How did you know the sleeve was right for you? I was convinced it is the right surgery for me and then I started researching the RNY and DS for the hubs and now I'm not so sure!

I'm going crazy thinking maybe I won't lose as much weight with the sleeve. And that possibly I won't have enough restriction.

But the though of re-routing my intestines scares me half to death!

...I've been reading all of your posts for a long while now and I know most of you are having great success. I'm just scared that the sleeve might not be drastic enough to make me change my ways! Am I crazy?!

Yes, the sleeve IS drastic, but I can't imagine doing a Roux n Y .... With the added nutrition deficiencies etc... Long term studies show patients w the sleeve lose as much as the bypass eventually, even though the bypass patients lose weight at a faster rate.

Up to you, but very happy w the sleeve.

You had me until you said this.....

I'm just scared that the sleeve might not be drastic enough to make me change my ways! Am I crazy?!

From experience I can say that the sleeve in no way makes you change your ways. This has to come from you. You still have to work at putting the right things in your body. And not "cheat" it by eating junk (slider) foods.

At 7 months out this is my biggest challenge eating healthy and not giving into those old feelings of wanting to binge on a bag of chips.

The best thing I can say is "eyes wide open"

Know that this is something that goes hand in hand with making better choices and exercise

Yes' date=' the sleeve IS drastic, but I can't imagine doing a Roux n Y .... With the added nutrition deficiencies etc... Long term studies show patients w the sleeve lose as much as the bypass eventually, even though the bypass patients lose weight at a faster rate.

Up to you, but very happy w the sleeve.[/quote']

Akmys11 ! Ha I didn't "recognize" you with you new pic! How goes the first week? Feeling better?

I do know that the RnY's pouch will stretch and weight is regained. With the sleeve, if you can't loose your weight all with the sleeve then the second step can be the RnY. With the RnY they use the fundus of the stomach that is the stretchy part. So all in all, all the wls are just tools in the long haul. It all about what we decide to put in our mouths...... It's not a miracle, but it is doable if you are willing to put in the work........

You had me until you said this.....

From experience I can say that the sleeve in no way makes you change your ways. This has to come from you. You still have to work at putting the right things in your body. And not "cheat" it by eating junk (slider) foods.

At 7 months out this is my biggest challenge eating healthy and not giving into those old feelings of wanting to binge on a bag of chips.

The best thing I can say is "eyes wide open"

Know that this is something that goes hand in hand with making better choices and exercise <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/smile.png' class='bbc_emoticon' alt='' />

What I mean is, Ive read you have more restriction with the DS and RNY. The sleeve may not restrict my portions as much as the other two. My concern is that I will still be able to eat larger amount in a sitting, which is my problem now.

As far as binge-eating and slider foods, MY HEAD IS IN THE GAME! I would never decide on WLS if I thought I couldn't handle making the right food choices post-op.

The AM I CRAZY?! part is because I've been reading these boards for a long time and I know that the restriction is severe. I know it's a huge change... But in just a week of reading about the other options, I've started to have doubts. And I'm just trying to figure out why.

Yes' date=' the sleeve IS drastic, but I can't imagine doing a Roux n Y .... With the added nutrition deficiencies etc... Long term studies show patients w the sleeve lose as much as the bypass eventually, even though the bypass patients lose weight at a faster rate.

Up to you, but very happy w the sleeve.[/quote']

Thank you for your response! Your picture cracks me up!

I read this and that little voice in my head says "you see, the sleeve is right for you. Just shut up already!"

Then the side of me that has to research everything, down to what kind of toothbrush is best, says "just a few more sites. Show me more proof that the sleeve is better."

What I mean is' date=' Ive read you have more restriction with the DS and RNY. The sleeve may not restrict my portions as much as the other two. My concern is that I will still be able to eat larger amount in a sitting, which is my problem now.

As far as binge-eating and slider foods, MY HEAD IS IN THE GAME! I would never decide on WLS if I thought I couldn't handle making the right food choices post-op.

The AM I CRAZY?! part is because I've been reading these boards for a long time and I know that the restriction is severe. I know it's a huge change... But in just a week of reading about the other options, I've started to have doubts. And I'm just trying to figure out why.[/quote']

Ok, it's sounds like you know what you are doing and you found the answer you were looking for.

I do know that the RnY's pouch will stretch and weight is regained. With the sleeve' date=' if you can't loose your weight all with the sleeve then the second step can be the RnY. With the RnY they use the fundus of the stomach that is the stretchy part. So all in all, all the wls are just tools in the long haul. It all about what we decide to put in our mouths...... <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/sad.png' class='bbc_emoticon' alt='' /> It's not a miracle, but it is doable if you are willing to put in the work........<img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/tongue.png' class='bbc_emoticon' alt='' />[/quote']

For sure! I do know this is no walk in the park-- I read these posts of "Sleeve to Switch" revisions and was wondering: are they doing int to lose additional weight because diet and exercise are no longer effective? Or are they doing it because its no longer "easy" to lose with the sleeve?

I was obsessed with food and loved eating ALLOT of food. After VSG If I overeat at all I get uncomfortable and simply cant. I have not read yet about persons that regained the weight or stretched their sleeve but one guy who drank diet soda like crazy. With VSG no carbonated drinks because it stretches the sleeve. I didn't get RNY or bypass because of the rerouting and the fact that it can be stretched out because the stretchy part is not removed only part of it . they also are mal-absorption surgeries. So down the road deficiencies of fat soluble vitamins is seen and require injections for replacement. That's what I found as I researched. With VSG the complete stretchy part of the stomach is removed.As others have said all WLS are tools that HELP us. We need to put the right things in to get good results. Its ok to indulge once in a while but for the most part protein then veggies and fruits. Good luck on making your decision.

I was obsessed with food and loved eating ALLOT of food. After VSG If I overeat at all I get uncomfortable and simply cant. I have not read yet about persons that regained the weight or stretched their sleeve but one guy who drank diet soda like crazy. With VSG no carbonated drinks because it stretches the sleeve. I didn't get RNY or bypass because of the rerouting and the fact that it can be stretched out because the stretchy part is not removed only part of it . they also are mal-absorption surgeries. So down the road deficiencies of fat soluble Vitamins is seen and require injections for replacement. That's what I found as I researched. With VSG the complete stretchy part of the stomach is removed.As others have said all WLS are tools that HELP us. We need to put the right things in to get good results. Its ok to indulge once in a while but for the most part Protein then veggies and fruits. Good luck on making your decision.

Thank you

My identical twin sis had the bypass done 12 years ago, sleeve was way too new then. She lost a lot the first year and has kept about 50% off. She stretched it over the years. She went with me for my sleeve consult and her/our doc put her back on track and spent more of my consult time on her ensuring she has the tools to get back into the game of losing again. She said she needed that and is actually losing again. I have my surgery in a week and I am happier I have this choice. The absorption problem is an unnecessary burden I think with this other option. Bottom line is that both surgeries need work now matter the procedure. She also started back on vitamins and took biotin for first time and her hair and skin has never looked nicer. So, it can all be helpful to do what they tell you years later

Akmys11 ! Ha I didn't "recognize" you with you new pic! How goes the first week? Feeling better?

Hahaha- I was so grumpy & cranky the pic was totally appropriate for week 1 post op!!

Thanks- I am feeling so much better. I am so so happy I had this done. :0) everyday gets better & better, no hunger anymore.... But still Can't wait to start soft foods though!

I am choosing the VSG over RNY/DS because my sibling had RNY, and has horrific malapsorption issues, has to get hooked up to an IV to fill in the nutritional gap.....this doesn't happen to everyone, but I worry because our genetics are so close....plus I'm not comfortable with getting parts rerouted

What WLS has your surgeon suggested?

Good luck whatever you decide!

I am choosing the VSG over RNY/DS because my sibling had RNY' date=' and has horrific malapsorption issues, has to get hooked up to an IV to fill in the nutritional gap.....this doesn't happen to everyone, but I worry because our genetics are so close....plus I'm not comfortable with getting parts rerouted

What WLS has your surgeon suggested?

Good luck whatever you decide![/quote']

Good points. I actually went into my consult knowing exactly which procedure I wanted: VSG. I told him why, gave him all the info I had researched which swayed me in that direction and that was that. For my husband, He recommended the DS and so I've been researching that. It has brought up this question of rather the restriction will be enough to get me to a healthy weight.

I know everyone is different but I have a friend who had bypass 1 year before I had sleeve. She started out at 305 and got down to 260 and hasn't gone any further. She can eat 5 times what I can eat at one sitting. I am 11 months out and have lost 122 pounds and well on my way to goal. The dangers of the other surgeries are what made my decision for me. You do not know what your body will do with any of the surgeries so I personally don't think you should anticipate that as part of your decision. Look at the pros and cons and decide what is right for you. It is not a quick fix but a way of life for the rest of your life. I am soooooooo happy with the sleeve but others are just as happy with the other surgeries. Good luck with your decision, I know it will be the right one for you.