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All my paperwork was submitted today to my insurance company to get the prior authorization needed for my surgery. I talked to my insurance company yesterday to make sure the bypass was a covered benefit and (thank you Jesus) it is. Because I’m having a revision from VSG to RNY a lot of my requirements had already been met. I had the VSG 18 months ago so I’ve kept up with all my post op appointments with the dietitian since then. My psych evaluation can be used from the VSG surgery for the RNY. I just had my endoscopy this past Tuesday. The only thing left is the prior authorization and I feel pretty confident I’ll be approved based on my medical diagnoses (GERD, hiatal hernia, sleep apnea…) I start my liquid diet on Monday. Only two weeks to go!!!😬

My date is also August 16, for a gastric bypass. I will also have my hernia repaired at that time. I don't envy you having to go back to school so quickly, hopefully you'll have no effects and will have your energy up.

Oh I was hoping for the same. It really depends on what your insurance requirements are and what your surgeon or clinic requires. My insurance only required six visits with my clinic and I've been a patient there for 4 years, so technically I had already met the insurance requirements... BUT the clinic required a pre op info session, psych eval, and various lab tests. Time passed quickly tho. I think it took me about five months from first appointment for revision until surgery day. Best wishes!

I Was hoping I would bypass all of that... Sent from my SM-G991U using BariatricPal mobile app

Yes, I had to meet all of the insurance and my clinics requirements for revision.

They've been pulled from the market in a few countries, they can get "stuck" or move around, and like the lap band the procedure is not permanent and will result in a higher rate of regain than a permanent procedure like the sleeve or bypass. Read here, it's been linked to 18 deaths: https://www.medtechdive.com/news/fda-18-deaths-linked-to-apollo-endosurgery-intragastric-balloon-weight-loss-treatment/576874/ It's a new device and I would be wary of it. There are already a lot of red flags that it is ineffective and potentially dangerous.

Re: seeing someone, I have a therapist I see regularly (even before the decision for surgery) - and he’s been very helpful. How did your info meeting go? Met with my surgeon yesterday and have a surgery date for next month. I was surprised when she recommended sleeve for me (I was sure she was going to say bypass) - but we talked through all the pro’s and con’s and settled on the sleeve. Hope all is going well.

So it seems like my weight is stalling since a few years out from post OP (got gastric bypass in 2018), I was having issues with swelling and inflammation mainly in the lower half of my body and some of my upper arms, only to get an appointment with a lipedema specialist to find out if I have lipedema. Long story short, I have stage 3 lipedema. So the doctor (Dr.Amron) told me that lipedema is hard to treat, it's a misunderstood condition and not all of the treatments are covered. So I will probably have to pay out of pocket even though my compression garments and compression pump might be covered by insurance. I'm glad I got to the bottom of it, I've been suffering since I was 13 with this problem. I'm glad it's getting close to getting taken care. I have a question though, anybody else that has had lipedema treatment did it help and how did it benefit you?

Aug 16th is when my VSG is scheduled. I was preparing myself for bypass … but my surgeon actually suggested VSG after we talked and said if we need to go further, a revision to DS (since I’m a high BMI) is her suggestion. But she’s optimistic that I will be able to meet my health goals and do well with VSG - so now the countdown begins. She will do a hernia repair and also check out my liver while she’s in there - and biopsy if needed. Not looking forward to the 8 day liquid diet… or blood thinner injections - but I am looking forward to all the benefits to come. I’m 48… slightly concerned my thyroid will be a challenge with loosing, but I have managed to loose 50 pounds in the past year (15 of that the last 3 weeks) so I think I have a good momentum going into this. Looking forward to seeing everyone’s progress!

When I was going through this early post op phase, there was a group on one of these forums from a particular surgeon who did very well with combining the sleeve with extreme dieting, and he got overall very good results with even very high BMI patients (lost track as they all disappeared, so have no idea how they are doing now, however!) There was one guy on there who was very similar to my stats who was following this program and got to his goal weight at a bit over four months. Wow, but so what? I was working on slowing things down at six months to ease into maintenance, and wasn't doing any of that extreme dieting. I wonder now how well that guy is doing - did he learn how to maintain his weight over the long term, or was he one of those who "gained it all back"? It really isn't a matter of whether you can do better, or lose faster, but can you meet your goals, and maintain yourself in the long term? This is a marathon, not a sprint. so what happens to you over the next 5, 10 and 20 years is a lot more important than how you lose over the first 4, 6 or 12 months.vsg Overall, the bypass has very similar performance to the VSG in overall weight loss and rate, so there isn't much to choose there - one might lose a bit quicker with the bypass owing to its' malabsorptive component, but that dissipates after a year or two and you are metabolically in the same basic place that you would be with a sleeve, but you still have the added nutritional deficiencies to make up for. Have there been some challenges in maintaining my weight over time? Yes, much the same as there would have been had I gotten a bypass (my second choice was the DS, which does make weight maintenance easier as it is metabolically a stronger procedure, but I felt that it would have been overkill for my needs then, and still do.) We see just as many come through here who struggle with being "slow losers" or "gained it all back" with the VSG as with the RNY. With the VSG, I do have a bit of GERD, which is easily controlled with low level OTC meds (some are not so lucky, others are more so and have no problems.) OTH, I do not miss having any of the comparable RNY potential side effects - dumping, reactive hypoglycemia, marginal ulcers, bile reflux (pretty rare these days with how they structure RNYs) low iron requiring periodic iron infusions, osteoporosis (already have a family tendency towards that, so don't need more risk added,) or the other limitations in medication and medical treatment options as I get (even) older that come along with a bypass. These are not insurmountable problems if one needs to go with a bypass owing to preexisting conditions, but are things that I don't think are worth risking for whatever very small difference there might be in weight loss performance. I don't miss that at all. YMMV

I'm not sure if I have bumping syndrome or not but am to scared to really find out but I don't limit what I eat just how much and what kind. I was told 9 grams of sugar per meal. I think if you take everything you like you won't be as successful at least I wouldn't. I eat bread just not a lot I eat pizza just not a lot I eat ice cream just eat the bryers carb smart. I made cake and cookies with monk fruit sugar instead. I found sugar free cookies. And I think I'm doing good it's been 8 months since my bypass surgery and I'm down a 116lb and have 14 left to go. Sent from my SM-A716U using BariatricPal mobile app

Does anyone have any input for me regarding the cost for gastric bypass surgery at the OCC in Tijuana? I’ve been thinking about weight loss surgery off and on for a couple of years now, and more recently have been considering OCC.

I went through the same thing a few months ago due to a hiatal hernia that had become almost strangulated. The 'reason' for my surgery was hernia repair, and that is what the insurance company approved. As my surgeon said, "we went in to fix the hernia and a bypass just happened".

I regret getting a Lap Band. Today is my first day waking up with a Bypass. So I can't say for sure how I'd rate it so far. It's been coined the Gold Standard of weight loss surgeries and I hope to find out soon why that is! Best wishes to you!

I got the sleeve, and I will admit, sometimes I wonder "would my weight loss be faster with the bypass?" Especially times like now, when I am dealing with slowed down weight loss even though I am sticking to program. But then, when I really analyze it, I don't think I would be doing anything differently than I am now. I'd still be eating the same amount of calories, per my program's advice. I would be working out the same amount I am now. So, the tool would be different but I'm not sure I would be doing anything differently as a result so in the end, does it matter? People do incredibly well with both surgeries, and others "fail" with both options (I'm using fail loosely, but basically to mean not reach their goals or even much weight loss with either surgery). It's easy to get caught up in this sort of thinking, so I try not to do it. Especially because I am totally at peace with the sleeve (I was not so keen on bypass unless I needed to do it based on medical advice). I just have to use the tool as intended.

I too originally wanted the sleeve but because of having severe GERD my surgeon explained the risks and benefits of each pertaining to my GERD so I switched to Bypass. 4 months post op. ZERO regrets! No sign of GERD or any type of acid problems and I am off all GERD medications!

I just had my revision to Bypass yesterday! (Lap Band removed last April due to GERD) Best wishes to you on your surgery!

I had gastric bypass. I had been leaning toward the sleeve, but my surgeon recommended bypass due to my extremely high BMI and I went with it. I think it was the right decision. The advantage of the sleeve, though, is that you can get a revision to bypass or duodenal switch. Like so many things in life, there are pros and cons to both, and you just have to go with the best decision you can make with the information you have at the time.

I’m getting ready to have a revision from VSG to RNY because of really bad GERD, gastritis, and a hiatal hernia. I never had any problems with acid reflux prior to my sleeve. I’m looking forward to having the revision so the constant issues/burning will stop!

Wow! One month of liquid diet?! You can do it!!! Are you able to incorporate greek yogurt during this time? It was a life-saver for me during my liquid diet prior to my gastric sleeve surgery. I’m scheduled for a revision to RNY on August 8th so I start my liquid diet on Monday July 25th. I see my nutritionist at the bariatric center this morning to go over dietary requirements for RNY. I’m not nervous about the surgery since I’ve already had one bariatric procedure and did just fine. I just remember struggling some during the liquid diet. It can be tough but will be sooo worth it! 😁👍🏻

I had gastric bypass and I stayed in the hospital one night. I was very eager to go home, but the one thing I didn’t fully realize until I got home is that it was very difficult to get enough fluids those first several days. While I was in the hospital, I didn’t have to worry about dehydration because they were pumping me full of fluids, and I was well hydrated when I was discharged, so it was probably a good thing that they made me stay overnight.

My revision to sleeve is happening 8/22 and this is one of my fears. I know I can do it because I’ve done it before but I am still so nervous about it. I hope your got through it ok. And that your surgery went well.

I had originally wanted a sleeve but was promptly talked out of it by my surgeon because of my pre-existing GERD. I was daunted for about half a day before contacting my surgeon to tell him I'd take his advice and have the bypass instead. Absolutely zero regrets, this was the right procedure for me. Don't give in to FOMO. FOMO is silly! There are SO many sleevers on here with fantastic long term results. If it wasn't for my pre-surgery GERD, I might have been one of them and just as happy as I am right now. Both surgeries are super-effective tools.

Wow! Congratulations on your weight loss! I’m hopeful since I didn’t lose much with the sleeve that the bypass will do the trick! I’m also a lot more knowledgeable this time around. I’m also looking forward to no heartburn!!

Also your body is releasing a lot of oestrogen in to your blood stream, which was stored in your fat, as you’re losing stirring up lots of emotions & other issues. Also food you may have depended upon for comfort has been taken away from you. This can cause a lot of anxiety &/or depression (grieving what you can’t have or have lost) for some. Some find they have to change medications they successfully took before their bypass because they are not being absorbed in the same way. Slow release are one type that are impacted. It may be worth having a conversation with your prescribing doctor. Drops in blood sugar after surgery isn’t uncommon & usually improves. Try taking an electrolyte drink with you when undertaking any activity can be helpful. All the best.