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Showing results for 'november bypass'.
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Co-Codamol & Bypass
ShoppGirl replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
I think some doctors are on board with this newer research. I was told after that camera thing that with being a sleeve and being a year post op I could’ve taken the ibprofin they suggested as a one off. I know you have to be even more cautious with bypass but I think they are starting to allow it for certain things. I’m sure like anything they don’t have a crystal ball and can’t guarantee it will be fine but maybe ask your surgeon their opinion on a very rare NSAID before your next removal. I don’t know why I forgot all about that. -
Co-Codamol & Bypass
NickelChip replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
I'm going to preface this by saying I am not a doctor and definitely in no position to give healthcare advice, but the most recent studies seem to indicate that very occasional ibuprofen use after a bypass does not significantly increase your risk of ulcers. Not all doctors are up on the research and some just don't want to change their advice on the off chance a patient has an issue, but some doctors will outright say that if you take an ibuprofen or two for a really bad headache or that one time you have an unusual pain, it's fine. You just don't want to exceed maybe once in a week or a few times in a month. The study I read looked at outcomes for thousands of bypass and sleeve patients in Denmark who had been prescribed daily NSAIDs for less than 30 days or more than 30 days, and then looked at how many developed ulcers. Only the bypass patients who took them for more than 30 days had an incidence rate higher than the general population. -
I went with the sleeve because my surgeon recommended this based on my age and general health (35, no comorbidities, no history of GERD) I went on the NHS here in the UK so as it was covered by public funds, I only got the choice of sleeve or bypass. I was also hesitant to choose the bypass because my mother had it, had insufficient weight loss and because her operation went wrong and the had to fix something years ago, they couldn't fix a bowel perforation that she had which she died of. So because of her history with that, I wasn't sure that I wanted to go that route. If my surgeon had recommended bypass, I would have chosen that.
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SO I had the wonderful experience of having my IUD (hormonal coil), removed & replaced yesterday. Knowing how painful it was being fitted the first time, and having not experienced having it replaced before, I decided to take 2 30mg codeine/500mg paracetamol tablets, as pain relief for women during such procedures really is just forgotten about. I'd eaten some protein stick things too. Pre-surgery I'd taken these tablets fine, no side effects, but OMFG, as I was sitting in the waiting area before my procedure it hit me like a brick **** house. I was sweating, nauseous, my stomach was cramping and pain was radiating into my back, I felt spacy and woozy and I was clearly very pale in my face and lips as the nurse went to get me a sick bowl 🤣 Needless to say, instead of actually giving me pain relief, it actually made the entire experience so much worse 🤣 I will not be taking them again! Does anyone else have any experiences with medication effecting them differently? Note to add: this medication was given to me by my surgeon for post-surgery!
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Definitely based on what is best for you. When I had my consultation with my surgeon, I was pretty sure I wanted the sleeve as I thought it would be 'easier' (I was thoroughly misinformed haha), but when I spoke with my surgeon, ran through my medical history (which included a high BMI, an underactive thyroid & PCOS), he advised that the bypass would probably be more effective for me. BUT, at the end of the day, it is your decision
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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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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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Dr Matthew Weiner is a great resource so am glad @NickelChip recommended his video. Another is Dr John Pilcher also a great source of information. It’s not really about popularity or the most performed but about which surgery is best for you. Your surgeon should really take into consideration your current health status and history, your weight loss and gain history, your current weight and how much would be beneficial for you to lose, etc. Also discuss the possibility of side effects like malabsorption, dumping, reflux, regain with the surgeries and what you might be willing or not to live with or manage. Do your research, watch these videos and others they may have and prepare questions to ask your surgeon. If you don’t think they’re as comfortable doing one surgery over another or you don’t feel comfortable with their responses, seek a second opinion or a referral to another surgeon. And remember there are other surgeries beside sleeve and bypass so look into them as well (Sadi, duodenal switch,, RNY, or a mini bypass). I would avoid a gastric balloon or gastric banding but that’s my opinion only.
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My understanding is sleeve is more prevalent as a first time surgery, but a not-insignificant number of people have revision from sleeve to bypass down the road because of GERD or insufficient weight loss. There are reasons you may choose one over the other, and you want a surgeon who is just as comfortable with either. If he is suggesting one because he's better at it (sleeve is a much easier surgery to perform) then he is not the surgeon for you! This video has some good information on both surgeries from a doctor who does both:
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Which is more common - bypass or sleeve? I assume the surgeon's recommendation is according to what kind of surgery he does best...
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Gallbladder rem & band to sleeve revision
NickelChip replied to Louie'sMom's topic in Revision Weight Loss Surgery Forums (NEW!)
So, I never had lapband, but I was exactly your starting weight and height last year and chose gastric bypass after 7 years of nutrition work and trying Saxenda and Wegovy with varying degrees of effectiveness but too high a cost and too hard to get with shortages. I was 250 in 2016. I got down as low as 205 in 2018. I slowly regained until I was back to 250, despite my best efforts. I'm now 11 lbs away from being back to a normal BMI for the first time since I was 18 years old! What I can tell you from my experience is obesity is a disease that never goes away, even if you lose weight. Your body will always want to be bigger without constant intervention. Surgery is the strongest intervention you can give yourself. Personally, I chose gastric bypass because I didn't like the idea of completely removing my stomach. It's still there, hanging out, not doing much. All my intestines are still there, just in a slightly different configuration. Plus, I know that bypass offers a somewhat stronger and more durable metabolic response, making it less likely to need GLP-1 meds in the future to maintain weight. If you have the lapband removed and do nothing else, realistically, you will probably be back to 250 within a few years and never be much lighter than that again FOREVER. If you continue meds, you might stay where you are or lose a little more as long as you keep taking the meds FOREVER. If you get surgery, you can reasonably expect to get down to 160 or less and maintain that for a very long time with reasonably good nutrition and exercise, hopefully with no other interventions needed (although you may eventually need meds). But no matter how you look at it, the struggle with obesity is forever, so you have to choose the option you are most comfortable with in the longterm. -
Tomorrow will be a year since surgery, I've lost 62 lbs since the surgery, a total of 100 lbs since the beginning of the journey. This started for me with gastroparesis, hiatal hernia, and bile acid reflux with normal GERD. All of that is now better and other than a slight hiccup (hernia repair in November) I've done very well. Overall the first few weeks are still a blur, and life just got easier as the months passed. I continued to walk and work out, and the difference is amazing. My feet feel better, my back feels better. I have plantar fasciitis, and have had spinal fusion at 2 levels, so that is an incredible relief, the pain is much more manageable now. I used to get relief only from NSAIDs, now tylenol works well. My prediabetic situation is now gone, my A1C went from a 6 to a 5.2. I've recently discovered I can have a bit of chocolate or regular cookies, any more than a bit and I'll have sweating, nausea, etc. It's not that bad for me, but not pleasant which is actually helpful. I can eat anything I want to, but I don't feel driven to eat the things I know I shouldn't eat. Head hunger is a thing but I deal with it by eating protein and if it doesn't taste good, I'm not physically hungry. Not to say I haven't had a few slippery slope moments, I have, but it's much easier to get back into the good habits now that I've been doing it for a year. I just feel like myself again, physically I feel normal again, and that is life altering. I wear stupid cute clothes, mostly thrifted because I didn't know where I would land, but I think I'm there now. I loved trying different styles and colors from what I've been wearing, and now I'm back to my style, just different sizes. I wear softer colors, loose and comfortable styles, and I just feel good. I have to say that this site, and the people on here that take the time to answer questions and discuss the experience has been extremely helpful, so thank you!!!! Happy New Year everyone!
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January 2025 Surgery Buddies!
NewMe2025 replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
January 13th, 2025 surgery date for gastric bypass…so excited yet terrified!! -
I had a pretty nasty bout of blood in my stool which put me in the emergency room- I had lost a lot of blood. When the finally got the endoscopy done two days later- no active bleed. But it was depressing to say the least, and I'm no youngster at 70 years. So, I decided to stop alcohol. I've done it before- I was sober for about 35 years before I resumed drinking and went from 1-100 pretty fast. I know I'm an addictive personality, I found a program- outpatient intensive that will accept me-the real trick with this is what is called "after-care." I was never much for AA, but found groups where people can give feedback or respond to be extremely helpful. That will happen as p/o this program but it is short term and I've asked about aftercare options following the "intensive." I think my life will be better without the booze- it certainly was most of my adult life-- I got careless, figured WTF, and wanted something to calm me down. I don't like pot, it makes me paranoid. I used to drink tons of fizzy water. Can't really do carbonated drinks post surgery , I do stay hydrated and use sugar free electrolyte powder in my thermos. (Doesn't everybody have a thermos these days that they carry around? Sure seems like it). Anyway, the best path for me is the simple- abstinence and getting back to a mentality where a drink is out of the question. I gather than gastric bypass patients may be prone to shifting addictions but I already knew this was an issue for me before the surgery. Still working out at the gym-a life saver and seeing a "shrink" have both also helped, as has my internist. I'm hardly a moralist about this- if you can handle drink, fine. It's obvious that I'm in that cohort that cannot. Thanks for listening and for the feedback here. Happy this year to all.
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Anyone had the bypass in California and did the surgery and recovery go well?
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Either November or Late October. Forgot when I made the post.
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When did you start these meds? November?
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Weight Gain Right After Surgery?
LessOfAmy replied to LessOfAmy's topic in POST-Operation Weight Loss Surgery Q&A
It will come off. You just have to be patient. I just wish someone had told me to expect it so I wasn't SO disappointed after surgery. The weight has come off very slowly for me, but part of that is a lack of mobility due to being bone-on-bone in both knees. I was supposed to have them replaced by now, but NOTHING in 2024 went as planned. My plan for 2024: January Remove lap-band Gastric Bypass Fall Be at BMI goal to have both knees replaced while my deductible is paid for after WLS My Actual 2024 January Removed lap-band only No gastric bypass due to complications from lap-band April Had Duodenal Switch surgery June Found out I was being laid off, last day – Oct 4 August Had lipoma removed from thigh (while deductible is paid for) September On wound VAC as incision did not heal from August surgery October Job and Insurance with paid deductible ends Start new job with new insurance Rest of 2024 Don’t get knees replace since: I just started a new job and it didn’t seem right to take time off as soon as I started My insurance deductible is no longer paid for, so I will wait until I start over again in 2025 And oh yeah, I’m not at the doctor’s BMI goal yet since I didn’t have WLS surgery in January as I planned. Here is hoping 2025 goes more to plan. 😊 Happy New Year!! -
Why did you prefer Gastric Sleeve over Gastric Bypass?
SpartanMaker replied to HopeBar's topic in Gastric Sleeve Surgery Forums
Well, you didn't ask, but I'll let you know why I chose bypass vs sleeve: On average, bypass generally leads to a slightly higher percentage of excess weight loss. I wanted every advantage I could get. Because it has a bigger restriction and also has a non-absorption component, it's generally considered more suitable for severely obese people, which is where I started. Although I really had no history of GERD, they discovered something during my workup that made the surgical team concerned that sleeve could lead to GERD for me. Bypass is completely reversible, unlike sleeve. In a sleeve procedure, the "unused" part of your stomach is removed from your body and disposed of. In a bypass, even though it's a more complex surgery overall, nothing is removed. If there were ever a need, it's possible to put everything back like it was. -
Why did you prefer Gastric Sleeve over Gastric Bypass?
Justarwaxx replied to HopeBar's topic in Gastric Sleeve Surgery Forums
I got the bypass because I had bad gerd and also I hear regain is harder so yay! -
Looking for Inspiring Stories - Gastric Bypass Journeys!
Justarwaxx replied to Justarwaxx's topic in Gastric Bypass Surgery Forums
Wow, congratulations on your amazing progress! It’s so inspiring to hear how much your life has transformed and how active you’ve become—Zumba, Pilates, and Vinyasa Yoga sound like such a fun way to stay healthy and energized! I’m 4 months post-op now, and I find myself really curious about the science behind bypass. Sometimes I notice I’m able to eat a decent amount but still lose weight, and it fascinates me that it’s not just about restriction but also how our bodies absorb fewer calories now. It’s like my body is working with me for the first time! I’m so excited to see what I’ll look and feel like a year from now—I don’t even know myself in a skinny form yet! Stories like yours keep me motivated, so thank you for sharing. -
Looking for Inspiring Stories - Gastric Bypass Journeys!
Justarwaxx replied to Justarwaxx's topic in Gastric Bypass Surgery Forums
Congratulations on your incredible journey and your active, healthy lifestyle—what an inspiration! I love how passionate you are about staying active, and your tip to find activities you love and obsess over them is such a great reminder to make this journey fun and sustainable. Your weight loss stats are amazing—75 lbs both before and after surgery is incredible! I can imagine how great it must feel to have maintained so well, even with the natural changes over time. I’m curious, do you think most bypassers can have a happy ending like yours if they just stick to the rules? It’s reassuring to hear about maintenance not being as scary as it seems! Also, your “smell trick” is so interesting—what a unique way to give yourself a boost when you need it. And dumping on sugar definitely seems like a blessing in disguise for keeping things in check. Thanks so much for sharing your story—it’s so motivating to hear from someone thriving years after surgery! -
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. -
Why did you prefer Gastric Sleeve over Gastric Bypass?
GreenTealael replied to HopeBar's topic in Gastric Sleeve Surgery Forums
I chose sleeve over bypass because at the time it was considered a safer profile surgery with the same effectiveness. I had other medical conditions I needed to focus on and could not risk dealing with complications. It still makes sense to that past nervous version of me. However this version of me (which needed to be revised from sleeve to bypass from complications from sleeve 🤣) would choose differently. All things considered, All things being equal and if I had to choose again I would pick bypass over sleeve (especially if I was a self pay patient or my insurance excluded revisions). -
Why did you prefer Gastric Sleeve over Gastric Bypass?
HopeBar posted a topic in Gastric Sleeve Surgery Forums
If it is not only since your surgeon prefers doing the Sleeve - Why did you have Gastric Sleeve over Gastric Bypass?
