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Deciding between bypass & sleeve
lily06 replied to pinkneymm@aol.com's topic in PRE-Operation Weight Loss Surgery Q&A
It’s really interesting reading about how and why everyone chose their surgery My surgeon actually told me at the very earliest : he would not make the choice for me as if i wasn’t the one making the surgery type choice it opened up the possibility of regretting whichever i went with. I asked him what he recommended he told me there are no specific advantages of bypass over sleeve or vice versa. He did however explain that 30% of vsg patients end up with GERD (especially it already having reflux without surgery) and that dumping was way more frequent in bypass patients. He also told me that age factors in : younger women for example can use the sleeve then may need to convert to bypass later in life (after several pregnancies for example) to continue being able to face fluctuating weight from such events. In the end i went with the sleeve, hoping i wouldn’t be one of the 30% who develop GERD. 1 month post up tomorrow - So far so good no reflux but i am taking medication that could be masking it -
I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.
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Just had first consult…settled on Gastric Bypass!
carrielee posted a topic in Gastric Bypass Surgery Forums
I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance. -
I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.
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Initial Appointment/Consult Completed!
carrielee posted a topic in PRE-Operation Weight Loss Surgery Q&A
I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.- 1 reply
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Revision Surgery - Band to Sleeve-any tips or success stories
cutlass6521 posted a topic in Gastric Sleeve Surgery Forums
Good Day I am going to have my gastric band removed and the gastric sleeve done on May 17, 2024 due to complications from the band. Does anyone have any tips or suggestions on recovery, foods, exercise etc for the first few days after the surgery. When I had the band installed i was on a liquid diet, then puree and finally real food. Lots of gas pains in chest and shoulders back then. Now I am on a new journey at the end of the month. Any success stories? -
Deciding between bypass & sleeve
cutlass6521 replied to pinkneymm@aol.com's topic in PRE-Operation Weight Loss Surgery Q&A
Hello Everyone: I am getting my gastric band removed on May 17 and going with the gastric sleeve as per my surgeon's suggestion. He feels I will do well with it. I managed to lose 150lbs with the band ( surgeon told me it was not a typical result). I started having trouble getting food to go down. I guess I created a pouch and have a lot of scar tissue. Had to have all the fluid taken out of the band while I was in Nevada. The surgeon performing this (not easy to find anyone in Las Vegas who would even look at removing the fluid) advised what was going on. There are only 5% of surgeons still installing the band in the entire country. Many, many complications with it. I was fine until a year ago. Had fluid put in (the doctor back home put too much in), then the chest and back pains started. Food would go down sometimes and sometimes not. I managed to regain 15lbs. Struggling every day. I hope the revision to the sleeve will be a success. -
Excess Weigh Lost for sleeve to Bypass
SleeveToBypass2023 replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
So when I had my revision, it was for complications. I was told to expect no more than 45-60 additional pounds of weight loss, because you only lose about 50% of your excess weight with a revision. Well, if you look at my signature, you can see I've lost more than that lol It wasn't easy, and the weight comes off slower and can be a bit harder to lose, but it's possible if you do the work. -
Hey, it sounds like you're finding your education classes really valuable! It's great to hear that they're helping you learn more about taking care of yourself, especially as you're preparing for bypass surgery.
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i'm of the mind that if anything can make it easier to make better choices, then go for it (if you have the means and inclination of course). i'm also of the mind to try stuff out and see if it works for you. if it does, AWESOME, if it doesn't just drop it and find something else. @ShoppGirl...i (and many others im sure) have noticed your efforts and knowledge-gathering to prepare for your upcoming revision...you go girl, you sound like you are in a great mindset to tackle this head on. Good luck! (i'm rooting for you ❤️)
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Excess Weigh Lost for sleeve to Bypass
ShoppGirl posted a topic in Revision Weight Loss Surgery Forums (NEW!)
It looks like I may have to have a revision to Bypass now. I will know for sure next month after they scope me but I’m curious how much of the excess weight is lost with the revision. My surgeon said his experience is it’s only about 70% but I’m hoping that some people experienced a greater loss. Also, when computing excess loss, what is the ideal body weight we calculate from? That’s never really been clear to me. -
Thank you for validating my frustration. I have chosen to believe that if the results dictate I have to go with bypass anyways that it was meant to be and the time wasn’t a total waste after all. Once I calmed down I realized that I believe things happen for a reason even if we can’t see that in the moment. The surgeon could’ve saved me alot of time and research BUT, I have also worked on myself quite a bit during this past month. Between getting back to posting here, deciding to start attending the live support group, meeting with the dietician and asking this community about macros, and talking to my therapist about my nightime cravings I am in a better place mentally for when I do get the surgery. I am proud to say that I have used this time to set myself up with a much better support network, gained a little better understanding of nutrition and I have made it five nights now without snacking at night by using a replacement behavior. Who knows if I would’ve done all that if he had just scheduled me for surgery a month ago. Some things really are a blessing in disguise.
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There is a Scandinavian study on NSAID use in both sleeve and bypass patients. It was a longitudinal study that looked at records for patients who had been prescribed NSAIDs after these surgeries and compared subsequent ulcer formation to that of the general non-bariatric population with a history of NSAID use. For sleeve patients, there was no greater risk of ulcers than for non-bariatric patients, even when prescribed for regular use of 30+ days. For bypass patients, there was no greater incidence of ulcers if NSAIDs were taken for less than 30 days, but there was a measurable increased risk when prescribed for 30+ days. You might ask your doctor what they think about this study (which they may or may not have read). There seems to be an extreme amount of caution in the recommendations compared to the actual risk established in this study. And while the risk increased in bypass patients with chronic NSAID use, it's worth noting only a small percentage of those patients actually developed ulcers. Do with this information what you will.
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Getting Close to Year, Any June 2023 Surgeries?
CarmenG replied to CarmenG's topic in Revision Weight Loss Surgery Forums (NEW!)
Thank you! Yes, this was a revision from sleeve to bypass. -
I'm also just a year post-op, and I recently had some super weird severe shoulder pain (saw the Dr 😁) and I took a couple Advil/ibuprofen maybe 3x-4x in total over the course of a couple weeks. I ate first, and chewed a couple Tums. There was recently an episode of Dr. Weiner's podcast A Pound of Cure, where he addresses NSAIDs after bypass, and he touches on the spectrum of a very limited, careful taking of ibuprofen for a specific short term pain, vs someone who might have a chronic pain issue or injury that needs continuous dosing. Good luck and hope your jaw feels better soon!
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This is a problem that I ran into also. Basically there isn’t anything. Well there is an herb that’s supposed to help with inflammation called Tumeric but I never tied it. Some people say injections and topical NSAIDs are okay but others say no. I was lucky I had sleeve when I needed them and was told that because I was so far out that I could take them on very rare occasions. I talked to my surgeon today about revision and asked about NSAIDs with SADI vs Bypass. He said it’s a definite no with Bypass but didn’t say what you can take instead. Probably just pain medication and ice like you said and maybe try the Tumeric. Google says it can interact with some drugs so be sure to talk to Dr or pharmacist
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Hi there! I live in the UK and i understand a lot of people on here are from america but im hoping i can google the equivalent here. So im a year post gastric bypass and had a lower wisdom tooth removed friday and came across the problem of not being able to take ibuprofen, ive been taking paracetamol (actually taking anadin extra before learning we arent supposed to have aspirin either! Oops) and rubbing ibuprofen gel on my jaw but its made me wonder, what the heck do we take for swelling and inflammation now?? Im going to ice my jaw because its still slightly swollen but im curious about the future and painkillers Sam
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So I was given a month to research the SADI procedure by my doctor and told to come back prepared with questions so we could make up my mind between revision to SADI and Bypass. I have been All over the Internet and this forum asking all kinda of questions to get as much info as possible before today about the SADI. I show up to my appt and my first question promoted him to say the SADI may not be appropriate for me. Even know he has prescribed them for me in the past and it was on the list of current meds he didn’t realize I have to take OMEPRAZOLE DAILY for heartburn/ GERD. So now he wants to do a scope to see if SADI or bypass would be better for me. I know that I need to learn to be more patient and roll with the punches but I thought today that I was the one who was going to be making the decisions and that I would be leaving with a surgery date. Instead I have to get a scope the last of May and follow up early June at which time I will hopefully be getting a date for some surgery. I am just frustrated that he was the one to present me with this option that my research made me really want it and I already wasted a month to do that. Now I have to wait another month for the scope and probably can’t get the surgery I never would have known I really want. If he has just read the chart this could’ve been avoided. If we were just going to end up with bypass we could have set a date a month ago. Idk. Just frustrated and a little sad.
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How did your GS revision help you lose weight and keep it off?
ShoppGirl replied to Elizabeth21's topic in WLS Veteran's Forum
I am contemplating revision and have to choose between bypass and Sadi so I am curious to follow this as well. Not sure if your surgeon does the Sadi revision but I was told that the weight loss should be a little better than bypass. There are drawbacks too though with more absorption issues it can cause more malnutrition than the bypass and also bathroom issues seem to be a common complaint. I was told with proper nutrition that both of these are less of an issue. -
Modified Duodenal Switch
ChunkCat replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
I have yet to see a nutritionist or dietician that truly understands the optimal diet for a SADI or DS patient. Most of the time we just get a modified version of what they give Bypass and Sleeve patients. But as you say, you aren't absorbing as much as they are, therefore to give you their requirements would leave you malnourished. 15 grams of fat is absurd by all medical standards. Most medical studies show we need 60 grams of fat for proper hormone function and even if you ate 60 grams of fat, with an altered digestive tract, you aren't absorbing that much, so you need to eat a little more than that. Even the ASMBS recommends 60 grams of fat by 1 year out!! Your dietician is not following best practices. Most SADI/DS patients I know follow the vets that have been living with this surgery for 10+ years and maintaining their weight loss. We figure they know more about optimal diet than a surgeon who has never lived with this surgery, or a dietician that has never even researched best diet for bariatric patients of various surgeries. Most patients I know are eating 100-120 grams of protein, less than 50 grams of carbs, and over 60 grams of fat, usually around 100 grams of fat for SADI and 150 grams for DS. You can increase your carbs once you have reached your goal weight, they tend to slow/stop weight loss, so in active weight loss it is important to keep them low so you stay in ketosis. A calorie range makes dieticians feel better, but it makes no sense for a SADI or DS patient because we malabsorb so much fat we can't even begin to properly calculate our calories. You could eat 1200 calories, but that wouldn't be what your body is absorbing. I'm sorry this is so complicated. In the end you have to decide what you feel best at. I don't feel good following guidelines like your dietician gave you and when I go over 50 grams of carbs I stop losing weight. So...yeah. I'm going to follow what allows my brain and hormones to function, what makes my skin, hair, and eyes feel best, what gives me the most energy, and what allows me to lose weight steadily. I'm the one that has to live in this body. It is sad these surgeries are so uncommon there are no good studies about optimal nutrition for them. But there is no way I'd go below ASMBS guidelines, they are the closest thing bariatric surgeons have to a standardizing body. Your dietician should be able to give you ASMBS guidelines for your surgery. -
Weight Loss with SADI-S Revision after Sleeve
ShoppGirl replied to travlrmel's topic in POST-Operation Weight Loss Surgery Q&A
Hello. I am considering revising my sleeve to Sadi and I’m curious to know how you guys are doing now. -
I had surgery on 4/8/24. I had a bypass. I am able to drink fluids with no restrictions. I'm on the puree stage. At 2 weeks out I have only lost 16 pounds. The last 3 days the scale actually went up 2 lb. I'm not going to lie. This is an uncomfortable feeling. Specially because I'm sticking with Drs orders. I do notice that even though I eat 3 ounces of food and try to keep up with my fluid intake I don't get a "full" feeling. It does not take me a long time to eat. So I'm not sure how to feel about that.
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Had gastric bypass Feb. 7th. My food intake is hot and cold at times. The last few weeks I've felt like I needed to eat more often. Not more volume, just spread it out more to fuel myself. I've been exhausted lately. I think spreading out my meals has helped some. You should try the baritastic app. I've used that since October. The dietician at the bariatric center can see the food and drinks that I log. But it's a good app just for yourself as well to keep track. -
The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.
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Bigger stomach?
Scaredloser replied to Scaredloser's topic in POST-Operation Weight Loss Surgery Q&A
Thanks for the response! I did have the bypass. That explains it. When my wife had the sleeve, she had a lot more trouble intaking fluids. I guess I should be thankful that my swelling was worse than it could be! I do get hiccups if I drink a certain amount at a time. It's like I can feel my whole stomach move with. Kinda strange feeling!
