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Can't decide. ..help!



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Hello everyone! Im new to the site and I have some questions for ya...I am having a hard time deciding between the sleeve and the bypass. I am diabetic with a bmi of 35. I would like to lose 80 lbs and be done with the diabetes. I am leaning towards the sleeve but I have two concerns...I won't lose enough weight and I won't completely get rid of the diabetes. There are so many pros and cons to each and I'm just confusing myself by obsessing over the research. Anyone out there having or have had the same issue?

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I had a BMI of 46 and was diabetic. I had the sleeve and went home the next day off my medications. I have had no problems since surgery at all and I'll be 3 months out on the 19th. Honestly, the sleeve and bypass both have the same end results...but the sleeve doesn't have as many risks as the RNY because nothing is being rerouted, and alot of surgeon's are now preferring the sleeve due to this. but either way, you need to make the best decision for you. Good luck!

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Thank you Traci!! I think the fear is going to be there no matter what. I like that the sleeve seems more tolerable but I am seeing a lot of people stalling on their weight loss and/or not losing enough esp if the bmi is on the lower side. Ugh what to do what to do lol

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Most surgeons will tell you that weight loss is similar between the two procedures. RNY is still considered "the gold standard" simply because it's been around much longer.

With either surgery, you will likely experience stalls. It's a normal process with any weight loss, surgical or not. Your results will be based on the effort you are willing to put it - as far as choosing between the two surgeries, you just have to decide what you want to live with for the rest of your life. The biggest deciding factor for me, in all honesty, was the fact that with the sleeve, you don't have dumping. After reading the details about that common side effect with RNY, I knew I didn't want to put myself in that situation.

The fear is normal, too. If you didn't worry about having major surgery, then something would be wrong with you! :)

IMO, the RNY is for people who really don't have control over what they eat. As in you NEED that potential for getting sick to keep you on the right track. Not that it's guaranteed that you'll experience dumping, but it's likely, and that can happen at very inconvenient moments, and it could happen at any time after the surgery. It's not a side effect that goes away with time.

Talk over your concerns with your surgeon, and they can help you make the right choice. Good luck!! :)

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Thank you so much!! I think you just helped me stick to the original plan...the sleeve!!

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I chose the sleeve because I did not want to experience dumping or deal with malabsorption issues.

I feel like a "normal" person who just eats really tiny portions of food and is never hungry.

Love my sleeve - it saved my life mentally and physically!

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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 🙏❤️
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      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.

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

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