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Hi Everyone!

I am new here. I have been in contact with Angeles Heath- Dr Juan Lopez Corvala for a Gastric Sleeve. However I started looking around on here and thought about contacting other surgeons in the TJ area. I contacted Dr. Ortiz and found out my BMI (74) was too high and that I had to drop almost 100 lbs before even being considered for surgery. Is that normal with other surgeons? I understand the risk are higher and I am willing to loose weight before the surgery however my BMI didn't seem as a huge concern while talking to the staff at Angeles Health. Has anyone else came across this? Thanks.

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Welcome! I noticed in the Weight Loss Specific section just above this one, if you click on the 200+ lb to lose section, there's a thread specific to this topic. Looks like it was started by someone at a BMI of 70. I didn't go through all of it, but you'll probably find a lot of information there.

Best of luck to you!

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Thanks you both. I'll check into that. =)

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my BMI is 68 and i am getting sleeved on 2/8/2013 with Dr. Lopez. In Tj at MiDoctor hospital. it is 700 dollars more but he specializes in high BMI. I was referred to him from mexicali.

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I was sleeved here in the US with a BMI of 46. When I went for my intial physical, it seemed like my doctor preferred that if your BMI was over 50, you were a better candidate for the RNY gastric bypass. If you notice, most of us who are on this forum have right around 100 lbs to lose. I'm not saying the sleeve won't work for someone over 50 BMI, but it seems like consensus in general is folks with BMI less than 50. That being said, it's a good tool for weight loss- I hope you are able to get your sleeve no matter what your BMI. Good luck!

-Kendra

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Some doctors will not do it because they don't want to assume the higher risk involved with working on a larger patient and often the surgery is more difficult.

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I've been in contact today with Rhonda from alighterme.com (Dr. Lopez) and Debra at weightnomoreconsulting.com (Dr Ponce De Leon). They were both really frinedly (of course) and helped me with my concerns regarding my high BMI and having the surgery. I filled out the medical questionnaires and I will see where it goes. I am hoping to have the surgery done in March. Which I've been informed that it is possible. With Dr. Lopez I can get under 70 BMI and have a slightly lower cost. =)

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I was sleeved here in the US with a BMI of 46. When I went for my intial physical, it seemed like my doctor preferred that if your BMI was over 50, you were a better candidate for the RNY gastric bypass. If you notice, most of us who are on this forum have right around 100 lbs to lose. I'm not saying the sleeve won't work for someone over 50 BMI, but it seems like consensus in general is folks with BMI less than 50. That being said, it's a good tool for weight loss- I hope you are able to get your sleeve no matter what your BMI. Good luck!

-Kendra

As more data comes in on the sleeve, it's replacing RNY even in higher bmi patients since it seems to have the same success rates over the long term as RNY. The good thing about the sleeve in a high BMI patient is that it still leaves the option for the Duadenal switch which is more powerful than the RNY.

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As more data comes in on the sleeve' date=' it's replacing RNY even in higher bmi patients since it seems to have the same success rates over the long term as RNY. The good thing about the sleeve in a high BMI patient is that it still leaves the option for the Duadenal switch which is more powerful than the RNY.[/quote']

Right. The Sleeve was stage one to the DS to get dangerously high BMI patients down to a safer level b4 completing the DS. However, the success with the sleeve alone was unexpectedly a huge stand alone success that it is what it is today.

Amanda Rae

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My BMI is at 63, so very high as well. I'm not required to lose a certain amount before surgery, but my pre op is a lot longer (10 weeks) where the usual is 4 with my surgeon.

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I've been in contact today with Rhonda from alighterme.com (Dr. Lopez) and Debra at weightnomoreconsulting.com (Dr Ponce De Leon). They were both really frinedly (of course) and helped me with my concerns regarding my high BMI and having the surgery. I filled out the medical questionnaires and I will see where it goes. I am hoping to have the surgery done in March. Which I've been informed that it is possible. With Dr. Lopez I can get under 70 BMI and have a slightly lower cost. =)

I will be getting sleeved by Dr. Lopez on 3/18. My BMI is high too. 57, although I'm working it...

Amanda Rae

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How tall are you Amanda?

5'9...

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My BMI is at 63, so very high as well. I'm not required to lose a certain amount before surgery, but my pre op is a lot longer (10 weeks) where the usual is 4 with my surgeon.

Who is doing your surgery?

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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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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