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The bougie sizes are used as a guide for the doctor when removing your stomach. As far as getting a "bigger" or "smaller" sleeve the difference between the ALL bougies sizes are really, very small.. E
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My doc used a linguini noodle. :-P
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My Dr. uses a 40. Most Dr.s today use between a 32 and 40. Here's a blog post I wrote about it: http://www.verticalsleevetalk.com/blog/2552/entry-6420-what-is-a-bougie-and-how-does-it-affect-my-succe
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What size bougie did your surgeon use? I just learned about this today. My surgeon used a 36F. i guess this determines how large your sleeve is.