching band at Pueblo South High School. Rachael attended the same high school years ago and also loved doing marching band. Being able to actively support her son and other students has brought Rachael great joy. Photo by Mike Sweeney, for UCHealth.\" width=\"640\" height=\"400\" \/><figcaption id=\"caption-attachment-87498\" class=\"wp-caption-text\">After losing 140 pounds through weight loss surgery, Rachael Underwood is thrilled to have more energy. One of her favorite activities is leading the booster club for her son&#8217;s marching band at Pueblo South High School. Rachael attended the same high school years ago and also loved doing marching band. Being able to actively support her son and other students has brought Rachael great joy. Photo by Mike Sweeney, for UCHealth.<\/figcaption><\/figure>\n<p>As a kid, Rachael Underwood was always overweight. After she joined the high school marching band,\u00a0a\u00a0seamstress\u00a0added\u00a0fabric to her uniform so it would fit.\u00a0The track coach let her wear her own clothes for meets, as long as they matched the school colors, because the school didn\u2019t have a track uniform big enough for Rachael.<\/p>\n<p>As an adult, she tried every diet possible to lose weight:\u00a0low-carb, keto, paleo and more. But the results\u00a0never\u00a0stuck.<\/p>\n<p>\u201cLife happens,\u201d she said. \u201cI\u2019d lose weight, then gain it back.\u201d<\/p>\n<p>It wasn\u2019t until she decided to have weight-loss surgery two years ago that Rachel was able to radically change her relationship with food. She lost nearly 140 pounds and was able to change her life, for good.<\/p>\n<p>Rachael, 43, had her surgery at the <a href=\"https:\/\/www.uchealth.org\/locations\/sangre-de-cristo-weight-loss-institute\/\">Sangre de Cristo Weight Loss Institute<\/a>, which is affiliated with\u00a0<a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-parkview-medical-center\/\">UCHealth Parkview Medical Center<\/a> in Pueblo. Rachael works for UCHealth at the center and now loves being able to help other patients achieve their weight-loss goals.<\/p>\n<p>Outside of work, Rachael enjoys activities that she\u00a0didn\u2019t\u00a0have the energy to pursue before she lost the weight:\u00a0planning a wedding for her son and daughter-in-law, serving as president of her other son\u2019s high school band booster\u00a0club and hiking\u00a0and camping. And her health?\u00a0That\u2019s\u00a0much improved now, too.<\/p>\n<p>\u201cI don\u2019t ever want to take this for granted,\u201d she said. \u201cI worked so hard to get to this point, and I don\u2019t ever want to go back.\u201d<\/p>\n<figure id=\"attachment_87499\" aria-describedby=\"caption-attachment-87499\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87499\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133259\/UC_Health_R_Underwood_02-web.webp\" alt=\"After struggling with her weight all of her life, Rachael chose weight-loss surgery. Losing 140 pounds has enabled her to be much more active. She loves hiking, camping and spending more time with her children now. Photo by Mike Sweeney, for UCHealth.\" width=\"640\" height=\"406\" \/><figcaption id=\"caption-attachment-87499\" class=\"wp-caption-text\">After struggling with her weight all of her life, Rachael chose weight-loss surgery. Losing 140 pounds has enabled her to be much more active. She loves hiking, camping and spending more time with her children now. Photo by Mike Sweeney, for UCHealth.<\/figcaption><\/figure>\n<h2><strong>\u2018Always the chubbiest kid,\u2019 Rachael endured the ridicule of classmates\u00a0<\/strong><\/h2>\n<figure id=\"attachment_87497\" aria-describedby=\"caption-attachment-87497\" style=\"width: 250px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87497\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133255\/underwood-before2-courtesy-web.webp\" alt=\"Rachael Underwood before her weight-loss surgery journey. Photo by Mike Sweeney, for UCHealth.\" width=\"250\" height=\"629\" \/><figcaption id=\"caption-attachment-87497\" class=\"wp-caption-text\">Rachael before her weight-loss surgery journey. Photo courtesy Rachael Underwood.<\/figcaption><\/figure>\n<p>Rachael grew up in small towns all over Colorado. She was born in Salida, where her father drove a snowplow over Monarch Pass for the Colorado Department of Transportation. The family later lived in Craig, Eads, and Branson, as her father took new assignments at work. The family settled in Pueblo in December, 1996 when Rachael was in the seventh grade.<\/p>\n<p>Rachael said she was \u201calways the chubbiest kid\u201d and the subject of classmates&#8217; ridicule. She loved sports and stayed busy playing softball, basketball and volleyball. In those smaller towns, anyone who tried out made it onto the team, she said.<\/p>\n<p>Her mother did her best to stretch a pound of ground beef to feed their family of six, but nutrition wasn\u2019t always a priority.<\/p>\n<p>After moving to Pueblo, Rachael\u2019s interests shifted to music. At\u00a0<a id=\"\" href=\"https:\/\/south.pueblod60.org\/\" target=\"_blank\" rel=\"noopener\">South High School<\/a>, she played French horn in the marching, pep and concert bands. She also joined the track team and made the varsity shot put team. She missed a chance at the state tournament one year with a throw that was just a quarter inch too short.<\/p>\n<p>Rachael also developed an interest in health care in high school. She attended the school\u2019s health academy and became a Certified Nursing Assistant\u00a0during\u00a0her junior year. She graduated with her Emergency Medical Technician license in hand.<\/p>\n<p>But throughout high school, her weight was a factor in\u00a0virtually everything\u00a0she did. Marching with the band was tough, so she made excuses to skip practice. Wearing her own clothes to track meets drew unwanted attention.<\/p>\n<p>By her high school graduation\u00a0in 2000, she weighed 250 pounds.<\/p>\n<p>She couldn\u2019t have known then, but her high school interests would remain constants throughout her life. Her passion for health care would blossom into the career she enjoys today. And her ties to the marching band? That would become a key part of her weight-loss journey.<\/p>\n<figure id=\"attachment_87503\" aria-describedby=\"caption-attachment-87503\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87503\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133312\/UC_Health_R_Underwood_10-web.webp\" alt=\"Rachael talks with her son, Reid, who plays baritone at South High School in Pueblo, where she is the band booster club president. Photo by Mike Sweeney, for UCHealth.\" width=\"640\" height=\"454\" \/><figcaption id=\"caption-attachment-87503\" class=\"wp-caption-text\">Rachael talks with her son, Reid, who plays baritone at South High School in Pueblo, where she is the band booster club president. Photo by Mike Sweeney, for UCHealth.<\/figcaption><\/figure>\n<h2><strong>Diets and an &#8217;emotional relationship with food,&#8217; then a turning point\u00a0<\/strong><\/h2>\n<p>After graduating from high school, Rachael got a job at Parkview Medical Center as a technician in the emergency department. She and her husband married in 2003, and she soon became a busy mom to three children. But her weight forced her to forgo some of the things she wanted to do as a parent. She had trouble getting up off the ground, so she didn\u2019t play with her young children much. She wished she could be outdoors or go on hikes, but she often settled for watching movies instead.<\/p>\n<p>She would try a diet, lose some weight, and then gain it back again.<\/p>\n<p>As far back as Rachael can remember, food was about more than\u00a0mealtime. Food helped her cope with stress, sadness,\u00a0depression\u00a0and even things worth celebrating.<\/p>\n<p>\u201cI\u2019ve always had an emotional relationship with food,\u201d Rachael said. \u201cI turned to food a lot. Food was my comfort.\u201d<\/p>\n<p>A big turning point came in 2016, when her daughter\u2019s dance\u00a0teacher\u00a0scheduled a trip to Branson, Missouri. Rachael decided to turn\u00a0the trip\u00a0into a\u00a0family vacation. They spent one day at a theme park there, but Rachael was so heavy that she had to stop often to rest. The kids\u00a0didn\u2019t\u00a0get to go on many of the rides or see much of the park, and Rachael said she was embarrassed and apologized to her children.<\/p>\n<p>\u201cIt was a huge eye-opener to do something about my weight, or I was going to be on a downhill trajectory,\u201d she said.<\/p>\n<div class=\"su-callout-box col-xs-12 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\">\n<h4><strong><a href=\"https:\/\/www.uchealth.org\/diseases-conditions\/obesity\/\">Obesity<\/a> can cause a variety of health problems, including: <\/strong><\/h4>\n<ul>\n<li>high blood pressure<\/li>\n<li>sleep apnea<\/li>\n<li>heartburn<\/li>\n<li>fatty liver disease<\/li>\n<li>heart disease<\/li>\n<li>high cholesterol<\/li>\n<li>various cancers, including breast, ovarian, liver and colon cancers<\/li>\n<li>osteoarthritis or joint disease<\/li>\n<li>diabetes<\/li>\n<li>asthma<\/li>\n<li>migraine headaches\u00a0 <\/div><\/li>\n<\/ul>\n<p>In 2017, weighing around 300 pounds, she lost 80 pounds over 12 months. But within a year, she had gained the weight back and was right where she had started.<\/p>\n<p>\u201cI tried it all, trying to do it on my own,\u201d she said.<\/p>\n<p>A diagnosis of\u00a0<a href=\"https:\/\/www.uchealth.org\/diseases-conditions\/polycystic-ovary-syndrome\/\">Polycystic Ovary Syndrome,<\/a>\u00a0or PCOS,\u00a0added to the challenge. PCOS causes problems with hormones and makes losing\u00a0weight\u00a0difficult.<\/p>\n<p>\u201cMy body was fighting itself,\u201d Rachael explained. \u201cIt was ten times harder for me to lose weight.\u201d<\/p>\n<p>She knew her health was suffering.\u00a0Her weight made a\u00a0nagging ankle injury\u00a0worse. She took\u00a0medications to reduce her\u00a0high blood pressure. The number of things she\u00a0couldn\u2019t\u00a0do with her kids kept adding up.<\/p>\n<h2><strong>Weight-loss surgery offers a path forward \u00a0<\/strong><\/h2>\n<p>In 2019, Rachael earned a bachelor\u2019s degree in health administration from\u00a0<a id=\"\" href=\"https:\/\/csuglobal.edu\/\" target=\"_blank\" rel=\"noopener\">Colorado State University Global<\/a>. Two years later she became manager of clinical operations for the Sangre de Cristo Weight Loss Institute.<\/p>\n<p>She said she had been considering weight-loss surgery \u2014 which is also known as bariatric surgery \u2014 for more than 20 years. But it wasn\u2019t until 2022 that she had an insurance plan that would cover it. Then, in June 2023, a new doctor joined the weight loss practice, and the two women hit it off. <div class=\"su-callout-box col-xs-12 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\">\n<h4><strong>What is bariatric surgery?\u00a0<\/strong><\/h4>\n<p>Weight-loss surgery, also known as bariatric surgery, reduces the size of a patient\u2019s stomach and changes the chemicals and hormones that regulate a person\u2019s weight.<\/p>\n<h4><strong>Bariatric surgery options include:\u00a0<\/strong><\/h4>\n<p><strong>Roux-en-Y Gastric Bypass:<\/strong>\u00a0This procedure creates a small stomach pouch and reroutes part of the small intestine, limiting the amount of food a person can eat and cutting calorie absorption<\/p>\n<p><strong>Sleeve gastrectomy:<\/strong> In this procedure, a surgeon removes most of a patient\u2019s stomach, leaving a narrow \u201csleeve.\u201d This reduces food intake and hunger hormones, while nutrient absorption\u00a0remains\u00a0the same. \u00a0 <\/div>\n<p><a href=\"https:\/\/www.uchealth.org\/provider\/ping-jeanne-pan-md\/\">Dr. Ping (Jeanne) Pan<\/a>\u00a0had been a bariatric surgeon in New Mexico and was eager to move to Colorado to raise her family here. Her focus was to help the Pueblo practice gain\u00a0an important\u00a0national accreditation through the <a id=\"\" href=\"https:\/\/www.facs.org\/quality-programs\/accreditation-and-verification\/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program\/\" target=\"_blank\" rel=\"noopener\">Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program<\/a> (MBSAQIP). That happened in 2025, and the practice is now the only MBSAQIP-accredited UCHealth bariatric program in southern Colorado.<\/p>\n<p>\u201cWe\u00a0meet rigorous standards for safety and outcomes,\u201d Pan said.\u00a0\u201cPatients can trust they\u2019re getting high-quality care.\u201d<\/p>\n<p>Rachael scheduled an appointment with Pan, and they talked through weight-loss surgery options. In general, the procedures reduce the size of a patient\u2019s stomach and change how their digestive system processes and tolerates food, altering the chemicals and hormones that regulate weight.<\/p>\n<p>The most <a id=\"\" href=\"https:\/\/www.uchealth.org\/treatments-procedures\/types-of-weight-loss-surgeries\/\">common\u00a0surgeries\u00a0<\/a>are gastric bypass, also called\u00a0Roux-en-Y Gastric Bypass, and\u00a0sleeve gastrectomy, commonly known as\u00a0a gastric sleeve. With the bypass, a surgeon creates a small stomach pouch and reroutes part of the small intestine, limiting the amount of food a person can eat, changing hunger hormones and cutting calorie absorption. With a gastric sleeve, a surgeon removes most of a patient\u2019s stomach, leaving a narrow \u201csleeve.\u201d This\u00a0also\u00a0reduces food intake and\u00a0changes\u00a0hunger hormones, while nutrient absorption\u00a0remains\u00a0the same.<\/p>\n<p>\u201cThe type of surgery a patient chooses is individualized, based on a person\u2019s weight-loss goals, health history and medical diagnoses,\u201d Pan said.<div class=\"su-callout-box col-xs-12 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\">\n<h4><strong>To <a href=\"https:\/\/www.uchealth.org\/services\/weight-and-metabolism\/surgical-weight-loss\/are-you-a-candidate-for-weight-loss-surgery\/\">qualify for weight-loss surgery<\/a>, patients must: <\/strong><\/h4>\n<ul>\n<li>have a Body Mass Index of 40 or greater<\/li>\n<li>have a Body Mass Index of 35-40 and are experiencing weight-related medical issues<\/li>\n<li>be 18-75 years old.\u00a0 <\/div><\/li>\n<\/ul>\n<p>Pan makes sure her patients understand that surgery is not a quick fix. Some patients mistakenly think that they will instantly start losing weight. Others assume they won\u2019t have an appetite, or they are unwilling to change their eating habits. After surgery, simple sugars, carbonated drinks and caffeine can make patients feel uncomfortable and even sick if they eat or drink them. Failing to eat the right kinds of foods after surgery will thwart any weight-loss success and a patient\u2019s overall health, so dietary education is crucial.<\/p>\n<p>\u201cSurgery isn\u2019t a diet,\u201d Pan said. \u201cIt\u2019s a lifestyle change.\u201d<\/p>\n<p>The program at Parkview Medical Center takes a multidisciplinary approach with two surgeons, Pan and\u00a0<a href=\"https:\/\/www.uchealth.org\/provider\/spencer-trooboff\/\">Dr. Spencer Trooboff,<\/a>\u00a0as well as a bariatric dietitian,\u00a0a\u00a0nurse navigator,\u00a0a\u00a0nurse practitioner and a virtual patient support group. Pan and Trooboff are members of the medical staff at Parkview Medical Center.<\/p>\n<p>\u201cWe make sure patients are\u00a0prepared\u00a0so they understand that surgery changes anatomy, but they still have to fuel their bodies correctly,\u201d\u00a0Pan said.<\/p>\n<figure id=\"attachment_87505\" aria-describedby=\"caption-attachment-87505\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87505\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133318\/UC_Health_R_Underwood_07-web.webp\" alt=\"Rachael Underwood takes walk with her youngest son, Rein, and daughter, Rebekah. Photo by Mike Sweeney, for UCHealth.\" width=\"640\" height=\"414\" \/><figcaption id=\"caption-attachment-87505\" class=\"wp-caption-text\">Rachael takes a walk with her son, Reid, and daughter, Rebekah. Photo by Mike Sweeney, for UCHealth.<\/figcaption><\/figure>\n<h2><strong>What about weight-loss drugs? \u00a0<\/strong><\/h2>\n<p>Pan said there is a role for weight-loss medications, but they are not the magic fix that they sometimes appear to be on social media or TV ads. Weight-loss surgery remains an important option, even with the popularity of injectable weight-loss drugs such as<a href=\"https:\/\/www.uchealth.org\/today\/wegovy-vs-ozempic-the-truth-about-new-weight-loss-drugs\/\"> Wegovy, Ozempic <\/a>and <a href=\"https:\/\/www.uchealth.org\/today\/zepbound-weight-loss-drug-compared-to-mounjaro-wegovy-ozempic\/\">Zepbound<\/a>.<\/p>\n<p>That\u2019s\u00a0because\u00a0most people must remain on weight-loss medications for the rest of their lives in order to keep the weight off. And few health insurance companies cover weight loss drugs, meaning they are prohibitively expensive for most people. Furthermore, many people who take weight loss drugs have to cope with challenging gastrointestinal side effects.<\/p>\n<p>With weight-loss surgery, patients have one procedure and don\u2019t face ongoing costs. Patients also can lose significantly more weight if they opt to have surgery. Studies have shown that people who take weight loss drugs, on the other hand,<a id=\"\" href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2812936#google_vignette\" target=\"_blank\" rel=\"noopener\"> may plateau after losing about 20% of their total body weight<\/a>.<\/p>\n<p>Pan helped Rachael decide on a gastric bypass and scheduled her surgery for November 2023.\u00a0She weighed the most she ever had \u2013 328 pounds.<\/p>\n<h2><strong>Scheduling the surgery kicks off six months of preparation\u00a0<\/strong><\/h2>\n<p>A six-month journey to surgery was just beginning. Rachael, like most patients, had to participate in six sessions with a nutritionist and meetings with a counselor.<\/p>\n<p>She took an honest look at her eating habits, relationship with food and commitment to the surgery, recovery and the weight-loss process. With the dietitian, Rachael had to prepare for life after surgery and learn about the new food restrictions she would need to master.<\/p>\n<p>\u201cI was willing to do anything and everything to make sure I could be successful,\u201d she said.<\/p>\n<h2><strong>Recovery from surgery, then weight-loss milestones\u00a0<\/strong><\/h2>\n<p>Rachael\u2019s Nov. 13, 2023, surgery went well.<\/p>\n<figure id=\"attachment_87496\" aria-describedby=\"caption-attachment-87496\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87496\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133253\/Underwood-doc-byJoannaBean-web.webp\" alt=\"Rachael with her doctor, Dr. Ping (Jeanne) Pan. Photo by Mike Sweeney, for UCHealth.\" width=\"300\" height=\"420\" \/><figcaption id=\"caption-attachment-87496\" class=\"wp-caption-text\">Rachael with her doctor, Dr. Ping (Jeanne) Pan. Photo by Joanna Bean, UCHealth.<\/figcaption><\/figure>\n<p>She followed the recovery instructions to a T. For the first two weeks, she followed an all-liquid diet to retrain her newly modified stomach and digestive system. She could drink only 2 ounces at a time. After ingesting only liquids, she ate soft foods for two months \u2013 refried beans and lots of soup. She slowly reintroduced foods with more textures, like sticky and chewy foods.<\/p>\n<p>Then her weight-loss milestones began to pile up.<\/p>\n<p>By\u00a0February\u00a0of\u00a02024,\u00a0Rachael\u00a0weighed 253 pounds. Two months later, she was down to 235 pounds. She was losing, on average,\u00a010 pounds\u00a0a month.<\/p>\n<p>The biggest milestone came one year after surgery, when she dropped to 200 pounds. To celebrate, she and her family went camping\u00a0at one of the family\u2019s favorite spots east of Pueblo.<\/p>\n<p>Today, she regularly hikes, walks and goes fishing, and she is thrilled to be down to 190 pounds.<\/p>\n<h2><strong>How changing her relationship with food helped her succeed with weight-loss surgery<\/strong><\/h2>\n<p>Rachael said the key to her success has been changing her relationship with food and quieting the \u201cfood noise\u201d in her head.<\/p>\n<p>She\u00a0describes\u00a0food noise\u00a0this way:\u00a0\u201cI\u2019m\u00a0not hungry at all, but I want the action of eating.<\/p>\n<p>\u201cI\u2019m\u00a0an emotional eater. I will turn to food for everything:\u00a0celebration, stress, depression.\u00a0(My counselors)\u00a0helped me recognize that, and I needed to change my relationship with food.\u201d<\/p>\n<p>Now, she takes a bath or goes for a walk when a craving hits.<\/p>\n<figure id=\"attachment_87510\" aria-describedby=\"caption-attachment-87510\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87510\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15145906\/UC_Health_R_Underwood_06-web.webp\" alt=\"Rachael once turned to food for comfort, but counseling before weight-loss surgery helped her change that. Now, a walk or a bath is her go-to choice when food cravings hit. Photo by Mike Sweeney, for UCHealth.\" width=\"640\" height=\"394\" \/><figcaption id=\"caption-attachment-87510\" class=\"wp-caption-text\">Rachael once turned to food for comfort, but counseling before weight-loss surgery helped her change that. Now, a walk or a bath is her go-to choice when food cravings hit. Photo by Mike Sweeney, for UCHealth.<\/figcaption><\/figure>\n<p>Losing so much weight has changed her life in many positive ways.<\/p>\n<p>\u201cI\u2019m so active now,\u201d she said. \u201cMy daughter and my daughter-in-law joke that I never stop.\u201d<\/p>\n<p>Rachael no longer takes blood pressure medication. With less weight to bear, her ankle is doing well. She has cycled through new clothing sizes frequently and had to fit adjusters onto her wedding rings, which had started to slide off her finger.<\/p>\n<p>Perhaps most\u00a0importantly,\u00a0she\u2019s\u00a0able to do things with her family now that she\u00a0couldn\u2019t\u00a0do\u00a0before.<\/p>\n<p>One of her sons, Reid, wanted to book a tour at Cave of the Winds, an attraction in Colorado Springs that offers underground cave tours.<\/p>\n<p>\u201cI was always so afraid to go because they tell you that if you have physical restrictions, it\u2019s not recommended, because you\u2019re crawling through tunnels in darkness,\u201d she said.<\/p>\n<p>She said she \u201cbit the bullet\u201d and bought tickets.<\/p>\n<p>\u201cI did it!\u00a0And I cried afterward.\u201d<\/p>\n<p>Rachael\u2019s daughter, Rebekah, smiles when asked what she thinks of her mother\u2019s weight loss.<\/p>\n<p>\u201cSeeing her and how far she\u2019s come makes me really happy,\u201d Rebekah said. \u201cI\u2019m really proud of her.\u201d<\/p>\n<p>Pan, too,\u00a0said Rachael\u2019s progress has been \u201camazing.\u201d<\/p>\n<p>\u201cWe do the dietary teaching, and we try to give\u00a0patients\u00a0the tools that they need to guide them in the right direction,\u201d Pan said. \u201cWe give them proper counseling before and after the surgery, and we make sure\u00a0they\u2019re\u00a0doing well after surgery.\u00a0Overall, patient success depends on the\u00a0patient. Rachael is the biggest part of her actual success.\u201d<\/p>\n<h2><strong>High school band booster club brings Rachael full circle\u00a0<\/strong><\/h2>\n<p>One of the more meaningful\u00a0new activities\u00a0Rachael can\u00a0enjoy\u00a0now is serving\u00a0as president of the band booster club at South High School, where\u00a0she was in the band more than 20 years ago and where\u00a0Reid\u00a0now\u00a0plays baritone\u00a0at half-time shows and marching band competitions.<\/p>\n<p>Rachael agreed to lead the booster club at a particularly difficult time for the high school\u2019s music program. In spring 2023, the band students were still reeling after the unexpected death of their band teacher. The booster club needed new leadership, and Rachael offered to take the helm. She was at her heaviest, 328 pounds, with her weight-loss surgery still months away.<\/p>\n<p>\u201cI don\u2019t know how I\u2019m going to pull this off,\u201d she thought to herself.<\/p>\n<figure id=\"attachment_87501\" aria-describedby=\"caption-attachment-87501\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-87501\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/12\/15133303\/UC_Health_R_Underwood_04-web.webp\" alt=\"Rachael supports the high school marching band in multiple ways and has enjoyed her new mobility so she can march alongside the students when they need help or hydration. She works closely with the band director, Rob Smith. Photo by Mike Sweeney, for UCHealth.\" width=\"640\" height=\"462\" \/><figcaption id=\"caption-attachment-87501\" class=\"wp-caption-text\">Rachael supports the high school marching band in multiple ways and has enjoyed her new mobility so she can march alongside the students when they need help or hydration. She works closely with the band director, Rob Smith. Photo by Mike Sweeney, for UCHealth.<\/figcaption><\/figure>\n<h2><strong>Rachael shares a message for others: \u2018It\u2019s hard work, but it\u2019s worth it\u2019\u00a0<\/strong><\/h2>\n<p>In August 2023, the South marching band made its annual appearance in the big <a id=\"\" href=\"https:\/\/coloradostatefair.com\/\" target=\"_blank\" rel=\"noopener\">Colorado State Fair<\/a> parade in Pueblo, where the fair happens each year. Band parents, including the booster club president, typically join the band on the parade route, carrying water bottles and spray bottles to help provide relief for students\u00a0as they endure\u00a0Pueblo\u2019s\u00a0summer heat. Rachael\u00a0wasn\u2019t\u00a0about to miss it.<\/p>\n<p>\u201cI was bound and determined,\u201d she said.<\/p>\n<p>She walked the mile-plus route, exhausted by the end.<\/p>\n<p>These days, weighing around 190 pounds, Rachael easily keeps up with the busy band students and their demanding schedule. The students perform at fall football halftime shows and marching band competitions, and they participate in a full array of parades, including the recent Pueblo holiday parade. Rachael is there with the high schoolers, every step of the way.<\/p>\n<p>She helps move band instruments and equipment, organizes and assigns marching band uniforms, maintains and fills out necessary paperwork and leads the fundraising efforts that enable the band to enter competitions and travel. In October, the South marching band traveled to Grand Junction for the state competition and placed eighth, the first time the band had qualified for the state competition in more than a decade.<\/p>\n<p>Rachael still marvels at the changes she\u2019s made in her life and at what weight-loss surgery has made possible. And she has a message to others who might be considering a similar journey.<\/p>\n<p>\u201cThis is a tool,\u201d she said. \u201cIt\u2019s\u00a0not a fix-all.\u00a0It\u00a0is\u00a0a tool that you need to use to your advantage. And if you\u00a0don\u2019t\u00a0use your tool in the right way,\u00a0it\u2019s\u00a0not going to help you.<\/p>\n<p>\u201cIt\u2019s\u00a0hard work, but\u00a0it\u2019s\u00a0worth it. It can change your life.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a kid, Rachael Underwood was always overweight. After she joined the high school marching band,\u00a0a\u00a0seamstress\u00a0added\u00a0fabric to her uniform so it would fit.\u00a0The track coach let her wear her own clothes for meets, as long as they matched the school colors, because the school didn\u2019t have a track uniform big enough for Rachael. As an [&hellip;]<\/p>\n","protected":false},"author":2418,"featured_media":87498,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[4626,21,9266,9256,551,4812],"class_list":["post-87486","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-mindful-eating","tag-southern-colorado","tag-surgical-weight-loss-online-library","tag-uchealth-parkview-medical-center","tag-weight-and-metabolism","tag-weight-loss-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - 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