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Why Did You Choose Your Specific Type of Weight Loss Surgery?



Why Did You Choose Your Specific Type of Weight Loss Surgery?  

107 members have voted

  1. 1. How did you decide which surgery to get? If you haven’t had surgery yet, how are you making your decision?

    • My insurance only covers one type – read my answer below to find out which kind.
      2
    • I was too “small” to qualify for bypass or sleeve, so the lap-band was my best option.
      1
    • I chose the lap-band because it is adjustable; maybe I’ll become pregnant or get sick and need to eat extra food sometime in the future.
      6
    • I got the gastric sleeve because I’m a heavier patient and this was a lower-risk choice.
      20
    • I got the gastric bypass because of the restrictions on sugary foods.
      7
    • I chose my surgery based on the complication rates and expected weight loss. See which one I chose in the discussion below!
      35
    • I have revisional weight loss surgery. Read what happened and why I got it converted in the discussion below!
      3
    • Other. See my choice and reasons in the discussion below!
      33


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I picked the bypass because i need to lose more than 100 pounds. And after talking with my weight loss specialist it seems to be the better option for me.

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I picked the bypass because i need to lose more than 100 pounds. And after talking with my weight loss specialist it seems to be the better option for me.

I'm disappointed that there is only one response here. I have a band (slipped), and would love to know whether the sleeve or bypass would be better or has worked better and why. Once you leave the land of the Banded, you really only have a few choices. And they're not reversible, anymore input would be awesome ????

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I chose the sleeve because it was a permanent option vs the band. Also, I wasn't too happy about having a device inside of me and I wanted to lose more than 100 lbs. 8 months later I am 111 pounds down and still losing. Couldn't be happier!!!

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I picked the bypass because i need to lose more than 100 pounds. And after talking with my weight loss specialist it seems to be the better option for me.

I'm disappointed that there is only one response here. I have a band (slipped), and would love to know whether the sleeve or bypass would be better or has worked better and why. Once you leave the land of the Banded, you really only have a few choices. And they're not reversible, anymore input would be awesome ????

I was a successful bander until it eroded .. Last year I revised to bypass . Sleeve wasn't even an option for me. Reason being I wasn't going to have "another wls surgery again" I wanted this to be the last one and my doctor said the sleeve is sometimes the first step to bypass.. I wanted the gold standard.. It's so much easier than the band was and I am wayyy healthier now than I was then. I can eat chicken and veggies no problem!!!!!

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The RNY was my third a final choice. It was the top recommendation of my surgical team.

My first choice, Lap Band is no longer performed at mayo Clinic.

My second choice, a DD Switch, was thought to be better for folks with a sweet tooth.

The Doc & his minions said for folks like me who love fats and salty foods RNY gives best results.

I am very happy I trusted myself in their hands. They are, after all, the experts.

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Sleeve. It's not reversible which was important for me; I can still get most of my nutrients from food, few absorption problems. Great choice, couldn't be happier!

Sent from my iPhone using the BariatricPal App

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It was a compromise. I didn't like the idea of a band because it is technically only restrictive (and quite reversible), and I didn't like a bypass because it was malabsorptive. I already had issues with some micronutrients, and I also foresee a future where I might need to take one or two NSAIDS.
The sleeve was perfect. Non reversible so no excuses, and also had the possibility of affecting hormonal signals associaated with overeating. My problem was never snacking. I ate twice or 3 times a day, but they were quite massive and carb laden. The restriction would take care of portion sizes, and the hormonal part would reduce the desire to eat.

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I was dead set on SADI-S... I like the idea of restriction and malabsorption and the high chance of losing all of my excess weight and low chance of regain... however my nerves got the best of me and I decided to go with VSG instead because I'm going to Mexico and all of the what if's came to mind. While I'm worried I won't lose enough to get close to my goal weight I've looked at girls who are at my starting weight and height and see where they are now and I would be comfortable if I got there and didn't meet my goal... plus if I have some fat left over I can get my BBL lol... the $2,000 price difference also helped me make up my mind and I'm ok with the change now and super excited for VSG.


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I started this wanting the sleeve but understood that my medical team may think differently. I chose the sleeve because it did not change the biological function of how my body processed foods. Because of this I learned that there are fewer complications down the road.

I would say research and discuss with your medical team.


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Oh, I I loved the idea of getting rid of most of those nasty grelins...the hunger hormone.


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I got the gastric sleeve because I’m a heavier patient and this was a lower-risk choice.

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I was diabetic. It was my surgeon that suggested RNY would be a better option as it’s better for diabetics.


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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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