what size bougie, and amt loss you have

[MidwestGirl 8]

Mine's 32 and I've lost 25.8 lbs in 6 weeks. I can eat 1/4 of regular food at a meal.

[determined1 3]

i have been told by two drs that 40 is pretty much the standard size now. i still want a smaller one!!! maybe its just mental knowing just about everyone here has one smaller than 40 with success:( thinking about seeking another surgeon that uses a smaller one instead of just settling for it. ...ugh what should i do??????

[Barbara278 9]

Mine is 36, but over sewed to be closer to a 34. I am able to eat 1/4 a cup or 2 oz per meal. I'm one month out and my weight loss since surgery has been 17.5 lbs.

[Lee 19]

Determined, stick with your surgeon. Everything happens for a reason. if a little bigger bougie keeps you hydrated and able to get nourished, then whala! It's all good. Who knows, five years from now, they may determine that 40 is the best size given the 5 year study. Being able to eat 3 oz additional food over the course of a day is nothing. I think the most important part is trusting your surgeon and having the willingness to change your life in ways that will have you be successful regardless of the bougie size.

[determined1 3]

Determined, stick with your surgeon. Everything happens for a reason. if a little bigger bougie keeps you hydrated and able to get nourished, then whala! It's all good. Who knows, five years from now, they may determine that 40 is the best size given the 5 year study. Being able to eat 3 oz additional food over the course of a day is nothing. I think the most important part is trusting your surgeon and having the willingness to change your life in ways that will have you be successful regardless of the bougie size.

Lee,

I am concerned that going with the bigger one maynot cut out all the fundus/gherlin which is my understanding what gives you the hunger feeling. I am wondering if in the end that will play a part in long term loss...??

[Lee 19]

I think that what will determine long term loss is how strictly we stick to the diet recommended by our surgeons. There is no fail safe method here. In the end, it's still up to us. What they give us is a tool. What we do with it is up to us. No guarantees. That said, the difference between 32 and 40 is so minimal. Maybe an ounce at a year out? We're still going to have to watch calories, restrict carbs and fat, but the Sleeve will make it so much easier. Let's just look at it as a challenge! :thumbup:

[LuvMeBunches 0]

My surgeon used a 36, and it seems to be doing well for me.

[pumpkin07 32]

My doctor used a 34 on me he said. I asked him how they made the decision and he told me in his research he found that 32-34 had the highest weight loss but also the highest happiness with their sleeve.

I have no idea if that is true. I wanted a 40 and he just said there isn't a lot of difference, but that he really recommended the 34.

I was sleeved 12 days ago and have lost about 21 lbs overall. Last night I ate a hearty bowl of homemade chicken Soup and felt satisfied for the first time b/c I had been hungry all day.

[MlkPas 5]

Determined1, my surgeon told me that his review of the research shows no difference in weight loss based on the bougie size, but that the smaller ones increased the risk for acid reflux. So again, trust your surgeon. I'm sure he or she would be happy to answer all your questions so you understand his or her reasons for choosing the size you're getting.

[Tiffykins 672]

i have been told by two drs that 40 is pretty much the standard size now. i still want a smaller one!!! maybe its just mental knowing just about everyone here has one smaller than 40 with success:( thinking about seeking another surgeon that uses a smaller one instead of just settling for it. ...ugh what should i do??????

Trust your surgeon.

The difference between a 32 and 40 is like comparing your pinky finger to your ring finger in diameter. It's so minimal.

I know I can consume more food per meal than some that have a 34-36fr boughies. Does that mean anything to my results or theirs, NO. Everyone is different, every surgeon's technique is tweeked for their preference. Size is only part of the equation.

Everyone's anatomy is different. The diameter is determined by the measuring tool, and technique. But, the length (which contributes to capacity of the sleeve) is strictly determined by each individual patient.

Willingness to recognize that the boughie size will not determine your overall success will serve you well on this journey. Each person has to make lifestyle changes, better food choices, and realize that it's more than just getting the tiniest tummy possible.

[determined1 3]

Trust your surgeon.

The difference between a 32 and 40 is like comparing your pinky finger to your ring finger in diameter. It's so minimal.

I know I can consume more food per meal than some that have a 34-36fr boughies. Does that mean anything to my results or theirs, NO. Everyone is different, every surgeon's technique is tweeked for their preference. Size is only part of the equation.

Everyone's anatomy is different. The diameter is determined by the measuring tool, and technique. But, the length (which contributes to capacity of the sleeve) is strictly determined by each individual patient.

Willingness to recognize that the boughie size will not determine your overall success will serve you well on this journey. Each person has to make lifestyle changes, better food choices, and realize that it's more than just getting the tiniest tummy possible.

See what makes me question this is because during the 'seminar' (approx 60 ppl there) I raised my hand and asked what size bougie. Dr. answered 40, not 'well it depends on the patient', that raised some flags (Dr. usually does DS), then when I see ppl on here actually talking to their dr about their sizes-more flags raised. Then when I again asked dr in the consultation she said she does everyone a 40. I understand its a tool and up to me/choices/lifestyle changes. But what is also up to me is learning everything i possibly can before surgery so there's no regrets. I want to be as informed as i can to make decision, why I'm asking all these questions from everyone here, which I appreciate so much. You guys have been so helpful and like a backbone of faith.

[MlkPas 5]

It seems like you just need to have another conversation with your doc about this issue. Ask her why she does everybody at a 40, ask her about your concerns about removing all the grehlin-producing part, and explain to her why this is an issue for you. If she is able to address your concerns, great. If not, you may want to consider looking for another surgeon.

[Lee 19]

Everyone at my facility gets a 40. Less nausea and dehydration. I can honestly say that with my 40 I haven't had a moment of nausea post-op this week.

[MINI-Me 196]

It seems like you just need to have another conversation with your doc about this issue. Ask her why she does everybody at a 40, ask her about your concerns about removing all the grehlin-producing part, and explain to her why this is an issue for you. If she is able to address your concerns, great. If not, you may want to consider looking for another surgeon.

This is really good advice. It's your body. You need to understand the ifs, ands, and buts. You need to trust your surgeon and be comfortable with the decision. Let us know what you decide.

[Timetofly 0]

I too just had my surgery done, and have a 40 and have had zero stomach issues so far! I think you have to trust your surgeon, maybe have a good talk with the surgeon and explain your concerns.

Diane