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Bigger ones are me @330lbs the second ones are me somewhere between 219.4-222.4lbs my weight varies quite a bit. I lost about 50lbs by myself while in the rny program and lost about 62-65lbs since surgery.

Exactly there are so many reasons to get surgery that far outweigh any negative

Mikeyy, it's definitely going on my list of questions for my Dr. I'd like to think that all of us have chosen wisely and our surgeons do..as you said, the best procedure possible...but now I am SO CURIOUS. That is great that your BMI is lower! Since the definition I pasted was one of several...hundreds in my google search..I skimmed just a few but they all seemed to talk bout ppl with higher BMI's. My doctor likes to educate so I gonna run it by him just for grins

That's news to me also I thought there would be a standard procedure for this bypass? Or do surgeons alter things if need be? I hope my surgeon does the best procedure possible. My BMI is only 43 not 50 though

Yes, i did.. did they only do the malabsorption part of the surgery?

Here in the States, the proximal is the default, and there are specific standards of care that are defined within the insurance billing codes; the distal is outside of that standard and is not usually approved as an initial surgery, but can be justified as a revision if deemed appropriate. Here, for the higher BMI cases that need something stronger than a VSG or proximal RNY, the duodenal switch is the normally approved procedure. My wife's surgeon noted at one time that on the occasions that he still did a bypass (their preferred is the duodenal switch) that he liked to make them as malabsorptive as the codes permitted, which is still far short of what a distal would provide.

Completely agree! It's one hell of a side effect!

Today is exactly 8 months since my VSG surgery. I haven't lost as much weight as I had hoped to be this point, but I got back my first lab results since having the sleeve done and I am reflecting on how much healthier I am now than 8 months ago. Since having the WLS I have gotten rid of several co-morbidities: no more high blood pressure, no more sleep apnea, no more GERD, no more acid reflux. These are the best lab results I have EVER had! My triglycerides 18 months ago were 353 and now they're just 104! I'm not pre-diabetic anymore! I'm having no trouble absorbing vitamins . . . in fact they're way above the range where they should be, so I'm super-absorbing them now or something, taken just one soft chew each of Vitamin D, B12, Calcium Citrate and Multivitamin daily. So as I sit here sometimes wishing the scale was showing a lower number, I recognize how blessed I am with these great health results and am so happy that I had this surgery.

Time for a status update: Yesterday marked my one year anniversary on Bariatricpal.com. What a year it has been and I am so grateful for all the people here that have helped me along the way. I'm also so grateful for @Alex Brecher for creating and maintaining this site for all of us. I hope that my ongoing purchases of calcium and multivitamin supplements are enough to express my gratitude. I'm a huge fan of the BariatricPal Multivitamin One 45. I kept a journal starting in July of last year starting the 2nd day after I was serious about considering bariatric surgery. Reading all the entries is very therapeutic to me. Looking back, I probably wouldn't have changed a thing about how I started and went through this process. Almost everything has gone well in this journey for me. Sure I've had my low points, but I seemed to have come out the other side very much in-tact. There's still a long road ahead once my real hunger returns, but I'm going to keep on the straight and narrow path of eating well and exercising every day until that happens and then some. In celebration of my 1 year on this site, I thought I'd share one of my early personal journal entries:

As with another poster above, I have a bypass but do not dump. Ever. So, you were counting on something that may or may not happen. You can be very successful with either procedure. The most important factor for success after wls is your brain, not your stomach.