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So I THINK I've decided on RNY...
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I was originally set on revising to the VSG, but I'm fairly certain that I'm going to do the RNY instead. The VSG just has so many "what-ifs." I've already had the lap-band twice (first one had to be replaced due to complications, and now I'm having issues with the second one), so this will be WLS surgery #3 for me. I don't want to possibly need to go for #4 if the VSG doesn't work as well for me. The RNY has long-term result statistics available, whereas the VSG only has truly long-term stats when it was used in conjunction with the DS. My metabolism is horrible for several reasons, so I'm worried that a solely restrictive procedure just won't be enough. It probably would have been if it were my first procedure (I did very well with my first band, until I started having issues), but my metabolism is so much lower now. I'm just so tired of struggling with my weight, and now that my back is going bad (degenerative disk disease with a herniated, extruding disk), I just don't have the energy to fight both.
It's like a never-ending cycle. My back won't get better unless I lose weight, but I can't lose weight because my metabolism is so low, and I can't increase my metabolism by exercising the way I need to because my back is bad. I feel like the malabsorbtion from the RNY (even though it is temporary) will help me lose enough weight initially that I'll be able to get back in the gym without killing my back.