DeeNihle

I had RNY (I think there's one wound with the VSG that's a bit bigger - the one they pull your stomach through - but the rest are really small - like all of mine were). They were tiny, and I can't see them at all anymore.
amount of excess skin depends on a lot of factors - your age, how overweight you were, how LONG you were overweight - as well as others. Most of us have at least SOME (I lost over 200 lbs, so I had A LOT). However, you're likely the only one who will notice. I eventually had mine removed because it was driving me nuts, but my husband was the only person who ever knew it was there. You couldn't tell at all when I was wearing clothes. Here I am BEFORE I had it removed. Most of mine was on my abs (although I had it on my arms and boobs, too), but I just tucked the ab skin into my pants and then wore slightly oversized, long-ish tops to hide it. Ta da! No more loose skin...
honestly, most people worry A LOT about the loose skin when they're pre-op or early post-op (I did, too), but most of us who are out a ways wonder why we worried so much about it. It's kind of a minor thing in the grand scheme of things, and it's usually not noticeable to others. And if it really bothers YOU, there's always plastic surgery. I think most of us would take the loose skin any day of the week over being morbidly obese again. I know I would!

I am 10 months PO. Haven't lost weight in a month or two. I don't know if I am done losing or if I need to dial in my eating more.
I get around 1000-1200 Cal's a day 60g protien and 30g of sugar. I try to shoot much lower for sugar than that, but that's just an average. I've lost 96 lbs total but would like to lose 20 more.

Thanks-very helpful and sounds like a great option!


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I had my sleeve done in Feb 2017, but after the first year where I lost 100 pounds, I regained about 60. I tried doing pouch resets but they didn't last. I could eat a full plate of food, not as much as I once did (because let's be honest, I probably could eat 2 plates of food), but certainly a lot more than anyone who had had the sleeve should have been able to eat - the restriction was really not there for me. So just over 3 weeks ago I had a revision to RNY (long-limbed). My surgeon and I discussed the possibilities and this was his recommendation based on his experience as a surgeon:
People who re-sleeved had the lowest amount of weight loss after a revision People who had a mini gastric bypass (which basically keeps the sleeve but adds a long-limbed bypass - usually about 100-150cm) do great in terms of weight loss, but at least 10% will suffer from GERD afterwards, which will require another surgery People who revised from sleeve to a standard RNY (which is a short-limbed bypass) didn't lose as much weight overall with that procedure People who revised from sleeve to a standard RNY but with a long-limbed bypass did the best with weight-loss and without the complications of developing GERD. So I went with this option (not only because of this, but because of other gastro-intestinal issues I have). In any event, I would talk to your surgeon about what you want to achieve and what is the best option for you, your sleeve, and what your own particular health needs are.

Of course. Your current team is obviously not very helpful.

Is there the possibility to get a second opinion and advise from another dietician?

Have you contacted your insurance company or looked in your benefits guide? I have ChampVA and in my benefits guide there is information on revisional surgery that indicates if you are not within 10% of your goal weight.... however I am sure it is more to it than that lol. I remember reading a while ago that someone asked their doctor to perform an endoscopy or something to see the size of the stomach because the restriction was not existent after surgery.

Are you feeling restriction and just not losing or no restriction and not losing? If doctor isn’t willing to help I would seek a second opinion as well.

Thank you!!!

They're performed but by far not always insurance covered.
Did you visit your dietician already?

No he said that I might have had some stretching from the pregnancy but that it probably was not done correctly.

How are things going for you? I am playing the waiting game of insurance approval.

I was just resleeved on Tuesday. It's possible!

Often revisions are covered when they're because of complications. With the sleeve, quite a few patients develop severe GERD.

I had my original sleeve done June/2013. I lost 90 pounds and I gave birth to my baby girl Oct/2015 I have since gained 50 pounds back total. I went back to my initial surgeon's office and was seen by his PA. I spoke to him about how I wasn't feeling very much restriction and that after doing the 5 day pouch test it was not any better. His solution was phentermine. I followed it and I lost maybe 5-7 pounds but regained as soon as I stopped taking them. I have since spoken with a new bariatric group and the physician is wonderful, he has had me do an upper GI which has allowed him to see that I no longer have a "sleeve". This would explain the feeling of no restriction. He has advised that he would recommend either resleeving me or converting me to RNY.

Has anyone been resleeved? What have your results been like? I am not too fond of the idea of RNY for malnutrition/malabsorption issues that I have seen friends dealing with.