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Hi all,

I'm torn! I thought I wanted the sleeve but now I'm leaning towards the RNY. Why? Most people who I encounter with significant weight loss has had the RNY. Not many people in my support group are sleevers. The program manager mentioned to me to go big or go home, meaning the RNY in her opinion is the granddaddy of them all. I need to make a decision and stick to it. Anyone ever felt torn like this?

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I have been contemplating wls for some time now and was always going to do rny. Partial because i only knew of rny and lapband. I wasn't truly fond with either but knew I neded help.

But then back in July I leaned of the sleeve. For me I feel this is the better option. Mainly do to the fact that my intestinal tract is not being screwed with and there are no malabsorption issues. Those two were big for me. Whatever you choose Is a big deal and I think you just need to do your research, pros and cons of each, talk to your gp and surgeon and make the best decision for you!

I also like that there are less restriction later down the road with the sleeve.

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I also had a hard time making a decision. I think it will help if you base your devising on your current health issues. I went with the sleeve because it is less invasive. My surgery is on Monday.

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I also had a hard time making a decision. I think it will help if you base your devising on your current health issues. I went with the sleeve because it is less invasive. My surgery is on Monday.

My only health issue currently besideis being obese is that I have high cholesterol. Best wishes on your surgery. Wishing you a speedy recovery.

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rny??

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I was really (really really) concerned with malabsorption with RNY, so I had to go with the sleeve. I have insurance that will cover the RNY and Lap-band, but I'm paying for the sleeve out of pocket because that's how much I believe in it. I think (correct me if I'm wrong) that there is always the option to get RNY after the sleeve if the sleeve does not complete your weight-loss goals, but there's no going back from RNY to anything. The reason you don't see many sleeves is that up until recently in the US, many insurances wouldn't cover it because they deemed it "experimental". Now that they have been testing for quite a few years, IMO it's going to be the new "gold standard" for WLS. With Medicare now approving it, I believe other insurances will follow suit (including my beloved TriCare). I'm not willing to wait any longer to start my life. I know quite a few people with RNY who have stretched their pouches and gained some or all of their weight back...from what I can tell, the sleeve can't stretch.

Sorry to go on and on! Good luck with your choices. I think any procedure to get healthy is worth it!

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I have had many friends that have had rny. I am the first to have the sleeve. I went to 11 surgeons, countless seminars, and talked to everyone that I could. There are actually 4 surgeries out there! I decided on the sleeve for several reasons, mainly because of the side effects associated with the rny. I was worried about bathroom issues, since I work outside (letter carrier) absorption of food, and it was less evasive than the rny. I am only 9 days out of surgery but I feel pretty good. I stand by my decision and am feeling like it was the best one. You can talk to people and listen to their stories, talk to surgeons, but ultimately you need to make the best decision for yourself.

Good Luck no matter what you choose!

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Stokes mommy, the (r n y) rny is the gastric bypass :)

Kmwheel is right about further surgery if it doesnt produce necissary weightloss. You can have the duodenal switch if you dont lose satisfactory weight with the sleeve. Ive heard the switch is the most effective for major speedy weightloss.

I never had much of a struggle with the decision. I didnt want to have nutrient deficencies to the extreem that gastric bypass suffer from. Lots more dr. visits for years having to make sure your doing ok. I read horror stories of osteo perosis and otheer irreversable damage in people years afterwards so I didnt even consider it. Weight loss is better in some cases. Best thing you can do is internet searches on both :) Good luck with your decision!

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Like others i chose the sleeve because i didn't want to deal with the malabsortion

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Even with sleeve there are some malabsorption issues, just not as many as other procedures. And yes you can stretch your sleeve if you don't listen to your body and constantly over feed!!

Sent from my iPhone using VST

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I had sleeve on August 1 ,2012. I'm down 55 lbs ! My only regret is , I should have done it sooner! I missed out on a lot of things because of my weight!

Sent from my iPhone using VST

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      1. Selina333

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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