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Short & sweet, I am 45, male 100# overweight, 6ft tall and have struggled mightily trying to loose/maintain loss. I am a large, muscular ex-athlete that once upon a time, stayed in good shape through weight-lifting and bicycling. However, when I hit my late-20s/early-30s, I started to add a bit as I slowed down and then, from 1999~2001, I became a steroid-dependent asthmatic and BALLOONED from 225~230# to ~330# during the 1st 2 years of medical school. Ever since, my weight has remained pretty stable - damnit - and "lifestyle"/lack of time have precluded me from engaging in any meaningful/sustained exercise program. I developed severe OSA & hypertension - surgery on my nose improved my OSA sufficiently to no longer need the CPAP in 2006. However, I still snore like a freight train and my weight keeps me massively fatigued preventing me from engaging in the activities that I used to love and excel at.

To be perfectly honest, I am terrified of having surgery for weight loss. I did a surgical internship and got to take care of many wonderful success stories. However, I also took care of a few patients - open reu-en-y's - who had disastrous outcomes. I am a practicing anesthesiologist & all too aware of the additional risks that we large people pose interoperatively. I am currently at a point in life where my fear of surgery is being surmounted by my fear of becoming one of the people who I care for: morbidly obese, HTN, cardiac disease, diabetes with severe OSA and osteoarthritis - all in a Catch 22 precluding restoration of their health. Despite my largesse, I am still pretty healthy.

I have two wonderful daughters - ages 8 & 4 - who I want to not only be around to walk down the aisle one day; but with whom I want to do the things - ACTIVE things - they deserve from their father. My wonderful wife is very very very supportive, patient and understanding. I need to do this for her as well...so I can grow old and care for her as she committed to doing for me. Of equal import, I need to do this for me. My self-esteems has suffered and, I suspect, there has been some degree of professional impact - hard to educate patients about health, diet & exercise when you look like the Hindenburg!

Please, if you would be so kind, provide for me your perspectives on VSG. What are the 'pros vs. cons'? What scared you? How did you cope? What do you know now that you wish you knew before? How different is "life", before vs. after? How has the VSG impacted your ability to eat? food selection?

Thanks in advance for your time. I sincerely appreciate it!

D W Kelley

"OldManDave"

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Hey oldmandave, your story sounded a lot like mine did. Please go to my blog www.kemo46.blogspot.com and read it from the beginning. My health issue I developed was Diabetes. Being educated in the medical field, you know what, not if, will happen if you do not do something.

I can eat any kind of food, just 4 oz of it. I do not have any malabsorbtion issues and my blood work is fantastic. My Cholesterol is 136, my A1C Test is 5.5 and my daily blood sugar is normal. I take no medication of any kind. I hate that the medical world says once a diabetic, always a diabetic because my blood numbers have been perfect since surgery and I have not had to take any medication. It is a combination of the surgery, weight loss, exercise and of course a nutritional diet. I eat healthy and exercise almost every day.

As far as how my life has changed, well if you can imagine, I lost what is equivalent to a small person ( 100 lbs.) in less than 7 months, I am 16 lbs. from my goal weight. It has changed my life in every way, all for the better. The only con I can think of is I am cold natured now and my wife and I have thermostat wars in the house. The only other regret is is wished I would have done this surgery years ago, I am 47 and feel that I wasted a few years of my life not doing it sooner.

Feel free to PM me if you have any other questions. Good luck.

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Great thread! I'm still preop, so I can't give any advice but I will certainly be subscribing to this thread to get advice!

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Hey, This surgery is one of the best things that has happened. I would make this choice again. Of course, it is still a struggle, I've only had my sleeve since Oct 4, 2011, but I have lost alot of weight and cloths size and now All my cloths are way too big. Eating has been restricted, it is a huge adjustment, and when I watch my family eat, I think "wow, I use to eat that much, what a waste, no wonder I had such a weight problem." At an orientation the doc stated. "in 45 minutes, you will only eat 1/2 a sanwhich." Well at the surgeon's office, they tell me to take l bite of food every 10 minutes, and that is something I can't do. So I divided 10 minutes by 45 minutes and came up with 4.5 bites. That works perfect for me. I drink Protein shakes to get my Protein. I try to think protein, protein, protein. It works out pretty good. I feel great and I'm looking great too. This is awesome........

Keep your head high and just do it. You are a doctor and you know if your medical issues (if you have any) put you at risk. I was diabetic, but that has cleared up as well as my high cholesterol. My LDL is 102 and I'm working on improving that. I eat less than a 1,000 calorie a day which is great.

Best wishes ;)

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I always swore I would never have weight loss surgery. I work in health insurance and had also seen first-hand evidence of people who had catastrophic problems with RNY surgery. I've also known a number of people who had RNY and gained back a large portion of their weight. I scoffed at the idea of "needing" surgery for weight loss and kept telling myself I would lose it as soon as I got the willpower to put down the fork and get my a$@ to the gym.

In October 2010 my mom had lap band surgery, and I was encouraged by her early weight loss and decided to look into surgery myself. I originally was set on lap band as I knew I didn't want RNY. When I went to the consultation at my surgeon's office and then met briefly with him one-on-one following the presentation, we determined banding wasn't a good option for me because of my ulcerative colitis. He talked to me at length about the sleeve and although I had gone into the consult insistent upon not being cut, once I talked with him about the procedure and then did a LOT of research on my own (this site, along with OH, was a godsend) - I decided it was honestly a great option for me.

I had my surgery in August and have lost 60 lbs in 4 1/2 months. My surgery was a breeze, recovery was very manageable and other than a few laparascopic scars on my belly, I would swear I never had surgery (until I try to eat more than 4 oz at a time!!). Other than a brief bout of illness due to my colitis over the past month, I've had more energy and feel better than I have in years. I'm thrilled with the outcome of this decision.

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
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      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
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