ColdWater99
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New, Need help!!!
I'm at the pre-op stage. Still waiting to get all my tests (cardiac, sleep study) done. I'm self-paying, so expect the surgery to be sometime in September. My question at the first doctor's visit was about my low metabolism and lack of hunger. I suffer from depression which has affected my ability to get hungry and eat nutritious meals. Also, I have a low metabolism from hypothyroidism. I weigh 252 lbs. Goal weight is 160 lbs. And height is 5' 9". My question is would the sleeve work for me? The surgeon thinks it will. I'm concerned I will be one of those people struggling to lose a couple pounds a month after surgery. And there is no going back. I can't restrict any more calories than I can after I'm sleeved. Anyone have any insights on this? Thanks in advance.
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The sleeve will reset your set-point.. maybe not all the way to goal, but likely to under 200lbs. So you will lose a significant amount of weight. Whether you keep it off is up to you and your willingness to make permanent dietary changes. You likely won't be hungry much postop, but you have to eat nutritious meals anyway. Vitamins, etc. The sleeve is probably a good fit since it's more forgiving with dietary indescretions than the bypass.
Surgery doesn't fix depression, and it could make it worse. Please make sure you have a solid plan for emotional support.
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I also have hypothyroidism. Because of that, I opted for a procedure that also uses mal-absorption to kind of help with the "handicap" we have with our metabolism in the hopes that when I'm maintaining my weight, it will come in handy. I also wanted dumping syndrome as a reminder to stay on track.
However, I know people who are in our situation have had success with the sleeve... my point is, it really is just a personal choice. They can all work if we use it as a tool and put the work in. What may be a negative to one person, may be a positive for someone else.
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