JohnnyCakes

so let me get this straight....
you just had bariatric weight loss surgery. you're losing massive amounts of weight. you're on severely restricted calories. you are engaging in extreme amounts of intense exercise. it's the middle of a hot summer in Florida. you admit not drinking enough Water or eating enough Protein. and you find yourself light-headed.
hmmmm...... whatever could it be?????
it's not hypoglycemia, it's not a B12 deficiency, it's not anemia, it's not hypotension, or vertigo, or anything else.
Occam's razor FTW here - you are (drum roll)........ OVER-DOING IT.
you aren't (and can't) take in enough calories to cover your basal metabolic rate plus the active calories you are using. your brain needs calories as much as your zumba-muscles do, and there just isn't enough there. that's why you are lightheaded. and that's why orange juice makes you feel better. that's liquid sugar and the glucose goes right to your brain.
don't over think this. you know you are doing too much. during these first few intense weight-loss months, you need to take it easy. there will be plenty of time to play gym-hero in the future when you have stopped losing and started taking in more calories.

So... This morning I achieved my first personal goal: the scale finally went below 200! I have finally entered Onederland and I could not be any prouder!
I still have a long road ahead of me, but I could not have achieved this small victory without this surgery. Despite all the trials and tribulations, thos was so worth it!

so let me get this straight....
you just had bariatric weight loss surgery. you're losing massive amounts of weight. you're on severely restricted calories. you are engaging in extreme amounts of intense exercise. it's the middle of a hot summer in Florida. you admit not drinking enough Water or eating enough Protein. and you find yourself light-headed.
hmmmm...... whatever could it be?????
it's not hypoglycemia, it's not a B12 deficiency, it's not anemia, it's not hypotension, or vertigo, or anything else.
Occam's razor FTW here - you are (drum roll)........ OVER-DOING IT.
you aren't (and can't) take in enough calories to cover your basal metabolic rate plus the active calories you are using. your brain needs calories as much as your zumba-muscles do, and there just isn't enough there. that's why you are lightheaded. and that's why orange juice makes you feel better. that's liquid sugar and the glucose goes right to your brain.
don't over think this. you know you are doing too much. during these first few intense weight-loss months, you need to take it easy. there will be plenty of time to play gym-hero in the future when you have stopped losing and started taking in more calories.

Wow. Almost nothing in this post is true.
Sleeves are a lot more popular now, yes, but they are not "almost always" done over bypass, not even close. The data I found from the ASMBS indicates that the rate of bypass has remained relatively stable, while surgeons are performing far more VSG procedures instead of bands since 2011.
Nothing I have read attributes the development of marginal ulcers in RNY patients to the bypass of the pyloric valve.
According to Dr. Matthew Weiner, RNY patients rarely have a serious, life-altering malnutrition of any kind. When they do, it's usually Iron.
Any massive weight loss, surgical or otherwise, can induce Hair loss. It's almost always temporary and usually returns by the 1-year mark. Plenty of VSG patients also experience hair loss.
According to my surgeon, only 25% of RNY patients get dumping and sugar is not always the trigger. Additionally, over time the intestines usually adapt and incidence of dumping is greatly reduced.
RNY has averages of 70-77% excess weight loss at 2 years with VSG at 68-70%. Big difference? No. Difference? Yes.
The sleeve has plenty of downsides including greater risk of leaking (much longer staple line), complications like kinks, 33% chance to develop acid reflux or GERD, higher rate of revision, slower weight loss, lower AVERAGE percent of excess weight lost, as well as all the regular issues like hair loss, dehydration, etc.

so let me get this straight....
you just had bariatric weight loss surgery. you're losing massive amounts of weight. you're on severely restricted calories. you are engaging in extreme amounts of intense exercise. it's the middle of a hot summer in Florida. you admit not drinking enough Water or eating enough Protein. and you find yourself light-headed.
hmmmm...... whatever could it be?????
it's not hypoglycemia, it's not a B12 deficiency, it's not anemia, it's not hypotension, or vertigo, or anything else.
Occam's razor FTW here - you are (drum roll)........ OVER-DOING IT.
you aren't (and can't) take in enough calories to cover your basal metabolic rate plus the active calories you are using. your brain needs calories as much as your zumba-muscles do, and there just isn't enough there. that's why you are lightheaded. and that's why orange juice makes you feel better. that's liquid sugar and the glucose goes right to your brain.
don't over think this. you know you are doing too much. during these first few intense weight-loss months, you need to take it easy. there will be plenty of time to play gym-hero in the future when you have stopped losing and started taking in more calories.

let's put our minds to it and come up with more descriptive subject lines than a bunch of hearts.

no, ghrelin is reduced in RNY more than VSG. despite the fact that the stomach remains in the body.
http://www.medpagetoday.com/endocrinology/obesity/43097
"In addition, bypass patients lost more belly fat and had improved insulin secretion compared with patients who had sleeve gastrectomy, even though their total weight loss was the same, according to Sangeeta R. Kashyap, MD, of the Cleveland Clinic, and colleagues.
The finding that bypass surgery patients had greater suppression of acylated ghrelin two years after surgery and had better metabolic outcomes, including pancreatic beta-cell function, suggests that ghrelin suppression may play a key role in improved glucose control, they wrote in the International Journal of Obesity, published online Nov. 22.
A two-year analysis of the trial, reported last June, showed that while both surgical techniques resulted in similar weight loss at 2 years, bypass patients had greater losses in android fat -- popularly known as belly fat -- and better rates of diabetes remission. And even though the two surgical groups lost similar amounts of weight, Kashyap said the RYGB group lost about 10% to 15% more belly fat." instead of everyone throwing out baseless claims, let's do some research and link to some studies, shall we?

no, ghrelin is reduced in RNY more than VSG. despite the fact that the stomach remains in the body.
http://www.medpagetoday.com/endocrinology/obesity/43097
"In addition, bypass patients lost more belly fat and had improved insulin secretion compared with patients who had sleeve gastrectomy, even though their total weight loss was the same, according to Sangeeta R. Kashyap, MD, of the Cleveland Clinic, and colleagues.
The finding that bypass surgery patients had greater suppression of acylated ghrelin two years after surgery and had better metabolic outcomes, including pancreatic beta-cell function, suggests that ghrelin suppression may play a key role in improved glucose control, they wrote in the International Journal of Obesity, published online Nov. 22.
A two-year analysis of the trial, reported last June, showed that while both surgical techniques resulted in similar weight loss at 2 years, bypass patients had greater losses in android fat -- popularly known as belly fat -- and better rates of diabetes remission. And even though the two surgical groups lost similar amounts of weight, Kashyap said the RYGB group lost about 10% to 15% more belly fat." instead of everyone throwing out baseless claims, let's do some research and link to some studies, shall we?

this is simply incorrect.

every single study shows RNY with higher long term weight loss than the sleeve. the mini-gastric bypass beats the RNY by a hair, and the DS offers the most loss potential (but with higher chances of malnutrition complications).

yes, the stall threads are getting old.
my nutritionist said my weight loss is going to look like a staircase, not a slide.
expect it, it's normal, it's required by your body - be patient.

yes, the stall threads are getting old.
my nutritionist said my weight loss is going to look like a staircase, not a slide.
expect it, it's normal, it's required by your body - be patient.

always my thinking too. the sleeve is much more drastic because of the finality of it.
and despite some saying RNY is irreversible, that is not true. my surgeon (director of medical group at bariatric center of excellence, has done over 3,000 bariatric surgeries) said he could easily reverse an RNY. of course, he then added that he's never been asked to, but the option is there! not so with sleeve.

i'm doing great. it's been about 2.5 weeks. zero complications. no nausea, throwing up, anything. energy is good and i'm losing a pound a day so far. can take in plenty of fluids and i'm up to 2 miles a day walking. thanks for asking.
back on topic - the reason my doctor and i chose RNY over sleeve is because of the "magic" (his word, not mine) of the malabsorption component of RNY. because restriction of food/calories has never been my problem in my lifelong struggle with weight. i've never suffered from uncontrolled hunger, incessant cravings, or food addiction. for the past 5 years, i've been able to gain a significant amount of weight keeping calories around 2,000/day and most of them very clean calories (avocado, eggs, fish were/are my mainstays). i am just genetically programmed to store fat, no matter what. so because of that, we didn't think i'd get good results with just a restrictive procedure like the sleeve. we needed the ace of spades card.
recent studies are bearing this out. showing that up to 70% of the weight loss after RNY is due to the profound changes in gut microbiota (not calorie restriction). there is some change in gut microbiota with the sleeve, but not nearly as much as with RNY.
https://www.medpagetoday.com/endocrinology/obesity/65603
https://www.ncbi.nlm.nih.gov/pubmed/27440168
further - it's interesting to me that the #1 reason i see a lot of sleeve patients cite in making their decision over RNY is "i didn't like the idea of my intestines being rearranged". this is fascinating to me. mainly because i LOVE the idea of my intestines being rearranged. i'm a nerd and the science of it, and the elegance of the surgery, is just so cool. i love being the subject in my own walking science experiment! also, i don't understand the reasoning because "god" (or whatever) never intended a surgeon to slice off 80% of your stomach with laproscopic instruments under general anesthesia either. oh well, not hating, we all have our issues!

a brief jaunt thru your posting history clearly indicates that it is YOU who has "knotted knickers", waging a constant smear campaign against the RNY procedure. this includes promoting ridiculous myths and scare-stories.
quit it. you are helping no one but yourself get over whatever insecurity you clearly have with your decision to get the sleeve. it's not a contest.

a brief jaunt thru your posting history clearly indicates that it is YOU who has "knotted knickers", waging a constant smear campaign against the RNY procedure. this includes promoting ridiculous myths and scare-stories.
quit it. you are helping no one but yourself get over whatever insecurity you clearly have with your decision to get the sleeve. it's not a contest.

i'm doing great. it's been about 2.5 weeks. zero complications. no nausea, throwing up, anything. energy is good and i'm losing a pound a day so far. can take in plenty of fluids and i'm up to 2 miles a day walking. thanks for asking.
back on topic - the reason my doctor and i chose RNY over sleeve is because of the "magic" (his word, not mine) of the malabsorption component of RNY. because restriction of food/calories has never been my problem in my lifelong struggle with weight. i've never suffered from uncontrolled hunger, incessant cravings, or food addiction. for the past 5 years, i've been able to gain a significant amount of weight keeping calories around 2,000/day and most of them very clean calories (avocado, eggs, fish were/are my mainstays). i am just genetically programmed to store fat, no matter what. so because of that, we didn't think i'd get good results with just a restrictive procedure like the sleeve. we needed the ace of spades card.
recent studies are bearing this out. showing that up to 70% of the weight loss after RNY is due to the profound changes in gut microbiota (not calorie restriction). there is some change in gut microbiota with the sleeve, but not nearly as much as with RNY.
https://www.medpagetoday.com/endocrinology/obesity/65603
https://www.ncbi.nlm.nih.gov/pubmed/27440168
further - it's interesting to me that the #1 reason i see a lot of sleeve patients cite in making their decision over RNY is "i didn't like the idea of my intestines being rearranged". this is fascinating to me. mainly because i LOVE the idea of my intestines being rearranged. i'm a nerd and the science of it, and the elegance of the surgery, is just so cool. i love being the subject in my own walking science experiment! also, i don't understand the reasoning because "god" (or whatever) never intended a surgeon to slice off 80% of your stomach with laproscopic instruments under general anesthesia either. oh well, not hating, we all have our issues!

On the 13th of this month it has been one month since my RNY. What a journey it has been! I don't regret a thing and am so happy and healthy! Down 90 lbs and know that my life is forever changed for the better! 

yes, the stall threads are getting old.
my nutritionist said my weight loss is going to look like a staircase, not a slide.
expect it, it's normal, it's required by your body - be patient.

impressive you have been losing 1lb/day on that many calories. your crossfire workouts must be intense. keep it up!

i think it'd be a great idea not to own a scale during the weight loss period (first year or so after surgery). it will definitely help you avoid obsessing and focusing on health and how you feel.
but i think after the weight loss has ended and you are at your new weight, it is probably a good idea to get a scale at that point. because as we all know, weight loss can be slow, insidious, and sneaky. you won't always see it in the mirror and before you know it, 20lbs have crept on. weekly weigh-ins i think will be crucial to lifelong maintenance.

always my thinking too. the sleeve is much more drastic because of the finality of it.
and despite some saying RNY is irreversible, that is not true. my surgeon (director of medical group at bariatric center of excellence, has done over 3,000 bariatric surgeries) said he could easily reverse an RNY. of course, he then added that he's never been asked to, but the option is there! not so with sleeve.

i think it'd be a great idea not to own a scale during the weight loss period (first year or so after surgery). it will definitely help you avoid obsessing and focusing on health and how you feel.
but i think after the weight loss has ended and you are at your new weight, it is probably a good idea to get a scale at that point. because as we all know, weight loss can be slow, insidious, and sneaky. you won't always see it in the mirror and before you know it, 20lbs have crept on. weekly weigh-ins i think will be crucial to lifelong maintenance.

always my thinking too. the sleeve is much more drastic because of the finality of it.
and despite some saying RNY is irreversible, that is not true. my surgeon (director of medical group at bariatric center of excellence, has done over 3,000 bariatric surgeries) said he could easily reverse an RNY. of course, he then added that he's never been asked to, but the option is there! not so with sleeve.

i'm doing great. it's been about 2.5 weeks. zero complications. no nausea, throwing up, anything. energy is good and i'm losing a pound a day so far. can take in plenty of fluids and i'm up to 2 miles a day walking. thanks for asking.
back on topic - the reason my doctor and i chose RNY over sleeve is because of the "magic" (his word, not mine) of the malabsorption component of RNY. because restriction of food/calories has never been my problem in my lifelong struggle with weight. i've never suffered from uncontrolled hunger, incessant cravings, or food addiction. for the past 5 years, i've been able to gain a significant amount of weight keeping calories around 2,000/day and most of them very clean calories (avocado, eggs, fish were/are my mainstays). i am just genetically programmed to store fat, no matter what. so because of that, we didn't think i'd get good results with just a restrictive procedure like the sleeve. we needed the ace of spades card.
recent studies are bearing this out. showing that up to 70% of the weight loss after RNY is due to the profound changes in gut microbiota (not calorie restriction). there is some change in gut microbiota with the sleeve, but not nearly as much as with RNY.
https://www.medpagetoday.com/endocrinology/obesity/65603
https://www.ncbi.nlm.nih.gov/pubmed/27440168
further - it's interesting to me that the #1 reason i see a lot of sleeve patients cite in making their decision over RNY is "i didn't like the idea of my intestines being rearranged". this is fascinating to me. mainly because i LOVE the idea of my intestines being rearranged. i'm a nerd and the science of it, and the elegance of the surgery, is just so cool. i love being the subject in my own walking science experiment! also, i don't understand the reasoning because "god" (or whatever) never intended a surgeon to slice off 80% of your stomach with laproscopic instruments under general anesthesia either. oh well, not hating, we all have our issues!

I wish scare tactics would not be used here when discussiing RNY. It is a perfectly safe option. As I said I have had both now, mainly because my acid was so out of control, i needed to prevent more damage to my esophagus to prevent esophagal cancer possibly down the road. When he started my bypass, he discovered a damaged spot on my esophagus that most likely would have ruptured in the near future and I would have been in deep doo doo. Luckily I have the best surgeon in California and he knew what to do to repair it before he continued with the bypass.
The recovery of this RNY is not one iota different than it was for my sleeve 5 1/2 years ago. The diets are the same, the incisions on your abdomen are the same. Of course the restriction is greater because the pouch is very small. I am not blaming anything on my sleeve. i had great success with it, however, had I realized it would not cure the bad acid reflux I already had, I would have chosen RNY at that time. Although I had about 75 pounds to lose, I did not have the surgery for weight loss. 2/3 of my stomach was over my diaphragm between my lungs headed for my heart. This was a result of a fundiplication surgery I had in 1999 to repair my stomach valve damaged by acid.
Many on the gastric bypass board here have chosen to have a revision from sleeve to RNY because of their severe acid. NO ONE is saying that the sleeve caused the acid. If you have severe acid reflux before the sleeve, the RNY is definitely a better option for you so that can be taken care of as well. This will prevent further acid damage to the esophagus down the road, this lreventing Barrett's Esophagus or cancer.
Some people just want opinions as to why others made their decisions. That does not mean one is the right way or the other is the right way. The doctor will make that decision based on the individual patient. Part of your intestine is NOT discarded with RNY. It is simply cut and attached to your new pouch. There is no difference than having 2/3 of your stomach cut off!
Please do not use scare tactics or such negativity here. WLS is a big enough decision in the first place. Some people will have complications with any surgery. Any surgery is a risk. As I said, I myself have had no complications, no pain, or any nausea with my RNY.
I have a great attitude when it comes to surgery. Never scared. That is part of the reason I recover so well with no issues. It will not do any good to scare people off here. They need to go into either of these surgeries with a positive attitude and be optimistic. We are here to help, not scare them to death. Enough of the negativity and statistics.