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Another factor is insurance. For example, I know my insurance would happily (as happily as they do anything) cover sleeve or bypass. Meet the requirements and you could have either one of those, no questions asked. Everything else was considered "experimental" and was not covered. Based on my brother's experience of significant regain after sleeve, plus not wanting to risk GERD and the possibility of a revision, I opted for bypass right out of the gate. I felt like that would be a one-and-done surgery, and I have zero regrets. A few key differences to consider are bypass is a stronger metabolic surgery, so you tend to get more durable weight loss if you look at 5-10 years post-op. But weight regain after sleeve can be managed with GLP-1 meds (if you have coverage or can pay out of pocket). If you have reflux or diabetes/pre-diabetes, seriously consider a bypass as this surgery is great for reducing or eliminating these conditions. If you smoke or require a lot of pain meds, seriously consider sleeve because your risk of ulcers with bypass is elevated by smoking and NSAID use, and the ulcers are very hard to cure. Dumping can be unpleasant but managed through dietary choices. I have had a couple very minor instances of dumping. Once after eating too much sugar (I absolutely knew better when I did it), and once after a few bites of a very rich, very fat-filled Thanksgiving side dish (this one surprised me). In both cases, my heart raced for about 15 minutes to the point my Fitbit thought I was exercising and awarded me "zone minutes." For me, that was the extent of it and nothing I couldn't handle. I'll just avoid that green bean dish next time. Some people do get worse responses. A lot of people never dump at all. One thing to consider if choosing a less-known surgery in the US is your doctors outside the surgeon who performs it may not be very familiar with it. Everyone should know what a bypass or a sleeve is. Hospitals or EMTs might not know much about your anatomy with a MGB or a DS, and that could cause delays in treatment, which in an emergency might become an issue. Not to say don't get those if they're right for you, but you may have to spend more time educating yourself and your healthcare team if you do.
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November 2024 Surgery Dates
Boomerldy replied to Lisa Gilkison's topic in Gastric Sleeve Surgery Forums
I had bypass on 11/25. Down 20 lbs! I keep reminding myself that my stomach is the size of an egg, so anything with mass, even eggs, is baby bites and only a few still. -
I am new to this. Can anyone explain the cons and pros of Sleeve versus Bypass surgery? What are the considerations for each? Due to a first consultation in a month
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January 2025 Surgery Buddies!
NoSnowHere replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
Thanks for sharing! My bypass was yesterday and I go home later today. I feel much better than I thought I would at this early stage of recovery. I remember what it was like trying to get all of that water down -- it's good practice for post-surgery as you have to work back up to that level too. Best wishes on your recovery! -
Why did you prefer Gastric Sleeve over Gastric Bypass?
FifiLux replied to HopeBar's topic in Gastric Sleeve Surgery Forums
Sleeve was recommended to me by the surgeon as I have pernicious anaemia and after reading up on both I felt the sleeve was more for me, so I could be in more control, especially given that I could then get a revision to bypass if needed. -
I don’t know much about the mini gastric bypass but the SADI is now covered by insurance and it has better stats thus far than then bypass and sleeve. Its weigh loss is statistically quicker, more weight lost and more durable than the bypass and it’s considered comparable in terms of safety. It is relatively new so not all surgeons do it and the research is still coming in but Maybe look into it. I have been very happy with it as a revision surgery. I have lost 75 pounds already. I have some other medical stuff that’s slowed my loss a bit because the doctors don’t want me to be at such as calorie deficit right now, but I feel like once I’m back at it I will lose the rest pretty steadily. Also, There was a guy on here that put a whole lot of information out there about the mini gastric bypass a while back. If you search for it you should find some of his posts and if you respond to one of them it should send notifications to the others who were active in the thread so hopefully someone who knows about it will get an email the thread is active and come back and read your questions. I just did a search and he must’ve deleted his account because now it’s listed as guest. His screen name was MiniGastricBypassDude but I guess he won’t receive the.notifications. Others who were active on the threads will though and there is lots of information there to read about the surgery that he posted In the past.
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Revision, are things going as they should?
SleeveToBypass2023 replied to Kak7365's topic in Revision Weight Loss Surgery Forums (NEW!)
I had a sleeve in 2022 and had a revision to bypass in 2023 due to complications. I had little to no pain, I was up and moving around with ease, I've really had a great experience. And I've lost quite a bit of weight with the revision, even though that wasn't why I got the surgery to begin with. I have ZERO regrets. -
January 2025 Surgery Buddies!
Melissa💖💜💙 replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
It's going okay so far. I'm down 22 lbs. since my initial consult in late November, 5 lbs since I started pre-op diet on Jan 1st. They put me on a no-carb, protein-fruit-veggies-only diet to start with. I start my full liquid diet on the 13th, which I will be on for two weeks before I switch to clear liquids only. It'll be a challenge, but I think I'll do all right. Good luck with everything! -
Having second thoughts
WendyJane replied to monikapaintsstuff's topic in PRE-Operation Weight Loss Surgery Q&A
I chose to go with the bypass due to the risk of GERD that I just hate. I have had no issues and I'm only 2 weeks out, never had any pain and just a bit tired following surgery but able to walk with no problems from the beginning of my new life. I must agree, I wish I did it long ago and not wait until now to have done it. I was on the verge of cancelling, but post op I have no hunger and the pounds are leaving quickly. I'm the lightest I have been in years and years and already feel better and I'm off all my diabetes medications. If you need extra support in your journey, I would recommending looking up some YouTube videos by BariNation, they have experts and experienced people with bariatiric patients and the mental part of decision making, it might be helpful. Wishing you well. -
Sleeve Revision to SADI or DS
ShoppGirl posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I am scheduled for sleeve to SADI revision in 12 days and as I go over the book with the stages returned to eating I got a little concerned that it is gonna be extra hard for me since they are only operating on the bowel and not the stomach. Since I already had the sleeve part and my stomach is healed and hunger has returned, I will be expected to live on 2-4 tbsp meals while never feeling full and maintaining full hunger. This is going to be very hard. Anyways, researching this I finally came across some people that had this revision and they seemed to be struggling in the beginning but I don’t see any follow-up posts. Please let me know how this period went as well as how you are doing now if you had sleeve revision to SADI or DS. I still have option to switch to bypass but not for long. -
January 2025 Surgery Buddies!
NoSnowHere replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
Hi All! I'm new here, and I have a date too --January 30 gastric bypass. Took me awhile to reach this decision, but weight control has been a life long challenge -- so I'm totally at peace with this now. Took awhile to "jump all the hoops" but we're there now as insurance just approved. Bring it on! -
Heartburn and hernia--time for bypass?
RickM replied to ajb1029's topic in Gastric Sleeve Surgery Forums
The basic procedure upon which the RNY is based has been done for some 140 years for a variety of GI maladies, so it's mostly a matter of billing codes, and some minor variations in configuration, that make it a bariatric procedure vs. one for cancer, gastroparesis, etc., so insurance shouldn't be a factor if that is what is needed. As to whether the "RNY" is needed for your case is a judgement call; try to avoid self diagnosis and let the doctors make the recommendation as to what is appropriate to treat your particular case. GERD is a classic symptom of a hiatal hernia, and given that you didn't have any particular problem with it for some years post op indicates that it is the hernia and not the sleeve that is the primary problem. Again, let the experts weigh in on this. My preference when considering something like this would be to seek out an opinion from a bariatric practice that is associated with a regional cancer center, as they tend to treat a broader range of GI maladies than a general bariatric practice, and will probably have a wider range of options to consider. If you come across a surgeon who quickly determines that you have GERD and a sleeve, therefore you need a bypass, without looking at any imaging, I would tend to move on to someone else - they probably don't understand the sleeve as well as they should to make that determination. My philosophy is to try to avoid going to a bypass is possible, as it does present some diagnostic and treatment limitations down the line should they be needed as we get older. The blind stomach and duodenum that can't be readily imaged or manipulated endoscopically and medication limitations (of which NSAIDs are the largest class,) are the primary things that come to mind. They usually aren't big deals if that is what is needed, but I don't like giving up options unnecessarily. RNY patients can develop GERD later on, and occasionally (though rarely,) such a revision does not correct a GERD problem, so we're talking more of a statistical improvement rather than an outright cure. If that happens, then where does one go - the bypass is something of a one way street surgically (though is can technically be reversed)? So, my inclination is to go one step at a time and treat the hernia and then go from there is that doesn't correct the problem. -
Wegovy not working
audaciousmarie replied to wendywitch7's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Thank you so much for your response. It’s perfect timing that I saw this as I just left the Bariatric surgeon’s office. My experience with GLP-1s was quite discouraging. I was just about ready to give up trying to lose the weight I regained. However, my appointment with the Bariatric surgeon was quite encouraging. He agrees that I qualify for a revision surgery. He laid out the revision surgery options: Bypass, SADI-S or SIPS. Apparently the final revision surgery method will be determined during the surgery when he is able to assess my intestine length for the bypass/malabsorption effect. So for now, I’m going to focus on completing the program steps (Barium swallow, Psych appointment, Nutrition appt, support group, etc) so they can submit the PA for revision surgery. So I’m going to focus on completing the insurance requirements -
Tips on LBL/ Butt lift Recovery
Crisscat replied to Kingb40's topic in Plastic & Reconstructive Surgery
I remember you!!!! We had gastric sleeve the same day lol. You've done very well with your progress. I see you had to go to a bypass after the sleeve. I got really discouraged because with my sleeve I lost 52 lbs and that was it. I couldnt budge off that. I didnt want to have the bypass done as well so I just bummed around and got discouraged. Gained like 12 lbs and by January 2024 I was seeing another Dr to see if Zepbound would be beneficial for me or not. I started Zepbound by the end of Jan 2024 and so far I have lost an additional 72 lbs so its working better than the sleeve did. So much so I have all this loose skin now to deal with lol. Good to see your posts again! -
January 2025 Surgery Buddies!
Naenae67 replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
I had roux en y bypass on the 22nd. My pre-op diet was: Cream of Wheat and a protein shake for breakfast, snack a sugar free jello or pudding, lunch was broth and a low-fat Greek yogurt and dinner was low-fat cream of Chx or tomato soup with cottage cheese. I had one to two more shakes as snacks or more jello or sugar free popsicles. Also at least 64oz of water! -
Having second thoughts
summerseeker replied to monikapaintsstuff's topic in PRE-Operation Weight Loss Surgery Q&A
Just take some time out. You are right not to procede if you feel rushed or feel your surgeon is not the one for you. You will know when its your time to do this. If you have had GERD in the past then I think they recommend a Bypass. I ended up with Gerd after surgery. Its not a major issue if I eat early in the evening and avoid very spicy foods. We all felt anxiety before this surgery because it is a leap into the unknown. The after surgery meds and routines do seem all to much to take in. After surgery it all becomes clear as you progress along the different stages what you need to be doing. It really is not something that you need to worry about. There are people on this forum with your medications and have managed very well. If they are about they will chip in to reassure you. What ever you decide this forum will help you any way it can, you will only find kindness here -
August Surgery buddies
Justarwaxx replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Lately, I've been eating quite comfortably, and honestly, it's scaring me. I had a week where the scale didn’t move, and just when I started panicking, boom – down 1.7 kg the next week. But here’s the thing... every time I feel confident in my weight loss, I start getting too comfortable, and that makes me so uneasy. And the weirdest part? I’ve become a sweet girl! Like, I actually crave sugar now, which I never used to before. WHY?! 😭 There are no actual signs of regain, but that doesn’t mean I shouldn’t be worried, right? My brain is panicking even though nothing bad is happening (yet). I have a friend who also had gastric bypass, and she keeps telling me: 👉 “Don’t worry, you will lose weight no matter what – that’s what bypass does.” But how true is this??! 😭😭 I feel like I can’t fully trust it, and I don’t want to get too relaxed and regret it later. Someone please tell me I’m not losing my mind. 😣 -
Just wanted to say hello. Stumbled upon this fourn as i was looking for a new protien powder. So here is the low down about my journey so far. I Had gastric bypass on 10/15/24. My heaviest weight was 477 lbs that was in April of 24 the day i walked in to the weight loss center. My day of surgery weight was 457 lbs, as I approach my 5 month mark today's weigh in was 346 lbs that's 111 lbs in 5 months and 131 lbs since april...every day i feel better and my mobility improves. This is the best decision I have ever made!
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I a vertical gastric sleeve in 2006. I weighed about 400 at the time and got down to 250, then plateaud at 285 for 10 years. I was happy with that. In the last 10 years, I've gained it all back and am at 400 lbs again. I am close to my pre-op visit to discuss the revision. The weight loss nurse I am working with said this time, my weight loss might not be as significant. I said I was shooting for 300 lbs, and she said that was doable. I'd be happy with that. What I want to know is what type of revisions you've had, and how your experience is different after a revision than with your first surgery. Also, I am concerned if I have the bypass or the DS about dumping. I didn't have that with the first surgery. I could manage if it was occasional and I could control it by the types of foods I eat, but I have heard it can become a constant, lifelong problem.
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10 years post-op accountability partner needed
healthygirlsd posted a topic in Gastric Bypass Surgery Forums
Hi everyone! I’m looking for an accountability partner who understands the journey of a 200+ pound weight loss—whether you’ve already achieved it or are working toward it now. I had gastric bypass 10 years ago and initially lost 200 pounds, but I’ve since regained it. I’m starting to lose my mobility, but I refuse to give up. I know I need to use my tool and get this weight off (again). I’ve found that having an accountability partner makes a big difference, and I tend to stay much more consistent. Plus, I’ll admit I’m a little competitive! I run a business, so my work life can get busy, but I’m committed to making myself a priority this year. Weekly check-ins (or more often, if that works for you) would be great. Ideally, we’d both be committed to our goals and help keep each other accountable. 😊 -
I have surgery booked 28 November. I have been told to get centrum vitamins and I have read that you cannot take these while breastfeeding. Has anyone ever been advised to stop breastfeeding for surgery? Or has anyone breastfeed before and after surgery? What soluble vitamins did you take?
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Thank both you. The problem is that all surgeons claim they do both, but some recommend one over the other possibly because they feel more comfortable with one of the two. And wierd as it is, I could find any good surgeon around San Francisco for the mini bypass. How come people on this forum from the U.S. don't tend to do the mini by pass?
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I had two strictures - at 4 weeks out and again at 8 weeks out. But I was told that they almost always occur during the first three months after surgery, so it's not very likely that that's what's going on with you. If it is, though, it's a super easy fix. Both times I felt like I had acid reflux. The first time I was puzzled since bypass usually cures that. After a couple of days of that, I suddenly couldn't keep food down, so I called my surgeon's office and they told me it was probably a stricture and they set up an appt, but they said if it got to the point where I couldn't even keep fluids down, to go to the ER (it never got to that point). The second time I knew what was going on because I had that acid reflux feeling again, so I made an appt to have the stricture "fixed". I never had any pain either time, though. It was an acid reflux feeling (which progressed to not being able to keep food down when I had the first stricture)
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Hi. I’m 5 ft 6 and started at 13 stone 12. I had a mini gastric bypass 10 days ago. I followed the instructions. I’m walking for exercise. My weight is literally the same every time I weigh myself. Whether it’s morning, afternoon, night. Whether I have used the toilet or not. But my scales are manual so it’s not like it’s a fault on a digital scales. Before my operation it was normal for my weight to vary from morning to night etc. I’ve weighed myself since I came home 6 days ago a few times a day just to see if it changes & it doesn’t. I’m so frustrated. Did this happen to anyone else ?
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Conversion from sleeve to bypass
Arabesque replied to Georgetown's topic in Revision Weight Loss Surgery Forums (NEW!)
Many surgeons repair the hernia during the sleeve surgery. Was there a reason your surgeon didn’t? Of course once you’ve had one hernia there’s always a chance of it recurring. Are they doing a bypass to reduce your risk of a recurrence versus just repairing the hernia alone?
