So I should be done with my 6 month prep stuff by September and I'm stuck on whether to get the sleeve or bipass:/ I was set on a sleeve and so was my nutritionist and endocrinologist, but my psychologist (prep requirement to see the shrink lol) said my body just wants to be fat and I should do the bipass. GRRRRR now I'm confused! I am 270, and 5'4 I'm really thinking I'll be happy at 160 because I still wants some thickness and curves lol. What to do ughhhhh:(

I struggled with the decision' date=' too. I finally had to ask myself "why" and "why not" for each procedure. I finally decided that the portion of the stomach that produces the hunger hormone being removed would help me more than malabsorption. I had a HUGE appetite before surgery. That is just me. Some people don't eat that much but their bodies are too efficient in processing food to get energy......they may be happier with the bypass. Make it your decision----and make sure you can verbalize WHY before you commit to one,[/quote']

I've done the why and why not and I was 100% set on the sleeve but she prol knocked me down to 90% and just questioning myself now even more. Im def going to talk to the surgeon and give him my reasoning and see what he says. My biggest issue is my appetite and always being hungry

The psychologist has a right to their opinion just like the rest of us, but I would listen to the medical doctor and nutritionist before the psychologist.

That having been said, the psychologist probably knows that, on average, you probably have a better chance of reaching your goal weight and reaching it faster with bypass. Some of the more recent research suggests that long term results may be comparable, but there's still more data for bypass since it has been performed and studied more often.

Even if I don't lose as much weight as I would like, I would still choose sleeve over bypass. I just think that it has a better benefit-risk profile.

Good luck.

I had a HUGE appetite prior to surgery. I am 5 months (almost 6) out now. I still get hungry, but cannot do that much as my tummy hurts if I push my limit. So I choose to stop prior to that, trying to listen to my body telling me, so that I am redoing my "cues"... eating "mindfully" as my health behaviorist says. I don't always do well, but I am trying. I still get hungry though, fyi.