Mhy12784

Some people get it from any carbohydrates over like 5g which takes it to far. VSG can definitely take NSAIDS though. I think for 6 months to a year after surgery they might ask you to avoid them, but then you're good to go for the rest of your life. Some surgeons might feel differently but a quick Google search makes it does state that they are generally allowable after a VSG. And I think the vitamins/malabsorption thing is substantially more serious with a bypass. With a bypass the way your body absorbs vitamins and minerals is substantially shortened and different. With a sleeve you're just eating much less for the most part. I don't think supplementation is an absolute must for a sleeve while it definitely is for life with a bypass

Adding more questions about recovery. How long after surgery to work out? Just cardio? Weightlifting? What about long car rides/traveling (several hours)

I don't think 95% is realistic with a bypass. I've seen 60-80% quoted with over 50-60% kept off long term Of course those are averages so some will do better and worse

But the bypass also carries major risks of malnutrition, vitamin deficiencys, anemia, osteoporosis as well. And Uhm glasses don't alter your anatomy at all, they go on your face. When you don't want them you take it off. A sleeve doesn't alter your anatomy in a surgical sense, it makes your stomach smaller but that's it. There's no crossing wires or anything like that. How about dumping syndrome with the bypass also? The risks of that I've seen range from 20-85% depending on the degree/incidence of it You're argument is really stretching things and bending the truth. Both operations are good and serve a purpose. And there are patients who would be better off with one over the other. Again I'm getting a bypass for one of those reasons. But it's a much more serious and involved operation

I think getting the vitamins and water under control longterm is extremely important. Protein you can get from food (and you mention eating lots of meat, so thats a good protein source). But long term malnutrition and anemia are serious concerns. Is it possible youre overeating and stretching the pouch ? Maybe more frequent smaller meals or that kind of thing could help. Eitherway its probably a good idea to see your surgeon, afterall theyre there to help you

Ill preface this by saying im getting a bypass (because I have serious GERD) but the sleeve is the better option for many if not most people. Its safer, less side effects/long term complications, less long term risks, its a much simpler operation, it doesnt change the anatomy, and it allows you to still consume alcohol and NSAIDS (yes one of these two is much more important than the other) And im an operating room nurse in a facility that does a ton of bariatric cases and unfortunately ive seen a few cases first hand of what can go wrong with a bypass years down the road, so I know how much more dangerous it is than a sleeve. I have NEVER seen a patient come back to the operating room with long term complications from a sleeve. But ive seen many patients come back with Petersens hernias, perforated ulcers, bowel obstructions from Gastric Bypasses. Some of these are life threatening and altering. Sure theyre both great operations which have their benefits and drawbacks, with situations where one is clearly superior to the other. But if one of them was the "winner" I would certainly say it was the sleeve.

Piggybacking on the topic of recovery how were things GI wise? Specifically nausea vomiting and constipation/diarrhea? Those are my biggest recovery concerns especially when it comes to returning to work

Just something worth pointing out about this. But "other" surgeons can do bariatric cases at a center of excellence. For example at my hospital there's a few surgeons who do 95% of the cases and do all the things thst allow us to be a center of excellence. Then there's other surgeons who can come here and do 3 bariatric cases a year and still be labeled under that umbrella of bariatric center of excellence without having quite the same support system. It's something to be careful about

Well statistically a sleeve will make reflux worse. Whether you want to do a bypass or not is a different story, but doing a sleeve with bad GERD is a bad idea

Why would you have had a sleeve for severe acid reflux, when statistically the sleeve makes acid reflux worse?

Well sleep apnea and hypertension shouldn't have much of an impact on which procedure you choose as they'll both improve them significantly as you lose weight. But the bypass is king for diabetes. If your diabetes is poorly controlled or something you struggle with (or just a long term concern of yours) then the bypass is the way to go.

If you have GERD, diabetes, or are over 100 pounds overweight I would get a bypass. Otherwise I would go for a sleeve. If you've had certain abdominal surgeries before your surgeon might also recommend a sleeve but that's something they would surely tell you I would absolutely prefer to have a sleeve it's a less risk and slightly less successful procedure. But because I already have bad GERD I would be a fool to have a sleeve which would result in future problems/surgeries for myself

Ive been torturing myself going back and forth, being intimated by the bypass, and will likely continue to do so until the day of my surgery. But I know it's the best option ultimately, so what the heck

My GERD is not well managed, I take 20mg of Omeprazole daily, and still have frequent problems as well as a cough from GERD. I've had my medications increased many times and got nasty GI problems from the dosage, which is why I'm chronically under medicated. It makes a lot of sense for me to just do the bypass

Just my two cents because I'm in the same boat. Statistically Gerd will get worse with a sleeve, obviously it's no sure thing but the numbers don't lie. If you had an esophageal ulcer I think its more likely they recommend bypass. I've had endoscopy in the past by regular GI guys and never had a Hiatal hernia. Had one by my future bariatric surgeon and he found a 3 cm paraesophagael. He says GI guys usually miss them because they don't fix them so they don't know what to look for. Regardless I ultimately decided to get a bypass because I don't want to worry about reflux the rest of my life. It's more complicated and riskier than the sleeve but it does offer better weight loss and will cure my GERD. I'm certainly a little scared because I've seen first hand what happens when there's complications but I know it's the best thing for my health

Wouldn't it make sense to go to the surgeon who performed the surgery that may have caused it

I dont mean to be rude to anybody who believes in alternative medicine, but your chiropractor is an idiot. Thats an extremely unprofessional thing for a chiropractor to say, especially considering im willing to bet he/she didnt run a single diagnostic test to support this, and probably knows absolutely nothing about bariatric surgery and in this case is flat out making up stupid crap. The surgeons arent working over there, and the chances of a surgeon accidentally completely cutting a muscle during laparoscopic surgery under vision are extremely low (not to mention a muscle in an area they arent working) More likely than anything is its soreness from surgery. Significantly less likely but plausible is an infection or incisional hernia from surgery. And a 99.9999% chance its not a "cut PSOAS muscle".

I mean theres usually a clear cut better choice. If you have diabetes, are severely obese (I mean super high BMI like 55-60s) , or have GERD the bypass is "probably" the better choice. For people with lower BMIs without GERD I would definitely want a sleeve. The bypass is the more complicated surgery with more risks, but there are times when its more appropriate. If a surgeon recommends something I would heed their words carefully

Is it bright yellow (like a neon marker) or amber (like maple syrup) Neon is almost certainly the vitamins

Out of curiosity are you on the bariatric vitamins/b12 ? Many peoples urine turns like neon yellow from excessive b vitamins

Im hoping to have my surgery in October (will have the date set next week) Im trying to prepare myself as best as I can so that I can have success after surgery. Any advice from anyone on things that they did preoperatively or wish they did that would have made the transition easier? What about books/stickies/reading material ? Any and everything would be greatly appreciated !

Im also incredibly lactose intolerant. I think most people who are lactose intolerant can have ones that say low lactose on the box (even though they contain whey protein concentrate, they have enzymes and stuff added to offset that) If those bother your stomach then just stick to ones that say Whey Protein Isolate . As to which taste good, well thats going to depend on your taste. But I personally like OH YEAH! RTD and Labrada lean body RTD the most. Although both have a couple grams/extra calories of fat which is why they tend to taste better and have a better consistentcy

Have you tried healthier variations of chips, or making healthy ones on your own ? Some homemade chips in an air fryer with the skins still on would be quite a bit healthier than the fried processed garbage from the store

Im curious what were the insurance requirements for you to switch from a sleeve to bypass because of severe GERD ? Presumably did you need to meet the full requirements for a bypass again (even though you already had a sleeve) or are they different for a complication related revision? I have pretty bad GERD but wanted a sleeve, now im having my doubts and leaning towards the bypass. Im concerned I wouldnt qualify for a bypass after having a sleeve though, which makes me lean towards just doing the bypass

One of my concerns with a sleeve is having severe GERD. If I get a sleeve and the GERD becomes too much, I know the best option is to have it converted to a bypass. What are the insurance requirements to do this ? Is it the same as the requirements to have a bypass , or would it be less since I just need to convert a previous bariatriac surgery to another, to alleviate negative symptoms.