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Help me anticipate the "real" differences from AGB to VSG



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BTW Tiffykins, I just noticed your pregnancy ticker. Congratulations! MY DH and I TTC for a while, and never quite got it. Until the lapband. As soon as I hit about 130 lbs gone, -poof- there it was. Right when we stopped trying & decided to take some time off. I couldn't believe it. About 4 years of trying, and about 2 years before that of "whatever happens happens" -- I took 8 home pregnancy tests, and then went to my doctor for a REAL test. :) Your first?

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  • I've read many reports of consistent restriction from VSG vs. tha random restriction I had from AGB. Is your restriction consistent? Is it consistent both in terms of times of day you can eat and types of food you can eat? Does VSG seem to be effected by the same variables as AGB? (e.g. flying, stress, humidity, PMS/water retention...) My restriction is consistent except that I do notice that right before my period, I seem to be able to eat a little bit more (or maybe it is that I want to due to hormones).
  • With AGB "stuck" foods caused me discomfort or pain, often quite a bit of pain, and often for a fairly long time. Does food stick with VSG? I've read about people brining stuff up, but is this because of failure to pass through some stoma, or is it because of eating more than you can hold? Or both? Does it hurt like it did with your band? When it comes up, is it "saliva + stuck bits" like with the band, or is it actual vomit? I hated being stuck with the band! I have never had anything get stuck with the sleeve. Sometimes, when I eat out, I may take that one bite too many and I feel extremely full. So full that I don't even want to think about food or be around it. That is what has allowed my great success though! I can only eat at small amount at a time~
  • I know some dumping can occur with VSG - do you dump? Is it on specific foods, or random? The only time I get that feeling is if I eat Cereal with milk. I am not sure if it is the the milk or that the Cereal swells in my stomach, but I feel sick and like I need to lay down. I don't usually eat cereal becasue of this. If I drink milk alone or in something, I am fine.
  • What period is the greatest risk for developing a leak? I see references to 2 weeks, 2 months...I am not sure but my doctor did say to follow the post op diet closely to avoid putting stress on the staple line and which can cause a leak.
  • Is leak the (currently known) most likely complication of VSG? I see people talking about leaks, and pOuch stretching, but that's about it. Surely there's something else out there...You can have issues with Calcium absorption which can cause problems with your bones and teeth. You have to take Calcium citirate regularly.
  • WIthout the need for fills, what does your post-op care look like? Do you have periodoc leak tests as a bandster might have period fluoro or xray? I have just had blood tests and check ups. So easy and nice! I hated getting fills.
  • What do you like best about your VSG? It works! I feel amazing. I can't sabotoge myself anymore with food. Food doesn't control me.
  • What do you like least about your VSG? Maybe the scars, but I love the sleeve itself. I really feel it is one of the best decisions of my life!
  • What did you not know going in, that you wish you did? I wish I had asked for the morphine pump for when I woke up after surgery. I didn't discuss it with my doctor because I just thought everyone got one. OUCH! I was fine once they started giving me pain meds through my IV though.
  • I keep reading "recovery is a lot harder than with the band," but no one really elaborates. Can someone please share their comparison of recovery? I actually thought they were about the same. I didn't have a drain with my band and I did with the sleeve. I did not like the drain, but it is there to detect leaks. I would do it again in a heartbeat!
  • How hard did you find the transition in terns of behavior? I'm assuming there are shared rules such as chewing to goo, small bites, waiting between bites, etc. My band never really worked right, so it is hard to compare. I know I always had to worry about getting stuck at the most inconvient times, like at a restaurant. I would have to run to the bathroom and pray no one else was in there when I slimed. With the sleeve I have restriction all the time. I do have to focus on Protein first, but I really can eat anything, just smaller amounts.
  • Do you have a "soft stop" with VSG? (I never had one with AGB, but I'm wondering if it exists with VSG) I just have to stop at the first sign of fullness. Just one bite over my sleeve capacity and I am miserable from fullness.
  • Did anyone out thyere have a difficult revision due to scar tissue/etc. with the band?I had some soreness where the port was, but that is gone now.
  • Any bathroom problems? (e.g. the terrible stinkies DSers are known for) Nope
  • It seems like most people encounter significant heartburn. Is reflux an issue with VSG? Is the heartburn long term, or does it resolve after a while? I get hearburn with certain foods (spicy usually). I had it a little the first three months after surgery and took my prescription. Now it is just on an as need basis. I rarely get heartburn.
  • Are your food intolerances (if any) the same as with your AGB?For some reason, hamburger meat in the patty form does not agree with my sleeve. I have thrown up three times trying to eat it. I just avoid it now! I can eat it if it is ground up like taco meat. The three times I tried hamburger patties are the only times I have thrown up with the sleeve. Otherwise, nothing else has caused this issued.

I LOVE the sleeve! Good luck with your revision~

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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